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AIME COUNTY HEALTH DEPARTMENT SEPTIC TANK PERMIT Date
Dwner/Occupant Aga" To:
Address ?n Address ) G �
Building Contractor Address
Cal. �Z)(p Manufacturer's Name Address A0
No. of lines . Width _?6-in. Tot 1 length 4/® ft. No. sq. £t. 3�3,0
Type of filter material Total tons used
Minimum REquirements: House Tr4di6er 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 Offi<
or his agent.
Date of Final Approval Signed:
Sanitarian
I hereby certify that the above septic tank has been installed according to specification
Signed: Qr
0"/.
Septic a Cont r or
Note: Make sketch of disposal system on back of sheet and mail to Davie County Health
` Center, Box 57, Mocksville, North Carolina 27028.
ti
DAVIE COUNTY EALTH DEPARTMENT SEPTIC TANK PERMIT Date
Jwner/Occupant �.L�`-v�" To:
Address Address
Building Contractor Address
Cal. Manufacturer's Name Address
No. of lines Width in. Total length ft. No. sq. ft.
Type of filter material Total tons used
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 Offic
or his agent.
Date of Final Approval Signed:
Sanitarian
I hereby certify that the above septic tank has been installed according to specification
Signed:
Septic Tank Contractor
Note:, Make sketch of disposal system on back of sheet and mail to Davie County Health
Center, Box 57, Mocksville, North Carolina 27028.
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