HomeMy WebLinkAboutMiscellaneous - 66 COLONIAL AVENUE 4/30/2018 (24) Page 7 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address:_66 Colonial Avenue_
_North Andover
Owner: Valentine
Date of Inspection:_10/31/2002_
BUILDING SEWER(locate on site plan)X
Depth below grade: 24"
Materials of construction:_cast iron —X-40 PVC_other(explain):
Distance from private water supply well or suction line:
Comments(on condition of joints,venting,evidence of leakage,etc.):_4"Pvc thru wall to septic tank 3"PVC in
house.No leaks.
SEPTIC TANK: X locate on site plan)
Depth below grade:_12"
Material of construction:—X—concrete metal_fiberglass polyethylene
___other(explain)
If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):—(attach a copy of
certificate)
Dimensions: 10'x 5'x 4'
Sludge depths 1"
Distance from top of sludge to bottom of outlet tee or baffle: 26"
Scum thickness: 1"
Distance from top of scum to top of outlet tee or baffle: S"
Distance from bottom of scum to bottom of outlet tee or baffle:_20"
How were dimensions determined:_Subtract scum&sludge depth to tee length._
Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels
as related to outlet invert,evidence of leakage,etc.):_Inlet tee ok.Outlet tee ok.Depth of liquid at outlet invert.
No evidence of leakage._
GREASE TRAP:_(locate on site plan)
Depth below grade:_,
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:
Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels
as related to outlet invert,evidence of leakage,etc.):