234 Grannaman DrDAVIE COUNTY HEALTH DEPARVIENT SEPTIC TANK PERMIT
No of Bedrooms 3 - Date jo - la — 4,9
This permit is granted to for the installation of a s ptic tank
at the residence of,d,L, c G" nna n,v� ���T Address 2,_k,5,, Al, e,
Building Contractor *;-� Address
Septic Tank Specifications:` Length Width Depth. Capacity Gal. 6-n,
Manufacturer's Name Address/6K9, _ ` -�
No of lines�c _ width in. Total Length 4k ft . No . o—f'Sq. ,t . Fla
Type of filter material o Total tons used yvZ
Minimum Requirements: House Trai er 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
Officer or his agent.
Date of final approval Signed:
Sanitarian
I hereby certify that the above septic tank has been7zald-
9b
lled accor ing to
specifications. Signed:� ��``'� Septi Tank Contractor
Note: Make sketch of disposal system on back of sheet and mail to Health Center,
Procksville .