HomeMy WebLinkAboutSeptic As-Built Card Town of Yarmouth
Subsurface Sewage Disposal System As-Built Information
Street Address: I EAIy LOOP Map: Ing Parcel: 4
Owner Name: -7.—Pr+, + M t WI '-13t.4.„-T4t, - Permit#kHHf)C, - 01e
Date Installed: e) [2I az New:_ Repair: ✓
installer Name: 2.Q6ai<-r • £1 c_ Coy Installer Phone 8 477- 8977
Installation of(list all components, both newly installed and existing to remain In use):
ePLA -€ I.)Lcrr etre-
Leach
,Qe-Leach Capacity(gpd): Ground Water Depth(inches): Health Inspection by: lAtovuzri4
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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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HEALTH DEPT.
A B C D E F G
1 10.5 S Z
2 6.5 9.1
3
4
5
6
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4
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MIN
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do ris /
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D to E = 29' (Proposed distance of addition to leach pit)
A to C = 7} ' (Existing distance of bulkhead to septic tank)
B to C = 63 ' (Proposed distance of addition to septic tank)
Owner: Tim and Janet Butler
Location: 16 Eagle Loop (Lot 4)
Pumper:
Inspector: • Jane Evans, R.S.
Li)
I
This is an informational document \o, 9 7. •
to be used only for evaluation
purposes by: The Board of Health. \ 4311:s/ /,
No guarantees or warranties ofte•Y.:ti'=.i.,'"c`
accuracy are expressed or implied.
\\\
Revised 2/9/89
Jane Evans, R.S. 336 Red Top Road Brewster, MA 02631 (508) 385-6562