HomeMy WebLinkAboutSeptic As-Built Card Town of Yarmouth
8 Subsurface Sewage Disposal System As-Built Information
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Street Address: r ezu j AVG Map: 241 Parcel: 2.
Owner Name:J joi Sfb�J Permit#: 44bC- 2.1 - I'15
Date Installed: '41 5 ZZ New; Repair: ✓
Installer Name: ?•f B . t-�(� l�O . Installer Phone:6-00177- 8811
Installation of(list all components, both newly installed and existing to remain in use):
7Q 1500 J. mJ IL 4 tta0 (0 00 363
Leach Capacity(gpd): ZZO Ground Water Depth (inches): AS Health Inspection by: l cr-A-3 ..) CAPS f✓.JG
As-built Diagram
(Print Clearly in Black/Blue Ink and Use Straight Edge--Label Risers and)Zabel Filter)
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HEALTH DEPT.
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A B C D E F G
13 q — 2.1.5
2 (5:3 24.3
3 113 15:1
4 21.2. 13, 1
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a 61 IA Itis
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