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P10871 No Creek Rd - Fritts Trailer ParkL� �E COUNTY HEALTH DEPARVIENT SEPTIC TANK PERMIT No one shall install a septic tank Officer or his agent. Date of final approval in Davie County without a permit from the Health Signed: Sanitarian I hereby certify that the above septic tank has been installed according to specifications. Signed: Ca=r-, gV Septic Tank Contractor Note: Make sketch of disposal system on back of sheet and mail to Health Center, . Mocksville. No of Bedrooms Date This permit is granted to for the installation of a septic tank at the,,,, of?i r r Address All Building Contractor ( Address Septic Tank Specifications: Length WidthDep h., Capacity Gal.b p Manufacturer's Name Address No of lines_ widthi Total Length ft. No. of Sq. Ft. Za r0 Type of filter material Total tons used 0 pZ r i r Minimum Requirements: House Trailer/Tank Cap. 800 Sq. ft. ne 400 Two-bedroom house 800 600 Three-bedroom house 900 900 No one shall install a septic tank Officer or his agent. Date of final approval in Davie County without a permit from the Health Signed: Sanitarian I hereby certify that the above septic tank has been installed according to specifications. Signed: Ca=r-, gV Septic Tank Contractor Note: Make sketch of disposal system on back of sheet and mail to Health Center, . Mocksville.