ETHTE #: 13 -5 -32134
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Thomas Properties Phone #: 919 - 906 -4069
Address: P.O. Box 875 Broadway, NC 27505
Name of Mobile Home Park or S /D: Pinnacle lot 3 -A
Name of Owner (if different): Brutus & Patrilla Judd
Address of Owner (if different): 266 Brown Rd. Lillington, NC 27546
Property Location (State Road name and #): Brown
Purpose of Inspection: new 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
1 1 NEWNTISN't 111201110 1 1• A• . 1
of
AUTHORIZATION OF EXISTING SYSTEM
L/m
Health Specialist