ET RHTE#
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
NAME PHONE # 96e if
ADDRESS fi c n_n� � ,t s b:2. F k/, I J .0 -75Y 7
NAME OF MOBILE HOME PARK OR<S /D
NAME OF OWNER (IF DIFFERENT)
ADDRESS OF OWNER (IF DIFFERENT)
PROPERTY LOCATION: STATE ROAD NAME AND # L4:L4 cloy eo
PURPOSE OF INSPECTION. ?,0
�^ �."v `hTM41w "Mr"
Thy aforelne bn �t ; a peri: evaluat ' t e acne ea De artment
�1�'' �.. [,''r
a�F�' Sri ,, r ,. ,,, v �,,,, �r
i to Qf in t�a�t t o a/p' eared t0"-',b,, � a� se to r
systerrtervmtii site It�ia ssem siio�utd ralirciar; teov�rte is� responsibfb for
t�y
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 changes, and/or
(4) after six months
BUILDING MUST BE 5' FROM ANY PART OF SEPTIC SYSTEM
00 NOT DRIVE OR PARK ON' SEPTIC SYSTEM,
AUTHORIZATION OF EXISTING SYSTEM
Sature of Environmental Health Specialist Date
LEGEND
PO =PORCH
P =PATIO
SW= SIDEWALK
DW =CONC DRIVEWAY
EB= ELECTRIC BOX
SCO =CLEANOUT
TP= TELEPHONE PEDESTAL
WM =WATER METER
AC =AIR CONDITIONING UNIT
® IRON PIPE FOUND
® IRON PIPE SET
4 NAIL SET
�J
illch = GO
S
�a� " %�'cc�IPreagef
�t kA GAR-
q9' aaaooea °, f�ry d,
CL
SEAL F w
m r- L -4909 � ,
(a Q -7 '7 .1��ao° l
i-i V�`l�i.•�ny0
THIS IS A SURVEY OF AN EXISTING PARCEL OR
PARCELS OF LAND AND DOES NOT CREATE A
NEW STREET OR CHANGE AN EXISTING STREET.
SliA T. RUMBERGER, PLS L -4909
DATE �,; 7 -1;
THIS MAP IS OF AN EXISTING PARCEL OF LAND
D IS ONLY INTENDED FOR THE PARTIES AND
PURPOSES SHOWN. THIS MAP NOT FOR
RECORDATION. NO TITLE REPORT PROVIDED.
,
CURVE TABLE
CURVE
LENGTH
I RADIUS
BEARING
I CHU?D
('1
39940
1 325.90
S B5'13'3W WI
100A0J
3" ABOVE
i
i
1 i
w, ,1 C 57,196 S.F. /
W ` I
1.31 AC. i
i
t i
W N '\
l
1
1
EIP F
3 J
BD
ib TOP F
POND
4 {
J-�
SHER 5o P PINES �RiVE
w
Z
cu cL
2 "ABODE
f O R
rq
PROJECT:
it -077 SUM PISS
JOHN BENSON
DRAWN BY: APS
416 SHERMAN PINES DRIVE
�IIRV EY,XG THE EAST U.—
LOT 20 SHERMAN PINES
&Io W. CUMVIERLAND ST
LODATE:
SCA LE: 1 „� �+
n*4'Y_t^�
HECTORS CREEK TOWNSHIP, HARNETT COUNTY, NC
PB 2006 PG 373
DUNN, No Z6334
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