319 La Quinta Drive Lot 7�/1 111401tiv&
DAV COUNTY HEALTH DEPARTMENT
) ner/Occupaant
Address n7' rI . I ZA, t7
Building Contractor
Cal. 1'0.o Manufacturer's Name gc:
47
SEPTIC TANK PERMIT ate ?3
To:
Address
Address
s
No. of lines `�� Width in Total length l`ft. No. sq.
Type of filter material Total tons used r4 5
Minimum REquirements: House Trailer Tank cap.
Two-bedroom house
Three-bedroom house
r _'- 1"'(
800 Sq..ft. line 400
800 600
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 Dt-o specification
C"
21
Signed: � 'c ,
Sep T 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.
,9lgL,au;Nla_� 5�-�VZA t;a �
DAVIE COUNTY HEALTH DEPARTMENT SEPTIC TANK PEMIT Yate
x
Ohmer/Occupant To:
1
Address Address Z/& V,
Building Contractor Address
Cal. &6 manufacturer's Name f �Aress
No. of lines _�- Width in. Total length /�� ft. No, sq. t._
Type of filter material Total tons used p2
Hinimum 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:
�2
Sep '.c 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.