HomeMy WebLinkAboutInspection As-Built Sketch . ' � �PagelOof►1
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�OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPELTION FORM
PART C •
SYSTEM INFORMATION(continucd)
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Property Address: 358 Camp Strxt
Wcgt Yarmart6,MA
Owner. Andy Colby
Date of Inspeelion: January 23,2002
' SKETCH OF SEWAGE DISPOSAL SYSTEM
Provide a skccch of the sewage d'upcual system including ties to at kast iwo permanent reCerence landmarks or
brnchmazks. Locate all wells wiihin ]00 fcet.Locate where public water suppt�enkrs the buiMing.
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