P62173 Granada Drive Lot 6BDr
DAVIE COUNTY HEALTH DEPARTN SEPTIC TANK PERMIT Dat?3
rte"
Janet/Occupant �°' i To:. (f'
,fi ��tt 11
Address Address
Building Contractor" Address
Cal. Manufacturer's Nam ress c !'ZS, 6:
No. of lines �_ Width 34:� iL Total length (ZO ft. No, sq. ft. t,2!&_ 2 -
Type of filter material Total tons used
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:
Sep 'c Tank Contractor
Note: Make sketch of disposal system on back of sheet and mail to Davie County Health
Center, Box 57, Mocksville, North Carolina 27028.