HomeMy WebLinkAboutPASS - Title V Inspection Report - 93 CRICKET LANE 6/4/2025 Commonwealth of Massachusetts
TM
n Title 5 Off
Inspection Foft* 111
Subsurface sewage Disposal system Form ,Not for Voluntary Assessments
' 13 Cf(Cel(t,�t _L41
Property Address y
Owner ifortio Is owner's Name mm.�m...�.... ..
JV
req u I red for every
page. City/Town state Zip Code.._ Date of Inspection
Inspection results must be submitted on this form. Inspection forms'may not e
way. Please see completeness b sire in any
p ness checklist et the end of the form.
Iportain#;When Inspector filling out forms A. Information
on the computer,
use only the tab � �� 8 Or A C?,tK
key to move your Name of Inspector
cursor-do not Bo� �� � � �
use the re(urn _ `„ '� 000-
I ey. Cora any Na e
ImCo an Address
= TY
it ff own
State/-, 1 7 1/- '6%D:3 dip bode
Telephone Number License Number
B. Certification
1 certify that: I am a DEP approved system inspector in full eom i�arree with Section `
o Cl � '� ; 1 have ersonalI i '� � of`�'�t�e
nspeoted the sewage disposal system at the propert address
listed above; the information reported below is true a
p orate and complete s of the time of ray
inspection; and the inspection was performed based on ray training and experience in the h proper function
and maintenance of on-site sewage disposal systems.After conducting this inspection I have e
that the system: determined
1. X
Passes
El Conditionally Passes
3: ❑ Deeds Further Evaluation by the Local Approving Authority
. EJ Falls
1 ector's s19natur [gate �
The system inspector shall submit a copy of this inspection report to the Approving Authority
of health or D within s p� (Board
y f completing this inspection. If the system has a design flow of
10,000 gpd or greater, the inspector and the system owner shall ail obrnit the report to the appropriate
regional office of the R The original form should be sent to the p
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 an
conditions of use at that time under the
. This Inspection does not address how the system will perform
in the future under the same or different conditions of use.
t fnSP.dec•rev.71 B1 018 T1Ue 5 0f i iaii Inspe Uon Forte:8 ubsurfece sewage Disposal System-page I of 18
Commonwealth of
Massachusetts
Title 5 Official i
Inspection Fo
' rm
Subs rfa Sewa a Disposal system Form Not for Vol nta
.w
f ry Assessments
/0- 4.iv
Property Address
X�V%`M JrIU 714
Owner orr�er� a
Information Is
me
requIred for every /,K7 04AP()0 Vcr
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:
f
l have not found any information which indicates that any of the failure criteria described
in 310 CMR 1 . 0 or In 310 CMR 15.304 exist. Any failure criteria not evaluated are
indicated below,
2) System Conditionally Passes:
El one or more system components as described in the "Conditional4
Pass" section need to be
replaced or repaired. The system, upon completion of the replacement or repair,
the Board of Health, will ass. as approved y
Check the box for"yes,", U oas or„not determined" (Y, N, ND for the following statements. If"not
determined," lease explain.
The septic tank is metal and over 20 years old*or the septic tank (whether metaunsound ehiit s i y � � l or not) �s structurally
u stantial 1nflltration or a filtration or tank failure is Imrn1nenL System will pass
inspection if the existing tangy is replaced with a complying
Health. septic tare as approved by the hoard of
* metal septic tank will pass inspection if it is structurally sound not leaking
Compliance indicatingthat the and �f a Certificate of
tangy is less than 20 years old is available.
E] Y N El ND (Explainbelow):
tS insp.doc•rev.7/6/20V# Tide 5 oincial Inspe on Form;Subsursace sewage Disposal Page system. of 18
Commonwealth of Massachusetts
Title 5 Offic'ial
t
Inspection
Subsurface Sewage Disposal System Form Not for Voluntary Assessments
esents
3 r ' , OL tA/
Property Address
j� .(A,%�
-;:�
uvr� r , r� oar' Name
rrrforatro �
required for eve ry At-40VT
page. Cltyffown StateZip Code Date of In e #pan
C. Inspection Summary (cont.)
2) System conditionally 'asses (cont.):
El Pomp Chamber pumps/alarms not operational. S s y terry will pass with Board Health i
Pumps/alarmsapproval �
are repaired.
El Observation of sewage backup or break out or high static voter level in the distribution box die
to broken or obstructed pipe(s)or duo to a broken, settled o uneven distribution
Pass inspection if(with approval of Bo box. System will
pp and f Health :
[J broken pipe(s) are replaced
El Y EJ N ND (Explain helot :
El obstruction is removed El Y El NEI N plan below):
El distribution box is leveled or replaced El Y El NEIND (Explain below)
:
El The system required pumping more than 4 times a
will ass ins year die to broken or obstructed pip . �'
system
p Inspection if(with approval o the Board of Health):
El broken pipe(s)are replaced El Y El N Ej N plain bloc ;
EJ obstruction is remove
EJ Y Ej N El N plain pow :
3) Further Evaluation is Required by the Board of Health'
El Conditions exist which require farther evaluation the i
t stern is failingto � Board of Health � order to determine �
protect public health, safety or the environment.
a* System will pass unless Board of Health determines in accordance i
'� o 'l thatthe story Is not f with 'l cl
functioning In a r a nerwl�ioh will protect public health,
safety and the environment:
151nsp.do •rev.7rr018 TItle 6 orrdar ins ec#lon Form:subs
Commonwealth of
Massachusetts
T"t1e 5 Off'
iciwal Inspection For
Subsurface Sewage Disposal system Form Not for Voluntary Assessments
13 Cjr�ckc/L,
of ,
rrty-A'ddress
. t tj F (eA
informationOwne s N
required for every AJ (I ef
page. City/Town
Ca Inspection Summary (cont.
11 Cesspool or priory Is within 0 feet of a surface water
El Cesspool or priory is within 50 feet of a bordering vegetated ate etlan or a salt marsh
b, system will fail unless the Board of Health (and Public Water Supplier, if are
y)
determines that the system Is
functioning In a manner that protects the public health,
safety and environment:
El The system has a septic tank and soil absorption stem (SAS)pand the SAS is within
100 feet of a surface water supply or tributary to a surface water su p pl y,
[1 The system has a septic tank and SAS and the SAS is within
Zone 1 of public water
supply.
0 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's*.
