Bermuda Run Job #8DAVIE COUNTY HEALTH DEPARTMENT SEPTIC TANK PERMIT Date
Jumer/Occupant _ To:
Address d �_ Address Ld
Building Contractor d Address Com; 94
Gal. Manufacturer's Name Address
No. of lines _ Widtli. —&In. Total length 620 j ft. No. sq. ft.
Type of filter material
--,*Cl Total tons
used
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 installed according to specification
e
Signed:9IJ m4A--
Se is 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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