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. The District Health Department <br /> De <br /> � P <br /> Orange, Person Chatham, Lee Counties <br /> SEPTIC TANK PERMIT <br /> Date <br /> � � <br /> � Name of owner <br /> AljF <br /> u - VA y� <br /> Address and Directions <br /> Person or firm doing install7-Z <br /> Address <br /> No. of persons to be served bedrooms 1, 2,, 4. <br /> Additional appliances to be used: Disposal, dishwasher, washing <br /> machine <br /> Minimum Requirementg: — Septic tank <br /> r <br /> Nitrificaon 1' e: <br /> ti <br /> S tic tank and nitrification line must be inspected and approved by <br /> a member of the Health Department staff before any portion of the <br /> installation is covered. <br /> Date Approved: ��'f, <br /> �� P <br /> Sanitarian <br /> By. Zdin� <br /> O. David Garvin, M.D., M.P.H. <br /> District Health Officer <br /> Countersigned <br /> (Over) <br /> 259 <br />