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341 Soil Test 5/31/06 (2) No. PT-20-392 Commonwealth of Massachusetts Northampton, Massachusetts FORM11 -SOIL EVALUATOR FORM Soil Suitability Assessment for On-site Disposal Performed By: Witnessed By: Thomas S. Leue Date: 5/31/06 Ernie Mathieu, Town of Northampton Location Address or Lot No. Audubon Rd.-Private Drive-Lot 9. Nortt New or Repair Construction: Construct New Owner's Name. Address& Tel.# ampton Jane Hill c/o Goggins Realty, 8 Main St. Florence, MA 0106.2 586-7000 Office Review Published Soil Survey Available: No n Yes tg Year Published: 1980 Publication Scale: 15840 Drainage Class: Well drained. Soil Limitations: Severe effluent limitations; slow percs. Soil Type: PbB, Paxton stony, fine sandy loam Soil Map Unit:�. Superficial Geologic Report Available: No N Yes Year Published Pubon Scale: Geologic Material (Map Unit) Landform Flood Insurance Rate Map: Above 500 year flood boundary No Yes Within 500 year flood boundary No Yes Within 100 year flood boundary No Yes Wetland Area: National Wetland Inventory Map (map unit) Wetlands Conservancy Program Map (map unit) Current Water Resource Condition USGS): Month Range: Above Normal Normal n Below Normal n Other References Reviewed: • • S DEP APPROVED FORM - 12/07/95 Location Address or Lot No.: Number: FORM 11-SON,EVALUATOR FORM Page 2 of 3 Audubon Rd.-Private Drive-Lot 9. Northampton On-site Review Deep Hole#: 2 Date: 5/31/06 Land Use- woodlot Soil Evaluation Number: PT-20— 392 9:30 AM Time Vegetation: hemlock and hardwoods Slope (%): 2% Distance in feet from: Open Water Body: >150 Possible Wet Area: >100 Drinking Water Well: >150 Depth from Surface (inches) Soil Horizon Weather: clear Surface Stones: yes Landform: till plain Drainageway Property Line Other >150 30 Soil Texture (USDA) Soil Color (Munsell) Soil Mottling (inches) Other (Structures, Stones, Boulders, Consistency,%Gravel) 0 - 4 4 - 20 20 - 91 A Bw C fine sandy loam fine sandy loam fine sandy loam 10YR 5/8 no friable 10YR 5/4 no 10% gravel, friable 10YR 5/2 30 compact till, roots to 46" Mottles 10YR 4/4 distinct, coarse 10YR 4/1 '.. >5% *MINIMUM OF 2 HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA Comments: Parent Material (geologic)- glacial till Depth to Bedrock: Depth of Excavation: Depth to Groundwater: Standing Water in the Hole: YES Depth: Weeping from Pit Face: YES Depth: Estimated Seasonal High Groundwater: DEP APPROVED FORM-12/07/95 91 inches 86 inches 82 inches 30 inches ' s � "l /, � < < < 7 5 - //, P / LOTS / / 13.62 acres. PL i / Notes: 9 series deep holes conducted 4-4-97 / 5 series deep holes conducted 5-31-06 b 9-1 Gap in wall It 5-1 / __-PL iii 9-2 PL /' • ' Called North j�� i j j' PL / easement ,'n / SYMBOLS � � �� a Pere Test Site �/ PL IDrep Hole Site TT-T SITE PLAN Date: Owner: HOMESTEAD INC. 5/31/06 Jane Hill Thomas S. Leue R.S. Audubon Rd. Lot 9 Scale: : 100' Revision Date: Leeds, MA 01053 Williamsburg,MA 01096 Exceept pt as Noted 1413]628-4533 Checklist for Septic System Plan Review - 3q/ Ae h, t Y 'Application page attached to plan (,(J� 3�/PE or R5 stamp, date, signature ii---- Variances to property line setback distances must have Surveyor stamp • Legal boundaries noted 3/Easements noted Dwellings and buildings existing or proposed noted El/Location of driveway or parking areas,other impervious areas 3/ ocation and dimensions of reserve area(new construction only) fystem design calculations • Garbage grinder • Benchmark not distyrbed during