HomeMy WebLinkAboutSeptic As-Built Card ZQ .2 -/,e ,z 'ei/ Li
Town of Yarmouth
Subsurface Sewage Disposal System As-Built Information
Street Address:- i 1-kooj1GANc Cwri Map: ` 4. Parcel: y9
Owner Name: ArLiok.r. Rod-.c,cucS Permit#: 19- ` 2.-
Date Installed: L.a-)r_c;krlc.5 c ('''lckrch 131 19 New: Repair: �7
Installer Name: ;43r ff eXcc tic:/.41 o. \ Installer Phone: qt,g---g 7 7--D4,C3
Installation of(list all components, both newly installed and existing to remain in use):
.D(33 14zo• 2• Soo 90,.) L)c. 142c - i000 qoJ1-10s-
.79 x /l. £ .2
ci �� I�
Leach Capacity ty.(gpd): 330 Ground Depth(inches ` 1�0 Health Inspection by: AvrT
As-built Diagram
(Print Clearly in Black/Blue Ink and Use Straight Edge)
REAR
3 F
4
4g
A B C D E F G
01-11s--11
2 )6r off '
3'11
4 077,5 i7iig,/
6