HomeMy WebLinkAboutSeptic As-Built Card Town of Yarmouth T Q
Subsurface Sewage Disposal System As-Built Information ZON�T —3 gV • MAX.
Street Address: cg.2 �AO� 2c4A&5e /QG/ Map:O 6 9 Parcel: 14
Owner Name: //4/� d Bot+De--
� Permit#: �9`�J�, IQ
Date Installed: New: Repair:
Installer Name: /W affe Aitefervivev7zzLiove Installer Phone_ 5 7,37f
Installation of(list all components, both newly installed and existing to remain in use):
p-S a 2)- Qx N-Zt) 02 - 6.00 p,7Z ��,,o/P416 c e4)/4
6-77,06- 441z /0 v ,e ,es x GG
e2,4c1;w,r, 6 ,t/E -f s��aLG � `� 7---"9-4)1
Leach Capacity(gpd):331.025 Ground Water Depth (inches): MA Health Inspection bykOVY\ 5�21-4 t9
As-built Diagram
(Print Clearly in Black/Blue Ink and Use Straight Edge)
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a 2 MAY 302019
HEAI.`I'H DEPT.
1 33' 9" ?/' / C D E F G
2 <3�' 1/" ay' 9"
3 /7' /i/" .58'
4 ZS' ID" /,Q' 9"
5
6