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Home My WebLink AboutPASS - Title V Inspection Report - 247 BRIDGES LANE 7/9/2026 I c"i'al, Inspect"ion 1� Totle 5 Off'i" Form AUG Commonwealth oIf Massachusetts Town of Nofth Andover [0 Subsurface Sewage Disposal System Form Not for Voluntary Assessments b xW �r 247 Bridges Health art"" --I-f- -D ip PropeIrty Address menE M Hwy Cathy.. Owner's Name information is 09-,2026 required .................._...........m....... w ...... �.....�.._......_�.�µ�.�._............. .n ....� .. .. ....� .....�.. City/TownState Zip Code Date,ofinspection Inspection results must be submitted on h*Is form., Inspection forms, may not be altered in any, way. Please see completeness checklist at the end of the form. lmlpioirtant:,When filling oluit fors' A,. Inspector on the computer, l L. Di Vincenzo sonlythe tab . N*, _.,.. key to move your Name ofInspector cursor-dol not J I n ._...... a..w..., mm..mm_..mm: . mm..... ....w_.._.._ u .Service vas ' e �.. _�m..m...........m...�.� _._.__..�_ ��...�W.._�._ ......... ...w.w.�.0�4....� _...... .......... .m.............. .... . _........ ��_� ._ .... ..... .... any Name 58 . i ll ._ ...._. µ .__.. _. �� Company Address Oil 5 Bradford....................... _._. _w u.w... __.._._._.._.� _.............. _. mm...._�...._ �.. ._.. m...�... .... _... �wr State Zip Code 978-372-7471 L 6 _m_m... m..._ .. .. ... . . _ .. .................mm..mm...... _...... __.. .............. _____Telephone NumbeIr License Nu�mber B. Certification II certify that.: I am a DiEP apiproled system inspector ini, full compliance with! a l . Ti l 1 . ; I have personallyinspected the sewage disposalsystern at the propertyaddress list ;1 the information reported I iis true, accurate and, completetime of my i ' i i nsplect,ioni, was performedset on my, r i i x ri n in the proper function, and maintenance -sit ie dilsposa,l systems. After conducting this inspection I r i thiat the system, Z Passes . 2. Conditionally Fails,3. Needs Further Evaluation by the Local Approving Authority 4. r �T rSig! Date 'he system inspector shall submlit aeoply, �i inspection report to the Approvingu h ri r of Health or DEP) within 310 days, of coImplieting this, inspection. If the system has a design flow of 1 r greater, inspector r r shall it the report r ri reglionIal officeoriginal form shouldthe r and colp,ies sent buyer,the if applicable, and the approvingu l ri e'. T l� report only rlbes conditions at the time of inspection r the conditions that time. Thislinspectlion does not address how the system gull perform in the future, under the,same or different cond"It"lons of use. t5'in . •rep.7/26/2018 Title ffi i i Inspection F rn Subsurface Sewage Disposal System-Page 1 of 18 '1^1� Commonwealth of Massachusetts Twitle 5 Ot"t"inc'iwali� Inspectmilon Form Fo Subsurface Sewage Misposal Siys ern Form, - Not for Voluntary Assessments 24713ridges Lane .......................---------- .... ...................... ....... ................ Property Add:res,s McGrath,C,ath Owner ........ ......... ...... ........................... .............................. ............... nea r's Name information 11s No. Andover, MA 01845 07-09-201261 required for ev�ery ....................... page. Cityrrown State Zip Code Date of Inspection C., Inspectiolli Summary, Inspection Summary: Complete 1 2,1 3,, or 5 and all of 4 and 6. 1) System Passes.* D I have not found any information which indicates that any of the failure criteria described i in 310 CMR 151.3031 or in 310 CMR 15.304 exist. Any failure criteria not evalluated are indicated below'. Comments- ....................................... ............. .................. ........... ---------- ...... ...............--............... —----------- ............... ....................... ................ ........... ... ............ ............. --------------- ............ .......... ........... ----------------------- ........... ...... ....... 