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1� <br /> The District Health Department <br /> Orange, Person Chatham, Lee Counties <br /> SEPTIC TANK PERMIT <br /> Date <br /> Name of owner <br /> c � <br /> V Address and erections <br /> Person or firm doing installati - —� <br /> Address <br /> No. of persons to be served -- ; 2, 3, 4. <br /> Additional applian e 0/)be used: sal, dishwasher, aching <br /> machine <br /> Minimum Requirements: Septic tank <br /> Nitrification line: <br /> Septic 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: r <br /> P <br /> Sanitarian <br /> By: <br /> O. David Garvin, M.D., M.P.H. <br /> District Health Officer <br /> Countersigned <br /> (Over) <br /> 261 <br />