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Septic As-Built Card Town of Yarmouth Subsurface Sewage Disposal System As-Built Information Street Address: O Q ° \, �1r��t�niGS oy Map: e2.6 Parcel: 8q f8-278 Owner Name: vya ��S�r�� Permit#: 130 4 p(_- lc< -- `-7 Date Installed: 01/174/ New: Repair: Installer Name: i J� C -cz-l" Installer Phone: aS^ 3Z�/� Installation of(list all components, both newly installed and existing to remain in use): OW c t w►Cw7 S? `rtc. H 0 D foe x 30 c Leach Capacity(gpd): 5 GroundVVater Depth (inches): 13cr Health Inspection by: A s- . 0077/9 As-built Diagram I (Print Clearly in Black/Blu Ink and Use Straight Edge) ft • .1 23 �-- - © 00 c_ em NOV 1/2019 k HEALTH DEPT. A B C D E F G 1 2,,2., 13° 2 24 ° 13° 3 2.ti Z ' 4 2.1 ° Eet' 5 W ' 27 ' 6 c2. ' 7 S"/ ' Si.° el �5_� 4/6