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HomeMy WebLinkAboutTitle V Inspection Report - 115 SHERWOOD DRIVE 1/9/2018 Commonwealth of Massachusetts - sTitle Official Inspection Farm lei 0 Subsurface Sewage Disposal System Form-Not for Voluntary Assessments a 115 Sherwood Drive Owner North Andover, MA 01845 - information is George E. Canellakis required for _----- every page. 4/26/2011 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 A. General Information forms on the computer,use 1 Inspector: only the tab key to move yourGl- ❑! (� i/-�J�� �✓ a u cursor-do not use the return Naof Inspector TN i' i itlt°flyl �pt:t�t f key. ',FA's- /�' jf�-'✓ it QFC i i t t1�d JfT Fvit'tlbsT —_ Comp ny Name VQ Company,�Address /(4es renin City own - _ State Zip Code Teleplione 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 sys�emi Inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system; Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the "Local Approving Authority I sp c or s Signature - Dat 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. t5ins-09/oFJ oral S ste Pae t of 17 Title 5 Qfrf�ial Inspaclion Foran:Subsudaco Sawa a sp y m,. g N m �u 4 �w o Commonwealth of Massachusetts Title 5 Official Inspection Form i Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 115 Sherwood Drive Owner North Andover, MA 01845 information is George E. Canellakis required for 4/26/2011 i every page. 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): 15ins•09/08 Tiffe 5 Official Inspection Form:Subsurface Sewage Disposal Syslem•Page 2 of 17 7 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments I 115 Sherwood Drive Owner - North Andover, MA 01845 c information is George E. Canellakis i required for everypage. 4/26/2011 State Zip Code Date of Inspection B. Certification (cant.) 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): 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 t5ins•09M Title 6 Official Inspection Form:Subsurface Sewage avosaf System-Page 3 of 17 # Y • Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments �Y 115 Sherwood Drive North Andover, MA 01845 Owner information is George E. Canellakis required for 4/26/2011 every page. State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Wealth(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". r— Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for 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 ❑ PR Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ElDischarge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ElStatic 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 t5ins•09= Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Y $ Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments y 115 Sherwood Drive � North Andover, MA 01845 Owner formation is George E. Canellakis required for 4/26/201.1 — every page. State Zip Code ©ate of Inspection A B. Certification (cont.) Yes No E] obstructed 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 El Elthe system is located in a nitrogen sensitive area (Interim Wellhead Protection Area–IWPA)or a mapped Zone II 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 0 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. 15ins-09108 Tide 5 Oficial Inspection Form:Subsurface Sewage Disposal System-Page 5 of 17 f t • Commonwealth of Massachusetts Title 5 Official Inspection Form i Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 115 Sherwood Drive North Andover, MA 01845 Owner Information is George E. Canellakis required for 4/26/2011 every page. 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? ',�A, ❑ 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): Number of bedrooms(actual): DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): t5iina-09!08 Title 5 Official Inspection form:Subsurface Sewage Disposal Syslern•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 115 Sherwood Drive North Andover, MA 01845 Owner information is George E. Canellakis required for 4/26/2011 every page. State Zip Code Date of Inspection D. System Information Description, 5- Number of current residents: Does residence have a garbage grinder? DC7- Yes E] No Is laundry on a separate sewage system?