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HomeMy WebLinkAboutSeptic As-Built Card Town of Yarmouth Subsurface Sewage Disposal System As-Built Information / Street Address: d fC e i r Y C OLJ �( 7 Map: a.3 Parcel: f I6c9" Owner Name: C? 17(1 c r 5 Permit#: 8O1.1DC 49'-01/57 Date Installed: b 'd a -I `7 r New: Repair: X /6 Installer Name: -71)-,efl '5t) a ,,,061 IND 121qeZ- Installer Phone: ?>r-? s 37(F eN V I K-o N Ntel4 Installation of(list all components,both newly installed and existing to remain in use): (JZe cLoc-c_ 'I,13 ox a14,1-< <© - 7 c - t,, 1 7/i k.(5 6 c 3 " "RG e ct.A.t, J Leach Capacity(gpd): Ground Water Depth(inches): Health Inspection by: BG o 0-a-fig As-built Diagram (Print Clearly in Black/Blue Ink and Use Straight Edge) b .$ Nk."—, . ECSC fiS-e/Z . 0 1 "), \ t ELOLET&I--1 AUG 2 2 2019 HEALTH DEPT A B C D E F G 1 14. a" 25,3'i 2 IG, V' d1 ,3N 3 ` Ig-15-11 ) "), G " 4 5 6