172 Center Circle Lot 24DAVIE COUNTY HEALTH DEPARTMENT '
_
No of Bedrooms
This permit is granted to.LCeatQ /7 a K for the
at the residence of Address
Building Contractor 3rAddress
SEPTIC TANK PERMIT
Date
installatio o a e tic tank
,. c .� v�
Septic Tank Specifications: Length
Width Depth Capa/citf Gal.
Manufacturer's Name ( / Address
No of lines_,/ width in. Total Length aa�s ft. No. of q. Ft.
Type of filter material O Total tons used
Minimum Requirements: House Trailer Tank Cap. 800 Sq. ft. line 400
Two-bedroom house 800 600
Three-bedroom house 00 00
No one shall install a septic tank in Davie County without a permit from the Health
Officer or his agent.
Date 'of final approval -- — % 07 - Signed: r /
S&6itarian I
I hereby certify that the above septic tank has-been installed according
specifications.
Signed:
eptic Tank Contractor
.Note: Make sketch of disposal system on back of sheet and mail to.Health Center,
Mocksville.
t.'T.,PT DIT112,
:7o—,g ` c;4
T-'TMM:6,T-'Cl FTjiLH YT+.Tuco HITAVI
to� %: N, -Arl.1
}.In—,T —'LnE
77
lw\
TO R;.0 O.T
'hqCfl FMIt IsJ,,)T
COP, c -z' :!::.,,T oaroTi 21!--c I
0coff
Lee!! Sfl, a crl� :;,,tocr 'r, zkfcL'.tt,,4 v.rjmoD ehr.: i jryi !.,JtR
al Ecrf-, jro TI
10
elri �f
f.r -fS3
of Za±flx0D-)r, 150HPIt2.nI fI!:4;0 Ztl J-rf, cl't jj2df, %IL i.3J A
1 Z
r,p
btrn- LID mot^yalrac�plb 'TO do7s.-I,, 0;!rT,5
. D 1,11 lvak)OT",
DAVIE COUNTY HEALTH DEPARTMENT
----No-of-Bedrooms—,3_.__-.-_._- .----,--- -,
This -permit is =granted to-.. z%i moo' ( %for_..
at the residence of pp Addr
Building Contractor i c�JrAddress
Septic Tank Specifications: Lent Width_
No of'1,
Type of
Minimum
No o.
Offi
'•. Date
\ specii
i
SEPTIC TANK PERMIT
ti
Gal._
� <^ T r7
er's Name / i 47 / Address z
s_width�/�in. Total Length 2alS f�`t. No. of q. Ft.
Iter material -#-140 72 Total tons used
xuirements. House Trailer Tank Cap. 800 Sq. ft. line 4160
Two-bedroom house T800 6,00
Three-bedroom house ' O 00
install a septic tank in Davie County without a permit from the Health
s agent.
I
approval Signed: /
Sfiditarian J
ify that the above septic tank has been installed according t�q
S.
oeptiic rani conLruuwr.
Make sketch of disposal system on back of sheet and mail to„Health"Center,
Mocksville. !
DAVIE COUNTY HEALTH DEPARTMENT '
_
No of Bedrooms
This permit is granted to.LCeatQ /7 a K for the
at the residence of Address
Building Contractor 3rAddress
SEPTIC TANK PERMIT
Date
installatio o a e tic tank
,. c .� v�
Septic Tank Specifications: Length
Width Depth Capa/citf Gal.
Manufacturer's Name ( / Address
No of lines_,/ width in. Total Length aa�s ft. No. of q. Ft.
Type of filter material O Total tons used
Minimum Requirements: House Trailer Tank Cap. 800 Sq. ft. line 400
Two-bedroom house 800 600
Three-bedroom house 00 00
No one shall install a septic tank in Davie County without a permit from the Health
Officer or his agent.
Date 'of final approval -- — % 07 - Signed: r /
S&6itarian I
I hereby certify that the above septic tank has-been installed according
specifications.
Signed:
eptic Tank Contractor
.Note: Make sketch of disposal system on back of sheet and mail to.Health Center,
Mocksville.
t.'T.,PT DIT112,
:7o—,g ` c;4
T-'TMM:6,T-'Cl FTjiLH YT+.Tuco HITAVI
to� %: N, -Arl.1
}.In—,T —'LnE
77
lw\
TO R;.0 O.T
'hqCfl FMIt IsJ,,)T
COP, c -z' :!::.,,T oaroTi 21!--c I
0coff
Lee!! Sfl, a crl� :;,,tocr 'r, zkfcL'.tt,,4 v.rjmoD ehr.: i jryi !.,JtR
al Ecrf-, jro TI
10
elri �f
f.r -fS3
of Za±flx0D-)r, 150HPIt2.nI fI!:4;0 Ztl J-rf, cl't jj2df, %IL i.3J A
1 Z
r,p
btrn- LID mot^yalrac�plb 'TO do7s.-I,, 0;!rT,5
. D 1,11 lvak)OT",
DAVIE COUNTY HEALTH DEPARTMENT
----No-of-Bedrooms—,3_.__-.-_._- .----,--- -,
This -permit is =granted to-.. z%i moo' ( %for_..
at the residence of pp Addr
Building Contractor i c�JrAddress
Septic Tank Specifications: Lent Width_
No of'1,
Type of
Minimum
No o.
Offi
'•. Date
\ specii
i
SEPTIC TANK PERMIT
ti
Gal._
� <^ T r7
er's Name / i 47 / Address z
s_width�/�in. Total Length 2alS f�`t. No. of q. Ft.
Iter material -#-140 72 Total tons used
xuirements. House Trailer Tank Cap. 800 Sq. ft. line 4160
Two-bedroom house T800 6,00
Three-bedroom house ' O 00
install a septic tank in Davie County without a permit from the Health
s agent.
I
approval Signed: /
Sfiditarian J
ify that the above septic tank has been installed according t�q
S.
oeptiic rani conLruuwr.
Make sketch of disposal system on back of sheet and mail to„Health"Center,
Mocksville. !