The URL can be used to link to this page

Home My WebLink AboutPass - Title V Inspection Report - 734 Boxford Street 2/5/2025 Commonwealth of Massachusetts Title 5 Official Inspection Form t Subsurface Sewage Disposal System Form - Not for Voluntary Assessments f9 734 BOXFORD STREET Property Address ANDREW AND SAIGE OFTEDAL Owner Owner's Name information is required for every NORTH ANDOVER MA 01845 FEBRUARY 5 2025 page. CitylTown _ State Zip Code ate 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 tab Todd James Bateson key to move your Name of Inspector cursor-do not Bateson Enterprises Inc. use the return Company Name key, 111 Argilla Road Company Address _. Andover MA 01810 CityiTown State _ Zip Code rdbaR 978-475-4786 SI-16 relephone 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 7 i d FEBRUARY 10, 2025 Inspector's Sign fate 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. l5insp,doo rev.7/2612018 Title 5 Official Inspection Form:Subsurface Sewage I]isposel System Page 1 of 18 Commonwealth of Massachusetts - Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 734 BOXFORD STREET Properly Address ANDREW AND SAIGE OFTEDAL Owner Owner's Name information is required for every NORTH ANDOVER MA 01845 FEBRUARY 5 2025 _ page. City/Town Slate Zip Code Date of Inspection C. Inspection Summary 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. 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. ❑ Y ❑ N ❑ ND (Explain below): t6llsp,doo•rev.7/2612018 Title 5 Offidal Mspeclion Farm:Subsurface Sewage Disposal System Page 2 of 18 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 734 BOXFORD STREET Property Address ANDREW AND SAIGE OFTEDAL Owner owner's Name information ss required for every NORTH ANDOVER MA 01845 FEBRUARY 5, 2025 page. CitylTown 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): ❑ 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.doo•rev.712612018 Tille 5 Official lnspectlon Form:Subsurface Sewaga Disposal Syslem-Pago 3 of 18 i 1 Commonwealth of Massachusetts c _ Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 734 BOXFORD STREET Property Address j ANDREW AND S_AIGE OFTEDAL Owner Owner's Name information is NORTH ANDOVER MA 01845 FEBRUARY 5 2025 required for every � page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cons.) ❑ 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 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. ❑ 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 ❑ ® 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,doe rev,7/26/2018 Title 5 Official inspection Form:Subsurface Sewage Disposal System-page 4 of 18 Commonwealth of Massachusetts ll Title 5 Official Inspection Form Io Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 734 BOXFORD STREET Property Address ANDREW AND SAIGE OFTEDAL Owner Owner's Name information is required for every NORTH ANDOVER MA _01845 FEBRUARY 5, 2025 page, City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ❑ ® 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 day flow El ® 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 falls. 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 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 l5insp,doc rev.7l2612018 Title 5 Official fnspeclion Form:Subsurface Swage Disposal System-Page 5 of 18 I I Commonwealth of Massachusetts p Title 5 Official Inspection Form �0 Subsurface Sewage Disposal System Form - Not for Voluntary Assessments "c 734 BOXFORD STREET Property Address ANDREW AND SAIGE OFTEDA_L Owner Owner's Name information is required for every NORTH ANDOVER MA 01845 FEBRUARY 5 2025 page. Citylrown 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? El ® Were as built plans of the system obtained and examined? (If they were not available note as Nl ® ❑ 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)] 15€nsp.doc•rev.7126/2018 Tilie 5 Official Inspection Form:Subsurface Sewage Drsposat System Page 6 of 18 i i Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments f i 734 BOXFORD STREET Property Address ANDREW AND SAIGE OFTEDAL Owner Owner's Name information is NORTH ANDOVER MA 01845 FEBRUARY 5 2025 required for every _ r page, CitylTown State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): 5 Number of bedrooms (actual): 5 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 550 GPD Description: Number of current residents: 5 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 El Yes ® No information in this report.) Laundry system inspected? ® Yes ❑ No Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): SEE ATTACHED Detail: Sump pump? ❑ Yes ® No Last date of occupancy: Cbate URRENT f5lnsp,doc•rov.7126/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 18 Commonwealth of Massachusetts i :Y (F Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments a ro 734 BOXFORD STREET Property Address ANDREWAND SAIGE OFTEDAL Owner Owner's Name information is NORTH ANDOVER MA 01845 FEBRUARY 5 2025 required far every � page. City/_T wn State Zip Code Date of inspecfion D. System Information (cost.) 