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Home My WebLink AboutPASS - Title V Inspection Report - 2240 TURNPIKE STREET 7/28/2025 100& t;ommonwealth of Massachusetts Tmtle 5 Off ion I icial Inspect' Form Subsurface Sewage Disposal, System Form Not for Voluntary Assessments L V 2240 Turnpike Street Property Address Gino Ferrari Owner t wner's Name information is North Andover Ma 01845 7-28-2025 required for every pae, City/Town State Zip Code Date of Inspection g 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. a c ih i A Impodant:When A. Inspector Information, iown oT iNurui/-%I wwa filling out forms on the computer, F. Pau l Cardone use only the tab key to move your Name of Inspector AUG I I ZUZ� cursor-do not Septic Complianceffic. use the return Company Name key. 37 1/2 Baremeadow Street Health Department mb Company Address Methuen Ma 01844 City/Town state Zip Code 978-815-3115 or 978-681-0726 #3294 Telephone Number License Number B. Ceftification I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CIVIR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience, in the proper function and maintenance of on-site sewage disposal systems. After conducting this inspection I have determined that the system: 1. Passes 2. Conditionally Passes 1 3. Needs Further Evaluation by the Local Approving Authority 4. El Fails '00� 0000Y AV 7 - 45-ft Ins ect ignature [Tate The system inspector shall submit a copy of'thins inspection report to the Approving Authority (Board of Health or CEP)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 regional office of the DER 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 in the future under the same or different conditions of use. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 1'8 Commonwealth of' Massachusetts I Inspecti"on Form T'Itle 5 Off"icia Subsurface Sewage Disposal System Form Not for Voluntary Assessments 2240 Turnpike Street Property Address Gino Ferrari Owner Owner's Name information is North Andover Ma 01845 7-28-2025 required for every page. City/Town State Zip,Code Date of Inspection C. Inspection Summary Inspection Summiary: Complete 1 2, 3, or 5 and all' of 4 and 6. 1) System Passes: I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments- 2) System Conditionally Passes: one or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined" (Y, N, ND)for the following statements. If"not determined,)I please explain. The septic tank is metal and over 2,0,years old* or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. Y N ND (Explain below): t5insp.doc-rev.7/26/20,18 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 18 6$N1,' Commonwealth of Massachusetts lv icia ection Form T"tle 5 Off' I Ins P '10 Subsurface Sewage Disposal System Form Not for Vo�luntary Assessments 2240 Turnpike Street Property Address Gino Ferrari Owner Owner's Name information is North Andover Ma 01845 7-28-2025 required for every page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes(conit.).: E Pump Chamber pumps/alarms not operational. System w,ill pass with Board of Health approval if pumps/alarms are repaired. Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health)- E] broken pipe(s)are replaced El Y 0 N F1 ND (Explain be,low): obstruction is removed 0 Y El N El ND (Explain belo : E] distribution box is leveled or replaced 0 Y D N El ND (Explain below): El The system required pumping more than 4 times a year,due to broken or obstructed pipes .. The system will pass inspection if with approval of the Board of Health): broken pipe(s)are replaced F1 Y F N [:1 ND (Explain below): obstruction is removed D Y F1 N F1 ND (Explain below): 3) Further Evaluation is Requ'lired 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 w1ith 3,10 CMR 15.3013(l)(b)that the system is not functioning in a manner which will protect public heallth, safety and the environ:ment: t5insp.doc-rev,7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 18 Commonwealth of Massachusett__ _ is T'tie 5 Off" I Inspection Form I icia Subsurface Sewage Disposal System Form Not for Voluntary Assessments 2240 Turnpike Street Property Address Gino Ferrari Owner Owner's Name information is North Andover Ma 01845 7-28-2025 required for every page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh b. