HomeMy WebLinkAboutSeptic As-Built Card Town of Yarmouth P f D E'O
Subsurface Sewage Disposal System As-Built Information (---\-(
Street Address: II) cg txa t1.c. R Map: 17 Parcel: 7.5
I 2z1/43d)#DC—
Owner Name: /1/OR�I n 9Zll..ul/ DEvc t oe,,e1 r Permit#: I T - d 6 2/
Date Installed: 101/$/n New: I Repair: Ar
Installer Name: Jf f + i &CW✓P7►/VS LC:C. Installer Phone:Sve 4.3 2 SYhr
Installation of(list all components, both newly installed and existing to remain in use):
M?O /500 Ss< - o 'j 61-30)
Leach Capacity(gpd): 4 40 Ground:Water Depth (inches): . Health Inspection by: P.TZ..
As-built Diagram
(Print Clearly in Black/Blue Ink and Use Straight Edge)
•
-40
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0
A B C D E F G
1 *616" 31 •J'"
2 `f f•1"
3 47 ' i8.SI .
4 3 r 33' OCT 2 5 2019
5
6 i ' ."J T' Wf .