298 No Creek RdDAVIE COUNTY HEALTH DEPARTMENT SEPTIC TANK PERMIT
r�
No of Bedrooms CzDate
This permit is granted to j Gtr• for the installation of^ eptic tank
at the residence of .eAddress �"
Building Contractor �i,r,Address C i
Septic Tank Specifications: Length Width Depth Capaci y Gal. 900
Manufacturer's Name-c.G ,j , Addressf���'ff
No of lines_ width Yq in Total Length /,� Oft. No. of Sq. Ft. 600
Type of filter material !T /o Total tons used It?
Minimum Requirements: House Trailer Tana, Cap. 800 Sq. ft. line 400
Two-bedroom house 800 600
Three-bedroom house 900 900
No one shall install a septi-r, tank in Davie County without a permit from the Health
Officer or his agent.
Date of final approval •; aj-"—;'t 4k --'PC -+ ni—
Sanitarian
I hereby certify that the above septic tank has been installed according to
specifications.
Signed .. .
eptic Tank Contractor
Note: Make sketch of disposal system on back of sheet and mail to Health Center,
Mocksville.