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HomeMy WebLinkAboutFail - Title V Inspection Report - 1010 JOHNSON STREET 9/24/2020 Commonwealth of Massachusetts . . 1T'Itle 5 Official Form R L Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1010 Johnson Street Property Address Tannya Riera . Owner owner's Name information is North Andover Ma 01845 9l4120 required for every 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 A. Inspector Information filling out forms on the computer, Dean Dynan use only the tab ._ ... key to move your Name of Inspector cursor-do not Dean Dynan use the return Company Name key. 2 Suntaug Street Company Address ' Lynnfield Ma 01940 Cityrrown State Zip Code 508-726-9935 SI12837 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); l 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: 1. ❑ Passes 2. ❑ Conditionally Passes 3. El Needs Further Evaluation by the Local Approving Authority 4. ® Fails Inspector's Signature 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 We 5 official inspection Form:Subsurface Sewage Disposal System-Page 1 of 18 Commonwealth of Massachusetts Ti"tle 5 Offi"ci"al Form w rrrr Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 4 1010 Johnson Street Property Address Tannya Riera Owner owner's Name information is North Andover Ma 01345 required for every __ 9/4I20 page. Cityrrown State Zip Coale Date of inspection C. inspection Summary Inspection Summary: Complete 1, 21 3, or 5 and all of 4 and 0. 1) system Passes: El 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: 2) 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 ❑ N ❑ ND(Explain below): t5insp.doc*rev.7/2612018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 18 Commonwealth of Massachusetts Tmitle 5 Official Inspectinon Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1010 Johnson Street Property Address Tann a Riera Owner Owner's Flame information is North Andover Ma 01845 9/4/20 required for every page. CityfTown State Zip Code Date of Inspection C. Inspection Summary (coat.) 2) System Conditionally Passes (cont.): El 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): Ej broken pipe(s)are replaced ❑ Y ❑ N I ND(Explain below): ❑ obstruction is removed El Y El N ❑ ND(Explain below): ❑ distribution box is leveled or replaced ❑ Y El 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): ❑ broken pipe(s)are replaced ❑ Y ❑ N El ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N D 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(l)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: tsinsp.doc«rev.712612018 Title 5 official Inspection Form:Subsurface Sewage disposal System«Page 3 of 18 Commonwealth of Massachusetts i ici"al I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1010 Johnson Street Property Address Tann a Riera Owner owner's Name information is North Andover required for every Ma 01845 914120 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cant. El 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)y) 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 100 feet of a surface water supply or tributary to a surface water supply. El 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 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. c. Other: 4) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No ED El Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool El '® 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.7/2618 Title 5 official inspection Form:Subsurface Sewage Disposal System•Page 4 of 18 Commonwealth of Massachusetts up? e ici"alForm rt Subsurface Sewage Disposal System Form -Not for Voluntary Assessments y 1. 1010 Johnson Street Property Address Tannya Riera Owner owner's Name ... ._ information is North Andover Ma 01845 9/4/20 required for every page. CityfTown State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cunt.) Yes No ® 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 5" below invert or available volume is less than Y2 day flow ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipes). Number of times pumped: . El Z 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. El z Any portion of a cesspool or privy is within a Zone 1 of a public water supply well. El z Any portion of a cesspool or privy is within 50 feet of a private water supply well. El ® 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.] El Z The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. Z ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CIVIR 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 questions in Section C.4. Yes No El z the system is within 400 feet of a surface drinking water supply El z the system is within 200 feet of a tributary to a surface drinking water supply El 0 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.cloc•rev.7/26120/8 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 Commonwealth of Massachusetts 'tie 5 ■ s ■ I Official Inspection For Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1010 Johnson Street Property Address Tannya Riera Owner owner's Name information is North Andover Ma 01845 914120 required for every page. City/Town State Zip Code Date of Inspection w 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 C.4 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 C.4 shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. 