[if yes separate inspection required] Yes No Laundry system inspected? El Yes No Seasonal use? El Yes K No Water meter readings, if available(last 2 years usage(gpd)): Detail: Z2_ Z— Sump pump? El Yes 'Z No 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? El Yes E] No J Industrial waste holding tank present? El Yes El No Non-sanitary waste discharged to the Title 5 system? E3 Yes 0 No Water meter readings, if available: 15ins•09M 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 1 115 Sherwood Drive North Andover, MA 01845 Owner information is George E. Canellakis required for 4/26/2011 every page. state Zip Code Date of Inspection D. System Information (cont) Last date of occupancy/use: Date Other(describe below): General Information 1 Pumping Records: 7 Source of information: Was system pumped as part of the inspection? El 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 E] Single cesspool ❑ Overflow cesspool n Privy El Shared system (yes or no) (if yes, attach previous inspection records, if any) El Innovative/Altemative 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 El Tight tank.Attach a copy of the DEP approval. ❑ Other(describe): IsIns•09/06 Tide 5 Official inspection Form:SUI)SUTMCO Sewage Disposal System•Page 0 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form "s Subsurface Sewage Disposal System Form-Not for Voluntary Assessments a �. 115 Sherwood Drive North Andover, MA 01845 Owner George E. Canellakis information is required for 4/26/2011 every page. G." State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed(if known) and source of information: Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): 2� N Depth below grade: 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.): Septic Wank(locate on site plan): 2� Depth below grade: Material of construction: ER,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 fi i Dimensions: Sludge depth: t5ins•09!08 Tltle 6 Of€dal Inspedlon Form:Subsurface Sewage Disposal System-Page 9 of 17 r i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 115 Sherwood Drive North Andover, MA 01845 Owner a E. Canellakis George information is g required for 4/26/2011 every page, 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 Scum thickness tl Distance from top of scum to top of outlet tee or baffle �� rl Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 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-0901 Title 6Ofidal In"etion Form:Subsurteoo Sewage Disposal System-Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments i` 115 Sherwood Drive Owner North Andover, MA 01845 information is George E. Canellakis p required for 4/26/2011 - every page. SEate Zip Code Date of Inspection D. System Information (cant.) 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 15ins•09106 Title 5 Offidal Inspedlon Form:Subsurface Sewage olsposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 115 Sherwood Drive Owner North Andover, MA 01845 information is George E. Caneilakis required for every page. 4/26/2011 Stale Zip Gode Date of inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate eoon]site plan): 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.): 7`/4.t/ 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.): Soil Absorption System(SAS) (locate on site plan, excavation not required): If SAS not located, explain why: p p t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Tale 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments F 115 Sherwood Drive North Andover, MA 01845 wner information is George E. Canellakis required for 4/26/2011 every page. C, State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: Cl leaching galleries number: leaching trenches number, length: 2 � ❑ 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.): 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 On•06108 We 6 Offcdlel InWdlon Form:Subsurface Sewage Disposal System•Page 13 of 17 9 i 1 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 115 Sherwood Drive Owner North Andover, MA 01845 information is George E. CanellakiS required for 425/2011 every page. 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•09/08 Title 5 Ofiidal Inspection Form;Subsurface Sewage Disposaf system•Page 14 of 17 I 1 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Cllsposal System Form-Not for Voluntary Assessments z b I 115 Sherwood Drive Owner North Andover, MA 01845 information is George E. Canellakis required for 4/26/2011 every page. 