P92068 Pleasant Acre Dr DAVIE COUNTY HEALTH DEPARTMENT SEPTIC TANK PERMIT
11r.. of Bedrooms OZ Date
',,:his permit is granted to �5atiw� � ,�� L°o � for the installation of a septic ta.'!S.
at the residence of �'Y��� Address
Building Contractor Address _
Septic Tank Specifications: Length Width Depth Capacity Gal.
'Manufacturer's Name 'ZT4"zz Address Z111 Cl/ )/1-7���f
No, of lines / widthin. Total Length _fS:O ft. o. of Sq. Ft. (' 00
_ y
Type of filter material ?4 1 Total tons used
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 ins t led accordi/ngg toecifications.
Signed: '✓ noX
Septic aTank Contractor
Note: Make sketbh of disposal system on back of sheet and mail to Health Center, Mocksvil3Q�
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