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608 Bonkin Lake Rd (2)DAVIE COUNTY MALTH DEPAR71MT SEPTIC TANK PEM-aT No. of Bedrooms (:-R-. Date i /"7 / (r; 3 This permit is granted to ►-. T, ik� Rr q a h 74 for the installation of a Septic Tank at the residence of Address Q Building Contractor Address Septic Tank Specifications: Length Width Depth Capacity--2-o—Gal. Manuf acturer I s Name Address <' No. of lines Width LA. Total length�� © Ft. No. of Sq.Pt. � Q Type of filter material NO - (8 Total tons used vz riinir� —a Requirements: Tank Capacity Square Ft. of Line c5 House Trailer 800 100 Two -Bedroom House S00 600 Three -Bedroom House 900 900 No one shall install a septic tank in Davie County without a perrait from the Health Officer or his agent. Date of final Approval Signed: 611 Sanitarian I hereby certify that the above septic tank has been installed according to specifications. Signed Septic Tank Contractor Note: Make sketch of disposal system on back of sheet and mail to the Health Center in ilocksvil].e.