HomeMy WebLinkAboutTitle V Inspection Report - 120 CARLTON LANE 7/8/2016 Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form Not for Voluntary Assessments
RECEIVED
120 Carlton Lane
------------
Property Address
Jan Micklo
Owner Owners Name V01 OF
Information Is Y i.l c16 i cif
required for every North Andover MA 01845
page. City/Town State Zip Code Date of Inspe 0
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,
use only the tab 1. Inspector:
key to move your
cursor-do not Neil J. Bateson
use the return Name of Inspector —-—-_—
key. Bateson Enterprises Inc.
d"--h
Company Name
111 Argilla Road
Company Address
Andover MA 01810
City/Town State Zip Code
978-475-4786 S115
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 DEP approved system inspector pursuant to Section 15.340 of
Title 5(310 CMR 15.000).The system:
❑ Passes N Conditionally Passes ❑ Fails
ee s Further Evaluation by the Local Approving Authority
7/8/2016
Inspector's SignattkV 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 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 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 'ritio 5 officloi inspection Form:Subsurface Sewage Disposal System-Page 1 of 17
1 1
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form Not for Voluntary Assessments
120 Carlton Lane
Property Address
Jan Micklo
Owner Owner's Name
Information is
required for every North Andover--. MA 01845 7/812016
page. cityrrown 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:
------ --------------
---------------
-----------------
13) 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,
E Y F-1 N ❑ ND (Explain below):
Tank leaking out, needs to be rep
t5fns 3113 Title 5 Officlal Inspection Farm:Subsurface Sewage Disposal System•Page 2 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form Not for Voluntary Assessments
.120 Carlton Lane
Property Address
Jan Micklo —-----
Owner Owner's Name
information is North Andover MA 01845 7/8/2016
required for every
page. Cityrrown 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 Z 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):
F-1 broken pipe(s)are replaced ❑ Y Z N ❑ ND (Explain below):
obstruction is removed ❑ Y ❑ N ❑ ND (Explain below):
C) Further Evaluation is Required by the Board of Health:
F-1 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:
F-1 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-3113 Title 5 Official inspection Form:Subsurface Sewage Disposal System-Page 3 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form Not for Voluntary Assessments
120 Carlton Lane
Property Address
Jan Micklo ------------
Owner Name
information is North Andover MA 01845 7/8/2016
required for eve City/Town State Zip Code Date of Inspection
B. Certification (cont.)
2. System will fall 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:
Septic tank, outlet pipe to d-box&d-box needs o be replaced.
------ -—----------------
D) System Failure Criteria Applicable to All Systems:
You must indicate"Yes" or"No"to each of the following for all inspections:
Yes No
❑ 0 Backup of sewage into facility or system component due to overloaded or
clogged SAS or cesspool
Discharge or poncling 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 1/2 day flow
t5ins 3f13 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
120 Carlton Lane ......
Property Address
Jan Micklo
Owner Owner's Name
information is
required for every North Andover MA 01845 7/8/2016
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: _.
❑ Z Any portion of the SAS, cesspool or privy is below high ground water elevation.
E] N Any portion of cesspool or privy is within 100 feet of a surface water supply or
tributary to a surface water supply.
0 Z Any portion of a cesspool or privy is within a Zone I of a public well.
[:1 Z Any portion of a cesspool or privy is within 50 feet of a private water supply well.
El 0 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.]
❑ Z The system is a cesspool serving a facility with a design flow of 2000gpd-
10,000gpd.
F] g 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 16,000 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
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 15.30.4. The system owner should contact the appropriate
regional office of the Department.
t5lns-3113 Title 5 Official inspection Form:Subsurrace Sewage Disposal System•Page 5 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form Not for Voluntary Assessments
120 Carlton Lane
Property Address
Jan Micklo
Owner Owner's Name
information is MA 01845 7/8/2016
required for every North Andover —------------------ ------ —
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?
F-1 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?
❑ EJ 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?
0 ❑ 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.
Z ❑ 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): 600
t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17
Commonwealth of Massachusetts
Title 5 official Inspection Form
Subsurface Sewage Disposal System Form Not for Voluntary Assessments
------ 120 Carlton Lane
0-r—ope-4-Ad7 Address
Jan Micklo
Owner Owner's Name
Information is North Andover MA 01845 718/2016
required for every City/Town State Zip Code Date of Inspection I-
page.
D. System Information
Description:
——----------
--- —-------
Number of current residents:
Does residence have a garbage grinder? Yes ❑ No
Is laundry on a separate sewage system? (Include laundry system inspection F1 Yes No
information in this report.)
