372 Hilton Rd DAVIE COUNTY HEALTH DEPARTP4ENT SEPTIC TANK PERMIT
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No of Bedrooms Date /l 9— 7/
This permit is granted to for the installs on of a septic tank
at the residence of Ge pcJ/fin Address W, ,�, / � i5t5! s� / QygllCe
Building Contractor a 01 (�20 4,d e Address
Septic Tank Specifications: Length Width Depth Capacity Gal. a a
Manufacturer's NameAddress
No of lines o2. width3 in. Total Length �dit. No. of Sq. Ft. � , d o2 �fbre
Type of filter material iib Total tons used "V $�
Minimum Requirements: House Trail Tank Cap. 800 Sq. ft. line400
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
Note: Make sketch of disposal system on back of sheet and mail to Health Center,
Mocksville.
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DAVIE COUNTY HEALTH DEPARTMENT SEPTICTANK PERMIT
No of Bedrooms Date
This permit is granted to for the installs j'on of a septic tank.
at the residence of �'p� ID n �—Address �(1, �, % Q� /vv s � o
Building Contractor ,, Llv u a//e Address
Septic Tank Specifications : Length Width Depth Capacity Gal.
Manufacturer's NameAddress
No of lines t. width Total Length No. of Sq. Ft. � 0-- r�.,e
Type of filter material *lb Total tons used �� $�
Minimum Requirements: House Trail Tank Cap. 800 Sq. ft. line 1+00
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
Note: Make sketch of disposal system on back of sheet and mail to Health Center,
14ocksville.
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