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HomeMy WebLinkAboutPass - Title V Inspection Report - 168 CAMPBELL ROAD 10/16/2019 Commonwealth of Massachusetts Title 5 Official Inspection Form D 1•���1 p '- r Subsurface Sewage Disposal System Form Not for Voluntary Assessm 168 Campbell Road Property Address Sarah Elizabeth Silvester Owner Owner's Name information is required for every North Andover MA 01845 9-21-2019 page. City/Town 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 filling out forms A. Inspector Information 0�1 Neu on the computer, 0 � p If' _ N use only the tab Nell James Bateson �1_� F o�Q key to move your Name of Inspector ji cursor-do not Bateson Enterprises Inc. use the return Company Name key. 111 Argilla Road r� Company Address Andover MA 01845 !' City/Town State Zip Code rslmn 978-475-4786 SI-15 Telephone Number License Number B. Certification I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my ! inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. After conducting this inspection I have determined that the system: i1. ® Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ❑ Fail I' 9-21-2019 1 Inspecto s lygrtture 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 form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: 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. t5insp.doc.rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments y�y n ,J 168 Campbell Road Property Address Sarah Elizabeth Silvester Owner Owner's Name information is required for every North Andover MA 01845 9-21-2019 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary I i Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) System Passes: ® 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. i Comments: I 2) System Conditionally Passes: i i ❑ 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. 'I ❑ Y ❑ N ❑ ND (Explain below): i i t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 18 Commonwealth of Massachusetts �n Title 5 Official Inspection Form 1,o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 168 Campbell Road Property Address Sarah Elizabeth Silvester Owner Owner's Name Li information is required for every North Andover MA 01845 9-21-2019 'I page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): I ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ 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): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): 3) Further Evaluation is Required by the Board of Health: ❑ 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. a. 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: t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 18 �I Commonwealth of Massachusetts i - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments i �..� 168 Campbell Road Property Address Sarah Elizabeth Silvester Owner Owner's Name information is required for every North Andover MA 01845 9-21-2019 , page. Cityrrown State Zip Code Date of Inspection I C. Inspection Summary (cont.) ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh b. 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: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within i 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. El The system has a septic tank and SAS and the n is less than 100 feet but 50 feet or e SAS S 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. c. Other: I i 4) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No"to each of the following for all inspections: Yes No El ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 168 Campbell Road Property Address Sarah Elizabeth Silvester Owner Owner's Name information is required for every North Andover MA 01845 9-21-2019 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) 'I Yes No i El ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/2 day flow ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® 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 water supply well. ❑ ® 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 2000 gpd- 10,000 gpd. ❑ ® 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. 5) Large Systems: To be considered a large system the system must serve a facility with a design flow of 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 i questions in Section CA. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA) or a mapped Zone II of a public water supply well t5insp.doc•rev.7/2 612 0 1 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 Commonwealth of Massachusetts �� --- -.--, Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 168 Campbell Road Property Address Sarah Elizabeth Silvester Owner Owner's Name information is required for every North Andover MA 01845 9-21-2019 page. Cityfrown State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered "yes" to any question in Section C.5 the system is considered a significant threat, or answered "yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate"yes" or"no"for each of the following for all inspections: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® 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 available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ 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: ® ❑ 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)] t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form °l Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 168 Campbell Road Property Address Sarah Elizabeth Silvester Owner Owner's Name information is required for every North Andover MA 01845 9-21-2019 page. City/Town State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): 2 Number of bedrooms (actual): 2 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 220 Description: Number of current residents: 1 Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ❑ No Seasonal use? ❑ Yes ® No Water meter readings, if available last 2 ears usage d Yes 9 ( Y 9 (gp ))� Detail: Sump pump? ❑ Yes ® No Last date of occupancy: Current Date t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 18 �i (; Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 168 Campbell Road Property Address Sarah Elizabeth Silvester Owner Owner's Name information is required for every North Andover MA 01845 9-21-2019 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 2. Commercial/Industrial Flow Conditions: Type of Establishment: f� it 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 Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date i Other(describe below): 3. Pumping Records: Source of information: Pumped 18 months ago, owner Was system pumped as part of the inspection? ® Yes ❑ No If yes, volume pumped: 1000 gallons How was quantity pumped determined? Measured tank Reason for pumping: Inspect tank&tees t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form Subsurface Sewage Disposal System•Page 8 of 18 Commonwealth of Massachusetts ,F Title 5 Official Inspection Form 11 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 168 Campbell Road Property Address Sarah Elizabeth Silvester Owner Owner's Name information is required for every North Andover MA 01845 9-21-2019 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 4. Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ 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. ❑ Other(describe): Approximate age of all components, date installed (if known) and source of information: 43 years ago 12-1-1976 as built plan. D-box was replaced 3-29-2013 info at B.O.H. Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): 1.4 Depth below grade: feet Material of construction: ❑ cast iron ❑40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Unable to see piping t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18 i Commonwealth of Massachusetts Title 5 Official Inspection Form i� Subsurface Sewage Disposal System Form -Not for Voluntary Assessments Jill M 168 Campbell Road Property Address Sarah Elizabeth Silvester Owner Owner's Name information is required for every North Andover MA 01845 9-21-2019 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): Depth below grade: 0.4feet I Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) I If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: Tx 5' x 4' Sludge depth: 3 Distance from top of sludge to bottom of outlet tee or baffle 31" Scum thickness 3" Distance from top of scum to top of outlet tee or baffle 8 Distance from bottom of scum to bottom of outlet tee or baffle 12 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.): Inlet baffle ok. Outlet tee ok. Depth of liquid at outlet invert. No evidence of leakage. Pumped septic tank. i f t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Fonn:Subsurface Sewage Disposal System•Page 10 of 18 Commonwealth of Massachusetts ,9 Title 5 Official Inspection Form i } Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 168 Campbell Road Property Address Sarah Elizabeth Silvester Owner Owner's Name information is required for every North Andover MA 01845 9-21-2019 page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): I i 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.): i 8. 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: I Capacity: gallons i Design Flow: gallons per day t5insp.cloc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments I 4� 168 Campbell Road Property Address Sarah Elizabeth Silvester Owner Owner's Name information is required for every North Andover MA 01845 9-21-2019 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank (cont.) Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No i 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 9. Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0 11 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.): i D-box level &distribution equal, has flow levelers. No evidence of leakage. No evidence of carryover. i t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 Commonwealth of Massachusetts in Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 168 Campbell Road Property Address Sarah Elizabeth Silvester Owner Owner's Name information is required for every North Andover MA 01845 9-21-2019 page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): I I * If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: I i Type: 3 ® leaching pits number: - ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: i t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 18 Commonwealth of Massachusetts �1 -- .- -p Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 168 Campbell Road Property Address Sarah Elizabeth Silvester Owner Owner's Name information is required for every North Andover MA 01845 9-21-2019 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) 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. Camera inside of pits, no liquid to inverts. �I �1 i 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration 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 Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System-Page 14 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 168 Campbell Road Property Address Sarah Elizabeth Silvester Owner Owner's Name information is required for every North Andover MA 01845 9-21-2019 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 13. 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.): 1 i I i t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18 Commonwealth of Massachusetts - Title 5 Official Inspection Form � Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ............ , 168 Campbell Road Property Address Sarah Elizabeth Silvester Owner Owners Name information is required for every North Andover MA 01845 9-21-2019 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 14. 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 V'4 A-_�-o i = D5 q G � 0 1 ZY ; tr z l5insp.doc•rev.7/2 612 0 1 8 Title 5 Official Inspection Form Subsurface Sewage Disposal System-Page 16 of 18 Commonwealth of Massachusetts - ,p Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments f 168 Campbell Road Property Address 'I Sarah Elizabeth Silvester Owner Owner's Name information is North Andover MA 01845 9-21-2019 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: >4feet i Please indicate all methods used to determine the high ground water elevation: I i ® Obtained from system design plans on record If checked, date of design plan reviewed: 9-13-1975 Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health -explain: Design plan ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation. As per test pit data on design plan shows water 60" li a Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18 i I Commonwealth of Massachusetts p Title 5 Official Inspection Form r Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 168 Campbell Road Property Address Sarah Elizabeth Silvester Owner Owner's Name information is required for every North Andover MA 01845 9-21-2019 page. City(rown State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or 4 checked ® C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria) and 6 (Checklist) completed I ® D. System Information: For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included I 15insp.doc•rev.7/26/2018 Title 5 Official Inspection Form Subsurface Sewage Disposal System•Page 18 of 18 : Commonwealth of Massachusetts City/Town of System Pumping Record Form 4 DEP has provided this form for use<by local Boards of Health. Other forms may be used,but the information must be substantially the same as that provided here. Before using.this form,check with your local Board of Health to determine the form they use. The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information 1. System Location: Left/Right front of house, Left rght rear of house*Left/right side of house, Left Right side of building, Left/Right front of building, Left/Right rear of building, Under deck Address City/Town State Zip Cade 2. System Owner. Name' Address(if different from location) Cityrrown State Zip Code Telephone Number B. Pumping Record 1. Date of Pumping Date 2. Quantity Pumped: Gallons 3. Type of system: ❑ Cesspool(s) ptic Tank ❑ Tight Tank ❑ Other(describe): �� 4. Effluent Tee Filter present? ❑ Yes L�'No If yes, was it cleaned? ❑ Yes ❑ No I 