HomeMy WebLinkAboutSeptic As-Built Card Town of Yarmouth 2c oe
Subsurface Sewage Disposal System As-Built Information
Street Address:_ L 4 ' � -i N- Map: Parcel:
Owner Name: LA j L.. Permit#: 1. - -C-14
Date Installed: _3-4 New: Repair: ✓
Installer Name: L. (• Installer Phone: .3-c.)77-1-1 I- 612`/61
Installation of(list all components, both newly installed and existing to remain in use):
KA T1 NA t civ �kL'T 1� lit 1, -6- - )
- K t 7-3/P�
Leach Capacity(gpd): 31--.1 Ground Water Depth (inches): 1-1-6 Health Inspection bY: "' w`"
As-built Diagram
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HEALTH DEPT.
A ' B C D E F G
1 -)dia"
2 3Z ` 1
3 'lei 3"
5 410' _33`6" •
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