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Home My WebLink AboutTitle V Inspection Report - 89 MARIAN DRIVE 6/27/2013 Commonwealth of Massachusetts Title 5 Official Inspection Form t Subsurface Sewage Disposal System Form - Not for Voluntary Assessments t tL 89 Marian Dr. - - - ----- P:opc:�(yAdUi ss Kennedy Ovrnt r ovvflof s`1:arne formation is required orth Andover ired for every MA 01845 6/27/2013 ,age City19 own 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. Important:When A out forms General Information `filing on Me computes use only thr taD 1. inspector; m-y to move your cursor do not Chad Jablonski ii se tree return _ ------ Na ne of nispc.cloi CJ Jablonski Septic Inspection & Repair company Narne - -- -- -- 137 Merrimac St. r -- Co (zany A,c, ess �i Newburyport MA 01950 - ---- - - city,,]owm State - Zip Code 978-360-9358 4574 �elepnm,Number License NUmber B. Certification I certify that I 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 ❑ Fails Needs Further Evaluation by the Local Approving Authority -f� J � /z� � �� nsq - ritnaniie Date The system iris ctor shall submit a copy of this inspection report to the Approving Authority (Board of Health or D } within 30 days of completing this inspection. If the system is a shared system or has a design f ow 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. ""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. fjde 5 Oihcr. nspectio I urn:Srosu^ace Sewage Disposal System•Page 1 of 17 ', Commonwealth of Massachusetts 3'• Title 5 Official Inspection Form k Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 89 Marian Dr. PiopenyAda ess ----- Kennedy Ovinet Otmei s Naive information is cgtiired for every North Andover MA 01845 6/27/2013 _ _ - Page, City,Tnwn State Zip Code Date of Inspection B. Certification (coat.) Inspection Summary: Check A,B,C,D or E r 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 CZAR 15,303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: SAS and all components in good working order. B) System Conditionally Passes: J 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 wii! 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 rj N ❑ ND (Explain below): -,,. 1.10 1 E0,5 OtLa:- G epeciior Form Sub-L mace Sev,age Disposal System•Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form _ I �t Subsurface Sewage Disposal System Form - Not for Voluntary Assessments r 89 Marian Dr. - - PropeityAddies - Kennedy _ owner owners Naime 'information is MA 01845 6/27/2013 quired for evety North Andover -_ rage City/Town State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Basses (cunt.): ❑ 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): j j 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: El Cesspool or privy is within 50 feet of a surface water L. Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t[; t ire 5 olriclai ins puoion l=oan:su'bsurace Seiage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form r Subsurface Sewage Disposal System Form - Not for Voluntary Assessments -N 3 89 Marian Dr. _ Propeity Add ass Kennedy Owner O,,vnu s Name information is MA 01845 6/27/2013 re,quired for every North Andover page city/To"'In Mate Zip Code Date of Inspection B. Certification (cant.) 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. C The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The systern 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". f 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. 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 L] X clogged SAS or cesspool 21 Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool El Z Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool D N Liquid depth in cesspool is less than 6" below invert or available volume is less than ?6 day flow —_-- f » f le 6 Gfhaal inspection Fow-i SLit)s,dace Sewage Disposal system-Page 4 of 17 A, Commonwealth of Massachusetts T'tIe m a.