HomeMy WebLinkAboutSeptic As-Built Cards 9 '
Town of Yarmouth
Subsurface Sewage Disposal System As-Built Information
Street Address: //V //� l T Map:5 Parcel: 7
Owner Name: , a� _rr.," 101 tr�tn� Permit#: ��' 22- y6l
Date Installed: ��"�C) ' �- 1 New: Repair: f
f
i b
Installer Name: i kt_Se. 4.,it f 1JG /ja�rt Installer Phone: 5°S' 3 rO_ iJC
Installation of(list all components, both newly installed and existing to remain in use):
10 /S�� �a. ,� frk ! '� 4!1- 3 , (4) f-1-.20 .�'r-- ��c� r:�tf74r-,fdri-
Leach Capacity(gpd): 347 Ground Water Depth (inches): /t/f1- Health Inspection byf `, c/c `7-)
I certify that this sys-te has n, nstalled in accordance with the provisions of 310 CMR 15.00 and all local
regulations. /► et.2
Installer Signature
As-built Diagram
(Print Clearly in Black/Blue Ink and Use Straight Edge— Label Risers and Zabel Filter)
ark v� heuser
A
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I•P.
OCT 21 2022
HEALTH DEFT.
A B C D E F G
1 12 30
2 a 72o
3 35;�
4 a 33.5-
5
6