411 or 438 Rainbow RdDAVIE COUNTY HEALTH DEPARTMENT SEPTIC TANK PERMIT
!> of Bedrooms 5Date / / ( l%
"hie, permit is granted to �� ���< w for the installation of a septic tank_
at the residence of Address
Euilding Contractor vL, Address
SeT)tic Tank Specification : Length Width Depth Capacity GZ. "9 0 -y -
Manufacturer's Name Address :', n �
110� of lines_as_width 3 in. Total Length _,3 ? t. No. of q. Ft.
T. rpe of filter material Total tons used 1_?/
Minimum Requirements: House Trailer Tank Cap. 800 Sq. ft. line 1+00
Two-bedroom house 800 600
Three-bedroom house Q9
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: f , 4 i[ Z -
Sep , c Tank Contractor
?dote: Make sketbla of disposal system on back of sheet and mail to Health Center, Mocksville.
DAVIE COUNTY HEALTH DEPARTMENT SEPTIC TANK PERMIT
!> of Bedrooms 5Date / / ( l%
"hie, permit is granted to �� ���< w for the installation of a septic tank_
at the residence of Address
Euilding Contractor vL, Address
SeT)tic Tank Specification : Length Width Depth Capacity GZ. "9 0 -y -
Manufacturer's Name Address :', n �
110� of lines_as_width 3 in. Total Length _,3 ? t. No. of q. Ft.
T. rpe of filter material Total tons used 1_?/
Minimum Requirements: House Trailer Tank Cap. 800 Sq. ft. line 1+00
Two-bedroom house 800 600
Three-bedroom house Q9
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: f , 4 i[ Z -
Sep , c Tank Contractor
?dote: Make sketbla of disposal system on back of sheet and mail to Health Center, Mocksville.