HomeMy WebLinkAboutMiscellaneous - 1423 SALEM STREET 4/30/2018 (22) OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM
PART C
CERTIFICATION (continued)
Property Address: 1423 SALEM STREET, N. ANDOVER, MA 01845
Owner: MICHAEL & ELAINE MORGILLO
Date of Inspection: SEPTEMBER 24, 2001
BUILDING SEWER (locate on site plan)
Depth below grade: 12".
Material of construction: _X—cast iron _X_40 PVC_X_other(explain) COPPER
Distance from private water supply well or suction line 25'
Comments: (condition of joints, venting, evidence of leakage, etc.)
FLOOR ,PENETRATION, JOINTS ARE SOLID, NO EVIDENCE OF LEAKAGE.
SEPTIC TANK (locate on site plan)
Depth below grade: 25"
Material of construction: _X_concrete_metal_Fiberglass_Polyethylene other(explain):
If tank is metal, list age Is age confirmed by Certificate of Compliance (yes/no) (attach copy of certificate)
Dimensions: -----------4.5'X7.5'X5.5', 1,000 GAL,
Sludge depth: 3"
Distance from top of sludge to bottom of outlet tee or baffle: 3'
Scum thickness: 0"
Distance from top of scum to top of outlet tee or baffle: 6"
Distance from bottom of scum to bottom of outlet tee or baffle: 12"
How dimension were determined: FIELD MEASURED
Comments: (on pumping recommendations, inlet and outlet tee or baffle condition,depth of liquid level in relation to outlet invert,
structural integrity, evidence of leakage, etc.) :
STRUCTURALLY SOUND, NO EVIDENCE OF LEAKAGE OR INFILTRATION, BAFFLES IN GOOD CONDITION,
LIQUID AT OUTLET INVERT. 24" CLAY COLUMN RISER OVER INLET COVER. TANK IS LOCATED UNDER THE
DECK. DECKING HAD TO 'BE REMOVED TO PROVIDE ACCESS.
GREASE TRAP (locate on site plan)
Depth below grade;
Material of construction:_concrete_metal_Fiberglass_Polyethylene other(explain)
Dimensions:
Scum thickness.
Distance from top of scum to top of outlet tee or baffle:
Distance from bottom of scum to bottom of outlet tee or baffle
Date of last,pumping
Comments: (on pumping recommendations,inlet and outlet tee or baffle condition,depth of liquid level in relation to outlet invert,
structural integrity, evidence of leakage, etc.)