HomeMy WebLinkAboutSeptic As-Built Card Town of Yarmouth JAN 1 0 2020
Subsurface Sewage Disposal System As-Built Information HEALTH DEPT.
Street Address: 5 WAY()CL(l A( E Map: .33 Parcel:c:1
Pok DC-t.(1-t`%El
Owner Name: M4tT11i II+4 -r OE1‘1 IM*L Permit#: tel - '4-95
Date Installed: ' O -010aCJ New: Repair: 1,7_
SOS
Installer Name:
Rôci -rl (-)01z_ Installer Phone: cf 77-SF<
Installation of(list all components,both newly installed and existing to remain in use):
05 GO ekiSi76Jt'v ((ono G441-00 c5-61T1c' `1Y1 N uJ G-(-(CO -SOX
(i) C.C. (, U 0441 c S NAA)AA) `1L-`'S' i(52) Er-cwt.-T(6.NI
Leach Capacity(gpd):3 43,4 Ground Water Depth (inches): 4,0 " Health Inspection by: Pat_ j q I ZO
As-built Diagram
(Print Clearly in Black/Blue Ink and Use Straight Edge-Label Risers and Zabel Filter)
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6 48' 28' —
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