HomeMy WebLinkAboutSeptic As-Built Card Town of Yarmouth
Subsurface Sewage Disposal System As-Built Information
Street Address: 14 Con t v-c.- DR,y IA-(- Map: 151 Parcel: 1
Owner Name: Y"`4r V1 fil CC-4/tit � Permit#: Q(j/;/ D 6—c- 3/3e
Date Installed: 1/- I ? d\ New: Repair:
Installer Name: l.; I IS '2l 1Pd C-0,7 5')- Installer Phone:SO& 3 Co2 6d 32
Installation of(list all components, both newly installed and existing to remain in use):
,/L/ ) i 5-43° &A - /-/ /o :Mak //4-1.0 L--B-3 1) - T30><
/,/ ,, 3 3-0 c C 144144n Ot-5 ///c /311x 3 3'k 2' ii. .6 dNa L(,v'&6
Leach Capacity(gpd): Lis. Ground Water Depth inches): ONC Health Inspection by: 5 c'e'C-c- c �� J
/ -3 H-c,/-. ikzpip vd 71 q
As-built Diagram
(Print Clearly in Black/Blue Ink and Use Straight Edge-Label Risers and Zabel Filter)
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7'FlN� / /1"b g(5g(2_, HEALTH DEPT.
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1 / 7
2 7, 7.a
3 ..;. 72.3
4 3 .40
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