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Home My WebLink AboutTitle V Inspection Report - 1180 TURNPIKE STREET 7/6/2016 omw , n earth of Massachusefts Title 5 Official Inspection Form 4 __: Subsurface Sewage Disposal System Form .. Not for Voluntary Assessments 1180 TURNPIKE STREET Property Address XUAN TRUONG —.- Owner Owner's Name information is NORTH ANDOVER _ MA 01345 7/6/16 required for every ---- - — page Ctty/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. Important:when A. General Information filling out forms on the computer, AU6 O 1 ?, 6 use only the tab 1. Inspector: key o move your — — — 1tytY OF use the eoturnt Name of Inspector ' p k k'k� k=. Y Y JAMES H CURRIER II �. -- key. J'S SEPTIC & DRAIN--- _ — r� Company Name 131 FOREST ST Company Address ----- —-- rg MIDDLETON MA 0194 — ---------- -------- ---------- -- ------- City/Town State Zip Codc 973-774-6635 512327 Telephone 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 DPP 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 _ 7/6/16 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 is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority, ****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. t5ins 3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 Commonwealth of Massachusetts a Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1180 TURNPIKE STREET Property Address XUAN TRUONG Owner Owner's Name information is required for every NORTH ANDOVER MA 01845 7/6/16 page. City/Town State Zip Code Date of Inspection 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 WORKING PROPERLY E1 System Conditionally Passes: One or more system components as described in the "Conditional Pass" section need to be -mrl-no.! 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): l5ins-3l13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts H Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 1180 TURNPIKE STREET Property Address XUAN TRUONG Owner Owner's Name information is required for every NORTH ANDOVER MA 01845 7/6/16 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. 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): ❑ 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); 1'� \ 7N 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1180 TURNPIKE STREET Property Address XUAN TRUONG Owner Owner's Name information is required for every NORTH ANDOVER MA 01845 7/6/16 page. City/Town State Zip Code Date of Inspection 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 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 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 Y2 day flow t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal system•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 1180 TURNPIKE STREET Property Address XUAN TRUONG Owner Owner's Name information is required for every NORTH ANDOVER MA 01845 7/6/16 page. City/Town State Zip Code Date of Inspection 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: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ❑V�l 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 Lone 1 of a i ublic well. ❑ ❑0 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 dess tha.i 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 CM 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 fe t o a surface drinking water supply ❑ ❑ the system is within 200 fee 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 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. t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Inspection Title 5 Official a Subsurface Sewage Disposal System Form Not for Voluntary Assessments 1180 TURNPIKE STREET Property Address XUAN TRUONG Owner Owner's Name information is required for every NORTH ANDOVER MA 01845 7/6/16 page. City/Town 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 ® ❑ 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)] System Information s.