P9169 Southwood AcresDAVIE COUNTY HEALTH DEPARTMENT SEPTIC TANK PERMIT
No of Bedrooms Date 6,9
This permit is -.granted o for the install do o eptic tank
at the residence of Address��w d7
Building Contractor_ Address A-3` cP, /i✓,9rr�i�
Septic Tank Specifications: Length_ Width _Depth !. Capacity_ Gal. dao
Manufacturer's Name Address '
No of lines ,Z_ width_3ki . Total Length Soo ft. No. of Sq. Ft. �g00
Type of filter material Total tons used, 3.
Minimum Requirements: House Tr ler Tank Cap. 800 Sq. ft. line 400
Two-bedroom house a .i 800 ; 600
Three-bedroom house X900 __ 100
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
Septic Ta Contractor
Note: Make sketch of disposal system on back of sheet and mail to Health Center,
Mocksville:
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