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HomeMy WebLinkAboutMiscellaneous - 142 BERRY STREET 4/30/2018 y N O Q N ud m , A w m 0 a FILE#MAndlll `� l RECEWED TITLE V INSPECTION NO 2 0 2017 TOWN,OFANDOVER DEPARTMENT Dean G. Luscomb H & Sons P.O. Box 135 Middleton, MA 01949 978-774-4065 Licensed Plumber # 20285 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PROPERTY OWNERS NAME V-e4-k Th O m b S O PROPERTY ADDRESS A( A nd ove r) M A DATE OF INSPECTION ) y oy e 1 -)be r NAME OF INSPECTOR D ca n u QUALITY IS NUMBER ONE TO US cam• Commonwealth of Massachusetts RECEIVED Title 5 Official Inspection Form N0V ,z° Z°17 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments TOWN OF NORTH ANDOVER HEALV DEPARTMENT �w 142 Berry Street Property Address Keith Thompson Owner Owner's Name information is required for North Andover MA 01845 November 14, 2017 every page. City/Town State Zip Code Date of Inspection t Inspection results must be submitted on this form. Inspection forms may n . b Ite way. Please see completeness checklist at the end of the form. Important: A. General Information La When filling out forms on the computer,use 1. Inspector: only the tab key to move your Dean G. Luscomb II cursor-do not Name of Inspector use the return key. Dean G. Luscomb II &Sons -�—�I Company Name { 288 Maple Street Company Address Middleton MA 01949 City/Town State Zip Code 978-774-4065 S1848 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority P, November 14, 2017 Insp or's Signature ; Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins•3/13 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 142 Berry Street Property Address Keith Thompson Owner Owners Name information is required for North Andover MA 01845 November 14, 2017 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: ChecoB,C,D or E/always complete all of Section D A) System Passes: ® 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are 5 indicated below. Comments: B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is / structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts F W Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 142 Berry Street Property Address Keith Thompson Owner Owners Name information is required for North Andover MA 01845 November 14, 2017 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if �( the system is failing to protect public health, safety or the environment. ft/ 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 142 Berry Street Property Address Keith Thompson Owner Owner's Name information is required for North Andover MA 01845 November 14, 2017 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. U ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No ® Backup of sewage into facility or system component due to overloaded or ❑ ® clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/2 day flow t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 142 Berry Street Property Address Keith Thompson Owner Owner's Name information is required for North Andover MA 01845 November 14, 2017 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) rge Systems: To be considered a large system the system must serve a facility with a de ' n flow of 10,000 gpd to 15,000 gpd. For large sy s, you must indicate either"yes" or"no"to each of the followingjn-gddition to the questions in Sec' D. Yes No ❑ ❑ the system is i hin 400 of a surface drinking water supply ❑ ❑ the syste i within 20 t of a tributary to a surface drinking water supply ❑ e system is located in a nitrog ensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II o ublic water supply well Ifhave answered "yes"to any question in Section E the system nsidered a significant threat, or answered "yes" in Section D above the large system has failed. The o or operator of any large system considered a significant threat under Section E or failed under Section 11 upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 142 Berry Street Property