Method used to determine distance:
This system passes if the well water analysis, performed at a DEP certified labor
colifor bacteria indicatesabsent a thelaboratory, for focal
presence of ammonia nitrogen and nitrate nitrogen is equal
to or less than 5 pion, provided that no other failure criteria are triggered. A co of the analysis
be attacet to this form. py must
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
E Backup of sewage into facility or system component due to overloaded or
clogged SAS or cesspool
El El Discharge or ponding of effluent to the surface of the ground or surface waters
due to an overloaded or clogged SAS or cesspool
t5In sp.doc rear.71261201 a Title 6 Offf0a]In specdon Form;8 ubsurtoce Sewaga Disposal SysteM•Paga 4 of 18
�LN Commonwealth of Massachusetts
NJ T*tle 5 Off'I ic'a
il Inspectaion Form
Subsurface sewage Wsposal System Foam Not for Voluntary Assessments
Cr� �
Property Address
le--c-LA
Owner Owner's Name
Information Is
required for every - 0 to
Re. Qtyffown
State ZIP Code Date of fnsptie
C. inspectio Summary � n��
rl
4) System Failure Criteria Applicable to All systems: Cont.
Yes No
E] 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 e is less
than %day flag
E] Required pumping more than 4 times in the last year NOT due to clogged or
obstructed pipes . Number of tunes
aped: .
El Any portion of the SAS, cesspool or privy is below l w high ground water elevation.
E] Any portion of cesspool or privy is within 100 feet of a surface water supply r
tributary to a surface water supply.
P
E Any portion of a cesspool or privy is within a Zone I of a public grater supply
well.
Any portion of a cesspool or privyis itprivate
��n o feet f a water supply well
Any portion of a ce s s pool or privy t' less than 100 feet but greater than 50 feet
from a private water-supply well with no acceptable water quality analysis. [This
stern asses if the y
well water'analysis, performed of a D P certified
laboratory, for fecal collform bacteria indicates absent and the presence
of ammonia nitrogen and nitrate nitrogen �
r� i equal to or less than 5 1 ,
provided that no other fail re criteria are triggered. A copy oft the analysis
and chain of custody gust be attached to this form.
The system is a cesspool.serving a foilly with a design flow of 2000 d-
1 o,000 pd. p
El The system. 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 wilt be
necessary to correct the failure.
6 Large Systems: To be considered a large system the sYstem must r facility
design flow f'� o to serve a fae���ty with
gp 15, pd.
For large systems, you must indicate either"yes"or"no" to each of the following, in ad
questions in Section CA.
addition to the
Yes No
1:1 El the system is within 400 feet of a surface drinking water supply
El El the system is within 20 feet of a tributaryto
a surface drinking water supply
El 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
t5lnsp,do +reV.7/261201a T1Ue 6 O#fidal InsPviGilon Form: ubsurrace Sawage DI spas aI Systeni.1 Papa s of 18
i
Commonwealth of Massachusetts
Title 5 1
W Official 'ion Form
y Subsurface Sewage Disposal System Farm Not for Voluntary Assessments
Propel Adress
Owner Owners Name
information is
required for every r
............ ..............
page. NtylTown state ip Coda Date of Inspection
C, Inspection summary (cons.)
If you have answered 94yes" to any question in Section C.5 the system is considered a significant
threat, or answered J6yes"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 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.
. You must Indicate "yes" or"no" for each of the following for all Inspections:
Yes No
11 )K Pumping information was provided by the owner, occupant, or Board of Health
E Were any of the system components pumped out in the previous two weeps?
Al Has the system received normal flows in the previous two weekperiod?
E] Have lama volumes of water been introduced to the system recently or as part of
this inspection's
El Were as built plans of the system obtained and examined' If they were not
available note as N/A
El Was the facility or dwelling inspected for signs of sewage back up
❑ Was the site inspected for signs of break out?
N D 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(arid occupants if different from owner) provided with
information
n 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-
le,For ex ple, a plan at the Board of Health.
eteriined in the field if any of the failure criteria related to Part C is at issue
approximation of distance is unacceptable) [ 1 o CMR 15.302(5)]
151nsp.doc-rev.W26/20i8 'i ue 5 official insper{lon Form:Subsurface Sewage NSP0581 SYSteM•PagO 6 0f 18
I
I
Commonwealth of Massachusetts
Title 5 Official
Subsurface x
Sewage Disposal System Form Not for Voluntary Assessments
Property Address
LFlotA0 A
Owner Owner's Nerve
information is
required for ever N7 N0ovcr 0/svr 2T
page. City[Town tetra Zip Code Date of Inspection
R, System Information
1 ResIdential Flow c ndifl ns:
Number of bedrooms (design): �
Number of bedrooms (actual)..
DESIGN flow based on 310 CMR 15.203
example: '� f bedrooms):
Description:
tion:
�ko c.4-tj -2 t ,
Number of current residents;
Does residence have e garbage grinder's El Yes to
Does residence have a grater treatment unit? Yes No
If fires, discharges to;
Is laundry on a separate sewage system? (Include laundrysystem inspection
information are this report.) Yes
o
Laundry system inspected?
Yes No
Seasonal use?
El Yes No
Water meter readings, if available (last 2 years usage (gpd)):
beta i
Sump dump?
El Yes N
Last date of occupancy. C wrc
Date �� ............
t5 Insp.doc•rev.71 l o1a
This 6 Mum Inspectuon Form:subsurfate Sewage Disposal System#Page 7 o€1
um=ry Record Ca rdg anorated on 8/1 0 b 3:6 : 8 PM by Nancy Viens
Town of North Andover page
Tax Map # 210-107.,A,-0285,,0000.0
Parcel Id 18107
3 CRICKET LANE
KEVIN & JENNIFER FLUTH
3 CRICKET LANE
NORTH T AND V R, MA 01845
Class 10i Single Family
Size Total 1.5 Acres Property Type 1 I esi eatlal
Y 2025
U ailiIndex
Name/Address Type Loan Numbor
� VI JENNIFE I*L T'H Owner 1�a#� ellnact� From Unt11
93 CRICKET LANE Active
NORTH AHDVR,MA 0146
CROWLEY,TIMOTHY PfeVfous Customer
93 CRICKET LANE Inactive8/22/2005
NORTH AN D VERI MA
01845
UG A UTHRIE PMVI u Customer
93 CRICKET'LANE Inactive 3171208
NORTH ANDOVER, MA 01846
UB.Account Ms I t.
Account No cycle Occupant Name
Bldg Id. 13 6 .0-9 CRICKET'LANE last�#Illy Date Active/Inactive
2100712 2 Cycle 02 131202
AtlVe
Services Mail
Account No.2100712
Service Code Pate Char
MISC E l tl FEE 11 Multiplier/Users
WTR EATER 1 ALL METER SIZE236.95
9.18 �
236.9 !
