P71069 Hwy 601S - Daniel Trailer ParkDAVIE COUNTY HEALTH DEPARTMENT SEPTIC TANK PERMIT
,io, of Bedrooms c72 I" Date
This permit is granted to � i for the installation of'a septic ta4
at the residence of `% Address S
Building Contractor Address
Septic: Tank Specifications: Length Width_ Depth_ Capacity____Gal.
manufacturer's Name �4_� u �' ,7'� �o Address9-a'� jI :c
s?o, of lines�l width in. Total Length _ _ft. No. of Sq. Ft. SX�o
T,.r_c-- of filter material Total tons used 3 ow,* _
iJi.;.nimum Requirements: House Trailer Tank Cap. 800 Sq. ft. line 4G'
Two-bedroom house 800 600
Three-bedroom house 900 900
No one shall install a septic
o- his agent.
Irate of final approval
tank in Davie County without a permit from the Health Officer
Signed: _
Sanitarian
i hereby certify that the above septic tank has been i7,�
lleed according to specifications.
Signed: * 'f- .
Septic Tank Contractor
Note: MAke sketbh- of disposal system on back of sheet and mail to Health Center, Mocksville,
f, 1,9