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P91273 Hwy 64W - Halco Land Company
DAVIE COUNTY HEALTH DEPARTMEN,T/ S�PTIC TANK PEWZIIT Date 11C21, 93 Owner/Occupant 14,0 �dK4( Address Address yoca C h V r Building Contractor Address Cal. gOp Manufacturer's Name ����,���5 Address e" No. of lines �� Width in. Total -length �53© ft. No. sq. ft. Type of filter material 5A, k Total tons used 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 Offic or his agent. Date of Final Approval Signed: Sanitarian I hereby certify that the above septic tank has been installed according to specification Signed: VA 4d,'IAA,4-� S ptic TankvCbntracto Note: Make sketch of disposal system on back of sheet and mail to Davie County Health Center, Box 57, Mocksville, North Carolina 27028. / . 7b , v ����� r Al,:z f n- flC�� 'f DILh�'aK