HomeMy WebLinkAboutMiscellaneous - 1423 SALEM STREET 4/30/2018 (36) Commonwealth of Massachusetts
NSW Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form m Not for Voluntary Assessments
1423 Salem Street
Property Address
Courtney Scruggs
Owner Owner's Name
information is Nolth Andover MA 01845 May 1, 2017
required for _ y __.
every page. Cityfrown 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 2002 - 15 years old.
Were sewage odors detected when arriving at the site? ❑ Yes ® No
Building Sewer(locate on site plan):
/ Depth below grade. 32"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):
Depth below grade: 22"feet
/ Material of construction:
® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain)
Precast rectangular concrete- 1000 gallons
If tank is metal, list age:
Is firmed by a Certificate of Compliance? (attach a copy of certificate)
Dimensions:
5' x 5'x 8'- 1000 gallons
—
Sludge depth:
5"
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