HomeMy WebLinkAbout0079 WINDSWEPT WAY - Health 79B Windswept Way,
Osterville F
A 052 020
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FAILED® INS,PC�'�Ot�
ATE .-----------
PROPERTY ADDRESST" Oindswel?t lday
---------------------�v
- 0stenvi22e, Na.6.a_ --
02655
------------------------
On the above date, I inspected the septic system at the above address.
Tnis system consists of the following:
1. 1-61X8' B-Pock ceZs/200.2.
Based on my inspection, I certify the following conditions:
2. 7hiz iz not a tit—Pe /give .6e/2i-ic' zyhtem.
3. 7hi.6 a .6ewaye zy.6tem.
4. The ce•5.6/2ooi iz .aeveAeiy .tooted.
5. A new •6e/2tic zyzi-em rzeeda to &e inztaiied.
6. The zewuye zystem iz in laiivae.
SIGNATUR
'Fame : _ J_- P__Macomber_Jr ____-
Company �4���h Pam_M��4m��C d_ Son, Inc . Cle, F D
Q ns-erYL LLB,_ :1a __2Z632 0066
TO\N EA&-TNDD.pT.
?none : 508- 775_ ) 338 --------
THIS CERTIFICATION DOES NOT CONSTITUTE A GUARANTY OR WARRANTY
JOSEPH P. MAC0M'ER & SON, INC,
I.Tanks•Cesspools•Leachllelds
Pumped & Installed
'Town Sewer Connections
p.0 Box 66 Centerville. MA 02632.0066
775.3338 775.6412
COMMONWEALTH OF MASSACHUSETTS
r EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
DEPARTMENT OF ENVIRONMENTAL PROTECTION
TITLE 5
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM
PART A
CERTIFICATION
Property Address: 7913 Qindzboe/2.t Clay
-3 e�tv c e, a.3.3.
Owner's Name: lean ana/zzda-ee
Owner's Address: 123 11.th Ave South
Nal2lp-,3 F.Po2 ida 34102
Date of Inspection: 7/9 7/o 7
Name of Inspector: (please print) loheRh 1), (1acom9e1t a2.
Company Name:�. /0. PlnrnmPp R Son Inc.
Mailing Add ress:i1,,,. 66
02632
Telephone Number.
CERTIFICATION STATEMENT
1 certify that 1 have personally inspected the sewage disposal system at this address and that the information reported
below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my
training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP
approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system:
Passes
Conditionally Passes
Needs Further Evaluation by the Local Approving Authority
Fails
Inspector's Signature: Date: �"J7
The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or
DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000
gpd or greater,the inspector and the system owner.shall submit the report to the appropriate regional office of the
DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving
authority.
Notes and Comments
V
****This report only describes conditions at the time of inspection and under the conditions of use at that
time.This inspection does not address how the system will perform in the future under the same or different
conditions of use.
Title 5 Inspection Form 6/15/2000 page 1
Page 2 of 1 I
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address:79z3 V indzwe/2.t Clay
.s eavi e, a.sh.
Owner:Jean Vanaz,6da.Pe
Date of Inspection: 71117103
Inspection Summary: Check A,B,C,D or E/ALWAYS-complete all of Section D
A. System Passes:.
I have not foun any information which indicates that any of the failure criteria described in 310 CMR
15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below.
Comments:
7ho nAAApoo"P_ iA in ;&aiiuze, Heaviiu . tooted. Soundne.s.s
I-A 4110AfinnnfiLp. R new -3g-ptic .sy.6.tem needz ;to 98 in.34aiied
B. System Conditionally Passes:
_310 One or more system components as described in the"Conditional Pass"section need to be replaced or
repaired.The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass.
Answer yes,no or not determined(Y,N,ND)in the for the following statements. If"not determined"please
explain.
4e septic tank is metal and over 20 years old* or the septic tank(whether metal or not)is structurally
unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the
existing tank is replaced with a complying septic tank as approved by the Board of Health:
•A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance
indicating that the tank is less than 20 years old is available,
ND explain:
,Ll 1 bservation of sewage backup or break out or high static water level in the distribution box due to broken or
obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if(with
approval of Board of Health):
broken pipe(s)are replaced
obstruction is removed
distribution box is leveled or replaced
ND explain:
mil/ The system required pumping more than 4 times a year due to broken or obstructed pipe(s).The system will
pass inspection if(with approval of the Board of Health):
M broken pipe(s)are replaced
obstruction is removed
e
ND explain:
i
2
Page 3 of 11
OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued) .
