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' OFFICIAL INSPECTION FORM—NOT FOR VOLUI�TARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM IN�PECTION FORM
PART C
SYSTEM INFORMATION(continu�d)
Property Address: 2 CHECKERBERRY LANE YARMOUTH PORT,MA 02675
Owner: CATHERINE GEBO C/O BILL HARRISON REALTORS
Date of Inspection: 5/1/02
SKETCH OF SEWAGE DISPOSAL SYSTEM
Provide a sketch of the sewage disposai system inctuding ties to at least two permane;�t reference landmarks or benchmarks.
Locate all wetls within 100 feet. Locate where public water supply enters the buildirtg.
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