P120872 Hickory HillNo one shall install a septic tank in Davie County without a permit from the Health Offic
or his agent.
Date of Final Approval Signed:
Sarfftarian
I hereby certify that the above septic tank has been instal d accord%i'ngg to s ecification
Signed: `9 "v %, 4---
SeptiV Tank Contractor
Note: Make sketch of disposal system on back of sheet and mail to Davie County Health
Center, Box 57, Mocksville, North Carolina 27028.
DAVIE COUNTY -,,HEALTH DEPARTMENT
SEPTIC TANK PERMIT
Date
)v,mer/Occupant (!
To:
Address �� ��
Address ��
�GLY�I
Cy f� ,�*
Building Contractor
�j Address
Cal. ,9--_— r4anufactur 's Name d,4
�� r Address
Lf� 25-3
No. of lines _�_ti9idth in. Total
length ft.
No. sq.
ft. LS'�
Type of filter material
Total tons used
ffY
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:
Sarfftarian
I hereby certify that the above septic tank has been instal d accord%i'ngg to s ecification
Signed: `9 "v %, 4---
SeptiV Tank Contractor
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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m
FLO