HomeMy WebLinkAboutSeptic As-Built Card Town of Yarmouth
Subsurface Sewage Disposal System As-Built Information
Street Address: 3 Map: 37- Parcel: 77
Owner Name: , s/. 1c rG, 1127 Permit it ISS '000ac-i5r! 89-
Date Installed: G/(-S *545 lr/LYPq PUMP lal0)-7�9 New: Repair:
Installer Name: 461414/1 1 • �� IC Installer Phone:S-0 6'77 -G (/4
Installation of(list all components,both newly installed and existing to remain in use):
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c4 15 -I \ 6ele. c.-- 1^k4 4 y r i<e,6‘7"-S"
AV I+ t /0.81 SP
Leach Capacity(gpd): 6/4.3.'t 8 Ground Water Depth(inches): Health Inspection by: 66,44 /��a7l /
As-built Diagram
(Print Clearly in Black/Blue Ink and Use Straight Edge—Label Risers and Za I Filter)
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I
A BCD E F G
1 asp 3J/
23
4 31 Q7` JAN 0 2 2010
5
6 -