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Septic As-Built Card
Town of Yarmouth Subsurface Sewage Disposal System As-Built Information Street Address: 1101 if ?)s--(961k R_dBuMap: 5 Parcel:)1r1 c 1 Ci—c).14 Owner Name: SA c-- �,'� Permit �r1©c-�Ct--�'Z�3 Date Installed: 101 Sdk9 New: Repair: Installer Name: R.0 13-ex-N- C5v1Z. Ce' Installer Phone: So OG 30 Installation of(list all components, both newly installed and existing to remain in use): Via) Soo eth-o,� c el �—s L as' x 12.81 X 2 DeeT Leach Capacity(gpd): a,a,C7 GroundWater Depth (inches): MA Health Inspection by: OW—— 1r`1 �'�A Rd7 to 1291 ► 9 As-built Diagram (Print Clearly in Black/Blue Ink and Use Straight Edge) 0 L _ immommirs 3 OCT 3 0 2019 Io of HEALTH DEPT. i • (dei.✓� t.AeJ _ __J 5�1 1 A B C D E F G 1 a�� �4 6 1S 3 a i 1 4 Ds!) 5 6 fh11—rO r 8P-00 l< Rd