P41371 Will Boone RdDAVIE COUNTY HEALTH DEPARVIIENT SEPTIC TANK PERMIT
No of Bedrooms (� Date 13 /
This permit is granted to .; for the installation of 6 septic tank
at the residence of //7 w P Address
Building Contractor D J ,f) Address
Septic Tank Specifications: Length Width Depth Capacity Gal._ o
Manufacturer's Name Av p � c / ,We Addresses
No of lines_T ,width in. Total Length L eft. No. of Sq. Ft. 90 a
Type of filter material :'�r- /o S%►'P Total tons used 3/ - 3 --
Minimum Requirements: House Trailer Tank Cap. 800 Sq. ft. line 1+00
Two --bedroom house .8o0 600
Three -'bedroom house 900 900
No one shall install a septic tank in Davie County without a permit from the Health
Officer or his agent.
Date of final approval Signed:
Sanitarian
I hereby certify that the above septic tank has been installed according to
specifications.
Signed: r�L-e,14ZD
eptic Tank Contractor
Note: Make sketch of disposal system on back of sheet and mail to Health Center,
Mocksville.
A.
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