ETHTE #: 14 -5 -33783
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
Name: Sue Pope Phone #: 919- 499 -6166
Address: 566 Cameron Hill Rd Cameron NC 28326
Name of Mobile Home Park or S /D:
Name of Owner (if different):
Address of Owner (if different):
Property Location (State Road name and #): Cameron Hill Rd
Purpose of Inspection: SFD (33'x36')
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
13 Ll NVIEM MAN ' 1,
AUTHORIZATION OF EXISTING SYSTEM
ARE
Signature of Environmen l Nalth Specialist
ate