P93069 Redland RdDAVIE COUNTY HEALTH DEPARTMENT SEPTIC TANK PERMIT
No of Bedrooms 3
Date
3 l 6
This permit is granted to
c
for the installati a
eptic tank
at the residence of
Address
sof
Building Contractor
Address
Septic Tank Specifications:
Length
Width : Depth Capacity
Gal. `� a
Manufacturer's Name
Address
No of lines_L width i
Total
Length o.7 5 oft. No. of
Sq. t.
- 7 0
Type of filter material Xz`/o
" Total tons
used
3/ -31 -
Minimum Requirements: House
Trai
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
Officer or his agent.
Date of final approval
County without a permit from the Health
Signed:
Sanitarian
I hereby certify that the above septic tank has been installed according �o
specifications.
Signed:
Septic Tank Contractor
Note: Make sketch of disposal system on back of sheet and mail to Health Center,
Mocksville.