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HomeMy WebLinkAboutTitle V Inspection Report - 31 BRADFORD STREET 6/1/2017 Commonwealth of Massachusetts 'D Vt. 00:4 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 31 Bradford St. vo*' Property Address Caroline &Amine Hannache OwnerOwner's Name information is required for every North Andover MA 01845 6/1/2017 page. CityTTown 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, use only the tab 1. Inspector: key to move your cursor-do not Anthony G, Cam pano use the return ------------------- -----------------............ ------ key. Name of Inspector Campanct Engineering and Title 5 Inspections Company Name - — VQ -30A Elm St. Company Address Pepperell MA 01463 City/Town State Zip Code 978-433-2212 3602 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: 0 Passes F1 Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 06/04/2017 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 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. 15ins.doc•rev.6116 Title 5 Official inspection Form:Subsurface Sewage Disposal System-Page 1 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form ry Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 31 Bradford St. Property Address Caroline &Amine Hannache _ Owner Owner's Name information is required for every North Andover MA 01845 6/1/2017 — _ page. CilylTown State dip 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 F-1ND (Explain below): 150s.doc•rev.6116 Title 5 Officia;InspectionForm: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 31 Bradford St. Property Address Caroline &Amine Hannache w __ Owner Owner's Name information is North Andover MA 01845 6/112017 required for every _._.. Paige- 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 ❑ 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): 9 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 3i t5ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 i'. Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments Y ." 31 Bradford St. Property Address Caroline &Amine Hannache Owner Owner's Name information is North Andover MA 01845 6/1/2017 required for every - page. City[T'own 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: 3 B 9 D) System Failure Criteria Applicable to All Systems: f� You must indicate"Yes" or"No"to each of the following for all inspections: Yes No El ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool El ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool El ® 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 'i ® than Y2 day flow t5irtsAoc-rev.6116 Title 5 Oficial 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 .' 31 Bradford St. _ Property Address m Caroline &Amine Hannache Owner Owners Name information is North Andover MA 01845 6/1/2017 required for every page. Citylrown Stale Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year MOT 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 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 falls. 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. i 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. u j For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply El El Area 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. l5ins.doc•rev.6116 Title 5 Oficial Inspection Foran:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments s 31 Bradford St. Property Address Caroline&Amine Hannache Owner Owner's Name information is required for every North Andover MA 01845 6/1/2017 -_ —. _ - - ---- - � page. Cityrrown Slate 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? Was the facility owner(and occupants if different from owner) provided with ❑ ® information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): no plan Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 t5in5.doc•rev.6116 Title 5 Official Inspection Form:Subsudaee Sewage Disposal System•Page 6 or 17 i Commonwealth of Massachusetts Title 5 official Inspection Form ^ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments Y 31 Bradford St. _ Property Address m Caroline&Amine Hannache Owner Owner's Name information is North Andover MA 01845 6/1/2017 required for every _ - page. CitylTown State .Zip Code Date of Inspection D. System Information Description: 3 Number of current residents: 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 42.5gpd Water meter readings, if available (last 2 years usage(gpd)): Detail: 4,142 x 7.48gal/728 days= 42.5 gpd 9 Sump pump? ® Yes E] No occupied Last date of occupancy: Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow (seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ Na Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes E] No Water meter readings, if available: t5ins.doc-rev.6116 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 .' 