HomeMy WebLinkAboutSeptic As-Built Card Town of Yarmouth
Subsurface Sewage Disposal System As-Built Information
Street Address: 2 L/S L LOCA r)k Y1. Map:58 Parcel: IL{a
Owner Name: --54.e( (,,,o
(24,3-E Permit#: /9-1cy1/Bo- PC!4-079
Date Installed: 5I 7 /9 New: £@pair:
Installer Name: L,C, th kEYL (fittaCein-pirkt t5TTh J Installer Phone: 2'1A (1,6
Installation of(list all components, both newly installed and existing to remain in use):
`5' —L6 wi mS , +3 (z,S6,t.,�, c ,t1-
`^5 tt_t cpa_ SST /Kt s'1ZK iE
tJ D 6 etJ ) c s ActiC, r ,�{
Leach Capacity(gpd):; 3t _ Ground Water Depth(inches): 1,3a`+ Health Inspection by: ,/tV
(ZLEV eel,00 Or/cia/ii
As-built Diagram
(Print Clearly in Black/Blue Ink and Use Straight Edge—Label Risers and Zabel Filter)
I IC111.3°
b
s
7-7-4 cc41
MAY 17 2919
---- -.-
CD E F G
1 39 51)134
2 43 `f5+; N
4 (c01
10" St-ill u
fro 44.4
6