Barker - AdvanceDAVIE COUNTY HEALTH EPARTMENT
Jumer/Occupant 1
Address,
B 'ld' Cont actor
SEPTIC TANK PERMIT Date
To: Ly
Address `
ui
Cal. 51D P Manufacturer's Name"
� p (_� i Address
'Vi/z._=<..� r' L ,.� / c.
10, of Lines � 4�1idt}t�6in.—Total length _ft. No. sq. £t.
Type of filter material e, Total tons used 1 f, 1-14
?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 Offic
or his agent.
Date of Final Approval
I hereby certify that the above septic tank has
Note: Make sketch of disposal system on back of
Center, Box 57, Mocksville, North Carolin
Signed:
Sanitarian
been installed according to specification
Signed.
eptic nk Con .cto
sheet and mail to Davie County Health
a 27028.
tir
29'iL
o QIJ
,,9-21