ETHTE #: 15-5-36063
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
Name: Your Dream Home Improvement LLC Phone #: 261-6350
Address: 1501 Hope Mills Rd Fayetteville NC 28304
Name of Mobile Home Park or S/D: Cameron Pines lot 10
Name of Owner (if different): Jenina Young
Address of Owner (if different): 190 Cameron Pines Dr Sanford NC 27332
Property Location (State Road name and #): 190 Cameron Pines Dr
Purpose of Inspection: Deck (12'x22')
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
Signature
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AUTHORIZATION OF EXISTING SYSTEM
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QAUA