HomeMy WebLinkAboutSeptic As-Built Card Town of Yarmouth
Subsurface Sewage Disposal System As-Built Information
Street Address: �rl
_ 3 f tAA-4-I ete-t�As2_. �"0t Map: `? i Parcel: 18
Owner Name: 3 EF F R -li -d' ! (S t+✓ tJ i C-S0 1-1 Permit# aH-1)e- Z2' 3 Z.7.-
Date
ZDate Installed: ( 1z, I Z.T. New: Repair:
Installer Name: e( EY2.T (0 • Installer Phone:6085117" 8811
Installation of(list all components, both newly installed and existing to remain in use):
. !0 1500 \. �- K l-(Zo a-3 3
� . . .t. . mss
Leach Capacity(gpd): i3p Ground Water Depth (inches):, Ile, Health Inspection by•—__ t1 A/6--
As-built Diagram
(Print Clearly in Black/Blue Ink and Use Straight Edge— Label Risers and Zabel Filter)
C
V--
64e%
r
RECEIVED
gO • JUN
2 2022
HEALTH DEPT.
A B C D E F s G
1 6.8 18.1
2 11.2 /s.'1
3 15`.6- 31
4 21e 35.5
5 Z1.8 ie .1
6