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P83167 Davie Academy Rd
DAVIE COUNTY HEALTH DEPARTMENT SEPTIC TANK PERMIT ' � of Bedrooms %La - Date 3 J — permit is grantpd toc for the installation of a septic tank. at the residence of / � - Address /�j= 9cC��4.� V C, Building Contracto Address _ Septic Tank Specifications: Length Width Depth Capacity Gal. © _ Manufacturer I s Name 'r j- ' , , Address Into. of lines_width 'f"in. Total Length /d-2> ft. k7o. of Sq. Ft. 7'oo Type of filter material ��— o Total tons used Minimum Requirements: House Tr filer Tank Cap. 800 Sq. ft. line 1+00 Two-bedroom house 800 00 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. c� Date of final approval S��/'� Signed: _ Sanitarian I hereby certify that the above septic tank has been installed according to s cifications. Signed: _G Septic Tank Contractor Note: Make sketbh of disposal system on back, of sheet and mail to Health Center, Mocksville.