construction within 75ft of facility North arrow 4/' bn✓� Contours d Deep hole location(s) and data Perc hole location(s) and data ;j)/ levations N es of approving authority and soil evaluator location of water supplies, public and private o Within 400ft of system in case of surface water and gravel-packed public water supply o Within 250ft of system in case of tubular public water supply o Within 100ft of system in case of private wells(50ft from tank) r"Well statement, if applicable d Location of any surface waters, rivers,vegetated wetlands C- Location of water lines and other subsurface utilities j/Obserrved and adjusted groundwater elevations in vicinity of system Profile of system 71/4.ocus plan to show location of facility, including nearest street • Materials of construction and specs for system 7/Gas baffle • ,(,/-Pipe in center line of tank 'C/Double-washed stone �Z�/Schedule 40 PVC for trafficked areas,house to tank t/ Distances noted from house to tank, etc. ki If dosing is proposed, design and specs of dosing system /./-When alternative technology is required, complete plan and specs including hydraulic profile 3 wenches preferred over beds 'iuoyancy caleu4etions for tanks or components partly below groundwater level E 3:1 slope outside of mound toe endin 5ft from properp line 0 1e a requests on the plan,all variances 4 O Local upgrade-utWs attached to the application HERITAGE SURVEYS, INC. Professional Surveyors and Engineers 241 College Hwy& Clark St, P O Box 1 Southampton, Massachusetts 01073-0001 Bruce A. Coombs, President Professional Surveyor, MA, CT& VT E-mail:bruce(Jheritagesurveys.com Telephone(413)527-3600 Facsimile(413)527-8280 Website:heritagesurveys.com LETTER OF TRANSMITTAL TO: Northampton Board of Health City of Northampton 210 Main St. Northampton, MA 01060 DATE: April 9, 2014 JOB #: 7151-140212 SUBJECT: Elizabeth Vizentin & Barrett W. Newsome 341 Audubon Road Leeds, MA WE ARE SENDING YOU: COPIES DATE PLAN # DESCRIPTION 2 04/09/14 7151- Copies of plans entitled, 34lAudubon Road - 140409 Lot 1, Plan of Proposed Sewage Disposal System in Northampton MA, Prepared for Elizabeth Vizentin & Barrett W. Newsome, Sheets 1 & 2 2 04/09/14 N/A Original & copy of Application for Disposal System Construction Permit 2 05/31/06 N/A Copy of Site Suitability Assessment for On- 04/04/97 Site Sewage Disposal (TP# 5-1, 5-2, 9-1, 9-2) 1 04/04/14 N/A Check #872 in the amount of$150.00 Please contact this office if you should have any questions or comments relative to the above. Sincerely, Mark P. Reed Commonwealth of Massachusetts City/Town of Septic System Installation Checklist aye A��a Eeti ceatAsireichow B. Application Checklist (cont) 2 Construction Inspection a) Building Sewer(310 CMR 15.222) All waste pipes bed into building sewer Basement check V Ito , Schedule 40 PVC 4' or cast iron Verify by reading ppe J rl is/e Approv V Minimum slope of 0.01-0.02 Pipe laid in continuous straight line Pipe laid on compact, firm base Cleanouts precede if changes in alignment/grade Cleanout provided every 100 ft BacldAl material clean b) Septic Tank(310 CMR 15223) Tank is set level with 6'stone under (15228) Tank is required size/loading per plan Inlet and outlet are at proper location (15.227) Tank is water tight(15.226) Outlet tees extend 6'above flow line Approved fitter device placed at outlet Gas bafe instated at outlet tee Inlet and outlet tees on career line Tank is backaked with acceptable mama Notes: Verify by visual/tape/ " Verify by visuaUtape N/A Problem ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Approved N/A Problem Check with level /, Ch ve/ ❑ ❑ Verify with plan // f27--w ❑ ❑ Verify with plpn ✓/ i ❑ ❑ Test r rle E' ❑ ❑ Verify by visuaWtepe ® ❑ ❑ DEPIi / :/ ❑ ❑ Vist / "Cc ❑ ❑ (.