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? ❑ 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 m Other(describe below): 3. Pumping Records: Source of information: MAY 2024 BATESON ENTERPRISES INC Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped; gallons How was quantity pumped determined? - Reason for pumping: — t5insp.doc-rev.7126I201 8 Title 5 Ofiiclai Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18 f Commonwealth of Massachusetts x - Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 734 BOXFORD STREET _ Property Address ANDREW AND SAIGE OFTEDAL Owner Owner's Name information is NORTH ANDOVER MA 01845 FEBRUARY 5 2025 required for every , page. CitylTown 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: 4 YEARS INSTALLED MARCH 2O21 DESIGN PLAN Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): 2E" 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.): JOINTS AND VENTING OK NO EVIDENCE OF LEAKAGE t5insp,doe-rev.7/26/2018 Title 5 Offic{al tnspeclion Form,Subsurface Sewage Oisposaf System•Page 9 of 18 1 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 734 BOX(=ORD STREET Property Address A_N_DREW AND SAIGE OFTEDAL _ Owner buNner's Nafne information is required for every NORTH ANDOVER MA 01845 FEBRUARY 5, 2025 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 1 & Septic Tank(locate on site plan): 14" Depth below grade: feet Material of construction: ® concrete ❑ 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) ❑ Yes ❑ No Dimensions: 10'X 5' X 4' 4" Sludge depth: 3411 Distance from top of sludge to bottom of outlet tee or baffle — Scum thickness 4" -- -- 611 Distance from top of scum to top of outlet tee or baffle 1011 Distance from bottom of scum to bottom of outlet tee or baffle - How were dimensions determined? SLUDGE JUDGE AND 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.): RECOMMEND PUMPING BIANNUALLY PLASTIC INLET AND OUTLET TEES OK TANK IS IN GOOD CONDITION LIQUID LEVELS ARE GOOD NO EVIDENCE OF LEAKAGE t5insp.doc•rev.712612016 Title 5 offcial Inspection Forme Subsurface Sewage Disposal System•Page 10 of 18 I 1 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 734 BOXFORD STREET Property Address ANDREW AND SAIGE OFTEDAL Owner Owner's Name �. information is NORTH ANDOVE_R MA 01845 FEBRUARY 5 2025 required for every , page. City/Town Slate Zip Code Date of Inspection D. System Information (cunt.) 7. Grease Trap (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain); Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle -- Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: 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 Molding 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 t5insp.clm•rev.712612018 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 10 I Commonwealth of Massachusetts ma= s Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 734 BOXFORD STREET Property Address ANDREW AND SAIGE OFTEDAL Owner Owner's Name information is required for every NORTH ANDOVER MA 01845 FEBRUARY 5 2025 _ page. City/Town _ State Zip Code Date of Inspection D. System Information (cunt.) 8. Tight or Holding Tank(cunt.) 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 9, 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 IS IS LEVEL D-BOX HAS FLOW EQUALIZERS DISTRIBUTION IS EQUAL NO EVIDENCE OF SOLIDS CARRYOVER NO EVIDENCE OF LEAKAGE t5lnsp,doc-rev.712612016 Title 6 Official Inspection Form:Subsurface Sewage Msposaf System Page 12 of 18 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 734 BOXFORD STREET Property Address ANDREWAND SAIGE OFTEDAL Owner Owner's Name information is NORTH ANDOVER MA 01845 FEBRUARY 5 2025 required for every _ �. page. City/Town _. State — Zip Code Date of Inspection D. System Information (cant.) 