HomeMy WebLinkAboutMiscellaneous - 1423 SALEM STREET 4/30/2018 (21) OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM
PART C
CERTIFICATION
Property Address: 1423 SALEM STREET, N. ANDOVER, MA 01845
Owner: MICHAEL & ELAINE MORGILLO
Date of Inspection: SEPTEMBER 24, 2001
FLOW CONDITIONS
RESIDENTIAL
Number of bedrooms(Design): 4 Number of Bedrooms(Actual): 4
DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): _4X110=440
Number of current residents: 3
Does residence have a garbage grinder(yes or no): Y
Is laundry on a separate sewage system (yes or no):_N [If yes,separate inspection required]
Laundry system inspected (yes or no): Y
Seasonal use(yes or no): N
Water meter readings, if available(last two year's usage(gpd): PRIVATE WELL
Sump Pump(yes or no): N
Last date of occupancy: PRESENT
COMMERCIAL/INDUSTRIAL:
Type of establishment:
Design flow(based on 310 CMR 15.203): bpd
Basis of design flow (seats/persons/sqft, etc.):
Grease trap present(yes or no):
Industrial Waste Holding Tank present(yes or no):
Non-sanitary waste discharged to the Title 5 system(yes or no):
Water meter readings,if available:
Last date of occupancy/use:
,OTHER:(Describe):
GENERAL INFORMATION
PUMPING RECORDS
Source of information: OWNER STATES LAST PUMPED APPROX MAY 2001
Was system pumped as part of inspection(yes or no): _N
If yes,volume pumped gallons-- How was quantity pumped determined?
Reason for pumping:
TYPE OF,SYSTEM
Y Septic tank/distribution box/soil absorption system
Single cesspool
Overflow cesspool
Privy'.
Shared system (yes or no) (if yes, attach previous inspection records, if any)
Innovative/Alternative technology. Attach copy of the current operation and maintenance contract (to be
obtained from the system owner).
Tight Tank Attach a copy of DEP approval.
Other(describe):
Approximate age of all components, date installed(if known) and source of information:
NO PLANS ON FILE AT TOWN OFFICE. OWNER STATES SYSTEM INSTALLED APPROX. 1971.
Were sewage odors detected when arriving at the site:(yes or no)_N
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