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Septic As-Built Card
Town of Yarmouth Subsurface Sewage Disposal System As-Built Information Street Address: t r.„cC iA--Q:,c 1.-,..N) Map: 3Parce1:35 Owner Name: ,` C-5. M L bNerAA tD1 Permit#: I q-i7 6 Date Installed: `4' 11OJ ) ( ./ New: Repair: Installer Name: R 7- R. ('}v C e- C©„) iJ C- Installer Phone:5CA-93g.,--- 0536 Installation of(list all components, both newly installed and existing to remain in use): I sci, Gqii6.0 )---G iNsK i 000 cod_. cii ilvf) dykevle.->rJ d fO30 (56) To icrrtz,tb e ( `/e' x Zz') , Leach Capacity(gpd): 6>CO Ground-Water Depth (inches):61.G-0 Health Inspection by: (.91 Out, ley 3 3 C A-e d ivo-K.c jke4 I u., t ii{n As-built Diagram t 0 (Print Clearly in Black/Blue Ink and jigg StraightitEdge) Pi o[ ., . • . , . C of.)\i- A c., 1-1- E 0 Ebct-... , IwuwT- I N s til r ge w A B C D E F ---- _G C'sL= � 1 15 .3% -,vaJ 2 ca.a ii i SEP 0 9'2019 3 ca 3 1 4ei5� 33 HEALTH DEPT 5 _ ` a 6 Cj7 '3 S c� 07c• ci-i!o a '11 '