P100473 Granda Drive Lot 33DAVIE COUNTY HEALTH DEPARTMENT SEPTIC TANK PERMIT Date
T �
Owner/Occupant To: i
Address Address
Building Contractor Address
Cal. Q Manufacturer's Name d Iftss +-i
No. of lines Width .,�in. Total length J33 ft. No. sq. ft.
Type of filter material < Total tons used--
i
Minimum REquirements: House Trailer . Tank cap:_ --- - 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: �(
SeptW 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.