HomeMy WebLinkAboutSeptic As-Built Card ZA01. ftLTA
Town of Yarmouth
Subsurface Sewage Disposal System As-Built Information
Street Address: 5 Wipq,0) ,i° Map: 34 Parcel: at
Owner Name: 0W tortrrS2 Permit#: IA- D 663
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Date Installed: t 1 t t t t -i New: Repair:
Installer Name: , (./ 01!Yl�J Installer Phone: 50ir 36A LH'- L.
Installation of(list all components,both newly installed and existing to
to remain in use):
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Leach Capacity(gpd):S 3® Ground Water Depth(inches):51 ''O Health Inspection by: .A611011,44
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As-built Diagram
(Print Clearly in Black/Blue Ink and Use Straight Edge—Label Risers and Zabel Filter)
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SAS 14,t5 ( 30'
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A B C D E F G
1 'ot3. a' 44. a'
2 a5, a' 39 '
3 35. 5 ' 24.6'
4 _ 39 • ' ' ai .a'
5 1-11 . '1 ' tol•7'
6 59. a' 4/.4.2‘'
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IQ 4 • 2,' 54 '
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