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459 Pleasant Acre Dr (2) _DAVIE COUNTY HEALTH DEPARTMENT SEPTIC TANK PERMIT No, of Bedrooms �} Date 13 o '17his permit is granted to �i %r for the installation of a septic tank'.. at the residence of �,'a,19e v S 7-;-Ie Address Building Contractor -S?q M z+ Address S Ain Septic Tank Specifications: Length Width Depth Capacity Gal. o a Manufacturer's Name 2a Li �. /, g.✓l� Address Q No. of lines�_width�in. Total Length ga- .fft. No. of Sq. Ft. /?,o -o Type of filter material owe Total tons used 3 0 Minimum Requirements: House Trailer Tank Cap. 800 Sq. ft. line 400- Two-bedroom house 800 600 Three-bedroom house 900 900 No one shall install a septic tank in Davie County without a permit from the Health Officer or his agent. Date of final approval Signed: Sanitarian hereby certify that the above septic tank has been installed according to spe ifications. Signed: 0- Septic � _� 6 Tank Contractor Note: Make sketbh of dis-osal system on back of sheet and mail to Health Center, Mocksville. �. Cn � l Sd K `;, ��� �'Ji?% ��R � .. d � ac Ne u S-P Q _ 4� � �7 ------ /7�r