HomeMy WebLinkAboutMiscellaneous - 120 LACONIA CIRCLE 4/30/2018 (6) Commonwealth of Massachusetts
• _ W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
120 Laconia Circle
Property Address
Karen Crawford
Owner Owner's Name
information is North Andover MA 01845 August 2 2013
required for every g ,
page. Citylrown State Zip Code Date of Inspection
D. System Information
Description:
System installed July 1986 per BOH records.
Number of current residents: 3
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 ears usage d 54 GPD
9 ( Y 9 (gP ))� I
Detail:
Water usage below normal, irrigation system at property.
Sump pump? ® Yes ❑ No
Last date of occupancy: Occupied
Date
ommercial/Industrial Flow Conditions:
Type of Establis t:
Design flow(based on 310 CM 03): 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
Water meter readings, if available:
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