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PART C
SYSTEM INFORMATION(continued)
Property Address: 865 West Yarmouth Rd.Yarmouthport
Owner's:Alden Sherwin
Date of Inspection:February 4,2010
SKETCH OF SEWAGE DISPOSAL SYSTEM
Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or
benchmarks.Locate all wells within 100 feet.Locate where public water supply enters the building.
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OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
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