HomeMy WebLinkAboutSeptic As-Built Card Commonwealth of Massachusetts
1� __ Title 5 Official Inspection Form
0'= a Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
' I' 8 NORTH MAIN ST
Property Address
SHAY ASSAD-31 COVE ST MARION MA 02738
Owner Owner's Name
information Is
required for every S YARMOUTH MA 02664 3/2/2020
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:
0 hand-sketchin the area below
® drawing attached separately
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