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P22873 County Home Rd
ti r DAVIE COUNTY HEALTDEPARTMENT SEPTIC TANK PERMIT Date�— Jwner/Occupant �Y k �_s _ Ju SSP r� To: _ L�Ck X' - ( a Address Address .-- /1/ Building Contractor Address ^al. I� y© Manufacturer's Name1 ��; �i� j �C s Address No. of lines Width ein. Total length ZD p ft. No. sq. ft. O O Type of filter material # /J� Total tons used 13 Hinimum REquirements: House Trailer 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 Offic- or his agent. Date of Final Approval Signed: Sanitarian I hereby certify that the above septic tank has been installed according to specification Signed: \��3� �&— 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. i- 1