HomeMy WebLinkAboutSeptic As-Built Card Town of Yarmouth /44x. c2 � 1 /�j
Subsurface Sewage Disposal System As-Built Information
Street Address: Al Si-1AP46/OiV Cour Map: 355 Parcel: 31(
Owner Name: ) c_n h , Re6 �—
l .5 Permit#: l9l63/8olcDC -49-331iDate Installed: (j / l
New: Repair:
Installer Name: KZ_Pci-e d(11.4/ 0 4,PL Installer Phone: 509-378-2.11A0
378-ulA0
Installation of(list all components,both newly'nstalled and existing to remain in use):
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Leach Capacity(gpd): 220 Ground Water Depth(inches): ?t " Health Inspection by: AVS
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As-built Diagram
(Print Clearly inBlack/Blue Ink and Use Straight Edge)
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