P31871 SnyderDAVIE COUNTY HEALTH DEPARVIENT SEPTIC TANK PERMIT
No of Bedrooms p? Date
This permit is grante to for the installation of a septi tank
at the residence of CLrn _ Address )
Building Contractor �' ` Address
Septic Tank Specifications: LengtiP Width Depth Capacity Gal.
Manufacturer's Name C�,(� C�p r Address, E el,-
No of lines widthin. Total Length eft. No. of Sq. Ft. (Q 0-6
Type of filter material Total tons used �02
Minimum Requirements: House Trailer Tank Cap. 800 Sq. ft. line 1+00
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:
Septic Tank Contractor
Note: Make sketch of disposal system on back of sheet and mail to Health Center,
Mocksville.
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