HomeMy WebLinkAboutEHPR-2-11-9362.TIF CATAWBA- LINCOLN - ALEXANDER DISTRICT HEALTH DEPARTMENT
HICKORY, N. C.— NEWTON, N. C.— LINCOLNTON, N. C.— TAYLORSVILLE, N. C.
Phones 3883 393 Regent 5 -5521 3101
PERMIT TO INSTALL SEPTIC TANK
PERMIT NO r , r PERMIT DA/// 1.(9
Owner / /�G4..L ' Address 1/e`—f d
Tenant Address
Installed by -t dress
Location of Prope , C. /.Ldz.r ��–,. 4!. ":-- e-- a'-Lt-(4 24 C-c- A-----_ - C
L Z ... ...
Kind of tank izS e Length of trench
NOTIFY HEALTH LEAST EIGHT HOURS BEFORE TANK IS TO BE INSPECTED
U f
Final Inspection �
3.... 14 EI d'GH Approved ( t' Disapproved ( )
Remarks
First five feet of 1irrom outlet should be of cast iron soil pipe. A J/ d,'
Sanitarian.
Sketch of tank and line showing dis-
tance from dwelling and well on subject
property and on adjoining property.
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