Septic As-Built Card ZoNIE C --
Town of Yarmouth M.x 3 6)
Subsurface Sewage Disposal System As-Built Information
Street Address: 7 /Mn Alyn cc,/o f oDa S o 11%4aIn 01* Map: 91 Parcel: J/54
Owner Name: ALr=X ,q jp 4 1' 4}J Permit#: AP— 30 9
Date Installed: Fa/3 6'i a? o jq
New: Repair:
Installer Name: R Ri rq C . Installer Phone: .5-0P 996,--0,11, 1
Installation of(list all components, both newly installed and existing to remain in use):
yve m-20
Leach Capacity(gpd):3s/ Ground Water Depth(inches): / 4// = Health Inspection by: P
bo6PC/
As-built Diagram
(Print Clearly in Black/Blue Ink and Use Straight Edge—Label Risers and Zabel Filter)
Wl o W o o o 16
3
U
i-
ctil I 41) v
Fib 2019
HEALTH DEPT.
A B C D E F G
1 2a ' a3 '
2 a 6' - aa. G'
4 3
5
6