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HomeMy WebLinkAboutSeptic As-Built Card Town of Yarmouth Subsurface Sewage Disposal System As-Built Information Street Address: n-0 Pc w ^Y Map:D Parcel: /e s q (360')c- Owner Name: ^'�AQ-C-tLi, N ti MC-- MA mus rn-vSs1/ Permit#: 1 ( a.7 ' 19-1257 Date Installed: l Z -L o -1 S New: Repair: I Installer Name: L-" - T(L-, fi N vz Installer Phone: •922 -3S k I Installation of(list all components,both newly installed and existing to remain in use): t-I La 1 5-420 d f+L, T 4N K s 30 0 tN ft V. L ATc 5 1-3131 9 - 3ox ivo Leach Capacity(gpd): 5`s 0 Ground Water Depth(inches): ? J- Health Inspection by: " �a/i a`l9 As-built Diagram (Print pearly in Black/Blue Ink and Use Straight Edge) .�ed���s; friAZA62 LuS O a re fN-' 521-2 Po¢'T A 4 3 A3 g 4 , 13i 13,3 1:3---‘ c_ L 2 A B C D E F G 1 13` % (o 3y '24,'to" 2 I'•I l S. 17'6" ZO 3 36`11" 27 ' 4 5 6