HomeMy WebLinkAboutSeptic As-Built Card 1)-136)4. a NIL>4
Town of Yarmouth
Subsurface Sewage Disposal System As-Built Information
Street Address: 34 1,t9 GEu.3 OOt! /e.1 J v ce Map: (14 Parcel: ICE)
Owner Name: VO(ZUS Permit#: 0Z.O-0d3/6014-DG''"1"
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Date Installed: 0 VO s/ o?o �4
New• Repair:
76
Installer Name: 1)A1242. LLS-ro t.M A.pe-cob SEpT C Installer Phone: 774-7 —Zoe-Q8
Installationtof(list all components,both newly installed and existing to remain in use):
IV OA.) )— 68)C RA-13C .COV W t i-t+tiv !o" a F GRAPE
Leach Capacity(gpd): Ground Water Depth(inches): Health Inspection by: I14 L
00)8/020?-0
As-built Diagram
(Print Clearly in Black/Blue Ink and Use Straight Edge)
TOr A.- B to, eReA_( 5,411
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45-0 31-4cal
3 so-4 33.E
RECEIVED 4
j tI .1 3 2020
HEALTH DEPT.
A B C D E F G
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