2) Sye Conditionally Passes,: one or moire system components,as described ire i the "Conditional Pass" section need to be replaced or repaired, The system, compil tion of the replacement or repair', as approved by th,e Board of Health, will pass,. Chieck the box for 44 yes"! "no" or"not determ�i " (Y, Ni, N'Di) for the following statements,., If�$not determined,)) please explain. The septic,tank is, metal and over 20 years old* or the septic tank(whether metal or not) is,structurally i u�n�sound�, exhibits sulbstantial infiltration or exfilitration oir tank failure is imminent. System will pass i t,ion if the xi tine tank is replacedI it a complyi iti roved by the Board of Health. *A metal septic tank will pass, inspection if it is strut c,turally sound, not leaking and if a Certificate of' Compliance indicating that the tank is less than 20 are old is available, Y N F1 ND (Explain blelo, ----------------- .................---................. .......... ......... --------------------- ............................. ............ ................... ......... -------------------- t56nsp.doc-rev.7/2 /2018, Tutlle 5 Off udal Inspection Form:Subisurfaice Sewage Disposal System-Page 2 of 18 f Massachusetts ion Title 5 1 Ins-go'eict" Form Subsurface Sewage Disposal sal System Four a Not,for Voluntary Assessments iz w Na,ne .247 Briq_q�""L' ssOwlner McG rath, Cath ------ Owner's Nliame' on" N mover 4 -1 r� q� relq u N red' o r ' �__�_ _____... _ ---- _ __.. ....v--_______-LL__ �_�w__�_. page. p Code Date of Inspection C., Inspection Summary (c t. 2 System C+ ndlftlonally "asses c rut.)I El Pump Chiarrudar plumps/alarms not operational. System will' pass with Board of Health approval if pluImps alarr s are repaired. El Observation sewage backups or break out olr highs static water legal in the dis,tributioln box due to broken or obstructed 1 s r due to a broken, settled or uneven distribution box., System will passinspection if(with approval of Board of Health)- 0 broken pipe(s) are replaced El Y Ell N C I Explain below)- El obstruction is removed EIY 0 N EI ND Explain below)- distribution box is leveled or replaced N Explain bellow)- .... ...........................------- the system ra uirald pumping more than 4 times a year due to broken or obstructed Ipe(s). The system will pass inspection if(with approval' of the Board of Health), broken 11e(s) are rela,cad El Y 01 N [I N Expl'ain below),: struction is removed 0 Y El N N (Explain below): 3 Further Evaluation is Required by the Board of Health-., Ell Conditions exist which require further evaluation by the Board of Health in order to detallrr ina if the stem is failing to protect public health, safety or the environment. a., System w111 pass unless Board, of'Health determines in accordance w1ithl 3,10 CMR 15. 3(1)(b);that the system Is not funct1 wnling� in a manner wh�ich will protect public healt , safety and the environment: t5in p.d •rev.7/26/20,18 Tide 5 Official Inspection Form:Subsurface Sewage Disposer Systems.Page 3 of 1 u � lid ............ " ............ otle 5 A"Okff ............. ici:a,l lnspection Fo:r Subsurface Sewage Di'sposa Systern Forme - Not r Voluntary Assessments ,47 ar..�..�� r r �.._.. _.mm.... ___.m. ------ Property Address McGrath, C a q.. . __ �.............. w..4........ Owner Owner's Narne Cinformatioln is _... _....u....._.. .w........ �....... ._. _....___ --_. .-____�.............. page,, City/Town StateZip o of Inspection C. Inspection Summa,ry (cont.,) E] Cesspooi or privy is n 50 feet of a surface ID Cesspool r privy i within 50 feet of a borderingl a sa,lt marsh b. System ill fallI and of Healthn is Water Supplier,, if any) determines tem i's functioning in a manner that, protectspublic, safety and, environment: system[:1 The, c teak,and soil a�bsorptioln system (SAS), and: the SAS is within 100 feet of a surface r suppliy or tributary to,a, surface r ll N The,system has a septic to is ithin a Zone 1 ofpublic r system[:] T'h�e s a septic tank andis,within 50 feet of a private,water, Iwell'. 