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A25 32A�., _,. • >:. . �., . .. . . ..... . . . . ...:: ,,:, : . . ,.. :.:« K � S � - .r T�e District 1-iealth Deparfinenf . :,, ,t4� '. / Y. . . . , j � �,; . a O�Sas��. Por�eA. Caswall. Chath�ffi. Loa Ceuatla� ��.' � . .. ... . _ _ _ . ;� . SEPTIC TANK PERMIT, ': �° � Dat °� . . ��i.,r° � � � � � �� ' ' Name of owner: `;, \ .. : , Name of contractor: � I.:fi � � S sf �Y Ir.`' '�r Address and Directions �' � �- j� 1! �t �. � � : � y�.. . �% �� 1 v t'C'I59II�T�� a0�[lg ST�18L10II: I � „� . � �, r�, u� �� Aaa�g ��" � 1 �c��.��-�� . No. �i persons�to be served Bedrooms -1, 2, :�. ,'� Additional agpliances to be used: Disposal, dishwasher, � was�lun' g. .` machine � Recammended� Septic tanl � � � �6 Nitrification line: � i � � � � Above recomrnendation based on information received and observed soil. condition. Sevtic tank and nitrifiaation line must be inspected and appi�oved bg.a member oi !he Disfric! Health Depaitineat staif before any gortion of the installation is covered. Date Approved: .��. '�/��j'.,�t .�1gT10� Sanitazian - By: "�" � O. David Garvin, M.D.� M.P.H. District Iiealth Officer Countersigned � (Over) � � — p � -- N� �� a rd d m � �. c.� � d o � r" � � � . _ N � � � � d d ..., ; N P+ � � o .� f4 � Q � �' y ow N fy �..� � �:� � �� y '�+ .. y.? E„� ; �. '• \. G7 N n� . � � ►Z. _ , � o � "' o .� � �..y....._ . " Yd ._. . _... . f� O �_. . . . . . , . � � .� c° a� j •. ..� � " �� b�a �y '; .'� i� ,' .r ' � M + � 3 _ . .. - r+ � �` ' ° C�iO U w �j y d «' �# . .� m "" 'J�s Q o " +� � o � zo - . v ° �� ,�., c, . � _ t�. ti � � c. d ;O � � �-+ c� •d W M . .�� .....< « � �w'�'....�=:...��-� ��■��