Septic As-Built Card Town of Yarmouth
nn Subsurface Sewage Disposal System As-Built Information
Street Address:34GL i (J Y 13 rry LV) Map: 7 Z) Parcel: 7
/9-.3 7
Owner Name: II-e h h - ' 11 Permit#: L-/9 -/7-6
Date Installed: 0 —6- /? New: Repair: 1-7
Installer Name: / c 1 JI jJ✓o Caki S Installer Phone: So c 3 6,4 6 3 7
Installation of(list all components,both newly installed and existing to remain in use):
Xt)4- / ' S 7'Vk Ar(4) /6c0 Pp C
l -- 13 3 t —5e5V // 052P ! 77`oK S //l/_Z'Y/6'' � <2
Q �� Sra,
Leach Capacity(gpd): -15-7-15-7Ground Water Depth(inches): 7 Health Inspection by:
As-built Diagram
(Print pearly in Black/Blue Ink and Use Straight Edge—Label Risers and Zabel Filter)
cle
Fico 14+
r
Z t I
A B C D f f G
1 11 .5 33
2 )9 ' 3/.3
3 16' A4. Y
4 a3, lv a7r 3
5 J i•R 36,Li
6 _ 3 i 9 A0, 4