HomeMy WebLinkAboutSeptic As-Built Card 2orle ...1L:— M. x 2 '3 200k S
Town of Yarmouth
Subsi. 1..,4-e.Sewage v1:.posal System As-Built Information
Street Address: I 1 I W�1V (• C7rQ�Q(JK� Map.( , Parcel:11 8
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Owner Name: S 1�3S:\t• OW t/RS Permit#: (q'3381 C cr 1 -ISI
Date Installed: (%� 3ST 1L , aol t New: I Repair:
Installer Name: C_ Q6G. ANb P`\ ER�\--NPaInstaller Phone: 5o$-39?)-Oa 05
Installation of(list all components, both newly installed and existing to remain in use):
14-16 1500 GAL TA K 1-1-10 hCS-3 i�-6ox a- Soo C3AL LE.�AcA C 1Amt3ERS
( g.g3 >c (2/-OQ )
Leach Capacity(gpd); a0 _ Gro d MALI'D 0 tipcC1ss);(1�V,,1 Health Inspection by: RuCF G.Rigestti
.J �P I, ,f,� or ,�:1 „..i, k'" "tot, �! E+" '+ _ - O6�c01/9
As-built Diagram
. , (Print Clearly in Black/Blue Ink and_Use Straight Edge-Label.Risers and Zabel Filter)
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