HomeMy WebLinkAboutSeptic As-Built Card Subsurface Sewage Disposal System As-Built Information
Street Address: IS.(7 rz.-ricjA LIrtytevinokr—v-pts itfr map:/3 4/-parcel: E0
owner Name: IC ),..11"-k-11-6 0-1 i Lk-) '.''S.I-X.LA. Permit II:
Date installed: .31 9,:c i(9-C)7/Z) New: V.IRepairt
Installer Name: C CaPei Di() . ‘nc , --- practitl.,g2gagic installer Phone:
nstaiiation of(list all components,both newly Installed and existing to remain in use):
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Leach Capacity(gpd).: 15%,Cb Ground Water Depth(inches):Iti-10%,a it— Health inspection by:
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As-built Diagram
(Print Clearly in Black/Blue Ink and Use Straight Edge—Label Risers and Zabel Filter)
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