HomeMy WebLinkAboutSeptic As-Built Card Town of Yarmouth
QQ Subsurface Sewage Disposal System As-Built Information
Street Address: 3 � - ( 1I 0 t_ R be- . Map: / e 4 Parcel: /04
Owner Name: K I r1 "ZE bo i'J P L IbE8024t4 permit#*lY' — Z4 ` Z O 10
Date installed: ! 2 New: Repair:_ 1. •
Installer Name: ( O 1L ' , IQ , Installer Phone(508)4 77- 6877
Installation of(list all components, both newly installed and existing to remain in use):
E t S+1 I O C, K. f'L 1 ri✓ r 3
(z) 1-41 o 500 5af c/4"bmwee,S
Leach Capacity(gpd): 330 Ground Water Depth(inches): Health Inspection by3C
As-built Diagram
(Print Clearly in Blacic/Brae Ink and Use Straight Edge—Lahei Risers and Zabel Filter)
3
A
(
2 JUL202023
`� HEALTH DEPT.
3 0.7
• 1
A
31.7
2 ZS.9 36'.2
3 3Z q1
4 3(, gA .Z •
5 Al. 4. 31