HomeMy WebLinkAboutMiscellaneous - 19 BEAVER BROOK ROAD 4/30/2018 (14) r 4
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
City/Town State Zip Code
Ron Novello 9/25/07
Owner's Name Date of Inspection
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Site Exam:
Slope no
Surface water no
Check cellar yes
Shallow wells no
Estimated depth to ground water: 8'+
Please indicate all methods used to determine the high ground water elevation:
® Obtained from system design plans on record
If checked, date of design plan reviewed: 1999
Date
® Observed site(abutting property/observation hole within 150 feet of SAS)
❑ Checked with local Board of Health-explain:
❑ Checked with local excavators, installers-(attach documentation)
® Accessed USGS database-explain:
maps
You must describe how you established the high ground water elevation:
Observed abutting properties. Used usgs maps of area. Listed on plans dated 1999.
9.25.07_19BeaverBrookRoad NorthAndover.doc•11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System
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