�� Subsurface Sewage Disposal System Eorrn - Not for Voluntary Assessments iY4' 89 Marian Dr. Property Address Kennedy O"^mer Gvvncr's Nance nfonnation is MA 01845 6/27/2013 rn gloireo for every North Andover --- - �agc City/town State Zip Code Date of Inspection B. Certification (cone.) Yes No -J Required pumping more than 4 times in the last year NOTdue to clogged or - obstructed pipe(s). Nurnber of times pumped: [ i 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. i 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 r7 ❑ the system is within 400 feet of a surface drinking water supply `-1 the system is within 200 feet of a tributary to a surface drinking water supply r the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area-- IWPA) or a mapped Zone 11 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, N 1! 10 i,tle 5 ofticiai inspuaon rorm Subsurtaca Sewage Disposal System-Page 5 or 17 Commonwealth of Massachusetts Title 5 v t Subsurface Sewage Disposal System Form - Not for Voluntary Assessments r � ' g' 89 Marian Dr. - _ - Propr,tty Addf oss Kennedy -_ Owner Owner's Name oforrnation is MA 01845 6/27/2013 required for every North Andover - _ -_ ---- page- City"rows State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate "yes" or"no" as to each of the following: Yes No I'D 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? E 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) 0 Was the facility or dwelling inspected for signs of sewage back up? lZ ❑ Was the site inspected for signs of break out? Z ❑ Were all system components, excluding the SAS, located on site? IX J� 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. D Determined in the field (it any of the failure criteria related to Part C is at issue L' approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information -------------------- Residential Flow Conditions: Number of bedrooms (design): Number of bedrooms (actual): 4____ DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x #of bedrooms): 440 IU -tt�e 5 0f6ciai Inspection I Oral. Suosuriace Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts T"tIe 5 Official Inspection Form m �v Subsurface Sewage Disposal System Form Not fior Voluntary Assessments 89 Marian Dr. Propeity Acid[ ss Kennedy - - Owner Ownei s Nance information is MA 01845 6/27/2013 iequired for every North AndOVe -- page Ciry/TOwn State Zip Code Date of Inspection D. System Information Description: I 6 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 Seasonai use? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): -- --Attached—- __— Detail - _ - ❑ Yes ® No Sump pump? Ocu led _9c— ----- Last date of occupancy: Date Commercial/Industrial Flow Conditions: Type of Establishment: __-- Design flow (based on 310 CMR 15.203): d - -_— Gallons per ay(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: -- --- 10 Tide 5 brm SuDsl pace Sewaye Disposal System•Page 7 of 17 ,v Commonwealth of Massachusetts Title 5 Off Icial Inspection Sukssurface Sewage Disposal System farm Not for Voluntary Assessments g P y r 89 Marian Dr. - - Property Addies Kennedy Omer Owners Name Information Is MA 01845 6/27/2013 rcc;uired for every North Andover -_ c C;ty[F own State Lip Code Date of Inspection D. System Information (cons.) last date of occupancy/use: Date Other (describe below): - I - I General Information i Pumping Records: Source of information: Home-Owner _-_--- Was system pumped as pail of the inspection? ❑ Yes ® No na If yes, volume pumped: - -- - -- gallons na How was quantity pumped determined? _ Reason for pumping: na - - -- -- Type of System: Septic tank, distribution box, soil absorption system r�l Single cesspool ❑r Overflow cesspool Privy El 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): t Io :nlr 5 Otrc;a i"spec'on Form Subsuflace Sewage Disposal System•Page 8 or 17 Commonwealth of Massachusetts Title 5 Official Inspection Form a t Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ?,t 89 Marian Dr. Properly Address Kennedy - Owner Owner's Nafne required Morned on for every is North Andover MA 01845 6/27/2013 _ -- ��qe City/-1 own - — — State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: Certificate of Compliance dated 6/23/2006 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer (locate on site pian): 48" from top of foundation Depth below grade: feet ---- -- -- Material of construction: cast iron L 40 PVC ❑ other (explain): -- - --- Distance from private water supply well or suction line: te-et- -- - - Comments (on condition of