P101873 Fostall Drive�6
DAVIE COUNTY HEALTH DEPARTMENT SEPTIC TANK PERMIT Date
Dimer/Occupant D a a r- �p To: a-r�ej,'6!'
Address J� Address
Building Contractor �� u alle Address
Cal. 2vo Manufacturer's Name Address Q� '
No. of lines �_ Width,_�in. Total length ft. No. sq. ft.'vO —J
i
Type of filter material Total tons used .�(p
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 hereby certify that the above septic tank has been insta ed accor 'ng to s ecification
Signed: r
eptic k Cont for
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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