ETHTE #: 14 -5 -33451
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Kevin Anderson Phone #: 366 -4849
Address: 74 Bishops Ct Cameron NC 28326
Name of Mobile Home Park or S /D: Yorkshire lot 33
Name of Owner (if different):
Address of Owner (if different):
Property Location (State Road name and ft Bishops Ct
Purpose of Inspection: Shop (26'x24')
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
1 •;� •'' HENFIRM
AUTHORIZATION OF EXISTING SYSTEM
919
Signature of Environment"ealth Specialist 'Date