Property Address: 79B Qind6we/2t Clay
b eay.l e, ab4.
Owner: lean Vana2.s a e
Date of Inspection: 7117103
C. Further Evaluation is Required by the Board of Health:
d6 Conditions exist which require further evaluation by the Board of Health in order to determine if the system
is failing to protect public health,,safety or.the envirotunent.
1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(l)(b) that the
system is not functioning in a manner which will protect public health,safety and the environment:
Cesspool or privy is within 50 feet of a surface water
Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh
2. System will fail unless the Board of Health(and Public Water Supplier, if any)determines that the
system is functioning in a manner that protects the public health,safety and environment:
The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a
surface water supply or tributary to a surface water supply.
4)0 The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply.
/�. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well.
The system has a septic tank and SAS and the SAS is less than 1�0�0 feet but 50 eet or more from a
private water supply well". Method used to determine distance /1
"This system passes if the well water analysis,performed at a DEP certified laboratory, for coliform
bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and
the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other
failure criteria are triggered.A copy of the analysis must be attached to this form.
F
3. Other:
7h;A ;6 r, zewage zuz;. em 7he- -�3y .tem eons.i.s.t.s o4
giock ceh,612oo i N 2oo.tarl. So indnPAA 1A an-PArinnriOPo
r4 n_v).) Y11Pv P.iuo .SVDf.;r Ayziem noodA fn Po !nA aPPorl
3
Page 4 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 7913 Hind.6we/?t 61¢y t .
Owner: -onn Vnnnn,tr/nlPo
Date of Inspection: 7 L17/LLB
D. System Failure Criteria applicable to all systems:
You must indicate"yes"or"no"to each of the following for all inspections:
Yes No /
_ _✓ ckup of sewage into facility or system component due to overloaded or clogged SAS or cesspool
Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or
clogged SAS or cesspool
Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or
/'cesspool
!//�Liquid depth in cesspool is less than 6"below invert or available volume is less than h day flow
Z✓ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number
f times pumped O .
y portion of the SAS,cesspool or privy is below high ground water elevation.
c/Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface
�ater supply.
/arty portion of a cesspool or privy is within a Zone 1 of a public well.
v` /dty portion of a cesspool or privy is within 50 feet of a private water supply well.
Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water
supply well with no acceptable water quality analysis. [This system passes if the well water analysis,
performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds
indicates that the well is free from pollution from that facility and the presence of ammonia
nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria
are triggered. A copy of the analysis must be attached to this form.] .
(Yes/No)The system fails. I have determined that one or more of the above failure criteria exist.as
described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of
Health to determine what will be necessary to correct the failure.
E. Large Systems:
To be considered a large system the system must serve a facility with a design now of 10,000 gpd to 15,000
gpd•
You must indicate either"yes"or"no"to each of the following:
(The following criteria apply to large systems in addition to the criteria above)
yes n9
_ the system is within 400 feet of a surface drinking water supply,
v th system is within 200 feet of a tributary to a surface drinking water supply
y the system is located in a nitrogen sensitive area Interim Wellhead Protection Area—IWPA or a mapped
Zone II of a public water supply well
If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered
"yes" in Section D above the large system has failed.The owner or operator of any large system considered a
significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR
15.304.The system owner should contact the appropriate regional office of the Department.
4
Page 5 of I I
OFFICIAL INSPECTION FO —RM NOT FOR VOLUNTARY
- ARY ASSESSMENTS
SUBSURFACE
SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST c
Property Address79D 0.i.nclzwept Clay
CJe e2v-c e, a�s.s.
Owner: lean. Vanaaz a e '
Date of Inspection: 7/17/03
Check if the following have been done. You must Indicate yes"or `no"as to each of the following:
l
Yes No
/Pumping information was provided by the owner,occupant, or Board of Health
_ �/ ere any of the system components pumped out in the previous two weeks
�' Has the
— system received normal flows in the previous two week period?
_ �ave large volumes of water been introduced to the system recently or as an of this inspection p p on .
/
+' Were as built plans of the system obtained and examined?(if they were not available note as N/A)
t� Was the facility or dwelling inspected for signs of sewage back up? N -
Was the site inspected for signs of break out?
Were all system components,v uding the SAS, located on site ?
Were the septic tank manholes uncovered,opened, and the interior of the tank inspected for the condition
of th baffles or tees, material of construction,dimensions, depth of liquid,depth of sludge and depth of scum ?
Was the facilityw owner(and occupants if different from owner)provided with information on the proper
maintenance of subsurface sewage disposal systems ?
