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HomeMy WebLinkAboutSeptic As-Built Card Town of Yarmouth Subsurface Sewage Disposal System As-Built Information Street Address: - t,*`(clet=LN- % LAI Map: (Cl Parcel: 1 �$ Owner Name: G.)1.4 Permit#: <=4-I - � Date Installed: -AO New: Repair: ✓ Installer Name: L I Installer Phone: 'JOS t7f - �3 Installation of(list all components, both newly installed and existing to remain in use): t ©O Es _ lk 30"i I64. lam_ LL NCt 2 L4 -34 J -` K } Lf- & 6oz' A�L� r -N° - — d( Leach Capacity (gpd):J � Ground Water Depth (inches): I ,30 Health Inspection by: C014 (4 !car/ c( 16124. As-built Diagram (Print Clearly in Black/Blue Ink and Use Straight Edge) c� (QOM r LGe RECEIVED jr 1•EB12022 HEALTH DEPT. L-- c e)octi S �— Int j C# M e A 1 3" 2 .44 r3 „ 1 `,42r 3 fig, =$`6" 4 .=SS' 3 1'6" 5 SU' 3i ' 6