HomeMy WebLinkAboutSeptic As-Built Card Town of Yarmouth
Subsurface Sewage Disposal System As-Built Information
Street Address: )ct 51-1c.cri cic& Rc& Map: it Parcel: 191
Owner Name: S•Icii:hc- tip oodwo.rok- Permit#: 21 - 11,3
Date Installed: -Thor5c c .j - c \c•k 22 Z 1 New: Repair: , /
Installer Name: S3 4 8 £ c (x.4 ;on Installer Phone: 1-19r) 0 GS 3
Installation of(list all components, both newly installed and existing to remain in use):
/000 4c1 ,S-r • j-120 .OJQo)i- 2. 14 20 S009a1 Lie_
Leach Capacity(gpd): 3 LI 1 a
Groundwater Depth (inches): t Health Inspection by: Pft SSU IQ a c
As-built Diagram
(Print Clearly in Black/Blue Ink and Use Straight Edge)
REAR
A EU
1 -
0
o 6 2021021
HEALTH DEPT.
A B C D E F G
1 ; 15'5 " � .
2 29 .4" 3y,
3 St 1,5" 20' y '1
4 G1 ' 24 ' 6"
5
6