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HomeMy WebLinkAboutTitle V Inspection Report - 492 SALEM STREET 9/14/2009 / / �/� p/��r�.�° s Commonwealth of Massachusetts =�"���D�� �� �=�J��°��°��8 U����������^�=���� Form ,,-,,, � � �0 �� Official �mo���������N��nm Subsurface Sewage Disposal System Form Not for Voluntary Asses menti'?,ECENHE") 492 Salem St. Property Address Owner Owner's Name | information is NorthAndover MA 01845 | roquired�rev�� � pag e State Zip Code uamp,/nxpemmn � City/Town Inspection results must be submitted on this form. Inspection forms may not bealtered in any way. Please see completeness checklist ot the end of the form. Important:When A, Information filling forms General on the computer, use only the tab 1 |nnpeohzr: key m move your cursor do not Chad Jablonski use the return key. Name ufInspector Jablonski & Sons, Inc. Company Name 1G7 Willow Ave. Company Address Haverhill MA 01835 uit—yiTown State Zip Code 978-360-9358 4574 Telephone Number License Number B. Certification | certify that | 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. | am o DEP approved system inspector pursuant to Section 15.240 of Title 5 (31O [K0R15.0OO). The system: Z Passes FI Conditionally Passes [1 Fails F� Needs Further Evaluation by the Local Approving Authority � maw The opentoraha|| submit a copy of this inspection report to the Approving Authority (Board of Ha�^K�r OEP) within 30 days of completing this inspection. If the system is a shored 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 DER The original should be sent to the system owner and copies sent to the buyer' if applicable, and the approving authority. ****This report only describes conditions ot 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 ofuse. t5ins-09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal system-Page I of 17 Commonwealth of Massachusetts Title i i l Inspection r Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 492 Salem St. -- Property Address Joy Augugliaro Owner Owner's Name information is North Andover MA 01845 9/14/09 required for every State Zip Code Date of Inspection page City/Town B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) 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: System and all components in good working order B) 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): t5ins-09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17 Commonwealth of Massachusetts F Title 5 Official Inspection r Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ° 492 Salem St. Property Address Joy Augugliaro Owner Owner's Name information is North Andover MA 01845 9/14/09 required for every page. CityrFown State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ 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): ❑ i ❑ 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): C) 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. 1. 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: ❑ 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 t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 Commonwealth of Massachusetts Title i i l Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 492 Salem St. — Property Address Joy Augugliaro Owner Owner's Name information is North Andover MA 01845 9/14/09 required for every State Zip Code Date of Inspection page. City/Town B. Certification (cont.) 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. ❑ 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 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. 3. Other: D) 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 ❑ ® 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 '/2 day flow l5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of W Commonwealth of Massachusetts Title i i I Inspection r Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 492 Salem St. Property Address Joy Au u liaro Owner Owner's Name information is North Andover MA 01845 — 9/14/09 required for every State Zip Code Date of Inspection page City/Town B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: El 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. E) 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 D. 