Loading...
HomeMy WebLinkAboutTitle V Inspection Report - 1190 SALEM STREET 10/25/2017 Commonwealth of Massachusetts RECEIVED ----------- Title 5 Official Inspection Form OCT 25 ?017 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments TOWN OF NORTH ANDOVER HEALTH DEPARTMENT 1190 Salem Street Property Address Ryan,Leahy OwnerOwner's Name information is required for every North Andover Ma. 01845 10/20/17 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:When filling out forms A. General Information on the computer, use only the tab 1. Inspector: key to move your cursor-do not Ron Jenkins use the return ........... key. Name of Inspector R. Jenkins & Sons Ur fab Company Name 58 Pleasant St. -(A Company Address Rowley Ma. 01969 Cityrrown State Zip Code 978-314-0503 S14268 Tele hone 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: F1 Passes E] Conditionally Passes El Fails El Needs Further Evaluation by the Local Approving Authority 10/20/17 Ins ector'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-M 3 Title 5 Official inspection Form:Subsurface Sewage Disposal System-Page 1 of 17 Commonwealth of Massachusetts u Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 1190 Salem Street Property Address Ryan Leahy Owner Owner's Name information is North Andover Ma. 01845 10/20/17 required for every — — -- page. CityCrown 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: ® 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: 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•3713 Title 6 Official Inspection Form: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 1190 Salem Street Property Address t�on Leahy Owner Owner s Name information is required for every North Andover Ma. 01845 10/20/17 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 (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 ❑ 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): 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 340 CMR 15.303(4)(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•3113 Title 5 Official inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1190 Salem Street _ Property Address Ryan Leahy Owner Owner's Name information is North Andover Ma. 01845 10/20/17 required far every _..�.. _._ 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 '/z day flow t5ins•3113 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 1190 Salem Street Property Address Ryan Leahy _... - Owner Owner's Name information is North Andover Ma. 01845_ 10/20/17 required for every _.W�._. _. page. City/Town State Zip Code gate of Inspection B. Certification (cant.) 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 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 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 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. t5ins 3113 . Title 5 Official Inspection Form: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 ti 1190 Salem Street Property Address Ryan Leahy Owner Owner's Name information is North.Andover Ma. 01845 1012_011_7 required for every .------ ___. page. Citylrown 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? ® ❑ 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) 1310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): N/A -- Number of bedrooms (actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): NIA 15ins•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 1190 Salem Street Property Address Ryan Leahy _ Owner Owner's Name information is North Andover _Ma. 01845 1_0120117 required for every page. CityrFown State Zip Code bate of Inspection D. System Information Description: Number of current residents: 3 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 Seasonaluse? ❑ Yes ® No Water meter readings, if available last 2 ears usage d 72,022 total 9 ( Y 9 (gp })� Detail: 72,022 total gallons 1730 = 98.66 gallons per day Sump pump? ❑ Yes ® No Last date of occupancy: Occupied Date 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.): -- W 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©isposd System•Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form a o Subsurface Sewage Disposal System f=orm -Not for Voluntary Assessments „ 9190 Salem Street Property Address man Leahy Owner Owner's Name information is North Andover Ma. 01845 10/20117 required for every - - - page. CifyrTown 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: Last pumped 5125117, info. from home owner Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons m 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•3113 Tide 6 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts u 0 o Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 1190 Salem Street Property Address _. Ryan Leahy _ Owner Owner's Name information is North Andover Ma. 01845 10/20/17 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: Septic tank and leach field is 35 years old installed 1982, D-box is 7 years, old installed 2010 info. from last Title 5 Report Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 2411 feet -- --..w. Material of construction: 0 cast iron ® 40 PVC ❑ other(explain): -- Distance from private water supply well or suction line: n/a - feet Comments (on condition of joints, venting, evidence of leakage, etc.): finished basement, very limited pi ip ng to_see, no indications of leaks, 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'x5'x5' deep --�-- W Sludge depth: 3" - 15ins•3113 Title 5 official Inspection Farm-Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposals System Form - Not for Voluntary Assessments 1190 Salem_Street Property Address Ryan Leahy — Owner Owner's Name required for eery tion is North Andover Ma. 01845 10/20/17 requirew--- --------- --- - 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 31 --— 0" Scum thickness _._._ 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? Measuring stick and ruler Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Condition of inlet baffle good, outlet tee good, structural integrity good, liquid was level to bottom of outlet invert tank should bepumped yearly _ 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: Dace l5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•rage 10 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments w„ 1190 Salem Street Property Address Ryan Leahy _ Owner Owner's Name information is North Andover _Ma. 01845 10/20/17 required for every _ page. citylrown 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•3173 Ville 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 47 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1190 Salem Street Property Address Ryan Leahy Owner Owner's Name information is North Andover Ma. 01845 10120117 required for every __........