HomeMy WebLinkAboutWaiver - 1180 TURNPIKE STREET 8/15/2017 76,
SEPTIC& DRAIN
Residential /Counnercial
Septic`l"Corks-Cessimols-Plywells l.trjjtaaltt( pjf.,It1.s lrrstjrlltal, Ovaned or Kepaired
North Andover Hoard of Health August 3,2017
220 Main Street
North Andover MA.01845
To whom it may concern;
Today we re-inspected 1180 Turnpike Street,and found the two covers on the septic tank and
distribution box to be cracked,We replaced both covers,around the top of the septic tank we
parged up some small cracks with hydraulic cement.The dbox is showing sorne signs of deterioration
1
but working properly,the liquid level is correct and the box is not leaking.
Sincerely,
AXI
Jarnes H,Currier 11
Owner
1
5 2017
r c pT� 11,C
TT
Commonwealth of Massachusetts
Title 5 Official inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
r
w '* 1180 TURNPIKE STREET
Property Address
BOB KEEGAN
Owner Owner's Name
information is NDOVER MA 01845 813117
required for every . — _.__ - .-.,_ _ __. .. _....
page. Cityfrown state Zip Cade 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 JAMES H CURRIER 11
use the return _ _._.... _......- . ..
key, Name of Inspoctar _
J'S SEPTIC&DRAIN
Q Company Name
131 FOREST ST
Company Address
,trim- MIDDLETONMA 01949
dhyrr6w' n. state Zip Code
978-774-6685 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 DEP approved system Inspector pursuant to Section 16.340 of
Title 5(310 CMR 15.000).The system:
❑ Passes ❑ Conditionally Passes ❑ Fails
❑ Needs Further Evaluation by the Local Approving Authority.. . r° ../PT ' 813117
Ins tar"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.
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