HomeMy WebLinkAboutPASS - Title V Inspection Report - 285 SUMMER STREET 6/6/2025 Commonweanm
lth of Massachusett's
icnial lnspection Form
TI"tle 5 O,ff"
S Subsurface Sewage Disposal System Form Not for Voluntary Assessments
285 SUMMER, STREET
Address
MARTEE MCTIGUE
Owner 11 11 — 1111111_1111- I
Owners Name
information is NORTH ANDOVER MA 01845 JUNE ,
612025 required for every
page. ti't-y-/Town state Zip Code Date of inspection
Inspection results, must be,subirnitted on th"s form. Inspection forms may not be aft red in any
way. Please see completeness checklist at the end of the form,,
Importatit.-I When
filling OUt forms A. Inspector Information
on,the computer,
use only the tab Todid' James Bates on
key to move your Name of inspector
cursor-do not Batenon Enterprises Inc.
use the return
key. Company Name
I I I Argilla Road
Company Address
Andover MA 01810,
9781475-4786 SI-16
Telephone Number License Number
B,. Certification
I certify that 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
W
inspection- and the inspection was performed based on my training a$ nd experience in the proper function
and maintenance of on-site sewage dispo sal systems. After conducting this inspection I have determined
that the systern,
1. Passes
1
2. Ej Conditionally Passes
3. [:1 Needs Further Evaluation, by the Local Approving Authority
4. i Fails
JUNE 101 2026
ins� or' g 9�t re
(), s Sin Date
The system inspector shall submit a copy of this, inspection report to the Approving Authoi-ity (Board,
of Health or DEP)within 30 days of completing this inspection. If the system has,a design flow of
101000 gpd or greater, the inspector and the system owner shall submit the report'to the appropriate
regionall ice 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
co
1� ,ndiflons of'use at that time. This inspection does not address how the system will perform
in the future Linder the same or different conditions of use.,
t5insp.doic-rev.7/2612018 'dill e 5 Official;inspection Form-Subsurface sewage Disiposal System":Page i of 18
Commonwealth of Massachusetts
Tlitl�b, o, Off,icial Inspection Form
Subsurface Sewage Disposal System Form Not for Voluntary Assessments
2185 SUMMER STREET
0 r o—pe' d-y",-A,..........d.......d",-re'--s-s"----............ ............................................................ .............
MARTEE MCTIGUE
Name-
Information is NORTHANDOVER MA 01845 JUNE 6� 2025
requiredfor every ........................... ......................................................- - —---------............... ............................................................................... ..................
page. dity/Town State, dip Code Date of Inspection
C,, Inspection Summary
Inspection Sump mary* Complete! 1, 2, 3, or 51 and all of 4 and 61.
1) System Passes:
I have not,found any information is indicates, that any of the failure criteria described
ire 3110 C M R 15.303 or in 310 C M R 15.3 04 exist. Any fa i I u re criteria n ot eva I uated are
indicated below.
Comments-
...................................-,...................................................................................................-.....................................--.................. ........................................................................-................. .................................-......................
...............-......... ................... .......................I.............................
2) System Conditionally Pa,sses,.,,.,i
El one or more system components as,described in the "Conditional Pass," section need to be
replaced or repaired. The system, upon complietion of the replacement,or repair, as approved by
the Board of'Health, will pass,
Check the box for U yes", "no" or"not determined" Y N, ND) for the following statements. If"not
determined," pilease explain,
The septic tank is metal and over 20,years old* or the septic tank (whether metal or not) is structurally
unsound, exhibits substantial infiltrati,on or,ex,filtration or tank,failure is imiminent. System will pass
inspection; if the existing tank is replaced with a complying septic tank as approved by the Board of'
Health.
A metal septic tank will pass inspection if it is structurally sound,, not leaking and if a Certificate of
Compliance indicating, that the tank is less than 20 years old is available.
El Y J,N [:1 ND (Explain below),
.......... .......... .............
