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Septic As-Built Card
Town of Yarmouth Subsurface Sewage Disposal System As-Built Information Street Address: Z 1 \ecl uctk ►\) Map:Z3 Parcd1 219 Owner Name: Tcic J 1 o r Permit#: Z-3 G%1 23 • i_k e( Date Installed: O C+ 5 23 New: Repo rt t/ Installer Name: a- a t Xeu"a-\, or.. Installer Phone: L-{`7`lOG53 installation of(list all components,1 both.newly installed and existing to remain in use): Soo1.oQ h11Q S�-Q}1G��1 - t-tzo n Box - FCS'Sd pit?L - l14 1.4 p •Pu m p Leach Capacity(gpd): 333 Ground Water Depth(inches): Health Inspection by: As-built Diagram (Print Clearly in Black/Blue Ink and Use Straight Edge—Label Risers and Zabel Fitter) • REFR A 3 1sun Roo,•^ 7\ 0 OCT 1 1 2023 ,© . HEALTH DEPT. A B C D E 1 3 f' 5- IVF 2 3L,' 16.' 11'3 ' 4 3 .5'' 3 io ' 5 6