P121968 Spillman Trailer ParkDAVIE COUNTY HEALTH DEPARTMENT SEPTIC TANK PERMIT
;To, of Bedrooms L&-�2Lc Date /a —/9- A
"_::zis permit is granted to e,6 for the installation of atan!,,-
tan
at the residence of 7'. %, %b ' n % ��iv,�i, Address o,
Building Contractor Address
Septic Tank Specifications: Length Width Depth Capacity Gal. _20 n
Manufacturer's Name ja.c a` -Q c� , %�� eQ • Address 6 , c
No. of lines�Widthn. Total Length c -Q o® ft. No. of Sq. Ft. (�Io D
Type of filter material Total tons used qA p (k
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 fr m the Health 0 ; cer
or his agent.
Date of final approval Signed: �QNL
Sanitarian
I hereby certify that the above septic tank has been installed according to specifications.
Signed:
Septic Tank Contractor
Note: Make sketch of disposal system on back of sheet and mail to Health Center, Mocksville.
iv