UB Meter" Maintenance
Account No.2100712
Serial No Status Location Bran
1637 960 a Active T METE METE ape i e YTO Cons
Date Reading g Cods ►Water 1 1 944
467 Actual 1212026 Consumption Posted gate 1lariace 21 f 2 49 8i42/22 ., o
� a tub 67 J�31202 1114 912024 42 1 m annual estimate 67 3 214 2 40%
*MSS 1 024 -16%
812/2024 4194 a Actual 67 9112124
6l212 2 4137 a Actual -10%
212/202 4076 a Actual 62 61 312624 3%
111112 23 4913 a Actual 2 3114/2024 4 %
81212023 3968 a Actual 66 2113/2 23 14%
11712023 391 a Actual 41 911812023 µ4 3%
A* 4 6/14/2 23 4%
2121223 33 a Actual 31
111412 22 3798 a Actual 65 412023 9%
81312 22 3749 a Actual 49 4 211912022 4%
312022 3701 a Actual 48 9/20/2 22 2%
21212922 3656 a Aclua l 46 6121/2022 -1 %
11/212 21 3603 aActual 62 31 612022 - 4%
814l2021 3544 a Actual 9 12/13/2021 27°
51612021 3497 a Actual 47 9/2112021 13%
214/2021 3466 a Actual 1 6/1612021 .1%
11 3l2920 3413 a Actual 3 314812021 5%
81412020 3373 a Actual 40 12/16/2 20 -50%
51412020 3292 a Actual 1 91912020 12 %
30 811012020 -118%
Commonwealth of Massachusetts,
T mtle 5 Offic�ial Inspecti"on For
' Subsurface Sewage Disposal System Form -Not for Voluntary As
semets
_31_CI'
Property Address
Owner Owner's
...
infomiation Is
1%
required for every � M 000t /,
page. City[Town state ZipCode � Date of Inspection
D....System Information (cont.)
2. Commercial/Industrial Flow Conditions:
Type of Establishment:
Design flow{based on 310 CM R 15.20 �
Gallons r day pd
Basis of design flaw setspersonss .ft., etc.)
:
Grease trap present's
Yes No
Water treatment unit present's
� Yes El No
If yes, discharges to:
Industrial waste holding tank present? El Yes 0 No
Non-sanitary waste discharged to the Title 5 system`
EJ Yes El No
Water meter readings, if available:
Last date of occupancy/use:
Date
Other(describe below),
3. Pumping Records:
Source of information:
Was system pumped as part of the inspection?
Yes El No
If yes, volume pumped: �
gallons
l ow was � antity pumped determined? � r�4 ��'
Reason for pumping: A&t`*
t5 Insp.do o-rev.7/2 61 018 Tare 6 Olwal fns ecxlon Form:Subsurface SaWage D)pmal SySteM•page 8 of j
Commonwealth of Massachusetts
~/fey ns ec ion o
T'tle 5 � a
7 Subsurface Sewage Disposal System Form Not for Voluntary Assessments
Property Address
1W
Owner uv� r' arse ....y
Information is
required for every �—
page. State Zip Code -bate of Inspection
D. System Information (cont.)
4. Type of system:
Septic tank, distribution tlon box s .
oil absorption system
Single cesspool
El Overflow cesspool
Privy
Shared system (yes or no) (if yes, attach '
inspection records, •� 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� rator under contract
EJ Tight tank. Attach a copy of the DEP approval,
Other(describe):
Approximate age of all components, date Installed If known and source of information:
rnat�on.
Were sewage odors detected when arriving at the site's El Yes o
Building sewer(locate on site plan);
Depth below grade; feet
�
Material of construction:
El cast iron K40 PVC El other(explain):
Distance from private water supply well or suction line: �
feet
Comments n condition of joints, venting, evidence of leakage, etc.)
:
4-11 Xoi"V6 01h f P CAP
t6In Sp.dao-rev, f S1 018 Me 5 0fi al Inspecuon Form.Sub&urfm sewage oI sposaI spqtem i Pa ge 9 0f 18
Commonwealth
f Massachusetts
(P T"t1e
Official
Subsurface Sewage Dis osai System Form -hoot for VoluntaryAssessments
Property Address
A
owner 4-cul\v
Information is Owner's
required for every � iD .�
pa itylTo�vr� State ZipCode Date of Inspection
D. System Information (c n *
. Septic Tank(locate on site plan).
Depth below grade;
feet
Material ofconstruction:
concrete El metal EJ fiberglass EJ polyethylene El other expll•n
If tank is metal, list age:
years
Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) Ej Yoe No
If
m " 5
Dimensions: � 6'
Sludge depth: 5/ Al
//
Distance from topor baffle
of sludge to bottom of outlet tee 3/
Scum thickness
of
Distance from tOP of scum to top of outlet tee or baffle
Distance from bottom of scum to bottom of outlet tee or baffle
Hour were dimensions determined? �
Comments (on pumping recommendations, inlet and outlet tee or baffle condition,
liquid levels as related to outlet in evidence
n# structural integrity,
nee of leakage,e, etc. ;
� 1-�- ` t
_For
Mnsp.do •rear.71 12018
Me 5 officlal Inspecuon FOW Subsurface Sewage Disposal System-Page jo of 1
1
�., Commonwealth of Massachusetts }
F? Title 5 Official Inspection For
Subsurface sewage Disposal System Form y Not for Voluntary Assessments
Cr 4
Property Address
Owner
Owner's Name
Information I � �,� t
required for ever ` �
page, Cltyffownstate Zip code Date of Inspection
D. System Information (cont.
. Grease Trap (locate on site plan):
Depth below grade;
feet
Material of construction:
concrete El metal fiberglass El polyethylene ❑ other(explain):
Dimensions; mti
Scum thickness
Distance from top of spurn to top of outlet tee or baffle
Distance from bottom of scum to bottom of outlet tee or baffle
Date of last pumping:
Date
Comets on pumping recommendations, inlet and outlet tee or baffle condition} structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc,):
. Tight or Holding `dank(tank must be PLI p d at time of inspection) (locate on s1te plan):
Depth below grade:
Material of construction:
[ concrete El metal El fiberglass Ej polyethylene El other(explain),-
Dimensions:
rapacity: � ..�.. .,�.�... ,.... _
gallons
Design Flow: gallons per day ...._
t51nsp.doo•ray.V26/2018 r,tie 0 olncia#In5pealan Fore:8 ubsurrece Eje aga oispo at systom■Page 11 or I
i
Commonwealth of Massachusetts
T"Itle 5 Offo
icimal Inspection Form
rt
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
Property Address
X-eve" AA
x �n�'C off I'���r --�--�-m ,... ...
Information I
required for every n J)0 V C
page. City/Town State Zip Code Date of Inspection
D. System Information (coat.
. Tight or Holding Tank (count.)
