Loading...
HomeMy WebLinkAboutSeptic As-Built Card • Town of Yarmouth �,//" Subsurface Sewage Disposal System As-Built Information Street Address: /C" ///f .-4)�6 AVE Map: 7G Parcel: ''Y Owner Name: O-Av1 2041 k Permit#: La-303/B0 'De^1$-6165 Date Installed: /A-1 0 — /& New: Repair: Installer Name: ` ' 9SE 4. /'I er'c--sInstaller Phone: 375 1 t Installation of(list all components, both newly installed and existing to remain in use): Rif)46(. 0)s-' rl`b (:=Ir, © x �-( --t )8-3 Leach Capacity(gpd):/V 4 Ground Water Depth(inches)) Health Inspection by: lig y As-built Diagram (Print Clearly in Black/Blue Ink and Use Straight Edge-Label Risers and Zabel Filter) • � I E 0 Z° � — — — 03 D.40)( Rc at:r ani( EDD LEM ED U DEC 7 2010 A g C - p E F ttEALTTI DEPT. X607¢ -3 2 47 Z"s 3 445 '"30 - , 6-_