HomeMy WebLinkAboutTitle V Inspection Report - 93 ROCKY BROOK ROAD 5/22/2018 Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
"°" 93 Rocky Brook __
..............._..____.._.___._._--------. ___.____....._._.._------------..---____._. .
Property.Address
Matt Pru..ry� _._.._.._........__...
__._.__._._.a_..._....._.__._.__..__.._......_._.-------___......
Owner ._._._......_.___..___.._._.._,_,....._.._.,_a
Owner's Name
information is North Andover MA 01845 5-11-2018_ _
required for every _..-----.---._ ,_---------_._.--_._.--_
page, Cityrrown State Zip Code Date of Inspection
Inspection results must be submitted on this form. Inspection forms may not be altered in any
way. Please see completeness checklist at the end of the form.
Important:When A. General Information
filling out forms
on the computer,
keytormo not Neil your 1. Inspector:
use only the tab
curso
Nell J. Bateson
key.the return Name of Inspector 100
Bateson Enterprises Inc.
rad Company Name
111 Ar i�lla_Road ._....__.._._.
Company Address
Andover MA 01810
Cityrrown State Zip Code
978-475-4786 SI-15
Telephone Number License Number
B. Certification
I certify that I have personally inspected the sewage disposal system at this address and that the
information reported below is true, accurate and complete as of the time of the inspection. The inspection
was performed based on my training and experience in the proper function and maintenance of on site
sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of
Title 5 (310 CMR 15.000).The system:
❑ Passes ® Conditionally Passes ❑ Fails
❑ Need§ Further Evaluation by the Local Approving Authority
{ 5-11-2018
_.....__.. -.- ---.........._._.. ....m...._ _ _.. -
Insp ctors Sign a Date
The system inspector shall submit a copy of this inspection report to the Approving Authority (Board
of Health or DEP)within 30 days of completing this inspection. If the system has a design flow of
10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate
regional office of the DEP. The original should be sent to the system owner and copies sent to the
buyer, if applicable, and the approving authority.
****This report only describes conditions at the time of inspection and under the conditions of use
at that time.This inspection does not address how the system will perform in the future under
the same or different conditions of use.
t5ins.doc-rev.6116 Title 5 Oficial Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form Not for Voluntary Assessments
93 Rock v Brook
PropertyAci-d-ress
Matt Prury__
Owner Owner's Name
information is
required for every North Andover --MA 01845 5-11-2018
page. diiyfrown State Zip Code Date of Inspection
B. Certification (cont.)
Inspection Summary: Check A,B,C,D or E always complete all of Section D
A) System Passes:
F-1 I have not found any information which indicates that any of the failure criteria described
in 310 CMR 15.303 or in 310 CMR 15,304 exist, Any failure criteria not evaluated are
indicated below.
Comments:
--------------
B) System Conditionally Passes:
One or more system components as described in the"Conditional Pass" section need to be
replaced or repaired. The system, upon completion of the replacement or repair, as approved by
the Board of Health, will pass.
Check the box for"yes", "no" or"not determined" (Y, N, ND)for the following statements. If"not
determined," please explain.
The septic tank is metal and over 20 years old* or the septic tank (whether metal or not) is structurally
unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass
inspection if the existing tank is replaced with a complying septic tank as approved by the Board of
Health.
A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of
Compliance indicating that the tank is less than 20 years old is available.
El Y E N El ND (Explain below):
-----------------------------------
(5ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form Not for Voluntary Assessments
93 Rocky Brook
Property Address
Matt Pfury
Owner Owners Name
information is
required for every North Andover MA 01845 -zU1 b
page. 'Olt /fo—w—n ---------- State Zip Code Date of lnspEi�tion
B. Certification (cont.)
[:1 Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if
pumps/alarms are repaired.
B) System Conditionally Passes (cont.):
❑ Observation of sewage backup or break out or high static water level in the d stribution box due
to broken or obstructed pipe(s)or due to a broken, settled or uneven distribu ion box. System will
pass inspection if(with approval of Board of Health):
❑ broken pipe(s) are replaced El Y Z N R ND (Explain below):
❑ obstruction is removed R Y Z N El ND (Explain below):
E] distribution box is leveled or replaced R Y Z N El ND (Explain below):
----------
❑
The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The
system will pass inspection if(with approval of the Board of Health):
R broken pipe(s) are replaced R Y Z N 0 ND (Explain below):
R obstruction is removed El Y E N El ND (Explain below):
C) Further Evaluation is Required by the Board of Health:
F] Conditions exist which require further evaluation by the Board of Health in order to determine if
the system is failing to protect public health, safety or the environment.