Alarm present: 'des El 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 c attache ;
p ' `des No
. Distribution Box if present must be opened) (locate on site are
):
Depth of liquid level above outlet invert /<Vc�I
Comments (note if box is-level and distribution to outlets equal, any evidence of solid
evidence f leal age'-int or out of box, e.c.); carryover, r,
A/ (�_00A YL4,�
t5Josp.doc•rev.71 61 D18
T1Ue 5 offtdaf inspecUOn FofM,Sub ur{are sewage DIsposW 6ystem*Page 12 of I
Commonwealth of Massachusetts
� +� w
fA
1 cisInspection
Subsurface Sewage Disposal System FormNot for Voluntary Assessments
Crralt 4V
Property Address ........ __
Owner nor`
Information Is
required for every 1p"Wo-AN Cc
ev�-
page- it own state Zip Code Date of inspection
M System Information
o, Pump Chamber(locate on site plan):
5
Pumps in working order; 'es El N o*
Alarms in goring orator: Yes El No*
Comments (rote cond ition of pump chamber, con ditl n of pumps and appurtenances etc,
P-tw VN 0 oj Flo q h Ive-rc
_P�6v
e, /V
' if pumps or alarms are not In working order, system is a conditional pass.
11 i Soli Absorption System (SAS) (locate on site plan, excavation not required):
If SAS not located, explain why:
Type:
EJ leaching pits number:
El leaching chambers number; W�
El leaching galleries number:
leaching trenches number, length: w
leaching fields number, dimensions-
over-flow cesspool number.-
El innovative/alternative system
Type/name f technology:
t51nsp.doc r .7/28/201a TItie 5 0Mcial IflSP0C HOn Fenn:Subsurface Sawno DIsposaI system;Pa go 13 of io
Commonwealth of Massachusetts
I ici'al Inspect"
T"tle 5 Off"
ion Form
Subsurface ewa Disposal system Form Not for Voluntary Assessments
ents
` 95 Cr ccd(ut, 1-v
Property Address
Owner FluA
InformationOwner's Io
�s ,
required for every — 1q
page. City/Town State Zip Code Date of Inspection
D. system Information (cont.
1. Soil Absorption system (SAS) (cont.)
Comments (note condition of soil, signs of hydraulic failure, level of pondin , damp soil, condition of
vegetation, etc,):
dr� r'
has 13
12. Cesspools (cesspool must be pumped as part of inspection) (locate on siteplan):
Number and configuration
Depth—top of liquid to inlet invert .� .y
Depth of solids layer
Depth of scum layer
Dimensions of cesspool
Materials of construction
Indication of groundwater inflow Yes ❑ No
Comments (note condition of sell: signs of hydraulic failure, level of pondingf condition of vegetation,
etc. ;
151nsp.doo-rev.712 61 01a TiVe 5 Offdal InSPOCUOn FOM Subsurface Sewage Disposal syslem•page 14 of 18
i
Commonwealth of Massachusetts
Title 5 Offi
cial inspection For
Subsurface Sewage Disposal System Form Not for
Voluntary Assessments
f
PropertyKd-'dress
rtvtA
Owner o�v�er' e
information i
required for every 611. '
?CT"
page. CRY/TownD, System Information (cont.) — �` _ �
State Zip Code Date of I n"spection
. Privy (locate siteplan):
Materials of construction: - �
Di aosions
Depth of solids
Comments (note condition of soil, signs o hydraulic failure level o . t
po �� or��� �or� of vegetation,
{
tafnsp.doa•rev.71 1 018
TIUP 6 Off dal In peeUon Form:Subsurface Sewage Disposal System*Page 15of 1�
<e,
Commonwealth of Massachusetts
ici'al T"t1e 5 Off"
Inspection For
`. Subsurface Sewage Disposal System Ferro Not for Voluntary
f Cr C)&,Ik
Property Address
rOwner 1
information i wr�or' Name
required for every � 1md �
/ �/� _ 6245
page City/Town State
Zip Code Date of Inspection
D 'System Information (cont.
4. Sketch Of Sewage Disposal System:
Provide a view of the sewage disposal system,, including tires to at be lar�d+rar� eorh a�� , Lena least two permanent reference aI wells within �10 feet. Lo ate wh ere public water s u pp I y enters
the building. Cheek one of the boxes below:
hand-sketch in the area below
drawing attached separately
t5insp.da ;rep.T1 61 01$
Tlue 6 0f#ic1a1 Inspacuon Form:subsudace sawa go f]fspesal Sys[ern•Page I s of is
x
AUGUs
N SERVICES INC
. • •+� i l -
~# '
I.X 4
ADDITION }.
ism
CIO
PROPOI$ED
��z 0 ilk ROFOSED EROS
CHIMNE ION
JF 'OD
NTROL BARRIER
WORK
� r
-art+„� . } � ••t#`t ,+,`
t J ti � � +fir+ � }•� ti
} r
CAM ,*
r'
fir
AREA
t `■
(TO REIAA�
.--•- k fry
P lop
IL
D BOX
ANN
L. REM IN
r
{. 1 ,5 `
\400
. -LIMIT OF2
4 r
X0 .-S (3)
%q-
ROUNDs -! r/rr�YS{ �
� l+la' �� *
-ALL
NOTE 4) NIP
x.9 .S2
J is Y a
L'�4 #ti � � �� 14 "=. t''.3� Jrr r'•�'i•J'• w,.i'4},±y `r�
PROP*f'�' /'"� i'�y`•�+�i/f� �i�5 rl- �t4• �• der
INSPE
k.
• t�.lr y-�.� �_P_ORTS (TYP�)
AREA
-
j r �6
10
fr• 1 L f `� / �
�.f-� �--�• � fry � ..� � { '� 1
r�
L 00
* *- , �� # tom. �,Wor • •+{ -311.00 5.8,25.
..; + # �i
LANE
0i
{A ,
yr -
i
f
f
r
i
r'
{ OFFICIAL INSPECTION FORM NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
FART C
SYSTEM INFORMATION
Property Address:'93 Cricket Lane
} North Andover.
Omer: Guthr*
Date octiou: 200
SKE TCH of SEWXGE DISPOSAL S SIN * `
.Pfovide a sketch of the sewage disposal system including ties to at least t
wo permanent reference landmarks or
benchmarks.Locate all is within 100 feet Lopt where public water supply eaters the building
Louse
Driveway
Water Meter
Pump Septic Tin
Tank
D-L
o
to Septic Tank--A""
to Pump Tank~
to Septic Tam=Ap C2 2
o Pump Tank
to WBOX
S ,..
