P76725 BarnhardtDAVIE COUNTY HEALTH DEPARTMENT SEPTIC TANK PERMIT Date
Owner/Occu�p/ant/ heo di.�d�
Address T�,�1, Address
Building ContractorAddress ` gi
Cal. Manufacturer's Name _2�o�x,7,Address 4, /r
No. of Imes _ � Width �in. Total length n7ot -5 ft. No. sq. ft. y�
Type of filter material Total tons used 3 p
Minimum REquirements: douse 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 Offic
or his agent.
Date of Final Approval
Signed:
Sanitarian
I hereby certify that the above septic tank has been installed according to specificatiol
Signed: 7- ? , &yz
Septic Tank,Contractor
Note: Make sketch of disposal system on back of sheet and mail to Davie County Health
Center, Box 57, Mocksville, North Carolina 27028.