ETHTE 11-5-26758
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Family Pool & Spas Phone 272-8030
Address: 101 Warwick Mill Rd Lumberton NC 28358
Name of Mobile Home Park or S/D: Hazel CLark
Name of Owner (if different): James & Cherie Griffen
Address of Owner (if different): 8041 Overhills Rd Spring Lake NC 28390
Property Location (State Road name and 1120 Overhills Rd
Purpose of Inspection: Pool
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
Signature of Environmental Heal. Specialist
Date