0 The system has a, sepit,ic tank and SAS andis i n 100 feet but 50 feet or more from a private r supply well". Method used to " rdistance- This system vases i 'water analysis, performed at a DEP ceirtifi laboratory, for fecal coliform bacteriaindicates nt and the presenceof ammonianitrogenit te nitrogen is e,q�ual to, r providedr r failureSri ri' r r% ranalysis be attached to this r . 0 t hr: 4) System Fallure Criteria Applicable to All Systems: You u indicate "Yes"' or" "to each of the following for allI inspections': s No Ej z Backup of sewage, into w r clogged r cesspool 1:1 z Discharge or ponding ofeffluent to the sur roundr surface wateirs, due to an overloaded or c,logged SAS or cesis,plololl t5u s . oc-r . /2 18 Title 5 Offidal lInspection Form:Subsurface Sewage Dispi sial System.Page T�,ommonweafth of Massachusetts VAI Z Ot,le 5 Otiticiall Insp ion ....,. NAI Subsurface Sewage Disposal System �' of f Voluntary �"mom :a �� .� .._......_.._�..�.._�_...�..�.w._.247 es Lane �_.e._.w..... ..��e..�..._._....�......._�........ ...�s. ..�...._...�..... .�... .mm._......e_em..._.�n_.�._.m..�,�_.,, ...__,.._..u......�.4_�..._ .vu_.�..�..._..0......m Property McGrath, ......._. �...p.w.�w ......_u..w.w.�.....w.........N.�..._...... ._....w..�......w�.�... ....�w.�w. .w__�._.....a._�................... . ....... _._�_.... �_...........��......�......................._.. .rc.__..�..�..._.._.�_w�.�___.`�___�........... _.v..........�. ..m. .....m..........m.............._....r............�.. ..�.m.....,��,.. Owner rs Namle i fr,mai n,is, I No., Andover 7 requiredforeves' _:...._. ............... ......�........_...m..............._. .......... _.........�_.,_� . ._ ...... page. City/Town City/Town State Zip Code Date of Inspection C. Inspection Suimm�ary . 4) System Failure Criteria Applicable to sine s.: (cont.) Yes No, Static liquid level i,n,the distribution box above outlet, invert overloaded r clogged or cesspooll Liquid depth in cesspool is less than " below invert or available volumeis t than 1/2 day flow Required i ng more than 4 times in, last year NOT duel r obstructedl . Num�ber of ti n or i n of the S,AS, cesspool or p16vy is below highground r elevation. El El y portion: of cesspool or privy is with�infeet of a surface water supply or tributary r supply. Any portion of a cesspool or privy is within a Zone 1 of a publicwater supply ell. Any portion of a, cessplooll or pirivy is within 510 feet of a plr,ivater supply ll . Any portion of a cesspool or privy is less than 100 feet butgreater than 510,feet from a privater supplyll with no acceptable, veer quality analysis,. i systern passes, if'"the well water anallysis, performed at a D,EP certif laboratory,for fecal colliform bacteria indicates f ammonia nitrogen and nitrate, %"fir is equal to r leIss f "'deld that no other failure rri" rii are triggered. A copyof the n ll i and c ruin ofcustody must be attached to this form.] The system is a cesspool serving a facility, ith, a design flow of'200101 1 . The system falls. l' have determined thaton r moire of the above failure i i criteria st s scr e 3 , therefore, i s. T system owner should contact the Boardf Health ' r ine wh�at wIill be necessary to, correct the failure. Large5) s Handers large systemthe f f sere a facillity with esign flow to r large f , you mustindicate i r ' r" " to each f the following, in addition to the questions in SectionC.A. Yes No El E] the system is wilthin 4010 feet of a surface drinking water,supply E] 1:1 the system is withini, 200,feet of a tributary " rf drinking r supply the system is located in a nitrogen � i i rea (Interim Wel l Protection r l r a mapped Zone II of a publicwater supply,well t.5 s . rev. 26/2018 Title 5 Official lnspection Form:Subsurface Sewage Disposal System- ie,5 of 1 µhCommonwealth of Massachusetts nitle 5 U4**"T'PT'P'I0C'I0aI' Inspecti"on Form u rvry �0 rt r i i nits,s is to o�j _._. 