HomeMy WebLinkAboutSeptic As-Built Card awe-Sr- MA-x . 3 S S
Town of Yarmouth
Subsurface Sewage Disposal System As-Built Information D-Box 4- 6NL-Y
Street Address: D ` (a0-. WA 1 g,f Map:-11 Parcel: :C)
Owner Name: la-1\k IALC kW Permit#: 19-/52/'O+0X,19-3`l%
Date Installed: 0-7/10h/1 New: Repair: ✓
Installer Name: i t i 4 St(AVii17b 14+ Yeril( L N.. Installer Phone:(")`(4)3*z-Mgo
Installation of(list all components, both newly installed and existing to remain in use):
4X 1,01IAD jat. e.p-ttL- uhe) DB3 phoxf 1 ' X 3C ' 1eack Field (ipfrri
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Leach Capacity(gpd): 3 3111 Ground Water Depth (inches):714't Health Inspection by: A-iJH
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As-built Diagram
(Print Clearly in Black/Blue Ink and Use Straight Edge)
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A B C D E F G
1 31' 32'
2 31,1`b't 3r6„
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