P72673 Sonora Drive Lot 52DAVIE COUNTY HEALTH DEPARTMENT SEPTIC TANK PERMIT Date
Owner/Occupant To: f/
Address `�y� f Address fT
Building Contractor Address
Cal. M Manufacturer's Name ( 8-, ��tCc� d ress
No. of lines Width 3C in. Total length 6 ft. No. sq. ft.
Type of filter material Total tons used a3
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 Offi(
or his agent.
Date of Final Approval Signed:
Sanitarian
I hereby certify that the above septic tank has been installed according to speci£icatioz
Signed:Gf�
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.