.............
..............',............... ............... ........................................
t5insp,doc rev.7126/20,18 'Title 5 Offidal Inspection Forn Subsurface Sewage Disposal System-Page 2 of 18
Commonwealth of Massachusetts
0 1 Ins-ectm
T11" Ie
Subsurface Sewage Disposal System Form Not for Voluntary Assessments
.d 285 SUMMER STREET
Property Address
MARTEN IVICTIGUE
Owner bw-ner's Name
information is NORTH
MA 01845 JUNE 16, 2025
required r eves „,
page. Cityffown State Zip Code [eats of ins tion
,C. Inspection Su (cont)
,2) System Cond'ItIonally 'Passes (cont):
Pump Chamber pumps/alarms, not operatlional., System will pass with Board of Health approval i
u r s l rms are repaired.
Observation of sewage, backup or bireak out or high static water level ire, the distribution box due
to broken or obstructed i e(s) or due to a broken, settled or uneven distribution box. System will
pass inspection i (with, p r l of Board of Health):
El rken , i s, arereplce [:] Y N (Explain below)*
obstruction its removed F] Y F] N (Explain below):
distribution box is leveled or replaced Y Ej N F1 ND (Explain below)*.
E] The system required', l umpi'n more than,4 trues a year due to broken, r obstructed w e(s). The
system will pass inspection it(with approval!of the Board of Health):
[:1 broken pipe(s) are replaced El Y El N El' ND (Explain below):
[ obstruction is re Y l (Explain 1
3) Further Evaluation is Required y the Board of Health:
F] Conditions exist which require further evaluation by the Board of Health in order to determinei
the system is failing to protect public health, safety, r the environment,.
a. System will pass unless Board of ult , determines In accordance with 3101 CIVIR
1.3 3(l) b that the system Is not functioning in a manner which will protect public health,
h
safety and the,environment,:
15in p. m.rev.7/26/20,18 Title f' al Inspection Fot :Subsurface Salwage Disposal System-Page 3 of 118
%.Pommonwealth of Massachuset,ts,
ial I,nsIjW%,.tion Form
Subsurface Sewage Disposal System Form Not for Voluntary Assessments
285 SUMMER STREET
...............
Property Address,
MARTEE MCTIGUE
Owner w n e r s Name
information is NORTH
pag AN.... OVE......... - .. .. M 5 NE 6, 2025
reuired for even ........ ...... .------..... . .. .......Ciywn State ZpCe. t Inspection
C. Inspection Summary (cont)
El Cesspool or privy is within 510 feet of a surface water
Cesspool or privy is,within 50 feet of a bordering vegetated wetland oir a, salt,marsh
b. System will fall unless the Board of Health (and Public Water Supplier, if any)
determines that,the system is functillioring in a, manner that protects the pubIlic health,
safety and environment:1
[:1 The system has a septic tank,an soil absorption system (SAS) and the SAS is within
100 feet ofa surface water supply or tributary to a surface water supply,.
El The,system has a septic tank and SAS and the SAS is with in a one 1 of a public water
supply.
The,system has a septic tank and SAS and the SAS iS within 510 feet of a private water
supply well.
E:1 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, performied at a DEP certified laboratory, for felcal
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 ofthe analysis must
be attached to this,form.
c., Other:
.............. ......................--........
.-............ .......... ....................... .......... ............
.......................................................... ...............
................................................ ............................................................................................................................... ........................""'....... .......... ............. .......................
4) System Failure, Criteria A.,pplicable to All Systerns,.-
Your indicate !"Yes" or"No"to each of the,following for all,'ins peetions,:
Yes No
E] 0 Backup of sewage iinto facility or system component,due to overloaded or
clogged SAS or cesspool
Discharge or ponding, ofeff luent to the surface of the ground or Surface waters
due to an overloaded or clogged SAS cesspool
15insp.doc-rev,7/2612018 Title 5 Official IInspection Form,Subsurface Sewage Disposal System-Page 4 of 18,
Commonwealth of Massachusetts
.........
