157 Sheffield Rd Lot 12DAVIE COUNTY HEALTH DEPARTMENT SEPTIC TANK PERMIT
No of Bedrooms .1-7 Date /P %/
This permit is granted tc'2!y� 9,7i 60 for the installation of a se tic tank
at the residence of Address ,r
Building Contractor�saal�a &u , Address
Septic Tank Specifications: Length dth_Depth Capacity_ Gal.
Manufacturer's Name � S/ i (foe Address Z,
---r
No of lines _width_Z2Din. Total,Length _�?o ft. bio. of Sq. Ft. ,yoo
Type of filter material _�n� _ Total tons used
Minimum Requirements:, House r r SL Tank Cap.' 800 Sq. ft. line 400
Two-bedroom house 800 600
Three-bedroom house 900 900
No one shall install a septicItank 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. II
Signed. l ^^�✓
`eptic Tank Contractor
Note: Make sketch of disposal system on back of sheet and mail to Health Center,
.... Mocksville.
TIIIRU'.1 ,TILT OITUE! TiILRNMA' 11(1 I -MIAMI YTT4'u00 snwl
_ �4 n(T aroo *Ibsa 10 OTI
r 10 ml, nll_:t-ml OC.t 702_ - __� of bok-nv) ei
u43'T_bbA 20 oonebi21:7 of?J
req d snit . t3
o0cc)
OOQ
b,8rr aaot f.r>to"'
r,8 00'3 � t_c�cF-� c
0013 .roa
OCE o2 : ti rrc
ti nocr tact tii; vt tro0
70t.:,A: zotlil: i0 OQ`I,i'
ye�lor. r:�tc.rru•xiuoo,; rurntin_i:�l
t ttq�z Ll Jmni I ult. -Ifro 01'i
IrvOT�!(jFr -cm:-SZ 20 5d'AT
of �r.bTmas Sotlfrtani rsoa' �.stl �'_cixt oitgen evods trtL't tofu �,2it•ayo vr,"-37or! I
---
Tat.^,: JdI�sr of Sr:^ teeffe trnu`l{r l/rt�:4 IF oQ: ib io ioto'rr. :e_fBvi :oto;4
_rte
�.l' O _��tioaq� Irt^eC
ftL`i1d _-_^'ter �S
:angtt oi2ioo�2
_fmT oi,9goa
2o :0. �t3�_...
flung-lD'etoT .ni'
�V-A,I)tr
a -Dail 20 oY.
req d snit . t3
o0cc)
OOQ
b,8rr aaot f.r>to"'
r,8 00'3 � t_c�cF-� c
0013 .roa
OCE o2 : ti rrc
ti nocr tact tii; vt tro0
70t.:,A: zotlil: i0 OQ`I,i'
ye�lor. r:�tc.rru•xiuoo,; rurntin_i:�l
t ttq�z Ll Jmni I ult. -Ifro 01'i
IrvOT�!(jFr -cm:-SZ 20 5d'AT
of �r.bTmas Sotlfrtani rsoa' �.stl �'_cixt oitgen evods trtL't tofu �,2it•ayo vr,"-37or! I
---
Tat.^,: JdI�sr of Sr:^ teeffe trnu`l{r l/rt�:4 IF oQ: ib io ioto'rr. :e_fBvi :oto;4
_rte