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P3672 Carter Trailer Parkj _ � - _ .,, .. ._. , � .. , .. i I �I i *� � ;..._ r _ . _� j _ � - _ .,, .. ._. , � .. , .. i I �I i *� � DAVIE COUNTY HEALTH DEPARTMENT SEPTIC TANK PERMIT No of Bedrooms j M � k 1. Date This permit is granted to for the installation of a septic tank ' r Address �� �dv'ausP Building Contractor Address Septic Tank Specifications: Length Width Depth Capacity Gal. /5Z 0 0 Manufacturer's Name =�� Address — No of lines/ width�t� Total Length o o ft. No. of Sq. Ft. Type of filter materialTotal tons used J'0/71 - Minimum '© hMinimum Requirements: House Trailer Tank Cap. 800 Sq. ft. ine 400 Two-bedroom house 800 600 Three-bedroom house 900 900 Pio 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 I hereby certify that the above septic tank has been specifications. Signed: Contractor. Note: Mike sketch of disposal system on back of sheet =(d mail to Health Center, Mocksville. i ',