131 Sheffield Rd Lot 8DAUIE COU TP
HEALTH
SEPTIC TANK
PERMITS Date �y
J�,mer/Occupant'Nu e
/DEPARTMENT
A"�d�do C.
To:
Address Io4? All-
.4,'2i �/�_
Address
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Address
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Building Contractor
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Cal. 0 Manufacturer's Name ��� =`—
`TA e ddress
'597 P
No. of lines j Width
&in. Total length . V 5
ft. No. sq. ft. Poo
Type of filtermaterial
// a �/ P # / a
Total tons
used 7-ow-,T
Minimum REquirements:
House Trailer Tank
cap. 800
Sq. ft. line 400
Two-bedroom'house
800
600
Three-bedroom house
".. 400
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'
/ i /�
Signed:
_ h
jf'SOXitaTian
I hereby certify that
the above septic tank
has been installed ¢cordin o spec' ication
Signed:
eptic ank 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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