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B A Cope - AdvanceDAVIE COUNTY HEALTH DEPARTMENT SEPTIC TANK PERMIT Date — Jimer/Occupant �o To : Address o? dQa _ Address � c Building Contractor r a; Address Cal. D Manufacturer's Name4y X.!, Address % No. of lines j Width in. Total length jp© ft. No. sq. ft. v d Type of filter material Total tons used Minimum REquirements: House 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: V -W 6'-11e Septic Tafik Contractor Note: Make sketch of disposal system on back of sheet and mail to Davie County Health Center, Box 57, Mocksville, North Carolina 27028. �e 1 �< y�gss / .. DAVIE COUNTY HEALTH DEPARTMENT SEPTIC TANK PEW,1IT Date — � :� Jxmer/Occupant To r Address _ Address ¢ ME) c/ts Building Contractor ( ra Address Cal. 'Manufacturer's Name ::n d9a, Address Y ac% No. of lines / Width _46 n. Total length app ft. No. sq. ft. v 0 T' Type of filter material Total tons used Minimum REquirements: House 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 Tafik Contractor Note: Make sketch of disposal system on back of sheet and mail to Davie County Health Center, Box 57, Mocksville, North Carolina 27028.