HomeMy WebLinkAboutSeptic As-Built Card Town of Yarmouth oZ —/1(4,ci�5
Subsurface Sewage Disposal System As-Built Information
Street Address: 4G An-11crS Rai. Map: `1$ Parcel: i` o
BoW-Dc-Gq-23l!'
Owner Name: f r1; tc w81"" Permit#: IQ - 1-1•8
Date Installed: 03-20- ►q New: Repair:
Installer Name: B 4.B EXcrau ...-1;ori Installer Phone: 4V1- o,53
Installation of(list all components, both newly installed and existing to remain in use):
'Soo N io )-12o - 3. )-IZo son Le. c(3
A5''i< /),.&/,\ 2
Leach Capacity(gpd): LISS Ground-Water Depth (inees): l-�-d Health Inspection by: Adi
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As-built Diagram
(Print Clearly in Black/Blue Ink and Use Straight Edge)
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3
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1 ®I
1/4'' ‘ A
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A B C D E F G
1 2.8`G " 35'13 "
2 358 29' g "
3 SG ' 26'1o"
4, Sr) `L '' 30 'S "
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