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ETHTE #: 13 -5 -30763 HARNETT COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH 307 CORNELIUS HARNETT BOULEVARD LILLINGTON, NC 27546 EXISTING SEPTIC SYSTEM INSPECTION Name: Rachel Brafford /Mullinix Phone #: 919- 353 -1754 Address: 255 Boyd Brafford Dr. Sanford, NC 27332 Name of Mobile Home Park or S /D: Boyd W. Brafford Tr 1 Name of Owner (if different): Randy Bradfford Address of Owner (if different): 255 Boyd Brafford Dr. Sanford, NC 27332 Property Location (State Road name and #): Barbque Church Purpose of Inspection: replace home 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 1i 1 LVA DKII 1 AUTHORIZATION OF EXISTING SYSTEM o nvironmental Health Specialist 7 2 -/�7 Date