Y t
., Commonwealth of Massachusetts
CT d I ci'al'
R T"tle 5 Offi
Inspection
Subsurface Sewage Disposal System Farm lot for veluntar
h ess eats
x Cr A C.at 40
Property Address
-gSv�f,
Owner informationowner's Name
is -�
required for every 7 IIAI�) t r 114h On Y�; &-
page. Cif D./Tewrn #it -
. y � s �� ode Date
of I�nspeetior�
coreSystem Information . _
5. SiteExam:
El Check Slope
Surface water
`Check collar
Shallow wells
Estimated depth to high ground grater: - 33
feet
Please indicate all Methods used to determine the high round •
g g water elevation;
Obtained from system designplans on record
f checked, date of design plan reviewed: ' ,
Dote
5
Observed site {abutting sere
r er#
p p aticn bolo within 150 et of SAS
El Checked with local Board of Health
play :
El Checked with local excavators, installers - (attach doumtatln
Accessed USGS database -explain:
You must describe haw you established the high round water
g elevation:
*.. CP1V
Before filing this Inspection Report, please see Report Completeness Checklist on next page
Mnsp.doc•rev.7/2 12018
T]He 5 Official Inspection Form:Subsurface Sewage Disposal SysteW*Page 17 of 1
�C� Commonwealth of Massachusetts
A I coial TIns ecti4on
Subsurface Sewage Disposal system Ferro -- Not for Voluntary untry Assessments
Property Address
1�` It Flvf-4
Owner Information Owner's Name
required for every /V: v� cr �� ..
page. ity[Tow .. �' ,Zia,
State Zip Code Date of Inspection
E. Report Completeness Checklist
Co lee all applicable sections of this form 'Inclusive of:
A. Inspector Information: Complete all fields in this section.
� . Certification: Signed & Dated and 1
a 3, orb chocked
jz,c. Inspection Summary:
11 2, 3, or 5 completed as appropriate
(Failure Criteria)and 6 (Checklist)completed
D. System information:
For : Tight/Holding Tank— Pumping contract attached
For : Sketch of Sewage [disposal System drawn on pg. 16 or attached
For 1 : Explanation of estimated depth to high groundwater included
15 Insp.doe-rev.71 6t Qja
Me 6 0F cial inspecuon Form:8 Lrbsurface sewaga oisposal System page I of 18
i+ 1}>,f.._}*: ': .` ) _ V ry.r ## ( .4'S'1'�,�r, • F .y #. ii r!!
,- i'�� 'r ,-''!:-ry �rkr++.4"�•,p .r_`i'{ -' •''f ' S l +'a .
f ,'L .* }� ,r.+ i 1i r F f l ` { y rt'. =gx F fR
° .'1 a• A Y' -' l+ f,r- {. r'' .'��,'tr t r,""I-/{ 4' ti .
. F 't �'
it k
Al,a r
! I J. b �.
i +
., # ,.
r_ 1# iNY•:tom+ t •+'* r'"+V'4"._` .r.%t •,,Z,i, ,.k�". •.'x.? •��+ �s'�7 { �r Ra Ilf�f .
'! r # qr y �f ��4u* r k.% i' R.r''. ., +.. { �r I. 5 yyfr fk+j
''1.� `�*3d. t� ,f#` ti^+' k]� f+•� '#^ ;}rFRM ',w• f' r +• 'tid
,.+ ,Y+R .s,. `x., . `*1'1. •*•r. Q -�#4 yyy
5" 4.._ a i �5�� ,+.''.►' + -.4 4r f
L
1Y,, :"' }4 6� kw
.'. JF i
:.: . -.
#t+ •. r
L +.
4 a.,i .K.. 3 A ', r
O- r�.Seas % L+� i ■ ��i Y.
` * }' r .{!1:...±....� S.'l rs'+.+[rti '# # • /.f
f'.S., 4 a... ..F.. ''4 f y. N.O3` +1{',;+r f i S F _ai# #f •w} 'I/+-','",V,"- '
Y ,
.---.""r,5 �7�', JW I I 6�--i-.'4r A . L .
�c, r
r
;�% r�L1i
i r} 7 .'S/.
� + � r it Y. y
yy1�g T ;
ti K' ► { +
:r ,. +. t
` h Y
X 1 J _
ry'i '�" R
1 �. 1, �r1 r ;:� r, 't� K-
-f r
."--'l rA ti r}� y ''°�� f i '' sr' 3�. e� +k.1. ..: ;I, N.+." f-
! 1 �'Ll 'r dt f r ` �a'
'r�t7 +r ..2i ''pTi*J h ry .1.'Lry +i' ""i #•' +��'
r ti F .4 yk,::,% �+r S } {i
` .
r_' i. ass~ Y * % k
s
4 1 1 ,+ ;/
•1 - Y� {� J.+ x
#r ,
a
; .i+�,f •ry .-� y^^',. ��+,4" ,,-4; .� rS-f, �, i J - N ..i.Imo,- r
#s ''•� 1y X ; �fi #"f !#ti ,,� i r'I. ,•+ 'Yy .r +�' :f', pry
'.:'} aY;' ',5e'.T .l;5*1f.:K.r 4 +'t +' 4 `r'• P.
} •` + Y f_ k;�:}�l,' 't+ *+f',Qr r rJ,,ei�'{ # F}fir'#+�
x
4"' i r 1. '
4+4, �lR`F1
4_ � �a s il+l
'"i c . -6 'ry,{�. ^r r, J-`T�'Tr r 1 I., .raw
# 4 i" f r{
r d`f y
L
v �`qr
' '}.
'� F;� �''}: / `�LL _�t{�S31 .� ate' Yrt/�* �.�!' _� d�+
r ._
'v� I f� 1: �
A
t k i. t .1. } }: }
{'I
r f r
L
i 11 I��,
i _ . •r
IIF
• r - i
I r �� rr : 4
f
�!
