712 Will Boone RdDAVIE COUNTY HEALTH DEPARTMENT SEPTIC TANK PERMIT Date
Owner/Occupant To:
Addresses Address
41
Building Contractor �-�, Address
Cal. Manufacturer's ame _ Address f
No. of lines Width in. Total length ��� ft. No. sq. ft. � �
Type of filter material Total tons used o?02
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 specificatiol
Signed: j
' Septic T nk 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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