2147 Brid es, Lane Property Address . ....McGrath,..w.��.. . ..__.r.. ..... _ _ ._..m ._.m ............_.._. .m._.___ _.._. m_._._...__.. ,.._ _ _ _. OwnerOwner's Name required r page. wn State Zip Code Date of Inspection C. i . Ifyou have answered' " to any, questiontl n C.5 the systemis consildered a significant threat or,answered "yes"to any quesition ini Section C.4 above the, large failed. The owner, y under Section NI upgrade they in accordance N 1 CMR 15.3014.. The system olwiner contactshould the appiropriate regiiolnya,l office of the rt t. Indilcate " ' it`ono for each of thefollowing oir all inspections. Yes, No Z 1:1 Pumpling informiation was providedthe owneir, occupant, or Board of Health 1:1 Z Were anythe cystern componlents, purnipedin the r l two weeiks? Z 1:1 Has,the system receiived normal flows in the previous two week period'? i Have large volurnes of water been introduced to the sysiternrecently r as part of' is inspection? Z 0 Were as buil!t plans,of the system obtained, and exami If'theyt l l note 'I Z 1:1 Was the facilityr dweilling inspected for s,igns of sewage back up? 11 El Was,the site inspected for signs,of breakut Z 1:1 Were all system rt , elxcludinig Z 0i Were the sepitic tank manholes, uncovieir,ed, d i and the interior of the inspected for the condition of the baffies or tees, t r l of coin structio dui alone, depth of liquid, depth of sludge andpit i of scum? 11 El Was,the facilityowneroccupants It different fromir provided Itl infoirm,ati�on on the proper milainlitenalnce of subsurfacesewage disposial t The size and location of'the SoIll Absorption been determined based on: Z 1:1 Existing infoirmationi. For,exampille, a plan at the Boardof Health. Dieteirmi�niied in the field t any of the failure criteria related to Part C is at, issue approximation t it rice is unacceptable) t i p,idioc«rev,7'/26/20118 Tifle 5 Official Inspectioln Formir.Subsurface Sewaige Disposial'System-i Page 6 of 1 Commonwealtha set ion For �p T"Itle 5 Off'ici,al Inspect' w . �0 Subsurface Sewage Disposal) System Formr i Not for Voluntary Assessments 7 Bridaqs Lane, Property Addiress McGrath,_Catl yOwln _..4 �------- y °S Name �.....�m.m� information is, No., Andover M 5 _ -09-2� 1261 m ire for e �er �... .�_. _..._... _....... �.�_ �page. City/Town State Zip Code Date of Inspection......._ D. System Information 1 Res*ldentlial Flow Condilbons*. Number of bedrooms 660 ES I G N flow based on 3,10 C M R 151.2 03, (for exa m pilea '110 g pd x#of bed r o Description: residence Doles residence have a water treatment unit? Yes Z No Iff Yes,, 'i # to, _...__.._..... _... ---m mm. _.__.. _.. .. W_._ �_ __. _..._. m_.._......� ..... _ __..... .....w Is laundry on Grate sewage system? Inc,lu e laundry t inspection information n this, report.) rt. Laundry system inspe�cted? 0, Yes El No Seasonaluse? 0; Yes Z No Water,meter readings, if available (last 2 years usage --LL—..w -- t II. Sump pump? Last date of occupancy'. _ . !pmjed _... _........ Date t ans . -rev.7/'216/2018 Title Official Inspection!Forrn� Subsurface Sewage Disposal System•Page 7 of 1 bm Commonwealth of Massachusetts ........... T J"le 51 Off I ecto o'r 1. Subsurface Sewage Disposal System Form Not for Volunta,ry Assessments 247 Bri Lane ............. --------- .......................... Property Address McGrath,_Cathy.,.................. ................ ...................... ............. Owneir Owner's Name information is No".......Andlovef............... .................. ........... MA 01845 07-09-2026 requiredevery .................. .............. page. City/Town, Sitate Zip Code Date of Inspection D. S ste nfo mation (cont.) 2. Commerciliall/In,dustrial Flow Conditions*. Type of lei gent. ......................................... Gallons pier day,(gpd) Basi sigin flow (seats/persons/sq,ft., etc.);, ............. ............. Grease trap present? El Yes No Water treatment unit present? El If yes, discharges,to,, ............... ....... ....................... Industrial waste holding ta,n k present? El Yes El No Non-sani isicharged tothe Title 5 system? Eli Yes E] No Wate�r m�eteir readings, if available- ....... ......................... ------------ Last date of occupancy/use': ..........