1" r .� r
a
S
+y
''IIi
�i ;."• y�, J. .. f
�r ,�4 y�i, �i t'}. �.. .1 � s i°''"M1 •'', :.Y�'{'"'�'F" ."I'r 6 -r 1. I �' `4 7 Yam. �.r
+i'-:;7� y.. 5 - `2 r 4':rrf, r7.w.: .%'r:'•f.'S �g" t .• , _f M1f r ./
rr* c.; k x "' {nk:Fn:r,n..,,X;:'•"w '' Via. ; r• r d.Y,' r },''F fY Er'.+R
s ✓ 4 ,
ti' { 7
F}r .ilk'w .' 1%'. l 4
4�, r`1' { ,.V :ril.'w:�-�,�*' "u'•`'.^}rw"'--:{+i.!,i vx - `}.. . r • .k r �,• # .,r r.;F�
5 'w. ,vv-+,b , , ...5:�l" ... rrx i.•' .s 4 ' 1.'.w �sr-s .t, �J•,
w {k,r+ ,.�, 'F�,:. ^Y•{ r '.y�x«??y"'x;,rkM�,_:,-!:..', 'M%'xs }',±'�`�tr;+. y,,'f' ''yTi • �I _��++.f
r-' '� 1. .-: ln'1'.�k 1.,,3.:','%%✓.A'vw..=3;�."/,. �:.h li- r4 I _.0 J �"*+ .,R_
.}_ r'r 7 +'i.' ,l :Y M }i±i3;' ". ='�. •,1i-".._ -./;.`✓;`�.,:':`E:;F.S:�..rtx � f �- `f`a` /f }
!,• r'x:.., nT"',i: ax..•.:a;Y.yw>.5.. �r`:> :;•.r�xfy,>. :nir r"'-i:' w{: r• :ij'tr �4-^'.' f•, --.i a'}JA
- k. f 2y.. :'._.,G,.n. �,r.,:.,..n "'`:xv.. - , `y. w,+#.7.
+ I'ti, », ;.+ w;:.: :_;t;:,,,.,% :`,:_r ,f';,ate !" .r. f' #F Y r r l R,rer
.r f Y ��''w\;„%.,T_a r.;_..-:...r:vw;„y+y n,hv ..: s=•!:","fi+ '+}' e,- '! 17�I ,'+
+# ** � �1 l '{ sy} v�sn >5.+-r:'_"....:%o;:;-''.^„" -. .�1�:jyry l;' ''� * .i..
x
y
y. r f��h }
s "' + {J 4
}+ r rS.. yy{i r' EEC>{ f i { a
x a 1 nr.l,,x... 1 .`.f' s.:l#r".. .:. i Y J? i. I{4,
. •• ..r. t '�. r 5s
'%a y
sty,,.,. i:aV,,,;{?°:^''' r..,! y rn F%
r S.• l
i 4� '.:.'y.,....:':r:v":�v":•%:gin'� ^f
:•'r{:. r
I._ ! #
Y :'w'k W 4f R '4
;;v,,,..,x,
1 1 ,:" h
ka r ' * _ _.
x�' iJ�•' � �' +Jf+ L
i' �} ��'� *���.� :r mot° {'�C�k,t 1 •� •R
J r y 'r
yr� 's:r:x .;iT.
" , J �1
alb' 'M1ik:'.::..�:+:t`�� i K.. n
4 .. ,,
:e.T.r 'nins�fr .,'tom r �� - -i f.�
F_ ,. k
_a. r .f.. :�. 'srr' .f v '�e
7 C' �.
+" Y% V i
S�dT roc J'� k , _�'
y� ."' .Y' 4 p
~ I ,
i"7 'F FF i' wi r� #`
r v h4• •s;2� �•r'f Y� J+ } 'f ���
i. :!. r Y 1'r 4�Y'r
�{s
gar.' rt ;w}.r,.:n, { S �, r,r '-� rti' �"� t � ' x
!i
.f
f
t�
N
} ,' x.,,�
'l ''i+'
N'
Y #r'
x ,' x� A. d_ ,
Yd
% r� % ^':,rT r rFPiV
7f' .�.�. '�7 i 1 {
r+ 1:1 ..
F,•,r ,., •#.+fir
i w
k� ,, x,;w„,T• x ,
e r t
t "�Y pax. f �' Y :r
L: d i-r} # r.
4 # +•
.f 2f �{, ��� So-•:.` �r � 'r t f
'�t o 't 1`- fir`- "'f'v r ;. .+�f a. -ti J
_ % - :,. .. _ p.r�. r ��x.. r. r ^'.l}. ls+5h i .:rya` r
F.. ? :Y F i.{ ti.,F�
t { ., 1''F i r.•i. fs,.rv'::.'; I.'c;:. ++- F + r' * y.
- +T -i , ti ?. { ry •ti"`r" ?._ P3c.� J,• r': +if'_'R+` 'g•'.+. C,;'
'R. rf.'.''.k 1 w .{tir � - -V!c�..-::�:'`k;.t' y, ! � .+` af`a..1 _
r.j.. 'R ,� .iryM1 .sv.,.fy I _ '�'i -':{. r ,)'.' i• }'�.' �r .++:-
.;Z.- ,t.+. ;i, h:r. L`,rt w,;-. 'Y• I •I+_- • -r' r r
i' q },
�1 'r t :!` r�'., R
.u.a�. 'r f ' 1 !
►' M 1 - ,l.
n �" J r r
a+ 4t. '�
p F1 t�`� � -, i
s� 4 "Al. y
Try -
.�a #
r '
i -..Y�3' ,# i•r1 4'. �* ,-• •�4{t#�_•irt{I. %#•+ f: +�: +1.:�}'.1 "y*�{ `Y.171
"*r`,
1®1. y ti ...y J' I
r *f Y a }},,
.4' r* �
.v f, L
II..>
.�
„}�. �.3.� {J4 iti fi, r x* . .SFr��•L�.'+ ril r� .*:• ', }_�
'S':. j rti �`/;+'T. r ,µ �1 F� f 'ki_. ;,,:l
r�3 f .
f w
.. `
4' ... �'
I}illl IIIII
.r' x
`r* :_
d rR* L
Y / +Y
+' { i
err',
�+ 'T Y-
r{ J'L
�+ irU
X
+
'*
i+r
L
f� V f+t :t
J.-y 1 r y +
%
'`f , -ti y
401 W - .rf xK., {�,�
T rW `:jr. , yy try ' L
: VA
','<f, rir'+ ,y�#'�}•+r' =lam. �f'i.
',
•r
3 :x:
r
ii
*% 1 o-+,'++i" fi. i ' x\3f yti-{�:; f �' i y},tir +.. .,k y..y .dw
r 7 .r' S
LL:
', '"fir tip- is=...;r ` y ,rS;13x',•r, _ 'ix•.r- `+r ;`'' rf 1dt::' .
1 r
�. \.
+y
i
+.f • r. _ ,:cam�''_ . i`1► r; t: _; �.~:�,�!
y''
,. ... .# �i"x ,.. ': Y.1 k , ,.' it .. ,
.fs._ :ir; }:.::.;;:....�.:::. i� *w i " r: a T , r I .'ram-::_:J 1,-j d
4i 5 it +A" ':'.. .. + ,' l.+; Y+ y� +YR .2rr'. 4.# x.�. �, {. 'y �i t'1+' rf
.,,,.��1 '.'x:: r w 'y #' '�7 a?': �+}•1. y . ,'i,{4 � '..) 'k # '.'k 17..r-+ a
r f
.• .
