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Septic As-Built Card
Town of Yarmouth Subsurface Sewage Disposal System As-Built Information Street Address: 3S Ami L_s-) • Map:1Z3 Parcel: 6:c7 BOH'Ic-tq-323y Owner Name: secci} 1-1o5Rcz_ Permit#: 1q - 138 Date Installed: 'Sant rES1 New: Repair: Installer Name: 2 4 EXc.:2.0 A tan Installer Phone: 4n1- O653 Installation of(list all components, both newly installed and existing to remain in use): Z• � C • - •• • -cam) ST - Z /420 SOO 9C [-1� Leach Capacity(gpd): 330 Ground Water Depth (inches): Health Inspection by: 4V(+ 06/<9/19 As-built Diagram (Print Clearly in Black/Blue Ink and Use Straight Edge) R-44- 16 4 A J b 0 0-4C0*- © -4f'oG JUN 19 Peituf HEALTH DEPT A B C D E F G 1 ' 1�-G" /9 ' 2 2,1 ' 25' 3 25'1, " 6o'G .. 4 29'L " A3'G 5 6