HomeMy WebLinkAboutMiscellaneous - 115 SHERWOOD DRIVE 4/30/2018 (52) Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
s
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 4-I--
Surface water 1C/o
(� Check cellar O/-{
�\Shallow wells /VhXI-F-
f
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
If 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���excavators, installers-(attach documentation)
( f Accessedt19es-database-explain: -V—
You must describe how you established the high ground water elevation:
-A- QST` '�P/7:57
�i7193 Ism aeV 0-
'f
9 /9 Os- /mmp6tv (e z ��
cl* x/95' /Vo
Before filing this Inspection Report, please see Report Completeness Checklist on next page.
t5ins•09/08 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 16 of 17