P51072 Bermuda RunDAVIE COUNTY HEALTH DEPARTMENT SEPTIC TANK PERf�MIT Date
Owner/Occupant To: 4'0'
Addressve�rv�`�� Td�t°rmud9 �H Address
Building Contractor �4/7`�r.ri� �:f/�C�o� Address :.s/0h S� X- rr
Cal. La Manufacturer's Name , �as %' 74, .,V c cQ Addressgr;-
No. of lines alt_ Width _U, in. Total length ft. No. sq. ft. ?=X'-Z-ASy
Type of filter material Total tons used �$`3
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
Signed: ZP, '
^�
Septi Tank Contrac '
Note: Make sketch of disposal system on back of sheet and mail to Davie County He ti'"
Center, Box 57, Mocksville, North Carolina 27028.