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244 Septic Inspection 2004 RGEO PAUL P011 flea manor ANE SWIFT tom tenantGaternor COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF EmnitONMENTAL PROTECTION ONE WINTER STREET. BOSTON,NA 02108 617-292-5500 SUBSORFACE SEWAGE DISPOSAL SYSTEM WSPECDONROW PART A CERl1FICAT1011 Property Ad*Ea�_'a6" rass ?, fie J -f torE .ccc I'�'�/�, /� Name of Owner _e Owner:y+ecroc' j-OQ' r- Date of Inspeattun:8 2-h i K n�r � Name atbweller please IWO KAy CLELWrYJA44>UC. Iva -- tGSeottr.15.540 otTAIe 5(510 CMR 15.000) Company Names MawtgAOtrw //L`lf f______ _acr11610 Alf. Telephone Weber Vi3 Shy- /Pic ti/C aysa-aN�'zs✓ iatPtze4 CENUFICATION SEATHfErTT I certify that Have psaonaly SpKkd the sewage Ifispossd system at Ibis address a it eat the SJOmibon reported tsdo.M Ins,accurate as complW sod Our the of ispec NL Ile iga[SNSas;Wowed used m ay owing and experience in the properfus0on and m.Wemew ofanefe a awya*WW1 WIMas. The system Passes _ PwsdtlovOyPass Further E.aiotion Bylate Last Approving Authority BOB DURAND Seaesry LAUREN A LISS Commissioner gePtlme7sds Inspector's 59ohro-IktZf 'crw-y rEL, DaM:B -ol The System ispeelo arson Wawa copy dtlitMpemtiert vemeettetba Appvig AWwray(Board t Watts or DEP)manin Tbty(30)days of ew¢Mtinp Ibis-W salota tithe ayabw 4•tlr W system arias•dselyn low t l0,OOD god or gear.BN isMDtorsod Um system owner all submit Marapatto theinnpr eta regionalpRns rift 0websent et Eminenwo,Aal Wotsuwa The original Would be motto tae gabs wow sod copies motto IS Omyee, Rm iEeable amdOs opossum awes*. NDTEsnancoMMETTS f) Lejc_i per, } 74' 'Gtte,O tv.dh 65 •5-ft.Leirur Loa-1-er, V Z� da �Fi s )Late r.elo14 ec/ .4) The_ d<s4 eu,4 PVC.. 4\AsFrc s94-41e5 This iNonamion is a.ailail a atrium form Irearwig ow ADA C*Nbarn OM,R 401.OEP on the YWN W*Wet Oftpffitroresnagnel slae!,alaSep L t Peseta.an(e .,_. molest' NPpeog sop Pamodda'" kaMaadaassedW.G waists alt -(Siadld panful.m imam cravat nag A nan- ...&!iYedtaStaauepStc all peoe$da so palwa - ID9 Pa r !chmIt l _ _ • sow(epd!duema {yaeMP ' �Ppamadded a} awaaeam a !sud Bps 041.-3k04 PIMPS • .. aWM edfdp.P^IW110 a an si"uW ¢�p a4 %poamaW+Y+ 7ta9 Weal in Pace 21104 aeeod . St p%{W in B4MPaMidalq • ..Bt!mr all B a=Waaal! eql. flaw!Mania'PaMaaast'gSaIVasa aamNWa''laap.... aa,e admcaana oncri (oz)AwemaapeapaBgaa>•amBBl oR •. ISMIPa Wagtail")souelldWoOP a SP Rdea B wpm aowadwi=04st espaWald Bodo P aaumm aS SSaua twain Sp W14 agdaa at. ,w• p+.wb•a '..peaoaaaYwalN saaePa!Bea ._ -: pawl wanner)•(a1 A'N"Al peewu1P Pmao'° OWthPW 'sled 1lla'4iesH P'Pang aft A4 pools- Andes 40 wadaawde4 aB P"aganu'w Bodo ryua=ae amt -pswda' JO paaeida.op a Paw ewes . prompuock.eta a Pa4faP»speaedmoaBMRk Game Joaap :S3SStla AINNNOUJON0a 1113ISAS 'a S1N3ea00 -wWam Pelt-J=A a-lePawWe**+^u' u Ni EOMT+IPP43ea apaVpaS+P wamw+masanwmin AmeIai SaeWpa mmya a!{awmN 9'4 :sassed 161sAS ro U • to `0 'p Ism* -.&N'MNS+a%1'J3d5M h O- f-8 :uoipo wPaPao s no4.sya i'&.ea-G7 la.wo pia 'a< n'd-a 67f - d W Wf ' 3/ Aler4 :".thW UadOaa (Wa-Ma04 NCUVOUNI)33 V EWA TOLO3NiSee2aaxBHSSAS1l'aadr.