HomeMy WebLinkAboutSeptic As-Built Card Aug 04 2022 11:46am J. O'Loughlin, Inc. 5083622624 p.1
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Town of Yarmouth
Subsurface Sewage Disposal System As-Built Information
Street Address: Cj 1-101._ • Map: -71-4 Parcel:G$
Owner Name: Sd c WC 1 th) Permit#: OC, ' a s - 14'811
Date Installed: —1 I ( q ` a New: / Repair:
Installer Name: • 0 Installer Phone: sos 3G a 4q Ya
Installation of(list all components, both newly installed and existing to remain in use):
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Leach Capacity(gpd): 33t Ground Water Depth (inches): 6 a a, Health Inspection by
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I certify that this system has been installed in accordance with the provisions of 310 CMR 15.00 and all local
regulations. . (-9
• Installer Signature
As-built Diagram
(Print Clearly in Black/Blue Ink and Use Straight Edge—Label Risers and Zabel Filter)
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14A47 SAS
701
AUG 0 4 2022
HEALTH DEPT.
A B C D E F G —�
1 16. 8 ' 4O.8'
2 0 • 4' 91 , 41
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4 35. 7 47. t '
5 5 .$ 1 110.9' -
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