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ETHTE 10-5-24798 HARNETT COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH 307 CORNELIUS HARNETT BOULEVARD LILLINGTON, NC 27546 EXISTING SEPTIC SYSTEM INSPECTION Name: Forest Hills Family Care Facility Phone 919-353-1270 Address: 54 Ripley Rd. Cameron NC 28326 Name of Mobile Home Park or S/D: Seven Oaks lot 2 Name of Owner (if different): Victor & Associates. Inc. Address of Owner (if different): 138 S. Steele St. Suite #V Sanford NC 27330 Property Location (State Road name and 111 I -Marks Purpose of Inspection: Family Care Facility 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 of Health Specialist oj& Date