HomeMy WebLinkAboutTitle V Inspection Report - 498 SALEM STREET 4/18/2017 <
Commonwealth of Massachusetts
.......... ffiv
Title 5 Offidal Inspection Form
Subsurface Sewage Disposal System Form m Not for Voluntary Assessments
of 4
498 Salem Street
Property-Address
Danielle Brazill
Owner ___..._...._.........._.__.. ._..._..___ _ ......_._._...___...._ _....,..
Owner's Name
information is
required for North Andover MA 01845 3/29/17
.................. .........
every page. City/Town State Zip Code Date of Inspection
Inspection results must be submitted on this form. Inspection forms may not be altered in any
way. Please see completeness checklist at the end of the form.
Important: A. General Information
When filling out
forms on the
computer, use I Inspector:
only the tab key TOWN OF NORI H ANDOVER
to move your Warren Pearce Jr
cursor-do not ...... ----------------------------—-------------JiLALTUDLEAKMENT
use the return Name of Inspector
key. Pearce Construction -----------------
Company Name
WQ 196 Park Street
Company Address
North Reading- 01864
Cityfrown State Zip Code
978-664-5264 511959
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 R Conditionally Passes El Fails
❑ Needs Further Evaluation by the Local Approving Authority
44
.....................
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.
15ins-3113 Title 5 Official fnspection Form:Subsurface Sewage Disposal System-Page 1 of 17
Commonwealth of Massachusetts
Title i i l Inspection Form
Subsurface Sewage Disposal System Form- Not for Voluntary Assessments
r 498 Salem Street
Property Address
Danielle Brazill
Owner Owner's Name
information is
required for North Andover MA 01845 3129117
every page. CityfTown State Zip Code Date of Inspection
B. Certification (cont.)
Inspection Summary: Check A,B,C,D or E 1 always complete all of Section D
A) System Passes:
® 1 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:
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-3113 Title 5 Official fnspeclion Form:Subsurface Sewage Disposal System•Page 2 of 17
Commonwealth of Massachusetts
Title Official c r
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
498 Salem Street
Property Address
Danielle Srazill
Owner Owner's Name
information is North Andover MA 01845 3129117'
required for -- -
ev"page. CityfTown State zip Code Date of Inspection
B. Certification (coat.)
❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if
pumps/alarms are repaired.
B) System Conditionally Passes (cant.):
❑ 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 ❑ NO (Explain below):
❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below):
❑ distribution box is leveled or replaced ❑ Y N ❑ NO (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 ❑ NO (Explain below):
❑ obstruction is removed ❑ Y ❑ N ❑ NO (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
Y
15ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•page 3 of 17
i
i
Commonwealth of Massachusetts
Titleici I Inspection Form
a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
498 Salem Street
Property Address
Danielle Brazill
Owner Owner's Name
information is
required for North Andover MA 01845 3129117
every page. Cityrrown 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•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17
Commonwealth of Massachusetts
Title iI l Inspection Form
a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
498 Salem Street
Property Address
Danielle Brazill
Owner Owner's Name
information is
required for North Andover MA 01845 3129117
every 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.
❑ ® 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 DBP 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,
B) 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
❑ ❑ 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.
I
15ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal system-Page 6 of 17
Commonwealth of Massachusetts
Title iiInspection
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
498 Salem Street
Property Address
Danielle Brazill
Owner Owner's Name
information is
required for North Andover MA 01845 3129117
every 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 NIA)
® ❑ 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?
® 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 pian 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-3/13 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 6 of W
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form Not for Voluntary Assessments
498 Salem Street
Property Address
Danielle Brazill
Owner Owner's Name
information is
required for North Andover MA 01845 3/29/17
every page. City/Town State Zip Code Date of Inspection
D. System Information
Description:
---------------------------------
Number of current residents: 4
Does residence have a garbage grinder? El Yes E No
Is laundry on a separate sewage system? (Include laundry system inspection R Yes Z No
information in this report.)
Laundry system inspected? n Yes El Na
Seasonal use? El Yes 0 No
321 GPD
Water meter readings, if available(last 2 years usage(gpd)):
Detail:
3/4/2015 to 3/3/2017 234,124 Gallons
Sump pump? EJ Yes Z No
Last date of occupancy: .61 a.t-e..........
