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HomeMy WebLinkAboutTitle V Inspection Report - 37 STONECLEAVE ROAD 4/10/2018 Commonwealth of Massachusetts x Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 37 Stonecleave Road Property r Address Joan Rlem itis � Owner Owner's Name informrequired tion is North Andover MA 01845 0_3/28/2018 � ' \ rage. for every Cit /Town State Zi Code Date of Inspection �� p 9 Y P --_........m_ I Inspection results must be submitted on this form. Inspection forms may not be altere in any way. Please see completeness checklist at the end of the form. 4%'1 „ �° $ t Important:When filling out forms A General Information ^��°" on the computer, use only the tab 1. Inspector: key to move your cursor-do not use the return Robert Herrick key. r Noma of Inspector Wind River Environmental ,an Company Name 46 Lizotte Drive Company Address i MarlboroughMA 01752 City/Town State Zip Code 978 833-7924 5113759 Telephone Number License Number B. Certification 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 M Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority Inacto 03/26/2018 g 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 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.doc-rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal system•page 1 of 17 Commonwealth of Massachusetts W Title 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 37 Stonecleave Road Property Address Joan R_iemitis Owner Owner's Name _ _... information is North Andover MA 01845 03/26/2018 required for every _-.- --- -�- -- page. City(rown State Zip Code Cate of Inspection s 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.doc•rev.6116 Title 5 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 37 Stonecleave Road Property Address .loan Riemiti5 Owner Owner's Name information is North Andover MA 01845 03/26/2018 required for every — page. cityj i Qwn state Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumpslalarms not operational. System will pass with Board of Health approval if pumpslalarms 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): Distribution box is showing signs of rot with heavy cracking. Distribution box needs to be replaced to pass Title V. __ m ❑ 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 I l6ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 I. 1: Commonwealth of Massachusetts u r Title 5 Official inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 37 Stonecleave Road Property Address Joan Riemitis Owner Owner's Name information is North Andover MA 01845 03/26/2018 required far every - -- ----- -- --- a page CitylTown 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: u You must indicate"Yes" or"No"to each of the following for all inspections: Yes No F1 ® 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 ❑ ® 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 1/2 day flow l5ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 i. Commonwealth of Massachusetts u W Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 37 Stonecleave Road Property Address Joan Riemitis Owner Owner's Name information is North Andover MA 01845 03/26/2018 required for every -- — - page. City/Town State Zip Code [late of Inspection B. Certification (cant.) Yes No F1 ® 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 DBP 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. El ® 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 targe system the system must serve a facility with a u 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 i9 questions in Section D. Yes No El the system is within 400 feet of a surface drinking water supply El ❑ the system is within 200 feet of a tributary to a surface drinking water supply El ❑ the 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 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. Wns.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts u u Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments w„ 37 Stonecleave Road _ Property Address Joan Riemitis _.. Owner Owner's Name information is required for every North Andover MA 01845 03/26/2018 Zip Code Date of inspection page, CltylTown State 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? El ® 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 ® El 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 glow Conditions: Number of bedrooms (design): NIA Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): NIA j l5ins.doc-rev.6116 Ti€€e 5 Official inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 I i Commonwealth of Massachusetts Y Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 37 Stonecleave Road Property Address Joan Riemitis __ Owner Owner's Name _ information is North Andover MA 01845 03/26/2018 required for every — page. C€tyfCown State Zip Code Date of Inspection D. System Information Description: System is made up of a septic tank, distribution box and SAS. 2 Number of current residents: W_ 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 Water meter readings, if available (last 2 years usage(gpd)}: Well Water Detail: Well Water Sump pump? ❑ Yes ® No Last date of occupancy: Current _ 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 ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No 9 Water meter readings, if available: a t5ins.doc•rev.6116 Title 5 Official€nspeclion Form:Subsurface Sewage Disposal System•Page 7 of 17 i s s Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 37 Stonecleave Road Property Address Joan Riemitis owner _...._.._— .... _ Owner's[Name information is required for every North Andover MA 01845 03/26/2018 page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: gate Other(describe below): General Information Pumping Records: Source of information: Wind River Environmental Was system pumped as part of the inspection? ® Yes ❑ No If yes, volume pumped: 1.000 gallons How was quantity pumped determined? Truck Sight Glass Reason for pumping: Tank Inspection 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.doc•rev.6116 Title 5 Official fnspeclion Form:Subsurface Sewage Disposal System-Page 8 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M s'' 37 Stonecleave Road Property Address Joan Riemitis _ Owner Owner's Name information is North Andover MA 01845 03/26/2018 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: Unknown Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): 241r Depth below grade: feet Material of construction: ❑ cast iron ❑ 40 PVC ❑ other(explain): Distance from private water supply well or suction line: Over 100 feet feet Comments (on condition of joints, venting, evidence of leakage, etc.): All joints look to be solid. No signs of leakage. Septic Tank (locate on site plan): 18" Depth below grade: feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) u If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 8 x 512"x 51811 311 Sludge depth: r' l5ins.doc•rev.6/16 Title 6 Official inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 is 3 Commonwealth of Massachusetts Title 5 Official Inspection Form s Subsurface Sewage Disposal System Form - Not for Voluntary Assessments -�„ 37 Stonecleave Road Property Address Joan Riemitis Owner Owner's Name information is required for every North Andover MA 01845 03/26/2018 �..._ _-.. — — - -- -.-- page. Cityrrown 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 29" - 3" Scum thickness 6" Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle 16 How were dimensions determined? Tape Measure 1 Sludge Jude Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Recommend yearly pumping. Inlet and outlet are solid. No signs of leakage. Liquid level is OK in relation to inverts. i I Grease Trap (locate on site plan): I B Depth below grade: feet u Material of construction: El concrete El 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 t5ins.doc•rev.6116 Title 5 Offidal Inspection Form:Subsurface Sewage Disposal System-Page 10 o1 17 Commonwealth of Massachusetts Title 5 official Inspection Form a Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 37 Stonecleave Road Property Address Joan Riemitis Owner Owner's Name information is North Andover MA 01845 03/26/2018 required far eery _ —__-- ----- ' page. City/Town 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.doc•rev.6116 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 37 Stonecleave Road Property Address Joan Riemitis Owner Owner's Name information is North Andover MA 01$45 031261201$ 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.): Distribution box is showing signs of rot with heavy cracking. Distribution box needs to be replaced to pass Title V. 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: 15ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 o117 Commonwealth of Massachusetts w Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 37 Stonecleave Road LL Property Address W. Joan Riemitis Owner .. Owner's Name information is North Andover MA 01845 03/26/2018 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: 5x33' - -- ❑ 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.): Soil is dry with no signs of hydraulic failure or ponding. Vegetation is normal for the area. 