P72070 CarterDAVIE COUNTY HEALTH DEPARTMENT SEPTIC TANK PERMIT
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No of Bedrooms 9 Date p-7 ~ 9 a
This permit is granted for the installation of a septic tank
at the residence ofT,sc cT ers. e � � f ec- Address F eez 1Vm CA'S e
Building Contractor Address I/
Septic Tank Specifications: Length p Width Depth Capacity Gal. Pn _
Manufacturer's Name '4,4? �,� o Address-4-,,%YAn 1,
No of lines_r/ width�in. Total Length ft. No. of Sq. Ft. 600
Type of filter material O Total tons used a o
Minimum Requirements: House Trailer Tank Cap. 800 Sq. ft. line 1+00
Two-bedroom h use 800
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:
Septic Tank Contractor
Note: Make sketch of disposal system on back of sheet and mail to Health Center,
Mocksville.