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Home My WebLink AboutPass - Title V Inspection Report - 145 BRADFORD STREET 4/29/2025 Commonwealth of Massachusetts - , � Title 5 Official inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments E /r� tr, �� 145 BRADFORD STREET Property Address ARIANA BOND .Owner -..._ - Owner's Name information is required,for every ._NORTH ANDOVER MA 01846 APRIL 29, 2025 ... __....... - — page, City/Town State Zip Coda 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. filling tans A. Inspector Information Or Andover filling out forms on the computer, use only the tab Todd James Bateson - -- -- - - key to move your Name of Inspector MAY 9cursor-do not Bateson Enterprises Inc, 2025 use the return - - - _ ........... ....... - -- key, Company Name 111 Argilia Road - Health Department----- Company Address - Andover MA 01810 - --- - - .... . CrtyFrown Slate Zip Code— -_ - _ rsn 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 16.340 of Title 5 (310 CMR 16.000); 1 have personally inspected the sewage disposal system at the property address 5} 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 �1-- -- �_- MAY 1, 2025 Inspe is Signature pate 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. 151nsp,doc•rev.7)2612018 Tilla 5 Official Inspection form:Subsurface Sewage Disposal System•Page i of 18 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form _ Not for Voluntary Assessments I' 145 BRADFORD STREET Property Address ARIANA BOND Owner Owner's Name information is required for every NORTH ANDOVER MA 01845 APRIL 29 2025 . page. City/Town State 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: ® 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: 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 exflltration 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.712612018 Tft#e 5 Official Inspection Farm:Subsurface Sewage Disposal System Page 2 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments < % 145 BRADFORD STREET Property Address ARIANA BOND Owner �..._._—._. .—..�._ Owner's Name information is regfalred for every NORTH ANDOVER MA 01845 APRIL 29, 2025 page. CityfTown 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 pumpslalarms 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: 15lnsp.doc rev,7/2612018 Title 5 Official Inspection Form:Subsvrfaca Sewage Disposal System-Page 3 of 18 I Commonwealth of Massachusetts x : Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 145 BRADFORD STREET Property Address ARIANA BOND Owner �.... Owner's Name information is NORTH ANDOVER _ MA 01845 APRIL 29 2025 required far every � page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cant.) ❑ 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 fall 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 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.rloc•rev.W2812018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 18 Commonwealth of Massachusetts r Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 145 BRADFORD STREET Property Address ARIANA BOND Owner �Owner's Name information is required for every NORTH ANDOVER MA 01845 APR IL 29 2025 page. City/Town State Zip Code ate of Inspection C. Inspection Summary (cunt.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No El ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool El ® Liquid depth in cesspool is less than 6" below invert or available volume is less than %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, El ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. El ® 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 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.7/2812018 Title 5 Officw Inspeclion Forme Subsurface Sewage Disposal System• age 5 of 18 Commonwealth of Massachusetts _ = Title 5 Official Inspection Form T t Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 145 BRADFORD STREET Property Address ARIANA BOND Owner Owner's Name information is required for every NORTH ANDOVER MA 01845 APRIL 29 2025 page. City/Town State zip Code Date of Inspection C. Inspection Summary (cons.) 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 NIA) ® ❑ 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)] 15insp.doc-rev.7126/2018 Title 5 Official inspection Form:Subsurface Sewage Disposal System-Page 6 of 18 r _ Commonwealth of Massachusetts - Title 5 Official inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 146 BRADF'ORD STREET Property Address _. _._..._... ARIANA BOND Owner Owner's Name information is required for every NORTH ANDOVER MA 01845 APRIL. 29 2026 �..