132 Bowens RdDAVIE COUNTY HEALTH DEPARTt4ENT SEPTIC TANK PERMIT
No of Bedrooms 13 Date 7- Z -F - 7/
This permit is granted to _ r.� for the installation of a septic tank
at the residence of Address 3 C
Building Contractor Address
Septic Tank Specifications: Length Width Depth Capacity Gal. ?00
Manufacturer's Name SD s Address- '
No of lines_ width .S& in. Total Length deo ft. No. of Sq. ly,
00
Type of filter material Total tons used 2�
T
Minimum Requirements: House Trailer Tank Cap. 800 Sq. ft. line 1+00
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: �� •� .
Septic Tank Contractor
Note: Make sketch of disposal system on back of sheet and mail to Health Center,
Mocksville.