HomeMy WebLinkAboutAs-Built Inspection 2024.e. Commonwealth of Massachusetts
Title 5 Official lnspection FormpJ
l:l Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
33 & 35 Butler Ave West Yarmouth lVlA
Owner
informalion is
required tor every
page.
Property Address
Helio Costa Jr 29 Cottage Drive
Or,vner's Name
West Yarmouth MA 02673 04t0912024
Date ol lnspectionCity/Town State Zip Code
D. System !nformation (cont.)
14. Sketch Of Sewage Disposal System:
Provide a view ofthe 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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tsinsp do. . .d 7/2d2ol8 TiUe 5 OffEEI lnspecton Fom Sub6ldae S.e€g. Disposat Sysbm. Page 16 ot 18
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