5. Condition of System: 6. System Pumped By: i Neil Bates-on F5821 Name Vehicle License Number Bateson Enterprises Inc- Company 7. "fioncontents were disposed: Lowell Waste Water 4S�iignitwuje Haul Date �,t5formit.doc-06/03 System Pumping Record•Page 1 of 1 Town of North Andover Tax Map # 210-1063-0077-0000.0 Parcel Id 17481 168 CAMPBELL ROAD BENTON INVESTMENT TRUST Since Jan 2017 SUSAN B. & SARAH ELIZABETH SIL 168 CAMPBELL ROAD NORTH ANDOVER MA 01845 Class 101 Single Family Property Type 1 Residential Size Total 1.16 Acres FY 2020 12/9/2013 282 aActual 9 1/17/2014 -18% 9/10/2013 273 a Actual 11 10/15/2013 20% 6/12/2013 262 a Actual 5 7/24/2013 -100% 4/24/2013 257 f Final Bill 0 4/24/2013 -100% 3/12/2013 257 a Actual 2 4/22/2013 -84% 12/10/2012 255 aActual 12 1/9/2013 -42% 9/14/2012 243 a Actual 22 10/15/2012 25% 6/13/2012 221 a Actual 17 7/16/2012 76% 3/15/2012 204 a Actual 10 4/14/2012 -19% 12/13/2011 194 aActual 12 1/17/2012 -46% 9/14/2011 182 a Actual 24 10/13/2011 71% 6/8/2011 158 a Actual 13 7/20/2011 -9% 3/9/2011 145 a Actual 14 4/13/2011 -31% 12/10/2010 131 aActual 20 1/12/2011 -15% 9/13/2010 111 a Actual 26 10/15/2010 117% 6/8/2010 85 a Actual 11 7/15/2010 1% 3/11/2010 74 a Actual 11 4/14/2010 1% 12/11/2009 63 aActual 11 1/12/2010 -33% 9/11/2009 52 aActual 17 10/15/2009 27% 6/9/2009 35 a Actual 12 7/20/2009 -6% 3/1712009 23 a Actual 15 4/29/2009 -9% 12/8/2008 8 aActual 8 1/20/2009 0% 10/21/2008 0 n New Meter 0 1/20/2009 0% 9/9/2008 2030 m Manual estimate 10 10/10/2008 -55% MSG 6/6/2008 2020 m Manual estimate 20 7/16/2008 -30% MSG 3/12/2008 2000 m Manual estimate 30 4/11/2008 -35% MSG 12/13/2007 1970 m Manual estimate 50 1/22/2008 -57% 9/7/2007 1920 m Manual estimate 100 10/12/2007 119% 6/15/2007 1820 m Manual estimate 50 7/20/2007 5% 3/15/2007 1770 m Manual estimate 50 4/16/2007 -10% 12/8/2006 1720 m Manual estimate 50 1/19/2007 3% 9/12/2006 1670 m Manual estimate 50 10/20/2006 122% 6/14/2006 1620 a Actual 25 7/10/2006 -15% ACTUAL SAYS 620 3/6/2006 1595 a Actual 22 4/17/2006 12% MSG ACTUAL SAYS 595 I Town of North Andover Tax Map # 210-106.B-0077-0000.0 Parcel Id 17481 168 CAMPBELL ROAD BENTON INVESTMENT TRUST Since Jan 2017 SUSAN B. & SARAH ELIZABETH SIL 168 CAMPBELL ROAD NORTH ANDOVER MA 01845 Class 101 Single Family Property Type 1 Residential Size Total 1.16Acres FY 2020 UB Mailing Index Name/Address Type Loan Number Active/Inact. From Until BETSY SYLVESTER Owner active 168 CAMPBELL ROAD NORTH ANDOVER MA 01845 ACCIACCA, ROBERT Previous Customer Inactive 12/14/2012 168 CAMPBELL ROAD NO.ANDOVER, MA 01845 DEBORAH DONALD Previous Customer Inactive 4/25/2013 168 CAMPBELL ROAD NORTH ANDOVER MA 01845 UB Account Maint. Account No Cycle Occupant Name Active/Inactive Bldg Id. 17480.0-168 CAMPBELL ROAD Last Billing Date 7/15/2019 3170150 03 Cycle 03 Active UB Services Maint. Account No. 3170150 Service Code Rate Charge Multiplier/Users MISCFEEADMIN FEE 0.63 5/8 7.82 1/ WTR WATER 01 ALL METER SIZE 19.00 /1 UB Meter Maintenance Account No. 3170150 Serial No Status Location Brand Type Size YTD Cons 34644348 a Active ERT HH b Badger w Water 0.63 0.63 402 Date Reading Code Consumption Posted Date Variance 6/7/2019 410 a Actual 5 7/25/2019 22% 3/7/2019 405 a Actual 4 4/16/2019 -23% 12/7/2018 401 aActual 5 1/22/2019 9% 9/11/2018 396 aActual 5 10/15/2018 -45% 6/8/2018 391 a Actual 9 7/23/2018 -28% 3/6/2018 382 a Actual 12 4/23/2018 296% 12/6/2017 370 aActual 3 1/25/2018 6% 9/8/2017 367 a Actual 3 10/18/2017 -27% 6/6/2017 364 a Actual 4 7/25/2017 93% 3/7/2017 360 a Actual 2 4/12/2017 -48% 12/9/2016 358 aActual 4 1/23/2017 100% 9/8/2016 354 a Actual 2 10/24/2016 -33% 6/8/2016 352 a Actual 3 8/2/2016 -4% 3/7/2016 349 a Actual 3 4/22/2016 -61% 12/9/2015 346 a Actual 8 1/20/2016 -1% 9/8/2015 338 a Actual 8 10/16/2015 0% 6/9/2015 330 a Actual 8 7/24/2015 -1% 3/10/2015 322 a Actual 8 4/28/2015 13% 12/10/2014 314 aActual 7 1/15/2015 -18% 9/12/2014 307 a Actual 9 10/15/2014 8% 6/10/2014 298 a Actual 8 7/16/2014 3% 3/12/2014 290 aActual 8 4/11/2014 -14% MORTaa 6 Town of North Andover HEALTH DEPARTMENT S�cNuse CHECK#: 66 DATE: O - - O�g LOCATION: * a H/O NAME: CONTRACTOR NAME: 'tr2 50/1) Type of Permit or License: (Check box) ❑ Animal $ ❑ Body Art Establishment $ ❑ Body Art Practitioner $ ❑ Dumpster $ ❑ Food Service-Type: $ ❑ Funeral Directors $ ❑ Massage Establishment $ ❑ Massage Practice $ ❑ Offal(Septic)Hauler $ ❑ Recreational Camp $ ❑ Sun tanning $ ❑ Swimming Pool $ ❑ Tobacco $ ❑ Trash/Solid Waste Hauler $ ❑ Well Construction $ SEPTIC Systems: ❑ Septic-Soil Testing $ ❑ Septic-Design Approval $ _ ❑ Septic Disposal Works Construction(DWC) $ ❑ Septic Disposal Works Installers(DWI) $ _ ❑ Title 5 Inspector $ i� Title 5 Report ❑ Other:(Indicate) $ Hi�gent Initials White-Applicant Yellow-Health Pink-Treasurer