282 Simon Willard Road, Concord | $1,950,000

282 SIMON WILLARD ROAD 282 Simon Willard Road, Concord | $1,950,000

For more information, please contact:

J STANLEY EDWARDS WADE STANIAR [email protected]| 617-293-8209 [email protected] | 508-479-9508

www.landvest.com One Main Street Concord MA 01742 STATEMENT OF LIMITATIONS

This Property Profile is a compilation of public record information and additional information from the Seller regarding 282 Simon Willard Road, Concord, MA that is currently offered for sale by LandVest, Inc. (hereinafter, the “Offered Property”).

Neither the Seller nor Seller’s representatives make any express or implied representation or warranty as to the accuracy or completeness of any information in this property profile or any of the exhibits attached hereto, and none of such persons shall have any liability relating to or arising from use of any information or any errors there in or omissions there from. Prospective buyers are not entitled to rely on the accuracy or completeness of this information and shall be entitled to rely solely on such representations and warranties as may be in a Purchase and Sale Agreement relating to the proposed acquisition, subject to the terms and conditions of such Agreement.

Any alternative use of the Offered Property implied in this Property Profile does not constitute a warranty or guarantee of approval. It is the sole responsibility of the Buyer to determine the viability of any contemplated use of the property under pertinent federal, state, and local regulations. The Seller makes no representation as to the likelihood of approval of any proposed use.

Neither Seller nor any of its representatives are under any legal obligation and shall have no liability of any nature whatsoever with respect to the proposed acquisition by virtue of this Property Profile or otherwise.

No legal liability is created by this Property Profile, and this document is to be used in whole and not in part. Any sketches produced by LandVest or plans prepared by other professionals in this Property Profile are included only to assist the reader in visualizing the property.

Access to the property is not allowed unless accompanied by an authorized employee of LandVest, Inc.

LandVest, Inc. by reason of this Property Profile, may not be required to give testimony in court with reference to the Offered Property described herein. EXHIBITS

Property Information

Property Photographs

Floor Plans

Ortho-photograph

Conservation Context

Plot Plan

Title V Report

Deed*

Agency Disclosure

Information Sheet 282 Simon Willard Road Concord, Massachusetts

282 Simon Willard Road is a sun-filled Deck House situated in Concord’s Nashawtuc Hill. Sited on 2.36 acres of level land, the tree lined yard has direct access into the Simon Willard Wood conservation land & trails. With its “relaxed elegance” Deck House signature style, this home has walls of glass, welcoming the outdoors in. Featuring spacious 5 bedrooms and three full bathrooms, this home encompasses 4,318 sqft of flexible modern designed living space. Ideal for entertaining, the large fireplaced living room, formal dining room, and chef’s kitchen with premium appliances and a double exposure breakfast and family area leading to a terraced yard with distant views. The second floor features a large master suite with cathedral ceiling, en suite bathroom and walk-in closet. Four additional generous sized bedrooms and a large laundry room complete the second floor. Attached heat two-car garage. Concord center, library, and commuter rail train station are located nearby, and Boston is 20 miles away.

PROPERTY: • Sited on 2.36± acres of level, tree-lined, landscaped grounds • Direct access to the Simon Willard Wood Conservation land and trails • Bluestone entry with stone walls • Bluestone patio, stone walls, multiple garden areas with irrigation system

RESIDENCE • C. 1981 Deck House • 4,318± sq. ft • Five bedrooms, three full bathrooms • Oversized attached heated two-car garage with storage • Indoor/outdoor living with floor to ceiling glass walls and sliders • Vaulted ceilings, mahogany beams, wood floors on first floor, one fireplace

FIRST FLOOR • Wood floors, vaulted beamed ceilings, floor to ceiling sliders to side and rear yard • Living room with wood burning fireplace, wall to wall sliders • First floor bedroom/office • Dining room with pendant light, wall to wall sliders • Chef’s kitchen overlooking side yard with Wolf induction cooktop, Bosch dishwasher, Subzero refrigerator, KitchenAid double oven, maple cabinetry, granite countertops • Breakfast area with three floor to ceiling glass sliders to bluestone patio, side and rear yard • Family room nook, open to breakfast area with exterior access • Mudroom from garage with built-ins