5. You must indicate"yes"or"no"for each of the following for all inspections: Yes No ® 1:1 Pumping information was provided by the owner, occupant, or Board of Health [:1 Z 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? ® El 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? ® El Was the site inspected for signs of break out? ® 1:1 Were all system components, excluding the SAS, located on site? Z ED 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 Z 1:1 information on the maintenance of subsurface sewage disposal systems? proper 9 p Y 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) CMR 15.302 5pP p � t )] 15insp.doc•rev.712812Q18 Title 5 Offiial Inspection Fonn:Subsurface Sewage Disposal System•Page 6 of 18 Commonwealth of Massachusetts i'L'le 5 isoial nspecti'On, Form, M: Sub,suirfacie Sewage Disposal System Form Not for Voluntary Assessments 1010 Johnson Street Property Address Tanny,a Liars Owner information is North Andover required for every, Ma -9/4/2 0 page. City/Town State Zip Code Date of Inspection D. System, Information 11. Res'lidlentill Flow Cond*Rjons: Number of bedrooms, (design): 4 Number of bedrooms ('actual),* 4- 4,40 DESIGN flow based on 310 CM'R 15.20131 (for example- 110,gpd x#of bedrooms): Description., 4 Bedroom 1500,gallon tank pipe in, stone drainfield septic system ..........- Number of current residents,: 3 Does, residence have a garbage grinder? 0 Yes E No Does residence have a water treatment unit? El Yes Z No If yes, discharges to,* Is, laundry on a separate,sewage system? (Include lalundry system it Yes No inform ation in this report.) Laundry system inspected? Ej Yes, El No, Seasonal ease'? El Yes E No Water,meter readings, ifavailable (last 2 years usage (gpd)): Detail,* ..................... ...... ............ ..............— Sump PUMP? El Yes Ej No current Last date of'occupancy,* Date t5insp.doc-rev.7/2612018 Title 5 off itial inspection Form:Subsurface Sewage Disposal System-Page 7 of 18 Commonwealth of Massachusetts T itle 5 1 Offimcinal Subsurface Sewage Disposal System Form-Not for Voluntary Assessments y M r 1010 Johnson Street Property Address Tannya Riera Owner owner's Name --- —• . . ..---•-- _..._._---._. information is North Andover Ma 01845 914l20 rewired for every page, Cityffown State Zip Code Date of inspection D. System Information (cont.) 2. 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? El Yes El 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 Other(describe below): 3. Pumping Records: Source of information: Homeowner/Board of Health Was system pumped as part of the inspection? El Yes ® No If yes, volume pumped: gallons Haw was quantity pumped determined? Reason for pumping: t5insp.doc•rev.7!26=18 Title 5 official Inspection Form:Subsurface Sewage Disposal!System•Page 8 of 18 Commonwealth of Massachusetts lip Tiotle 5 Official Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments v 1010 Johnson Street Property Address Tannya Riera- Owner Owner's Name �- information is North Andover Ma 01845 9/4/20 required for every page. CitylTown State Zip Code Date of Inspection D. System Information (cunt.) 4. Type of System: ® Septic tank,distribution box, soil absorption system ❑ Single cesspool ❑ overflow cesspool El Privy 1:1 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 1/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: drainfield 1975 as per permit on file , tank and d box 2015 as per permit on file Were sewage odors detected when arriving at the site? D Yes ® No 5. Building Sewer(locate on site plan): Depth below grade: 1211 Material of construction: ❑ cast iron ED 40 PVC El other(explain): Distance from private water supply well or suction fine: feet Comments(on condition of joints, venting, evidence of leakage, etc.): sewer pipe in good condition I no evidence of leakage t5insp.doe•rev.7J2E12818 Title 5 Qffdal Inspection Forth:Subsurface Sewage Disposal System•Page 9 of 18 Commonwealth of Massachusetts MT"tie 5 Official I Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1010 Johnson Street Property Address Tann a Riera Owner Owner's Name information is North Andover Ma required for every _ 61845 9I4120 page. City/Town State Zip code Date of Inspection D. System Information (cunt.) 6. Septic Tank(locate on site plan): Depth below grade; 491feet Material of construction: Z concrete El metal El fiberglass El polyethylene ❑ other(explain) 1500 gallon septic tank If tank is metal, list age; years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) El Yes ❑ No Dimensions: 10'X 5'X 5'8" Sludge depth; 581 1f Distance from top of sludge to bottom of outlet tee or baffle 3/1�`ff Scum thickness 211 Distance from top of scum to top of outlet tee or baffle 611 Distance from bottom of scum to bottom of outlet tee or baffle 13" How were dimensions determined? in field with measure stick and tape Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 1500 gallon concrete septic tank with PVC inlet and outlet T ! Tank in working order with separation from inlet to outlet 1 no evidence of leakeage recommend pumping every two to three years depending on usage and number of occupants tank cover 4"below grade t5insp.doc rev,7 26/2018 Tine 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 18 Commonwealth of Massachusetts . . x IOffiocia ns e� iFormnn Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1010 Johnson Street Property Address Tannya Riera Owner owner's Name .._ ._. .._ information is North Andover Ma 01845 9/4/20 required for every , page, City/Town State Ztp Code Date of Inspection D. System Information (cont.) 7. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: EI concrete El metal El fiberglass El polyethylene El 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: 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.): 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 El other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Farm:Subsurface Sewage Disposal System•Page i i of 18 Commonwealth of Massachusetts Twitle 5 Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments y y 1010 Johnson Street Property Address Tannya Riera _-- owner Owner's Name information is North Andover Ma 01845 9/4/20 required for every pegs. Cityfrown State Zip code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank(cunt.) Alarm present: El Yes [:1 No Alarm level: Alarm in working order: ❑ Yes El No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? EI Yes ❑ No 9. Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert aboVe outlet pipes 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.): 6 outlet concrete D box level with two outlet pipes 1 no evidence of solids carryover / no evidence of leakage into or out of box/d box in good condition D box is flooded/ liquid above outlet pipes D Box has levelers D Box is 14" below grade t5insp.doc rev.7/26=18 Title 6 official inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 Commonwealth of Massachusetts Title 5 O Form Subsurface Sewage Disposal system Form-Not for Voluntary Assessments 1 '~ 1010 Johnson Street Property Address Tannya Riera Owner Owner's Name information is North Andover Ma 01845 914120 required for every page, City/Town State Zip Code Date of Inspection D. system Information (coat.) 10. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes Ej No* Alarms in working order: El Yes ❑ 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. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: El leaching chambers number: El leaching galleries number: El leaching trenches number, length: ® leachingfields number, dimensions: 1 900 sq ft ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5insp.doc rev.712812018 Title 5 official Inspection Form:Subsurface Sewage Disposal System-,Page 13 of 18 Commonwealth of Massachusetts Titie 5 Official Inspection, Form, ;6 Subsurface Sewage Disposal System Form, Not for Voluntary Assessments 1,10 10 Johnson Street Property Address Tannp Riga. Owner Owner's Name information is North Andover 01845 9/4/20 required for every tate Zip Code Date of'Ins c petion page. 6&��Own S D. System Information (cont.) 11. Sloill Absorption System (SAS) (cont.), Comments (note condition of soil, signs,of hydraulic failure, level of pond ire g, damp soil, condition of viegetation, etc.,), leach trenches found in lawn, area/ soils In good condition no signs of hydraulic failure no pionding/ no damp soli,l'/ leach trenches const,ucted of plipe, in stone order see plan on file Drain field in hydraulic failure/ d box completel looded 12. Cesspools (cesspool must be purnpeld as part of inspection) (locate,on, site plan).." Number and configuration ..... ............ Depth—top of liquid to inlet invert, Depth of solids layer Depth o scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow El Yes El No Comments (note condition of soil, sligns of hydraulic failure, level of ponding, condition of vegetation, etc. . t5insp.doc-rev.71M2018 Title 5 Official'Inspection Form:,Subsurface Sewage Disposal'System-Page 14 of 18 Commonwealth of Massachusetts IM 40 , ion ICUCill Ins*po%ect" Form Fd­I,e, :O)m off' X M Subsurfa,ice Sewage Disposal SysW,m Form Not for Voluntary Assessments ................... 1010 Johnson Street Property Address Tann a Riera Owner Owner's Name information ts, North Andover Ma ..101,845, 9/4/20 required for every, page. City/Town State Zip Code Date of Inspection U, System, Informatlion (cont.), 13. Privy (locate on site plan): Materials of construction'. Dimensions Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of viegetation, etc.): ................. ...... ffiinsp.doc-rev, /20,18 Tifle 5 Official inspection Form-subsurface,Sewage Dip osal'system-Page 15 of 18 Commonwealth of Massachusetts f Toltle Ins a 'ion orm Subsurface Sewage Disposal System Form-Not for Voluntary Assessments y 1010 Johnson Street Property Address Tann a Riera Owner Owner's Name information is North Andover Ma 01845 9/4/20 required for every page. City/Town State Zip Code Date of inspection D. System Information (cunt.) 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; El hand-sketch in the area below ® drawing attached separately tvinsp,doc rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18 Commonwealth of Massachusetts . . will Title 5 Official Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1010 Johnson Street Property Address Tann a Riera Owner Owner's Name information is North Andover Ma 01845 914120 required for every peke, cityfrown State Zip Code Date of Inspection D. System Information (cunt.) 15. Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: feet Please indicate all methods used to determine the high ground water elevation: El Obtained from system design plans on record If checked, date of design plan reviewed: 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: You must describe how you established the high ground water elevation: Not determined due to hydraulic failure/ system needs to be replaced Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp,doc•rev.7126=8 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18 1 Commonwealth of Massachusetts T"tie 5 Offic"lal Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments Y 1010 Johnson Street Property Address Tann a Riera Owner owner's Name information is North Andover Ma 01845 914120 required for every page. City/Town State Zip Code Date of inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: Z A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed& Dated and 13 21 3, or 4 checked ® C. Inspection Summary: is 21 3, or 5 completed as appropriate 4(Failure Criteria)and 6(Checklist)completed ® 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 t5lnsp.doc•rev.7126nola Title 5 official inspection Form:substrface Sewage Disposal System•page 18 of 18 not 0,11 .K�V, W h1f6eirl,41616:,��( a:Sys Book Is Locate:,, no MJWO,�,p bifd� lot "My &NNW MW J,',n ............. '004,:t0,04 te _7777 mug v py too A4 N A w c p 5 W"P''N't'' A I MY 7", A P" CIS how % VIAQ Wy, f- Q pf.F- IQ qnxAS. 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