P31072 Edgewood Cir DAVIE COUNTY HEALTH DEPARTMENT SEPTIC TANK PERMIT
No of Bedrooms 13 Date .3 /O --9.--
This permit is granted to q4a44_,:p 5`,7', x, for the installation of a septic tank
at the residence of Address o&Ae4
Building Contractor-Z3a x E .` Address P/-,
Septic Tank Specifications: . Length Width : Depth Capacity Gal. Sed
Manufacturer's NameeaAddress �..�
4 7-
No of lines 1 widthin. Total Length .2 sS ft. --No. of Sq. Ft. ,�0C,
Type of filter material ID aTotal tons used ,3 O'
Minimum Requirements': House Trail r 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: ` ��wcf
eptic Tank Contractor
Note: Make sketch of disposal system on back of sheet and mail to Health Center, .
Mocksville.
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