P22868 Davie GardensDAVIE COUNTY HEALTH DEPARTMENT -,-"-SEPTIC TANK PERMIT
No. of Bedrooms .3 ���� Date � -1-
This permit is granted to l pit 44711 Cpy-� 4 for the installation of a septic tan$
at the residence of Address�P SQua_
Building Contractor 4zld ak Address n an
Septic Tank Specifications: Length Width_ Depth ( n
Capacity Gal.oo O --?r- -�i,
Manufacturer's Names 6 esu^ Address �e _
No. of lines width34-in. Total Length _ 3� ft. No. of S Ft. 9ay
Type of filter material Total tons used
Minimum Requirements: House Tr iler Tank Cap. 8o0 Sq. ft. line 4o0
,Txo-bedroom house 800 6o0
-bedr
Threeoom house �0 ' 900
No one shall install a septic tank in Davie County without a permit from the Health Office
or his agent. t
'6Signed-:
Date of final approval! � ��� 1l-
i i Sanitarian
I hereby certify that the above septic tank has been installed Qaccording tt00%}specifications.
--- Signed:
Septic Tank Contractor
"dote: Make sketbh of disposal system on back, of sheet and mail to Health Center, Mocksville,
70