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Septic As-Built Card
Town of Yarmouth ; Subsurface Sewage Disposal System As-Built Information Street Address: J 1 Gt a-C 6-)41)," VcArcn .if t Map: Parcel: _ Owner Name: C.4/V1"i4/v j DA CJ/C'/ GI-f Permit#: Ed-) 8C, /9—/113/ Date Installed: to/o// / New: Repair: Installer Name: `J 6 .curt,. \r 0 C> f , Installer Phone(77q)- a1 ' Installation of(list all components,both newly installed and existing to remain in use): C� ' / l c .'--(-9i) G. i/ i 1 ll w,�) fit% ! e:a, / (S),--iec — *.;).,"›e�-�' '-11' Sal '10 pg,r4gervied pig , eido. g"l 1�." ;00v ,ie i, s-1-0. :,--. '7S—C S Leach Capacity(gpd): /PtGround Water Depth(inches): 1 " Health Inspection by: arixe 11.10044-1 SS-17C,-PO tea/m.11i As-built Diagram (Print ClearlAiin Black/Blue Ink and Use Straight Edge) RELIVED��' j 6 6, 5 6/ITS tiEC 1 "I ZQ19 HEALTH DEPT. c .t 4,„ / / /›. , ------- ` / A 1C}Lc ecc-r9-c p" , A B C D E F G 1 3N43" 1;7.x ' 2 3c, bg.r%/?. 3 `3c,1" , %•/' ` 4 qt,.5 S cl ' _ 6 -