------------------........... .................. ........ Date Other(describe below).- ........... .......... ............... ........----........... .................... ------------ --------....... ........... ............. .......... ............ ........------- ...................... ......-............. ................. ............... ....... ------ 3. Plumplingi Records: Stewartli S Source of information: ................. .................... ....... Was system pumped, as part of'the inspection? Z Yes No 100 If yes, volume pumped': ...--5 11.1--.....,.......------ .................... ........ gal:lons Sig I_gau on truck How was quantity pumped determined? .............. ------- ............................. ............................ Inspect tank Reason for pumpi -ng ....... ...... t5insp doic-rev,7/26/2018 Tftle 5 Offic4 Inspecton Form-Subsurface Sewage Disposal System-Page 8 of 18 JV% t.�om,m,onweallth, of Massachusetts A.0 �cia voin Form Twitle I Insiftec 1,�110 Subs sal Systm Form Not,for Voluntary Assessments 4 2,47' Bridg.es Lane .......... ........ ....... Property Address McGrath, Cathy .............................. .................... Owner Owner"s Name information is, No., Andover MA 018,45 07'-019-2026 required foir every ........................... pagie!. City/Town State Zip Code Date of Inspection Di. System, Information, (coint,.) Type of System.: Sep i tic tank,, distribution box, soil abisorpiti ystym Sli,ngle cesspool Overflow cesspool Privy Shared system (yes,or n�o) (if yes, attach pirevious inspection records, if anly) El Innovative/Alternative technioloigy. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract 'Tight tank. Attach a copy oft DEP approval. Other (d'esicribe). Approximate age oif all compionents, date installed (if known) a,n rce of inforrination: 015/051/1,99,4 ..................... ............................. ........ Were sewage,odors detected when arriving at the s,itei? El Yes: [I No 51. Building Sewer(locate on site pla,n)- 2,111 Material of coin s,tru ction* El cast iron [Z 40 PV'C F1 other (explain): ----------- Distance from private water s,uppily weill oir suc,tion line� -fe I et C evidence of l�eakag�e, etc.)i*ommients (on condition of joi,nts, ve rain gi .........-------------------............. ....... ----------............................... ................. .................................. ...............---------- ..................----------- t5hsp,doc-rev.7/2,6/2018 Title 5 Official Inspiectioln Form-Subsurface Sewage Disposal Systern Page 9 of 18 o of f" Massachusefts P Tiotle, 51 Officiial Inspection Form _._. lilt. Subsurface Sewage, Disposal System Form, Not r Voluntary Assessments, 247 Bridges n .F...�. w..�.m.,µ��n ... W.... �..,��,. .......... ..wµ.....__...u`. mm.m.� .. ,,..�.,.� ....�.....�.�.W.._._�...__�_ ...... .we.��_.� �m.......... ............��___.�..._�_�........�.��Y...._.,�.��_... .._......�_,�,......�.W...� .. �w� _...__....�.�..�.......� ..�w.rr..._ Property Address McGrptlh, Owe ..... in�formati�on is 07-09-20,26 Andover requiredfor r ... ......_.. ... _. page. City/To,wn State Zip Code Date of Inspection D�. Systemi Information, ate on site l n Depth low feet Material � r con�c l El fiberglass, polyethylene other(explain) If tank is metal, list age* ...... yea rs age confirmed11 ? (attach a copy of certificate) Yes [:1 No 5X 0 X4 Dimensions: .. 611, Sludgee _..mm m.... _......._w.... .._...... _.........._.. 28111 Distance l tee or baffle _..._:.: ............ . uw__.__ Scum thickn�ess _ mm....�. _.___...._.. .... ._.. .. ... ... 111 Distance from 1 cum to top of outletl mm.... .... .._... Distance, from l _-._�_�_. . . w. . _ ....