P82173 Davie Academy RdDAVIE COUNTY HEALTH DEPARTMENT SEPTIC TANK PERMIT Date AAO aI?93
c.
Ohmer/Occupant To:
Address Address ,
Building Contractor Address
Cal. :2 OrD Manufacturer's Name
Address
i
No. of lines / Width .3C in. Total length f,5l ft. No. sq. ft.S� _�bx
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Type of filter materialTotal tons used ;?-,s.s
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 County without a permit from the Health Offic
or his agent.
Date of Final Approval Signed:
Sanitarian
I hereby certify that the above septic tank has been installed according to specificatio7
Signed:SV
Septic ank Contractor
Note: Make sketch of disposal system on back of sheet and mail to Davie County Health
Center, Box $7, Mocksville, North Carolina 27028.