,µ M{,�;'�. i ¢`vj�'' 5 �' '.;: `';r'�rib�i.'r+r r. #:r,ti - r:c:!* _ • •'+`~
L. i N.',-.kh � l.1Fa k "?4, } ~r+ :r'"S L.
- �+ rli a_ a �:"'. r' #Yx .'�::. i.i:` - ,` t'
�Yrys"" K. #{�G' '` �,Tr'.+ l". 'r'. '#y�.R}vf4 :'�+'fJ: ., y +
Le.
ter_.a ^Oi..+,-. .�4. "'' w.'`:�a f:.}*! •�- 1 4 r T..y M1 h ... 'liL
.v.�". Y
r - I'{5,.,::::"" `•5 {„r .# ti b. �' # :.�.1i " i _3L d,+�',.+4i. w r# 7{{
'k Ci"L % .#' e. :}#+F .�'�:i �..•�.. 4 �*F "'y' "' Y M.,,ry _ 11 k*fi by:�{.�nw da S
k; .r3f Y h ..aF '�4•;} "`# aw-X:•... �. } Jv: '."v".. err..:.': ;;�`:'y,yc "1'1y w 'S*
r 5"4' ar ..::1 .Y�o "'::.r.:r y `� .4 „_..:. +rr �.�::.{:. _ .Y.' " :.^Fv..} 2&7 ;.r%�*%
J t r a;'+ a{;Y3;+ u s Y' >i. .# y�+ „3."- +� ++"Jl�f r {
+� .. i:.{ # ..6. ,r,,:. is+.. •:r,: �y,' ;ter`''',...:r *"+�. - {' - F h.;. "+b+ q ..+yr Y..-�y i
r/'�" $.' .ti• <'Fr .n..Y M J ;f f. "f h% , ..{ 4 1
. .�.,Y r,'. µ.me;. f a {,. _ ;: -' "r+
r � ''4. r:�) '!+ �. , Y • 'i~Y.i' (fir :;$�,..` t.p
' _ `,"
.::.
4;.71�7 kA ....,� .. ..
l
+w.. F
i
�r:yf. ..� �
i i��f41
+i :. ''n�z .. r�._'+' ' . - x r � "i' 'r�r�k�i:p ' '' 1...t.,. J-w:. � F�'i
ti
F - � ''i' firr 4_F, i 4: l4' ��b: '.,�'.... ^+a' , !rt" :�. }, *.
r... ...r ' r�,rx1 '
k Y
i .t .}I , ..' _ 5r.. "*v„ry, Y, -y7'�art;"+}+} '- '4 * '; ? -�y.� .�, "�} y�'n'.'. .'.�•;•.'k i �5
.� T'i r/ �i.`a lb4{\, 'hA ! y w� N'•' ir h ,.{ *y{(1,y�.ry { � . 41 r4 i ) ';
4. k 4. ..M 1.11, - Ox,,.;..:�.;,. �� �44 ;-� �.ii.'i`Y,4�.�,.{\ �..l'Lr ::,',;n'e�x.., � LY�� ':��� � .1L4�.
's}.. i j aE+k+'M a. 4 r 7.ti'
r
�I'
.„� �I .ryi.......... F.!: p Y { F,.;:'• {., '# '""'-.:': if'd d L i' }f.. i y x.:,�y+'.
,.i...., .;...,,..:... v 7`..s,.. ^w� 4;:": fi. ► �r.....=` {r,.-x .r
A
• •,.. .sx d.:' r .. _.:" � � ..,ijr .. , .�..+�..' �:'s"'jr: ' �. x:�„. Y' :k's.:.. 2• :,,:..::?. '
�..
w,;.
��'y yy y
+• '•. �, �' �Ir ^. .,�pr„ �t� `�;. ... `:.....:, sna, .d:7.. fw.::T ''} ".',�1ti,�e,x..,:..:..:^: r 3
�.,f ...., .� .+1< , .. .. .. .. + F.. x,' w 'a'r�:.y: .:/�a:: :'y;'';:.'N^'... Y .. .i LJ :i. .#•.?.y+ 'i rY
.. ...n .. r .. r1•. �> -.:'.:. ,7....� ,,.,rye ^r+ ..xd.,;. ..A. 5 M1'a r -
%
.. + _ .,.' ,:, f
as Y. r ';v'++"- r r ,r �5 t #YY'''�+ii*�'' rr:.4 n''' k ,",.i�y:l':.5 4 .. s.. * ':' '... :. ; �...,..';..k i C i * ` `,.('
. .# +.. ; .. + ' ,�.F- *0� '7 A';'f#f� S.v. .4 1 *'::� t,�r7E :r,..�1 k r# +r +'{;..
. .. Y`r
�,.f..`4.v ...rT '„s.i.. 4 i<.'t'3' sr.� -I �. `4j .I.. fr .1-iL .:y,it. �.'Y.rI .'r-1 �i 'ri F'.::rL. i
9! T
5•. �.:.. :.'..:... f _�...:'n., f.k ''�'fk � �, **y�y, r:r. ..ti +x i�! *"=!. '. .5
F uP++ } _Fr l " y yl�r.�♦r '.'"f:.'s `.,la �';� t >1 .l'ry ,hti`` ..k ,�.* y �.
.... _ .>. y • T
.� '} �..! % •,r k �.: '�.# .r 1��, • ♦'. ..� ..F... "i M1 '-..z -r{ i ,{ ry _ 5 + -5 :!�;
^ate.. '� }�'✓r `'sue," . `r ' a:....,. ��.�y� '; �...:F..Vr...• q ..Y �ryif •d :t 'SR'
:..
,::k ..:.:...... {�
,..^ ; '.