1. System will pass unless Board of Health determines in accordance with 310 CMR
15.303(1)(b)that the system is not functioning in a manner which will protect public health,
safety and the environment:
El Cesspool or privy is within 50 feet of a surface water
El Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh
151ns.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
o Subsurface Sewage Disposal System Form Not for Voluntary Assessments
93,Rockv Brook
Property Address
Matt Drury
Owner Owners Name
information is
required for every North Andover MA 01845 5-1172018
page. CityRown State Zip Code Date of Inspection
B. Certification (cont.)
2. System will fail unless the Board of Health (and Public Water Supplier, if any)
determines that the system is functioning in a manner that protects the public health,
safety and environment:
n The system has a septic tank and soil absorption system (SAS) and the SAS is within
100 feet of a surface water supply or tributary to a surface water supply.
F-1 The system has a septic tank and SAS and the SAS is within a Zone I of a public water
supply.
El The system has a septic tank and SAS and the SAS is within 50 feet of a private water
supply well.
M The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or
more from a private water supply well".
Method used to determine distance:
This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal
coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal
to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must
be attached to this form.
3. Other:
D-Box needs to be replaced & inlet tee missing in septic tank..
------------- --------
D) System Failure Criteria Applicable to All Systems:
You must indicate"Yes" or"No"to each of the following for all inspections:
Yes No
El M Backup of sewage into facility or system component due to overloaded or
clogged SAS or cesspool
E-1 E Discharge or ponding of effluent to the surface of the ground or surface waters
due to an overloaded or clogged SAS or cesspool
El Z Static liquid level in the distribution box above outlet invert due to an overloaded
or clogged SAS or cesspool
E-1 Z Liquid depth in cesspool is less than 6" below invert or available volume is less
than Y2 day flow
t5ins.doc•rev,6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form Not for Voluntary Assessments
93 Rockv Brook
Property Address
Matt Drur�r
Owner Owner's Name
information is MA 01845 5-11-2018
required for every North Andover . .....---
page. Cityrrown State Zip Code Date of Inspection
B. Certification (cont.)
Yes No
El E Required pumping more than 4 times in the last year NOT due to clogged or
obstructed pipe(s). Number of times pumped: _.
F-1 E Any portion of the SAS, cesspool or privy is below high ground water elevation.
0 z Any portion of cesspool or privy is within 100 feet of a surface water supply or
tributary to a surface water supply.
Any portion of a cesspool or privy is within a Zone 1 of a public well.
El 0 Any portion of a cesspool or privy is within 50 feet of a private water supply well.
Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet
from a private water supply well with no acceptable water quality analysis. [This
system passes if the well water analysis, performed at a DEP certified
laboratory,for fecal coliform bacteria indicates absent and the presence
of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,
provided that no other failure criteria are triggered. A copy of the analysis
and chain of custody must be attached to this form.]
The system is a cesspool serving a facility with a design flow of 2000gpd-
El Z 10,000gpd.
0 z The system fails. I have determined that one or more of the above failure
criteria exist as described in 310 CMR 15.303, therefore the system fails. The
system owner should contact the Board of Health to determine what will be
necessary to correct the failure.
E) Large Systems: To be considered a large system the system must serve a facility with a
design flow o€10,000 gpd to 15,000 gpd.
For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the
questions in Section D.
Yes No
El 0 the system is within 400 feet of a surface drinking water supply
El EJ the system is within 200 feet of a tributary to a surface drinking water supply
El El the system is located in a nitrogen sensitive area (interim Wellhead Protection
Area—IWPA)or a mapped Zone 11 of a public water supply well
If you have answered "yes"to any question in Section E the system is considered a significant threat,
or answered "yes" in Section D above the large system has failed. The owner or operator of any large
system considered a significant threat under Section E or failed under Section D shall upgrade the
system in accordance with 310 CMR 15.304. The system owner should contact the appropriate
regional office of the Department.
t5ins.doc-rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form Not for Voluntary Assessments
93 Rocky Brook
Property Address
Matt Drury
Owner Owner's Name
information is
North Andover MA 01845 5-11-2018
required for every --
page. diit-yrrown State Zip Code Date of Inspection
C. Checklist
Check if the following have been done. You must indicate"yes" or"no" as to each of the following:
Yes No
Ej F Pumping information was provided by the owner, occupant, or Board of Health
El ED Were any of the system components pumped out in the previous two weeks?
