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Home My WebLink AboutSeptic As-Built Card i own or Yarmoutn Subsurface Sewage Disposal System As-Built Information �,� Street Address: �'1 C,vcnct f.Joarc . LJ o Map: t JUl Parcel: t Owner Name: W: Il:v.rn F�fm-‘ Permit#: Z Z -O'70 Date Installed: Apr.;1 1 S, Z.Z New: Repair: Installer Name: B * B £X o t Installer Phone: Installation of(list all components, both newly installed and existing to remain in use): /500 N lO 5T - /-120 !D QO,c - 3 W 2c SOO L./c_- v r 3 U � �� c Leach Capacity(BPd)— Ground Water Depth(inches): Health Ins ection bY� L As-built Diagram (Print Clearly in Black/Blue Ink and Use Straight Edge) y ./) ,E, o01111 © - o 00 �■ g RECEIVE® APR 2 0 2022 HEALTH DEP A B C D E F G 1 t5 U 5 2 2V 2l" 1p° 3 L-13-4: 39 - 5- • - 4 (-I3" s 6