HomeMy WebLinkAboutMiscellaneous - 19 BEAVER BROOK ROAD 4/30/2018 (8) 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
Cityrrown State Zip Code
Ron Novello 9/25/07
Owner's Name Date of Inspection
Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
Service Annually. Inlet and Outlet tees in good ocndition. Tank structurally sound. Level at 0 to outlet
invert. No evidence of leakage.
Grease Trap(locate on site plan):
Depth below grade: feet
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: Date
Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert,evidence of leakage, etc.):
Tight or Holding Tank(tank must be pumped at time of inspection)(locate on site plan):
Depth below grade:
Material of construction:
❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain):
9.25.07 19BeaverBrookRoad_NorthAndover.doc•11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System
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