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Septic As-Built Card
Town of Yarmouth Subsurface Sewage Disposal System As-Built Information Street Address: 59 phi pp;nth Grr . C rc.lc. Map: !00 PairaiLa _ Owner Name: �;0. c. PockcLr 5 Permit Date Installed: frka.L4 3, 2 3 New: Rena:r:_sZ__ installer Name: 2 c Jc ), o iN Installer Phone: LM. OG 53 installation of(list all components,both.newly installed and existing to remain in use): 1v£kJ IS"QO 9 ct.1 I-1 to 5T- PI 70 4) 430x • 2 H2O sop 900 C. Leach Capacity(gpd);v?y c Ground Water Depth(inches): Health Inspection by: Y As-built Diagram (Print Clearly in Black/Blue Ink and Use Straight Edge—Label Risers and Zabel Filter) A A • �...�611""— MAY 2 3 2023 • 1©1 • HEALTH DEPT.. A g � D 1 3' „ 2Z' L " E F 2 p " 3 • Z21 4 • 6