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Septic As-built Card
Town of Yarmouth Subsurface Sewage Disposal System As-Built Information Street Address: I y RoonJ-Sr Svc_ Map: 28 Parcel: 1x10 Owner Name: Chr.‘5- nc- F-I1,,ci' Permit#: 22036 Date Installed: �c.5 4� 2'Z New: Repair: 1_/ Installer Name: ,13 (3 aUc.AA'1on Installer Phone: WY? • OG53 Installation of(list all components, both newly installed and existing to remain in use): Ex;s-fi'r /Soo qc,1 ST- /JZoJ Sox - 3 142 500 9o-I L/c Leach Capacity(gpd): -N 0 Ground Water Depth (inches): I ,),.8 Health Inspection by: I� r 13 (eg-ef 3 —1 S^— Z As-built Diagram (Print Clearly in Black/Blue Ink and Use Straight Edge) RECEIVED itarMAR 14 2022 © , HEALTH DEPT. © 0 0 #.44 A REAR '7 13eJV'occw\ i A G 1 32' 2 2 ' 3413 " 30 ' 44 „ 3 2.t"7 " 3S ' 4 35 ' 31'7 5 6 ( -