P102672 Towery RdDAVIE COUN HEALTH DEPARTMENT
JHmer/Occupant ��6��'-L
Address
SEPTIC TANK PERMIT Date d , / � 92—
To:
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To:
Address
Building Contractor Address
Cal. OD Manufacturer's Name Address /I 5
No. of lines �_ Width 3 in. Total length o7gD ft. No. sq. ft. ( Cc)
Type of filter materia Total tons used 3
Minimum REquirements: House Trailer Tank cap. 800 Sq. ft. line 400
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 Offic
or his agent. ,
Date of Final Approval Signed:
Sanitarian
I hereby certify that the above septic tank has been installed according to specification
Signed:
optic Tank t ontractor
Note: Make sketch of disposal system on back of sheet and mail to Davie County Health
Center, Box 57, Mocksville, North Carolina 27028.
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