HomeMy WebLinkAboutSeptic As-Built Card O 11111100.t,6 if40}11IItlIlkra .fk
Subsurface Sewage Disposal System As-Built Information G�
Street Address: 32 f�� �` 0C-A. — - b 5-CI Parcel:, MO
Owner Name: 21—-+ P t L-A- PH-1 L LIPS Permit# tD14-DC- Z3 21 Soo
Date Installed: 3 I 2-51 I 30 New: Repair: ✓ .
Installer Name: ' NR-7 ' eJcme- Co . Installer Phone(9g) 4177- SS`77
installation of(list all components, both newly installed and existing to remain in use):
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Leach Capacity(gpd): 3,30 Ground Water Depth(inches): Health Inspection by:,1 2. cf-4-//4CE2/1./(
As-built Diagram
(Print Clearly in Black/Blue ink and Use Straight Edge Label Risers and Zabel Filter)
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