ET RHTE 11-5-25832R
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: JB Raynor Construction Phone 624-3604
Address: 2149 AL Ray Rd Fayetteville NC 28312
Name of Mobile Home Park or S/D: Stone Cross
Name of Owner (if different): Bruce & Rhonda Sloan
Address of Owner (if different): 371 Stone Cross Dr SpringI.,ake NC 28370
Property Location (State Road name and 1120 Overhills Rd
Purpose of Inspection: Room Addition & Roof Over Deck
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
42~~-\5
110\1
Signature of Environmen ealth Specialist