HomeMy WebLinkAboutSeptic As-Built Card Town of Yarmouth
Subsurface Sewage cDisposal System As-Built Information
Street Address: '1 Z Gann"Gtt 1J • \j a�.4 i�)O(k Map: /34 Parcel: 11 7
Owner Name: la tCr1-1Cir'ak t%A.Arm. Permit it: /8-17q/13014D C-148-608?
Date Installed: OS7/0///O// New: Repair:
Installer Name: b C. S s c Installer Phone: 509-432--1‘3 S
Installation of(list all components, both newly installed and existing to remain in use):
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2-Sco 4-AL. 4--to cbtAcrt.�j IeAca-iNG 044PktiEt2StN Tac-4.10/1. CoNi6UR.AneNS
Win( q� TroNe//ow ei.ID ANA) 41 $ oNle ON WE-5
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Leach Capacity(gpd): .3yq Ground'Water Depth(inches): llo� Health Inspection by: *0+
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As-built Diagram
(Print Clearly in Black/Blue Ink and Use Straight Edge)
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NOV 19 2019
HEALTH DEPT.
A B C D E F G
1 2.11
2
3 -7' 2J a
3at
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