1238 Angell Rd (3)DAVIE COUNTY HEALTH DEPARV1ENT SEPTIC TANK PERMIT
No one shall install a septic tank in Davie County without a permit from the Health
Officer or his agent.
Date of final approval Signed: _
Sanitarian
I hereby certify that the above septic tank has been installed according to
specifications.
Signed:
Septic Tank Contractor
Note: Make sketch of disposal system on back of sheet and mail to Health Center,
Mocksville.
No of Bedrooms
Date
This permit is granted to
for the installation of a
septic
tank
at the residence of
_ Address A34,
Building Contractor
Address
Septic Tank Specifications: Length
Width Depth Capacity
Gal. v
Manufacturer's Name
Address
No of lines_ridth,_2,�in. Total
Length 4L.�ft. No. of S Ft.�Z.
Type of filter material,' --tom
Total tons used
.z? J -f -
Minimum Requirements: House Trailer
Tank Cap. 800 Sq. ft.
line
1+0
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
Officer or his agent.
Date of final approval Signed: _
Sanitarian
I hereby certify that the above septic tank has been installed according to
specifications.
Signed:
Septic Tank Contractor
Note: Make sketch of disposal system on back of sheet and mail to Health Center,
Mocksville.