'
�Fmltle Omm c"ia1 Ins ormtiection,
P Subsurface Sewage Disposal System Form Not,for Voluntary Assessments,
IF- 285 SUMMER STREET
Property Address,
MAl TEE MCTIGUE
Owner Owner's Name
information is NORTH ANDOVER MA 01845 JUNE 612025,
required for every ............. ........... ........
page. bityffown State Zip Code Date of Inspection
C. Inspection Summary (cont.)
4) System Failure criteria Applicab,le,to All, Systems: (cont.)
Yes No
Static fiquid 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 1/2 dayflow
E 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
El E tributary to a surface water supply.
Any portion of a cesspool or privy is within a Zone I ofa public water supply
well.
Any portion of a cesspool or privy is within 50 feet of a private water supply well.
Ell Any portion of a cesspool oir 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 certifled
laboratory, for fecal cloliform bacteria indicates, absent and'the presence
of ammonia n itrogen and n itrate nits ,+ is eq,ua I to or less,than 5 ppm
provided that no other failure criteria are triggered. A copy of the analysis,
and chain of custody imust be attached to this form.]
El E The system is a cesspool serving a facility with,a design flow of 2000 gpd-
101000,gpd.
El E The system fails., I have determined that one or more of the above,failuure
crite r1 ist a s described ire 310 C M R 151.30 3, th erefore the system,fa,i Is. Tfi e
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
des,ign flow of'10,0,00 gipd to 15,000 gpd.
For large systems, you must indicate either U yes" or"no,"' to each, of the following, in addition to,the
questions in Section CA
Yes No
El E] the system is within 400,feet of a surface drinking water supply
El El the system is within 200 feet of'a tributary to a surface drinking water supply
the system "1 s located in a, nitrogen, sensitive area (I nterim Wellhead Protection
D 1:1
Area— 1WPA),or a mapped Zone 11 of a public water supply well
t5inspdoc rev.7126t2018 Title 5 Official inspection IFow Subsurface Sewage Disposal Systern-Page 5 of 18
Commonwera assachusetts
. .......... Tticial p 11tie u
Ins",&ection Form,
_.� Subsurface Sewage Disposal System Form Not for Voluntary ssess nts
4 15 S E STREET
.. .-- m w m
Property Address
MARTEN IVICTIG
Owner Owner's Name
information is
JU NE 61, 2025
i !for _... �ORTH ANDOVER W,..... .�.�, .,.. _.
r ,.. . m..._. .Mrr
quir� 6,1t f own State Zip Code Date f Inspection
pagC. Inspection Summary, (,cont.)
If you have answered"'yes," to,anyquestion in, Section C.5 the system is considered a significiant
threat, or answered "yes, to any question in Section, CA above the large system
owner r operator of any large system considered a,significant threat under Section C.5 r failed
,underSection CA sill upgrade the system in accordance with 310 CIVI'R 15.3 . The system owner
should contact the appropriate regional office of the Department.
6. You must ind,1`,c "yes" ""no,"for each the, ill wl g for all inspections,,.
Yes N
0 El Pump:ing Information was provided by the owner, occupant, or Board of Health
El 10 Were any ofthe system components purn,ped out in the previous two weeks.
0 1:1 Has the system received normal flows, in the previous s two week period'
El 0 Have barge volumes f water been introduced c to,the system recently or as part f
this inspection?
Were as built puns ofthe,system obtained, and examined'? If they were, not
ava
ilable note as 1i
Was the facility or dwelling inspected for signs of sewage back
s the site inspected for signs of break out?
Were all system components, excluding the SAS, located on site?
Were the peptic tank manholes unclovered, 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, n e th of scum?
s the facility owner(and occupants if different fromowner) with
Z 1:1
information on the proper maintenance of'su surf + ,sewage disposal systems?
