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P72673 Greenwood Lakes Lot 16
c /, 3 0✓" l©o k_®*� DAVIE COUYJY HEALTH DEPARTMENT SEPTIC TMIK PERMIT Date Owner/Occupant ` To: Address xt_ r1�/�✓, R Address Building Contractor Cal. Manufacturer's Name Address Address No. of lines Width in. Total length ft. No. sq. ft. Type of filter material Total tons used Minimum REquirements: House Trailer Tank cap. 800 Sq. ft. line 400 Two-bedroom house 800 600 Three-bedroom house 900 900 �f 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. I/