The size and location of the Soil Absorption System (SAS)on the site has been determined based on:
Yes no J
Existing information. For example,a plan at the Board of Health,
Determined in the field(if any of the failure criteria related to Part C is at issue a
is unacceptable) (310 CMR, 15.302(3)(b)] approximation of distance
5
Page 6 of 1 I
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C _
SYSTEM INFORMATION
Property Address:79B Oindzwept Way
Owner: aean Vanaa.s ¢ e
Date of Inspection:
FLOW CONDITIONS
RESIDENTIAL
Number of bedrooms(design):_L Number of bedrooms(actual):
DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms):
Number of current residents:_Q
Does residence have a garbage grinder(yes or no):
Is laundry on a separate sewage system Dyes or no): (if yes separate inspection required)
Laundry system inspected(yes or no): ,S
Seasonal use: (yes or no): L
Water meter readings, if available(last 2 years usage(gpd)): Both an.it3 a/te on the
Sump pump(yes or no): At?) game me ea
Last date of occupancy:
COMMERCIAL/INMUSTRIAL
Type of establisbment.
Design now(based on 310 CMR 15.203): d
Basis of design flow(seats/persons/sgA,etc.):
Grease map present(yes or no):J,0 ,/q
Industrial waste holding tank present(yes or no):N
Non-sanitary waste discharged to the Title 5 system(yes or no)-143f )
Water meter readings, if available:
Last date of occupancy/use:
OTHER(describe):
GENERAL INFORMATION
Pumping Records ,
Source of information:
Was system pumped as pan of the inspection(yes or no): '
If yes, volume pumped:(gallons -- How was quantity pumped determined?
Reason for pumping:
TYPE OF SYSTEM
Septic tank,distribution box, soil absorption system
T Single cesspool
Overflow cesspool
Privy
i
Shared system(yes or no)(if yes,attach previous inspection records, if any)
l Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be
obtained from system owner) ., a.
Tight tank �d Attach a"copy of the DEP approval
�DOther(describe):
Approximate age of all co p ents,date installed(if known)and source of information:
Were sewage odors detected when arriving at the site(yes or no):,"
6
Page 7ofII
OFFICIAL INSPECTION FORM—NOT FOR.VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL-SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address:7913 N-indzwel2i- Oay
Owner: lean Naaaltzda ee
Date of Inspection: 7117103 _
BUILDING SEWER(locate on site plan)
a If
Depth below grade: go
Materials of construction: _cast iron ADD 40 PVC d-�,00ther(explain): I
Distance from private water supply well or suction line: M,i'
Comments(on condition of joints, venting,evidence of leakage, etc.):
02 New -ine nee
.t o ge
7nz a e w en e zya em .e.s al2g,75ded. No evidence o7 eeakage. The
,6y-6tem .iz vented! .thaouyh .the zoo/ ven.t..
SEPTIC TAN44ahL(locate on site plan)
Depth below grade:��
Material of construction,"concrete,J metaL frberglass��olyethylene
,irfother(explain)
If tank is metal list age:!1�4 is age confirmed by a Certificate of Compliance(yes or no);,�t (attach a copy of
certificate)
Dimensions:
Sludge depth: 144
Distance from top of sludge to bottom of outlet tee or baffle: 414
Scum thickness:_*/,I
Distance from top of scum to top of outlet tee or baffle: A�X
Distance from bottom of scum to bottom of outlet tee or baffle:
How were dimensions determined:
Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels
as related to outlet invert, evidence of.leakage, etc.):
Se2.t.in .t_ank 1A nnf 2nfl.sonf_ nnro -A14 Atom ; A iiagandad 742 iQQ4.-
Ahn1jir) pp loijm,pprl o»ony2- ana a
GREASE TRAP(�Y/Y (locate on site plan
Depth below grade:
Material of construction:AW concrete,)¢metaL4/ fiberglass4�jpolyethyleno4Aother
(explain):
Dimensions:
Scum thickness:
Distance from top of scum to top of outlet tee or baffle:
Distance.from bottom of scum to bottom of outlet tee or baffle:
Date of last pumping: X)4
Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels .
as related to outlet invert,evidence of leakage,etc.):
G2pa.6p .titnn ks not Alzazenl
7
Page 8 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: aean Vanaazda-2e
.cnT.6wel2 Clay
Owner: Oz.tzay.iiie, Nazz.
