HomeMy WebLinkAboutMiscellaneous - 1423 SALEM STREET 4/30/2018 (40) Commonwealth of Massachusetts
u 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 y
required for North Andover MA 01845 May 1, 2017
every page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Type:
❑ leaching pits number:
❑ leaching chambers number:
❑ leaching galleries number:
❑ leaching trenches number, length: --
® leaching fields number, dimensions: 1 - 18' x50' —
❑ 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.
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Cesspools(cesspool must be pumped as part of inspection) (locate on site plan):
Number and configurtion
Depth—top of liquid to inlet inv rt"e
Depth of solids layer
Depth of scum layer —
Dimensions of cesspool
Materials of construc
Indication roundwater inflow ❑ Yes ❑ No
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