ETHTE 12-5-28828
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: James E. Shue Jr. Phone 919-842-1606
Address: 945 Hwy 24 Cameron, NC 28326
Name of Mobile Home Park or S/D:
Name of Owner (if different): Michael Anderson
Address of Owner (if different): 482 Bullard Rd Sanford NC 27332
Property Location (State Road name and Bullard
Purpose of Inspection: New Home
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
e'
th Specialist
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Date