SECOND FLOOR • Master suite with beamed ceiling, wall of windows overlooking side yard, dressing room/walk-in- closet with hanging and storage, en-suite bathroom with soaking tub and shower. • Airy, open hallway • Bedroom with closet, high ceilings, track lighting • Bedroom with closet, high ceiling, closet storage • Large laundry room with washer/dryer hookup, tile floor, sink, storage/counter space, hanging rack • Bedroom with closet, track lighting, storage • Tiled full bathroom with dual sink, shower, tub • Bedroom with large closet, dual exposures, beamed ceiling

BASEMENT/UTILITIES • Poured concrete basement with storage, bulkhead • Heat: Natural gas, hot water baseboard (5 zones) • Cool: Three mini-split air conditioning • Electric: 200 amps, circuit breakers • Radon remediation system • Central vacuum • Buderus G-224 boiler • Irrigation system • Hot water heater - tank

Disclosures: Some photos have been virtually staged. Exclusions: See listing agent.

Assessed value (FY 2020): $2,033,000 Taxes (FY 2020): $28,930

The statements and figures presented herein, while not guaranteed, were secured from sources we believe reliable. Descriptions, images and design; Copyright LandVest, Inc., 2020. All brokers/salespersons represent the seller, not the buyer, in the marketing, negotiating and sale of property, unless otherwise disclosed. However, the broker/salesperson has an ethical and legal obligation to show honesty and fairness to the buyer in all transactions

Ref D/W

Kitchen Living Room 13'-8" x 15'-10" 17'-10" x 32'-0"

Breakfast Area Dining Room 12'-8" x 13'-9" 12'-3" x 15'-4" Ovens

Step Down

DN Foyer Family Room 9'-9" x 19'-10" 13'-1" x 17'-10" Bedroom / Office Bath UP 11'-11" x 15'-7"

9'-5" x Closet Mudroom 5'-0" 9'-5" x 7'-10" Closet

UP UP

Garage 23'-10" x 31'-6"

First Floor Plan Ceiling Height = 8'-0"

282 Simon Willard Road 1' 1' 2' 4' 8' Concord, MA 01742 Graphic Scale

E S Completed: June 2020 Note: Dimensions are not guaranteed and are provided for informational purposes only. 1 Individual room dimensions are not used to N W calculate overall square footage. (800) 328-0217 Bedroom Master Bedroom 17'-9" x 13'-1" 15'-6" x 20'-2" Closet Closet Bedroom Bedroom 13'-9" x 11'-9" 13'-9" x 11'-5" Bedroom Closet 21'-0" x 13'-7" Closet

Closet Closet

DN Closet Open To Below Master Bath Walk-In Laundry Room Bath 9'-5" x 12'-1" Closet 6'-7" x 22'-4" 9'-3" x 11'-3" 9'-5" x 9'-10"

Second Floor Plan Ceiling Height = 10'-6"

282 Simon Willard Road 1' 1' 2' 4' 8' Concord, MA 01742 Graphic Scale

E S Completed: June 2020 Note: Dimensions are not guaranteed and are provided for informational purposes only. 2 Individual room dimensions are not used to N W calculate overall square footage. (800) 328-0217 Electric Storage 17'-2" x 30'-6"

Utility / Storage 39'-2" x 27'-2" Storage 10'-9" x 30'-6" UP

Basement Plan Ceiling Height = 8'-0"

282 Simon Willard Road 1' 1' 2' 4' 8' Concord, MA 01742 Graphic Scale

E S Completed: June 2020 Note: Dimensions are not guaranteed and are provided for informational purposes only. 3 Individual room dimensions are not used to N W calculate overall square footage. (800) 328-0217 Document Name: MA2661 ortho

127'

137'

157' 147'

167' Simon Willard Woods Conservation Area

Simon Willard Woods Conservation Area

137' 282 Simon Willard Rd 1792-5 2.36 ±Ac

196'

Simon Willard Road

187'

177'

Musterfield Road Conservation Area

167'

Musterfield Road Musterfield Road Conservation Area

Legend Base Plan Orthophotograph Subject Property - 2.36 ±Ac Contours (ft) Project Number: MA2661 ° Scale: 1 '' = 100 ' Trails 0 50 100 200 Date: 06/02/20 Feet Adjacent Properties This plan is conceptual only and is not Protected Land represented as an engineered plan.