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 El 11 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. l5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title i i I Inspection r Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 492 Salem St. Property Address JJ�Au u liaro Owner Owner's Name information is North Andover MA 01845 9/14/09 required for every State Zip Code Date of Inspection page City/Town C. Checklist Check if the following have been done. You must indicate "yes" or"no" as to each of the following: 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? ® El 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)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 4 Number of bedrooms (actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440 t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title i i I Inspection r Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 492 Salem St. Property Address Joy Augugliaro Owner Owner's Name information is North Andover MA 01845 9/14/09 required for every State Zip Code Date of Inspection page. City/Town D. System Information Description: III 3 Number of current residents: Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Attached-350 Water meter readings, if available (last 2 years usage (gpd)): pd Detail: Irrigation Sump pump? ❑ Yes ® No Occupied Last date of occupancy: Date 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 Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title i i I Inspection Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 492 Salem St. -- Property Address Joy Augugliaro — Owner Owner's Name information is North Andover MA 01845 _ 9/14/09 required for every State Zip Code Date of Inspection page CityrFown D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): i i General Information Pumping Records: North Andover BoH Source of information: Was system pumped as part of the inspection? ❑ Yes ® No na If yes, volume pumped: gallons How was quantity pumped determined? na na Reason for pumping: 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): t5ins 09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title fi i l Inspection r Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 492 Salem St. Property Address Joy Augugliaro Owner Owner's Name information is North Andover MA 01845 9/14/09 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 9 yrs As-built plans dated 12/10/00 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): 8" Depth below grade: feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): na Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Watertight at foundation I Septic Tank (locate on site plan): 8" Depth below grade: feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) na If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No 10.5' x 5'8 x 5'8 Dimensions: 3" Sludge depth: t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 Commonwealth of Massachusetts F Title fi i I Inspection Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 492 Salem St. Property Address Joy Augugliaro Owner Owner's Name information is North Andover MA 01845 9/14/09 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank (cont.) Distance from top of sludge to bottom of outlet tee or baffle 25" minimal Scum thickness -- 5" Distance from top of scum to top of outlet tee or baffle 14" Distance from bottom of scum to bottom of outlet tee or baffle _ Measuring tape _ 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.): Tank structurally sound, tee's in good working condition 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 t5ins-09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 Commonwealth of Massachusetts Title fi i I Inspection Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 492 Salem St. Property Address Joy Augugliaro Owner Owner's Name information is North Andover MA 01845 9/14/09 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 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 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 t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 17 Commonwealth of Massachusetts Title f i o I Inspection r Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 492 Salem St. Property Address Joy Augugliaro Owner Owner's Name information is North Andover MA 01845 9/14/09 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 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.): Box level and distributing equally with little solid carryover. 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.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: 15ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 Commonwealth of Massachusetts Title i i l Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 492 Salem St. LAM Property Address Joy Augugliaro Owner Owner's Name information is required for every North Andover MA 01845 9/14/09 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ® leaching trenches number, length: 2-53 ❑ 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.): no sign of hydraulic failur or ponding 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 t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection r Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 492 Salem St. Property Address Joy Augugliaro Owner Owner's Name information is required for every North Andover MA 01845 9/14/09 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): 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.): t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts Title fi i I Inspection Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 492 Salem St. Property