237 Cherry Hill RdDAVIE COUNTY HEALTH DEPARTMENT SEPTIC TANK PERMIT _/
Bio, of Bedrooms (���` Date /C> -/,Y-6 X
This permit is granted to for the installation of a septic tanb,..
c �(� �
at the residence of _ Address la,
,.� _
Building Contractor Address
Septic Tank Specifications: Length Width Depth Capacity Gal. �cro
Manufacturer's Name K-) alklet , Ti Address
I?o,. of lines-width�,V in. Total Length eft. No. of Sq. Ft. v6-0
Type of filter material ;�K , Total tons used /.,7,
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
or his agent.
Date of final approval
County without a permit from the Health Officer
Signed:
Sanitarian
I hereby certify that the above septic tank has been instr
according o specifications.
Signed:
Septic Tank Contractor
Note: MaXe sketbh of disposal system on back of sheet and mail to Health Center, Mocksville.
"'Ji
I
J