31 Bradford St. Property Address Caroline &Amine Hannache _ Owner Owner's Name information is required for every North Andover MA 01845 6/1/2017 _ �— W.---te -- _ page, City/Town State Zip Code Daof Inspection D. System Information (cont.) Last date of occupancy/use: Date W Other(describe below): General Information Pumping Records: Source of information: 2014 per owner _ T Was system pumped as part of the inspection? El Yes ® No If yes, volume pumped: - - - gallons How was quantity pumped determined? - -- -- 9 Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system 0 ❑ Single cesspool ❑ Overflow cesspool L1Privy ❑ 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.doc•rev.6/16 Titte 6 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 31 Bradford St. Property Address Caroline&Amine Hannache Owner Owner's Name information is North Andover MA 01845 6/1/2017 required for every _...__ }nage. City/Town State Zip Code ©ate of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: Per the as biult 7-12-1993 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): 16" Depth below grade: feet - Material of construction: ® cast iron ❑40 PVC ❑ other(explain): - - Distance from private water supply well or suction line: 25 p feet Comments (on condition of joints, venting, evidence of leakage, etc.): All exposed joints were in good condition with no evidence of leakage or venting problems. Septic Tank(locate on site plan): 3" Depth below grade: feet Material of construction: ®concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) Tank was in good condition, liquid level was at the outlet pipe invert. Both inlet and outlet baffles were in place and composed of concrete. u 0 If tank is metal, list age: ears Y Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No 71x5'5"Wx5'D Dimensions: 3" Sludge depth: -_ i 3 15ins.doc-rev.6116 Title 5 Official Inspection Form:Subsurface Sewage disposal System•Page 9 of 77 is Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form _ Not for Voluntary Assessments 31 Bradford St, Properly Address Caroline&Amine Hannache Owner owner's Name WWW information is North Andover MA 01845_ 6/1/2017 required for every -- page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 34" 211 Scum thickness ___ . 7., Distance from top of scum to top of outlet tee or baffle 7 Distance from bottom of scum to bottom of outlet tee or baffle 16" 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 is in good condition. Liquid level was at the outlet pipe invert. Both inlet and outlet baffles were composed of concrete, in place and in good condition.(SEE ATTACHED PHOTOS) 9 s Grease Trap(locate on site plan): Depth below grade: feet u Material of construction'. o� El concrete El metal El 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: 1 l5ins.doc•rev.6116 Titta 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 31 Bradford St. mm Property Address Caroline&Amine Hannache Owner Owner's Name information is North Andover MA 01846 6/1/2017 required for every _-. — page. Gityfrown §tate 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 W _ Comments(condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No i l5ins.doc•rev.6116 Title 5 Off€tial€nspection Form:SubsurfaCe Sewage Disposal System•Page 11 o€17 i I 1 Commonwealth of Massachusetts 2 Title 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 31 Bradford St. Property Address Caroline &Amine Hannache Owner Owner's Name information is required for every North Andover MA 01846 $1112017 ----- -- --- page. CitylTown 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.): The D-box is level with three lines all are receiving equal flow. No evidence leakage into or out of the box and no sign of solids carryover.(SEE ATTACHED PHOTOS) 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.doc•rev.6116 Title 5 Official inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 i Commonwealth of Massachusetts Title 5 Official inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments y 31 Bradford St. Property Address Caroline&Amine Hannache Owner Owners Name information is North Andover MA 01845 6/1/2017 required for 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: 20'X 43' ® leaching fields number, dimensions: one, - ❑ 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.): There is no sign of hydraulic failure, ponding or damp soil. vegetation is mowed lawn. 