1813 Ridge RdDAVIE COUNTY HEALTH DEPARTMENT SEPTIC TANK PERMIT
No one shall install a septic
Officer or his agent.
Date of final approval
tank in Davie County without a permit from the Health
Signed:
Sanitarian
I hereby certify that the above septic tank has been installed according to
specifications.
Signed:
tic Ta ontractor
Note: Make sketch of disposal system on back of sheet and mail to Health Center,
Mocksville.
No of Bedrooms / �`c� L��
Date
This permit is granted
to
for the i stall ion of a
s6ptic tank
at the residence of
Address'
Building Contractor
Address zV
Septic Tank Specifications: Length
Width Depth Capacity
Gal. 'd
Manufacturer's Name
Address
No of lines__ width
Zyin. Total
Length /d -ft. No. of Sq. Ft.
'� C)
Type of filter material jtltt ,
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
Officer or his agent.
Date of final approval
tank in Davie County without a permit from the Health
Signed:
Sanitarian
I hereby certify that the above septic tank has been installed according to
specifications.
Signed:
tic Ta ontractor
Note: Make sketch of disposal system on back of sheet and mail to Health Center,
Mocksville.
(b -fw