joints, venting, evidence of leakage, etc.): Watertight at foundation i Septic Tank(locate on site plan): 4° Depth below grade: feet Material of construction: concrete I_J metal 1_� fiberglass ❑ polyethylene ❑ other (explain) If tank is metal, list age: -- _--- years Is age confirmed by a Certificate of Corpliance? (attach a copy of certificate) ❑ Yes ❑ No 10.5 x 5.5 x 5.5 Dimensions: _ _ -—---__----- -_-__- 2" Sludge depth: - - ---- t 10 ;rtle Inspect on Form.S,iis"ftaee Sewage Disposal System•Page 9 of 17 Y Commonwealth of Massachusetts P, Title 5 Official Inspection Form .. d St` Subsurface Sewage Disposal System Form - Not for Voluntary Assessments r i � 89 Marian Dr. Property Address Kennedy - - - Owner Owner's Narne rformation is North Andover MA 01845 6/27/2013 required for every - - - - _ _ —-- --- ---- ---- -- page. C ty"Town - _ —_ -_ State - Zip Code Date of Inspection D. System Information (cont.) Septic Wank(cone.) Distance from 'top of sludge to bottorn of outlet tee or baffle 32" 1" Scum thickness 5° Distance from top of scum to top of outlet tee or baffle - - Distance from bottom of scum to bottom of outlet tee or baffle 14° How were dimensions determined? measuring tape 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 is structurally sound. Inlet and outlet tee's in good working order. Effluent filter must be cleaned annually. - - - Grease Trap (locate on site plan): Depth below grade: feel Material of construction: (-3 concrete ❑ rnetal ❑ 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 purnping: Date - �.y� T do 5 016ua Inspcouon f=orm-Subsunace Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form fit Subsurface sewage Disposal System Form - Not for Voluntary Assessments 3 , . 89 Marian Dr. Property Address Kennedy - O Owners Name information is North Andover MA 01845 6/27/2013 re,gr,ired 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 iJ metal E] fiberglass ❑ polyethylene ❑ other (explain): Dimensions: --_ ____------_--_-_--- Capacity: gallons Design Flow: gallons per day I Alarm present: ❑ Yes ❑ No I 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 1;t 0 rule 5 Ofi:ciai Irispeci�on Y'orm SUbjJrtace Seeiage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form }` Subsurface Sewage Disposal System Form Not for Voluntary Assessments 89 Marian Dr. Property Address Kennedy _ Owner Owne,'s Nane nformation is MA 01845 6/27/2013 required for every North Andover _ Page. y Cif /Town State Zip Code Date of Inspection ---- -------- ------------- D. System Information (cons.) Distribution Box (if present must be opened) (locate on site plan): 0' Depth of liquid level above outlet invert - _- -__ —--- — 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 is level and distributing equally. 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.): i Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: �� 7lue 5 offic,af 4nspect,on Form.Subsuriace Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 89 Marian Dr. Propeity Address Kennedy Owner Ownp s Name; infonon is r%quiredred for every North Andover MA 01845 6/27/2013 - _ - - _ - - _. — - ----------- ------ aqe. Cityfrown State Zip Code Date of Inspection D. System Information (cons.) Type leaching pits number: - - — -- --- leaching chambers number: leaching galleries number: ------- ------ Ell leaching trenches number, length: -- ---------- leaching fields number, dimensions: -- ----- ---- ❑ overflow cesspool number: - - --- -- Ex, innovative/alternative system Type/narne of technology: infiltrator system 61' x 37' Comments (note condition of soil, signs of hydraulic failure, level of pending, damp soil, condition of vegetation, etc.). No sign of hydraulic failure 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 .1 10 line 5 Official Inspection Form:Sunsuriace Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts M m Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments la 89 Marian Dr. Property Addre-,ss Kennedy owner's Name information is (forth Andover MA 01845 6/27/2013 required for every —_ - ---- -------- — ----- Page. City/1 own 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 --____-- Cornments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t:1� ,S office in'peaion i-omr.Subsurface Sewage Disposal System•Page 14 of 17 a, Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface ;sewage Disposal System Form - Not for Voluntary Assessments 89 Marian Dr. �.