HomeMy WebLinkAboutSeptic As-Built Card • y stn d L;he. - sc
Town of Yarmouth
Subsurface Sewage Disposal System As-BuiltrInformation
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Street Address: � Q,r's itr r ✓ ,� 41 vit� 1
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Owner Name: WW1 C, JCe11 y Lett",)'1 Permit#:
Date Installed: / - 6 "'"" (9 New: Repair:
Installer Name: 5 (3e-e) 5T . Installer Phone: ,c(1,
Installation of(list all components,both newly installed and existing to remain in use):
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Leach Capacity(gpd): / Ground Water Depth(inches): Health Inspection by: /2/6A? �j)2.
As-built Diagram
(Print Clearly in Black/Blue Ink and Use Straight Edge-Label Risers and Zabel Filter)
SY yrs WA/
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1 ea—
tlif 645
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A B' C D E F G
1 at' /8'
2 a5' io
3 'a.-',5 a,o,a
4 3) 19'
S'
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