Commerciallindustrial 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? F] Yes E] No
Industrial waste holding tank present? n Yes [_1 No
Non-sanitary waste discharged to the Title 5 system? El Yes El No
Water meter readings, if available:
t5ins•3113 Title 5 Official trispection Forry Subsurface Sewage Disposal System-Page 7 of 17
Commonwealth of Massachusetts
wTitle 5 Officialti
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
M r 498 Salem Street
Property Address
Danielle Brazill
Owner Owner's Name
information is
required for North Andover MA 01845 3129117
every page. Cityrrown 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: Pum ed June 2D14 er the 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 IIA system by system operator under contract
❑ Tight tank. Attach a copy of the DEP approval.
❑ Other(describe):
t5ins•3l13 Title 5 Official Inspection Foam:Subsurface Sewage Disposal System•Page 8 of 17
Commonwealth of Massachusetts
xTitle 5 Official Inspection r
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
498 Salem Street
Property Address
Danielle Brazill _
Owner Owner's Name
information is
required for North Andover MA 01845 3129117
every page. Cityrrown State Zip Code Cate of Inspection
D. System Information (cont.)
Approximate age of all components, date installed (if known) and source of information:
Installed 3/30/2000 17 years old per the certificate of compliance
Were sewage odors detected when arriving at the site? ❑ Yes ® No
Building Sewer(locate on site plan):
Depth below grade: 12 inches
feet
Material of construction:
❑ cast iron ®40 PVC ❑ other(explain):
Distance from private water supply well or suction line: feet
Comments(on condition of Joints, venting, evidence of leakage, etc.):
All appears to be in good shape inside the house.
Septic Tank(locate on site plant):
5
Depth below grade: 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"x 5' 8"x 5 feet deep
Sludge depth: 6 inches
t5ins•all Title 5 Official inspection Force:Subsurface Sewage Disposal Systern•Page 9 of 17
Commonwealth of Massachusetts
gTitle 5 OfficialInspection
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
Y
498 Salem Street
Property Address
Danielle Brazill
Owner Owner's Name
information is
required for North Andover MA 01845 3129117
every page. cityffown 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 32 112
Scum thickness < 1 inch
Distance from top of scum to top of outlet tee or baffle 6.5 inches
Distance from bottom of scum to bottom of outlet tee or baffle 13.5 inches
Tape Measure
How were dimensions determined? Tap -
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
Tees are in lace. Li uid is at the ro er level 8 inches to fluid . Tank a ears#o be in ood shape.
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
15ins•3/13 Title 6 Official rnspeciion Form Subsurface Sewage Disposal System-Page 10 of 17
Commonwealth of Massachusetts
Title Official Inspection r
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
•''r 498 Salem Street
Property Address m
Danielle Brazill
Owner Owner's Name
information is North Andover MA 01845 3129117
required far .._.
every page. Cityrrown Stale 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 — T
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:Subsur€ace Sewage Disposal System•Page 11 of 17
Commonwealth of Massachusetts
Title i i I Inspection
Subsurface Sewage Disposal System Form- Not for Voluntary Assessments
498 Salem Street
Property Address
Danielle Srazill
Owner Owner's Name
information is
required for North Andover MA 01845 3129197
every page. Cityrrown State Zip Code Date of inspection
D. System Information (cant.)
Distribution Box (if present must be opened) (locate on site plan):
Depth of liquid level above outlet invert 0 inches
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 appears to be level, Distribution is equal. Minimal solids. D-box is in fair shape. Cover is
newer. All works OK.
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:
15ins•3113 TOle 5 official Inspection Form:Subsurface Sewage Disposal System•Pegs 12 of 17
Commonwealth of Massachusetts
wTitle Official Inspection r
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
498 Salem Street
Property Address
Danielle Brazill
Owner Owner's Name
information is
required for North Andover MA 01845 3129117
every 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) 68ft long
❑ leaching fields number, dimensions:
❑ overflow cesspool number:
❑ innovativetalternative system
Type/name of technology: —- -- _
Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of
vegetation, etc.):
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
15ins•3113 Title 6 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17
Commonwealth of Massachusetts
Title i i Inspection
Subsurface Sewage Disposal System Foran - Not for Voluntary Assessments
M sY 498 Salem Street
Property Address
Danielle Brazill
Owner Owner's Name
information is
required for North Andover MA 01845 3129117
every page. Cityrrown 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•3113 Title 5 Official Inspection Forth;Subsurface Sewage Disposal System•Page 14 of 17