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 t5insAoe-rev.6(16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Raga 13 of 17 3 Commonwealth of Massachusetts Title 5 official Inspection Form i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments � 31 Bradford St. Property Address Caroline &Amine Hannache Owner Owner's Name information is North Andover MA 01845 6/1/2017 required for 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.): 15ins.doc•rev.6116 Title 5 Oficial Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts F F Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 31 Bradford St. Property Address Caroline&Amine Mannache _ Owner Owner's Name _ information is North Andover MA 01845 6/1/2017 required for every _ _. page. citylrown State Zip Code tate 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 d u u ij 3 u j 3. Title 5 Official Inspection Form:Subsurface Sewa stem•Page 15 of 17 a Disposal 5 t5ins.doc-rev,6116 5 P Y i' 1 i Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 31 Bradford St. Property Address Caroline&Amine Hannache Owner Owner's Name information is North Andover MA 01845 611/2017 required for every - page. Cityrrown 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: 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: Date ❑ Observed site (abutting propertylobservation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: N ❑ Checked with local excavators, installers- (attach documentation) ❑ Accessed USGS database -explain: You must describe how you established the high ground water elevation: The sump pump was dry and the bottom of the sump was two feet bellow the basement floor, and the floor is 5ft. below grade. i Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage nisposat System•Page 16 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 31 Bradford St, Property Addressu�— Caroline &Amine Hannache Owner Ownet's Name information is North Andover MA 01845 6/1/2017 required for every _ _-_-- page. Cityrrown State Zip Code date of Inspection E. Report Completeness Checklist ® Inspection Summary.A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file 15ins.doc•rev.6116 Title 6 Official Inspection Farm:Subsurface Sewage Disposal System-Page 17 o€17 i . .. ...��.... � ............ . . . . . . . . . . . . . . . . . . . . . . 6/¥209 060119739-OO.jm \s�< . � - YS\ - , ��§ https &.goog«m _.nbox/l5c6&ge5c75a4l44ectaI m y9 m pit i s 00 00 7 i I r, n J, 614/2017 0611171808-01.jpg Al 110- O \\ \ \ ,, \ e, r �\ 7 v y v \`\ \ \ nAll ImUll ti-�`- - \ alk \� \ \ I 0 r \ Z - ma \y ~ y \ Al � v \ �v gp GO �z \ ve\ v o s v.\\ 'w�\ �. v tedv r o I \ Wal v A\� V� � � v �w �� \\ \ \\ o \y \ MW 41, NN am TO All5 ` : a4e _.. awl" s.. ,a\ - y. httx://mail.google.com/maill#nbox/15c6bco a53734e5?projector=l 111 •J s � v � 7 eon 7r, 19 / i/ „ 1 / 1 I of i r I / i; I IIIII� , u, At ' / I I 6/412017 0601171817-01.jpg s� �..,. s a httpsllmail.google.com/mail/4Anbox/15c6bcfe2O8ll57b?projector=l 1(1 Summary R000rd Carel gonaralad on 6/2/2017 9:28:09 AM by Karon Hanlon Paga 4 Town of North Andover Tax Map # 210-061.0-0031-0000.0 Parcel Id 11805 31 BRADFORD STREET AMINE & CAROLINE HANNACHE 31 BRADFORD STREET NORTH ANDOVER MA 01845 Class 101 Single Family Property Type 1 Residential Zoning2 1 Residential Zoning3 1 Residential Size Total 1.05Acres FY 2017 _. UB Mailing Index Name/Address Type Loan Number Activellnact. From Until AMINE&CAROLINE HANNACHE Owner 31 BRADFORD STREET NORTH ANDOVER MA 01845 UL.IANO,ALBERT Previous Customer Inactive 6130/2014 31 BRADFORD STREET N.ANDOVER,MA 01845 UB Account Maint. Account No Cycle Occupant Name Activelinactive Bldg Id.15295.0-31 BRADFORD STREET Last Billing Date 316/2017 2120166 02 Cycle 02 Active UB Services Maint. Account No.2120166 Service Code Rate Charge Multipl€erlUsers MISCFEE ADMIN FEE 0,63518 7.82 1/ WTR WATER 01 ALL.METER SIZE 38.00 !1 US Meter Maintenance ! E Account No.2120166 I Serial No Status Location Brand Type 5lze YTD Cons 36207147 a Active ERT HH b Badger w Water 0.63 0.63 509 l Date Reading Code Consumption Posted Dato Var€encs 51912017 513 a Actual 11 17% 2110/2017 502 a Actual 10 3114/2017 -73% 1118/2016 492 a Actual 35 12/19/2016 -29% 1 8!1212016 457 a Actual 52 9/21/2016 255% 1 511112016 405 a Actual 14 6/21/2016 7% 2/1212016 391 a Actual 14 3/28/2016 -60% 11/912015 377 a Actual 32 12/30/2015 35% 8/14/2015 _ _4;Z..BACtEr?I�. - a 52 9/14/2015 112% 7 47-72016 293 a Actual 2a 6/22/2015 230% 211312015 269 aActuel ��1 L 8 3/20/2015 -82% I 11/612014 261 aActual 39 12/1512014 113% 8/12/2014 222 a Actual 10 9/11/2014 357% € 6/26/2014 212 f Final Bill 2 6/26/2014 41°/a s 5/14/2014 210 a Actual 7 6/12/2014 12% 2/14/2014 203 a Actual 7 3/17/2014 11/6/2013 196 aActual 6 12/20/2013 7% i 8/13/2013 190 a Actual 6 9/18/2013 35% 5/14/2013 184 a Actual 9 6118!2013 44% p 2!1412013 175 a Actual 17 3113/2013 25% ! 1115!2012 158 a Actual 11 12/13/2012 -12% i 8/15/2012 147 a Actual 14 9/26/2012 26% 511512012 133 aActuel 11 6/20/2012 -8% 2114/2012 122 a Actual 13 3/14/2012 5% 11/7/2011 109 a Actual 11 12115/2011 20% i 8/1112011 98 a Actual 14 9/14/2011 5% 13 6/13/2011 11% 5113!2011 84 aActuel i i' j c FA cot Ltt beaF� � � a i 5F-Fric 5�smm A5-BulLT (REPAR) NO ANWVM,t- �., �1�7'{lJG�. C3u�wt�lC�. r iV As-Lu��7� �-��tlATk3�[s -XmV. o YT^Noo-<': itj i �s.58 A f i i y SCOTT L. GILES, R.P.L.S. 50 Deer Meadow Road �•.- North Andover,MA 01845 683-2645 7-7 C, 2 �J r 3 9 - 0