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HomeMy WebLinkAboutSeptic As-Built Card Town of Yarmouth Subsurface Sewage Disposal System As-Built Information Street Address: 7$ -p t/ /t � ()Li ' � N' J.�� Map: 77 l Parc I: /3, 7Z Owner Name { \'()bp-5 bit t v1 Permit#: Date Installed: L 2 // / New: .)( Rep ir: Installer Name: L( SO()l \ Installer PhoneW zf —3ff Installation of(list all components,both newly installed and existing to remain in use): 1507) e ( fir; 10 Mont) , PL% '/' i ,Q, ; Leach Capacity(gpd): 1"/y0 Ground Water Depth(inches): 4-/0iiX _ Health Inspection by: n� 0-c-#11-L,4 As-built Diagram (Print Clearly in Black/Blue Ink and Use Straight Edge—Label Risers and Zabel Filter) © 1 RECEIVED 01 JUL 13 2023 HEALTH DEPT. CQgAVY 0 1 A B C D E F G 1 15" 1 ' ° ' W' 3 Z4 3'1 2-ct s 4." 4 'iZ' to ati 7" 5 6 J _