383 Hall Walker Ln (2)DAVIE COUNTY HEALTH D PARTMENT
SEPTIC TANK PERMIT Date d
;
To: y
Y-1— T,
)timer/Occupant
_
Address f
Address
Building Contractor
Address
ual. ==-- Manufacturer's Name s.o
Address 71�
—�-
do. of lines / Width 2 in. Total length ft. No. sq. ft.
--�`'—'Total
Type of filter material
tons used /Jf
Minimum REquirements: House Trailer Tank
cap. 800 Sq. ft. line 400
600
Two-bedroom house
800
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. ` 1�
Date of Final Approval r
Signed:
Sanitarian
I hereby certify that the above septic tank
has been installed according tospecification
Signed: ✓ �c.�C`�'
Septic Tank &tractor
Note: Make sketch of disposal system on back of sheet and mail to Davie County Health
Center, Box 57, Mocksville, North Carolina 27028.