HomeMy WebLinkAboutMiscellaneous - 115 SHERWOOD DRIVE 4/30/2018 (43) 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 4/26/2011
every page. State Zip Code Date of Inspection
D. System Information
Description:
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Number of current residents:
Does residence have a garbage grinder? O'VC7— i�f�d�M'H7 L d1 Yes ❑ No
Is laundry on a separate sewage system?[if yes separate inspection required] Yes No
Laundry system inspected? ❑ Yes No
Seasonal use? ❑ Yes B No
Water meter readings, if available(last 2 years usage(gpd)):
Detail:
Sump pump? ❑ Yes 1Z No
Last date of occupancy: Cy2txiT
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
Water meter readings, if available:
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