HomeMy WebLinkAboutSeptic As-Built Card Town of Yarmouth
Subsurface Sewage Disposal System As-Built Information
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Street Address: -J /44 8qA Map: 52-
Parcel:
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Owner Name: L J 1; c IIR" FA)A Permit#: r q-3^5'
Date Installed: /o 1ti .
New: Repair: ti/
.6-°? q 'i'5
Installer Name: J v►) oh-> '1' .5-0,13 Installer Phone:
Installation of(list all components,both newly installed and existing to remain in use)•
00" yel/. '4 k /000ql /04,p .47q0,ber or;#64A .
P.- cII-f e C Csbyl cIoc I ao ,90
Leach Capacity(gpd)340° •1 Ground Water Depth (inches):/6-
Health Inspection by: Mt
' As-built Diagram
(Print Clearly in Black/Blue Ink and Use Straight Edge)
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AI/ B C D E F G
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3 3L1' 3 'I 3q' Ij''
4 36' 3" 3'"0, u
5 43' 3" '43' 3''
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7 J1"77
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