HomeMy WebLinkAboutSeptic As-Built Card Town of Yarmouth
Subsurface Sewage Disposal System As-Built Information -1)-BOA, LeAcki
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Street Address: RI. („ m cr S4 rcci 0 L 7
);
Map: 132 Parcel: las
Boil-Dc-I9-033y
Owner Name: Grc.c9 14ckn,mn Permit#: I q - I69
Date Installed: .3'vlc„t Z41, 19 New: Repair: ✓
Installer Name: 3 Exc.:Loco;o✓` Installer Phone: R8 477 0653
Installation of(list all components, both newly installed and existing to remain in use):
MOO 50cul ST- 1420 ,Q 33o7( - 2•SOO L1c- H
Aia
Leach Capacity(gpd): _`i30 Ground Water Depth(inc es): 1) Health Inspection by: AV 14-
0-2/2-9M
+O-2/2-9M
As-built Diagram
(Print Clearly in Black/Blue Ink and Use Straight Edge)
. REAR
DECK— A
® O
I I ® I
JUL 3 0 2019
A B C D E F
1 2y' 56
2 28 5`7 '
3 G2' 7,5 '4 G y . VII
5
6