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Septic As-Built Card
Town of Yarmouth �©�c� - �Nx 2_ b� 22 Subsurface Sewage Disposal System As-Built Information Street Address: �J it& /elm As-lei gale/ Map: 077Parcel: 601de Owner Name: RI 14 i - )9-o?9 Cam!" &L� Permit#: 13O �Ci/ -93 Date Installed: .''/4 " 19 New: Repair: 1 L Installer Name: ��/� �� �p,� Installer Phone: ����yG"o28oa Installation of(list all components,both newly installed and existing to remain in use): Neu! 4500 &- - irik 14'0 -80x / 6—Po 6Dify 4r"// Sovcr), L / , S4. X )4to`) Leach Capacity(gpd): ,V4 Ground Water Depth (inches): Health Inspection by: P112--- 65714/11 ' As-built Diagram (Print Clearly in Black/Blue Ink and Use Straight Edge) a PP o� lir O i Wilt rig,a �� 0 0iO' �•''c,66 1 2 , `� A B CD E F G 1 W i 17 ' .f -- 2 5 "" ', ai' 3 70 " 33 ' 4 �atg w at 1,9° G 5 6