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As-Built Card
Town of Yarmouth rr�� /"fSubsurface Sewage Disposal System As-Built Information Street Address: @0 ZCt../ JL Lit to Map: I q Parcel:39 Owner Name: '` 1G /4) u-r% Permit#:WstDV,"kQ •150% Ig ' 236 . / Date Installed: /0-c/2-O New: Repair: „/ Installer Name: G c 1' d t C/ A- L Installer Phone: (68- VeatZ Installation of(list all components, both newly installed and existing to remain in use): �$'ov <601,410.z % , 0-r3o x 5 SOO ,u. . Leach Capacity(gpd): i-P260 Ground Water Depth (inches): Health Inspection by: MaL Rjt6ILC' As-built Diagram (Print Clearly in Black/Blue Ink and Use Straight Edge-Label Risers and Zabel Filter) RECEIVED FEt3 2 6.2020 A HEALTH DEPT. al 3 oU f © 7(1:1-77- al. 11 A BCD E F G 1 11, 5 3 ,qi 2 /6 3o,5 3 as- g 4 11,2,C 5 XS'S-- `� 6' '/02. 3 2C,.�(