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214 Laird Rd (2)DAVIE COUNTY HEALTH DEPARTMENT SEPTIC TANK PERMIT Date )timer/Occupant ��,To : Address ���3 S� R'� !�"�� c �,_ Address Building Contractor Address Cal. y 1 manufacturer's Name Address. No. of lines Width —in. Total length ft. No. sq. ft. Type of filter material Total tons used Minimum REquirements: douse Trailer Tank cap. 800 Sq_. ft. line 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 2.7028. i� i •, i ©n x