HomeMy WebLinkAboutSeptic As-Built Card 1
1
1 Town of Yarmouth
/ Subsurface Sewage Disposal System As-Built Information
Street Address: 4' .v: 4/6 ()dial,' �Pr`Ve Map:,?oc Parcel: Ok V
Owner Name: Slut 1' Mu i 741v1 Permit#: 19-1 66l4-PC-iv-308(0
Date Installed: /a-/,.7/Ig New: Repair:/k--
Installer Name: ('aeC OilT . Installer Phone:52f,-776 -Co
Installation of(list all components, both newly installed and existing to remain in use): )
I 5-6� s 7' /Doo 1p` .�p��a,�,i�- , d-boxy ;�� --VI r^ �t cK L� 5
ii
Leach Capacity(gpd): 7 O Ground Water Depth(inches): Vc Health Inspection by: ICS
i 2--(a?`c�
As-built Diagram
I (Print Clearly in Black/Blue Ink and Use Straight€dge—Label Risers and Zabel Filter)
1 FiOVI7(
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4
RECEIVED
,!AF, n7 2020
HEALTH DEPT.
AB C D E F G
1 5 3-4) �7f '
2 ,a„ r.) g ,60
3 1 / 1, 3a , q
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