HomeMy WebLinkAboutAs-Built Drawing from Inspection Report , � I
. �
` � Commonwealth of Massachusetts
' Title 5 Official inspection Form �
' Subsurtace Sewage Disposai System Form-Not for VoluMary Assessmer�ts �
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' 34 Buckwood Drive South Yarmouth MA _
', Property aadress
Father John F Connell 34 Buckwooct Dr
Owner Owrier's Name
in►orma��on is c�p�h YBRqouth MA 02664 9/22/2015
required for every ��e Zip Code Dffie of inspection
Pa88• CitylTown
D. System information (cont.)
Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system,inciuding ties to
at least two permanent reference landmarks or benchmar�cs.Locate all wells within 100 feet. Locate
where public water suppiy enters the huilding.Check one of the boxes belaw:
�and-sketch in the area below
❑ drawing attached separatefy
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