Wetlands Credits: 2020 Imagery from 282 Simon Willard Rd Nearmap Imagery Concord, MA Intermittent Streams map service. Document Name: MA2661 conservation context

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n hs B D ri r dg e Rd Legend Conservation Context Subject Property - 2.36 ±Ac Open Water Project Number: MA2661 ° Scale: 1 '' = 1,500 ' Trails Wetlands 0 750 1,500 3,000 Date: 06/02/20 Feet Adjacent Properties Perennial Streams This plan is conceptual only and is not Protected Land Intermittent Streams represented as an engineered plan.

Conservation Restrictions (CRs) Credits: Background from 282 Simon Willard Rd ESRI 'Terrain Base' map Concord, MA Agricutural Preservation Restrictions (APRs) service

Commonwealth of Massachusetts

Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments

282 Simon Willard Road

Property Address

Owner Shelley Morse information is required for every Owner's Name page. Concord MA 01742 May 22, 2020

City/Town State Zip Code Date of Inspection

Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. A. Inspector Information

1. Inspector:

Gerardo Valentin Name of Inspector Wind River Environmental Company Name 46 Lizotte Drive Suite 1000 Company Address Marlborough MA 01752 City/Town State Zip Code (978) 815-1858 SI 13834 Telephone Number License Number

B. Certification

I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000); I have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. After conducting this inspection I have determined that the system:

 Passes  Conditionally Passes  Needs Further Evaluation by the Local Approving Authority  Fails

May 22, 2020 Inspector's Signature Date

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 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. Please note: 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 Official Inspection Form: Subsurface Sewage Disposal System  Page 1 of 18 t5ins.doc  rev. 7/26/2018

Commonwealth of Massachusetts

Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments

282 Simon Willard Road

Property Address

Owner Shelley Morse information is required for every Owner's Name page. Concord MA 01742 May 22, 2020

City/Town State Zip Code Date of Inspection

C. Inspection summary

Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6.

1) System Passes:

 I have not found 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:

The system is in working order at the time of this inspection.

2) System Conditionally Passes:

 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

Check the box for "yes", "no" or "not determined" (Y, N, ND) for the following statements. If "not determined," please explain.

The 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.

   Y N ND (Explain below)

Title 5 Official Inspection Form: Subsurface Sewage Disposal System  Page 2 of 18 t5ins.doc  rev. 7/26/2018

Commonwealth of Massachusetts

Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments

282 Simon Willard Road

Property Address

Owner Shelley Morse information is required for every Owner's Name page. Concord MA 01742 May 22, 2020

City/Town State Zip Code Date of Inspection

C. Inspection summary (cont.)

2) System Conditionally Passes (cont.):

 Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired.

 Observation 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  Y  N  ND (Explain below):  obstruction is removed  Y  N  ND (Explain below):  distribution box is leveled or replaced  Y  N  ND (Explain below):

 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):

 broken pipe(s) are replaced  Y  N  ND (Explain below):  obstruction is removed  Y  N  ND (Explain below):

3) Further Evaluation is Required by the Board of Health:

 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 environment.

a. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b) that the system is not functioning in a manner which will protect public health, safety and the environment:

Title 5 Official Inspection Form: Subsurface Sewage Disposal System  Page 3 of 18 t5ins.doc  rev. 7/26/2018

Commonwealth of Massachusetts

Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments

282 Simon Willard Road

Property Address

Owner Shelley Morse information is required for every Owner's Name page. Concord MA 01742 May 22, 2020

City/Town State Zip Code Date of Inspection

C. Inspection summary (cont.)

 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

b. 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.  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 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance:

