HomeMy WebLinkAboutSeptic As-Built Card Town of Yarmouth
Subsurface Sewage Disposal System As-Built Information
Street Address: 10Ot--�� �'T'. Map: (00 Parcel: .12•
Owner Name ._. L --LAS, f/T7_epene,c..KPermit# jt '. - <1601
Date Installed: 1 t Z9\ 27i _ New:_ Repair: ✓
Installer Name: O S ?T b. Oc.A. _ CO . Installer Phone:(SO$) 477- 88 77
Installation of(list all components, both newly installed and existing to remain In use):
#t o (SCO gcJ • -fsc-,4 K 42.0 DS 3 -a-
(Z) HZo coS
Leach Capacity(gpd): 33O Ground Water Depth(inches): ICI,t-C.� Health Inspection by:CAIG11M1,16-
t,..10 S
As-built Diagram
(Print Clearly In Black/Blue Ink and Use Straight Edge- Label Risers and Zabel Filter)
v
'ro
I`" I
rn
J£bI. 4 3
•
AUU 0 1 2022
HEALTH DEPT.
A
1 35 Is5
2 39 , Z3.3 _
3 24.5- — 32.
4 2•t.f3 34..(p
S
6
fltl