P32268 Walt Wilson RdDAVIE COUNTY HEALTH DEPARTMENT SEPTIC TANK PERMIT /
'ol' Bedrooms �� g _
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This permit is granted to for the installation of a septic tank
at the residence of , —Address
Building Contractor Address
Sept-ic Tank Specificatio s: Le Width Depth Capacity Gal.
Manufacturer's Name / Address
No, of lines___,� width_3.� in. To4u 1 Length_ afl ft, No. of Sq. Ft. c� ab
T;p4 of filter material Total tons used _/
�i4` m= Requirements: House Trailer Tank Cap. 800 Sq. ft. line 100
• Two-bedroom house 800 z7tL
Three-bedroom house 900 90o
Ito 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
1lie-re'�y certify that the above septic tank has been installed according t specifications.
Signed---
Sep,6ic Tank Contractor
Note: Make sketbh of disposal system on back of sheet and mail to Health Center, Mocksville<
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