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protect's the public health, safety and environment: [:1 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., El The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. [I 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 DE,P certified laboratory, for fecal co!liform bacteria indicates absent and the presence of'ammonia nitrogen and nitrate nitrogen is equal to or less than, 5 ppm, provided that no other failure criteria are triggered. A copy of the,analysis must be attached to this form. c. Other: 4) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No"'to each of the following for all inspections: Yes No Backup of sewage into facility or system component due to overloaded or clogged, SAS or cesspool Discharge or ponding of effluent to the surface;of the ground or surface waters due to an overloaded or clogged SAS or cesspool t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 18 t.;ommonwealth of Massachusetts 7-ft .......... Ow Tl"tle 5 Offi"cial Inspect"oon Form > Subsurface Sewage Disposal, System Form Not for Voluntary Assessments 2240 Turnpike Street Property Address Gino Ferrari Owner Owner's Name information is North Andover Ma 01845 7-28-2025 required for every .............. page. City/Town State dip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems-. (cont.) Yes No Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool Liquid depth in cesspool is, less than 6" below invert or available volume is less than 1/2day flow Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: M Any portion of the SAS, cesspool or privy is below high ground water elevation. Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cessplooll or privy is within a Zone 1 of a public water supply well., El M 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. [Thlis 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, p 'ded that no other failure criteria are triggered. A copy of the analysis rovi 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- 101coo gpd. The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CM R 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 cons,ideired a large system the system must serve a facility with a 0 design flow of 1%000 gpid to 15;0100 gipd. 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 11 of a public water supply well t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 18 Commonwealth of Massachus,etts Ia T'tIe 5 Off" I Inspecti"on Form I icia > lei Subsurface Sewage Disposal System or Not for,Voluntary Assessments 2240 Turnpike, Street Property Address Gino Ferrari Owner Owner's Name information is North Andover Ma 01845 7-28-2025 required for every ...... page. Ci'ty/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered "yes" to any question in Section C.5 the system i's considered a significant threat, or answered yes" to any question in Section, C.4 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 CM R 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 aff inspections: Yes No M 1:1 Pumping information was provided by the owner, occupant, or Board of Health E] M Were any of the system components pumped out in the previous two weeks? M El 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 N/A) Was the facility or dwe�lling inspected for signs of sewage back up? M El Was the site inspected for signs of break out.? 0 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: M El 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)] t5ins,p.doc-rev.7/26/2018 Title 8 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 18 J's Septic and Drain P.G. Box 148 Middleton, MA 01949 (978)774-668:5 Receipt Phone, Date,;13/17/2025 To: Anna Ferrari Invoice No.17796 Date Due,,4,/1512025 N 2240! Turnpike St. Customer ID No.,'847 No.Andover MA 0:1846 POO Customer Phone: (978)987-7621 Invoice Type: Pumping Site,: 2240 Turnpike St. Entered By: INVOICE PAID IN FULL Peinted on:311812026 Invoiced Line it City Unit Prices Subtotals Taxed I Taxed AMt Lino Totals ther. 2500s.septic pumping 1 $6581,000 $658.0 00 $0.00 $658.00 F-1 TANK&CHAMBER,,*PUMP'S NOT WORKING I $0.0100 $0.00 $0.00 Column Tbtals:--- My Total Subtotal Line Totals $660,00 1 i .00, .................- Invoice Total.. $658,00 Amount Received:, $658.010 Remaining Balance $0000 Summary Record card generated on 7/24/2025 9:15:00 AM by Tara Hurley Pugs 1 Town, of North Tax Map # 210-108uC,-0001-0000o0 Parcel I'd 1869,0 2240 TURNPIKE STREET FERRARI, GENE A,111 Since Jun 2018 ROBICHAUD, ANNA K. TURNPIKE2240 NORTH ANDOVER MA 018:45 `lase 101 Single Family Property Type 1 Residential entlal Size Total 2 Acres Y 202 MailingIndex Name/Address Type Loan,Number Activellnact. From Until AN NA ROBICHAUD Owner Active 2249 TURNPIKE PIKE STREET NORTH ANDOVER MA 01845 '' 'ANG,FAN Mayor Inactive 9/19/201 2240 TURNPIKE STREET NORTH ANDOVER,MA 91945 UB Account Account No Cycle Occupant Marne Active/Inactive Bldg Id..25694.0-2249 TURNPIKE STREET Last Billing Date /3/2925 2101385 92 Cycle 912 Active UB Services Maint. Account No.2101385 Service Cede Rate Marge Multl ller/ �aera MISCIFEE AD INN FEE 9.63 518 7.82 1/1 WTR WATER 91 ALL METER SIZE" 114. E 1/1 UB Meter Maintenance Account No.21013,85 Serial No Status Location Brand Tye Size YTD Lena 49871487 a Active HH#2240 b Badger w Water 9.625 9. 