ET316-
HTE #: 15-5-.4316
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
Name: Eric Wates Phone #: 919-935-9600
Address: 322 Asheford Way Cameron NC 28326
Name of Mobile Home Park or S/D: Asheford lot 108
Name of Owner (if different):
Address of Owner (if different):
Property Location (State Road name and #): 322 Asheford Way
Purpose of Inspection: Storage Building (12`x20')
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
10101110 " IN W 0901 A All IN MUIR] N I OMWIL11 I NO
AUTHORIZATION OF EXISTING SYSTEM
F1
Signature of Environmental ealth Specialist