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HomeMy WebLinkAboutSeptic As-Built Card Town of Yarmouth Subsurface Sewage Disposal System As-Built Information Street Address: 100 p\NS 14-Do Map: ILO Parcel: 44 Owner Name: ' 0C �2Z2-U V1 l Permit#: d — 2 D Date Installed: 1 2_0 ( New: Repair: (i . Installer Name: ID'ONE ik ic1(A+ Ex CA1V44-tO,1 Installer Phone:51)yy-F'eif Installation of(list all components, both newly installed and existing to remain in use): \-Q (51,0 15-to 15-to L--1`40 (c 21<(S41 d V,6 X s i2.:-4.)4 c I-eci(ti,Ng c©ut:fri 2-Ak>e. L4-ev Leach Capacity(gpd): (34O Ground Water Depth(inches): O Health Inspection by: 'BEM 003//9 As-built Diagram (Print Clearly in Black/Blue Ink and Use Straight Edge) 3 13 e coo A 6 ll 213 1DW. WQ1l ) 075 A B C D E 1 ZSy� 3o'.4 RECEIVED 2 2,.3161' 3519-- 2 4Lt(' NOV '196)19 3 '2 I ' .3$`t't ()U wr. 4 4q'3" b l HEALTH DEPT 5 6