P91670 Spillman Trailer ParkDAVIE COUNTY HEALTH DEPARVIENT SEPTIC TANK PERMIT
l : (' "s Date e 70
This permit is granted t for the installatio of a septic tank
at the xesideaca of -�� /� � �r .r Address S
Building Contractor 1 ecti ' ca .r Address IPI, 5e'
Septic Tank Specifications: !Length Width Depth 7 Capacity Gal.
Manufacturer's Name S A Address
No of lines width_3_in. Total Length ft. No. of'S . fl�
Type of filter material ��A Total tons used
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
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: 2—..rry�,_C&
Septic Tank Contractor
Note: Make sketch of disposal system on back of sheet and mail to Health Center,
Mocksville.
b X17