Date of Iespeetion: 7117103
TIGHT or HOLDING TAN}41P>(tank must be pumped at time of inspection)(locate on site plan)
Depth below grade:
Material of construct ion:j2&concrete tametal fiberglass 0�i9 polyethylene'a other(explain):
AA
Dimensions.
Capacity: J,1A allons
Design Flow: allons/day
Alarm present( )yes,2r no):
Alarm level:--� Algrtn in working order(yes or no): 4
Date of last pumping:
Comments(condition of alarm and float switches, etc.):
7.iaht o2 hoid.ina tanks ate no /22e.6en
DISTRIBUTION BO?(ijL&(if present must be opened)(locate on site plan)
Depth of liquid level above outlet invert:l
Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover, any evidence of
leakage into or out of box, etc.):
_1j.iAla i_lu -.ion lox .ih not R2e�sen
PUMP CHAMBER I�k/ (locate on site plan)
Pumps in working order(yes or no):
Alarms in working order(yes or no):
Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.):
Pump c am ea zz no paezen .
8
Page 9 of I I
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 7 913 ld ind we t Qa y
Owner: lean Vanaazdaie
Date of Inspection: 7/17103
SOIL ABSORPTION SYSTEM (SAS): !� (locate on site plan,excavation not required)
1-6 'X8' giock cezzpooi
If SAS not located explain why:
Lee&4edr&ee Pague=11
Type
leaching pits, number:
leaching chambers, number: Q
leaching galleries,number: �—
leaching trenches,number, length: Q
leaching fields,number,dimensions:
overflow cesspool, number:
innovative/alternative system Type/name of technology:
Comments(note condition of soil,signs of hydraulic failure, level of ponding, damp soil,condition of vegetation,
etc.):
Loamy o medium 4ine .6and No • ignz o4 he dlaui-ic �aiivae o2
,2nnrJ.n7_ nnfl day_ Vn lop fnfion JA nnnnn-P ('oA.tnnnlf jA .to))vno.P(d
Izooted. Sound a.g.itity .i•s quezLionag.Pe. A new .se/2t.ic ayz.tem needs to
ge inzta .P
CESSPOOL cesspool must be pumped as part of inspection)(locate on site plan)
Number and configuration:
Depth—top of liquid to inl; invert: _
Depth of solids layer: .•�Y
Depth of scum layer:
Dimensions of cesspool: X
Materials of construction: o �
Indication of groundwater inflow(yes or no):
Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.):
Same ass agove.
PRIVE(locate on site plan)
Materials of construction:
Dimensions:
Depth of solids:
Comments(note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation, etc.):
,oaaaanf
9
Page 10 of I I
OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE pISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)•
ProperryAddress79B Niad.6wep.t Uay
2V I I re--,rra=.
Owoer: lean V iR igAdnie ,
Date of lospectioo: 7/1 7/0 3
SKETCH OF SEWAGE DISPOSAL SYSTEM
Provide a sketch or the sewage disposal system Including ties to at least two permanent rererence landmarks or -
benchmarks. Locate all wells within 100 (eet. Locate where publlc,vater supply enters the building.
s
7 p-;g t,� I Nci'S w cP7 1) Ay, ,
10
Page 11 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 7 93 O ind.6we/2t 0a y '
e zv- e, a•s.s. .
Owner: lean Vana�c.s a e
Date of Inspection: 7/17/O 3
SITE EXAM ;
Slope
Surface water
Check cellar
Shallow wells
Estimated depth to ground water feet
Please indicate(check)all methods used to determine the high groundwater elevation:
NO Obtained from system design plans on record-If checked,date of design plan reviewed: NA
y£S Observed site(abutting property/observation hole within 150 feet of SAS)
NO Checked with local Board of Health-explain: NA
y�Checked with local excavators, installers-(attach documentation)
1� Accessed USGS database-exp lain: httR:1/town. 9a.,zn.6ta&.2e. ma. «.6.
You must describe how you established the high ground water elevation:
Uzed: 4ahlte.tu 9 Migie2 Nodee. 12116194 gAound wa.tea eievat.ionz a&ove zea QeveP.
