HomeMy WebLinkAboutSeptic As-Built Card Town of Yarmouth
Subsurface SewageDisposal System As-Built Information
Street Address: �t 2 -A A-12- 4 Map: SC-Parcel: 31-6
Owner Name: VI LAL-A-ki t Permit#: -
Date Installed: —4,' 3 New: Repair: ;✓
Installer Name: AS-LI • Installer Phone: Wig- u Il-R3'141
Installation of(list all components, both newly installed and existing to remain in use):
/44 r 5"cb — A:14 K_) - _S Sao Gam-Gi4L-4,3&1 J i.3.:a )c fC13.k. -
Leach Capacity(gpd):_3444 Groundwater Depth(inches):4 13 S"Health Inspection by:
As-built Diagram
(Print Clearly in Black/Blue Ink and Use Straight Edge)
1 '31
k
1 a •
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SEP 0 8 2023
a- HEALTH DEPT.
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It
A [ B C D E F G
3 �p 2{$'
4 36' 53 6„
6