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HomeMy WebLinkAboutAs-built of work to be completed Commonwealth of Massachusetts*, -:P Title 5 Official Inspection Form === Subsurface Sewage Disposal System Form-Not for Voluntary Assessments =N/� 183 South Shore Drive, South Yarmouth, Buildings A, B, C, D& E (All Units) M -25 P -296 ,u. Property Address Clipper Ship Cove Condominiums c/o Shawn Horan ©Cape Realty Inc. Owner Owner's Name information is 299 Main Street(Route 28 , West Yarmouth MA 02673 October 26, 2022 required for every ) — page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 14. Sketch Of Sewage Disposal System: Provide a view 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. Check one of the boxes below: ® hand-sketch in the area below 0 drawing attached separately Li I—I Ti I 61 1----'C:_ I j ref..,GVeai►o"4- 111045 C;f © f}l\8Wit rrt iinec +OT O 0 c.MAR 1 0 2023 HEALTH DEPT. ill . . • 4 t . 170 1; I = ay, 0- 1- XS'VI L 3i' 'tir a..rn 3 = 39 d 9 = I ,• uy 1S'6 111 5--- ? `.11 s-- ,c 'c" • (, L3y ' G � Zi'b" 1'-I Title 5 Official Inspection Form.Subaurfece Sewage Disposal System•Page 16 of 16 t5insp.d0c•rev.726/2015