ET RHTE #: 14- 5- 34805R
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Jeffery L. Beecher Phone #: 910- 987 -7858
Address: 928 Melody Lane Cameron, NC 28326
Name of Mobile Home Park or S /D: Forest Ridge SecIII lot 4
Name of Owner (if different):
Address of Owner (if different):
Property Location (State Road name and #): 24/87
Purpose of Inspection: den addition
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
BUILDING MUST BE 5' FROM ANY PART OF SEPTIC SYSTEM
DO NOT DRIVE OR PARK ON SEPTIC SYSTEM
AUTHORIZATION OF EXISTING SYSTEM
C- i -
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of Environmental Health Specialist Date