HomeMy WebLinkAboutSeptic As-Built Card Town of Yarmouth
Subsurface Sewage Disposal System As-Built Information
Street Address: ))-2 /v0-7-71,v5 fr1aM D►Z Map: J,5) Parcel:421
BOW-DC
Owner Name: LE //VI ii,,
Permit#: 1 �' -3'f's(/9--I LI Li
Date Installed: 6 1111 I New: Repair: le
Installer Name: SPE'4W2'1 &XC4/14/IV5 (,({ Installer Phone: see 3t sad-
Installation of(list all components, both nee`wlly sta d and existing to remain in use): D-g0)( O N L`(
Oct S-n t.rG- N
/, 557. , l -&or 4 SECT Of (6) S&O 4( C hbtr,B
Leach Capacity(gpd): "--- Ground`Water Depth (inches): Health Inspection by: ,4Vi
06/19/19
As-built Diagram
(Print Clearly in Black/Blue Ink and Use Straight Edge)
4 o 1
1 1
b2
I1 I3
I
JUN 20 2019
HEALTH DEPT.
A B C D E F G
1 it, 42�
2 cf' 3 '6�•
3 A? 83.
4
5
6
page 17
, Jun 12= 2019 10:16 HP Fax
IJ iToN kt, Pis ti\mee-clIoN1
Oto (07f(5
c -P SDE- W ‘)(u5eS
, /J17'1,47/4'519
LOT NO. 3 ./ ADDRESS: d
OWNERS NAME:
$EtrAGE PERMIT NO. : `S NE{�1:
� �EtEpAIR:
DATE xSSUED: .. •.-.` -.
ODATE IttSTAI.LED:
INSTALLERS NAMEk'z
INSTALLATION OF: .-. ( _
Wia'ATER TADLE:
/ "FINAL INSPECTION $Y: ,i/' 4'y
DRAWING OF .INSTALLATION ON REVERSE SIDE:
•
1.\\
114\N
£'d 116tr-LL17•909 sesiidiejuE ep!MedeO e££ l L'6t 6Z Aim