ETHTE #: 13 -5 -31205
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Dennis McPherson Phone #: 910 - 988 -0055
Address: 3273 Cameron Hill Rd. Cameron NC 28326
Name of Mobile Home Park or S /D:
Name of Owner (if different): Raeford McPherson
Address of Owner (if different): 3271 Cameron Hill Rd. Cameron NC 28326
Property Location (State Road name and #): Cameron Hill
Purpose of Inspection: replace 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
�M 119201111 H 112 MA W41 IM MAN 12 WOMI Of W I LOWA3 10104 M
AUTHORIZATION OF EXISTING SYSTEM
S,
of-En'vironmental Health Specialist
It . .