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HomeMy WebLinkAboutSeptic As-Built Card 1 I ZoNEI:G.— lAss K 2. Betzaom Town of Yarmouth Subsurface Sewage Disposal System As-Built Information Street Address: 9 a- A 5 Tor/' 6P A y Map: 91' Parcel:jf Owner Name: MC, Pi 1 /1 in. , Permit#:Co Z?'/9-Z7ff oip— 79 Date Installed: 1 a -1 q New: Repair: (/ Installer Name: C p pk co d 5 6 p7 6 C- 5 p J i C t 5 Installer Phone:6"-°$" 77 5'. %.,2.3- Installation of(list all components, both newly installed and existing to remain in use): 1)-Box + LIEACU O4e1 ; 3 h' 5©n G.4G6onl IA-Ac-H eHAri1, r 5 6='S.3X7 X-e Leach Capacity(gpd) ). $ Ground:Water Depth(inches);dliCa'Health Inspection by: ,4f4/774' As-built Diagram (Print Clearly in Black/Blue Ink and Use Straight Edge) it 11111101111 • 3 APR 2 5 2019 HEALTH DEPT. A B C D f E I F G 3q I 3 ab i to a I/ ' '+ 4 a 't '4 " yo ,yii , 5 6 1