HomeMy WebLinkAboutMiscellaneous - 115 SHERWOOD DRIVE 4/30/2018 (17) Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
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1 115 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.)
Site Exam:
Check Slope c4-11
Surface water �(/o
® Check cellar 4G{
Shallow wells
Estimated depth to high ground water: feet
Please indicate all methods used to determine the high ground water elevation:
�J Obtained from system design plans on record -A—
lf 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:
❑ Checked it Cloexcavators, installers-(attach documentation)
01 Accessed'USGS-database-explain: —,
You must describe how you established the high ground water elevation:
�/7f 93 /40 aW Q /?10" C0,6 p
9//?V15- mwmv 12 ,,
Before filing this Inspection Report, please see Report Completeness Checklist on next page.
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Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17