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 t5ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts v Title 5 Official Inspection Form _ Subsurface Sewage Disposal System f=orm - Not for Voluntary Assessments 37 Stonecleave Road Property Address W.. Joan Riemitis Owner Owner's Name information is North Andover' MA 01845 03/26/2018 required for every -- - -- page. City/Town 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.): l5ins.doc•rev.6116 Title 5 OFfiaal inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 i Commonwealth of Massachusetts r Title 5 Official Inspection Form s Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 37 Stonecleave Road Property Address Joan Riemitis Owner Owner's Name _ information is required for every North Andover MA 01845 03/26/2018 — page. city7Fown State Zip Cade 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: ® hand-sketch in the area below ❑ drawing attached separately 0 wed r /7ldJ� /a L_,j --``C�—� I�..J I Ile O 15kns.dnc•rev.8l48 T=lie 5 dHlciai In&i)eclion Form:Subsurface sewage pi5posal System•Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form M Not for Voluntary Assessments 37 Stonecleave Road Property Address Joan Riemitis Owner Owner's Name information is North Andover MA 018_45 03/26/2018 required for every _ ....� _ �. page. City/Town State Zip Code Bate of Inspection D. System information (cant.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: Over 8' 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: ©ate ® Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers- (attach documentation) ❑ Accessed USGS database -explain: You must describe how you established the high ground water elevation: Estimated to be over 8'. House sits on a hill over 8' higher than surrounding area. Excavated hole over 8'down and did not encounter water. i Before filing this Inspection Report, please see Report Completeness Checklist on next page. i j t5ins.doc•rev.6116 Title 5 6fficiat Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 3 s i i Commonwealth of Massachusetts ;W_ r Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 37 Stonecleave Road Property Address Joan Riemitis Owner Owner's Name information is required for every North Andover MA 01845 03/26/2018 page. City/Town 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 I ku,,—uoc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 Work Order# 0207093570 Cust# 2002709 Customer Since: 2 0 18 Tax: 6 . 2 5 0 0 0 Job Comments Tech Comments 63/26/2018 T5 inspection*****tank is on left side of Marked dig safe. driveway near deck stairs****wood cover is visible****home**** **PER CUSTOMER BOH DOES NOT HAVE AS BUILT PLANS** cc on file rmcs System Owner System Location Joan Riemitis Primary Home 37 Stonecleave Road 37 Stonecleave Road North Andover, MA 01845 North Andover, MA 01845 (508} 726-7239 Riemitis Joan (508) 726-7239 Call to Confirm: contact I hours ahead Service Date: MON 03/26/2018 o1:oo PM Frequency: Joan 508-726-7236 Service Type: Standard Previous Service: 03/20/2018 Approx. Gals: D CCLS: Location Details: Depth Below Grade: Custom Clean. Cust Home: NO Fitter: :.: Township; tn5pection/T5: County: Essex Build Up inspection Title 5 (not including j7umpang) 1.00.', $ 53.5:0000'";$ 535 Do Inspection (Labor/ExpoQti�e FeBs)pe hr. .. i� { 2.00;' $ .164;9990,. 370.00. ' Inspection Title 5 BOH Pees ";: 1,,64 $ 50;00oD - ..50.0o.. Pumping 1000 1.'00 $ 270,1531:'`$ .::.:270.1fi Environmental Compliance - Residential 1.00 $ 21.9500 $ 21.95 i subtotal: $ 1247,10 We suggest these 3 keys steps to keep your system healthy: Tax $ 0.00 - Regular servicing • Use CCLS bacteria additive Total $ 1247.10 . Use a filter Disposal Site: Disposal Volume: Payment Detail: Waste Cade ; 0.0000 Master Sates Rep : No Rep CSR : Ruth Clarke-Smith Due on Receipt Truck:S76 Technician : Robert Herrick Can Site : 12:35 PM P 0 Number : no po Tech Notes : Title V Inspection. The system is a conditional pass pending replacement of the distribution box and approval from the Board of Health. (RH) Customer not an site X Customer Signature men nllnm 7t ENVIRONMENTAL Remit payment to 46 Lizotte Dr Suite 1000,Marlborough,MA 01752 o � Town of North Andover HEALTH DEPARTMENT sacaus�' CHECK.#: � ^ DATE: H/C7 NAME �r CONTRACTOR NIAME- A, TTeW_of-Permit or License: (Check box) ❑ Animal $ ❑ Body Art Establishment ❑ Body Art Practitioner $ ❑ Dumpster $ ❑ Food Service- I'yl)e:—_ _ $ _ ❑ Funeral Directors $ ❑ Massage Establishment ❑ Massage practice $- ❑ Offal(Septic)Hauler $ ❑ Recreational Camp $ ❑ Sun tanning $ ❑ Swimming fool $ ❑ Tobacco $ -- ❑ Trash/Solid Waste Hauler $ ❑ Well Construction $ -- SEPTIC Systems: ❑ Septic-Soil Testing $ ❑ Septic_Design Approval $ ❑ Septic Disposal Works Construction(DWC) $ ❑ Septic Disposal Works Installers(DWI) $ ❑ Title 5 Inspector , $ Title 5 Report �..,,. e � �� J � wm $ ❑ Other:(Indicate)_ $ Heal,, Agent Initials White-Applicant Yellow-health Iai�-Treasurer I i