___ _ _ _ ._.......� 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 was level and distribution was equal,no evidence of leakage into or out of box,no evidence of solids carryover _Size of d-box is 16"x16"x14"deep box is 26" below grade with 15" riser 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: (bins-3113 Title 5 Of&ciai Inspection Form:Subsurface Sewage Disposal Syslem•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments k 1190 Salem Street Property Address _......._._.__ R an Leah_ Owner Owner's Name information is required for every North Andover Ma. 01845 10/20/17 _._._ page. Cityf*rown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number.- El umber:❑ leaching galleries number: — ❑ leaching trenches number, length: ® leaching fields number, dimensions: 1 @ 20x'45' ❑ overflow cesspool number: _-.._... ❑ innovativefaItern ative system Type/name of technology: - — Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): dry loamy soil, no signs of hydraulic failure,no ponding, leach field is on right side of house under mowed rass Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configurationw- 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 5 official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts y = Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 1190 Salem Street Property Address Ryan Leah 1�_ Owner Owner's Name information is North Andover Ma. 01845 10/20/17 required for every � .� _ page. city/Town State T 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 Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts x Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments w„ 1190 Salem Street .._.. Property Address Ryan Lead Owner Owner's Name information is North Andover Ma. 01845 10/20/17 required for every _ page. Cityr own �� State Zip CodeDate of Inspection D. System Information (coat.) 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 E. �:�.. 1 ! i i t I i I. i 1 15ins•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 1190 Salem Street Property Address Ryan Leahy Owner Owner's game -. information is North Andover _Ma. 01845 10/20/17 required for every W.._ ._ page_ CitylTown 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: Datemm ❑ Observed site (abutting propertylobservation hole within 150 feet of SAS) ® Checked with local Board of Health - explain: info. from last Title 5 Report ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Info. from last Title 5 Report dated 5/29/2090 from Bateson Enterprises Inc. 111 Argilla Rd. Andover Ma. Essex County Soil Map, sheet.#30, Canton oil, Water>S'deep Before filing this Inspection Report, please see Report Completeness Checklist on next page. 15ins-3193 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 1190 Salem Street Property Address Ran Leah Owner Owner's Name information is North Andover Ma. 01845 10/20/17 required for every _ page. Cityrrown 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 ® 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 Summery Record Card generated on 1 012 5120 3 7 11:21:32 AM by Tara Hurlay page 1 Town of Noah Andover Tax Map # 210-106.A-0121-0000.0 Parcel Id 17266 1198 SALEM STREET LEAHY, RYAN P. Since Jan 2011 LEHAY, NICOLE R. 1190 SALEM STREET NORTH ANDOVER, MA 09845 109 Sin fe Family — Property Type 1 Residential Class 9 y Proper3 1 Residential Zonin92 1 Residential Size Total 1.01 Acres FY 2018 — UB Mai#int; Index until NamelAddress Type Loan Number ActivelinacL From RYAN&NICOLE LEAHY Owner 1190 SALEM STREET NORTH ANDOVER MA 01845 ROHDE,CHARLES N. Previous Customer Inactive 9130/2010 1190 SALEM STREET N,ANDOVER,MA 01845 i UB Account Maint. Activellnactive AocountNo Cycle Occupant Name Bldg Id. 17318,0-1190 SALEM STREET Last Billing Date 1 011 01201 7 Active 3160395 - 03 Cycle 03 I UB Services Maint. Account No.3160395 Charge Multiplier/Users Service Code Rate MISCFFEADMIN FEE 0.63518 7.82 11 WfR WATER01 ALL METER SIZE 76.00 11 UB Meter Maintenance (_ Account No.3160395Size YTD Cons Serial No Status Location Brand Type 725 1 46336492 a Active 00 ERT HH METE METE w Water 4.63 0.63 Variance Bate _ Reading Code Consumption Posted pate 38% 91712017 1256 aActual 20 10118/2017 5% ' 615!2017 1236 aActual 14 7!2512017 1222 a Actual 13 4112/2017 4°/o 316!2017 15% 14 1123/2017 1217/2016 1209 aActua! 17 10/2412016 -9% 4 9/612016 1195 a Actual 29% 6/312016 1178 aActual 18 812/2016 -46% 3/312016 1160 aActual 13 412212016 -42% 12/8/2015 1147 a Actual 27 1/20/20 100% 9/212015 1120 a Actual 43 10/16/2001135 17% 615/2015 1077 a Actual 22 7/2412015 4% 1055 a Actual 19 41281.2015 3!612015 -30% 1036 a Actual 17 1/15/2015 12!412014 27 10115/2014 29% 91912014 1019 a Actual 6% 992 a Actual 20 7/16/2014 6/612014 19 4/1112014 -19/o 317/2014 972 a Actual 1% i 23 1/17/2014 121512013 953 a Actual 24% 23 40/1512013 9/612013 930 a Actual 6/7/2013 907 a Actual 19 7/24/2013 14% 16 4/22/2013 35°/a 3/612013 888 a Actual 25 1/9/2013 "2% 1217/2012 872 a Actual 6% 9/712012 847 aActual 26 1011512012 23% 6/6/2012 821 aActuat 24 7/96/2012 -4% 3/7/2012 797 a Actual 20 4114/2012 i 4 i