ET RHTE #: 16-5-38251R
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Americas Home Place Phone #: 803-530-1493
Address: PO Box 4174 Irmo SC 29063
Name of Mobile Home Park or S/D: CAM -L Properties Inc Sec 2
Name of Owner (if different): Darlene Baker Cardott
Address of Owner (if different): 2167 NC Hwy 24 Cameron NC 28326
Property Location (State Road name and #): 2167 NCHwy 24
Purpose of Inspection: SFD (54'x42')
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
Signature of Environmental