Address Joy Augugliaro Owner Owner's Name information is North Andover MA 01845 9/14/09 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 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 CCU1 ( , I 0 LCD 1 b t5ins•09/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts Title Official Inspection r Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 492 Salem St. �.4. - Property Address Joy Augugliaro — Owner Owner's Name information is North Andover MA 01845 9/14/09 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells 4' from bottom of stone Estimated depth to high ground water: 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: 12/10/98 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: Perc test performed 12/10/98 by Alex Parker and witnessed by Carleton Brown Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts F Title 5 Official Inspection Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 492 Salem St. Property Address Joy Augugliaro Owner Owner's Name information is required for every North Andover MA 01845 9/14/09 - ; page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist • Inspection Summary: A, B, C, D, or E checked • Inspection Summary D (System Failure Criteria Applicable to All Systems) completed • System Information— Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file i t5ins-09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 Summary Record Card generated on 9/15/2009 1:33:12 PM by Lisa Evans Page 1 '.............. Town of North Andover Tax Map # 210-038.0-0002-0000.0 Parcel Id 10226 492 SALEM STREET AUGUGLIARO, JOY 492 SALEM STREET NORTH ANDOVER, MA 01845 Class 101 S ---ingle--Family Property Type 1 Residential Family Size Total 1.63 Acres FY 2010 UB Mailing Index Until Name/Address Type Loan Number Activellnact. From AUGUGLIARO,JOY Payor 492 SALEM STREET NORTH ANDOVER,MA 01845 UB Account Maint. Account No Cycle Occupant Name Active/inactive Bldg Id. 16460.0-492 SALEM STREET Last Billing Date 7/8/2009 3160434 03 Cycle 03 Active UB Services Maint. Account No.3160434 Service Code Rate Charge Multiplier/Users MISCFEE ADMIN FEE 0.635/8 7.82 1/ WTR WATER 01 ALL METER SIZE 181.88 /1 UB Meter Maintenance Account No.3160434 Serial No Status Location Brand Type Size YTD Cons 16748857 a Active 00 METE METE w Water 0.63 0.63 240 Date Reading Code Consumption Posted Date Variance 6/2/2009 1896 a Actual 43 7/20/2009 11% 3/6/2009 1853 a Actual 41 4/29/2009 -16% 12/3/2008 1812 aActual 47 1/20/2009 15%° 9/4/2008 1765 a Actual 57 10/10/2008 6/3/2008 1708 a Actual 52 7/16/2008 31% 3/5/2008 1656 aActual 40 4/11/2008 -16% 12/5/2007 1616 aActual 44 1/22/2008 -24% 9/12/2007 1572 a Actual 64 10/12/2007 33% 49 7/20/2007 7% 6/11/2007 1508 a Actual 45 4/16/2007 -2% 3/8/2007 1459 a Actual 12/5/2006 1414 a Actual 44 1/19/2007 28% 9/7/2006 1370 a Actual 58 10/20/2006 47 7/10/2006 21% 6/9/2006 1312 a Actual 3/22/2006 1265 a Actual 49 4/17/2006 -27% 53%12/12/2005 1216 a Actual 52 1/17/2006 9/12/2005 1164 a Actual 79 10/14/2005 53% 46 7/15/2005 6% 6/3/2005 1085 a Actual 3/5/2005 1039 m Manual estimate 43 4/5/2005 1% 12/6/2004 996 a Actual 43 1/14/2005 - 2% 9/9/2004 953 a Actual 64 10/8/2004 112% 39 7/30/2004 6 6/4/2004 889 a Actual 0% 4/13/2004 850 a Actual 60 5/17/2004 Summary Record Card generated on 9/15/2009 1:33:12 PM by Lisa Evans Town of North Andover Tax Map # 210-038.0-0002-0000.0 Parcel Id 10226 492 SALEM STREET AUGUGLIARO, JOY 492 SALEM STREET NORTH ANDOVER, MA 01845 Class 101 Single Family Property Type 1 I Size Total 1.63 Acres FY 2010 UB Mailing Index Name/Address Type Loan Number Active/Inact. From AUGUGLIARO,JOY Payor 492 SALEM STREET NORTH ANDOVER,MA 01845 UB Account Maint. Account No Cycle Occupant Name Active/Inactive Bldg Id. 16460.0-492 SALEM STREET Last Billing Date 7/8/2009 3160434 03 Cycle 03 Active UB Services Maint. Account No.3160434 Service Code Rate Charge Multiplier/Users MISCFEE ADMIN FEE 0.635/8 7.82 1/ WTR WATER 01 ALL METER SIZE 181.88 /1 UB Meter Maintenance Account No.3160434 Serial No Status Location Brand Type Size 16748857 a Active 00 METE METE w Water 0.63 0.63 Date Reading Code Consumption Posted Date 6/2/2009 1896 a Actual 43 7/20/2009 3/6/2009 1853 a Actual 41 4/29/2009 12/3/2008 1812 a Actual 47 1/20/2009 9/4/2008 1765 a Actual 57 10/10/2008 6/3/2008 1708 a Actual 52 7/16/2008 3/5/2008 1656 a Actual 40 4/11/2008 12/5/2007 1616 a Actual 44 1/22/2008 9/12/2007 1572 a Actual 64 10/12/2007 6/11/2007 1508 a Actual 49 7/20/2007 3/8/2007 1459 a Actual 45 4/16/2007 12/5/2006 1414 a Actual 44 1/19/2007 9/7/2006 1370 a Actual 58 10/20/2006 6/9/2006 1312 a Actual 47 7/10/2006 3/22/2006 1265 a Actual 49 4/17/2006 12/12/2005 1216 a Actual 52 1/17/2006 9/12/2005 1164 a Actual 79 10/14/2005 6/3/2005 1085 a Actual 46 7/15/2005 3/5/2005 1039 m Manual estimate 43 4/5/2005 12/6/2004 996 a Actual 43 1/14/2005 9/9/2004 953 a Actual 64 10/8/2004 6/4/2004 889 a Actual 39 7/30/2004 4/1312004 850 a Actual 60 5/17/2004