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P73075 Wood Valley Lot 124-B
DAVIE COUNTY HEALTH DEPARTMENT SEPTIC TANK PERMIT Date Owner/Occupant _ To: ,7q,p''Z/ Address Address ff �jo Pat/ Building Contractor Ta. Address Lttn c -r Cal. VbO Manufacturer's Name res No. of lines � Width ala in. Total length ft. No. sq. ft. o7Sl© Type of filter material Total tons used Minimum REquirements: douse 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: Septic Tank Contractor Note: Make sketch of disposal system on back of sheet and mail to Davie County Health Center, Box 57, Mocksville, North Carolina 27028. . U