The size and location the Soil Absorption System (SAS) on the site has
been determined basedon,-
E]
Existing information.tion. For example, a plan at the Board.. of'Health.
0 El Determined in the field if any of the failure crioteria related to hart C is t issue
approximation f distance is unacceptable) [310 CIVIR 15.302(5)]
t5hisp.doc rev,,712612018 gills 5 Official Inspection Subsurface Sewage,Disposal Sy t r -Page,6 of 18
Commonwealth of Massachusetts
T"tle 'ff* ns w%ect'ion Form,
p
.............
....... >
Subsurface Sewage D11'sposal System Form Not for Voluntary,Assessments
286, SUMMER STREET. ............
..........
Property,Address
MARTEE MCTIGUE,
Owner n"er's,Name
iniformation is NORTH ANDOVER MA 01845 JUKE 61, 2025
required for every ............. . ..........
page. Cityfrown State Zip Code Date,of Inspection
D. System Information
1. Residential Flow Clondiitiilons,.,
�4 4
Number of bedrooms (design): Number of bedrooms(iact ual)*
414O GPD
DESIGN flow eased' ors 310 CMR, 15.203 (for example: 1,10 gpd x#of bedrooms):
Description:
...........
...............
.................... ..........
Number of current residents:
Does residence have a garbage grinder' El Yes
Does residence have a water treat,ment unit? EI Yes,
If yes, discharges to:
Is laundry on a separate sewage system? (,Include laundry system inspection E Yes Ej No
information in, this report.)
Laundry system inspected.? 0 Yes, No
Seasonal use? El Yes
S,E E.ATTAC H E D
Water meter readings, ilf available (last 2 years, usage (gpd# HE
Detail"
.........."I................... ........... ...............
....... ......
........... ................................................. ..........
Sump pump.? El Yes N No
CURRENT
Last date of occupancy* Date
t5insp.do,c-rev.7/2612018, Title 5 Official inspection Form:Subsurface Sewage 01splosal System-Page 7 of 18
Commonwealth of Massachusetts
........ ..... T Ni t,I le Now' UAlwe"t"t"'wilcuial Insmpect"i"on Form
I' Subsurface Sewage, Disposal System Form Not for Voluntary Assessments
46
285 SUMMER STREET
Property Address
MARTEE MCTIGUE
Owner dwn"er"s Name
information is
NORTH AN MA 01845 JU NE,612025
re�quired for every .......................... .............
page. it , State Zip Code Date of Inspection
U, System Information (cont)
2. Commercial/Industdal Flow Conditions:
Type of Establishment: ...........
Design flow (based on 3,10 CIVIR15.203): allons per d sl a 11 y..,rvmm gpd) ....
Basis of design flow (seats/persons/sq.ft., etc.) ........... .....
Grease trap, present? El Yes Fj No
El 'Yes [:1 No
Water treatment unit present,?
If yes, discharges to., ........
Industrial waste holding tank present? El Yes El No
Non-sanitary waste discharged to the Title 5 systlem? El Yes No,
Water miet,er readings, if available,:
Last date ofoccupancy/use:
Date
Other(describe below):
.......................
........... ... .......
I Pumping Records:
OWNER 2019
Source of information. .......... .....................
Was system purnpied as part ofthein.spection"? El Yes Ej No,
If yea, 'volume pumped,- gallons .......................
How was quantity pumped determined?
Reason for pumping- ............... ..................-
t5insp.doe rev..D26/2018 Title 5 Official Inspection Form,Subsuff ace Sewage Disposal System-Page 8 of iz
Commonwealth chusetts
ion
otle 5 Official Inspect' Form
mm Su,bsurface Sewage Disposal ,System Form Not for Voluntary Assessments
m JX.-
285 SUMMER STREET
Property Address,
Owner Owner' .Name
information S NORTH V 5 JUKE 6, 2 25
required,for City/Town. �.�� �,�m�,.�w.��� ..m��,.,�. ....�.�. m .,„.....� �...�..
