HomeMy WebLinkAboutSeptic As-Built Card Town of Yarmouth
Subsurface Sewage Disposal System As-Built Information
Street Address: Z 1.. t4 I1K L,.3
Map:33 Parcel: �
Owner Name: 0.00r..9.)E.LA.— 8OWPC (Ct' o
Permit#: - 111
Date Installed: 9- u- 1'1 h
New: _Repair: V
Installer Name: si kS EX( cL O,r\ Installer Phone: 1-11r)-0653
Installation of(list all components, both newly installed and existing to remain in use):
00 00 20 c• lc sa • . c..r t HP 'uvv . .
a.1G-r'rrrN. • ,1a Zo 4)Box - Lshach:rc o.rca.- os:,rte ccrc'Q i pc. 4 3401W.-
Leach Capacity(gpd): 4- L GroundyWater Depth(inches): g$id
p Health Inspection by: PT I,'Z
As-built Diagram
(Print Clearly in Black/Blue Ink and Use Straight Edge) 2 qh '
REAR
A
RECEIVED
SEP 302019
HEALTH DEPT.
A g
1 28 ' 1=111. C D1111111111111G
2 21.5" sicatiglim
5 111111111111
6 —_ 1111111.11111111111111