HomeMy WebLinkAboutSeptic As-Built Card (2) Town of Yarmouth
7 Subsurface Sewage�Disposal System As-Built Information
—
Street Address: / S-6 Uh l i 124 o(J Map: Parcel:
Owner Name: S 4 rb°C_U- Cons -ruc4 tort Permit#. 13C I4 � • <L (2
Date Installed: 0/j; New: 7 Repair:
Installer Name:Dig It Construction LLC Installer Phone: c®it 4 3'3,/&S6
Installation of(list all components, both newly installed and existing to remain in use):
0:-)O 2000 Scx
Leach Capacity(gpd): ,2)0
Ground Water Depth(inches): Health Inspection by:
As-built Diagram
._,__.(rrint Clearly in Black/Blue Ink and Use Straight Edge—Label Risers and Zabel Filter)
AP tyg 2CZ '
HEALTH DEPT. I
' \ ()- \
'.k' ii \:\
6 _c;
e
5 , /
, 1
ai k
3 o'
A B C D E F G
1 ►L iy
2 IG, ,/C
3 ay. 7 a3
5 (`S. 7 3 . )
6