P2172 BowlesDAVIE COUNTY HEALTH DEPART111ENT SEPTIC TANK PERMIT
No of Bedrooms _ Date ,�?' - / - � Z
This permit is granted to ort IS for the installation of a septic tank
at the residence of Hh f ,01,vl -s Address ef-- /Yd✓a
Building Contractor / Address
Septic Tank Specifications: Length Width Depth Capacity Gal. D a
Manufacturer's Name _ - Addresseslam_____
No of lines__ width�� i . Total Length /_ft . No . of Sq. Ft . / �s
Type of filter material a1 Total tons used 415?
Minimum Requirements: House Trailer Tants 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. .�� ;