- .,Tape dg_ How were dimensions determined? a N �..w ....... Comments n purnping recom�mendations, inlet and outlet ' l Gi lion, st'ructural integrity,l liquid levels,as relatedi �vert, eviden�ce of leakage, _Both.. bla__ .� n_. .._._ m_mm. lliquid-—m.._ . .. l_ _ ..... o _.4....w. _.__m.._m.. _ _._. mm._... ...... ........._... t5q s . c-rev, /26 2 1 itle 5 Oifficial Inspection Form-Subsurface Sewage Disposal System•Page 10 of 1 Commonwealth olf Mas,sach�usett,s Itle 5 OitTi,cial Insp-Amection Form Subsurface, Sewage D'I'sposall Systern Fo�rm - Not for lunta,ry Assessments, P �A'"51 247 Bridges Lane -------------- ........... .................. .................._......._A................. Property Address m. McGrath,j cath,y ...... ........ .............. .......... Owner Owne�r's Narne information is, No. Andover MA 01845, 07-09-201261 rep qui re�d for ev�e�ry -------- ---------- page,. City/T'own State Zip Code Dia,tle,of Inspection D. System Information (cont) 7. Girease Trap (locate on site, plan): Depth, below grade,: ................______..._................. feet Material of construction", El concrete 0 metal El fiberglass polyethylene El other (explain). ........................ ..................................... ....... ................-....... Dimensions,- 1-1-1........................ ----------- ........'.... ... Scum thickness ............... Distance from top of scum to,top of outlet,tee or blaff le ......................... Distance from bottom of scum to bottom of outlet tee or baffle Date of last plumpinig., D.,at,e ........... ...... Comments (on pumping recom!mlendatiol s, inlet and outlet tee or baffle condition, structural integrity, liquid lIevels as related to outliet invert, evilden�ce of leakage, etc,): ------- ................-.1-............. ...................._............... ................ .................. ...... 8. Tight or Holidiini,g Tank (tank must be plumped at time of inspeiction locate on site plan)- Depth below grade, Material of construction* 0 concrete, 0 metal [:1 fiberglass polyeth!ylene El other(expllain)�� ----—------------,"',............ .............. .......................... ............ Dimensions: ..................------...................... ............. ---------- Capacity: .................. ------------- .................. .......... gallons Design Flow, ................ gallons per day t5'i ns,p doc-rev,7/2 201 8 Title 5 Official Inspection Forn Subsurface Sewage Dia System-Page 11 of 18 Commonwealth o�f Massa c h u setts 1� Insmection Form T"t1e 5 OfT'licia , �o>� Su e Disposal System For for Voluntary Assessments /7 24,7 Br�id es Lane, -------------- .............. - ----------- ........... -------- Property Address Owner M;Grath, Cathy ............. .................... Owner's,Na information is requ�ired for every No Andover MA 0,1845 017-09-2026 ............... ---—......-------- ......... page. City/Town State Zip Code Date of Inspection D. System Information (cont) 8. Tight or Holding Tank (cont.), Alarm pi Y e s N1 o Date of last,purnpIre g.* .......... ................... ............. Date Cornments, (condition of alarm and float switches,, etc.)- .................. ...... ................. .......... ....... ................. .......... ------- ..................,"',......... ----------- ............... ........................ ------- ............ .................. ......------------ ........................... ------........... ................ ------------------- ___.................. ........... ............. Attach, copy of current pumping contract (required). Is copy attached'? Yes No 9 D'Istributi'on Box (if present must be opened) (locate, on site plan). Depth of liquilid level above out,let invert -0 ------- Comments (note if box is level and dis,tributio lets equal, any evidence ofsolids,car,r r, any evidence of leakage, into or out of box, E qual distribution, no leakqg p, no solids carry e!r ............ ...... ................... ---—------ ............... .......... .................. ........... ............... ................... ............ .................... t5insp,dioc-rev.7/26)2018 Tifle 5 Official Inspection Forrn:Subsurface Sewa is l System!-Page 12 of IS Commonwealth oIf T tie 5 %J'TTI�cial Inspection:, Form v ... � l ace Sewage Disposall System Form Not for Voluntary r I a w, � Brid Iges Lane, Property Address McGrath, Cat I �..... ._...�. .................. ... �.��..,e.....�..mm�..., ....... .......... ............ ................ ....... Owner's Name page., City/Town Mate ZipCode ate, Inspection information is No. Andover, MA 0 18451 07-09-20126, D. System Information (cont), 10. Pump,Chamber(locate site lIau Pumps in workin�g, order,-, Yes No* Alarms in working order* El Yes N,o Comments (note nId�ti I r, condition n I rt nI n , etc. a. If pumps or alarms,are not in working, order, systern, is a conditional pass. 11. Soil Absorption System (SAS) (locatesite pilan,, excavation not required)* If SAS t located, explain leaching pit r, El leaching chambers number'. ----- leaching i trenches numb_r, lengft leaching number, dimension e E] overflow cesspool number* innovative/alternative t5i s . c-rev.7/26/20181 Title 51 Official Inspection Forte:Subsurface Sewage Disposal System.Page 13 of 1 tommoinwealth of Massachusetts, Tutle 5 Offulcmi,al Inspecti'on For 1>1 �O Subsurface, Sewag�,e, Disposal System Form Not for Vollu�ntary Assessments 247 13.0.0 ges,_Lane ........... Property Address M�cG,rath Cathy, ............... Owner L-.77-7. ___------- Owner�'s Name information iIs, No. Andover MA 01845, 07-09-2026 required for every ................. ......... ........... ................ page. City/'Town State Zip Code Date ofInspection ................ D., System Information (cont.,) 11 Soil Absorptl"lo .) Comments (note condition of solil, signs of hydraulic failure, level of poin�dingi, damp soill, condition of veg�etat,ion, etc.): No nding., no, hydraulic failure, no, damp soill ............... .................... ....................... ............ ----------- ------------------- .......... ............................ ......... ............. ------------ ...... ................. ........... ...... 12. Cesspools, (cesspool must be pumped, as part of inspection) (locate on site pilan)�� Number and conf'iguration .......... ............... .... ............... ------ Depth—top of l'iquid to, i n�le,t invert .....--- Depth of'solids layer Depth of s,cum layer ........... .......................... Dimensions of cesspool:erl t of con ruction ...................................... Indication of groundwater i!niflow El Yes E] N ol i Comments (note condition of soil, signs of hydraulic failure, v l of pondini , condition of vegetationA etc.): ........--------._'.'_'_"_'....................... .................. ..................... ---------- ------------------- ...........------- ............ ............................................ ........... ...................------ ........... t5insp,doc-rev.712612018, Tftle,5 Offidal InspecUon Form:Subsurface Sewage Disposal System-Page 14 of 18 %,ommonwealth sac sett 1.411111--lo f Tia tle 51 O"iti,cial Inspection For J, Subsurface Sewage Disposal System Form Not foir Voluntary Assessments 247 Br�id es Lane .......... -------.......... Property Address M�c,G�rath, .Cathy .................... Owner, ------ ........ -—-------- ............... ................................. Ow�ne�r's Name inf0 1 rmation is No. Andover M�A 01845, 07-109-2026, re�quired f6r every .......... ......... ....... page. City/Town State Zip Code Date of Inspection D., System Information (c,oint,.) 13. Privy (locate on site plan)-� M�aterials ofconstruction!': Dimensions Depth of'solids, .............-.1--l----------- ...... Comments, (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): .......... ...... ............................ .......... ----—------ ..................... t5insp,doc-rev.7/2612018 Title 5 Official hspection Form,-Subsurface S ^ age Disposai,System-Page 15 of 18 Commonwealth of chusetts JAI ..... Toltle 5 Officia 1 Inspect'ion Foirm gu m aSubsurface Sewages Form, - Not for Voluntary Assessments 247 Bridaes Lane Property Address McGr L , information is required for,every N .... _� ° e MIA 1 85 19 226. page. City to Zip Code Date of Inspection �DW System nfo mation (con't. 14. Sketch Disposal) of the disposal , including ties to at least t reference landmarks r ben arks. Locate all wel rei u r supply enters the building. Check oneboxes to E] hand-sketch in the area drawing r l t5i s .0 .r /26/2 Title 5 Official hspection Forn Subsurface Sewage isposal System Page 16 of 1 uommonwealth of Massa c,h uls,efts rX I-P TI"tle 51 Offi'ci"al�, Inspection Form P Subsu age Disposal System For Not for Voluntary Assessments 247 Br id es Lane-------------- .......... ................. Prol rty Add'ress, McGrath, Cathy,.,._,_ Ownier ner's ............... --------- ............ .. .. ........... . ... Ow Name information is No. And�over MA 0118,45 07'-091-202,6 require�d for every ....... ........ ........ .Date... .......................................... ......... page., City/Town State Zip Code of Inspection D. tem Information (cont) 15. S*Ite Exam: Z Check Slope El Sulirfa,ce water Check cellar Shallow wells 1�.�...�... ..... .._M imateddepthtoh�iglhroun�dwateir- i Please, indicate all met,ho�ds, used to determine the high ground water ellevation� z Obtained from system design plans on r rd 05/05/1994 If checked,1 date of design plan reviewed:. Date Observed site (abutt'ing pro perty/obse rvation hole within 150, feet of SA,S) E Checked �with local Board' of Health -expilain�.- Pulled file ......................-........................... ........................................-------- Checked with local excavators, installers - (attach documentation) i Accessed USGS database -explain.� ....................--, .................. ...... You m�u� scribe how you es,ta,bl igh grou,nd water,elevation: i Taken from d si n! plan on record' ............... —------------ ................................ -------...... ............ ......------- ........... ...........-.-......................I........... ........... ...................... ........... .............. ...................... ---------------------------- .......... .......... ....... ......------------ ............ ..........................---I,--... Before filing this Inspection Report,, please,see Report Completeness, Check1list on n�elxt page. t5linsp,doc-rev.7/26/2018 Tiff e 5 Off�cjal Inspection Form:Subsurface Sewage!Dsposa�System-Page 17 of 18 Commonwealth of Massachusetts, T11"tle 5 Offi"ci�al inspection Form Subsurface Siewage Dl*sposal System For Not for Voluntary Assessments 247 Bridges Lane ..................... Property Address McGrath, Ca dy.............. Owner ..........-—---- .............. ............-------- .............. Owner's Nary information is No. Andover MA 0 11 84 51 07-09-2026 required for every .......... ....................... ....... page. City/Town State Zip Code Date of Inspection E,. Report Completenesis Checklist I CompIlete a11I appficablie sections, of'this form 1"niclusi've of: A. inspector Information: Complete all fiellds in this section. B. Certification-. Signed & Dated and 1� 21 3, or 4, checked C. Inspection Summ�ary'. 1 21, 3, or 5 completed as appropriate 4 (Failure Criteria,) and 6: (Checklist)completed D. System Information- For 8- Tight/HIolding Tank— Pay in contract attached For 14- Sketch of Sewage Disposal System drawn on pig. 16 or attached For 15- Explanation of estimated depth to, h�igh groundwater incluided t5insp:,doc-rev,,7/26/20118, Tbe 51 Offibal Inspection Form Subsurface Sewage Disposal System-Page 118 Y i r.s } i f LQ LOT 25 A=.45,875.E S.F. 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