HomeMy WebLinkAboutSeptic As-Built Card Town of Yarmouth
^�
Subsurface Sewage Disposal System As-Built Information
Street Address: I- C-C-z G ,\C 3 \\. ,c_ Map: Parcel:
Owner Name:[_Skc.\e o\- e ,: ,exf cA Permit#:Z�'r- 2--
Date Installed: :7)\L VW-BA New: Repair:
Ysk
Installer Name:V\(, v (\ c
`'� ( L)'e�\'("0 fix[[k4e..\\�� Installer Phone{711(---s)-1)C'a-C(�
Installation of(list all components,both newly installed and existing to remain in use):
(e-`(`Ctt ,sue e-)`\�-\\C\ C \j ( ti E, \C"C\ \ \A ` \K!'Ac-.�\te'.c 'C\ �i
-1-0 T k\e A AN \ ,;*\CA\ ‘0 A-.
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)
MAN 04 2O24
J
HEALTH DEPT.
c./'
I LI
1 \ v °
, .,.....„i---
'' ,
A B C D E F G
} 2,C., A, ,,
2 rj•. t \1.-N
3 ? ``t 73'.\ tLA 1
4
5
6