HomeMy WebLinkAboutSeptic As-Built Card Town of Yarmouth
Subsurface Sewage Disposal System As-Built Information
Street Address: 27 Long View Road Map: 137 Parcel: 9
OwnerName: Robert Kos sack Permit#: BOHDC-23-3656
Date Installed: 5/22/2023 New: X Repair:
Installer Name: Dig-It Construction Installer Phone: 508-432-1635
Installation of(list all components, both newly installed and existing to remain in use):
2500 Gallon Septic Tank/Pump Chamber Combo ; Distribution Box &
(2) 500-Gallon Leaching Chambers
Leach Capacity(gpd): 336 Ground Water Depth(inches): No Health Inspection by:
Ground Water Encountered
I certify that this syste been installed in accordance with the provisions of 310 CMR 15.00 and all local
regulations.
Installer Signature
As-built Diagram
(Print Clearly in Black/Blue\ Ink and Use Straight Edge-Label Risers and Zabel Filter)
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LIMOWND
5,- MAY 2 3 2023
HEALTH DEPT.
i 7
O3
01
A B C D E F G
1 17 39 . 5 ' INLET
2 14 ' 33 .3 ' ZABLE
3 13 .5 ' 30 .5 ' PUMP
4 11 .5 ' 23 .5 ' HAND HOLE
5 14 .3 ' 49 .2 ' D-BOX
6 15 ' 39 . 5 ' DRY WELL