HomeMy WebLinkAboutMiscellaneous - 120 LACONIA CIRCLE 4/30/2018 (8) Commonwealth of Massachusetts
H W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
120 Laconia Circle
M
Property Address
Karen Crawford
Owner Owner's Name
information is North Andover MA 01845 August 2 2013
required for every g
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Approximate age of all components, date installed (if known) and source of information:
July 1986 -27 y/o
Were sewage odors detected when arriving at the site? ❑ Yes ® No
Building Sewer(locate on site plan):
Depth below grade: 8"Leet
Material of construction:
® cast iron ❑ 40 PVCother(explain): Cast Iron (interior) 10 PVC (Exterior)
®
Distance from private water supply well or suction line: N/A-Town Water
feet
Comments (on condition of joints, venting, evidence of leakage, etc.):
Joints in good condition, no evidence of leaks or significant corrosion to cast iron. 10 PVC between
tank and d-box is crushed (less than 1"clearance), not level and must be replaced
Septic Tank (locate on site plan):
8,
Depth below grade: feet
Material of construction:
® concrete ❑ 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: 5'x10'x4' - 1,500 Gallons
Sludge depth:
6"
t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17