ETHTE 12-5-28375
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEP'T'IC SYSTEM INSPECTION
Name: Jonathan Jackson Phone 919-842-4303
Address: 614 North Forn~he Ln Cameron NC 28326
ette
Name of Mobile Home Park or SfD: Imperial Ranch
Name of Owner (if different):
Address of Owner (if different):
Property Location (State Road name and Marks Rd
Purpose of Inspection: Man Home Placement
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.
BUILDING LIST S' FROM A PART SEPTIC SYSTEM
T DRIVE OR A N SEPTIC SYSTEM