ETHTE #: 14 -5 -34431 & 34432
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Stanley Gregory Phone #: 903 - 456 -8207
Address: 847 Runningbrrok Ln Cameron NC 28326
Name of Mobile Home Park or S /D: Sunny Sands lot 1
Name of Owner (if different):
Address of Owner (if different):
Property Location (State Road name and #): Running Brook
rook
Purpose of Inspection: SFD Q Bedroom & Storage Buildi y_(40'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
19"OUILDING MUST BE 59 FROM ANY PART OF SEPTIC
1O NOT DRIVE PARK ON SEPTIC SYSTEM
AUTHORIZATION OF EXISTING SYSTEM
Signature of Environmental Healt pb ' ist Dz