HomeMy WebLinkAboutSeptic As-Built Card Town of Yarmouth
1.1\ Subsurface Sewage Disposal System As-Built Information
Street Address: v , civ AD\ (00)<.. R00 Map: I'r Q I Parcel: 12
Owner Name: G et-,q" Permit#:(9-//2 /9-3 Pc
Date Installed: Su rY:1) 3 �-0 t q New: • Repair: v'
Installer Name: k\-- 16kr 1-o C/011 Installer Installer Phone:50$J7/6-6440
Installation of(list all components,both newly installed and existing to remain in use):
Sao Ga\ St pk,-t; 1 NnK DB-3 1110 (3) Sao 60,\ i tecl-, c1nA be 's
0. 2,95‘)(948%1. 2 f` c, S'konq,(2.5 ,s\ ts) z 616 gs) All
co-A46(04 t-o\vi, fise ,c , G\t v ° ty.sta mot IvkAst 6 t t .stp i, '
Leach Capacity(gpd): 330 Ground Water Depth(inches): tkfl'%t Health Insitection by: Ai/
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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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