HomeMy WebLinkAboutMiscellaneous - 115 SHERWOOD DRIVE 4/30/2018 (46) Commonwealth of Massachusetts
IN
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
F. 115 Sherwood Drive
North Andover, MA 01845
Owner George E. Canellakis
information is
required for 4/26/2011
every page. 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): #
Depth below grade: —
Material of construction:
❑ cast iron Z40 PVC ❑other(explain):
Distance from private water supply well or suction line: feet
Comments(on condition of joints,venting, evidence of leakage, etc.):
/V19P ,f�yt lJ,i�.rVC� OFAI—* L
Septic Tank(locate on site plan): 2� i
Depth below grade:
Material of construction:
Rconcrete ❑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: ✓�� o�5
Sludge depth:
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