** This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent 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.

c. Other:

4) System Failure Criteria Applicable to All Systems:

You must indicate "Yes" or "No" to each of the following for all inspections: Yes No   Backup 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

Title 5 Official Inspection Form: Subsurface Sewage Disposal System  Page 4 of 18 t5ins.doc  rev. 7/26/2018

Commonwealth of Massachusetts

Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments

282 Simon Willard Road

Property Address

Owner Shelley Morse information is required for every Owner's Name page. Concord MA 01742 May 22, 2020

City/Town State Zip Code Date of Inspection

C. Inspection summary (cont.)

4) System Failure Criteria Applicable to All Systems: (cont.)

Yes No   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 ½ day flow   Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped:   Any portion of the SAS, cesspool or privy is below high ground water elevation.   Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply.   Any portion of a cesspool or privy is within a Zone 1 of a public well.   Any 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 fecal coliform bacteria indicates absent 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 and chain of custody must be attached to this form.]   The system is a cesspool serving a facility with a design flow of 2000gpd-10,000gpd.   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.

5) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either "yes" or "no" to each of the following, in addition to the questions in Section C.4. Yes No   the system is within 400 feet of a surface drinking water supply   the system is within 200 feet of a tributary to a surface drinking water supply   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

Title 5 Official Inspection Form: Subsurface Sewage Disposal System  Page 5 of 18 t5ins.doc  rev. 7/26/2018

Commonwealth of Massachusetts

Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments

282 Simon Willard Road

Property Address

Owner Shelley Morse information is required for every Owner's Name page. Concord MA 01742 May 22, 2020

City/Town State Zip Code Date of Inspection

C. Inspection summary (cont.) If you have answered "yes" to any question in Section C.5 the system is considered a significant threat, or answered "yes" in Section C.4 above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section C.4 shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate "yes" or "no" for each of the following for all inspections: Yes No   Pumping information was provided by the owner, occupant, or Board of Health

  Were any of the system components pumped out in the previous two weeks?

  Has the system received normal flows in the previous two week period?

  Have large volumes of water been introduced to the system recently or as part of this inspection?

  Were as built plans of the system obtained and examined? (If they were not available note as N/A)

  Was the facility or dwelling inspected for signs of sewage back up?

  Was the site inspected for signs of break out?

  Were all system components, excluding the SAS, located on site?

  Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum?

  Was the facility 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:

  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 approximation of distance is unacceptable) [310 CMR 15.302(5)]

Title 5 Official Inspection Form: Subsurface Sewage Disposal System  Page 6 of 18 t5ins.doc  rev. 7/26/2018

Commonwealth of Massachusetts

Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments

282 Simon Willard Road

Property Address

Owner Shelley Morse information is required for every Owner's Name page. Concord MA 01742 May 22, 2020

City/Town State Zip Code Date of Inspection

D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): 5 Number of bedrooms (actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x # of bedrooms): 550 GPD

Description:

Number of current residents: 1

Does residence have a garbage grinder?  Yes  No

Does residence have a water treatment unit?  Yes  No

If yes, discharges to:

Is laundry on a separate sewage system? (Include laundry system inspection  Yes  No information in this report.)

Laundry system inspected?  Yes  No

Seasonal use?  Yes  No

Water meter readings, if available (last 2 years usage (gpd)): Unavailable

Detail:

Unavailable

Sump pump?  Yes  No Last date of occupancy: Current Date

Title 5 Official Inspection Form: Subsurface Sewage Disposal System  Page 7 of 18 t5ins.doc  rev. 7/26/2018

Commonwealth of Massachusetts

Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments

282 Simon Willard Road

Property Address

Owner Shelley Morse information is required for every Owner's Name page. Concord MA 01742 May 22, 2020

City/Town State Zip Code Date of Inspection

D. System Information (cont.)

2. Commercial/Industrial Flow Conditions:

Type of Establishment: Design flow (based on 310 CMR 15.203): Gallons per day (gpd) Basis of design flow (seats/persons/sq.ft., etc.):

