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HomeMy WebLinkAboutSeptic As-Built Card 3 E3e'ti(L000tS Town of Yarmouth Subsurface Sewage Disposal System As-Built information Street Address: - f IJG 4J (A)4- f Map: 101 Parcel: /a1./ Owner Name: --I-17 itt= !'i�1^� u� Permit#: cl-2-42jE5O4C-t O7R Date Installed: I t 1 New: Repair: ✓ Installer Name: 3 C I- 'B Qemu cn CaaSTR . SNC . Installer Phone: `fag- -'4311 Installation of(list all components,both newly installed and existing to remain in use): 15brth. i Ctt D-a$ok I5 -b 4 L e 1 E/k-l--� 1 J q $ '�c is•S3 ��►c3 4 RIS X2-5 Leach Capacity(god): 34 Ground Water Depth(inches):-}-1914. Health inspection by: 6C1-64 I l f s fc9 As-built Diagram (Print Clearly in Black/Blue Ink and Use Straight Edge-Label Risers and Zabel Filter) f'L o 1-{-cs tit t= _ Q Q Q C-1--47 5 NOV 2 7 2019 HEALTH DTPT A B C D E F G 1 I7'6" 3�' 2 I!o 347: 3 !7 . F$' 4 4a-4'4" 5 30 1'1 '6" 6