�-idantiq' 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 GPD t5ins 3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title Subsurface Sewage Disposal System Form Not for Voluntary Assessments 1180 TURNPIKE STREET Property Address XUAN TRUONG Owner Owner's Name information is required for every NORTH ANDOVER MA 01845 7/6/16 page. Cityfrown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 4 Does residence have a garbage grinder? ® Yes ❑ No 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 ears usage d 141.41 GPD 9 ( Y 9 (gp ))� Detail Sump pump? ❑ Yes ® No Last date of occupancy: CURRENT 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts F Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1180 TURNPIKE STREET Property Address XUAN TRUONG Owner Owner's Name information is required for every NORTH ANDOVER MA 01845 7/6/16 page. City/Town State Zip Code Date of Inspection D. System Information (coot.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: APPROX 1 YEAR AGO PER OWNER Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? 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-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts I Title 5 Official Inspection Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1180 TURNPIKE STREET Property Address XUAN TRUONG Owner Owner's Name information is NORTH ANDOVER MA 01845 7/6/16 required for every - page. CityfTown State Zip Code Date of Inspect,)n D. System Information (cont,) Approximate age of all components, date installed (if known) and source of information: PLAN DATED 2/4/97 Were sewage odors detected when arriving at the site? ❑ Yes: El No Building Sewer(locate on site plan): 2' Depth below grade: feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: PUBLIC H2O feet Comments (on condition of joints, venting, evidence of leakage, etc.): PLUMBING IN GOOD CONDITION, NO EVIDENCE OF LEAKAGE. Septic Tank (locate on site plan): Depth below grade: 10 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: 10'6"X5'8" 1500 GALLON Sludge depth: 8" t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1180 TURNPIKE STREET Property Address XUAN TRUONG Owner Owner's Name information is required for every NORTH ANDOVER MA 01845 7/6/16 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 27" Scum thickness 0-1" 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? SLUDGE JUDGE 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 DOES NOT NEED PUMPING AT THIS TIME, INLET AND OUTLET TEE'S IN PLACE. LIQUID LEVEL CORRECT. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: concrete ❑ metal fib lass ❑ polyethylene ❑ other(explain): El 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 Gate of last pumping: Date t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 1180 TURNPIKE STREET Property Address XUAN TRUONG Owner Owner's Name information is required for every NORTH ANDOVER MA 01845 7/6/16 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•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form W Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1180 TURNPIKE STREET Property Address XUAN TRUONG Owner Owner's Name information is required for every NORTH ANDOVER MA 01845 7/6/16 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 IS LEVEL AND WORKING PROPERLY, LIQUID LEVEL CORRECT NO EVIDENCE OF SOLID CARRYOVER. BOX IS 12" BELOW GRADE. 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. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Co-nmon%vealth of Massachusetts TitieG Official Inspection Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1180 TURNPIKE STREET Property Address XUAN TRUONG Owner Owner's Name information is required for every NORTH ANDOVER MA 01845 7/6/16 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: (3) 50' ❑ 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.): SOILS DRY, NO SIGN OF HYDRAULIC FAILURE, VEGETATION NORMAL 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts S Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 1180 TURNPIKE STREET Property Address XUAN TRUONG Owner Owner's Name information is required for every NORTH ANDOVER MA 01845 7/6/16 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1180 TURNPIKE STREET Pl,)perty Address XUAN TRUCANG Owner Ownc•'s Name information is required for every NORTH Htv'uvv'ER MA 01845 7/6/16 page. City/Town 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 u Ctz, P(- a t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts Title Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ko 1180 TURNPIKE STREET Property Address XUAN TRUONG Owner Owner's Name information is required for every NORTH ANDOVER MA 01845 7/6/16 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 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. 