Grease trap present?  Yes  No Water treatment unit present?  Yes  No If yes, discharges to

Industrial waste holding tank present?  Yes  No Non-sanitary waste discharged to the Title 5 system?  Yes  No Water meter readings, if available:

Last date of occupancy/use: Date

Other (describe below):

General Information

3. Pumping Records: Source of information: Wind River Environmental Was system pumped as part of the inspection?  Yes  No If yes, volume pumped: 1500 gallons How was quantity pumped determined? Pump Truck Sight Glass Reason for pumping: Check structural integrity of the tank

Title 5 Official Inspection Form: Subsurface Sewage Disposal System  Page 8 of 18 t5ins.doc  rev. 7/26/2018

Commonwealth of Massachusetts

Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments

282 Simon Willard Road

Property Address

Owner Shelley Morse information is required for every Owner's Name page. Concord MA 01742 May 22, 2020

City/Town State Zip Code Date of Inspection

D. System Information (cont.) 4. Type of System:

 Septic tank, distribution box, soil absorption system

 Single cesspool

 Overflow cesspool

 Privy

 Shared system (yes or no) (if yes, attach previous inspection records, if any)

 Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract (to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract

 Tight tank. Attach a copy of the DEP approval.

 Other (describe):

Approximate age of all components, date installed (if known) and source of information:

1979 per town records.

Were sewage odors detected when arriving at the site?  Yes  No

5. Building Sewer (locate on site plan): Depth below grade: 18” feet Material of construction:  cast iron  40 PVC  other (explain): Distance from private water supply well or suction line: N/A feet

Comments (on condition of joints, venting, evidence of leakage, etc.):

All the joints look OK, the venting is good, and no leakage is observed.

Title 5 Official Inspection Form: Subsurface Sewage Disposal System  Page 9 of 18 t5ins.doc  rev. 7/26/2018

Commonwealth of Massachusetts

Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments

282 Simon Willard Road

Property Address

Owner Shelley Morse information is required for every Owner's Name page. Concord MA 01742 May 22, 2020

City/Town State Zip Code Date of Inspection

D. System Information (cont.)

6. Septic Tank (locate on site plan):

Depth below grade: 13” feet

Material of construction:

 concrete  metal  fiberglass  polyethylene  other (explain)

If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate)  Yes  No Dimensions: 10’ × 5’ × 5’ Sludge depth: 4” Distance from top of sludge to bottom of outlet tee or baffle 31” Scum thickness 0” Distance from top of scum to top of outlet tee or baffle 6” Distance from bottom of scum to bottom of outlet tee or baffle 14” How were dimensions determined? Tape Measure

Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.):

Recommend yearly service. The inlet and outlet baffles are in place. The tank is structurally sound. The liquid

level is good in relation to the outlet invert and no leakage is observed. The tank has a buildup on the center

cover so it is just under the patio stone

Title 5 Official Inspection Form: Subsurface Sewage Disposal System  Page 10 of 18 t5ins.doc  rev. 7/26/2018

Commonwealth of Massachusetts

Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments

282 Simon Willard Road

Property Address

Owner Shelley Morse information is required for every Owner's Name page. Concord MA 01742 May 22, 2020

City/Town State Zip Code Date of Inspection

D. System Information (cont.)

7. Grease Trap (locate on site plan): Depth below grade: feet

Material of construction:  concrete  metal  fiberglass  polyethylene  other (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: Date

Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.):

8. Tight or Holding Tank (tank must be pumped at time of inspection) (locate on site plan):

Depth below grade:

Material of construction:

 concrete  metal  fiberglass  polyethylene  other (explain):

Dimensions: Capacity: gallons Design Flow: gallons per day

Title 5 Official Inspection Form: Subsurface Sewage Disposal System  Page 11 of 18 t5ins.doc  rev. 7/26/2018

Commonwealth of Massachusetts

Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments

282 Simon Willard Road

Property Address

Owner Shelley Morse information is required for every Owner's Name page. Concord MA 01742 May 22, 2020

