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HomeMy WebLinkAboutSeptic As-Built Card t 'G OOMS Town of Yarmouth Subsurface Sewage Disposal System As-Built Information Street Address: Z/4/1:.5aJ 2 Map: 31 Parcel: (CtS Owner Name: K.3-1►- �`���� � Permit#: /7— ZZC7 6d FtDC—l9.05-77 Date Installed: /07,6? New: W� ✓ Repair: Installer Name:0-1/4"--- R. Installer Phone: —35`8 Installation of(list all components,both newly installed and existing to remain in use): o�.d )( ;4, Capacity 6 1( Leach Ca p y(gpd) Ground Water Depth(inches): yTT Health Inspection by: /©CT72_ As-built Diagram (Print Clearly in Black/Blue Ink and Use Straight Edge—Label Risers and Zabel Filter) .► t, 1 a OCT 0 8 2019 HEALTH DEPT. A BCD 1 3G, /f/- E' F G 2 /Z_ 3 L(o 4 z[o ,/ 5 6