Address Keith Thompson Owner Owner's Name information is required for North Andover MA 01845 November 14, 2017 every page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no"as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 gpd t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 142 Berry Street Property Address Keith Thompson Owner Owner's Name information is required for North Andover MA 01845 November 14, 2017 every page. City/Town State Zip Code Date of Inspection D. System Information Description: owner and town Number of current residents: 2 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 years usage (gpd)): aG✓v1 — Detail: P, � A � - Sump pump? ® Yes ❑ No current Last date of occupancy: Date Commercial/industrial Flow Conditions: Type of ablishment: — UDesign flow(base 310 CMR 15.203): Gallons per day Basis of design flow(seats/perso ft, etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank pre ❑ Yes ❑ No Non-sanitary was I charged to the Title 5 system? ❑ Yes ❑ No Water-meter readings, if available: t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System=Page 7 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 142 Berry Street Property Address Keith Thompson Owner Owner's Name information is required for North Andover MA 01845 November 14, 2017 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) st date of occupancy/use: Date Other(describe General Information Pumping Records: Source of information: Last pumped 10 years ago. Was system pumped as part of the inspection? ® Yes ❑ No If yes, volume pumped: 1500 gallons gallons How was quantity pumped determined? by measurements Reason for pumping: heavy solids Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments GSM , 142 Berry Street Property Address Keith Thompson Owner Owner's Name information is North Andover required for MA 01845 November 14, 2017 every 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: System is from 1984-33 years old. Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): / Depth below grade: 24" feet Material of construction: ® cast iron ❑ 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): Main line and joints are in good condition Septic Tank(locate on site plan): S Depth below grade: 14" feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) Precast rectangular concrete- 1500 gallons If tank is mea Is age a e I icate of Compliance? (attach a copy of ce I Ica No Dimensions: 5'x 5'x 10'- 1500 gallons Sludge depth: 6" t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M 142 Berry Street Property Address Keith Thompson Owner Owners Name information is required for North Andover MA 01845 November 14, 2017 every page. CitylTown 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 30" Scum thickness 6 Distance from top of scum to top of outlet tee or baffle 4" Distance from bottom of scum to bottom of outlet tee or baffle 11" How were dimensions determined? by measurements Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Septic tank and baffle are in very good shape. The solids are heavy and do require pumping at this time. The liquid is running at it's correct working heigth. ease Trap(locate on site plan): Depth belo rade: feet Material of construct) ❑ concrete ❑ metal ❑ fiberglass ❑ hylene ❑ other(explain): Dimensions: , �® Scum thickness -' Distance from to f scum to top of outlet tee or baffle Dista e� from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•3/13 Title 5 Official Inspection Foran:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments w 142 Berry Street Property Address Keith Thompson Owner Owner's Name information is required for North Andover MA 01845 November 14, 2017 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels asreJated to outlet invert, evidence of leakage, etc.): Ti ht or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth b low grade: _ Material of c struction: ❑ concrete ❑ metal ❑ fiberglass g ❑ polyethylen El other(explain): Dimensions.