2380 US Hwy 64 W Lot 2Ao
' �DAVIE CQUNTY HEALTH DEPARTMENT SEPTIC, TANK -PERMIT . r
No'of'Bedrooms r " t Date ;' * „
This permit ,i's granted to `�. v &,r-". for the instd1lation. f i' a t_ic stank
at the residence 'ot=.•Af:, r -:Addy g
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Building Contractor° �' Address"'
Septic Tank;Specift;cations Lengt�h�_ Width Depth Capacity Gal od
Manufaeturerl s Name e�i%P�i {� iAddress�/W.,k3 ,: =;'r•�,
No of lines_Z 'widthx
Type of fiit6i'material Total tons used
MinimmNequirements.' House Trails 'Tank C�ai. l B00 ', r . k. _A , line' -M;:", 1400
Two-bedrobm house 1 4, 800 ,� 600'i I, ;
Three-bedroo�g3house r' 1'00 900
No one shall install aseptic tank in Davie.Co{ul�ty� ithbut .,a pe' t,from'the Health
Officer or his,agent i M1tin`Nv !,� 1
Date of final Apprlval �+ "" Y t .�' i ' it �7+4-' nedF
Sanitarian
I hereby certify that' the above septic tank/hdk�been,ixlst ied according to.
specifications.},' �C?
Sep�Cyp, Tank Contractor
1e.`u 'moi 1 �
Note "Make sketch of disposal system on back of sheet a8d#mail to Health Center,
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