25 474 Date Reading Cede Consumption Posted Date "variance 5/1/2925 639 a Actual 27 /12/2025 -1% 2/4/2025 612 a Actual 39 3/1312925 -9% 11/1/2024 5821 a Actual 32 12/12/2024 19°" /1/2924 559 a Actual 29 9/12/2024 -2° 5/1/2024 521 a Actual 29 6/13/2024 19° 2/1'/2924 492' a Actual 27 3/14/2024 -4% 11/1/2923 465 aActual 28 12/13/2023 20% /1/2l 23 437 a Actual 23 9/18/202.3 -9% 5/2/2923 414 a Actual 25 6/14/2023 -2 2/1/2923 3891 a Actual 26 3/14/2023 7°J 11/1/2922 363 a Actual 24 12119/2022 1% 912/2922 339 a Actual 24 9/20/2022 " % /212022 315 a Actual 23 /21/2022 7% 2/1/2922 292 a Actual 22 3/15/20 - +9% 11/1/2421 279 a Actual 27 12/13/2021 6% 9/3/2921 243 a Actual 26 9/21/2021 3° 5/4/2921 217 a Actual 2" /16/2921 -4°r" 2/3/2921 192 a Actual 27 3/1 /2421 2% 11/2/2920 165 a Actual 26 12/1 /2929 22% /3/2920 139 a Actual 22 9/9/2029 3% 5/1/2920 117 a Actual 29 6119/2920 7° 213/2029 97 a Actual 29 3/1 12029 15% 1111/2019 77 a Actual 17 12/23/2019 13% 8/1/2919 60 a Actual 15 9/26/2019 -15 '/112019 45 a.Actual 17" 6/13/2019 �8% 2/1/2919 28 a Actual' 19 3/19/2019 Summary Record Card generated on 7124/2026 915:00 AM by Tara,Hurley Page 2 N6 2 Town of North Andover Tax Map # 210-108,G-0001--0000.0 Parcel Id 18690 2240 TURNPIKE STREET FERRARI, GENE A.,111 Since Jun 2018 ROBICHAUD, ANNA K. 2240 TURNPIKE STREET NORTH ANDOVER MA 01845 Class 101 Single Family Property Type I Residential Size Total 2 Acres FY 2026 11/1/2018 9 a Actual' 9 12112/2018 9/19/2018 0 n New Meter 1'2/12/2018 b#wCommonwealth of Massachusetts I Inspecti"on Form T'tle 5 Offi"cia Subsurface Sewage Disposal System Form Not for Voluntary Assessments 22,40 Turnpike Street Property Address Gino Ferrari Owner Owner's Name information is North Andover Ma 01845 7-28-2025 required for every page. City/Town State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions, Number of bedrooms(design): 2-adults 3- Number of bedrooms(actual): 3 children DESIGN flow based on 310 CMR 15.203 for example: 1 bedrooms): 330 Description: Number of current residents: 2-adults,3- chi'ldren Does residence have a garbage grinder? Yes No Does residence have a water treatment unit? El Yes 0 No If yes, discharges to: Is laundry on a separate sewage system? (include laundry system inspection El Yes 0 N ol information in this report.) Laundry system inspected? E1, Yes 0 No Seasonal use? El Yes N No Water meter readings, if available(last 2 years usage (gpd)): Enclosed Detail: ........... Sump pump'sYes No Last date of occupancy: Currently Occupied t5insp.cloc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 7 of 18 Commonwealth of Massachusetts OA __ Tl"t,le 5 Official Inspect"ion Folrm Subsurface Sewage Disposal System Form Not for Voluntary Assessments 2240 Turnpike Street Property Address Gino Ferrari Owner Owner's Name Information is North Andover Ma 01845 7-28-2025 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 2. Commerciallfindustrial Flow Conditions: Type of Establishment: Design flow (based on 310 CM,R 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? Yes No Water treatment unit present? Yes No, If yes,, discharges to: N/A Industrial waste holding tank present? [I Yes El Flo Non-sanitary waste discharged to the Title 5 system? Yes No Water meter readings,, if available: Last date of occupancy/use: Date Other(describe be,low): N/A 3. Pumping Records:, Source of information: Owner and pump slip Was system pumped as part of the inspection? Yes No If yes, volume pumped: Last time plumped 3-17-25 septic tank and pump chamber How was, quantity plumped determined? Reason for pumping: t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Fage 8 of 18 Commonwealth of Massachusetts —0 ic"ia ion Form 1- fA T"tle 5 Off' I Inspect" 10 Subsurface Sewage Disposal, System Form, Not for Voluntary Assessments A 2240 Turnpike Street Property Address Gino Ferrari Owner Owner's Name information is North Andover Ma 01845 7-,28-2�025 required for every 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 [/A system by system operator under contract Tight tank. Attach a copy of the DEEP approval. El Other(describe): Approximate