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.): * 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: — ❑ leaching chambers number: ❑ leaching galleries number: -- ❑ leaching trenches number, length: ® leaching fields number, dimensions: 1; 10.5' X 60'-- ❑ overflow cesspool number: ❑ Innovative/alternative system Type/name of technology: t5insp,doc rev.712612018 Title 6Official Inspection Form:Subsurface Sewage Olsposal Syslem-Page 13 of 18 i i Commonwealth of Massachusetts r4 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments vy w 734 BOXFORD STREET Property Address T ANDREW AND SAIGE OFTEDAL Owner Owner's Name information is NORTH ANDOVER MA 01845 FEBRUARY 5 2025 required for every page, Ciijifown State Zip Code Date of Inspection D. System Information (cons) 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 AND VEGETATION OK NO EVIDENCE OF HYDRAULIC FAILURE OR PONDING 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.): €5insp.deo rev.71281201I8 Title 6 Official Inspeclion Form:Subsurface Sewage Disposal System•page 14 cf 18 Commonwealth of Massachusetts Title 5 Official Inspection Form r Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 734 BOXI=ORD STREET _..... Praperty Address ANDREW AND SAIGE OFTEDAL Owner Owner's Name W information is NORTH ANDOVER MA 01845 FEBRUARY 5, required for every ._ 2025 page. City/Town State Zip Code Date of inspection D. System Information (coat.) 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, Onsp.doc-rev.712612018 Title 5 O ficlal Inspection Form:Subsurface Sewage Disposal System•Page 15 of le Commonwealth of Massachusetts v Title 5 Official Inspection Form ' a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 734 BOXFORD STREET Property Address ANDREW AND SAIGE OFTEDAL Owner Owner's Name information equine ti for Is NORTH ANDOVER MA 01845 FEBRUARY 5 2025 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: ® hand-sketch in the area below ❑ drawing attached separately Tali u � A €k I` �j A 0 ufl -1k 31 P � r /fit � �+. � 3 - 1t 151nsp.doc-rev.712612018 Title 6 Official Inspection Form;Subsurface Sewage Disposal System Paga 16 o11a 1 1 Commonwealth of Massachusetts Title 5 Official Inspection Form �to Subsurface Sewage Disposal System Form - Not for Voluntary Assessments u % 734 BOXFORD STREET Property Address ANDREW AND SAIGE OFTEDAL Owner Owner's Name information Is required for every NORTH ANDOVER _ MA 01845 FEBRUARY 5 2025 page. City/Town State Zip Code Date of Inspection D. System Information (cons) 15. Site Exam: ® Check Slope ® Surface water i ® Check cellar ❑ Shallow wells Estimated depth to high ground water: 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: MARCH 2021 Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health - explain: PLANS ON FILE ❑ Checked with local excavators, installers - (attach documentation) ❑ Accessed USGS database -explain: You must describe how you established the high ground water elevation: DESIGN PLAN ON FILE SYSTEM 4'ABOVE WATER TABLE Before filing this Inspection Report, please see Report Completeness Checklist on next page. 151nsp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 17 o118 i i y Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 734 BOXFORD STREET Property Address ANDREW AND SAIGE OFTEDAL Owner Owner's Name information is required for every NORTH ANDOVER MA 01845 FEBRUARY 5 2025 page. Citylrown 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 ® D. System Information: For 8: TightlHolding 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 t5insp,doc-rev.712612018 Title 5 official Inspection Form:Subsurface Sewage disposal System•Page 18 of 10 E Summary Record Card generated on 202025 a:13:20 AM by Karen Hanlon Page 1 Town of North Andover Tax Map # 210w1OSo -0024.-0000.0 Parcel Id 16901 734 BOXFORD STREET ANDREW OFTEDAL SAIGE JUTRAS-OFTEDAL 734 BOXFORD STREET NORTH ANDOVER MA 01846 Class 130 Developable Land Property Type 1 Residential Size Total 6.7 Acres F Y 2026 i E UB Mailing Index Name/Address Type Loan Number Active/Inact. From Until ANDREW OFTE=DAL Owner Active SAIGE JUTRAS-OFTEDAL 734 BOXFORD STREET NORTH ANDOVER MA 01845 LRC BUILDERS Previous Customer Inactive 7/28/2022 476 BOSTON ROAD BILLERECAMA 01821 UB Account Maint. Account No Cycle Occupant Name Activelinactive Bldg Id.27946.0-734 BOXFORD STREET Last Billing Date 1/7/2026 3170696 03 Cycle 03 Active UB Services Maint. Account No.3170696 Service Code Rate Charge MultipllerlUsers MISCFEE ADMIN FEE 0.63 6/8 7.82 1/1 WTR WATER 01 ALL METER SIZE 187.00 1/1 UB Meter Maintenance Account No.3170696 Serial No Status Location Brand Type