HomeMy WebLinkAboutSeptic As-Built Card Town of Yarmouth C t 33
Subsurface Sewage Disposal System As-Built Information 96511
C
Street Address: \�� \k (t(6 Map:OCOU Parcel: Tg, L-
Owner Name: Ypc tinJ('V�G Pao�C GS Vo \C. Cc re do A-rermit#: 3 "' 111--1
Date Installed: tI t L. 7 New: Repair: ie'""
Installer Phone: t✓`` 7S- I
Installer Name: �C c=`� M �'+t� S '�
ti
Installation of(list all components, both newly installed and existing to remain in use):
OD c.„ .. 5(0-k L vwt- Nc..L.) O 1o)c��� a C3\ks
Leach Capacity(gpd): Ground Water Depth (inches): Health Inspection by:
As-built Diagram
(Print Clearly in Black/Blue Ink and Use Straight Edge—Label Risers and Zabel Filter)
A
RECEIVED
AUU 16 2023 _s-
HEALTH DEPT C, 1
zt �
A B C D E F G
1 (pi L 63 . (0
2 10 g,
3 -(o- b 76
4 �'i " q 1
5
6
� J '
� � s �
h � �
�
- 7 �
2 � .. _ .
� ('� � r{ w
w � w � � '• Q
a � a w � � w "'
� � I d � H � � �
0
~ O O
r4 3 vHi ,`�� q cH.� � i � �
� z ► '� aw., °4 nw[ �[ �
c6 � w � z �
� � � r ~ z a a �
N t ' A N � � I
� 2 Z H i
�a H �-+ ¢ e o �
ra •• � t� ..a �
qa ]` o I
.. .. � ;
0 2 � L`' E-' ' ` �
O cn �.s !
.
H "� .,, L �,,� �p '� .. � �
Q � Z .�. •• ►-� ' �9 I" !— p�p r
w a o w ,� ,, I
� � w � cNc H caa o ; ..� � � " j
�
.. Z P+ tn W Q !., cU d � � � �
O tn W ►-�,+ �-7 .-7 E-r �
� EZ-� 2 ¢ W � � W 3 -� V'� '� � �-
� � � �
� � O � O w ►-Za Q � � �� .� �� �,, ,�,4 ';
3 G� E'' � ..� �+'1 a cn
Q Q Q Q Q