292 Feezor Rd (2)DAVIE COUNj4 HEALTH DEPARTMENT SEPTIC TANK PERMIT Date
Jtimer/Occupant _
Address Address
Building Contractor�� Address
Gal. Manufacturer's NameAddress
No. of lines _ Width in. Total length / 6-2�, ft. No. sq. ft. Std
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:
Septic 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.