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149 Cemetery RdDAVIE C "r�.> of Bedrooms This permit is granted to at the residence of Building Contractor Septic Tank Specification Manufacturers Name lie, of lines c2 width Ty -pe of filter material HEALTH DEPARTMENT 9,; Length Width SEPTI; TANK PERMIT Date 141-- � - 4 for th. installation of a septic tank__ Address_L fI o? Addressk .'/ Depth � Capacity Gal. u2 Address TotallLLength O© ft. Eo. of Sq. Ft. oa L"-,.,.� Total tens used i+'!iniia ata Requirements: House Trailer Tank Cap. 8(0 Sq. ft. line 400 Two-bedroom house 830 600 Three-bedroom house X00 900 No one shall install a septic tank in Davie County without a permit from the lth Officer or his agent. •1 Dall-e of final approval - - (� Signed: V I r Sanitarian I here'lby r.ertify that the above septic tank has been i.istalled according to specifications. Signed: _ r-� Septic Tank Contractor ,6 d, Note: Make sketbli of disposal system on back, of sheat and mail to Health Center, Mocksville. /2 /7