147 Center Circle Lot 16DAVIE COUNTY HEALTH DEPART11ENT SEPTIC TANK PERMIT
No of Bedrooms 3 Date
This permit is granted to SST. Co. for the installation of -a septic tank
at the residence of Address
Building Contractor 6Dr:Address ` r C
Septic Tank Speci icati-ons:, Le gth_ Width_Depth Capa •y_ Gal. -
Manufacturer I s
al.Manufacturer's Name ( _ Address20,r
No of lines width in. Total Length o22�.t,.No., of Sq. Ft. !2DD -1- /a e,
Type of filter materialTrailer Tank
tons usedo
Minimum Requirements: House Trailer Tank, Cap. 800 Sq. ft. line 400
Two-bedroom house 'Y 800 6o0
Three-bedroom house 900 900
No one shall install a septic tank in Davi County without a permit from the Health
Officer or his agent. /, 3
Date of final approval Signed:
TAitarian
I hereby certify that the above septic tank has been installed according to
specifications.-�G
Signed
QLud Tank Contractor
Note: Make sketch of disposal system on back of sheet and mail to Health Center,
Mocksville.
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