P4373 Cornatzer Rd DAVIE COUNTY HEALTH DEPARTMENT SEPTIC TANK PERMIT Date
Jwner/Occu ant Lac'f
/ � To:
Address <r�, iii it cc Address `
Building Contractor Address
Cal. ��O Manufacturer's Name �,�,�,Q ,%�� � Address
'do. of lines �� Width in. Total length / ft. No. sq. ft. --- ---=—
Type of filter material ._?�G�1�-gyp Total tons used 1,:2
Minimum
ZMinimum REquirements: House Trailer Tank cap. 800 Sq. ft. line 400
Two-bedroom house 800 600
Three-bedroom house 900 900
No one shall install a septic tank- in Davie County without a permit from the Health Offic
or his agent.
Date of Final Approval Signed:
Sanitarian
I hereby certify that the above septic tank has been installed according to specification
Signed:
Septic Tank Contractor
Note: Make sketch of disposal system on back of sheet and mail to Davie County Health
Center, Box 57, Mocksville, North Carolina 27028.
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DAVIE COUNTY HEALTH DEPARTMENT SEPTIC TALK PERMIT Date '3
Jwner/Occupant L eta erl5 a To-
Address _ �� Address
, Building Contractor Address
Gal. pi Manufacturer's Name s ,��cs%�� Address
No. of lines �_ Widthin. Total length / cam. ft. No. sq. ft. --�az
==---
Type of filter material —�. Total tons used Lam_
Minimum REquirements: House Trailer Tank cap. 800 Sq. ft. line 4.00
Two-bedroom house 800 600
Three-bedroom house 900 900
No one shall install a septic tank in Davie County without a permit from the Health Offi(
or his agent.
Date of Final Approval Signed:
Sanitarian
I hereby certify that the above septic tank has been installed according to specification .
Signed:
Septic Tank Contractor
Note: Make sketch of disposal system on back of sheet and mail to Davie County-Health
Center, Box 57, Mocksville, North Carolina 27028.
r
DAVIE COUNTY HEALTH DEPARTMENT SEPTIC TANK PERMIT Date _LI—3
Jwner/Occupant L&,(w L eon � To:
`j:� j
Address �� K:c� AddressT
.Buflding Contractor Address
^al. p' ;Manufacturer's Name 1.3 ;%/� Address /1'
Vo. of lines _ Widthin. Total length / 6-2� ft. No. sq. ft. --�--
..Type of filter material _ Total tons used Z—
Minimum REquirements: House Trailer Tank cap. 800 Sq. ft. line 4.00
Two-bedroom house 800 600
Three-bedroom house 900 900
No one shall install a septic tank in Davie County without a permit from the Health Offi(
or his agent.
Date of Final Approval Signed:
Sanitarian
I hereby certify that the above septic tank has been installed according to specification
Signed: C �
Septic Tank Contractor
Note: Make sketch of disposal system on back of sheet and mail to Davie County Health -
Center, Box 57, Mocksville, North Carolina 27028. .
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