Z F Has the system received normal flows in the previous two week period?
1:1 Z Have large volumes of water been introduced to the system recently or as part of
this inspection?
Were as built plans of the system obtained and examined? (If they were not
• El available note as N/A)
• F Was the facility or dwelling inspected for signs of sewage back up?
• El Was the site inspected for signs of break out?
• 0 Were all system components, excluding the SAS, located on site?
• EJ Were the septic tank manholes uncovered, opened, and the interior of the tank
inspected for the condition of the baffles or tees, material of construction,
dimensions, depth of liquid, depth of sludge and depth of scum?
Was the facility owner(and occupants if different from owner) provided with
information on the proper maintenance of subsurface sewage disposal systems?
The size and location of the Soil Absorption System(SAS) on the site has
been determined based on:
Z 0 Existing information. For example, a plan at the Board of Health.
Determined in the field (if any of the failure criteria related to Part C is at issue
approximation of distance is unacceptable) [310 CMR 15.302(5)]
D. System Information
Residential Flow Conditions:
Number of bedrooms (design): 4------- Number of bedrooms (actual): 4
DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 600
t5ins.doc;-rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form Not for Voluntary Assessments
93 Rocky Brook ........ .............
Property Address
-
Matt Dr
Owner 6Wn_e_es Name
information is
required for every North Andover MA 01845 5-11-2018 ......
page. b-ififto—wn State Zip Code Date of Inspection
D. System Information
Description:
Number of current residents:
Does residence have a garbage grinder? Yes ❑ No
Is laundry on a separate sewage system? (Include laundry system inspection El Yes ED No
information in this report.)
Laundry system inspected? 0 Yes El No
Seasonal use? n Yes No
Water meter readings, if available (last 2 years usage (gpd)): Yes
Detail:
Sump pump? ❑ Yes No
Last date of occupancy: Current Date
Commercial/industrial Flow Conditions:
Type of Establishment:
Design flow(based on 310 CMR 15.203):
Gallons per day(gpd)
Basis of design flow (seats/persons/sq.ft., etc.):
Grease trap present? ❑ Yes ❑ No
Industrial waste holding tank present? ❑ Yes ❑ No
Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No
Water meter readings, if available: —,------------- __.._—_._ ____.�_._.,...__.._.__
t5ins.doc
----------
t5ins.doc-rev,6116 Title 6 Officiat Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
o Subsurface Sewage Disposal System Form Not for Voluntary Assessments
93 Rock v Brook
Property Address
Matt P10 --------
Owner Owner's Name
information is
required for'every North Andover MA 9-1845 5-11-2018
page Cltyfrown State Zip Code Date of Inspection
D. System Information (cont)
Last date of occupancy/use: Date
Other(describe below):
General Information
Pumping Records:
Source of information: Pumped 2017, owner
Was system pumped as part of the inspection? ❑ Yes M No
If yes, volume pumped: gallons ------
How was quantity pumped determined?
Reason for pumping:
Type of System:
E Septic tank, distribution box, soil absorption system
F1 Single cesspool
❑ Overflow cesspool
❑ Privy
El Shared system (yes or no) (if yes, attach previous inspection records, if any)
El Innovative/Alternative technology. Attach a copy of the current operation and
maintenance contract(to be obtained from system owner) and a copy of latest
inspection of the I/A system by system operator under contract
❑ Tight tank. Attach a copy of the DEP approval.
