HomeMy WebLinkAboutAs-built card from inspection report 2024A Commonweatth of Massachusetts
610 West Yarmouth Road West Yarmouth
Title 5 Official lnspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
M-86 P-43Propefty Address
Florence DuVerger
Owner
informataon is
required for every
page.
Owner's Name
610 West Yarmouth Road West Yarmouth MA 02673 April 11 , 2024City/Town State Zip Code Date of lnspection
D. System lnformation 1cont.)
14. Sketch Of Sewage Disposal System:
Provide a view of the sewage disposal system, including ties to at least two permanent referencelandmarks or benchmarks. Locate afl wefis within 100 f;t. Locate where pu'uli" *ii", iupplv entersthe building. Check one of the boxes below:
trtr hand-sketch in the area below
drawing attached separately
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Titre 5 OtrEE nsp6crlon Form Subslrdec€ Sel,,/ago Disposat sysrom , page lE of 18