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HomeMy WebLinkAboutSeptic As-Built Card Town of Yarmouth Subsurface Sewage (��Disposal System As-Built Information C� Street Address: 1R PCYin P c r'_gO e_b . Map: 134 Parcel: 1,35 Owner Name:Lf JDA .CI^3CrLC3"'T0kJ 4b-Mil-4 f hLLEi Permit##+ kiZ I -31 h 0 Date Installed: --( 1\'z t New: Repair: i..----- Installer Name: C l Z- a1/4.12_ Co Installer Phone: 4:Th__8 1 Installation of(list all components, both newly installed and existing to remain in use): ( 4 zo 1 C.'- (0 c i-l-4 e $ � o Leach Capacity(gpd): 3 S(D Ground Water Depth (inches): ( � Health Inspection by:.S C eikr),../a97.4,-- As-built Diagram (Print Clearly in Black/Blue Ink and Use Straight Edge—Label Risers and Zabel Filter) IA P-) -Ck o C 1-4oLlSE" 1-,.cc— - 3 tr-6 Cn.AA, S i fliii12) 5 � Hui U ti 2021 -7 Sip HEALTH DEPT. A B C D E F G 1 Z2,3 (.'L 2 2.4'.i R.9 - 3 Zgt c, 14.2 4 35. t'1.2. S Li,S z3 4 6