HomeMy WebLinkAboutSeptic As-Built Card Town of Yarmouth
Subsurface Sewage Disposal System As-Built Information
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Street Address: t f� J¶U{— w CLI/ Map: Parcel: 1 b
Owner Name: €d(j..)1zkr4 M Q r ASST. Permit#:c— --agar/
(31. 11 R- 20 •oo+-t.500 Zo—o62-
Date
5ZDate Installed: 0 S('O S ( a0 a.6 New: Repair:
Installer Name: R,AT. ¶- OtYR Co , `fi�aD C. Installer Phone: SOS—L(tilt"MI
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Installation of(list all components, both newly installed and existing to remain in use): MAR 0 6 2020
Soo GAG LIEN —CA.
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Leach Capacity(gpd): 3-3)0 Ground Water Depth (inches): NIA Health Inspection by: 331A mWNL 3M zo
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As-built Diagram
(Print Clearly in Black/Blue Ink and Use Straight Edge)
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A
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A1
B C D E F G
2 3•a 6 5
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3 a 35
4 cap
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