HomeMy WebLinkAboutSeptic As-Built Card Town of Yarmouth
Subsurface Sewage Disposal System As-Built Information
Street Address: I ?-4 I ROLrre- �- Map: 60 Parcel:2% t-.2.5 7
Owner Name: j�
l'C'TER C.,06 Ill ff-y RoLe L UdA,S Permit#: L�1. A"t D C'Z.3- - --
Date Installed: O CT' i Z off" New: Repair:
Installer Name: C) 6P-i i
�J D Jl�t. � —1 a►JC, Installer Phone: �77— ear 7 7
Installation of(list all components,both newly installed and existing to remain in use):
USc-50 t yi 5Tii I 600 G—A-e. .o S P CC, rU Th W 14-20
D-60)4 1,b (z) soio Caviziu I-I V 2 o C 44 tit, ITI4 '4' OF S'TDA U'
Leach Capacity(gpd):31. Ground WateA Depth(inches)41 355` Health Inspection by:
I certify that this system has been installed in accordance with the provisions of 310 CMR 15.00 and all local
regulations. °
Installer Signature
A
As-built Diagram
(Print C arly in Black/Blue Ink and Use Straight Edge—Label Risers and Zabel Filter)
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5
OCT 2 3 2023
/- HEALTH DEPT.
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3
A B C D E F G
1 35,5 40,5
2 LiS
3 45 45,7- _
4 35
5 &$,5 4(.S
6