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HomeMy WebLinkAboutSeptic As-Built Card umuni cLUu varnodlm Subsurface Sewage Disposal System As-Bu11t information Street Address: 88 c2_LL r - ? 2O p O� i—b Map:,50 Parcel: 277 Owner Name:_ ' /r/6L4'C.ter- 4//./ Permit#:T}-}-rX,- 23- 2091 Date installed: (® 151 1 t3 _ New: Repair: t� Installer Name: L� ©u. _ _installer iPhone jr"Qg)177- _ 77 Installation of(list all components, both newly installed and existin to remain in use): -. 'al (a) /-f ZO .57oO,,41 /3c-.s Leach Capacity(gpd):_33) Ground Water Depth (inches):_ Health inspection by:j e 6/4ys,l&-75/44r/G- As-built Diagram ) (Print Clearly In Black/Blue ink and Use Straight Edge—Label Risers and Zabel Filter) .Z7 1,, ••• 4- 1 ' JUN 13 2023 HEALTH DEPT. I . L • 1 9 6 A D --C__ D E F 1 0.4 MO 2 13 11. 1 3 18 .8 -13.9 4 _.� • Z.Z.- 415,5 5 22- 1 ,36, I . 6