State Z,ip Code, Date of Inspection
Di. System Information (cont)
M Type of System:,
01 Septic teak, distribution box, soil absorption system
0 Single cessl1
Overflow cess,poo,l
Privy
Shared system (yes or n if yes, attach previous inspection records,, ifany)
Innovative/Alterniative technology. Attach a copy ofthe current operation and
maintenance con rac f 'fie obtained from system owner) and a copy of latest
inspection the i system by system operator under contract
El Tight tank, Attach a copy of the, DEP approval.
EJ Other(describe,):
Approximate age of;all cornponents,, date, installed if'known,) and source of information:
23 YEARS,, INSTALLED MARCH 2002, AS BUILT
Were sewage odors detected when arriving a he site? El Yes 0 No
5. u'1ing Sewer(locate on site plan):
1811
Depth below grade: _.......feet
Material f c ns ra cfi n
El cast iron 0 40 PVC El other(explain): � m _ ... m.m
Distance from privatewater supply 1 well or suction line." ..
Comments (ors condition of joints, en ire a evidence ofleakage, etc.)
JOINTS,AND,VENTING K
O EVIDENCE LEAKAGE
t5insp.doc-rev.7/2612018 Till ffid l Inspection Form-Subsurface wage Disposal System-Fags 9,of 1
.....� .��
a'1Massachusetts
Iff'I C I
I T�� nie u al
nIsio,&ec,
pi von Form
............
�Assessments
surface Sew ;e Disposal System �
2,85 SUMMER STREET'
Property r s
Owner
information lis FORTH ANDOVERJUKE 61 2 25
requ!ired for every State Z,ip Code Date of Inspection
page. City/Town
D. System Information (cony.)
6, Septic Tank(locate our site In -
6111
Depth below grade; ..rv.,a Material of
construction-
e lfiberglasspolyethyleneother(explain)
concrete El If tank is, metati list age: r �� ... M... ��.� ..„�...� ��....
y"Igars
Is age confirmed by a Certificate of Cop liance? (attach a copy of certificate) El Yes No
1 ' , 'X '
1 2I II
Slug tau. ...........,.. _ _ �.
2611
Distance, r u top of sludge to bottomof outlet tee or baffle
11
Distance r u top of scum to top of outlet tee or baffle
211
outlet tee r baffle
Distance from bottom scumt , bottom
SLUDGE E ANDTAPE
How were dimensions determined'?wined' MEASURE
in recommendations11 inlet and outlet tee r battle condition,iu
� rrnt� structural, integrity,
liquid! levels as related to,outlet invert, evidence ofleakage, etc.).:
COMMEND PUMPING OLDER SYSTEMS,YEARLY
PLASTIC INLET AI D OUTLET TEES OK
TANK IS OK
LIQUID, LEVELS GOOD
NO EVIDENCE OF LEAKAGE
TANK HEEDS PUMPS
t ton .N► r I Titre bffi a� l mn p tip Form;Sub rfa � Disposal o,N System,.Page 1 of 1
Commonwealth ofWassachusetts
_
icia Imorm,
_ Not for Voluntary Assessments
u Subsurface Sewage Disposal System; r
�4
Oroperty Address
MARTEE GIGUE,
Owner Owner's Name
required,information is, NORTH ANDOVER
MA 01845
6, 2025,
..
for � � mrvrv,� ..,1"',.��.. ......._ _ . ry
-------------------------
page.. �Mt i own State G �t Inspe tion
D,, System, Information (coat.)
'. Grease Trap (locate on, site 'iaW
Depth below grade*
Material of construction*
El concrete mefal fiberglass F1 polyethylene other (explain):
Dimensions:.
Scum thickness
Distance from top of scum to top of outlet t fee or baffle _. . .
Distance from bottom of'scum to bottomof outlet tee or baffle ..
Date of last purn in ......� .�......
