P8769 WatkinsSigned:
Septic Tank Contractor
of disposal on lbac.'. of and mail t, Heuith Center, Mocks�,-ill".
-3EPTIC TA'..!K PER'11IT
Date /4 kS/
7�
t, �-':'unted to t4'
'
:or the ins'�alla'�'Ton of 1� i C t i::.a s e
1 n CC: of'
Address
7.; - -'n --I actor 27—
Gal,
el.tJ.c T,-_nk S th, Width
�ecificatio hq: Lengthy
nth Capacity QD
Nme t5 I I �"
'I,,% of lines width 3 4", in. Total Length S D0 !;o, 6.Sq. Ft. 9610
material 4 10 2--
,ons used
heq.rcments : House Trailer Tan;-- Can. JJ Sq. it. line 1.00
Two-be-dro-om hous(,
6co
Three-bedroom hcuse-
-11 install a septic tank in Davi` Ccun?v
-without a permit from the Health Officer—
j'inal a:-,DrovalS
Ik -/It
i d
Sanit air i an
Ta
i -y that the above septic tank has been. installed according to specifications.
Signed:
Septic Tank Contractor
of disposal on lbac.'. of and mail t, Heuith Center, Mocks�,-ill".
DAVIE COUNTY HEALTH DEPARTMENT SEPTIC TANK PERMIT
Bio, of Bedrooms 13 /J Datecx 4�S
T, his permit is granted to `c h rh iK `� for the installat • on of a septic tank.
at the residence of r7L ur 1t e 'reIs�wAddress(�b 63
Building Contractor � Address off,
3t r _ --
Septic Tank Specificatio Lengthy Width -Depth ______
_ Capacity_ Gal.
Afazufacturer° s Name ,tib^. ' Address e <'
11o, of lines f width 3 ein. TotalLength3 Do ft. No. of Sq. Ft. 900
T;�_.•e of filter material ro aug ray %nom Total tons used 3a /,Rp.broYl
Minimum Requirements: House Trailer Tank Cap. 800 Sq. ft. line 400
0 -be h�he 800 500
Three-bedroom 900 900
No one shall install a septic tank in Davie County without a permit from the Health Officer
or his agent, h
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 sleet ".'�. of disposal system on back of sheet and wail to Health Center, Mocksville.
. i.
Signed:
Septic lark Contractor
il•;:: _ :.::;..� Y:<>t oi' iisposal syst:in on back .;f s ;•_=t and mail to Health Center, Mocksviile.
DAVIE COUNTY HEALTH DEPARTMEINT SEPTIC TANK PERMIT
of
Ledroo:as / Date 4S 6
i s granted to `c- At' in - for
r� m 0 the
ir_stallat o//n of a septic tank .
resiaence of. r'` dtr Ae 'K address
_
Contractor _ �. Address
0
er�t _
Cark .ecificatio Lengthy Width _ Depth
Capacity Gal. Qp
M
Name p Address
,
Ho, of
1i -:es / width 3 41jin. Total Length 3Ooft. No.
�
of Sq. Ft. /-
X00
_ of
____`.e� material � 10 akq /pry azo n Total tons
used .�'�
4.-:,u;,.
Req,- .re:�,ents: House Trailer Tank Cap. 800
Sq. ft. line 400
.Two-bedroom_house 800
500
Three-bedroom honsej- x900
900
'.?o on c:
shall i ,stall a septic tank ir; Davie CC, �tnty Without a permit
from the Health Officer
�. `,u o"
final a'--roval Signed:
a/
Sanitarian
1 ":erg } c�rtiz�� .at the above septic tank has been installed
according to specifications.
Signed:
Septic lark Contractor
il•;:: _ :.::;..� Y:<>t oi' iisposal syst:in on back .;f s ;•_=t and mail to Health Center, Mocksviile.