HomeMy WebLinkAboutSeptic As-Built Card a
Town of Yarmouth
q/C/ `` Subsurface Sewage Disposal System As-Built Information
Street Address: / ` TOSAC!G(. �4.ke-T /1 Map: `3 / Parcel: /33
Owner Name: 6.Ar1S 6,45, &&3-c if l LIS Permit#: 80//L , 'as ~ / 9 Date Installed: '- c 3 New: Repair: 1//
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Installer Name: CAA- A- N�2Ao—P -� Installer Phone: J Se-OWC
Installation of(list all components, both newly installed and existing to remain in use):
GX-fs,P►e. l,c& r J t L , (Y) A.6i) ;Ark-edors /I- / (i)I)
Leach Capacity(gpd):35-6?77 Ground Water Depth (inches): 1 1811 Health Inspection by: 4-tv ' bes1at)
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I certify that this system has been �Iecj in.,�ccordance with the provisions of 310 CMR 15.00 and all local
regulations. l '�L
Installer Signature
As-built Diagram
(Print Clearly in Black/Blue Ink and Use Straight Edge—Label Risers and Zabel Filter)
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A B C D E F G
1 30 ' o a•r 1
2 3s' 3e2'
3 39 y3 '
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5 1.7ch` 37.5'
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