HomeMy WebLinkAboutSeptic As-Built Card Town of Yarmouth
Subsurface Sewage Disposal System As-Built Information
Street Address: 1/7 W(1s i rAial VAti,),/,011/1 Map: 57 Parcel: /07
Owner Name: ��Ql� i] � � &if dw Permit#I: ;yam 1zZ.
Date Installed: g/t(2O2tj New: X Repair:
Installer Name: 'Rabat 6, Ow C), Installer Phone: 16'94/779M
Installation of(list all components, both newly installed .mnd existing to remain in use):
. t56U ?lint c k -bolt ntbo ch-lrikghot bty 40 t14.v.) (7) L2-62 te4tA,nq ,dt,A, rs
a per pI . J
Leach Capacity(gpd): 3q ,& Ground Water Depth (inches): IV Health Inspection by:
I certify that this system has been installed i orlsnce with the provisions of 310 CMR 15.00 and all local
regulations,
iro=gnature
As-bui't Diagram
(Print Clearly in Black/Blue Ink and Use Straight Edge—Label Risers and Zabel Filter)
5
l
l 2 �
-�-m ® o
• wwwwwq
3 _D
AUG 12 2024
'. HEALTH DEPT
minim
- --- -- -. - 6fittlig_ RAC ttttti _ a - --- - __
•
A B C D E F G
1 26,0 glp.q
2 31,E 36t.g
3 111.3 2a,2
4 _ 51,7 21 .5
5 51,
6