HomeMy WebLinkAboutT5 Inspection Report As-built 2024g$. Commonwealth of Massachusetts
Title 5 Official lnspection Form
Subsurface Sewage Dlsposal System Form - Not for Voluntary Assessments
4 Barnes Ln
Property Address
Tsoukalas Petros C/O Stephanie Erb-PO Box 114 Waterville Valley, NH 03215
Owner
information is
required for every
page.
O,vne/s Name
West Yarmouth MA 02673
City/Town State Zip Code Date of lnspeclion
D. System lnformation (cont.)
'14. Sketch Of Sowage Disposal Systom:
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:
X hand-sketch in the area below
E drawing attached separately
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