ETHTE 10-5-25729
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: James Graves Phone 910-237-5267
Address: 153 Meadowcroft Dr Fayetteville, NC 28311
Name of Mobile Home Park or S/D:
Name of Owner (if different): Living Stonesof Faith Ministries
Address of Owner (if different): 143 Meadowcroft Dr Fayetteville, NC 910-237-9419
Property Location (State Road name and Sunny Sands Rd
Purpose of Inspection: Power Hookup
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 O PARK ON SEPTIC SYSTEM
AUTHORIZATION OF EXISTING SYSTEM
24
Signature of Environmental He th Specialist 1Date