- Capacity: gal ns Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: A m in working order: ❑ Yes ❑ No Date of last pumping: ` Date Comments (condition of alarm and float switches, etc.): Z Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 142 Berry Street Property Address Keith Thompson Owner Owners Name information is required for North Andover MA 01845 November 14, 2017 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert Zero Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any / evidence of leakage into or out of box, etc.): The d-box is 20"x 20"and is 26" below grade. The d-box is in very good shape. Pu»a Chamber(locate on site plan): DPumps in working ❑ Yes ❑ No" Alarms in working order: ❑-'des�`✓❑ No* Comments(note condition of pump chamber, conditi mps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): / If SAS not located, explain why: SAS was located by asbuilt and d-box to vent location. t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 142 Berry Street Property Address Keith Thompson Owner Owners Name information is required for North Andover MA 01845 November 14, 2017 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ® leaching pits number: 2-shallow pits ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): The SAS is in good condition. There are no signs of ponding or breakout Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number configuration Depth—top of liquid to I invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of ruction Indication of groundwater inflow ❑ Yes ❑ t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 142 Berry Street Property Address Keith Thompson Owner Owner's Name information is required for North Andover MA 01845 November 14, 2017 every page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) C i ents (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): ------------------------------ P ivy (locate on site plan): Materials construction: Dimensions Depth of solids Comments (note condition of soil, signs of is failure, level of ponding, condition of vegetation, etc.): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts s ' e 5 Official Inspection Form ubsu Sewage Disposal System Form -Not for Voluntary Assessments 142 Berry Street Property Address Keith Thompson er Owner's Name info tion is North Andover require r MA 1845 November 14, 2017 every page. CityfFown State Zip Co Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system7includ'ingatbes�to � at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: hand-sketch in the area below drawing attached separately NY �Y Ew, I#2 84rr-q UJI T U1a I /S! Sed � R fr,t ,S,7 for 3�! A VX = f� 33l3�� Q� X p IV ` D D-go K !U0 D Y '6 A110 P/ : 43 81V P/ �t Aiv t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M •''r 142 Berry Street Property Address Keith Thompson Owner Owner's Name information is required for North Andover MA 01845 November 14, 2017 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar Oz4A.410 )PaA410 ® Shallow wells l/`o!%�-e Estimated depth to high ground water: 6' +/- feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: Sept 1984 Date ® Observed site(abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health -explain: Sketch only. ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: The basement is 6' below grade. Su+vIi,a eu J% St-t At 13JOw AAh- Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments °M 142 Berry Street Property Address Keith Thompson Owner Owner's Name information is required for North Andover MA 01845 November 14, 2017 every page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist E Inspection Summary: A, B, C, D, or E checked E Inspection Summary D (System Failure Criteria Applicable to All Systems)completed E System Information—Estimated depth to high groundwater E Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 Nov, 14. 2017 10:43AM No. 2424 P. 1 ' .».....