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Septic As-Built Card
Town of Yarmouth Subsurface Sewage Disposal System As-Built Information Street Address: Zb J U tA.Vim, \C M 'V--,,ca Map: 3 a Parcel:lC 3 Owner Name: �c—' \ ` O'`, Permit*. a a -®c-(4 swat.-as-3Q0` Date Installed: ,` IN. \ 7 . ©oZ- New: Repair. \/ Installer Name:Cc2.,'c -5• )`-` ' --e‹.G-n, cT -,1 Installer Phone:SoY32T €0�', Installation of(list all components,both newly installed and existing to remain in use): Leach Capacity(gpd): 336 Ground Water Depth(inches):1 '� Health Inspection by:�‘",•-w'el-. IitYc t P'' 12,Z IZere./ y_), i), As-built Diagram vc:1 (Print Clearly in Black/Blue Ink an L______ Edge) i S•.t., / RECEIVED - °/ -a - 3 )e S l Z 1 APR 2 5 2022 isi HEALTH DEPT. aftMal 4•If' . . Ii.. I I 1 / v _ V i-6.d ,L. cA, _v_-,,.):..-4.).„ 4° • 3 Jo 0 A B C D E F G 2 ig,(et' _ �J ' 'a " 3 �< '. `' 1S' C " - 4 'l1S l4. t 7" . I