Mary Ann Howell - AdvanceDAVIE-COUNTY
HEALTH DEPARTMENT
SEPTIC TANK PERMIT Date // _ /-4,l— 13
Jamer/Occupant)"%'
To:
0z
Address C9,
,
Address
Building Contractor
Address
Cal. _T Manufacturer's Name=41(&4
Address
No. of lines _Z __. Width
� �in. Total length
/�j S ft. No. sq. ft.--32u — ' �•
Type of filter material
Total tons used pz
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
Signed:
Sanitarian
I'Pereby certify that
the above septic tank
has been installed according to specification
Signed
Septic Tan c Con ractor
Note: Make sketch of
disposal system on back
of sheet and mail to Davie County Health
Center, Box 57,
Mocksville, North Carolina 27028.
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