256 Spillman Rd (2)DAVIE COUNTY HEALTH DEPARTIMINT SEPTIC TANK PERMIT
of. Bedrooms
Date
,.pemit.,is granted to
for the installation of a septic tank__
,t "ane residence of
- "Addres"s
Buildirg Contractor L ,
Addressd1612
Septa:_ T<^n- Specifica ions:Length Widtn� Depth Capacity Gal. �j azo
Manu'facturer's Name
Address
No., of lines -,_ R_ width in. Total" Length- 4:ro ft. :,jo.- of Sq. Ft". a.
o f' _ � s '"``
Type__ _.. f., -ter material F, �J ��
��-,` Total tons- ..._.._..�___ _
minin:wn Requirements: House Trailer"// Tank
Cap.' -800 Sq. ft. line 400
- --.Two-bedroom house __.__
_..___.._.._. ___800... ----------- _..____.___ bCO
Three-bedroom house
900 �` 900
No one shall install a septic.tank in Davie
County without'a permit from the Health`Officer -
Ui !..S. .S went
T'r' c of f inal approval
Signed. _,
Sanitarian
7 hereby certify that the above septic tank
has been installed --according to -specifications,.
A �; �r
. _ &L(- `
Signed..
Septic Tank Contractor
Note: Make sket:c'-, of disposal system on back of sheet and mail to Health Center, Mocksville,
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