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1633 Ridge RdDAVIE COUNTY HEALTH DEPARTMENT SEPTIC TANK PERMIT io; of Bedrooms Date his permit is granted to / for the installation of a septic tank__ at the residence of -Na r k The r e Address . Bz Building Contractor /6y_2_1-��Address ---_ SeT)tic Tank Specifications: Length idth __Depth_ Capacity Gal. 2 9© Manufacturer's Name �,T!_ Address 60-e IIo> of lines_ width r{x in. Total Length ;�A}_ft. Zo. of Sq. Ft. Ttr,;e of filter material �c Total tons used T Minimum Requirements: House Trai er Tank Cap. 800 Sq. ft. line 400 Two-bedroom house Three-bedroom house 0001 900 No one shall install a septic tank in Davie County without a permit from the Health Officer or his agent. Date of final approval — — (o % Signed: _ Sanitarian T hereby certify that the above septic tank has been installed according to specifications. Signed: -,Septic Tank Contractor Note: Make sketbb, of disposal system on back of sheet and mail to Health Center, Mocksville. )r7n