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HomeMy WebLinkAboutSeptic As-Built CardI • Town of Yarmouth Subsurface Sewage Disposal System As-Built Information Street Address; S /7 Parcel: 1 i�5"� D U� 5 �ft �'Q� ��r� �'�l Map: �� Q Owner Name: CtA t i'C Q i n/ (/. Permit#: i2 6 t Dc - 0—3 43'C7 (q-to Date Installed: 9` /3 " 1' New: Repair: X Installer Name: ‘1,1k S 6 ' COVA 9, Installer Phone: s Oc6 (Da- (0):11 Installation of(list at.c.loomponents,both nzaisstalled and existing to remain in use): t4 / S '° 5 '. /O o© (PC b -'3 3 1)— /a /"k 36srX Io " Ft644 C /fe:4?R4 ops w6-6 Leach Capacity(gpd): 551 Ground Water Depth(inches): A.) ' Health Inspection by: m€ 9/ , 71j9 As-built Diagram (Print Clearly in Black/Blue Ink and Use Straight Edge—Label Risers and Zabel Filter) i ukirr4 3• 1; 44270i- 1 . .kin-611.— INN 5 - • A B C D E F G 1 110. 8 tS . 'ACf 2 2,e1s( /'f,(e Xa.3 3 q /9 17. 1 4 alo,g 5 '3G .5 6 2,q