HomeMy WebLinkAboutSeptic As-Built Card Town of Yarmouth
Subsurface Sewageisposal System As-Built Information
Street Address: I (f) C11.1)0 1 I ve._) Map. 111 Parcel:
Owner Name: I[ocLo '?rr1- J r _Permit#:4, ' i .43-1 L.>'
Date Installed: tC -Z7 -1 2_ New: Repair: /(
Installer Name 3 , 1ttV i VC LI Ii C f 3- 1 U C'1 C Ir taller Phone ()3 3 2,-(-igen
Installation of(list all components, both newly installed and existing to remain in use):
,.` a *' 1 ' , a . 04 I as a (_. .) 5 nr)TV (n(l Ie/tth1.+ Fes) ► )'f_ c , IHi
'Ca � foLeac Capacity G nd T
a r Depth(inches): Health Inspection by: OCL.D(1 l�{-�, %,
v
I certify that this system has been i a Cd 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)
Rear 0-F EtoLiv.
A L 1
-t5 -16 e_ 6
240I
I
_ 1;1/
3
Li
_ ! A B C D E I F G
1 32-. 10' 41 11/1 _
_ 2 2-q .S ' S y.S'
3 /1b '3 ' $ '
-- 4 -nisi iL'
5 /24 ,4' 94 , 22
6 — 35' I l i-1 '