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HomeMy WebLinkAboutTitle 5 Inspection - Pass - Title V Inspection Report - 45 BEECHWOOD DRIVE 12/12/2024 Commonwealth of Massachusetts Town of North Andover iz WrCTitle 5 OfficialInspection i ti Subsurface Sewage Disposal System Form -Not for Voluntary AssessmentAN 8 2025 45 BEECHWOOD DRIVE -__..._....,.__.._ Property Address 45 BEECHWOOD DRIVE LLC pa meet Owner ' __..._ .—......,_._ Owners Narne .. _..�_ _.._ .._ __.,____.------- information __—�—_.__ equirefo is NORTH ANDOVER required for every . _......._---w_.. MA 01845 DECEMBER 12, 2024 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 on the computer, use only the tat} Todd James Bateson y y Bateson Enterprises Inc key to move our Name of Inspector cursor-do not use the return key. Company Name �) 111 Argilla Road rrd Company Address Andover MA 01810 Clty/Town _ — State ZipCode « � 978-475-4786 SI 16 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: 1. ® Passes 2, ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. © Fails �l, ---.-.— _�,� DECEMBER 12 2024 Insp qr's Signature _.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 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.7t26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System.page 1 of 18 Commonwealth of Massachusetts 91 iOfficial __- - Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 45 BEECHWOOD DRIVE Praperty Address 45 BEECHWOOD DRIVE LLC Owner .. Owner's Name information is NORTH ANDOVER required far every __...., ....w� ._.-.. ._.,_ MA 01845 DECEMBER 12, 2024 page, Cityfrown State Zip Cade Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6, 1) System Passes: ® 1 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: PERMIT- BOARD OF HEALTH OUTLET PIPE REPAIR INSTALL OUTLET TEE AND GAS BAFFLE IN TANK INSTALL TWO TANK EXTENSIONS INSPECTION PORT PIPE AND COVER INSPECTION - BOARD OF HEALTH SYSTEM NOW PASSES TITLE 5 INSPECTION 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. ❑ Y ❑ N ND (Explain below): t5insp.doc rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•page 2 of 18