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Septic As-Built Card
Town of Yarmouth Subsurface Sewage Disposal System As-Built Information Street Address: 53 wos7 ryvtOC11i lfogC/1 y Map: 3 Parcel: 0.67 Owner Name: h' Qfr1 1"6 Ca R v,q.i Permit tt:Q/4O--?3- as Is Date Installed: � - a - x`f New: Repair: X. Installer Name: J=' /1 1‘'S 124'O rS Conj. Installer Phone:- 3(oa 693) Installation of(lit all c m og nts,both newly installed and existing to remain in use): /lfEi,✓ aoao GQ TTAifit /s. s rmfi Sic et/ ct( c3a 6 -- 15- S , - 13c)c ola x v13 34 6'/beef' Pe'' P;9'E" 1.614ce,trr2,/A S�'aN�tuN�Q Leach Capacity(gpd): Ground Water Depth (inches): Health Inspection by: CifPES i c--WCV4 As-built Diagram (Print Clearly in Black/Blue Ink and Use Straight Edge-Label Risers and Zabel Filter) .�- CO Maw,a '-e 2I ir5“ (� 23,66- Qom P (rJ(7 G b C to- - - - -. - - L i balc — -I 4: - '� S Pear ©. 9468' RECEIVED FEB 05 2024 HEALTH DEP-r A BCD E F G 1 a3,1 a . 3 3 30. 3 912.5- 4 35 30. 9 5 3.5>9 Yk,3 6