P72970 County Home Rdi
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DAVIE COUNTY HEALTH DEPARTPIENT SEPTIC TANK PERMIT
No of Bedrooms Date
This permit is granted to / e for the installation of a septic tank
at the residence of Address
Building Contractor kddress
Septic Tank Specifications: Length Width Depth Capacity Gal 9 5/10
Manufacturer's Name� � (��3 e- Address i
No of lineswidth_ in. Total Length ,Z!I�Lft . No . of 6q. Ft. _ fZK6
Type of filter material Total tons used '36.
Minimum Requirements: House Trailer Tank—tap. 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
Officer or his agent.
Date of final approval Signed: _
Sanitarian
I hereby certify that the above septic tank has been installed according to
specifications.
Signed .
eis T Contractor
Note: Make sketch off dis sal system on back of sheet and mail to Health Center,">.:',
Mocksville. C.