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P92672 Daniel Rd
v �. DAVIE CO NTY HEALTH DEPARTMENT SEPTIC TANK PERMIT Date Jhmer/Occupant a� To address / Address Building Contractor Address. Cal. Manufacturer's Name .�,? �, , Address {� '10. of lines ZWidthin. Total length /� ft. No. sq. ft. s.6 Type of filter material Total tons used ©ZO Minimum REquirements: House Trailer Tank cap. 800 Sq. ft. line 400 LTwo-bedroom house) 800 f6001 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 specificatioi, Signed: 73Ozto! &Uz:n� Septic TankoContractor Note: Make sketch of disposal system on back of sheet and mail to Davie County Health Center, Box 57, Mocksville, North Carolina 27028.