HomeMy WebLinkAboutSeptic As-Built Card Town of Yarmouth
Subsurface Sewage Disposal System As-Built Information
Street Address: "-1 S-iooLl_c4 Rck
Map: G 9 Pay rcd\ J Os
Owner Name: al EPA UD 1,Yik.1 Kam„J A Permit
Date Installed: cr)ARc 4 ZO 23
New: Repo;r.
installer Name: P E 1 Exec -1 ; or Installer Phone: 4v1i- O 6S3
Installation of(list all components,both newly installed and existing to remain in use):
EX;Si; r, Scp4► c -LA4K - niew H20,DGox- 2 • N2aSoo50.I c,
Leach Capacity(gpd): 330 Ground Water Depth(inches): Health Inspection by:
As-built Diagram
(Print Clearly in Black/Blue Ink and Use Straight Edge-Label Risers and Zabel Filter)
D
APR 1 0 2023
HEALTH DEPT
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A B C D E F Cs
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2 4Z' l, " _ Z-l 'G "
3 Ig' G " Sy '
4 Z,' g " SG'S„
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