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ETHTE 11-5-26323 HARNETT COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH 307 CORNELIUS HARNETT BOULEVARD LILLINGTON, NC 27546 EXISTING SEPTIC SYSTEM INSPECTION Name: Smith Residential Builders Phone 919-353-0412 Address: 274 Cumnock Rd Sanford NC 27330 Name of Mobile Home Park or S/D: Cinnamon Hills Name of Owner (if different): Chris Mclen Address of Owner (if different): 72 Else Buchanan Rd Broadway NC 27505 Property Location (State Road name and Lawrence Rd Purpose of Inspection: 24'x24' Detached Garage The aforementioned site has been evaluated by the Harnett County Health Department Environmental Health Section. At the time of inspection, there appeared to be a septic system serving this site. If the system should malfunction, the owner is responsible for any necessary repairs. THIS INSPECTION IS VOID IF: 1. the intended use of the septic system should change, and/or 2. the system should fail or malfunction, and/or 3. the owner or tenant of the property change, and/or 4. after six months BUILDING MUST BE 5' FROM ANY PART OF SEPTIC SYSTEM DO NOT DRIVE OR PARK ON SEPTIC SYSTEM AUTHORIZATION OF EXISTING SYSTEM 1 Signature of Environmental 11141t4~Apeciali Date