HomeMy WebLinkAboutSeptic As-Built Card Town of Yarmouth
Subsurface Sewage Disposal System As-Built Information
Street Address: 6 cz-- Cc, x "�isMap: ri°' Parcel: 77
o ` -moi ►'—�.21-
Owner Name: l "`'\ O'r `(`ct0 Permit#: L 113201
Date Installed: l9/1 Ss-,i ( t New: / Repair:
Installer Name: /" `A\\D 1°ak- Q.c."-'"`)`',''i'"• Installer Phone() G 4 t 'fir 71
Installation of(list all components, both newly installed and existing to remain in use):
l ' `\ (c1/1-0 r,t_w'r 3 e..,e_.- cac c3c "-) \ow i mol.-.C:..e �µ°-f /'^ V`4-6k
r-o' t S'' 1-0 2 ' off- e ruPu 1.,7 Ii_t__ c),„ - -go f-re se-
Leach Capacity(gpd): 33-1) Ground Water Depth(inches): I()" Health Inspection by: Mill PNik
• As-built Diagram
(Print Clearly in Black/Blue Ink and Use Straig CEIVED
)UL Jul. 18 2019
HEALTH DEPT.
17 -c w A
C-3---- —
1 Q.r C
ry�6vY C B
1:-
L � it3
O2 c-4 c`c.1&SL. 9 ltrY
1- 4
r
A B C D E F G
1 10'3" (I '10"
2 Zo°s ll 20( 6 M 7
3 17' IV -23° VA
4 Z2.1 3" 17'104
5 )3' Oil l IP
6