P32571 Hallander Dr DAVIE COUNTY HEALTH DEPARTMENT SEPTIC TANK PERMIT
No of Bedrooms Date � ,.�,J l
This permit is granted to lon. E lls for the install tion of a septic tank
• at the residence of r cf. Address
Building ContractorAddress
Septic Tank Specifications: Length Width Depth Capacity Gal. o�
Manufacturer's Name Address zz1, ,3 _
No of lines width_2 , n. Total Length eft. No. oi Sol, Ft. L OD t116tsp �
Type of filter material Total tons used .3 -3 S�
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
Officer or his agent.
Date of final approval Signed: _
Sanitarian
I hereby certify that the. above septic tank has been installed according-to
specifications.
Signed:
Septic Tank Contractor, ;
Y
Note: Make sketch of disposal system on back of sheet and mail to Health Center,
Mocksville.
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