�_._... page. Cttyffown State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): 4 Number of bedrooms (actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 600 GPD Description: Number of current residents: 3 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 Seasonaluse? ❑ Yes ® No Water meter readings, if available last 2 years usage SEE ATTACHED Detail: Sump pump? ❑ Yes ® No Last date of occupancy: CURRENT Date f51nsp.doc•rev.712612018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 18 Commonwealth of Massachusetts a Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments , y 145 BRADFORD STREET Property Address ARIANA BOND Owner ___.__� —...........�_ Owner's Name information is required for every NORTH ANDOVER MA 01845 APRIL 29, 2025 .._�__.__......_.__...._.._..._.._____ _.........� page. C1ty1Town 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/s%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 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.7126/2018 Title 6 QfBclal Inspection Forth:Subsurface Sewage Disposat System-Page 8 or 18 Commonwealth of Massachusetts 6P Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 145 BRADFORD STREET Property Address ARIANA BOND Owner O _. _... Owner's Name information is required for every NORTH ANDOVER MA 01845 APRIL 29, 2025 _.__._w..�... .__._._.m..� .m 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 11A 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: JULY 1985 AS BUILT PLAN Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan); Depth below grade: UNDER FLOOR 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.): VENTING OK NO ODORS DETECTED JOINTS NOT VISUAL UNDER CELLAR FLOOR l5insp.dec•rev.712612018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 18 Commonwealth of Massachusetts e_ Title 5 official inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 145 BRADFORD STREET Property Address ARIANA BOND Owner Owner's Name information is required for every NORTH ANDOVER MA 01845 APRIL 29 2025 � —..-.._._....._ page. City/Town State ,Zip Code Date of Inspection D. System Information (cant.) 6. Septic Tank(locate on site plan): 4' CENTER RISER COVER 12" 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 Dimension 10' X 5' X 4' s ----- - Sludge depth; 6" --------- 32" Distance from top of sludge to bottom of outlet tee or baffle - Scum thickness 2" Distance from top of scum to top of outlet tee or baffle 7" w - Distance from bottom of scum to bottom of outlet tee or baffle 12" How were dimensions determined? TAPE MEASURE AND SLUDGEJUDGE _ 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 PLASTIC OUTLET TEE OK TANK OK NO EVIDENCE OF LEAKAGE LIQUID LEVELS GOOD 151nsp,doc-rev.71 2 6120 1 4) Title 5 Official Inspection Form:Subsurface Sewage Disposal Syslem•Page 10 of 1 B /fry i .,.'� Commonwealth of Massachusetts Y _= � Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments l� 145 BRADFORD STREET W_ Property Address ARIANA BOND Owner Owner's Name information is required for every NORTH ANDOVER MA 01845 APRIL 29, 2025 —: ..._.�.._.._...._ ._....__._..m. page. City[Town State Zip Code Date of Inspection D. System Information (cunt.) 7, Grease Trap (locate on site plan): Depth below grade: tBet - Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: — -Scum thickness thickness Distance from top of scum to top of outlet tee or baffle m T 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 ❑ other(explain): Dimensions: Capacity: __......__...____.. _�..._..._. gallons Design Flow: _— gallons per day i5insp.doo rev.7/202018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 or 18 Commonwealth of Massachusetts v = Title 5 official Inspection Form t Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 145 BRADFORD STREET Property Address ARIANA BOND Owner Owner's Name information is NORTH ANDOVER MA 01845 APRIL 29, 2025 required for every � ..._.._....... _ _. ._..._...._— �___._._.__ page. City/Town State Zip Code gate of inspection D. System Information (cunt.) 8. Tight or Holding Tank (coat.) 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 LEVEL AND DISTRIBUTION IS EQUAL EVIDENCE OF LIGHT SOLIDS CARRYOVER NO EVIDENCE OF LEAKAGE SLIGHT CORROSION IN D-BOX D-BOX COVER ADDED TO EXISTING COVER Winsp.doc-rev.112612018 Title 6 Official inspection Form:Subsurface Sewage Disposat System Page 12 of 18 Commonwealth of Massachusetts Y - Title 5 official Inspection Form t Subsurface Sewage Disposal System Form - Not for Voluntary Assessments r� J� 145 BRADFORD STREET Property Address ARIANA BOND Owner Owner's Name information is A 01845 APRIL 29 2025 required For every NORTH ANDOVER M page. City/Town State Zip Coda 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.): * 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: 5 69' LONG ❑ leaching fields number, dimensions; -- _ ❑ overflow cesspool number: - - ❑ innovative/alternative system Type/name of technology: __..._. t5insp.doc-rev.7/2812018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 o€18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 145 BRADFORD STREET Property Address .m._ ARIANA BOND Owner ___......._. Owner's Name Information is MA 01845 mm APRIL 29, 2025 required for every NORTH ANDOVER page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cunt.