457 Wagner Rd (2)DAVIE COUNTY HEALTH DEPARVIENT 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: 1
`�— Septic Tank Contractor
Note: Make sketch of disposal system on back of sheet and mail to Health Center,
Mocksville.
No of Bedrooms / rQ : e r
Date Augq Cc,
t— / ,�, 71This
permit is granted to
for the inst
llation offaseptic
tank
at the residence of nagK s 0r - r
1
/ {Address
Building Contractor
Address
Septic Tank Specifications: Length
Width Depth
Capacity
Gal. ao
Manufacturer's Name
Address
.�
No of lines width i . Total
Length' ft. No.
i
of Sq. Ft.
Type of filter material
Total
tons used
Minimum Requirements: House Tre er
Tank Cap. 800
Sq. ft.
line 1+00
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: 1
`�— Septic Tank Contractor
Note: Make sketch of disposal system on back of sheet and mail to Health Center,
Mocksville.
1fi