HomeMy WebLinkAboutSeptic As-Built Card Town of Yarmouth
Subsurface Sewage Disposal System As-Built Information
Street Address: /Ss? S;Lv - L- ,gF• L 4$416- Map: 073 Parcel: 3R.
B044-Dc-f4-149
Owner Name: To Hti1 4 M4411 M o SA);17/4,4) Permit#: / 7 - /e
Date Installed: 3-/d- a,0/ 7 New: Repair: V
1
Installer Name: (JRt•iq„J C. --A< s5`Li�r Installer Phone: f"P `''P'09PV
Installation of(list all components, both newly installed and existing to remain in use):
Soo G/ '----- 0o • i i • Y _ C-I /1 % .K. ,
I7uu-a0 w , '7' . S�u)F 444.,,, 3 'l' // /X. /D'/
I Leach Capacity(gpd): 3.'7' Ground Water Depth(inches): `Jo Health Inspection by:
03//6- 19
As-built Diagram
(Print Clearly in Black/Blue Ink and Use Straight _ •• - - rs and Zabel Filter)
f
11111G_12/'57` Sox
11 1 r
v ' 33
96.
Eacg
# IP.? 0'
i iMAR 19 2019
4'4
HEALTH DEPT.
51 t1 C4 Lair4 F L ilKk
A B C D E F G
1 /, -' 39.6
2 /3,11 33.7
3 /3•a 3o'
4 071 ' 35--
5 do,c 30 '
6 53.2 ' ii8-s
'I -5-1/ 3 6-3.y1