HomeMy WebLinkAboutSeptic As-Built Card - Bldg 03 t�(� y�t
2022
Town of Yarmouth r
Subsurface Sewage Disposal System As-Built information HEALTH DEPT.
Street Address: 300 .pu( 5s . i FAl ) *3 Map: 47 Parcel: Q i
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Owner Name: CL brdL pom. Coraa ,o V Permit#:•&7 ' 2( -\3\ 7
Date Installed: New: X Repair:
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Installer Name: ZoI Avt D avr Ct 1,r•L. Installer Phone: SO'4 2oS.- O
Installation of(list all components,both newly installed and existing to remain in use):
Sgs•-h g tahlt, hew 2,OOa-gat.-lux, 3.Soo -gc[ pop Clot ,,l.41', Irottr 0 .
'pt/lam- Rad
Leach Capacity(gpd): i q l Ground Water Depth(inches): • Health Inspection by:
I certify that this system ha -oll#"d"in .ccordance with the provisions of 310 CMR 15.00 and all local
regulations. ♦
. Installer Signature
As-built Diagram
(Print Clearly in Black/Blue ink and Use Straight Edge—Label Risers and Zabel Filter)
pitIct 9 *3 ._. F cam® frame
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3G D Cod' ^f
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5 2 � ' 82` ID 2o.S` 24'
3 :Z. I iae 11 2g' 3 '
4 ao ‘ iol' 12 25; 21'
5 1 et' 911 13 20 21
6 gS' 16'
I 05.5' ,13,5`
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