Septic As-Built Card 8 Town of Yarmouth
Subsurface Sewage Disposal System As-Built Information
Street Address: 98 GJEtJD WAR. W AY Map: 213 Parcel: 18/
Owner Name: 1.4cnnc-1I -Dalncric t Permit#: - ZS
200li10c— 1 — o
Date Installed IVOI) Zoe lq New: Mgt Repair:
Installer Name: j3 ;Q Cxevo--1:of-.
Installer Phone: 4.111' 01.$3
Installation of(list all components, both newly installed and existing to remain in use):
/Soo N to S-r - t-1 Zo -.D Bo, - Z- N 20 500 qa.l c.)c_
075. 1xsae ' )
Leach Capacity(gpd): . 30 Ground Water Depth(inches) /VA Health Inspection by PR
As-built Diagram
(Print Clearly in Black/Blue Ink and Use Straight Edge)
,
CIO ® ® 0 NM/ 21 /.019
E
A IB
I
A B C D E F G
1 /4,5 LJ3.S
2 /8.S .50
3 33 13,S
4 38.5 '?g
5
6