HomeMy WebLinkAboutMiscellaneous - 1423 SALEM STREET 4/30/2018 (20) OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM
PART B
CERTIFICATION
.Property Address: 1423 SALEM STREET, N. ANDOVER, MA 01845
Owner: MICHAEL & ELAINE MORGILLO
Date of Inspection: SEPTEMBER 24, 2001
Check if the following have been done: You must indicate either"Yes"or"No"as to each of the following:
Yes No
Y Pumping information was requested of the owner,occupant, and Board of Health.
N Were any of the system components pumped in the previous two weeks?
Y Has the system been receiving normal flows in the previous two weeks?
N Have large volumes of water been introduced into the system recently or as part of this inspection?
N/A_ Were as built plans of the system obtained and examined?(If hey were not available note as N/A)
Y Was the facility or dwelling was inspected for signs of sewage back-up?
Y Was the site was inspected for signs of breakout? ;
Y Were all system components, excluding the SAS, located on the site?
Y 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, depth of scum?
Y Was the facility owner(and occupants, if different from owner)were provided with information on the proper
maintenance of subsurface disposal systems?
The size and location of the Soil Absorption System(SAS)on the site has been determined based on:
Yes No
Y Existing information. For example,a plan at the Board of Health.
Y Determine in the field(if any of the failure criteria related to Part C is at issue, approximation of distance is
unacceptable) [15.302(3)(b)]
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