P8568 Cartner_ D'�AV��IE COUNTY HEALTH DEPARTMENT SEPTIC TANK PERMIT
tic, of Bedrooms VAa- . Date J—�C�—rr,��— - /!6 9'
`F'niS permit is granted to �avn l i=a-� for the irstallati'on of a septic ta.W:
at the residence of Address
Building Contractor Address
Septic Tank Specifications: Length Width Depth Capacity Gal.
Manufacturer's Name �G�,c�-� o�, l �o Address/?-/,
No, of lines__-I, width ell in. Total Length _ Jo r> ft. -o. of Sq. Ft.
Z-YTC: of filter material %Total tons used 3�I31-
(- 1
Mo.nimum Requirements: House Trailer Tank Cap 8-003-� Sq. ft. line 400
0060-0
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:_(�Q
.epvic ark Contractor
note. Make sketbh of disposal system on back of sheet and mai to Health Center, Mocksville.