City/Town State Zip Code Date of Inspection

D. System Information (cont.)

8. Tight or Holding Tank (cont.)

Alarm present:  Yes  No Alarm level: Alarm in working order:  Yes  No Date of last pumping: Date

Comments (condition of alarm and float switches, etc.):

* Attach copy of current pumping contract (required). Is copy attached?  Yes  No

9. Distribution Box (if present must be opened) (locate on site plan):

Depth of liquid level above outlet invert 0

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.):

Th e distribution box cover is 12” below grade and marked with a SCH 40 PVC pipe. The box is level and

distribution to the outlets is equal. There is minimal carryover and no leakage is observed. The box is in good

shape.

Title 5 Official Inspection Form: Subsurface Sewage Disposal System  Page 12 of 18 t5ins.doc  rev. 7/26/2018

Commonwealth of Massachusetts

Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments

282 Simon Willard Road

Property Address

Owner Shelley Morse information is required for every Owner's Name page. Concord MA 01742 May 22, 2020

City/Town State Zip Code Date of Inspection

D. System Information (cont.)

10. Pump Chamber (locate on site plan):

Pumps in working order:  Yes  No* Alarms in working order:  Yes  No*

Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.):

* If pumps or alarms are not in working order, system is a conditional pass.

11. Soil Absorption System (SAS) (locate on site plan, excavation not required):

If SAS not located, explain why:

Type:

 leaching pits number:

 leaching chambers number:  leaching galleries number:

 leaching trenches number, length:  leaching fields number, dimensions: 4 lines @ 24’ × 50’  overflow cesspool number:

 innovative/alternative system Type/name of technology:

Title 5 Official Inspection Form: Subsurface Sewage Disposal System  Page 13 of 18 t5ins.doc  rev. 7/26/2018

Commonwealth of Massachusetts

Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments

282 Simon Willard Road

Property Address

Owner Shelley Morse information is required for every Owner's Name page. Concord MA 01742 May 22, 2020

City/Town State Zip Code Date of Inspection

D. System Information (cont.)

11. Soil Absorption System (SAS)(Cont.)

Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.):

Sandy soil with no signs of hydraulic failure and no ponding. There is normal vegetation in the SAS area.

12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan):

Number and configuration Depth - top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction

Indication of groundwater inflow  Yes  No

Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.):

Title 5 Official Inspection Form: Subsurface Sewage Disposal System  Page 14 of 18 t5ins.doc  rev. 7/26/2018

Commonwealth of Massachusetts

Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments

282 Simon Willard Road

Property Address

Owner Shelley Morse information is required for every Owner's Name page. Concord MA 01742 May 22, 2020

City/Town State Zip Code Date of Inspection

D. System Information (cont.)

13. Privy (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.):

Title 5 Official Inspection Form: Subsurface Sewage Disposal System  Page 15 of 18 t5ins.doc  rev. 7/26/2018

Commonwealth of Massachusetts

Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments

282 Simon Willard Road

Property Address

Owner Shelley Morse information is required for every Owner's Name page. Concord MA 01742 May 22, 2020

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:  hand-sketch in the area below  drawing attached separately

Title 5 Official Inspection Form: Subsurface Sewage Disposal System  Page 16 of 18 t5ins.doc  rev. 7/26/2018

Commonwealth of Massachusetts

Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments

282 Simon Willard Road

Property Address

Owner Shelley Morse information is required for every Owner's Name page. Concord MA 01742 May 22, 2020

City/Town State Zip Code Date of Inspection

D. System Information (cont.)

15. Site Exam:

 Check Slope  Surface water  Check cellar  Shallow wells Estimated depth to high ground water: 6 feet

Please indicate all methods used to determine the high ground water elevation:

 Obtained from system design plans on record If checked, date of design plan reviewed: 10/25/1979 Date  Observed site (abutting property/observation hole within 150 feet of SAS)  Checked with local Board of Health - explain:

 Checked with local excavators, installers - (attach documentation)  Accessed USGS database - explain:

You must describe how you established the high ground water elevation:

Test-hole data per construction permit on file with the Concord Board of Health.

