P92471 Redland RdDAVIE COUNTY HEALTH DEPARTPIENT SEPTIC TANK PERMIT
No of Bedrooms `�C � �'Ir'
Date , ,4Z
7
This permit is granted to
for the
llatioti o a
se is tank
at the residence of f
;ingt
Address
e
r�
r -
Building Contractor
Address
Septic Tank Specifications: Length
Width Depth
Capacity
Gal.
Manufacturer's Name /�! �,tit�A1
• .+ Address7��`f
No of lines_ widthin. Total
Length jft. NoT. of Sq. Ft.
T p
Type of filter material
CTotal
tons used
Minimum Requirements: House Trai er
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
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 nk Contractor
Note: Make sketch of disposal system on back of sheet and mail to Health Center,
Mocksville.