HomeMy WebLinkAboutSeptic As-Built Card Town of Yarmouth
Subsurface Sewage Disposal System As-Built Information
Street Address: G3 Gorotor, Lr`) Map: Ily Parcel: $Z
Owner Name: SAs DRA 1.41./1,-ga..1n 1 Permit#: ZZ • 1n4,
Date Installed: Clvc054 2_ New: Repair: ,/
Installer Name: 34r SA Excaucri ; o,/\ Installer Phone: 14' l-0
Installation of(list all components, both newly installed and existing to remain in use):
Lx;si n9 Sc is TAox- &&i NZo-0 Box Z- t-izo SOD dc_
Leach Capacity(gpd): 330 Ground Water Depth(inches):I .3A Health Inspection by:
As-built Diagram
(Print Clearly in Black/Blue Ink and Use Straight Edge)
REAR
A • 5
00
________
O 11111 HEALTH DEPT.
A B C D
E F G
1 35" G -` . ?Lf' (
•
2 079 a� - c� -
3 3a - 7-
4 a9 G
5
6
1