HomeMy WebLinkAboutSeptic As-Built Card 6 •
Town of Yarmouth
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Subsurface Sewage Disposal System As-Built Information
Street Address: 'G16, `lc)(A) J)0(c
� Map:cs>r Parcel: 16
Owner Name: 'S C GL s/t I(V) Permit#: I - 7O
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Date Installed: 5-- /0
New: Repair:
Installer Name: ( ,c 5 e Mev-e c Installer Phone:cab '91 IC"
Installation of(list all components, both newly installed and existing to remain in use):
Kis-1-; 1ocY)., . D6 - s—O c c L10
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2/ Sao x 9-93/>1
Leach Capacity(gpd):� >6 Ground Water Depth(inches):/`7t/ Health Inspection by: P9., 6)13\i°
As-built Diagram
(Print Clearly in Black/Blue Ink and Use Straight Edge-Lab-1 Risers and Zabel Filter)
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HEALTH DEPT.
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HFC
BCDA ` E F G
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