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4� <br /> . N� Department <br /> The District Health De <br /> � P <br /> Orange, Person Chatham, Lee Counties <br /> Nil <br /> SEPTIC <br /> TANK PERMIT <br /> Date <br /> Name of owner <br /> � '44 �4 <br /> f�i�j Address and Directions <br /> Person or firm doing installatio : <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 Requirements: Septic tank <br /> f / <br /> Nitrification li e: <br /> #,X')Ae-j � (-C <br /> r <br /> ZL—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: <br /> I P <br /> Sanitarian <br /> By: <br /> D. David Garvin, M.D., M.P.H. <br /> District Health Officer <br /> Countersigned <br /> (Over) <br /> 263 <br />