El Other(describe):
---------—---------- ---------- ---
t5ins,doo-rev,6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form Not for Voluntary Assessments
93 Rocky Brook -----------
Property Address
Matt PEgg -
Owner Owner's Name
information is
for every
required North Andover MA 01845 5-11-2018
page. _ y/Town State Zip Code Date of Inspection
D. System Information (cont.)
Approximate age of all components, date installed (if known) and source of information:
_g"arsddl 8-30-1994, asbuiltplan
Were sewage odors detected when arriving at the site? F1 Yes Z No
Building Sewer(locate on site plan):
2
Depth below grade: feet
Material of construction:
Z cast iron E 40 PVC F1 other(explain):
Distance from private water supply well or suction line: feet -
Comments (on condition of joints, venting, evidence of leakage, etc.):
4" Cast iron through wall, 3" PVC in house, no leaks visible.
Septic Tank(locate on site plan):
Depth below grade: Leet
Material of construction:
concrete n metal ❑ fiberglass ❑ polyethylene ❑ other(explain)
---—---------------------
If tank is metal, list age: --—----------
years
Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) El Yes F-1 No
Dimensions: 10' x 5'x 4'
01f
Sludge depth: ----------
t5ins.doc-rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form Not for Voluntary Assessments
93 Rocky ocky Brook
—---------
Property Address
Owner Owner's Name
information s i
required for every North Andover MA 01845 5-11-2018
page. d-t-yrrown State Zip Code Date of Inspection
D. System Information (cont.)
Septic Tank(cont.)
Distance from top of sludge to bottom of outlet tee or baffle 3311 —----------
Oil
Scum thickness
Distance from top of scum to top of outlet tee or baffle 811 -------
Distance from bottom of scum to bottom of outlet tee or baffle 15"
How were dimensions determined? Tape measure
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
No inlet tee, needs to be installed. Outlet tee ok. Depth of liquid at outlet invert. No evidence of
leakage.
-—----------
---——-------------
Grease Trap(locate on site plan):
Depth below grade: feet
Material of construction:
El concrete El metal El 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:
t5ins.doe rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17
Commonwealth of Massachusetts
Title 5 official Inspection Form
Subsurface Sewage Disposal System Form Not for Voluntary Assessments
93 Rocky Brook
Property Address
Matt Drur�r -
Owner Owner's Name
information is North Andover MA 01845 5-11-2018
required for every __-----. _ .--------. _—.._..de �.__...__._.— . _...._.
page. Clwr own State Zip Cade Date of lnspeatian
D. System Information (cant.)
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):
Dimensions:
Capacity: gallons
Design Flow: _...._._.__._._---_---------------- ------_.--._--
gallons per day
Alarm present: ❑ Yes ❑ No
Alarm level: ----- - Alarm in working order: ❑ Yes ❑ No
Date of last pumping: -Date ----
--- ----- ------- - -
Comments (condition of alarm and float switches, etc.):
*Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ® No
t51ns.doc-rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 17
<L
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form Not for Voluntary Assessments
93 Rocky Brook--- ------
Property Address
Matt
Owner Owner's Name
information is
required for every North Andover MA 01845 5-11-2018
page. dil—tyrrow '-st—ate p Code bate—of 1ns"-p—ection—'----
D. System Information (cont.)
Distribution Box(if present must be opened) (locate on site plan):
Depth of liquid level above outlet invert - 0
Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any
evidence of leakage into or out of box, etc.):
D-box level &distribution equal, has flow levelers. Evidence of leakage, corrosion holes in d-box at
liquid level. Evidence of carryover.
—-—---------
----------- ----------
Pump Chamber(locate on site plan):
Pumps in working order: EJ Yes El No*
Alarms in working order: R Yes n No*
Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.):
—----------
------------------
If pumps or alarms are not in working order, system is a conditional pass.
Soil Absorption System (SAS) (locate on site plan, excavation not required):
If SAS not located, explain why:
t5ins.doc rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form Not for Voluntary Assessments
93.Rocky
Property Address
Matt qryy..........
Owner Owner's Name
information Is
required for every North Andover -—------- MA 01845 5-11-2018
page. Cltyfrown State Zip Code Date of Inspection
D. System Information (cont.)
Type:
0 leaching pits number: —----- --
❑
---
n leaching chambers number:
n leaching galleries number: --
®
-9 leaching trenches number, length: 3 trenches 46'
long
F1 leaching fields number, dimensions:
El overflow cesspool number: -
❑ innovative/alternative system
Type/name of technology:
Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of
vegetation, etc.):
Soil ok. Vegetation ok. No sign of ponding to surface.