Laundry system inspected? F1 Yes ❑ No
Seasonaluse? ❑ Yes No
Water meter readings, if available(last 2 years usage (gpd)): Yes
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): _dW1 f®r�i 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 3113 Title 5 Official Inspection Form:Subsurface,Sewage Disposal System-Page 7 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form Not for Voluntary Assessments
120 Carlton Lane
Property Address
Jan Micklo
Owner Owner's Name
information is
required for every North Andover MA 01845 7/812016
page. i�Jff 6 w,n- State Zip Code Date of Inspection
D. System Information (cont.)
Last date of occupancy/use: Date
Other(describe below):
General Information
Pumping Records:
Source of information: Pumped 2014, 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:
0 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•3113 Title 5 Official inspeown Form:Subsurface Sewage Disposal System-Page 6 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form Not for Voluntary Assessments
120 Carlton Lane
Property Address
4-an Micklo
Owner Owner's Name
information is North Andover MA 01845 7/8/2016
required for every
page. City/Town State --- Zip Code Date of Inspection
D. System Information (cont.)
Approximate age of all components, date installed (if known) and source of information:
32v ear old, 11/20/1984 final inspection from B.O.H. No date on as built plan
Were sewage odors detected when arriving at the site? M Yes No
Building Sewer(locate on site plan):
2
Depth below grade: feet
Material of construction:
E cast iron 0 40 PVC ❑ other(explain):
Distance from private water supply well or suction line: feet
Comments (on condition of joints, venting, evidence of leakage, etc.):
A' Cast Iron through wall, 3" PVC in house, no leaks visible
Septic Tank(locate on site plan):
Depth below grade:
feet
Material of construction:
concrete ❑ metal ❑fiberglass El polyethylene ❑ other(explain)
If tank is metal, list age:
years
Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes d No
Dimensions: 10' x 5'x4'
Sludge depth: 2
t5ins•3119 Title 5 Officlat 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
120 Carlton Lane ---------
Property Address
Jan Micklo
Owner owner's—Name
information is
required for every North Andover ------- MA 01845 7/8/2016
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 N/A
Scum thickness VI --
Distance from top of scum to top of outlet tee or baffle N/A=tank lea kiDg_
Distance from bottom of scum to bottom of outlet tee or baffle N/A
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.):
Tank half full of liquid, evidence of leaking , needs to be replaced. Outlet pipe to d-box
broken in many locations, needs to be replace to d-box.
--------------
Grease Trap (locate on site plan):
Depth below grade: fe-et
Material of construction:
El concrete R metal ®fiberglass El polyethylene Q 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•3113 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
120 Carlton Lane
Property Address
Jan Micklo
Owner Owners Name
information is North Andover MA 01845 7/8/2016
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 El polyethylene ❑ other(explain):
Dimensions:
Capacity:
gallons
Design Flow: gallons per d-ay
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
Subsurface Sewage Disposal System Form Not for Voluntary Assessments
120 Carlton Lane
Property Address
Jan Micklo ----------
Owner Owner's Name
information Is North Andover MA 01845 7/812016
required for every
page. diCity/Town ate-§-t— —Zip Code Date of Inspection
D. System Information (cont.)
Distribution Box(if present must be opened) (locate on site plan):
Oil
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.):
D-box�badly corroded needs to be replaced. Evidence of leakage, has corrosion holes.
-----------
—------------
---------------
Pump Chamber(locate on site plan):
Pumps in working order: ❑ Yes ❑ No*
Alarms in working order: ❑ Yes [:1 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•Pago 12 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Assessments
Subsurface Sewage Disposal System Form Not for Voluntary
120 Carlton Lane
Property Address —-—------------
Jan Micklo
Owner Owner's Name
Information Is North Andover MA 01845 7/8/2016
required for every
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Type:
F-1 leaching pits number:
❑ leaching chambers number:
El leaching galleries number: ------------
E-1 leaching trenches number, length,
2 leaching fields number, dimensions: I field 30' x 45'
❑ 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.):
Soil ok. Vegetation ok. No sign of ponding to surface.
