P11171 No Creek Rd - Fritz Trailer Park:. -. ...
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DA`lIE COUNTY HEALTH DEPARTIMENT SEPTIC TANK PERMIT
No of Bedrooms o7 _ (
Date
This permit is granted to
for the installati
n of a ,
'c tank
at the residence of �,r; t ,r (e -r
a Address ,13
Building Contractor
Address
Septic Tank Specifications: Length
Width Depth Capacity
GGal. D 0
3
Manufacturer's Name
Addresstl
(�
No of lines 3 width _3(� in. Total
Length �93ft. No. of
Sq. Ft.
Type of filter material 7-4�- ILD
Total tons
used YO
Minimum Requirements: House Trailer
Tank Cap. 800
Sq. ft. line
1+00
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
Officer or his agent.
Date of final approval Signed: _
Sanitarian
I hereby certify that the above septic tank has been installed according to
specifications.
Signed: r e, 49:21�
Septic Tank Contractor
Note: Make sketch of disposal system on back of sheet and mail to Health Center,
Mocksville.