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Septic As-Built Card
Town of Yarmouth Subsurfacerf� Sewage Disposal System As-Built Information Street Address:q) c) v1 c- V L J Map: 7 (p Parcel: a.© Owner Name: N'ef 2c VALiSk‘ Permit#:8000C- 33- Sag o b0 Date Installed: k.\4l` a"'v p New: Repair: Installer Name: (VI 6 ca--0.4,trS Const Installer Phone:COS— 3(f a win Installation of(list all components, both newly installed and existing to remain in use): o`4 Vii l /v" (.(1 j/ / j� - Q-a f x tti` Rt sc-R 7.17 fry Cj j< ►2���r� Leach Capacity(gpd): Ground Water Depth (inches): Health Inspection by: As-built Dia:ram (Print Clearly in Black/Blue Ink and Use St aigh Edge—Label Risers and Zabel Filter) R eirk -1? I 1 • e. r -Y— / llE A B C D E F G 1 13:3 / ' 2 3 4 5 6