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424 Hillcrest Dr
-17 DAVIE COUNTY HEALTH DEPART11ENT SEPTIC TANK PERMIT No of Bedrooms % 14:1 �� r Date O �% This permit is granted to �/�?z��Cys� for the installation of a septic tank at the residence of TO Ee47 - Address Building Contractor �e r ! o r egetAddress F<,r;rt G ;m.IL- Septic Tank Specifications: Length Width Depth Capacity Gal. Manufacturer's Name , D Z2,4 AddressP,9�_ No of lines_ width3—`,�; Total Length ,�©,_�_ft. No. of Sq. Ft. ; d r{o0 Type of filter material t\ rte' �,-y, Total tons used Minimum Requirements: House Trai4Zr Tank Cap. 0 Sq. ft. line r 400 Two --bedroom house. 800 600 Three-bedroom house 900 900 No one shall install a septic tank in Davie County without a rmit from the Health Officer or his agent. � c 1 Date of final approval /D P P 4ry�a .fir! mss` �3 ed: anitarian I hereby certify that the above septic to has been installed according to specifications. Signed: Septic Tank Contractor Note: Make sketch of disposal system on back of sheet and mail to Health Center, Mocksville.