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7355 Hwy 801S
DAVIE COUNTY HEALTH DEPARVIENT SEPTIC TANK PERMIT No of Bedrooms -TZd- - Date /© This permit is granted to _��77 for the installation of a septic tank at the residence of (2xa Address Building Contractor Address Septic Tank Specifications: Length Width Depth Capacity Gal. 9 G Manufacturer's Name T'aa--; = Address /f No of lines J width & oin. Total Length )J -ft. No. of Sq. Ft. 3 ?s` Type of filter material , ��r Total tons used /3 Minimum Requirements: House Traile'Yank Cap. 800 Sq. ft..line 400 Two --bedroom, /Ouse' 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 I hereby certify that the above septic tank has been installed according to specifications. Signed: Z�� eptic tank Contractor Note: Make sketch of disposal system on back of sheet and mail to Health Center, Mocksville.