HomeMy WebLinkAboutMiscellaneous - 1423 SALEM STREET 4/30/2018 (37) Commonwealth of Massachusetts
W Title 5 official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
1423 Salem Street
Property Address
Courtney Scruggs
s
Owner
Owner's Name
information is
required forNorth over Y h AndMA 01845 May 1, 2017
. .—
every page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Septic Tank(cont.)
Distance from top of sludge e to bottom of outlet tee or baffle 26" — —
Scum thickness
6" —
Distance from top of scum to top of outlet tee or baffle 3" --
Distance from bottom of scum to bottom of outlet tee or baffle 13" --
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.
Grease Trap (locate on site plan):
Depth below grade: feet
Material of constructions
❑ concrete ❑ metals ❑ fiberglass ❑ polyeth e ❑ other(explain):
i
Dimensions:
Scum thickness — -- —
Distance from top of scum to to outlet tee or baffle
Distance from bottom scum to bottom of outlet tee or baffle — -
Date of last pu -ing: Date
t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17