P11674 Oakdale DAVIE COUNTY HEALTH DEPARTMENT SEPTIC TANK PERMIT Date �-
Jlmer/Occupant N9L,&— To:
Address Address
Building Contractor Address
Cal. 20,o Manufacturer's Name �,�� � Address¢29Z
No. of lines �_ Width -�' --_n. Total length Sft. No. sq. ft.
Type of filter material D Total. tons used ,.3/
Minimum 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:
arian
I hereby certify that the above septic tank has been Inst led according to specificatior
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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