- Property Address --------------------- -- Kennedy - Owner Owner's Name -- n(o oration is yuired for even North Andover MA 01845 6/27/20_- - - -- 13 - ---- ----- --- -- pa9e city/Town State Zip Code Date of Inspection D. System Information (cons.) Sketch Of Sewage Disposal Systern: 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 I d `CJ`1 i i -G7 � D e .s I I t��;; aie.5 Oft,aai inspection Form Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts u i Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ' 89 Marian Dr. Property Address Kennedy Owner's Name nforn-eation is required for every North Andover MA 01845 6/27/2013 _ - -_ pare. City/Town State Zip Code Date of Inspection D. System Information (cont.) — — Site Exam: Check Slope Z Surface water (r� Check cellar Shallow wells 4' below SAS Estimated depth to high ground water: _ feet Please indicate all methods used to determine the high ground water elevation: Ell Obtained from system design plans on record If checked, date of design plan reviewed: Plan approved 2/10/2006 - 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: Soil test performed 8/31/2005 by Bill Dufresne and witnessed by A. McBrearty Before filing this Inspection Report, please see report Completeness Checklist on next page. -,•11:'to 1 .c 5 Official inspection Muni Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts Inspection t Title t Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 89 Marian Dr. Property Address - Kennedy - -_ ...------------- -- Owner Owner's Name information is North Andover MA 01845 6/27/2013 required for every - _ - _ - -- - --- --- Page city/Town — ---- -------- ---_---State -- Lip Code Date of Inspection E. Report Completeness Checklist 7L Inspection Summary: A, D, C, D, or E checked X Inspection Summary D (System Failure Criteria Applicable to All Systems) completed System Information — Estirnated depth to high groundwater Cj Sketch of Sewage Disposal Systern either drawn on page 15 or attached in separate file ntic 5 Official Inspection Vmrn Subsurface Sewage Disposal System•Page 17 of 17 Cans)t�. ete;: .-/l"gip z 1 1:th;'AM ny Kr,rron Hsn,or. Town of North Andover Tax Map # 210-107.0-0046-0000.0 Parcel Id 18330 89 MARIAN DRIVE NATHAN & KATIE KENNEDY 89 MARIAN DRIVE NORTH ANDOVER, MA 01845 Class 101 Single Family Property Type 1 Resi Zoning2 1 Residential Zoning3 1 Resi Size Total 1,2 Acres FY 2013 UB Mailing Index Name/Address Type Loan Number Active/Inact. From NATHAN&KATIE KENNEDY Owner 89 MARIAN DRIVE NORTH ANDOVER,MA 01845 CONDON, EDWARD A. Previous Customer Inactive 3/27/2007 89 MARIAN DRIVE N ANDOVER, MA 01845 UB Account Maint. Account No Cycle Occupant Name Active/Inactive Bldg Id 13649.0-89 MARIAN DRIVE Last Billing Date 5/8/2013 1090327 01 Cycle 01 Active UB Services Maint. Account No. 1090327 Service Code Rate Charge Multiplier/Users MISCFEE ADMIN FEE 0.63 5/8 7.82 1! WTR WATER 01 ALL METER SIZE 6840 /1 UB Meter Maintenance Account No 1090327 Serial No Status Location Brand Type Size YTD 16335710 a Active 00 b Badger w Water 0.63 0.63 Date Reading Code Consumption Posted Date Vari 4/25/2013 899 a Actual 18 5/20/2013 1/24/2013 881 a Actual 16 2/13/2013 10/23/2012 865 a Actual 26 11/9/2012 7/23/2012 839 a Actual 40 8/14/2012 4/2312012 799 a Actual 19 5/9/2012 1,123/2012 780 a Actual 18 2/13/2012 10/20/2011 762 a Actual 17 11/14/2011 712012011 745 a Actual 25 8/15/2011 4/22/2011 720 a Actual 15 5/16/2011 1,125/2011 705 a Actual 16 2/11/2011 10/21/2010 689 a Actual 18 11/12/2010 7/22/2010 671 a Actual 14 8/16/2010 412212010 657 a Actual 16 5/12/2010 1/22/2010 641 a Actual 17 2/1212010 10/23/2009 624 a Actual 25 11/11/2009 7/2412009 599 a Actual 29 8/12/2009 4/27/2009 570 a Actual 21 5/13/2009 1/23/2009 549 a Actual 18 2/10/2009 10/23/2008 531 a Actual 21 11/12/2008 7/22/2008 510 a Actual 25 8/15/2008 4/23/2008 485 a Actual 15 5/19/2008 1/28/2008 470 a Actual 18 2/19/2008 10/24/2007 452 a Actual 19 11/16/2007 7/19/2007 433 a Actual 20 8115/2007 4/19/2007 413 a Actual 3 5/21/2007 3/23/2007 410 if Final Bill B 3123/2007