208 Plantation LnDAVIE COUNTY HEALTH DEPAM ENT SEPTIC TANK PERMIT
:. of Bedrooms c Date
..his permit is granted to for the installation of a septic tank -
;>.t the residence of � c . u� Address
building Contractor Address
Septic: Tan.: Specifications: Length Width Depth_ Capacity_ Gal. 2
Manufacturer's Name Address
No: of lines' width in. Total Length ft. No. of Sq. Ft.
Type of filter material Total tons 1.4i.nim,, Requirements: House Trailer Tank Cap 600 Sq. ft. line 1100
Two-bedroom house 600 600
Three-bedroom house 900 900
No one shall install a septic tank in Davie County -without a permit from the Health Officer
or his agent.
Date of final approval Signed: —
Sanitarian
1hercby certifjr that the above septic tank has been installed according to specifications.
Signed:/_ _A
Septic Tank Contractor
Note- Make sketch, of disposal system on back of sheet and mail to Health Center, Mocksville.