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P32268 Walt Wilson RdDAVIE COUNTY HEALTH DEPARTMENT SEPTIC TANK PERMIT / 'ol' Bedrooms �� g _ d 42 This permit is granted to for the installation of a septic tank at the residence of , —Address Building Contractor Address Sept-ic Tank Specificatio s: Le Width Depth Capacity Gal. Manufacturer's Name / Address No, of lines___,� width_3.� in. To4u 1 Length_ afl ft, No. of Sq. Ft. c� ab T;p4 of filter material Total tons used _/ �i4` m= Requirements: House Trailer Tank Cap. 800 Sq. ft. line 100 • Two-bedroom house 800 z7tL Three-bedroom house 900 90o Ito 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 1lie-re'�y certify that the above septic tank has been installed according t specifications. Signed--- Sep,6ic Tank Contractor Note: Make sketbh of disposal system on back of sheet and mail to Health Center, Mocksville< / A