HomeMy WebLinkAboutMiscellaneous - 1423 SALEM STREET 4/30/2018 (23) 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
TIGHT OR HOLDING TANK: N (Tank must be pumped prior to, or at time, of inspection) (locate on site plan)
Depth below grade:.
Material of construction:_concrete_metal_Fiberglass_Polyethylene_ other(explain):
Dimensions:
Capacity: gallons
Design flow: gallons/day
Alarm present(yes or no):
Alarm level: Alarm in working order yes or no):
Date of last pumping:
Comments:
(condition of inlet tee, condition of alarm and float switches, etc.):
DISTRIBUTION BOX:-Y (if present must be opened) (locate on site plan)
Depth of liquid level above outlet invert: 3"
Comments:
(note if level and distribution to outlets equal,evidence of solids carryover, any evidence of leakage into or out of box. etc.):
CONCRETE, 16" BELOW GROUNDLEVEL, 20"X 20"X12", MINOR DETERIORATION OF CONCRETE
STRUCTURE, NO EVIDENCE OF LEAKAGE OR INFILTRATION, 4 OUTLET PIPES, LIQUID AT 3" ABOVE
OUTLET INVERTS INDICATING SAS FAILURE, 10" OF CARRYOVER SLUDGE.
PUMP CHAMBER: N(locate on site plan)
Pumps in working order: (yes or no)
Alarms in working order:(yes or no)
Comments:
(note condition of pump chamber, condition of pumps and appurtenances, etc.):
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