Gaffe
Comments n pumping recommendations, inlet and, outlet tine or baffle condition, structural inta rif ,
liquid levels as related to outlet inert, evidence of leafage, etc,):
. Tlight or HoldingTank(tank rust be, pumped at time of iris ct'ion) (locate on site plea):
Depth below grade: _...... ......
Material of construction,,.
concrete El, metal El fiberglass F] polyethylene other(explain)".
Di , nsinis* ,.
Capacity-, gaNio rn
111 11 sI I per day
t nsp.do •rev.7/26/2018 Tille 5 Official Inspection Form-,Subsurface Sewage Disposal System-Page I I of
Ulommonwealth of Massachusetts
mmmutle 5 0"" Icia
vTf i inspection Form
,. Subsufface SewageDisposal System Form, Not for Voluntary Asse,ism n s
285 SUMMER STREET'
Property Address
information i NORTH V 01845 1.2025 '_"""_
required forevery Ci 'rowI� State Zip Code Date of Inspection
D., System Information (c .
8. Tight or Holding Tanik (cont.)
Alarm present* El Yes
Alarm level: m Alarm in working order: El, Yes
Comments (condition of alarm aril float switches, etcj;
Attachcopy of current pumping contract (required). Is copy attached? El Yes Igo
9. Distribution !Box (if present must be opened)! (locate on site plan):
Depth of liquid level above outlet invert . ... rv.®
Comments (note i box is leve l and distribution to outlets equal, any,evidence of solids carryover, any
evidence,ofleakage into or out of'boxy etc.,)-
^BOX IS LEVEL AND DISTRIBUTION IS EQUAL
LIGHT EVIDENCE F SOLIDS CARRYOVER
.
NO EVIDENCE OF LEAKAGE,
er a Titte Official Ic�i tion Form:Subsurface Sewage Disposal S� t Pugs 1 off'
Commonwealth ofWassachusetts
OMM 0 MM 'fim, xi 0
itle o ulfficial, Inspect,'ilon Form
1, ty
Not o
Subsurface Sewage, Disposal System Form f' r Voluntary Assessments,
&
Property Address,
Owner b_w�er-s Nams!
information is NORTH ANDOVER MA 0j 1814 5, JUNE 612025
required for every City/T own .............. ....... ...... State ZIP Code Date ofinspection
page.
D. System Information (cont.)
10. Pump Chamber(locate on s,ite,plan)-
Pumps iri working order* 0 Yes El No*
Alarms in working order- Z Yes El No*
Comments (note condition of pump chamber, condition of pumps and appurtenances, etc..)".
PUMP CYCLED Old THE OFF
FLOAT'S GOOD
ALARM PANEL, IN CELLAR OK
.......... ............
..........
.............. .......... .......... ......
If pumps or alarms are not in working order,, system is a conditional pass.
excavation not required):
11. Soi1l Absorption System (SAS) (locate on site pl,anl
If'SAS, not located, explain why-
...........
............ ......... ..........
Type:
F1 leaching plits number.:
leaching charriber's num,ber:
leaching gallieries, number: ....................... ............
2; 38
Ileaching trenches number, length:
leaching fields number,, dimensions:
overflow cesspool numbeir- ....................
F innovative/alternative system
....................
.......... ..............
Type/name of technology:
t5insp.doc-rev,7/21,6/2018 Title 5 Officiat InspectiQn Form,Subsurface Sewage Disposal System-Page 13 olf 18
1^mmonwealth of Massachusetts
u icia ion
. . ...........
ll
� I tle 51 ITT I Inspect Form
Subs,uirfac,e Sewage Cus sal System Form Not for Voluntary Assessments
285 SUMMER STREET
Property Address
MARTEE MCTIG ,
... ....
,.............................
. ,...__...V......
