ET RHTE #: 16-5-3797OR
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Shameka Hamer Phone #: 910-273-2086
Address: 504 Old Field Loop Sanford, NC 27332
Name of Mobile Home Park or S/D:
Name of Owner (if different): Saks Fourth Avenue LLC
Address of Owner (if different): 281 Buffalo Sanford NC 27332
Property Location (State Road name and #): 87
Purpose of Inspection: barber shop
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
1.,.�.:._ .�� �i� Z 4 (- /2 � < C. --
Specialist Date