HomeMy WebLinkAboutSeptic As-Built Card Town of Yarmouth �\ c
Subsurface Sewage Disposal System As-Built Information
Street Address: 1% -Er eeZ7 nl'o;K /�
� Map: �l Z, Parcel: /;-ct
Owner Name: 1414rrescA BARRAi OI2o Permit#:i3ONDc -lq-32L ....-
Date Installed: 5/ Z&/ 17 New: Repair:
Installer Name: ba„, A S pQq-k,,,,,c,,,,, Installer Phone: 5a$ —432--g5 bs
Installation of(list all components,` both newly installed and existing to remain in use):
54•-d I e. iHt CrOu„ lukisQ 4 4c4i.nk Of cas4:- i r
r '� revrna�r► 1 VI e4.1 lc-442
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Leach Capacity(gpd): ,.--"". Ground:Water Depth (inches): �-----" Health Inspection by: * 5 29 -I 9
As-built Diagram
(Print Clearly in Black/Blue Ink and Use Straight Edgq)
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MAY 3 U 2019
HEALTH DEPT.
A B C D E F G
1 4.6' 18.4'
2 /4Q' q.s*
3 2.L' 3°'
4 Z 9' 2 Z'
5
6