_.._..._
Owner Owner's Name
information is, N D YE R 011845 U 1 2025
requiredfor eves __ _......_.....��... ...._...�. ... mm. � m,�,,,,� � �_._.... __ � �__.._�. �,,,,.A _ .... ...
page. CityfTown State Zip Code Date of Inspection
D. System Information (cont.)
11 Sou Soill Absorption System (SAS) (cont.)
Comments (note condition of soil, signs of hydraulic failure, level of poinding, damp soil, condifion of
vegetation, etc.).:
SOIL AND VEGETATION
NO EVIDENCE, OF HYDRAULIC FAILURE OR PONDING
12. Cesspools (cesspool must be pumped as part inspei tin) (locate on site plan)
Number and configuration
Depth top of l�iquild to, inlet inner
Depth of solids layer
Depth, of scum layer
Dimensions of cesspool
Mat,erials,of construction
Indication groundwater inflow F1 Yes El Igo
Comments (note condition, soil, signs, hydraulic failure, I + I n ing, condition �r g ii n
�
etc.
tiro .do rev.7/2612018 Title Official I'nspection Form:Subsurface S e Disposal System*Page 14 of 1
m
uommonwea
....
l
th of Massachusetts
T"It' le 5 Oft"ic"ial
.-- - Inspect'ion
" Subsurface Sewage Disposal System Form Not forVoluntary Assessments
285 SUMMER STREET'
Property Address
MARTEE MCTIGUE
Owner Owner'sIName,
information is
required for eves
page, pit Town Stag Zip Code 'Date ofinspection
D. System Information (cont.)
Sketch Of Sewage Disposal System.
Provide a vie the sewage disposal system,, including ties to at,'least two permanent reference
landmarks or berichm,arks. Locate all wells within 1,00 feet. Locate where public water supply en rs
the building. Check one of the bogies below,
0 hand-sketch in the area below
El drawing attached separately
y
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t5insp.doco rev.7/26/2018 TiVe 5 officiaiInspection Form,Slubsuff,ace Sewage Disposal Systern Fags 16 of 18
Commonwealth s c e
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t I e
UTTIcia Inspect'ion FlI
Subsurface Sewage Disposal System Not for Voluntary Assessments
285 SUMMER .,,.,
Property Address
MARTS CTI E
.............
�;..
Owner ry mn,,,m ,n,,,,,,,,,,r
� Name ..
information is NORTH .NDOVE MA �1 5, E 61 2� 25
required uir �r even m .......�. �������,M_.._ State ZipCode Date f Inspection
�.
D. System Information (cunt)
15, Site Exam*
0 CheckSlope
Surface water
Check cellar
Shallow wells
Estimated' depth to high groundwater:
feat
Please indicate all methods used to determinethe high ground water elevation'.
Obtained from system design pilans on record
2001,
It ck date designl reviewed: S �
Date,
El Observed site (abutting property/observation, bole within 150, feet of SAS)
Checked ith local Board', of'health _ explain:
PLANS S ON FILE
Checked with local excavators, installers _(attach documentation
Accessed USGS database _ explain*
You must describe how you estabilished the high ground water elevation:
DESIGN PLAN ON FILE
Before filing this Inspection Report, please see Report,Completeness Checklist on next gage.
t5insp.doc rev.712,612018 `title Official'Inspection Form;Subsurface Sewage Disposal System•Page 117f 1
Commonwealth of Massachusetts
p mT'itle b' u'ff'icial Inspection ror,m
14'
. IM Subsurface Sewage Disposal System Form Not for Voluntary Assessments
Ya 2 ' SUMMER STREET
Property,address
G' 'IG�
e TE
Owner Owners Name
page.information is NORTH
ANDOVER
required for every,
Cityffown State Zip Code Date of Inspection
E. Report Completeness Checkfist
Complete,all applicable sections of this form inclusive
. Inspector Information: Complete all fields in this section.
