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ET RHTE #: 13- 5- 31205R HARNETT COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH 307 CORNELIUS HARNETT BOULEVARD LILLINGTON, NC 27546 y 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 Lee McPherson Address of Owner (if different): 3271 Cameron Hill Rd Property Location (State Road name and #): Cameron Hill 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 I 010y AUTHORIZATION OF EXISTING SYSTEM o nvironmental Health Specialist Date