HomeMy WebLinkAboutMiscellaneous - 19 BEAVER BROOK ROAD 4/30/2018 (7) r
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Not for Voluntary Assessments
Subsurface Sewage Disposal System Form
C. System Information (cont.)
19 Beaver Brook Road
Property Address
North Andover MA 01845
Citylrown State Zip Code
Ron Novello 9/25/07
Owners Name Date of Inspection
Building Sewer(locate on site plan):
Depth below grade: 7"feet
Material of construction:
® cast iron ®40 PVC ❑other(explain):
Distance from private water supply well or suction line. 25
feet
Comments(on condition of joints, venting, evidence of leakage, etc.):
Good Clean Joints, Good Venting. No evidence of leakage
Septic Tank(locate on site plan):
Depth below grade: 10"feet
Material of construction:
® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain)
If tank is metal, list age: years
Is age confirmed by a Certificate of Compliance? (attach a copy of ❑ Yes ❑ No
certificate)
Dimensions: 10'6"x 5'8"x 5'8"
Sludge depth:
4"
43"
Distance from top of sludge to bottom of outlet tee or baffle
3"
Scum thickness
5"
Distance from top of scum to top of outlet tee or baffle
Distance from bottom of scum to bottom of outlet tee or baffle
13"
How were dimensions determined? Sludge Judge, Rod, Ruler
9.25.07_19BeaverBrookRoad NorthAndover.doe•11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System
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