---------—-------
Cesspools (cesspool must be pumped as part of inspection) (locate on site plan):
Number and configuration -----1-1-1-----...........
Depth–top of liquid to inlet invert --------
Depth of solids layer
Depth of scum layer
Dimensions of cesspool
Materials of construction
Indication of groundwater inflow ❑ Yes ❑ No
t5ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17
Commonwealth of Massachusetts
- = . Title 5 Official Inspection Form
- Subsurface Sewage Disposal System Form Not for Voluntary Assessments
93 Rocky Brook
Property Address
Matt Drury _.m...._.—
owner Owner's Name
information is 5 North Andover ___ MA 01845-11- sp2018
required for every State Zlp Code Date of Inection
page Cityffown _
D. System Information (cont.)
Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.);
Privy (locate on site plan):
Materials of construction;
Dimensions -.--
Depth of solids
Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
f5ins.doc rev.6116 Title 6 Official inspection Form:Subsurface Sewage Disposal System-Page 14 of W
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form Not for Voluntary Assessments
93 Rocky Brook
_ -------
15-rope"irty Address
Matt Drury
Owner Owner's Name
information is
required for 'every North Andover MA 01845___ __ 5-11-2018
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to
at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet, Locate
where public water supply enters the building. Check one of the boxes below:
hand-sketch in the area below
❑ drawing attached separately
5e
t5ins.doc-rev.6116 Title 5 Official Inspection form:Subsurface Sewage Disposal System Page 15 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form Not for Voluntary Assessments
93 Rocky Brook
Property Address
Matt Drury —-------
Owner Owner's Name
information is North Andover MA 01845 5-11-2018 ------
5rt
required for every
page. lyltown State Zip Code Date of Inspection
D. System Information (cont.)
Site Exam:
[E Check Slope
Surface water
Check cellar
Shallow wells
Estimated depth to high ground water: >4 —feet -----
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: 5-23-1993
Date
El Observed site (abutting property/observation hole within 150 feet of SAS)
Checked with local Board of Health- explain:
Design Plan
............
0 Checked with local excavators, installers -(attach documentation)
El Accessed USGS database-explain:
You must describe how you established the high ground water elevation:
As per test pit data on design plan
-----------
Before filing this Inspection Report, please see Report Completeness Checklist on next page.
t5ins.doc-rev.6116 *ritfe 5 official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Farm
Subsurface Sewage Disposal System Form Not for Voluntary Assessments
93 Rocky Brook — — .—
Property Address
Matt Drury
Owner Owners Name
information is
required for every North Andover MA 001845 5-11-2018
_ _
page. CityTrown .. _.._ State Zip Code Date of Inspection
E. Report Completeness Checklist
® Inspection Summary: A, B, C, D, or E checked
® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed
® System Information-- Estimated depth to high groundwater
® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file
I
t5ins.doc•rev.6116 Title 6 official Inspection Form;Subsurface Sewage Disposal System•Page 17 of 17
Town of North Andover
Tax Map # 210-090.A-0051-0000.0
Parcel Id 15452
93 ROCKY BROOK ROAD
DRURY, MATTHEW F Since Jan 2003
NICOLE E DRURY
93 ROCKY BROOK ROAD
NORTH ANDOVER, MA
01846
Class 101 Single Family Property Type I Residential
ZonIng2 1 Residential Zoning3 I Residential
Size Total 1,14 Acres
FY 2018
UB Mailing Index
Name/Address Type Loan Number Active/Inact. From Until
DRURY, MATHEW&NICOLE Payor
93 ROCKY BROOK ROAD
NORTH ANDOVER, MA
01845
UB Account Maint.
Account No Cycle Occupant Name ActivelInactive
Bldg Id. 18066.0-93 ROCKY BROOK ROAD Last Billing Date 4/10/2018
3180094 03 Cycle 03 Active
UB Services Maint.
