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Home My WebLink AboutSeptic As-Built Card Town of Yarmouth Subsurface Sewage Disposal System As-Built information Street Address: 4 l '4r— Ti _ . Map;iJ Parcel: 3o7 Owner Name: , n l ---'9\yin Permit#: (9—2135/1:3b+V 11—lS i7 Date Installed: 1 Q – /a i 9 New: Repair: \--V.--- Installer Installer Name: Rkst-+c--- Lc LCo- sc*J C96i Installer Phone: 11 U 4`4(go Installation of(list all components,both newly installed and existing to remain in use): H-1 a /5'c (ate- / 1.7– --))0 3 tiVIEJS ir' ,. Leach Capacity(gpd): 4/90 b Ground Water Depth(inches):/?U Health inspection by: ePJ 1 11 As-built Diagram (Print Clearly in Black/Blue Ink and Use Straight Edge–Label Risers and Zabel Filter) N 2 t e�,\n .� ,01.' c U 1 �� \ , — iii i — —1 rl (A©at ! ` � G -,- „ ,... 1 r I DI 1 _,` \/' '�1I� - 1 LS! t,, - wiz . DEC 13 2020 HEALTH DEPT A B CD E F G 1 1C i re 1-1‘' 2 " oz.L'$1` 17 S` 3 4B, 6" 3$` S 6 °Pct D w is c_ ee --Eve-n)1106— in) PASSaD ti3SPECr10,43 • SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: t So�►il, '�— Owner: Evu Date of inspection: ( 1 (7-01i4, SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate at wells within 100' RR. -V1 3-2c33 d. -386 L1-35 6 5u,- 35 3 2 r _ DEPTH TO GROUNDWATER: Depth to groundwater: � feet Method of determination or approximative: ..a.t 7/.ifn.(4.....E.o '' tE' 2°L) d t�x.11..f3 �eVi fl14,SJ.srs.D..EtL4.1, �''eauYv� c�.