B. Certification: Signeld & Dated and 1 y 21 3 r 4 checked
G. Inspection, Summary:
(Failurie Criteria) and 6 (Checklist),completed
D. System, Information:
For :. Tight/Holding Tank.- roping contract attached
For : Sketch of Sewage Disposal sal Systems drawn on pg. 16 or attached
For 5; Explanation of estimated depth to, high groundwater included
t5insp,ldoc-rev.7/26)2018 Tille 5 Official Inspection Forn subsurface Sewage Disposal System Page 18 of 1
Surnmary Kurd'Card generated on 6flO/2,025 11 07:46 PM by Tara Hurley Page i
'over Town of Nofth And,
Tax Map # 210-1 07,X,0292-0000,0
Parcel Id, 18114
,285 SUMMER STREET
MCTIGUE., MARTEE L Since Jan 2003
286 SUMMER.STREET
NORTH ANDOVER MA 018,46
Class 101 Single Family Property Type I Residential
'Size,Total, 1.09 Acres
FY, 2025,
UB Mailing Index
Name/Address 'Type Loan Number Active/Inact. From Until
MCTIGUE,MAT EE Payor Active
285 SUMMER,ST
NORTH ANDOVER,MA
01845,
UB Account Mdint.
Account No Cycle Occupant Name Active/Inactive
Bldg Id.13862.0-286 SUMMER STREET Last Billing Date 6/312,025
210076,01 02 Cycle 012 Active
UB Services Maint.
Account No.2100760
Service Code Rate Charge Multiplier/Users
MISS FEE,ADMIN FEE" 0.63 6/8 7.82 1/
WTR WATER 1 ALL METER SIZE 30,40 /1
UB Meter Ma'Intenance
"Now
Account No.21,00760
Serial No Status Location Brand 'We Size "STD Cons,
17510396 a Act Ive ERT METE METE w Water 0.626 0. 25 631
Date Reading Code Consumption, Posted Date Variance
6/212025 2863 a Actual 8 6/12/2025 22%
2/6/2026 2855 a Actual 7 3/13/2026 -901%
11/5/2024 2,848 a Actual 6�9 12/12/2,024 11%
8/2/20,24 2779 a Actual 60 9,112/2024 487%
5/2/2024 2719 a Actual 10 6/13/2024 -21%
2/2/2024 2709 a,Actual 13 3/14/2024
1111/2023 2696 a Actual 14 12/13/20,23 -59%,
8/212023 2682 a Actual 31 9/18/2023 103%
5/11/'2023 2661 a Actual 18 6/14/2023, 22%
2/2/2023 2633 a Actual 14 3/14/2023 -79%
11/1/2022 2619, a Actual 66 12/19/2022
8/3/2022 2,553 a Actual 71 912012022 3,34%
5/312022 2482 a Actual 116 6/2112022 10%
2/2120,22 2466 a Actual 16 3/16/20221 -45%,
11/1/2021! 2461 a Actual 26 12/7/2021 -53%
814/2021 2425 a Actual 57 9/21/2021 2,13%
515/2021 2368 a,Actual I 8 6/1512021 3%
2/4/2021 2350 a Actual 18 �3/16/2021, -70%
11,13/2020 2332 a Actual 68 12116/,20,20 .,7%
8/4/2020 2274 a Actual 63 9/�9/20,20 242%
514/2020 2,211 a Actual 18, 6/10/2020 8%
2/412020, 2193 a Actual 17 3/16/2020, -710%
11/4/2,019 21176 a Actual 58 12/23/2019 1%
8/2/2019 2118 a Actual 56 9/26/2019 2,12%
5/2/2019 2062 a Actual '17 6/13/2019 -3%
2/4120,119 2045 a,Actual 19 3/19/2019 -61%,
11/2/2018 2026 a Actual 48 12112/2,1018 -12%
802018 1978 a,Actual 54 9/20/2018 197%
6/3/2018 1924 a Actual 18 6/2012018 g%
2,12/20118, 1 906 a Actual 17 3/28/2018 -73%
11/1/20 17 1 889 a Actual 61 12/29/2017 10%