HomeMy WebLinkAboutTitle V Inspection Report - 10 WOODCHUCK LANE 11/8/2017 <L� Commonwealth of Massachusetts RECEIVED
RTitle 5 Official Inspection Form w)v ?01'1
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments TO OF NORTH ANDOVER
HEALTH DEPARTMENT
10 Woodchuck Lane
'Property Address
Carol Strout
Owner Owner's Name
information is
required for every North Andover Ma. 01845 10/28117
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 I Inspector:
key to move your
cursor-do not Ron Jenkins
use the return Name of Inspector -------------------
key,
R. Jenkins & Sons
Company Name
58 Pleasant St.
Company Address
Rowley__ Ma. 01969
CityfTown State Zip Code
978-314-0503 514268
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 Z Conditionally Passes F-1 Fails
❑ Needs Further Evaluation by the Local Approving Authority
A r
'VA 10/28/17
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-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 17
Commonwealth of Massachusetts
'
Title 5 Official Inspection
nsect"on
orm
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
1OWoodchuck Lane
Property Address
Carol Strout
Owner Owner's Name
information i's
required for every North Andover Ma. 01845 10/28/17
page. Cihr[nwn State Zip Code Date ofInspection
B. Certification /coDt.\
Inspection Summary: Check A.B.C.DorE/always complete all ofSection D
A) System Passes:
�]
I have not found any information which indicates that any of the failure criteria described
|n310CMR 15.303nrin31OCMR 15.304exist. Any failure criteria not evaluated are
indicated below.
Comments:
�
B) System Conditionally Passes:
One or more system components as described |nthe"Conditional Pass" section need to be
replaced or repaired. The system, upon completion of the replacement or repair, as approved by
the Board ufHealth, will pass.
Check the box for"yes''. "no"o["not determined" (Y. N, ND)for the following statements. |f"not
determined," please explain.
The septic tank is nnota| and over 20 years old* or the septic tank(whether metal or not) is structurally
unsound, exhibits substantial infiltration 0rexfi|tratimn ortank failure is imminent, System will pass
inspection ifthe existing tank is replaced with a complying septic tank as approved by the Board of
Health.
^Ametal septic tank will pass inspection ifkis structurally sound, not leaking and if Certificate of
Compliance indicating that the tank|sless than 2Oyears old is available.
F1 Y Fl N NO (Explain below):
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form Not for Voluntary Assessments
10 Woodchuck Lane
-Property-Address---- -----------
Carol Strout
Owner Owner's Name-------
information is
required for every North Andover Ma. 01845 10/28/17
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 (cont.):
F] 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):
El broken pipe(s) are replaced E] Y El N F1 ND (Explain below):
* obstruction is removed F] Y Ej N El ND (Explain below):
* distribution box is leveled or replaced 0 Y El N El ND (Explain below):
D-Box is inpoor condition and needs to be replaced
❑ 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 n Y F1 N rl ND (Explain below):
❑ obstruction is removed F] Y F-1 N El 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 310 CMR
15.303(1)(b)that the system is not functioning in a manner which will protect public health,
safety and the environment:
n Cesspool or privy is within 50 feet of a surface water
E] Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh
15ins-3113 Title 5 Official Inspection Forim 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
10 Woodchuck Lane
Property Address
Carol Strout
Owner Owner's Name
information is
required for every North Andover Ma. 01845 10/28/17
page. ClkylTown 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:
Ej 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.
El The system has a septic tank and SAS and the SAS is within a Zone I of a public water
supply.
R 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
F1 M 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 %day flow
15ins-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
10 Woodchuck Lane
Property Address
Carol Strout
Owner Owner's Name
information is
required for every NoEth-An.clove-r., ....... Ma. 01845 10/28/17
page. Cityl-rown 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: --
E] M Any portion of the SAS, cesspool or privy is below high ground water elevation.
El N 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.
El N Any portion of a cesspool or privy is within 50 feet of a private water supply well.
El M 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 6 ppm,
provided that no other failure criteria are triggered. A copy of the analysis
and chain of custody must be attached to this form.]
El E The system is a cesspool serving a facility with a design flow of 2000gpd-
10,000gpd.
EJ 0 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
El F the system is within 400 feet of a surface drinking water supply
El n the system is within 200 feet of a tributary to a surface drinking water supply
El R 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
54 Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form Not for Voluntary Assessments
10 Woodchuck Lane
0
Property Address
Carol Strout
Owner Owner's-Name-
information is
required for every North Andover Ma. 01845 10/28117
page. Cityrrown 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
M 11 Pumping information was provided by the owner, occupant, or Board of Health
El E 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?
* El Were as built plans of the system obtained and examined? (if they were not
available note as N/A)
* El Was the facility or dwelling inspected for signs of sewage back up?
* El Was the site inspected for signs of break out?
* El Were all system components, excluding the SAS, located on site?
* El 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:
E El 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): N/A Number of bedrooms (actual): 4
DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): N/A
t5ins-3/13 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
10 Woodchuck Lane
"Property Address
Carol Strout
Owner -
Owner's Name
information is
required for every North Andover Ma. 01845 10/28/17
page. Gitvrf�w_n State Zip Code Date of Inspection
D. System Information
Description:
...........