—a SKaS It3W'\SBRS SURSURFACE SEWAGE DISPOSAL SYSTEM MISPECDON FORM PANT A //"`` CERTIFICATION(c//o'nytMaed) Property Address:Q14V afe-. f, rnt$ I. -T'r0re 'cc- mat). oamer o• D:4s-4-6 as Dote d"APesson:6 1 -o y C. FUR114ER EVALUATION IS MEOWED BY THEBOARD HEALTH: _ Camitions Cam—ti twist-4th aae the 8o+dci Heath i order to& na Res system Is tam m protect flit pubic Raab.afetyand emAroraawA 1) SYSTEM WILL PASS UNLESS BOARD OF TIDE'TERMIES RACCORNICEWHN etOCMR15.EW (t NW THATTE SYSTEM IS NOT IN A MANNER SYNCH WILL PROTECT THE EVENS MALTY! AND SAFETY AND THE ENVIRONMENT:I Cesspool or pt9 is within W)wwof swims water �.eaadaa wanwrsh. CmrtCItS sew bwMik tests&abosMasig ed 2) STS)[M WILL FAX UNLESS THE BOARD OF HEALTH RAMC WATER TEPIAl1CIEl1IFA)DETERMINES THAT T R AD IE SYSTEM IS Fu:CT10RC IN A MANNER TS• . .. AND ThE ENVIRONMENT: The system iris septic tank and sod :.-. . •. .a1 (Si$and the SAS is within 100hst of wgtaee w.YFwippy>tributary to a walvsuppIy. Me 9ABb+WinaZene lefa public_ The system has a septic tank and sea . , eAMw The system stemye a smiths SAS N within W featda poste water supply at _ Tarnsystem haaseWmtank and soil .�. . . . rising Theessystsm Ras a a SIC teak and so, splint widths SASH StVra.100 bet but SD feet CT manilas a pnLatawater*apply .:. antes*swell war aMyMata cowoiju. -.aid same unmet coMpOUNISSIMSEMSS VIII SIM hie haw peikdawtea fiat fa lai ardthe presence ofasnrwda NbOgew a ad libUgelniellard to Or1MBVam 5 ppm- Method used to 3} OTFER 0 allay agpea4+SO agP te' rd"Waal NO Masao' anew '(ZyVpg'SLUIRIaK aaMeaapaaae a°sp*.eTaPeset new twavela Sae P apadaao Waal Ina Ir' Ldha saws asvrd 6awaz paddy= — e ao(y4MI•vary m!aalald P fIA**nue aaapGla aafialMls q a aaPAs ayl Ndyaa 6upuaaa®aa a wiAap«aq eP pm wawa staaisas aw _ — NddsaapmEapaaa aaelea*a umiak aaaaeia as ON saA— • • •lLlea la RIPma Salaam aqua soar Jos raeavea.gps S-ap!pus pa WRW*made e sl aapA&aft pa(rapi6 slimy amnia pillmeowP Amp Wawa' awgsWa elaal01PW a wasRSasaI011ddaeIanh16wiaa6ale tL on AO Ipa.A _rN_x.aalsaaYlp WS,SW MA 511a21 agySAS 3%W1 3 wfiarya anarkr•"'dory" wean•waaSra seam at gan1tlMaesataBaaxl ssApmSw Ram •gagaawal at poApw wpsal pm ma -maim A761abMaaiWNaaa salsa aPN+da moss was ge minnow&Inglaweet.wytwa et£ d d pedoa opaeuad kin \✓— limo Adaawpagakad.Plane Aiwa*al Amid a podsaa AA aaaad AN 7aa wad a pliant vwaw al Amd aP teach°°•p aaMM Aw labs apes*a5AaPp aFodn.a M*awns pasuivemem#Laolap. aa.spWladfay valwapiawpaaI'SM aaaam sl ANd spdawa'aa k%aeplawa lOS aGP waled Awe yy Packard awPPAaaGMI y _ .(end Parma ae pe-6gaainace svawnisaf OS •q a'Wsaws 6aldmd Paarkont -M010R at ma swlsl come.egeadeaolswa PARR 9 wag asatRpOdlsa3 ii gdaPPilt1 g4 -z->b•ds as.,F �. 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(Macho)ago-0114 OV'Q"°'!Fs'-aIO1P'9wea PI'$ 3' aLPale WWI 4741 (mad Maus nem WahlaS SOW O- 577oiS kW/ -aJn'aJ%f •p' 57.6c be/ fsam b/rLoawn Apocla (PanuNgo)NouvNUOdW 031SAS 1Wd INKS NOU.03nN1131SIAS11804903OYM3S XNAH SBOS SUBSURFACE SENAGE DIBP3501.SYSTS1 MORMON FORM S-Btaf INFORMATION(aont tired) oparW Minn: t2W asJ�Arms ?. /%reuc . MA y TASfr 11-5 et*et Kan OR no(BINB TNM__goal.uta p-u bate on aaa pan) twpe berm Oade.-- IMertaldaonWeoYart_ ar des d,eespectInal Dinemelente COP - Deeprrgow—gaa°naldaY Yana present Sin twat Yarn in waning Dab et prealme pumping Cannmenbc (condltlan ofNatbe.canal/en et DISTRIBUTION BM_ locate casks plan) Depth o{liquid level above Comments (nob Ibal and *es No_ ending switellea. a_MRkwdsofdaraven addweedtwaaepMnacute(O0.Ma.) ptMRP aWMaBf:A_ (bale*mean plan) Pumps bwortblcation(YwerNo)_. 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