-r-dWd Card generated On W14=17 1&.97:24 AM by Nares Hanlon Page 1 `town of North Andover Tax Map # 210-106.D-0039-0000.0 Parcel Id 17799 142 BERRY STREET KEITH THOMPSON 142 BERRY STREET NORTH ANDOVER, MA 01845 Class 101 Single Family property Type 1 Residential Zoning2 1 Residential Zoning3 1 Residential Size Total 1 Acres FY 2018 UB Mailing Index Name/Address Type Loan Number Active/Inact. From Until KEITH THOMPSON Owner 142 BERRY STREET NORTH ANDOVER,MA 01845 HOUGHTON.RITA Previous Customer Inactive 1/5/2009 142 BERRY STREET N.ANDOVER,MA 01845 UB Account Maint. Account No Cycle Occupant Name Active/Inactive Bldg Id.13410.0-142 BERRY STREET Last Billing Date 9/12/2017 2100055 02 Cycle 02 Active UB Services Maint. Account No.2100055 Service Code Rate Charge Multiplier/Users 0 MISCFEEADMIN FEE 0.635/8 7.82 1/ WTR WATER 01 ALL METER SIZE 86.72 /1 UB Meter Maintenance Account No.2100055 Serial No Statue Location Brand Type Size YTD Cons 32945548 a Active HH#142 b Badger w Water o.630.63 467 Date Reading Code Consumption Posted Date Variance 11/1/2017 534 a Actual 15 -32% 8/1/2017 519 a Actual 22 9/20/2017 52% 5/1/2017 497 a Actual 14 6/26/2017 3% 2/1/2017 483 a Actual 14 3/14/2017 -18% 11/1/2016 469 a Actual 17 12/19/2016 -33% 8/1/2016 452 aActual 25 9/21/2016 22% 5/3/2016 427 aActual 21 6121/2016 13% 2/1/2016 406 a Actual 19 3/28/2016 110/0 10/30/2015 387 a Actual _16 12/30/2015 -21% 8/3/2015 371 aActual 21 9/14/2015 105% 5/4/2015 360 a Actual 10 6/22/2015 -6% 2/4/2015 340 a Actual 11 3/20/2015 35% 11/4/2014 329 a Actual 8 12/15/2014 53a/a 8/6/2014 321 a Actual 5 9/11/2014 -29% 5/1212014 316 a Actual 8 6/12/2014 28% 2/3/2014 308 a Actual 6 3/17/2014 11% 1111/2013 302 aActual 5 12/20/2013 -20% 8/6/2013 297 a Actual 7 9/18/2013 -44% 5/1/2013 290 a Actual 11 6/18/2013 -11% 2/412013 279 aActual 14 3/13/2013 0% 10/30/2012 265 a Actual 13 12/13/2012 2% $/112012 252 'a Actual 13 9/26/2012 6% 5/1/2012 239 a Actual 12 6/20/2012 -6% 2/1/2012 227 a Actual 13 3/1412012 26% 11/1/2011 214 aActual 10 12/15/2011 -55°/a 8/4/2011 204 a Actual 23 9/14/2011 110% Of iNORT`,y 81 09 a Town of North Andover HEALTH DEPARTMENT ,SS�CHUSt� CHECK#: 7�/�J? DATE: /�c/--,�G-a o/ LOCATION: /c/.), 1&,rr H/O NAME: / nQ O !7 CONTRACTOR NAME: Z�SC Type of Permit or License:(Check box) ❑ Animal $ ❑ Body Art Establishment $ ❑ Body Art Practitioner $ ❑ Dumpster $ ❑ Food Service-Type: $ ❑ Funeral Directors $ ❑ Massage Establishment $ ❑ Massage Practice $ ❑ Offal(Septic)Hauler $ ❑ Recreational Camp $ ❑ Sun tanning $ ❑ Swimming Pool $ ❑ Tobacco $ ❑ Trash/Solid Waste Hauler $ ❑ Well Construction $ SEPTIC Systems: ❑ Septic-Soil Testing $ ❑ Septic-Design Approval $ ❑ Septic Disposal Works Construction(DWC) $ ❑ Septic Disposal Works Installers(DWI) $ ❑ Title 5 Inspector $ /V Title 5 Report �(j,SS $50 - 0 _5Q "❑ Other:(Indicate) $ /�jeJ H gent Initials White-Applicant Yellow-Health Pink-Treasurer sw"T J oo (l co Z L C c j (�rt� liou S`C'. 1600 D z-1 2 -be rn North Andover Board of Assessors Public Access Page 1 of 1 Of s�"O °• O H 9 Hu scry Sroperty Record Card Click Seal To Return Parcel ID:210/106.D-0042-0000.0 FY:2010 Community:North Andover SKETCH PHOTO No Search for Parcels No S ketc Picture Search for Sales Available Available Summary Residence Detached Structure Location: 0 BERRY STREET Condo Owner Name: HOUGHTON,NANCY N Owner Address: 24 WEST BRADSTREET ROAD Commercial City: NORTH ANDOVER State: MA Zip: 01845 ru eighborhood: 5-5 Land Area: 1.83 acres se Code: 130-RES-DEV-LAND Total Finished Area:_Lsft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 203,600 183,900 Building Value: 0 0 Land Value: 203,600 183,900 Market Land Value: 203,600 Cha ter Land Value: LATEST SALE Sale Price: 16,000 Sale Date: 08/05/1984 Arms Length Sale A-NO-FAMILY Grantor: Code: Cert Doc: 01P1917EP1 Book: 01848 Page: 0181 http://csc-ma.us/PROPAPP/display.do?linkId=1519279&town=NandoverPubAcc 10/7/2010 1-�orth Andover Board of Assessors Public Access Page 1 of 1 pORTM Nr " A-0 vorgrd.Of-A- 8►SoOWW-—S;: �+S�C N�.