2. Environmental Health- Request For Document Form
6. Public Record
   All correspondence with the Environmental Health division of the Craven County Health Department is subject to North Carolina public record law in accordance with NC G.S. 132. Correspondence includes, but is not limited to, email and complaint forms.
10. Requestors Information
12. Requestors Name:*
13. Date:*
    Date:
15. Phone Number:
16. Fax Number
18. Email Address*
22. Septic or Well Documents
24. Is the structure served by a public sewer system?
    -- Select One --YesNo
26. If "Yes" is selected above, please contact the sewer department. If "No" is selected above, continue below.
28. Owner of Property:*
30. Address of Property:*
32. City:*
33. State:*
34. Zip Code:*
36. Tax Parcel Identification Number of Property:
38. PID Number:
40. Year Home Build (if applicable):
42. Lot/Subdivision-Legal Description
Leave This Blank:


48. 1. Receive an email copy of this form.
49. Email address

    This field is not part of the form submission.

50. Submit

* indicates a required field