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 ® hand-sketch in the area below ❑ drawing attached separately 14w 14 196$q. 14 4 4 El 14 FUMMIS FU/FMIB 668 Sq.Ft 948 Sq.Ft 26 28 28 2 f" x 2 molc D$ 14 c - � � �5 E p 15Ins•09708 Title 5 Olfidal Inspection Forth:Subsurface sewage Uisposal system-Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 1 115 Sherwood Drive Owner - North Andover, MA 01845 information is George E. Canellakis required for every page. 4/26/2011 State Zip Code Date of Inspection D. System Information (cont.) Site Exam: Check Slope Surface water N, 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 11711? If checked, date of design plan reviewed: Date ❑ Observed site(abutting property/observation hole Within 150 feet of SAS) El Checked with local Board of Health-explain: ❑ Checked with local excavators, installers-(attach documentation) AccessedilSE&database-explain: You must describe how you established the high ground water elevation: 17193 /,/<P aW 0- IA,9" twopejo Before filing this Inspection Report, please see Report Completeness Checklist on next page. Mao-09108 Title 5 Official Inspealon Form:Subsurface Sewage Disposal System-Page 16 of 17 y i . N Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments a 115 Sherwood Drive Owner ; North Andover, MA 01845 Information is George E. Canellakis required for every page. { 4/26/2011 State Zip Code Date of Inspeclion E. Report Completeness Checklist Inspection Summary: A, B, C. D, or B 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 t5ina•09108 Title 5 offld23lnspection Form:Subsurface Sewage Disposal System•Page 17 of 17 Summary Record Card generated on 4119/2011 12:49:02 PM by Karen Hanlon Page 1 Town of North Andover Tax Map # 210-105.C-0068-0000.0 Parcel Id 16984 115 SHERWOOD DRIVE CANELLAKIS, GEORGE RINCON, SANDRA 115 SHERWOOD DRIVE NORTH ANDOVER, MA 01845 Class 101 Single Family Property Type 1 Residential Size Total 0.99 Acres FY 2011 UB Mailing Index Name/Address Type Loan Number Activelinact. From Until CANELLAKIS, GEORGE Payor RINCON,SANDRA 115 SHERWOOD DRIVE NORTH ANDOVER, MA 01845 UB Account Maint. Account No Cycle Occupant Name Activelinactive Bldg Id. 17884.0- 115 SHERWOOD DRIVE Last Billing Date 4!612011 3170549 03 Cycle 03 Active UB Services Maint. Account No.3170549 Service Code Rate Charge MultiplierlUsers MISCFEE ADMIN FEE 0,63518 7.82 1/ WTR WATER 01 ALL METER SIZE 92.65 /1 UB Meter Maintenance Account No. 3170549 Serial No Status Location Brand Type Size YTD Cons 99885661 a Active ERT METE METE w Water 0.63 0.63 641 Date Reading Code Consumption Posted Date Variance 3/7/2011 1940 a Actual 23 4/13/2011 -11% 12/8/2010 1917 a Actual 26 1/12/2011 -67% 9/9/2010 1891 a Actual 82 10/15/2010 159% 6/8/2010 1809 a Actual 31 7/15/2010 -6% 3/9/2010 1778 a Actual 33 4/14/2010 -20% 12/8/2009 1745 a Actual 41 1/12/2010 -53% 9/8/2009 1704 a Actual 88 10/15/2009 73% 6/8/2009 1616 a Actual 48 7/20/2009 92% 3/13/2009 1568 a Actual 27 4/29/2009 -4% 12/9/2008 1541 a Actual 27 1/20/2009 -80% 9/10/2008 1514 a Actual 147 10/10/2008 105% 6/6/2008 1367 a Actual 68 7/16/2008 132% 3/7/2008 1299 a Actual 28 4/11/2008 -77% 12/11/2007 1271 a Actual 134 1/22/2008 21% 9/5/2007 1137 a Actual 89 10/12/2007 81% 6/19/2007 1048 a Actual 61 7/20/2007 87% 3/14/2007 987 a Actual 31 4/16/2007 -61% 12/12/2006 956 a Actual 74 1/19/2007 17% 9/16/2006 882 a Actual 68 10/20/2006 126% 6/19/2006 814 a Actual 34 7/10/2006 5% 3/8/2006 780 a Actual 24 4/17/2006 0% Trouble Code:03 12/22/2005 756 a Actual 29 1/17/2006 -51% 9/21/2005 727 a Actual 55 10/14/2005 5% Summary Record Card generated on 4/19/2011 12:49:02 PM by Karen Hanlon Page 2 Town of North Andover Tax Map # 210-10S.C-0068-0000.0 Parcel Id 16984 115 SHERWOOD DRIVE , CANELLAKIS, GEORGE RINCON, SANDRA 115 SHERWOOD DRIVE NORTH ANDOVER, MA 01845 Class 101 Single Family Property Type 1 Residential g Size Total 0.99 Acres FY 2011 s Trouble Code:03 6/27/2005 672 a Actual 54 7/15/2005 91% 3/30/2005 618 a Actual 33 4/5/2005 15% 12/16/2004 585 a Actual 23 1/14/2005 -9% Trouble Code:03 9/24/2004 562 a Actual 32 10!812004 -5% 6/11/2004 530 a Actual 18 7/30/2004 6% 4/16/2004 512 a Actual 36 5/17/2004 0% Trouble Code:03 12/19/2003 476 n New Meter 0 12/19/2003 0% ��� /7 1&3 ,r•" •,Pr•;f,r obV1. 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