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HomeMy WebLinkAboutSeptic As-Built Card Zc* I - ►4A)c c-peoz Town of Yarmouth Subsurface Sewage Disposal System As-Built information Street Address: 7 3 I t 1 re Rock /t Q /i Cd Map://.:5— Parcel*" ?cz i3dN424. - / ?- 3253 Owner Name: /2d v.°c/ _S`/ ze.-7 .c Permit#: .zd/9- / Date Installed: 60-7.715v/7/9' New: Repair: Installer Name: !' .c ,ai i a • °sjaller Phone: 58— Installation of(list all components, both newly installed and existing to remain in use): .•j am// / B4 - / .crap Go, / j�.f X . f7/_I- / 2 - J'Gv G / Z... f c<<•�.j.�-r . .4�.;44 5 4v414 /*# Leach Capacity(gpd): .30e 7Ground Water Depth(inches);.dff l/ 'Health Inspection by: /1i '4 As-built Diagram (Print Clearly in Black/Blue Ink alnd Use Straight Edge—Label Ris s and Zabel Filter) A 13 00 3 Co JUL 18 2010 HEALTH DEPT. A BCD E F G 1 a ' ' 31' -a4- 2 3Y aIj q " 3 '36, 16 /1 3 © 4 if`y 3 et„5--r' 5 6