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•3113 Title 5 Official Inspeefion Form:Subsurface Sewage Disposal System•Page 13 of 17
<C, Commonwealth of Massachusetts
Title 5 Official Inspection Form
6 Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
120 Carlton Lane
Property Address
Jan Micklo
Owner Owner's Name
information is North Andover MA 01845 718/2016
required for every ------
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Comments (note condition of soil, signs of hydraulic failure, level of pending, 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 pending, condition of vegetation,
etc,):
t5ins 3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
o Subsurface Sewage Disposal System Form Not for Voluntary Assessments
120 Carlton Lane
Property Address
Jan Micklo ——----------------
Owner Owner's Name
information is North Andover MA 01845 7/8/2016
required for every
page. 6ity/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:
0 hand-sketch in the area below
El drawing attached separately
1�7
C.- 0
D-BOY-
'I 1�7
1
R)
It q Er
C)
t5ins•3113 Title 5 official inspection Form:Subsurface Sewage Disposal System•Page 15 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form Not for Voluntary Assessments
120 Carlton Lane
Property Kd&e—ss
Jan Micklo ----------- —--------
Owner Owner's Name
information i's 01845 7/8/2016
required for every North Andover MA
page. State Zip Code Date of Inspection
D. System Information (cont.)
Site Exam:
Z Check Slope
Surface water
Check cellar
Shallow wells
Estimated depth to high ground water: >4
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: 5/2211981
Date
❑ Observed site (abutting property/observation hole within 150 feet of SAS)
Checked with local Board of Health -explain:
Design plan
❑ 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 design ......
--------------
Before filing this Inspection Report, please see Report Completeness Checklist on next page.
t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form Not for Voluntary Assessments
120 Carlton Lane ------
Property Address
Jan Micklo
Owner Owner's Name
information is North Andover MA 01845 7/8/2016
required for every
page. City/Town State Zip Code Date of Inspection
E. Report Completeness Checklist
E 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
Z Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file
t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17
Summary Record Card generated""somzmo11!5o:51*m*Karen Hanlon rag",
_
Town of North Andover
Tax Map # 210-106,C_0097-0000,0
^
Parcel Ud1Ty32
12QCARLTONLANE
K8|CKLO' GREGORY & JAN
120 CARLTON LANE
N. ANDOVER, MA
01845
Class 101 Single Family Property Type I Residential
Size Total 1,18 Acres
FY 2016
Name/Address Type Loan Number Ao|ve/|nuoC From Until
M|CKLO.GREGORY&JAN Payor
120CARLTONLANE
N.ANDOVER, MA
01845
Account No Cycle Occupant Name Active/Inactive
Bldg Id. 14130�O'12VCARLTONLANE Last Billing Date h/1*/2O16
2100190 02 Active
��� xmw
Account No. 21OO19O
Service Code Rate Charge Multiplier/Users
M|GCFEE8DM|NFEE 0,6350 7,82 1/
VVTRVVATER 81 ALL METER SIZE 45.00 /1
UB Meter Maintenance
Account No, 2100190
Serial No Status Location Brand Type Size YToCono
13242558 uAm|ve ERTHH METE METE w Wbba, 0.030.63 871
Date Reading Code Consumption Posted Date Variance
5/4/3016 1587 aAmuo| 12 6/21/2016 g%
2/2/2016 1375 oAmua| 11 3/2812016 '51%
11/2/2015 1364 aAmua| zo 12/30/2015 -14%
8/41015 1342 aAmua| 26 9/1412015 11%
5/4/2015 1316 aAotuo| oa 8/22o015 -13%
2/3C2016 12e3 mActue| 37 3/202815 10%
11C3/2014 1266 u8xma| 25 12/15/3014 0%
8/1/2014 1241 aActuo| 22 8/11/2014 -o%
5/5/2814 1219 u8ctuu| 23 6/12/201* '15Y4
2/412014 1196 oActua| 29 3/17/2014 10%
1031/2013 1187 mActuo| 25 12/20/2013 194
811/2013 1142 oActuu| 25 9/18/2013 -13%
511/2013 1117 aActuo| 26 6/18/2013 -O%
217/2013 1891 uActue| 34 013/2013 -2m
1000/2012 1057 aActum| 31 12/13/2012 O%
8/2/2012 1026 aActua| 32 9/26/2012 8%
5/2/2012 994 aAmum| 29 6/202012 '3Y4
2/2/2012 965 aActua| 31 3/14/2012 5%
11/1/2011 984 m8ctumV 29 12/15/2011 -8Y6
8/2/2011 905 mActuai 32 8/14/2011 4%
5/2/2011 873 o8ctuo| 28 6V13/2811 9%
2/4/2011 8*4 aActuo| 28 3/15/2011 '5%
11/112010 80 aActoa| 29 12/1312010 40%
8/3/2010 786 a8otuo| 33 9/13/2010 17m
5/3/2010 753 eActua| 38 6/9/2010 -18Y6
2/1/2010 725 a Actual 34 3/11/3010 6Y6
11/2/2009 691 e8otua| 32 12/11/2009 11%
88/2009 659 aActua| 28 9/11/2009 23%
5/7/2009 631 a Actual 24 6/16/2009 -12%