2/4/97 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 PIT DATA ON FILE WITH B.O.H. Before filing this Inspection Report, please see Report Completeness Checklst on next page. t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Dispos,!System•Page 16 of 17 Commonwealth of Massachusetts F TITHe 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 1180 TURNPIKE STREET Property Address XUAN TRUONG Owner Owner's Name information is required for every NORTH ANDOVER MA 01845 7/6/16 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked I� 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 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 IVo, UUb4 r, I/ I crd Card gonoralso on 6/28/2016 11.38 33 AM Dy Tara Hurley P808 1 Town of North Andover Tax Map # 210-107.A-0280-0000.0 Parcel Id 16102 1160 TURNPIKE STREET 'TRUONC, XUAN H Slnce Jan 2009 6307 HADLEY ROCK DRIVE _ KATY, TX 77494 T Property Type 1 Residential Zoning3 1 Residential Type Loan Number Active/Inact, From Until j P ayol � 1 1 Owner Inactive 8/27/2010 1 Prevlous Customer Inactive 9/22/2014 _ . Owner Inactive 2/5/2015 Previous Customer Inactive 5/15/2015 1 Awulult No Cycle Occupant Name Active/Inactive Bldg Id. 13664.0-1160 TURNPIKE STREET Last Billing Dote 5/11/20118 1090342 01 Cycle 01 Active UB Services Maint. Account No. 1090342 Service Code Rate Charge Multlpller/Users MISCFEE ADMIN FEE 0.635/8 7.82 1/ WTR WATER 01 ALL METER SIZE 53.20 /1 U13 Meter Maintenance Account No 1090342 Serial No Status Location Brand Type Size YTD Cons 13242664 a Active 00 METE METE w Water 0,63 0.63 554 Date Reading Code Consumption Posted Date Variance 4/21/2016 1018 a Actual 14 5/25/2016 -6% 1/21/2018 1004 a Actual 15 2/1812016 -22% 10/21/2015 989 aActual 19 11/20/2015 20% 7/2212015 970 a Actual 12 8/14/2015 83% 5/14/2015 958 f Final BIII 2 5/14/2015 •42% 4/2312015 956 a Actual 15 5/19/2015 .6% 1/22/2015 941 aktual 16 2/20/2015 173% 10/23/2014 926 a Actual 2 11/14/2014 -61% 9/22/2014 923 If Final BIII 10 9/22/2014 -21% 712312014 913 a Actual 19 8/13/2014 31% 4122/2014 894 BActual 1a 5/15/2014 __ 10° --TI73MI-4- 886 a Actual 6 2/14/2014 4, 8% 10/23/2013 864 eActual 15 11/10013 ��J •18% e� crd Cab poneraleo On 6126 No. 0864 P. 1/7/2016 11.36 33 AM by Tara Hurley page 1 Town of North Andover Tax Map # 210-107.A-0280-0000.0 r Parcel Id 18102 1180 TURNPIKE STREET TRUONG, XUAN H Slnce Jan 2009 6307 HADLEY ROCK DRIVE KATY, TX 77494 Property Type 1 Residential Zoning3 1 Rasldentlal Type Loan Number ActivellnacL From Unlll 1'ayor i , Owner Inactive 8/27/2010 f, Previous Customer Inactive 9/22/2014 Owner Inactive 21512015 Previous Customer Inactive 5/15/2015 i . ,k...jnc No Cycle Occupant Name Active/Inactive Bldg Id. 13664.0-1180 TURNPIKE STREET Last Billing Date 5/11/2016 1090342 01 Cycle 01 Active UB Services Maint. Account No. 1090342 Service Code Rate Charge Multlpller/Users MISCFEE ADMIN FEE 0,63 518 7.82 1/ WTR WATER 01 ALL METER SIZE 53.20 /1 LIB Meter Maintenance Account No 1090342 Serial No Status Location Brand Type Slze YTD Cons 13242684 a Active 00 METE=M5TE w Water 0.63 0.63 554 Date Reading Code Consumptlon Posted Date Variance 4/21/2016 1018 aActual 14 5125/2016 .6% 1/2112018 1004 a Actual 15 2/19/2016 -22% 10121/2015 989 aActual 19 11/20/2015 20% 712212015 970 a Actual 12 811412015 83% 5/14/2015 958 f Final BIII 2 5/14/2015 .42% 4/2312015 956 a Actual 15 511912015 -6% 1/22/2015 941 aActual 16 } 2/20/2015 173% 10/23/2014 926 a Actual 2 11/14/2014 -61% 9/2212014 923 f Final BIII 10 9/22/2014 -21% 712312014 913 aActual 19 8/13/2014 31% 4/22/2014 e94 a Actual 14 5/15/2014 -10% 4 a Actual 16 2/14/2014 8% 10/23/2013 884 AActual 15 11/18/2013 ,%16 /J �6 �L2rvPn1 ',Yw�"uSk � '"• Pb�i✓N.v NA,H�r/[w' -' If 1 I fY 1 rsml h N � I. 7 3' 4 73 g , r � r it r o.i o 3 r raq�,`9k q /�i �j'' ✓ fl W Q ti �� ' i p Q � 1 C2 n a OC WU3'� 4 aWio Q C, Z LL RZ V7 N z N F z o m tl1 vi1 Q c` r b` maW� @ W p�, g Q Q $( 5 (� O ':3 vi U- C13 ca w l Q Q II ¢ ti U W OWWW ° T 3 ' 13.1 fi U 3 u Q cz a a 0 y clJ z 2aQ 3 z U) U U U U u U U 1—W V f-- 20-1 Le,J N to N Lw Z' W �' W W h_,lki R "°� - "„1.. 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