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Septic As-Built Card
Town of Yarmouth '� �e� 1)n1, Subsurface Sewage Disposal System As-Built Information a p,R— S*rnG .&p, Street Address: I ' J l lJ e/ r' /�d �['.3 Map: illy Parcel: Owner Name: 0-�2--f-le‹, a/f1 - � VPermit#: I � - , � 15 o\--)- .- 1q- o , o Date Installed: // —11 `/er New: Repair: Installer Name: �.i'l tt, e- and /11 ,-- .A.,5)2-7-- Installer Phone: 5(4-5 I8—at 6 Installation of(list all components,both newly installed and existing to remain in use): EkSA-\( i D % —3 4.1 141 CM zrt=i 1-- r P-e r \+" s. ( ii'X 361) Leach Capacity(gpd): 330 Ground Water Depth(inches): Ai/i# Health Inspection by:9(Z 1\ ILI 111 As-built Diagram (Print Clearly in Black/Blue Ink and Use Straight Edge-Label Risers and Zabel Filter) 4 f 1::::r1 13 / p -- 1 © a. f___,__ 4_________ _______," , NOV U b 1-010 _ a A BCD'' E F G 1a5 S AD 2 A9 gir 3 A9 39 4 A6 'Y7 5 6