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Septic As-Built Card
Town of Yarmouth Subsurface Sewage Disposal System As-Built Information Street Address: Z, ( a-t'''l'.1 L w Map: 41 Parcel:J-3 3 Owner Name: 'VO Zri�p LIkS Permit#: .J- - 14- 4:tV-QC.24' V-F- Date Installed: ) --5©--I-4- New: Repair: '------ Installer Name: 3-L•1 Installer Phone:'9.ST: "7`T1-1-V'H Installation of(list all components,both newly installed and existing to remain in use): t.:.e<tc`i,N41 t( 6 -f A I`=.. 14--w3 ,1Jr- :3f r...-, � k t\ f-I L...--1_ / `�- t2d(A) l±1{' el.. - F #mil Fe • Leach Capacity(gpd): Groundwater Depth (inches): Health Inspection by: As-built Diagram Print Clearly in Black/Blue Ink and Use Straight Edge)- _ ,3 t p •=4- `✓1 i —T-- - -- Q -11 vmob 7 E 0 2024 HEALTH DEPT. A B C ? D E F 1 i.�` 4-'4-w G i I I 2 ( 1f%et" Aft'.;,. I ' 4 10' lnro'<a" f �t3'.�" t -La „ I I 1 .p r' " SI'/_C3" J ) ...-..... .. .. .....'4?-q, " --1: