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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
SOIL ABSORPTION SYSTEM (SAS):_Y (locate on site plan, excavation not required)
If SAS not located explain why:
Type:
leaching pits, number:
leaching chambers, number:
leaching galleries, number:
leaching trenches, number,length: 4 @25'
leaching fields, number, dimensions:
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.):
NO EVIDENCE OF PONDING OR BREAKOUT, VEGETATION NORMAL. SAS AREA IS HEAVILY SHADED.
CESSPOOLS: N (cesspool must be pumped as part of inspection) (locate on site plan)
Number and configuration:
Depth-top.',of liquid to inlet invert:
Depth of solids layer:
Depth of scum layer:
Dimensions of cesspool:
Materials of construction:
Indication of groundwater inflow(yes or no)
Comments:(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.):
PRIVY: N (locate on site plan)
Materials of construction:
Dimensions:
Depth of solids:
Comments:(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.):
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