HomeMy WebLinkAboutSeptic As-Built Card Town of Yarmouth
Subsurface Sewage Disposal System As-Built information
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Street Address: ,,- 0 i 4Se -61 A. C4 jg:TieWO Map:81 Parcel: *1 -(.,'
Owner Name: g5c-ef( cdt i fil Permit It Z Z—2-i I
Date Installed: Ci /2- 7 I z D e 7- '
New: Repair Z-77
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installer NameNk-e AL 4 vi rt-i 4. Ar--Ccc.Cepleckt-&C— Installer Phone:Sa Egif.qV
Installation of(list all components,both newly installed and existing to remain in use):
Re,/aet )/ TYk‘i/6"- .0eK i a‘i /171 /17,c/4 ii
Pe (A/ s:5 Ae d yo Z/ 4e_ S-e/T1( 7-4*,(C 4•6 eiZ0(
-t Pia 5 cm,,,,,,e 1 (wied
Leach Capacity(gpd): if) .4-- Ground Water Depth(inches): AOK Health Inspection by:
As-built Diagram
(Print Clearly in Btack/Blue Ink and Use Straight Edge)
1
• 106
1105
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HEALTH DEPT.
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A B C D E F G
1 30.v/ 34s .
2 3 4 '
- - 3 - 40'
_ 4
5
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