Number of current residents:
Does residence have a garbage grinder? 0 Yes E-1 No
Is laundry on a separate sewage system? (Include laundry system inspection F] Yes 0 No
information in this report.)
Laundry system inspected? El Yes R No
Seasonal use? f-1 Yes Z No
Water meter readings, if available (last 2 years usage (gpd)): 97,500 total
Detail:
97,500 total gallons 730 = 133.56 gallons per day
Sump pump? El Yes 0 No
Last date of occupancy: DateOccupied
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? El Yes [I No
Industrial waste holding tank present? El Yes n No
Non-sanitary waste discharged to the Title 5 system? El Yes El 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
10 Woodchuck Lane
Property Address
Carol Strout
Ownerer's Name
information is
required for every North Andover Ma. 01845 10/28/17
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: Last pumped 2001, info. from home owner
Was system pumped as part of the inspection? El Yes 0 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
El Privy
n Shared system (yes or no) (if yes, attach previous inspection records, if any)
El 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
EJ Tight tank. Attach a copy of the DEP approval.
EJ Other(describe):
t51ns-3/13 'idle 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17
Commonwealth of Massachusetts
mmT : 5 Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
10 Woodchuck Lane
Property Address
Carol Strout
Owner Owner s Name �___
information is North Andover Ma. 01845 10/28/17
required far 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:
36 years old, installed in 1981 info. from home owner
Were sewage odors detected when arriving at the site? ❑ Yes ® No
Building Sewer(locate on site plan):
Depth below grade: ---36"
feet
Material of construction:
❑ cast iron ❑ 40 PVC ❑ other(explain): _......._..._ _._______.......,,__._..__.....
Distance from private water supply well or suction line: n/at
fe
Comments (on condition of joints, venting, evidence of leakage, etc.):
condition of joints good, proper ventin ,no evidence of leakage
Septic Tank(locate on site plan):
Depth below grade: 2611 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'dp.
Sludge depth: 8-0---- _._._...._.._._..
t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Oisposal System•Page 9 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form Not for Voluntary Assessments
10-Woodchuck Lane
Property Address
Carol Strout
Owner Owner's Name
information is North Andover Ma. 01845 10/28/17
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 n/a
2"
Scum thickness -------
Distance from top of scum to top of outlet tee or baffle n/a
Distance from bottom of scum to bottom of outlet tee or baffle n/a
_
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.):
tank should be pumped every 2-3 years, inlet baffle in fair condition no outlet baff le,structural integrity
was good,li uid was level to bottom of outlet invert, no evidence of leakage
Grease Trap (locate on site plan):
Depth below grade: "feet-"
Material of construction:
El concrete El metal F] fiberglass El polyethylene E] 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: -da-te -------'
t5ing-3119 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
10 Woodchuck Lane
------------- --------- ---------------- ..........
Property Address
Carol Strout
Owner Owners Name
information is
required for every North Andover Ma. 01845 10/28/17
page. Cityrrown 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:
El concrete El metal E] fiberglass El polyethylene ❑ other(explain):
Dimensions: ------
Capacity: g-a—llons
Design Flow: -441-1;ns'pe"ir'day
Alarm present: El Yes El No
Alarm level: Alarm in working order: ❑ Yes ❑ No
Date of last pumping: Da.te
Comments (condition of alarm and float switches, etc.):
----------
Attach copy of current pumping contract(required). Is copy attached? El Yes F] No
15ins-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
10 Woodchuck Lane
Property Address
Carol Strout ---------
Owner Owner's Name
information is North Andover Ma. 01845 10/28117
required for every
page- Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Distribution Box(if present must be opened) (locate on site plan):
0.1
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.):
Box was level and distribution was eqaul, no signs of solids carryover,
D-Box is in poor condition and needs to be replaced
D-Box is 36" below grade size of box is 16"x16"x14"de
ep__
Pump Chamber(locate on site plan):
Pumps in working order! F1 Yes 0 No*
Alarms in working order: 0 Yes F] 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:
..........
t5lns-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17
<L
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form Not for Voluntary Assessments
10 Woodchuck Lane
Property Address
Carol Strout
OwnerOwner's Name
information is
required for every North Andover Ma. 01845 10/28/17
page- City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Type:
leaching pits number: 3
❑ leaching chambers number: ------------
❑ leaching galleries number:
leaching trenches number, length:
❑ leaching fields number, dimensions:
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.):
drt gravel soil, no signs of hydraulic failure, no ponding, leach pits located on left side in front of
house under mowed grass, top of pit is 36" below grade, bottom of leach pit is 63" below grade
Opened LP 1 2"liquid Note: Did not open LP2 & LP3 due to under ground Fios cable running over
Leach Pit covers
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 Q No
t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17
Commonwealth of Massachusetts
"- 6 Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form Not for Voluntary Assessments
10 Woodchuck Lane
-------------
Property Address
Carol Strout
OwnerOwner's Name
information is 01845
required for every North Andover Ma. 10/28/17
page. Sta t eZ ip,C od e 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 Foun:Subsurface Sewage Disposal System-Page 14 of W
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
10 Woodchuck Lane
Property Address
Carol Strout
Owner ------ - --
Owner's Name
information is
required for every North Andover Ma. 01845 10/28/17
page. Cityrrown 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:
M hand-sketch in the area below
E] drawing attached separately
4-S EU il c,�,s
'79 v
..........
