P31869 LawsDAVIE COUNTY HEALTH DEPARTMENT SEPTIC TANK PERMIT
!?o, of Bedrooms
Date 3-r —l09
This permit is granted to uCi
for the installation o
a septic tank_.
at the residence of
Address
Building Contractor 'ysi1:-�
Address
_T
Septic Tank Specifications: Length Width
Depth
Capacity Gal.
jDo
Manufacturer's Name <` ;.��-dam
Address
�—
No. of lines_ widthin. Total Length
by ft. Xo.
of Sq. Ft. 1.2 �v
Type of filter material :�,, / p /— L -�
Total tons
used '`
Minimum Requirements: House Trailer 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
%t�o specifications.
Signed:
Septic Tank Contractor
Note: Make sketbh of disposal system on back of sheet and mail to Health Center, Mocksville.