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Septic As-Built Card
Town of Yarmouth Subsurface Sewage Disposal System As-Built Information Street Address:__ ___ Map: S 3 Pa i:__25 Owner Name: SSG TrQS-� Permit#I: Z - Z.I $' Date Installed:_ Tc luc�r• . I'T 2'1 New: R • Installer Name: CXCa.ycx.-J I©� Installer Phone: •O G 3 installation of(list all components,both.newly installed and existing to remain in use): moo s� o at w p I o P c - I!y HP P,),A P Leach Capacity(gpd):- Ground Water Depth(inches): Health Inspection by: As-built Diagram (Print Clearly in Black/Blue Ink and Use Straight Edge—Label Risers and Zabel Filter) `am+ Oz Q cs-A• • A E F 2 3$ r ri 3 n 3oZn L' I 4 s 6 r ri 9