Before filing this Inspection Report, please see Report Completeness Checklist on next page.

Title 5 Official Inspection Form: Subsurface Sewage Disposal System  Page 17 of 18 t5ins.doc  rev. 7/26/2018

Commonwealth of Massachusetts

Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments

282 Simon Willard Road

Property Address

Owner Shelley Morse information is required for every Owner's Name page. Concord MA 01742 May 22, 2020

City/Town State Zip Code Date of Inspection

E. Report Completeness Checklist

Complete all applicable sections of this form inclusive of:

 A. Inspection information: Complete all fields in this section.

 B. Certification: Signed & Dated and 1, 2, 3, or 4 checked

 C. Inspection Summary:

1, 2, 3, or 5 completed as appropriate

4 (Failure Criteria) and 6 (Checklist) completed

 D. System Information: For 8: Tight/Holding Tank - Pumping contract attached

For 15: Sketch of Sewage Disposal System drawn on pg. 16 or attached

For 16: Explanation of estimated depth to high groundwater included

Title 5 Official Inspection Form: Subsurface Sewage Disposal System  Page 18 of 18 t5ins.doc  rev. 7/26/2018

Commonwealth of Massachusetts BOARD OF REGISTRATION OF REAL ESTATE BROKERS AND SALESPERSONS www.mass.gov/dpl/boards/re MASSACHUSETTS MANDATORY REAL ESTATE LICENSEE-CONSUMER RELATIONSHIP DISCLOSURE THIS IS NOT A CONTRACT This disclosure is provided to you, the consumer, by the real estate licensee listed in this disclosure.

THE TIME WHEN THE REAL ESTATE LICENSEE MUST PROVIDE THIS NOTICE TO THE CONSUMER: All real estate licensees must present this form to you at the first personal meeting with you to discuss a specific property. In the event this relationship changes, an additional disclosure must be provided and completed at that time. CONSUMER INFORMATION AND RESPONSIBILITY: If you are a buyer or seller, you can engage a real estate licensee to provide advice, assistance and representation to you as your agent. The real estate licensee can represent you as the seller (Seller's Agent) or represent you as the buyer (Buyer's Agent), or can assist you as a Facilitator. All real estate licensees, regardless of the working relationship with a consumer must, by law, present properties honestly and accurately, and disclose known material defects in the real estate. The duties of a real estate licensee do not relieve consumers of the responsibility to protect their own interests. If you need advice for legal, tax, insurance, zoning, permitted use, or land survey matters, it is your responsibility to consult a professional in those areas. Real estate licensees do not and cannot perform home, lead paint, or insect inspections, nor do they perform septic system, wetlands or environmental evaluations. Do not assume that a real estate licensee works solely for you unless you have an agreement for that relationship. For more detailed definitions and descriptions about real estate relationships, please see page 2 of this disclosure.

THE SELLER OR BUYER RECEIVING THIS DISCLOSURE IS HEREBY ADVISED THAT THE REAL ESTATE LICENSEE NAMED BELOW IS WORKING AS A: Check one: qx Seller's agent q Buyer's agent q Facilitator If seller’s or buyer’s agent is checked above, the real estate licensee must complete the following section:

Check one: qX Non-Designated Agency q Designated Agency The real estate firm or business listed below and all Only the licensee named herein represents the other affiliated agents are also working as the agent q Seller q Buyer (designated seller agency or designated of the qX Seller q Buyer buyer agency). In this situation any other agents affiliated with the firm or business listed below do not represent you and may represent another party in your real estate transaction.

