P101172 Southwood Acres Lot 1Date of Final Approval
Signed:
Sanitarian
I hereby certify that the above septic tank has been installed according to specification /
Signed:
/�Mn
g — 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.
DAVIE COUNTY HEAL^TH�DEPARTMENT
SEPTICrPERMIT
Date
/D _/t7_
1, , (� cl l t�C4 Z_ _
To:—�
Address L _ gg-W-z_
Address es %
Building Contractor
Address
Cal. 0 0 Manufactu er's Name
Address �-
No, of lines _ Width �(ein. Total
length S_ft. No.
sq.
ft. � a
Type of filter materialE`er
Total tons used
3'e:9
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:
Sanitarian
I hereby certify that the above septic tank has been installed according to specification /
Signed:
/�Mn
g — 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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