�'' Sroperty Record Card Click Seal To Return Parcel ID:210/106.D-0058-0000.0 FY:2010 Community:North Andover SKETCH PHOTO Search for Parcels No Sketch No Picture Search for Sales Available Available Summary Residence Detached Structure Location: 0 BERRY STREtT Condo Owner Name: HOUGHTON,NANCY N Owner Address: 24 WEST BRADSTREET ROAD Commercial City: NORTH ANDOVER State: MA Zip: 01845 Neighborhood:5-5 Land Area: 0.24 acres Use Code: 130-RES-DEV-LAND Total Finished Area: 0 s ft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 165,500 159,000 Building Value: 0 0 Land Value: 1615,500 159,000 Market Land Value: 165,560 Chapter Land Value: LATEST SALE Sale Price: 1 Sale 08/05/1984 Date: Arms Length Sale F-NO-CONVNIENT Grantor: RITA HOUGHTON Code: Cert Doc: 01P1917EPII Book: 01848 Pa e: 0181 11 http://csc-ma.us/PROPAPP/display.do?linkId=1519294&town=NandoverPubAcc 10/7/2010 North Andover Board of.Assessors Public Access Page 1 of 1 1 jojo ".fii,:of ',. s*ss rs'. 3r.•�aa. ...w. • 'OL F� 9 ,C►w+ Sroperty Record Card Click Seal To Return Parcel ID :210/106.D-0076-0000.0 FY:2010 Community:North Andover SKETCH PHOTO Search for Parcels No Sketch No Picture Search for Sales Available Available Summary Residence Detached Structure Location: 0 BERRY STREET Condo Owner Name: HOUGHTON,NANCY Owner Address: 24 WEST BRADSTREET ROAD Commercial City: NORTH ANDOVER State: MA Zip: 01845 Neighborhood:5-5 Land Area: 1.00 acres Use Code: 131-RES-PDV-LAND Total Finished Area: 0 s ft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 197,300 197,300 Building Value: 0 0 Land Value: 197,300 197,300 Market and Value: 197,300 Chapter Land Value: LATEST SALE Sale Price: 1 Sale Date: 09/21/1999 Arms Length Sale A-NO-FAMILY Grantor: RITA HOUGHTON Code: Cert Doc: Book: 05184 Page: 0333 http://csc-ma.us/PROPA.PP/display.do?linkId=1519311&town=NandoverPubAcc 10/7/2010 North Andover Board of Assessors Public Access Page 1 of 1 eta�!.a+• `�'•••• pj ,p roperty Record Card swewub Click Seal To Return Parcel ID:210/106.D-0077-0000.0 FY:2010 Community:North Andover SKETCH PHOTO Search for Parcels No Sketch No Picture Search for Sales Ava l Mable Available Summary Residence Detached Structure Location: 0 BERRY STREET Condo Owner Name: HOUGHTON,NANCY Owner Address: 24 WEST BRADSTREET ROAD Commercial City: NORTH ANDOVER State: MA Zip: 01845 ru eighborhood:5-5 Land Area: 1.00 acres se Code: 131-RES-PDV-LAND Total Finished Area: 0 s ft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 197,300 197,300 Building Value: 0 0 Land Value: 197,300 197,300 Market Land Value: 197,300 Chapter Land Value: LATEST SALE Sale Price: 1 Sale Date: 09/21/1999 Arms Length Sale A-NO-FAMILY Grantor: RITA HOUGHTON Code: Cert Doc: Book: 05184 Page: 2113j 1 http://csc-ma.us/PROPA,PP/display.do?linkId=1519312&town=NandoverPubAce 10/7/2010 Board of Health sEMC STSTEH North AndoverZHaae. INSTA?•LATICK CHECK LIST '17W 2- 2- IFFN V D DATL DISAPPtg07ED AVATICR� Og FAIL earns t.FAIL - ""v V , 1. Distance Tot a. Wetlands. b. Drains Wen 2. Water Line Location 3. No PVC Pipe ? ._ Septic Tank a. Tees --Length & To Clean Out Comars___ .. b. Cement Pipe to Tank On Both Sides of Tank 5. Distribution Box a. Covers &- Box - No Cracks b. All Lines Flowing Equal- Amounts c. No Back Flow 6. Leach_Field or Trench a. Dimensions b. Stone Depth c. Capped Ends d. Clean Double`Washed Stone 7. Leach Pits a. Dimensions b. Stone Depth c. Splash Pads ` d. Tees e. Cement Pipe to Pit - Both Sides £. Clean Doub'le Washed Stone 8. No Garbage Disposal 9. -Tin.al Grading Inspection 10. Barricading Covered System 11. As Built Submitted a. Lot Location b. Dimensions of System c. Location with Regard-to Pere Test d. Elevations 1 -- - ---- e. Water Table -. WELL DATABASE ADDRESS: AGE OF WELL: 3 WELL DRILLER: o WELL PERMIT : WE LOCATION: £ WELL PERMIT DATE: DEPTH OF WELL: TYPE OF WELL: a.. DRILLED ? b. DG UNKNOWN TYPE OF WATER BEARING ROCK: ` WATER ANALYSIS DATE: l �H H MANGANESE: Y N HIGH IRON: Y N OTHER CONTAMINANTS: Y N