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HomeMy WebLinkAboutSeptic As-Built Card Town of Yarmouth Subsurface Sewage Disposal System As-Built Information Street Address: /r `/�j iZoor ^ 8" Map: Parcel: Owner Name: (" r r 6 e--S %/ 15 Permit#: z J — 3 8 19 Date Installed: 2 2 — 2- 0 Z3 . New: Repair: Installer Name:. C. 'j e— CO 4-p-h C- Installer Phone:c;-'6CCr-nir2g i5 Installation of(list all components, both newly installed and existing to remain in use): Cxis hP5 sir - / - able /-E - 20 ©-60)z 3 - 2a s z7 % 4-1 >'e-y c�.}� s c.,,)/L S'T'v �� 3 3 , 'ic t 2 , e `K 2 i Leach Capacity(gpd):y51,`f Ground Water Depth(inches): (315 Health Inspection by: )07j9. I certify that this system has been installed in accordance with the provisions of 310 CMR 15.00 and all local regulations. Installer Signature As-built Diagram (Print Clearly in Black/Blue Ink and Use Straight Edge—Label Risers and Zabel Filter) APR 2 6:2023 1 ft HEALTH DEPT. \k, f � I -, �'�� A 1 /(pl_ 2 5`r ' S 3' 3 6,0 I 4 5 6