HomeMy WebLinkAboutSeptic As-Built Card Town of Yarmouth
-7 Subsurface Sewage Disposal System As-Built Information
Street Address: 7s 7 AI //0t4 1/451-. ,..5ovg 1,,,/ Map: /42_ Parcel: 1 ,C)
Owner Name: �arA (-5(1 ,e ieme,D Permit# Tl lJC,'2.3 "2\ (P5
Date Installed: /0/ / c2$ New/ Repair:
Installer Name: /2P14 wed Installer Phone:
Installation of(list all components,both newly installedand existing to remain in use):
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Leach Capacity(gpd): Ground Water Depth(inches): Health Inspection by:
As-built Diagram
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Town of Yarmouth
Subsurface Sewage Disposal System As-Built Information
Street Address:757 Willow Street Map:42 Parcel:119
Owner Name:Barbara Sutherland Permit#:23-125
Date Installed:August 15, 2023 New: Repair:
Installer Name:PKM Contractors, Inc. Installer Phone:(508)385-5993
Installation of(list all components, both newly installed and existing to remain in use):
1,500-gallon, duel compartment H-10 septic tank with simplex pump, DB3 distribution box and 20'x 30'x 6"leach field
Leach Capacity(gpd):440 Ground Water Depth(inches): 109 Health Inspection by:
I certify that this system has been installed in aicE,Alce witkthepflvisions of 310 CMR 15.00 and all local
regulations. 'X , ., „` J
Installer Signature
As-built Diagram
(Print Clearly in Black/Blue Ink and Use Straight Edge—Label Risers and Zabel Filter)
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5 AUG 2 1 2023
HEALTH DEPT.
A B C D E F G
1 18' 17.5' -------- - —
2 26' 13'
3 24' 16.5'
4 31.5' 23'
5 64.5' 56'
6 76' 63'