HomeMy WebLinkAboutSeptic As-Built Card Touun of Yarmouth
Subsurface e Sewage Disposal System As-Built Information
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Street Address: l7 Cv &)f} be. • Map: /5/ Parcel: 120
Owner Name: Tv..)ii-)-i 4LsoJIIIPermit# /Ale- Z 2. IMO
Date Installed; Cp j 15- 12Z New; Repair; 1.-----
Installer
Installer Name: T • 1DCA.P CO , _Installer Phone(.1 $) 8577
Installation of(list all components, both newly Installed and existing to remain in use):
6iet5T R- e /OOO 94J• 7'04,-/‹ 674) , /120 �3 �"-
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Cz hi-zo 5o0 9a_t• _6e4111hB eX--S
Leach Capacity(gpd); 30 Ground Water Depth (inches): Health Inspection by:JC g„./ 4./6-60,1G-
As-built
„./ c/6-60,1Gr
As-built Diagram
(Print Clearly in Black/Blue Ink and Use Straight Edge—Label Risers and#Zabel Filter)
4 5-
REC .s ' 0 ICU
JUN20z-1_ 3 •�
1 �
HEALTH DEPT.
I 2
A
1
A B C D E F G
1_ _ 53.1 i7
2 59.1 13
3 (PZ•4 35-4—
-
4 O .9 39.7
5 14,1 44.6-
6
4•S6
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