HomeMy WebLinkAboutSeptic As-Built Card Town of Yarmouth
Subsurface Sewage Disposal System As-Built Information Street Address: 5 Gene '¢-t LeL «J [! Map: C 8 Parcel: 1 5
Owner Name: "Ltiff_12,0 Kee.ce Permit#: a 3 - 2 2 59
Date Installed: 1 3 I - Z 3 New: Repair:
Installer Name: P-Od?a T B. our CC. Installer Phone: 55O -SBQ• 11068
Installation of(list all components, both newly installed and existing to remain in use):
ye-Placer) Boo( Aser
Leach Capacity(gpd): Ground Water Depth (inches): Health Inspection by:
As-built Diagram
(Print Clearly in Black/Blue Ink and Use Straight Edge—Label Risers and Zabel Filter)
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1:4(eenFEB 0 7 2023
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0 HEALTH DEPT.
01
03
\I!) MK?•
PK''
2.
A B C D E F G
1 32' 15'
2 y2' 17'
3 40' 2 2'
4
5
6