P41873 Markland RdDAVIE COUNTY HEALTH DEPARTP•1ENT
No of Bedrooms I
This permit is granted to for the
at the residence of a tin-�4 <-r- Address
Building Contractor Address
Septic Tank Specifications: Length Wi4th Depth Capaci
SEPTIC TAM I PERMIT
Date -XII-1,7-93
eptic tank
Gal.�a
Manufacturer's Name Address
No of lines width in. Total Length ft. No. of S . Ft.
Type of filter matekial ?l,6 c<;-v"y e- Total tons u ed
Minimum RequirementU: House Trailer Tank Cap. 800 S ft. line 400,
Two-bedroom house 800 600
Three-bedroom house 900 i 900
No one shall install a septic tank in Davie County without a permit from the Health
Officer or his age-4't'
Date of final apprcyval 3o Signed:
__... Sanitarian
I hereby certify t1at the above septic tank has been installed according to
specifications.
Signed:
Septic Tank Contractor
Note: Make sk'1 of disposal system on back of sheet and mail to'Health Center,
Mocksvf
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