HomeMy WebLinkAboutSeptic As-Built Card Town of Yarmouth
Subsurface Sewage Disposal System As-Built Information
Street Address: p I I O o k o {. co Map: /`l/ Parcel: o 5/6
Owner Name: I''k l I� (� Efr15 i Sli Permit#: l9-27l -1?-O
Date Installed: /2. / / 9
New: V Repair:
Installer Name: -Td v1 C 0-An GlelInstaller Phone: 5a g 71 C 9 q 6 3
Installation of(list all components both newly installed and existing to remain in use):
16-0 criNL-3(\ -f- h l k � i ) +� 2 5 G✓allot c LtrS
At puNwv PILL A413 12-01-4.15J6 (')cc--, CO'tPoN -NST
Leach Capacity(gpd): 330 Ground Water Depth(inches): V\ f 6 Health Inspection by:
{ As-built Diagram
(Print Clearly in Black/Blue Ink and Use Straight Edge)
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