HomeMy WebLinkAboutMiscellaneous - 1423 SALEM STREET 4/30/2018 (39) Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form Not for Voluntary Assessments
1423 Salem Street __—
Property Address
Courtney Scruggs
Owner Owner's Name
information is
required for North Andover MA 01845 May 1, 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 16"x 16" and is 12" below grade. The d-box is in very good shape. _
Pump Chamber(locate on site plan):
Pumps in working order: 2/Y'es ❑ Nci*
Alarms in working order: Yes ❑ No*
Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.):
X& R,,oy a.nd Wan-n- are- 4.44 1W W 44--we-k n y 60"4116�n^--
Pu�� s 4;6,vj is- /SaU�,d zo 4- Coo---a 4414 ho
* 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 drawings and d-box to vent location.
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