HomeMy WebLinkAboutMiscellaneous - 120 LACONIA CIRCLE 4/30/2018 (9) 1
Commonwealth of Massachusetts
H W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
I
,M 120 Laconia Circle
Property Address
Karen Crawford
Owner Owner's Name
information is North Andover MA 01845 August 2
required for every g , 2013
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Septic Tank(cont.)
Distance from top of sludge to bottom of outlet tee or baffle
26"
Scum thickness 2" at outlet
Distance from top of scum to top of outlet tee or baffle
9"
Distance from bottom of scum to bottom of outlet tee or baffle
14"
How were dimensions determined? Tape Measure & sludge judge
Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
Tank in good condition, minimal corrosion and easily accessible. Brick walkway over tank so
inlet/outlet are the access ports. Concrete baffles sound and in excellent condition. Minimal solids
observed within baffle. Tank does not require pumping at this time.
i
se Trap (locate on site Ian
Depth below g e:
feet
Material of construction:
❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain):
Dimensions:
Scum thickness
Distance from top of scum to top of outlet tee or baffle
Distance from bottom of scum to bottom of outlet tee or baffle
Date of last pumping:
Date
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