11,6ed: OP.sp-n-va on w a# , Mine 1992 -
[(hed; Torhn.rriP PijPPoiin 92-060- 1 PPnfo i2 7nniin114z 1992_ AnnunP nnrtge,3
o4 t6l��ibc6 efoa eQeun1ian4-
6. '•X8'
t
eZ.6/Zoo _
:eet
Groundwater: Feet Below Bottom of Pit High Groundwater Adjustment 1.8 ft per Frimpter Method
Therefore,the vertical separation distance between the botto
Of the leaching pit and the adjusted groundwater table is
feet. '
f -
11
l
r•nnr.�n.•r��'.t—den.—Jrn•nT.•fl--nnr.n.Inn`.7+-r��nllnrTRrIT nR1�1*rww��n wf+ .�-���...--.r...)
t' TOWN OF Baan�t a��e WARD OF 11EALT11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM - PART D •- CERTIFICATION I�
^•rn�T•'.'::.-T.III�r..r•nnr.nrf.1TiT7R/f{'1faT.Rr1'.rtl rlveRl f/Rs,-TnRw.7fiRf11�.�R�7 awn Trrr•r-�. .�..J
-TYPE OR PRINT CI.EARLY-
PROPERTY INSPECTED
STREET ADDRESS 7913 iVindswep.t Clay Oate2vi�i?e, l7a�i.
ASSESSORS MAP, BLOCK AND- PARCEL # 052-020
OWNER' s NAME aean Vanazzdaie
PART D - CERTIFICATION
NAME OF INSPECTOR Joseph P.Macomber Jr.
COMPANY NAME J P Macomber & Soa In(!".` *
COMPANY ADDRESSBox 66 Centerville,Mass. 02632
Street Town or City State IIP
COMPANY TELEPHONE ( 508 ) 775 - 3338 FAX ( 508 ) 790 -1 578
w
CER'rIFICATION STATEMENT
I certify that I have personally inspected the sewage disposal system at
this address and that oe information reported is true , accurate , and
omplete as of the time of .inspection . The inspection was performed and any
recommendations regarding upgrade , maintenance , and repair are consistent .
with my training and experience in the proper function and maintenance of on-
site sewage disposal systems .
Check 'one :
System PASSED j
The inspection which I have conducted has not found any information
which indicates that the system fails to adequately protect public
health or the environment as defined in 310 CMR 16 . 303 . Any failure
criteria not evaluated are as stated in the, FAILURE CRITERIA section of
this form .
System FAILED*
The inspection which I have con cted has found that the system fails to
Protect the public health and the environment -in accordance with Title
6 , 310 CMR 15 , 303 , and as specifically noted on PART C - FAILURE
CRITERIA of this inspect ' n orm .
Inspector Signature Date
DCC
copy of this ce fication must be provided to the OWNER, the BUYER
where applicable ) and the I30ARD OF HEAL'I'll.
* If the inspection FAILED, the owner or ' ` orator shall up
grade pgrade ' the eyatem
within one year of the date of the inspection, unless allowed or required
otherwise as provided in 3.10 CMR 16 , 306 .
partd .doc
MORTGAGE INSPECTION PLAN
Pr�OP{EfdTl'AODRESZ: .91NIHOZWEP?WA.�..... , �� {
SCALM 1 IN.= 30 FT. DAT& 2003106118
LOT 123161.33
h r4 rr0 ii
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terry� w
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L1 r
LOT is i s LOT 1 OB
' - LOT 278 ,
43560 SF '
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} 1 36
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ASPHALT DRIVE
TO COVE LN 7y WINDSWEPT WAY(401
NOTIL,TUB maetape kmpmdan was prePNmd I outify tba t In my prefsosloal oph"u,the atruabuse
apecllicany for cam"sYs purpose as a result of *Mwa do eeabm wmb the Ioost zoa1nY herharrtai
a tape rnsmeuremant,not the result of an bwtn mut dseneleeal setbacks whoa coratruetW6 er are eNarspt*—
survey. vodlTaation of property Itu dbaeaskmw,wale" asbrataent Notice under New.Oaa.Lam 06 40A.Best 7.
a(het/,braes,s16 may he aoGmpllsi"eely by an
accurate hmttument survay. The land Whawo boron is Dwelmao is net Ieomw in a slusalml}load hazard Ares
based on rs1- .0 bwarts"aa Sated ear eery bs b datenshmd from f-RA-&flooi laearmee Pteod We map
suLiaui in iwAlm r isidaso and easomealft eeeer eAy Fungi mu. "iwi,asisi iii47ai1Tr�I.
Of
Tift sr laapeatl ae o■was pwmd to ease
�N
mt:e
wnb"'Teem'"'ataadada ter Ysets'"Lane Wspeotlsns y
INC.-
as adopfad by fbe Naasaohuse Bo
ard oard of 1teolstratloN Of VTP AsaOCIATEB,INC. e E
Professional tinplmwm and Land auavayers ii0 CBIR i0i. SurvorJam-Civil Eny're
US WATERTOIWN STRlET
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