HomeMy WebLinkAboutSeptic As-Built Card Town of Yarmouth
cSubsurface Sewage Disposal System As-Built Information
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Street Address: /4/ �J14±%Oh Map: 79 Parcel://7
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Owner Name: Ruk Free e.rt GICs Permit#: / .. 3G 5S//9-/53
Date Installed: Zv*y // 20/9 New: Repair:
Installer Name: %:,e%73 .1-1G Installer Phone 729 SO!/
Installation of(list all components, both newly installed and existing to remain in use):
/Ve.w - ft/Q /5'OO,90./ton bank.. -(P iiia Load cAm de'r f th,' e_ -. Box
aS �ki3 ` x2/
Leach Capacity(gpd):330 GroundWater Depth (inc ): /3
he'sk Health Inspection by: V1-1
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As-built Diagram
(Print Clearly in Black/Blue Ink and Use Straight Edge)
134,c.K, off` house,
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JUL 1 8 2019
HEALTH DEPT.
A B C D E F G
1
2 //6 20'
3 17'4° 3
4 20' 3'#'
5 26-' 3$
6 2!'6." ?.8'