age of all components,, date installed (if known) and source of information: Were sewage odors detected when arriving at the site? El Yes H No 5. Buildl*ng Sewer(locate on site plan): Depth below grade: 21 feet Material of construction: E cast iron 0 40 PVC El other(explain): Distance from private water supply well or suction line: feet Comments on condition of joints, venting, evidence of'leakage, etc.): All in good condition, no signs of any leaks t51nsp.doc-rev.7126/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 18 t;ommonweal'th of Massachusetts TI'tle 5 Officia I Inspect"ion Form Subsurface Sewage Dinsposal System Form- Not for Voluntary Assessments 2240 Turnpike Street Property Address Gino Ferrari Owner Owner's Name information eve i required for s North Andover Ma 01845 7-28-2025 ry page., City/Town State, Zip Code Date of Inspection D. System Information (cont.) 6. Se tic an (locate on site plan): 1211 Depth, below grade: feet Material of construction: concrete metal fiberglass polyethylene El other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) Yes No Dimensions: 5'x'l Tx54" 311 Sludge depthil: Distance from top,of sludge to bottom of outlet tee or baffle 3811 Scum thickness Distance from top of scum to top of outlet tee or baffle 711 1 1 611 Distance from, bottom of scum to bottom of outlet tee or baffle How were dimensions determined'? Sludge Judge and Tape Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.):: We recommend tank be pumped' on a yearly basis, inlet and outlet tee''s on and functioning, structural integrity appeared to be good, all liquid levels were good, no evidene of any leakage.Prior to this inspection there was a well they have since tied in to town water. ...... ....... t5insp.dloc-rev.7/2612018 Title 5 Official Inspection Form:Subsurface Sewage lisp sal System-Page 14 of 18 uommonwealthof Massachusetts I Inspect"ion Form T"Itle: 5 Off'icia . I. Subsurface Sewage Disposal System Form Not for Voluntary ssessments mc* 22 Turnpike Street Property Address Gino Ferrari Owner Owner's Mettle information is forth Andover Ma 8 5 -2 _2 25 required far evert �. ......._ page. City/Town State Zip Cede Date of Inspection D. System Information (cont.) 7. Grease Trap locate can site plan): Depth baby grade: feet.. . Material of construction: concrete m eta I D fiberglass polyethylene other(explain): /A Dimensions: Scum thickness _ Distance from top of scurry to trap of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Cute of last pumping: Date Comments on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, ev,ionco of leakage, etc,): . Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade - Material of construction: [I concrete [I metal El fiberglass El polyethylene El other(explain): N/ Dimensions" Capacity: gallons, . ...._ _ Design Flow: gallons per day t5in p.doc«rev.7/6/2018 Title 5 Official Inspection Form,:Subsurface Sewage Disposal System.Page 11 of 18 Commonwealth of Massachusetts I Inspect" Form Title 5 Off'icia ion > 10 Subsurface Sewage Disposal System Form Not for Voluntary Assessments 2240 Turnpike Street Property Address Gino Ferrari Owner Owner's Name information is North Andover Ala 01845 7-28-2025 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding ,an (cont.) Alarm present: El Yes D No Alarm level: Alarm in working order: El Yes El No Date of last pumping. Date Comments (condition of alarm and float switches, etc.):, N/A Attach copy of current pumping contract(required). Is copy attached? El Yes [:1 N o 9. Distribution Box if present must be opened) (locate on site plan): Good Depth of liquid level above outlet invert Na Even 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,1 etc.).-' Box was level and ditribution was equal, no evidence of any leakage, no solids carryover, box was in good condition. Box is 1' deep t5insp.doc rev.7/26/2018 Title 8 Offici'al Inspection Form:Subsurface Sewage Disposal System-Page 12 of 18 HALL PUMP SALES&SERVICE CORPORATION 262 Ayer Rd PO Box 663 Harvard,MA 01451 USA +17814380505 B I LA'.J)") X23250320 Anna Ferrad 03/21/2025 2240 Turnpike St "1"1',",1-11 M C Net 30 North Andover, MA 01845 j'"' 04/20/2025 AG/MC IT Service call to check pump and controls. Found burnt wires in the splice box. Re- made all connections. Tested pump and floats, Recommend moving the electrical to outside the pump chamber up to grade. Quote to follow Labor Service Call 1 3 .00 "A "j. 380.00 1'11:1/%1*11(N1 E 1\1 T 380.00 BALJV'R'"E D(JE $0.010 PAID "'30 �'%J Io""i,�servi(:'( of,R)"X),'i""\n�y to Iurthie.re. 