Betty Head Beauty ParlorDAVIE C
Jumer/Occupant
Address
HEALTH DEPARTMENT
Building Contractor
Cal. Manufacturer's Name
SEPTIC TANK PERMIT Date C7
To: `
Address
Address
No. of lines � Z Width Z/9in. Total length cm ft. No. sq. ft.
Type of filter material /,> Total tons used %
Minimum REquirements: House Trailer Tank cap. 1EE1 Sq. ft. line isEl
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 specification
Signed: a��_�"
S ptiic Taft Contractor
Note: Make sketch of disposal system on back of sheet and mail to Davie County Health
Center, Box 57, Mocksville, North Carolina 27028.