By signing below, I, the real estate licensee, acknowledge that this disclosure has been provided to the consumer named herein: J. Stanley Edwards 9529638 q Broker q Salesperson 6/2020 Signature of Real Estate Licensee Printed Name of Real Estate Licensee License # Today’s Date

LandVest, Inc. 4981 Name Real Estate Brokerage Firm Brokerage Firm Real Estate License # q Buyer Seller Signature of Consumer Printed Name of Consumer Today’s Date q Buyer q Seller Signature of Consumer Printed Name of Consumer Today’s Date

q Check here if the consumer declines to sign this notice. Copyright Date 2017 Form ID: RA400 3/17 Last Revised: January 24, 2017

TYPES OF AGENCY REPRESENTATION

SELLER'S AGENT A seller can engage the services of a real estate licensee to act as the seller’s agent in the sale of the seller’s property. This means that the real estate agent represents the seller, who is a client. The agent owes the seller client undivided loyalty, reasonable care, disclosure, obedience to lawful instruction, confidentiality and accounting. The agent must put the seller's interests first and attempt to negotiate price and terms acceptable to their seller client. The seller may authorize sub-agents to represent him/her in marketing its property to buyers, however the seller should be aware that wrongful action by the real estate agent or sub-agents may subject the seller to legal liability for those wrongful actions.

BUYER'S AGENT A buyer can engage the services of a real estate licensee to act as the buyer’s agent in the purchase of a property. This means that the real estate agent represents the buyer, who is a client. The agent owes the buyer client undivided loyalty, reasonable care, disclosure, obedience to lawful instruction, confidentiality and accounting. The agent must put the buyer's interests first and attempt to negotiate price and terms acceptable to their buyer client. The buyer may also authorize sub-agents to represent him/her in purchasing property, however the buyer should be aware that wrongful action by the real estate agent or sub-agents may subject the buyer to legal liability for those wrongful actions.

(NON-AGENT) FACILITATOR When a real estate licensee works as a facilitator that licensee assists the seller and/or buyer in reaching an agreement but does not represent either the seller or buyer in the transaction. The facilitator and the broker with whom the facilitator is affiliated, owe the seller and buyer a duty to present all real property honestly and accurately by disclosing known material defects and owe a duty to account for funds. Unless otherwise agreed, the facilitator has no duty to keep information received from a seller or buyer confidential. Should the seller and/or buyer expressly agree, a facilitator relationship can be changed to a seller or buyer client relationship with the written agreement of the person so represented.

DESIGNATED SELLER'S AND BUYER'S AGENT A real estate licensee can be designated by another real estate licensee (the appointing or designating agent) to represent a buyer or seller, provided the buyer or seller expressly agrees to such designation. The real estate licensee once so designated is then the agent for that buyer or seller who becomes the agent’s client. The designated agent owes the buyer client or seller client, undivided loyalty, reasonable care, disclosure, obedience to lawful instruction, confidentiality and accounting. The agent must put their client's interests first, and attempt to negotiate price and terms acceptable to their client. No other licensees affiliated with the same firm represent the client unless otherwise agreed upon by the client. In situations where the appointing agent designates another agent to represent the seller and an agent to represent the buyer in the same transaction, then the appointing agent becomes a dual agent. Consequently, a dual agent cannot fully satisfy the duties of loyalty, full disclosure, obedience to lawful instructions, which is required of a seller or buyer agent. Only your designated agent represents your interests. Written consent for designated agency must be provided before a potential transaction is identified, but in any event, no later than prior to the execution of a written agreement for purchase or sale of residential property. The consent must contain the information provided for in the regulations of the Massachusetts Board of Registration of Real Estate Brokers and Salespeople (Board). A sample consent to designated agency is available at the Board's website at www.mass.gov/dpl/re.

DUAL AGENT A real estate licensee may act as a dual agent representing both the seller and the buyer in a transaction but only with the express and informed written consent of both the seller and the buyer. A dual agent shall be neutral with regard to any conflicting interest of the seller and buyer. Consequently, a dual agent cannot satisfy fully the duties of loyalty, full disclosure, obedience to lawful instructions, which is required of a seller or buyer agent. A dual agent does, however, still owe a duty of confidentiality of material information and accounting for funds. Written consent for dual agency must be provided before a potential transaction is identified, but in any event, no later than prior to the execution of a written agreement for purchase or sale of residential property. The consent must contain the information provided for in the regulations of the Massachusetts Board of Registration of Real Estate Brokers and Salespeople (Board). A sample consent to dual agency is available at the Board's website at www.mass.gov/dpl/re.