'I of'I Commonwealth of Massachusetts 'd cia nspection Form T"tle 5 Offim 111 > 10 S ubsurface Sewage Disposal System Form Not for Voluntary Assessments 2240 Turnpike Street Property Address Gino Ferrari Owner Owner's Name information is required for every North Andover Ma 01845 7-28-2025 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in working order.- Z Yes 0 No* Alarms in working order: Yes No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Good Good Recently worked on burnt out wire on the pump, it was repaired. (copy of invoice enclosed) 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: 3-90' trenches leaching fields number, dimensions.- - overflow cesspool number- innovative/alternative system Type/'name of technology.- ...... t5insp,.doc-rev.7/2612018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System,-Page 13 of 18 ��"a�, Commonwealth of Massachusetts T itle 5 Official Inspection Form > 0 Subsurface Sewage Disposal System Form Not for Voluntary Assessments U'' 2240 Turnpike Street Property Address Gino Ferrari Owner Owner's Name information is North Andover Ma 01845 7-28-2025 required for every page. City/Town State Zip Code Date of Inspect-ion D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of' vegetation, etc.): Good No None No Grassy front yard 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 El Yes N o, Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): N/A t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 18 uommon!wealth I Inspecti"on Form T"tle 5 Off'i"cia rya. Subsurface 224 Turnpike Street Property Address Giro Ferrari Owner Owner's Name information is North Andover Ma 01845 "-2 -2 25 required for every page. City/Town State Zip Cade Date of Inspection D. System Information (cont.) 13. Privy locate on site plan): Materials of construction: Dimensions Depth of solidi �._.. Comments note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc. /A t5insp,dee•rev.7/ 6/2018 Title 5 Official Inspection Fora:Subsurface Sewage Disposal System.Page 15 of 18 SAN Commonwealth of Massachusetts Tl"t,le 5 Offi'cial Inspect"ion Form > Subsurface Sewage Disposall System Form Not for Voluntary Assessments Fr6-p-a-'Ry Address Owner Owner's Name Information Is required for every, page. CI(y/Town State Zip Code Date of Inspection D. System Information (cont.) 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: M/hand-sketch in the area below El drawing attached separately rt� op%ro > q0 Wins 3/13 Title 5 Official Inspection Form:Subs uilace Sewage Disposal System- "ago 15 of V 4NA,� Commonwealth of Massachusefts 14K- T"Itle 5 Off"ici"al: Inspect"ion Form Subsurface awage Dilsposal System or Not for Voluntary Assessments 2240 Turnpike Street Property Address Gino Ferrari Owner Owner's Name information is North Andover Ma 01845 7-28-�2025 required for every page. City/Town 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: 4+Feet feet Please indicate all methods used to determine the high ground water elevation: El Obtained from system design plans on record: If checked, date of design plan reviewed: Date Observed site (abutting property/observation hole within 150 feet of SAS) Checked,with local Board of Health -explain: El Checked with local excavators,, installers- (attach documentation) Accessed USES database-explain: You must describe how you established the high ground:water elevation: All liquid levels were good, No sump pump, basement dry and finished,system is quite elevated, dug a small hole in the trench area material was very dry, no apparent mottles in the soil Be re filling this Inspection Report, please see Report Completeness Checklist on next page. t5insp.d:oc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 18 Commonwealth of Massachusetts I Inspect'Pon Form T"tle 5 Offi"cia Subsurface Sewage Disposal System or Not for Voluntary Assessments 2240 Turnpike Street Property Address Gino Ferrari Owner Owner's Name information is North Andover Ma 01845 7-28-2025 required for every page. City/Town State Zip Code Date of Inspection E. Report Comipleteness Checklist Complete all applicable sections of this form, inclusive of A. Inspector Information: Complete all fields in this section. B. Certification.- Signed& Dated and 1, 21 3, or 4 checked C. Inspection Summary: 11 27 31 or 5 completed as appropriate 4 (Failure Criteria) and'6 (Checklist) completed D. System Information: For 8: Tight/H'olding 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 t!51ns,p.doc-rev.7/26/20,18 Title 5 Official Inspection Form:Subsurface Se age Disposal System-Page 18 of 18