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HomeMy WebLinkAboutSeptic As-Built Card Town of Yarmouth Subsurface Sewage Disposal System As-Built Information Street Address: & c/ ,G ' of Map /3r Parcel: / Y Owner Name: �IUY /VtA / 2 2—Z° zGate Installed: '/ /2-022 New Repair: L/ installer Name:\ I(7` (OVhLSc i4CQc?/dPJL i( � installer P hone installation of(list all components,both newly installed and existing to remain in use): 4. A/eu) p i 1 DGD /z- r . �i5e' S `d4x S rp Pc • ,,t o Leach Capacity(gpd):/t/% Ground Water Depth(inches): 'i9 Health Inspection by: 6C-�� As-built Diagram (Print Clearly in Black/Blue Ink and Use Straight Edge) 4. REA of • a e _L.. 3 at SEP 2 8 2022 H LTH DEBT• • Q • 0 A B C D E F i.: 1 1.5 2 3:5 i - t • l , aa.:' 5 (3' 34; ► 6 ,