Size YTD Cons 211118842 a Active HH#734 b Badger w Water 0.626 0,625 447 Date Reading Code Consumption Posted Date Variance 12/10/2024 609 aActual 40 1/14/2025 -33% 9/10/2024 629 a Actual 59 10/8/2024 69% 6/12/2024 470 a Actual 36 7/2212024 -5% 3/11/2024 434 aActual 37 4/16/2024 26% 12/11/2023 397 aActual 28 1/15/2024 -67% 9/16/2023 369 aActual 96 10/13/2023 1% 6/9/2023 273 a Actual 90 7/14/2023 336% 3/8/2023 183 a Actual 20 4/12/2023 -63% 12/8/2022 163 a Actual 41 1/16/2023 -79% 0/13/2022 122 a Actual 122 10/18/2022 7/20/2022 0 n New Meter 10/18/2022 I� 1 SEPTIC SYSTEM MAILhTENANCE' STEPS YOU CAN FOLLOW What is a Septic System? o Pump your sep tic tank every 1 - 2 years_ A septic system is used to dispose and treat household Solids could be overflowing to the leaching facility right now, sewage_ It consists of a rectangular inter-•t,ighr box causing damage that will require expensive repairs_ (the sep zit tank) and a leaching facility. o investigate signs offailure imaediately. . -Slow draining of toilets and sinks ® - -Foul odor, patches of green grass, ponded water, or melting snow �--�� near the leaching system. eeptit Leak I � �� o Minimize water use in the home The less varer used, the longer the retention period in the tank d istribution box leaching area _ and the more solids the bacteria can decompose. Use water-saving Wastawater from the house flows directly into the septic showerheads and toilers. tank- There, the larger solids settle -to the bottom, o Do not dispose the following materials . foaming a layer of -sludge. The lighter particles rise to the surface, forming a layer of scum- Bacteria in the _Garbage_ Use of disposals adds massive amounts of solids to the rank. tank work to decompose the solids in these lavers. In -tank. x ry napkins, colored toilet "paver, disposable diapers, and spite o. this decomposition, however, both the sludge and tissues do poll decompose. scum gradually acctunulate and must be removed every 1 - 2 - ears to ensure -Cooking oil, fat, and grease can pass through the -septic tank y proper operation of the system_ and Llo the .1 eacliin• held_ - - THE gFPTTC: TANK K b sewage fr= souse air space -Pesticides, disinfectants, acids, medicine, paint thinners, etc- , will kill the helpful bacteria in the tank and contaminate the acn= build-wxp. groudLater. `liquid ro lYquld level _ - leaching a Do not use CeS5pD01 cleaners J area There are no known chemicals, yeasts, bacteria, enzymes or ocher Wasrevater substances capable of eliminar":ing_ or reducing the sludge and scum sludge so that periodic cleaning is unnecessary_ Many of these cleaners The liquid portion of the sewage- flows form the septic contain highly concentrated organic solvents that are rated toxic tank to the leaching system, -which consists of a series and suspected to be cancer-causing by the EPA and National Cancer of perforated pipes or a pre-cast pit placed in trenches Institute_ They are not bio-degradable and pose a serious or "beds" of washed stone. This system distributes the potential zhrea>r to private and public water supply.wells_ The liqua.d sewage into the surrounding soil.; where it is use of such products is not uecessary for the proper functioning 'filtered and treated. of a septic system and, in fact, can harm the system. The Need for Maintenance For more information or assistance, contacj= tfe Depar,1:ment of The leaching system is .not designed to receive solids. Environmental Qualiry Engineering Regional 0ffice (935-2160) or, If solids are allowed ro acclmulate and overr].owa from the VOi-- local Board of health. [4'0-3800 exL. 255) If your septic system has been installed or repaired in the last 5-7 -years the septic tank, the leaching system becomes clogged and will TO no longer transmit the liquid sewage_ This results in Town Health Dept. most likely will be able to provide you with a back--up of sewage into the house or a break-out through plan of yaur system location- Call the above number to the ground. When this occurs the receive your copy free of charge. system can often only be renovated by abandonment (usually for 6 months or more) TEL(508)�%>-i�%� or by complete replacement. Costs for replacement of the ;� FAX:(Sos)3;s-sasl leaching system are high, ranging from 30. 000 to 5_df000_ Dena p BATESON ENTERPRISES, INC. proper maintenance, these problems and expenses can De. avoided. -• - - EXCa Zaing-Water&Sewer lfnes-Scptie Sy,Te s S Pumping Service 111 Argilla Road Andover,Mass,01810