HomeMy WebLinkAboutMiscellaneous - 59 ROCKY BROOK ROAD 4/30/2018 (31) Page 11 of 11 0
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 59 Rocky Brook Road_
_North Andover—
Owner:_Powell_
Date of Inspection:_9/27/2003
SITE EXAM
Slope
Surface water
Check cellar
Shallow wells
Estimated depth to ground water_7'_
Please indicate(check)all methods used to determine the high ground water elevation:
_X_ Obtained from system design plans on record-If checked,date of design plan reviewed:_5/20/1993_
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:
You must describe how you established the high ground water elevation: As per design plan test pit data_