4�^'n '. .1 ,.. s: ...!4.. '. :.. .y r'.'.."- k+R a ,{,► 1i-' .,�' f +1 '# f4:r r l , 1 k d'^r...:+ T *:gR.r: t r'
a# # i�, F _rYf ; •,S', r+'+• 'v .1 y,y'. .::::.:._,: .. M1 �,r r: ,; i i..nrY rx {'#Y+�A'
r.i'.r. :'? '..:' .� .'.:^'. ,+w .. . a°. 'Y / w.,Tt S +L. #'�.Y.: ;$ ,z+ ''Yl i}: �f'
`. .. r,. a
r..//�. 4 ,i�,. ,J.' i }
i... llF ff ... ...l a'. -.. �H.. ....i.,{.� ,,,:,X, kf# "�*.'4 y'..... r.... i.+!", .;.{:'M1,M1*: +i��'f. ` }:".. .t
r d� ., r. "..�,. •.. - ...+r.. '.Lyf, '*';r# y. rye.• tc.'... A. ?ice. x. F. 4. ?Tx. } �' #
`� '} " w _
' i.' -f. �# x..f° x by n.k.- :.h 4 µ*.:f ,r.+:%? ,. .:(' 'r,'4y A I ✓,;� 5, .w .k� 3,• A- * ,,:d4f.' h
:y T" + r a I r.F. � Y<7., is .{s.' r i _ e Y 1 a !"' r.• t"; :F. M...
k��, ,yy
i+ 5 ` rt ^Y#Y Y
4 M i' ! 1.+
1
V.':, �Y .,,i ..Y
L E _ .1. tier+ '
Y � +. ► .� ���1 r�r' K s',r�} e�}�... /i :' �� ..�fy ,?r..':�.. F: Rti� +� h4X; 4' ,,r' '^' •
1 5, ?.f., r. R r+ ::.: >w fsy 4'r. .-. F pf r ; 1 i''.n ..'
., f � , . !I r lR�. % s z: , *► x f. ,2,`A # i. ;'� ;� .f^.... �J:' .�
b ..:::d+it.f , -,:r r '_ �.. �+. ..:r :1'• d +a i , rr:f .. y :r":'"' {i ie ..S .I+w
' .+:y:1.?. ......,. y '.'.-'°.y4✓ 1 .. YP. .. r... .:Y:+. .:..s. JJyy.'f, .' ��!_h• ,s- `# 7, X' N'*"^ - �i '...} V"" '%$OF:u
l'.r.-,io .... ,.. .,:r J .i f.,w + ,.r - ix r a.lki, _ .r'r ..V" cry' }'i F.�',cF. "r /.. � :x
1 _ �. .,„.' , r r y .. {'..�i V rrr`f iY _R r. �} 4 - -'r �5;. � % +
A:.•.' - i' ^ w i # .{ r ,. ........ :r r -*" i Y y -f j 1 Y1' �',. ` r"^ ), .."'1�'. , �4� F- ..y�' 'y'. !=ai .t* 't r
'` T'rJ0" ,J t s L t` :,� N ,�}, r.. i ! .!.:.:'�:_ +�Y. 1 y,► rl.:�, ! `:k' _ r. .f;f'. ^'...��,Ij':'.
./ .{ Y *i # i 1.,.'Y 1... l } :fir'*] ]�. iF` �S �"{4::�,. `}* Y. 1.n+.+r fl Jr:;^:t
+�C ti �x t.,. .n. t .:,+ f :' {ail a':':.,. ¢ +„ �`r ,::, ;
' ."+ _1 i . �Y45} .+k'"�i4. 4 * 1'4 >+.. �.�..� ',. ,#��. 1 hf'SaY Nw'r' .S 1
' �" r .k' i #..y: l:* 1 .. A r3 # y,C i� }t.. , P: r?��,,'.` •*k r, 3 +.+�- .,,,i. ..I.
ff 4 # 4� ,1 # P "r i r •k 1 w n. }" .�i:zr" .s^Y%r'.,^.. -'., f` '"�" 'ic ka?'r '�.
f. y :( -^, ! ,.++ ,,.�') y * .^F. ¢'' '.�7 x!f yp .:,;1 �'+*'s: �} ` ..,,##__ L :# ^' t t ! ....?4. r '•,; .�1(f n}_
#5 t.. y .s7�'�. ; . . ♦ {f'. /r *' '#- ~'r y' 3.+:. rl. .,"�r ' F. �+ .�XA'•..'F'C'• i {rY '.� .':•�� Y ;... -
. .dfy si S S _ i e It f =7.■'Y'f. ,r 'r'M1 -, .o.iS� 'L k fl: ,a.:r}.:�a _ k..1 4r +�+::{ ..1 'r f
1 N,
i _ ixY
r5 l 4 .'.
�.
r ... p x 1
14.'. �..� r.', ..,%.:u v ,' i P { 1 k ... Yi '�_r ;,�"':+ i N '" r h. 4• !,. 'I I+�'i' z�.�::' ���.�' �..
., .i ... ? k f .. e: .. ..� r'-. +F '�",..4' r :j:'� 1 ,�',.� n'r[ f{ ...� F71-,'FI ,r.',
# r',. . :.'.s +"....� _# "' a� l } I .- , ..,,'7 h'+ems 5+ i+ .,':.
y s�}
%
F ti *'4 9 .'l K 9.. ....r.., j + . t\ F..�k '}: rt`} .•k.ry",t.. �. ,7 �. '} *'.rye+; .x ,,.,.+.k rk..�,:4
K l # # L �r .*1- s'. yr• !.ice'. �M1 r. s.;'; +f 'S•;... {.. x. .
I'f - - ';. :•. ► /:"w! '.',,'r J 4 _ .: a r 'v,4�`, •.,r: + rK;,
'' - r+ +C�.no-. +*r„+A' .f* ',}{ 7k /Lt �.)r v.,� _ }F'.+:fit: ;, .'h'..:'S1 .' :, �p,4:.. y��F%
f.:. ,;i.r * f 1 ° 1 # -a1r1 % '?"#!}w .1� .'. 3'�r' .' %:nk } '{,.f 'f' / r' i {� / .s. :{`i'�i �h _ '::'�::r'{,n , '�'.,. ' ..'�' ..li6
. 1.'*r. I
.a� �k y .r
3y4+� w..
i,1 { .. ...%. .... , r�...' 4 Y '/ r f'.. �. ' .: # �'4�'4:�--. Y y } ..'vs`' .. .:F'1k Y,,,, :y4�':. '�1':J Z„"�,..=:tF' .. F 4.... - _, g
%
r... -, F ...... .. �::": . � F . ..J) ..x C" i ..Fr. r �+'rr.} .. :?l::xv r' .-.
._
%
11
i / ;�f' .K 3 4 7R
. : ;..
i.�/ : . }:ry;.. ;.:
yy , a
r.. .:_&' :?F *.' i ti L� #' r' r 4p
r',J r 4�c� $ �4 =y. '',.% &-,- , � � ax::,.. f(p � f.r,:�... , ,e.
t y O' 1 #W r .i ► L AY R + ��n 7r �' '#^ :. k '.:'rI �l T�3 F{ } ',� ;Is Y '✓�1y. =k 1 T 4 'M .':V 4- k#' % d 3: +r: 34 �'.. . e ! r 1' '• off.-.,
x 4
4. rti::: ,
Rs z, }� ._'w - �°rt• '� T `4 J+ .r ..5 r: .' '.;,n.':!'M1'� .`e
:.:
utv