P72773 Sonora Drive Lot 11DAVIE COUNTY HEALTH DEPARTMENT
Oumer/Occupant
Address Gx4 `
Building Contractor,(�
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SEPTIC NK PERMIT Date—
To:
Liu
Address
Address
Kc
Cal. Manufacturer's Name ZA&re
No. of lines Width _,3 (,__in. Total length YE> ft. No. sq. ft.
c
Type of filter material Total tons used _,yL
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
dor his agent.
Date of Final Approval
Signed:
Sanitarian
I hereby certify that the above septic tank has been installed according to s ecificatior
Signed:
Sept 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.