Commonwealth of Massachusetts
v
Title icial Inspection r
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
'r 498 Salem Street
Property Address
Danielle Brazill
Owner Owner's Name
information is
required for North Andover MA 01845 3129117
every page. City(rown State Zip Code pate of Inspection
D. System Information (cont.)
Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to
at feast 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
t5ins-3/13 Title 5 Oficial inspection Form:Subsurface Sewage Disposal System•Page 16 of 17
Commonwealth of Massachusetts
Title i iInspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
5• 498 Salem Street
Property Address
Danielle Brazill
Owner Owner's Name
information is North Andover MA 01845 3129197
required for _
every page. CityrFown 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: 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: 3/13/2000
Date
® Observed site (abutting property/observation hole within 150 feet of SAS)
® Checked with local Board of Health-explain:
Reviewed files
❑ Checked with local excavators, installers-(attach documentation)
❑ Accessed USGS database-explain:
You must describe how you established the high ground water elevation:
Test hole data from design plan dated 3/13 12000 by Clayton Morin P.E. Site was built up for proper
-separation to ground water.
Before filing this Inspection Report, please see Report Completeness Checklist on next page.
thins•W3 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17
Commonwealth of Massachusetts
xTitle Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
Y
498 Salem Street
Property Address
Danielle Brazill
Owner Owner's Name
information is
required for North Andover MA 01845 3129117
every 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 f=ailure 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•3113 Title 5 Official inspection Form:Subsurface Sewage Disposal System•Page 17 of 17
MnUSe Wafer keter 3
Driveway
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A to D Box=2615" 1
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Summary Record Card garneraled on 3!271204712:54:40 PM by Tara Hurley Page t
Town of North Andover
Tax Map # 210-038.0-0321-0000.0
Parcel Id 11198
498 SALEM STREET
BRAZILL, BRYN Since Jan 2011
BRAZILL, DANIELLE
498 SALEM STREET
NORTH ANDOVER, MA
01846
Class 101 Single Family Property Type 1 Residential
Zoning2 1 Residential zonings 1 Residential
Size Total 1.57Acres
FY 2017
UB Mailing Index
Name/Address Type Loan Number Active/InacL From Until
BRYAN&DANIELLE BRAZILL Owner
498 SALEM STREET
NORTH ANDOVER,MA 01845
IMPRESCIA,RICHARD Previous Customer Inactive 10130/2007
498 SALEM STREET
NORTH ANDOVER,MA
01845
STERGIOUS PAPADOLOS Previous Customer Inactive 2/12/2009
498 SALEM STREET
NORTH ANDOVER,MA 01845
UB Account Maint.
Account No Cycle Occupant Name ActivelInactive
Bldg Id.16467.0-498 SALEM STREET Last Billing Date 1/1312017
3160420 03 Cycle 03 Active
UB Services Maint,
Account No.3160420
Service Code Rate Charge Multiplierlttsers
MISCFEE ADMIN FEE 1 1 9.18 11
WTR WATER 01 ALL METER SIZE 68.40 11
UB Meter Maintenance
Account No.3160420
Serial No Status Location Brand Type Size YTD Cons
13240241 a Active 00 ERT HH METE METE w Water 1 1 838
Date Reading Code Consumption Posted pate Variance i
3/312017 1301 a Actual 16 -9%
12/5/2016 1285 a Actual 18 1/23/2017 -82%
9/6/2016 1267 a Actual 105 10/24/2016 265% I
616/2016 1162 a Actual 30 8/212016 101%
3/2/2016 1132 a Actual 14 4/2212016 -29%
12/312015 1118 a Actual 20 1/2012016 -74%
913/2015 1098 a Actual 77 10/16/2015 131%
6/3/2015 1021 a Actual 33 7/24/2015 169%
314/2015 988 a Actual 12 4/28/2016 -5%
12/5/2014 976 aActual 13 1115/2015 79%
9/4/2014 963 a Actual 62 10/15/2014 261%
6/412014 901 a Actual 17 711612014 13%
3/512014 884 a Actual 16 4/1112014 14%
12/4/2013 869 a Actual 13 111712014 -76%
91512013 856 a Actual 56 10/1512013 48%
8/712013 801 a Actual 38 7/24/2013 171%
3/7/2013 763 a Actual 14 412212013 -24% ,
12/5/2012 749 aActual 18 1/9/2013 -66%
916/2012 731 a Actual 53 10/1512012 11211/4 I
6/7/2012 678 a Actual 25 7/16/2012 160%
E