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HomeMy WebLinkAboutSeptic As-Built Card Rck.cIvcu Town of Yarmouth DEC 1 7 7019 Subsurface Sewage Disposal System✓ As-Built Informatio HEALTH DEPT �y Street Address: 12 SAPJ 0 p i P>=g LA-ti G Map: i? Parcel: / /8 e Owner Name: -131011/4.) �E 12-6" ( Permit#: kq —2 Lo �3o bc _ \ -lo Date Installed: 12 — ci -- 19 New: Repair: A Installer Name: �,li4, 1i4 7 c C,4'I/4rid l c e Installer Phone 9,SCS9 73'7 Installation of(list all components,both newly installed and existing to remain in use): c7 citL. Pomp CIi,4wi cg b- , y �ti'1 17Z'172 R S Qv aGK LI PLvS Lb LLD Pao(Pica 1M c',AN 0 al-) T'P OLP e..oci t21 t Leach Capacity(gpd): ,33ie, Ground Water Depth(inches): 112 Health Inspection by: Pk 12.1 I) I t 9 �L v� 7. 9O N As-built Diagram (Print Clearly in Black/Blue Ink and Use Straight Edge) Q 3 0 2 p 1 io _P ajltP Q w A B 4 #A f a F G 1 251/0 j3#2N *1 3 'Sb 2 29' 9" /9'/0" zi's" S/' i0" 3 31' V' 24'40 4 Z617" 28' Z" (0 31/' 5487" s 3/ ` 35-'4/" 6 i9 q'` z -'q