Account No.3180094
Service Code Rate Charge Multlpller/Users
MISCFEE ADMIN FEE 1 1 9.18
WTR WATER 01 ALL METER SIZE 164.80
UB Meter Maintenance
Account No. 3180094
Serial No Status Location Brand Type Size YTD Cons
13240230 a Active 00 METE METE w Water 1 1 2589
Date Reading Code Consumption Posted Date Variance
3/12/2018 4699 a Actual 36 412312018 -35%
12/13/2017 4663 a Actual 57 1/25/2018 -54%
9/13/2017 4606 a Actual 126 10/18/2017 177%
6/13/2017 4480 a Actual 47 7/25/2017 24%
3/10/2017 4433 a Actual 35 4/12/2017 -32%
12112/2016 4398 a Actual 53 1/23/2017 -64%
9/12/2016 4345 a Actual 139 10124/2016 127%
6117/2016 4206 a Actual 67 8/2/2016 89%
3/14/2016 4139 a Actual 34 4122/2016 -28%
12/14/2015 4105 a Actual 49 1/20/2016 -56%
9111/2015 4056 a Actual 109 10/16/2015 -25%
6/11/2015 3947 a Actual 134 7/24/2015 373%
3/18/2015 3813 a Actual 31 4/28/2015 -30%
12/15/2014 3782 a Actual 43 1/15/2015 -56%
9116/2014 3739 a Actual 104 10/15/2014 91%
611212014 3635 a Actual 51 7/16/2014 66%
3/14/2014 3584 a Actu a 1 30 4/11/2014 -43%
12116/2013 3554 a Actual 56 1/17/2014 -48%
9/13/2013 3498 a Actual 104 10/15/2013 134%
6/1412013 3394 a Actual 42 7/24/2013 25%
3120/2013 3352 a Actual 38 4/22/2013 -8%
12/1312012 3314 a Actual 36 1/9/2013 -66%
9119/2012 3278 a Actual 115 10/16/2012 25%
127%
6/1812012 3163 a Actual 89 7/16/2012 10%
3/20/2012 3074 a Actual 40 4/14/2012 -43%
12/19/2011 3034 a Actual 37 1/17/2012 49%
9/16/2011 2997 a Actual 66 10/13/2011 11%
611312011 2931 a Actual 42 7/20/2011
Town of North Andover
Tax Map # 210-090.A-0051-0000.0
Parcel Id 15452
93 ROCKY BROOK ROAD
DRURY, MATTHEW F Since Jan 2003
NICOLE E DRURY
93 ROCKY BROOK ROAD
NORTH ANDOVER, MA
01846
Class 101 Single Family Property Type I Residential
Zonlng2 1 Residential Zonlng3 I Residential
Size Total 1.14 Acres
FY 2018
3/15/2011 2889 a Actual 38 4/13/2011 -19%
1211512010 2851 a Actua 1 47 1/12/2011 -54%
9/16/2010 2804 a Actual 107 10/1512010 82%
6/14/2010 2697 a Actual 55 7/1512010 22%
3/18/2010 2642 a Actual 48 4/14/2010 11%
12/14/2009 2594 a Actual 41 1/12/2010 -59%
9/1612009 2553 a Actual 110 10/15/2009 -12%
6110/2009 2443 a Actual 108 7/20/2009 265%
3/17/2009 2335 a Actual 32 4/29/2009 -8%
12/15/2008 2303 a Actua 1 34 1/20/2009 -70%
9/16/2008 2269 a Actual 123 10/10/2008 207%
6/10/2008 2146 a Actual 36 7/16/2008 3%
3/14/2008 2110 a Actual 35 4/11/2008 -15%
12/17/2007 2075 a Actual 44 1122/2008 -85%
9/1412007 2031 a Actual 268 10/12/2007 181%
6/21/2007 1763 a Actu a 1 109 7/20/2007 217%
3/16/2007 1654 a Actual 33 4/16/2007 -11%
12/13/2006 1621 a Actual 34 1/19/2007 -86%
9/19/2006 1587 a Actual 259 10/2012006 279%
6120/2006 1328 a Actual 69 7110/2006 119%
3/20/2006 1259 a Actual 26 4117/2006 -68%
1/3/2006 1233 a Actual 117 1/17/2006 -70%
9/15/2005 1116 a Actual 329 10114/2005 674%
Trouble Code:03 52%
6/14/2005 787 a Actual 37 7/15/2005 -78%
3/25/2005 750 a Actual 30 4/5/2005 -70%
12/15/2004 720 a Actual 120 1/14/2005
9/17/2004 600 a Actual 432 10/8/2004 70%