HomeMy WebLinkAboutSeptic As-Built Card Town of Yarmouth
Subsurface Sewage Disposal System As-Built Information
Street Address:30 LL a5C �i IL Li i iota-wk9.rtii Qn Ler Map:15 I Parcel: RI-I--
Owner Name: JO*k PC bG Li ZZ 1 Permit#: 0.0-011/baitir-!1-I 810
Date Installed: 1 it 14 17-0 New: 11--- -Repair:
Installer Name: %ice _. LAS-3b C o►�rT�uc�'TI.9IJ 4iti �
- I rl Installer Phone:508 - "l1-5-61460
Installation of(list all components,both newly installed and existing to remain in use):
14 k�3 H-.14 16:; ,00(emAt. Glnc 11.0.1o hi--30 SEr I Ni sroNC.. ti/67w rLise2.S
oU 'a.,ter id 0-1_E1- c stQTtc,t v"....k. , ZI •SEAS c.S CLWi i ora t.-tA COv.^eatie,..+t S
bet,Leach Capacity(gpd):3w Ground Water Depth(inches): Health Inspection by: /r L.
Na be . .t.et.0- 13a." d��t If/aoa-0
As-built Diagram
(Print Clearly in Black/ le Ink and Use Straight Edge-Label Risers and 2 abel Filter)
I, I A ttZo rPtyga DeE
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6"--r-t- 0 INIII I
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3
JAN 14 2019
HEALTH DEPT.
A B C 0 E F G
1 3a' a-I '
2 - aa' 8 36' 6"
35 8" ' S
4 ' ,7,r 3,,
5
6