HomeMy WebLinkAboutSeptic As-Built Card�
� � `` ,�' �- � � `�'� �.o
� � + �
; y
' �� ; s � `� ��� cs� ��
� �
� �
¢ � � `fl A � 0 I
a a � r}'a "' 9�is -/�.. q s�z2-� �J-a I
cc a . � w __ `
� � ���.� o a ,, ���_- -- �- '�_ o �, '
W � � ','
H � E+ > n v � z'
' 3 N V w , �t �
. i �+ . � w a o.., � �
a .�' I
p W C� h - Z O �: 3 � _ o Y � I
� 'er-•1? 3 • 3
cn 0� � G 3 � ~ Z 'a � , � n
� � � � O � � � � � �
A p � � t � � w a ! � a 1 � " o ,
•• � a
;
� � � p Q - -- , -� I.
o � ��'' ��. � «
�
.. � . ` ,; ,� `� Q
� � � �N � v�i 'I' � � �. : � � „ � i
� w �-+ a z oo w � ' , - - - �- � F �
� . �
Z � � a H� r�A O
.. W d � I ;
cn a a E-+ C� J ;
� Z a � ~ � d oG N i � '��
E+ Z 3 H tHi� t�i� FW+ 3 � � ��.
� � O � O i+ '-Z+ Q � ' �"' �' ''�,.�'
3 A ;; �
' � .�:,. �
���:� . ttl G Boy-�-Ib-t063$
rr=`f„":
r ,�.�� ���_q3 g.c. k.
-�� Commonweal#h of Massachusetts
� Ti#le 5 C�#ficial �n�pec#ion Forr �-"�� ��A,R o5�os�r�
INSPEc�D gy BGM
Sabsurface Sewage Disposai Sys#e�a Form-Not for Voiuntary Ass�...�,........,
109 Town Brook Rd WPst Yarmouth MA
Property Address
Vto�olt�mini TR '196 R�c�cingham Rd
Owner Ownei's Narne
information is LOndonderry NH 03D�3 2/22/16
required for every
Pa9e Cityffown 5tate Ztp Code Date of It�spection
D. System Informa#ion (c�nt.)
Sketch Of Sewage Disposal Sys#em:Provide a view of the sewage disposai system, including ties to
at Jeast twa permanent refer+ence landmarks or benchmarks.Locatae aI]a+vei#s w�#hin 100 feet Locate
where pubiic w�#er supply sn#ers the building:Check one ot the boxes below:
r
� har�d-sketah in the area below
❑ drawing athachsd separately
� � ��-tJ
N J��
.. . �� �
�'�y
�-
l/� �'�� .
�� �r�+�
c� � Tss f
rf�- %� , .
��
, f .�
,. .
O r
� �
� .
'�.
�"�5 = 1ro�k�Si�+u. /�'j � Z,2� S" 1
�--lS�s�f T,��e�s,�c�t
S7ao,�-
t5ins•3/13 � Title 5�frspeWan Fom[Suhsiriace$e�►2ge Disposal Syste+�t•Pa�15 of 17
/
/
{
/