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): SOIL AND VEGETATION GOOD 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.): t5insp.doc•rev.712612018 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 18 Commonwealth of Massachusetts 'fR Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 'cam 145 BRADFORD STREET Property Address ARIANA BOND Owner Owner's Name information is NORTH ANDOVER MA 01845 APRIL 29 2025 required for every ......_._..—._...__ s ' page. City/Town 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.): t5insp.doc rev.7I2612618 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form - Not for Voluntary Assessments •,d 145 BRADFORD STREET Property Address ARIANA BOND Owner Owner's Name Information is required for every NORTH ANDOVER MA 01845 APR IL 29 2025 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 1 61 d 150o Ca101) Sep y C 12-11ka.tf1 Oil O � A 1 } f f 11 ,�' �� r•tl l J i 1 i I 16insp.doo rev.7126=18 TWo 6 Offiolai Inspectlon Form:Subsurface sewage n1sposei system-page 1e of 18 Commonwealth of Massachusetts i Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 145 BRADFORD STREET Property Address ARIANA BOND Owner Owner's Marne information is requnired for every NORTH ANDOVER MA 01845 APRIL 29, 2025 -- ._— m..._.._....._..._�..._._._.m. page, CltyrTown 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: 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: MAY 1984 Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health - explain: DESIGN PLAN ON FILE ❑ Checked with local excavators, installers - (attach documentation) ❑ Accessed USGS database - explain: You must describe how you established the high ground water elevation: AS PER DESIGN PLAN Before filing this Inspection Report, please see Report Completeness Checklist on next page. 15insp.doc rev.712612018 Title 5 Official Inspection Form:Subsurface Sewage Dispose System-Page 17 of 18 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 145 BRADFORD STREET Property Address ARIANA BOND Owner Owner's Name information is R MA 01845 APRIL 29, 2025 required for every NORTH ANDOVE_..�.__. ` page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete ail 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: 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 I5insp.doe•rev.7/2612018 Tilia 5 Official Inspection Form.Subsurface Sewage Disposal System-Page 18 of 18 Summary Record Card generated on 6/W202611:23:33AM by Nancy Viens Page 1 Town of North Andover Tax Map # 210-061.0-0003-0000.0 Parcel id 10541 146 BRADFORD STREET ARIANA& KENNETH BOND 146 BRADFORD STREET NORTH ANDOVER MA 01845 Class 101 Single Family Property Type 1 Residential Size Total 0.932 Acres FY 2026 UB Mailing Index Name/Address Type Loan Number Activelinact. From until ARIANA&KENNETH BOND Owner Active 146 BRADFORD STREET NORTH ANDOVER MA 01845 GAUDETTE,TIMOTHY Previous Customer Inactive 719/2008 145 BRADFORD STREET N.ANDOVER,MA 01845 THERESE&ROBERT GRUBER Pravlous Customer Inactive 6/20/2016 145 BRADFORD STREET NORTH ANDOVER,MA 01645 THOMAS TEICHMAN Previous Customer Inactive 6/23/2022 146 BRADFORD STREET NORTH ANDOVER MA 01845 UB Account Maint. Account No Cycle Occupant Name Activellnactive Bldg Id,16234.0-145 BRADFORD STREET Last Billing Date 3/4/2025 2120193 02 Cycle 02 Active UB Services Maint, Account No.2120193 Service Code Rate Charge Multlplierlusers MISCFEE ADMIN FEE 0.63618 7.82 1/ WTR WATER 01 ALL METER SIZE 57.00 /1 UB Meter Maintenance Account No.2120193 Serial No Status Location Brand Type Size YTD Cons 35078168 a Active ERT HH b Badger w Water 0.625 0.626 223 Date Reading Code Consumption Posted Date Variance 2/12/2025 1118 a Actual 15 3/13/2025 -10% 11/7/2024 1103 a Actual 16 12/12/2024 25% 8/12/2024 1088 a Actual 13 9/12/2024 -20% 5/10/2024 1076 a Actual 16 6/13/2024 -5% 2/8/2024 1059 aActual 17 3/14/2024 61% 11/7/2023 1042 a Actual 10 12/13/2023 .4% 8/11/2023 1032 a Actual 11 9/18/2023 -19% 6110/2023 1021 a Actual 13 6/14/2023 14% 2/10/2023 1008 aActual 12 3/14/2023 15% 11/8/2022 996 aActual 10 12/19/2022 17% 8/10/2022 986 a Actual 6 9/20/2022 6% 6/8/2022 980 If Final Bill 12 6/912022 -26% 2/9/2022 968 aActual 13 3/15/2022 12% 11/4/2021 055 a Actual 13 12/13/2021 -30% 8/11/2021 942 aActual 20 9/21/2021 43% 5/120021 922 aActual 14 6/15/2021 14% 2110/2021 908 aActual 13 3/16/2021 6% 11/6/2020 805 aActual 11 12/16/2020 -48% 8/12/2020 884 aActual 23 9/9/2020 61%