_5)
U)/
Vey
6 S
.0
l x, >
4,
C11
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
10 Woodchuck Lane
Property Address
Carol Strout
Owner Ow n er's Name ------ --
information is
required for every North Andover,,,-.. Ma. 01845 10/28/17
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Site Exam:
0 Check Slope
❑ Surface water
Check cellar
❑ Shallow wells
Estimated depth to high ground water: 71+ -------------------
feet
Please indicate all methods used to determine the high ground water elevation:
El Obtained from system design plans on record
If checked, date of design plan reviewed: -...........- .... ..
Date
❑ Observed site (abutting property/observation hole within 150 feet of SAS)
Checked with local Board of Health - explain:
info_ from next door(252 Reliegh Tavern Ln.)
El Checked with local excavators, installers-(attach documentation)
El Accessed USGS database -explain:
---------You must describe how you established the high ground water elevation:
Info. from 252 Raleigh Tavern Lane
Seasonal High Water Table= 115.5 elev. (7'9" below grade)
Test Hole performed by Frank Gelinas&Associates Dated 5/24/80
Soil Observations by J.J. Barbagallo Witness T. Murphy
Before filing this Inspection Report, please see Report Completeness Checklist on next page.
tFjin%-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
o Subsurface Sewage Disposal System Form Not for Voluntary Assessments
10 Woodchuck Lane
Property Address
Carol Strout
OwnerOwner's Name
information is
required for every North Andover Ma. 01845 10/28/17
page. Cityfrown State Zip Code Date of Inspection
E. Report Completeness Checklist
Z inspection Summary: A, B, C, D, or E checked
Z inspection Summary D (System Failure Criteria Applicable to All Systems) completed
Z 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 'ritle 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17
Summary Record Card generated on 1012512017 11:2.0:69 M by'rara Hurley Page I
Town of North Andover
Tax Map # 210-106-0-0028-0000.0
Parcel ld 17662
10 WOODCHUCK LANE
STROUT, CAROL,A. Since Jan 2016
10 WOODCHUCK LANE
NORTH ANDOVER, MA
01846
_..m.._....... ^- 101 Single Family Property Type 1 Residential
ZonInq2 1 Residential ZonI"g3 I Residential
Size Total 1.23 Acres
FY 2018
UB Mg9jal!040
Name/Address Type Loan Number Activelinact. From Until
CAROL STROUT Owner
10 WOODCHUCK LANE
NORTH ANDOVER MA 01845
STROUT,WILLIAM Payor Inactive 1/8/2013
10 WOODCHUCK LANE
N.ANDOVER,MA
01846
UB Account Active/Inactive
Account No Cycle Occupant Name
Bldg Id. 13243.0-10 WOODCHUCK LANE Last Billing Date 9/1212017 Active
2100090 02 Cycle 02
UB Services Maint.
t.
Account No.2100090
Service Code Rate Charge Multiplier/Users
MISCIFEEADMINFEE 0.636/8 7.82
WTR WATER 01 ALL METER SIZE 67.00
UB Meter Maintenance
Account No.2100090 Brand lVpe Size YTD Cons
Serial No Status Location 014
35078131 a Active ERT F.RT. b Badger w Water 0,630,63 1
Date Reading Code Consumption Posted Date Variance
811/2017 1016 aActual 15 9/20/2017 21%
611/2017 1000 a Actual 12 6126/2017 3%12 3/1412017 -26%
2/1120117 988 aActual 16 1211912016 23%
11/1/2016 976 aActual
13 9/21/2016 44%
960 a Actual
81212016
5j312016 947 a Actual 9 6/21/2016 -15%
2/212016 938 a Actual 11 3/28/2016 -76%
/2 -61%
10/30/2016 927 a Actual 42 12/3012015 l
885 a Actual 1005%
i3 9/14/2015
814/2015 28%
5/412015 772 a Actual 10 6/2212015
8 3/2012015 17%
2/3/2016 762 a Actual 7 12/15/2014 -6%
11/312014 754 aActual 7 9/11/2014 -34%
it 8/1/2014 747 a Actual 61612014 740 a Act 16%
Actual 11 6/1212014
10 3117/2014 -40%
2/3/2014 729 a Actual 16 12/20/2013 80%
10!31/2013 719 aActual 9 911812013 -19%
811/2013 703 aActual 10 6/18/2013 20%
Actual 9%
5/1/2013 694 aA .1
217/2013 684 a Actual 10 3/13/2013
11 12113/2012 -5%
674 aActual 10130/2012 30%
9126/2012
663 aActual 12
8/212Q12 0/2012 -22%/2
612/2012 651 a Actual 9 6 -74%
2/2/2012 642 a Actual 12 3/14/2012
1111/2011 630 a Actual 45 12/16/2011 -47%