P111273 Wood Valley Lot 88DAVIE COUNTY HEALTH DEPARTMENT
Dumer/Occupant
Address
Building Contractor Gj�_
Cal. --f—== Manufacturer's Name
SEPT
TANK PERMIT
Date ZI-12 —9 Z
No. of lines �_ Width X34 in. Total Yength ;� ft. No.
/sq. 'ft. �07Z.J�
Type of filter material Total tons used o7 T
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 instal d accor "ng to cificatioi
Signed:
Sept c Tan factor
Note: Make sketch of disposal system on back of sheet and ma"1 to Davie County Health
Center, Box S7, Mocksville, North Carolina 27028.