P42467 Ridge RdDAVIE COUNTY HEALTH DEPARTMENT SEPTIC TANK PERMIT
:ire, of Bedrooms Date
This permit is granted to for the installation of a septic tank.
xt the residence of Address
Building Contractor Address
Septic Tank Specifications: Length Width Depth_ Capacity Gal.
Manufacturer's Name Address
Nor of lines width in. Total Length ft. No. of Sq. Ft.
Tyle of filter material Total tons used
i1iinimum Requirements: House Trailer Tank Cap. 800 Sq. ft. line It00
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:
Septic Tank Contractor
Note: Make sketbh. of disposal system on back of sheet and mail to Health Center, Mocksville.
GK -