HomeMy WebLinkAboutSeptic As-Built Card -t- C r e S'
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Town of Yarmouth y
Subsurface Sewage Disposal System As-Built Information
Street Address: O Pouf KAT4' ROAD Map: 60 Parcel: 1 (3
Owner Name: C 47I-/i 2.1 iJC Lip - E'TI Permit#: !Q-ZSZ/(3044FUC-l4.0?7Z.
Date Installed: ( —(3—A01 9 New: Repair: X
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5-02
Installer Name: C C car / R0/3€A-i , OU}- , Installer Phone: 4-1- - /7
Installation of(list all components, both newly installed and existing to remain in use):
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rNb u_- eJ614) 4441.3 u.t C) O)C /D 0,-aoy.. 1n t3OT14- (r
Leach Capacity(gpd): / Ground Water Depth (inches): / Health Inspection by: 7.- 27- fa-R—
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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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5
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3
RECL:VED
NOV "I 8 7019
A B C D E iffEALIF DEP1G {
1 3. I' 25.2'
2 40.2
3 4% •G' 41.3'
4 3Q.(0' $1.S'
5 58' 3` •3
6