HomeMy WebLinkAboutSeptic As-Built Card Town of Yarmouth
Subsurface Sewage Disposal System As-BuiltnInformation
Street Address: al C(20(b)E5 1 FpST Map: Z Parcel: Z.344
Owner Name: 14�Gt� `� ZuSS ELL ALZ 1 Permit#J04DC - 2Z• 35-ZZ
Date Installed: 5 j Zto 2-2 New: Repair: ✓
Installer Name: (2..0,6a2._---c- Co . Installer Phone:(&og)471- $871
Installation of(list all components, both newly Installed and existing to remain in use):
S1STr . 1000 13. -1J . f,/0 /000 jai Affirm,
CIF ✓l yee N Zo 'DI 3 -a- (za) A P_e_. 3(a CA-4M 3se5
Leach Capacity(gpd): 330 Ground Water Depth (Inches): 7Z Health Inspection by: iC
As-built Diagram
(Print Clearly in Black/Blue Ink and Use Straight Edge–Label Risers and Zabel Filter)
C e-ow E5 ec+h c (2-b
A
Min
RECEIVEC
MAY 2 7 202
Ai 3
HEALTH DEPT.
S ■ um NMMUMamMimi UI.
m—1•' t_ ——Ian=
A B C D E F G
a 33• • 5• _
2 3(e.2 30.2.
3 30 — 34.4.
4 24..6 39.1
28-5 541.3
6 4,o•_I_ , _33