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HomeMy WebLinkAboutSeptic As-Built Card Town of Yarmouth Subsurface Sewage Disposal System As-Built Information (.o I Street Address: Z %/, */e— {2Ohl). Map: 63 Parcel: 41 Owner Name: C-/a (....41 %0 mac Permit#: 14—I94,30 Vi be—li-0412?] Date Installed: `7 — 11 New: Repair: '-'.....-- Installer .�Installer Name: Q1`i2 CA-0/2 d SCJ k /CA-,‘✓� Installer Phone: SA 'C7 5.5- 7 Installation of(list all components,both newly installed and existing to remain in use): kX.`5 4-?,, ))COo 6-4,/(0,-, S-7" ��� 4 odo 64/44 ///d ,C. 2� LI 2, f t/fro 1i..5' iG°ecv n/o D a Leach Capacity(gpd): Yeo Ground Water Depth(inches): 6d Health Inspection by: GM oa✓IQt9 As-built Diagram (Print Clearly in Black/Blue Ink and Use Straight Edge—Label Risers and Zabel Filter) g. l I i C '. 1 %. 1 3 ©+1P/k G.i vLJ SEP 0 4 2019 HEALTH DEPT s, 177' t. rt 2:' 23 t3 u i,,