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P80273 Calahaln RdDAVIE COUNTY HEALTH DEPARTMENT SEPTIC TANK PERPIIT Date o 3' owner/Occupant _ To • �a.� P . % . Address Address Building Contractor u4 Address r r Cal. © rlanufa urer's Name _Ld_4" p ,% i Address No. of lines �� Width in. Total length t. No. sq. ft. --�JZ Type of filter material Total tons used O 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 specificatio7 Signed: �' W Septic Tank ontractor Note: Make sketch of disposal system on back of sheet and mail to Davie County Health Center, Box 57, Mocksville, North Carolina 27028. r' 0� Y