HomeMy WebLinkAboutAs- Built from Inspection Report 2024 March 215}. Commonwealth of Massachusetts
Title 5 Official lnspection Form
Subsurfuce Sewage Disposal System Form - Not for Voluntary Assessments
33 Shallow Brook Rd
Property Address
Karen Pike & William Mayer
Owner
information is
required for every
page.
Owner's Name
South Yarmouth Ma 02664 3t2112024
City/Town State Zip Code Date of lnspection
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
drawing attached separately
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