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P6271 Hwy 158DAVIE COUNTY HEALTH DEPARTi`4ENT SEPTIC TANK PERMIT No of Bedrooms Date �' a H 2 0� 1 i� This permit is granted to r for the installation of aseptic tank at the residence of rns Address Building Contractors ,nom Address Septic Tank Specifications: Length Width Depth Ca`p�acity Gal. 9 e 0 Manufacturer's Name Address /r .?� No of lines_ width J( i Total Length 20 ft. No'. of Sq. Ft� Type of filter material Total tons used 33 Minimum Requirements: House Trailer Tank Cap. 800 Sq. ft. line 400 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 Officer or his agent., Date of final approval Signed: Sanitarian I hereby certify that the above septic tank has been installed accor ing to specifications. Signed: / Septic Tank C tractor Note: Make sketch of disposal system on back of sheet and mail to Health Center, Mocksville. .. v. _ _ Jal ;cul .. .. ;.