HomeMy WebLinkAboutSeptic As-Built Card Town of Yarmouth
Subsurface Sewage Disposal System As-Built Information
Street Address: 30 LuC,t1 .11( Map: 13 5-Parcel: ' '
Owner Name: _AKA PE e)C — J f}( E L L I Permit ItaibileC,- Z2 ` I OOO
Date Installed: I O jZ8 ) 7;Z- New: Repair: ✓ ,
Installer Name: � C -"� l cA-Q,_ 0,0 , Installer Phone( B) 477^ g877
Installation of(list all components, both newly installed and existing to remain in use):
o l Soo - -ram iC f i-12iD 183 (z) N)0 900 301
cit4-012 cS
Leach Capacity(gpd): 330 Ground Water Depth(inches): Health Inspection by: tJO{2KCS
As-built Diagram
(Print Clearly in Blacic/Blue Ink and Use Straight Edge—Label Risers and Zabel Filter)
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OCT 3 1 2022
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HEALTH DEPT.
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A B C D E F G
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2 29,5 14.3
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4 2.tr,4 3( 9
5 ZI.5 _ 37•9
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