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HomeMy WebLinkAboutSeptic As-Built Card Town of Yarmouth JJ 11 11 Subsurface Sewage Disposal System As-Built Information Street Address: 1 L (V 0 fA y I a P1 - Map: 1 3 Parcel:250 ��� Owner Name: :JC.\jOi tk So-c,cc u e 5 J Permit#: `-�-Z�-t-_�k � Date Installed: 3 I 1 ` I _ II l New: Repair: Installer Name: 1'ff O 5vnf%,so 11 4d t(,),e z7-7 Installer Phone: `�78�-z(� l Cci Installation of(list all components,both newly installed and existing to remain in use): ,1 4 DbdX Li z th R.i w.- -0 ; 'I to ed ✓,c��. y Leach Capacity(gpd): Ground Water Depth(inches): Health Inspection by: As-built Diagram (Print Clearly in Black/Blue Ink and Use Straight Edge—Label Risers and Zabel Filter) , S, � L � i-_______ U ' I HEALTH DEPT. LI__ * ., io 9 ©� A MEM C D G