224 Duke Whittaker RdDAVIE COUNTY HEALTH DEPARTMENT
SEPTIC TANK PERMIT Date
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Address /,De/� s J� l�e
Address.
Building Contractor
Address
Cal. 24(>_ Manufacturer's Name
Address—
2
No. of lines �_ Width _fnzein. Total length ft. No. sq. ft.
Type of filter material -;27
Total tons used /
Minimum REquirements: House Trailer Tank cap. 00 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 specificatioT-
v
Signed:A,"/U./
`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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