& 5 El ❑ ❑ ❑ Fs*sywm ImaMlon Checklist I1-09.doc•eats Farm Name•Paea 2 of 6 A Commonwealth of Massachusetts City/Town of Septic System Installation Checklist B. Application Checklist(cont) c) Distribution Box(310 CMR 15.232) All outlet pipes at same elevation Number of outlets A5libt I Check by adding water Number of laterals Inlet tee min. 1'over outlet D box set on level base Top of 0 box 36'max depth / D box is water-tight /77 h A D box has a minimum of 2'thick wall 12'inside dimension d) Pump Chamber(310 CMR 15.231) Tank end w/tape and w/tape Add water Approved LA Problem Approved r NIA Problem /level /t°✓C Check plan and tank Number of pumps: Specified pump provided or designers approval for equal pump Correct pump sequence Covers set to grade Electrical permit provided r of stone beneath chamber Chamber is water-tight Min. 9'cover provided Correct loading provided per plan Notes: Visual Test Visual Visual on tank eapea Sys a,hnteeieon Ctrcki st 11-09.doc•dee Fern Name•Pape 3 ore Commonwealth of Massachusetts City/Town of Septic System Installation Checklist B. Application Checklist(coat) a) Leaching Facility(310 CMR 15.240) No frozen material used including bad(fill Visua! No clay, tailings or stones larger than 6'for cover material Soil at bottonvsides of excavation matches info on deep holes All impervious layers removed No remaining NB horizons Groundwater conditions match plan and deep holes Vented if under impervious cover per plan (15.241) Vent is protected from precipitation and animal entry Cover of a minimum of a•over leach area Pipe slope equal to 0.005 Leath area per design(15241) Excavation is level and at required depth Vista plan V15 �h / w ansl Removal of 5 ft material and replacement pan (if in ell) Back fill material is acceptable Final contours correct per plan Surface/subsurface drainage away from leach area Fide grade and side slopes we stable Distribution lines are capped, vented, or convected together Impermeable barns'(1 55(21) Retaining wall inspected Visual Check with plan Approved ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ t^L�// i❑ ❑ ❑ ❑ ❑ ❑ air/ o Ei ❑ ❑ ❑ ❑ /� ❑ ❑ 2 ❑ ❑ ❑ ❑ Lie ❑ ❑ ❑ ❑ [B� ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ NIA Problem Retaining wall is water-woofed Retaining wall/barrier is at depth/height &epic%Sam keweaen Chet1St 11-00 doe•date Form Hams•Pepe 4 ofa Commonwealth of Massachusetts City/Town of Septic System Installation Checklist B. Application Checklist(cont) j) Certificate of Compliance(310 CMR 15.021) As Burn Plan Submitted Signed by Installer Signed by Designer Certificate of Compliance Issued Notes. Dale wG Ode // Date // Date Sept System Inetabelon amebae 1 t dt.eoc•dale Farm lane•Papa 6 of 6 Commonwealth of Massachusetts CityITown of Septic System Installation Checklist B. Application Checklist(cont.) f) Leaching trenches(310 CMR 15.251) Approved N/A Problem Number of trenches. -- — ❑ ❑ ❑ Depth of trenches. ❑ ❑ ❑ Wdth of trenches ❑ ❑ ❑ Trench spacing per plan <✓ ❑ ❑ Stone is double-washed[3/4'to 1X'1(15247) ❑ ❑ LJ g) Leaching fields(310 CMR 15.242) Length of field: ❑ ❑ ❑ Wdth of field: ❑ ❑ ❑ Min. of 2 distribution lines ❑ ❑ ❑ Separation distance conforms to plan ❑ ❑ ❑ Stone is double-washed[314'to 1%'j(15247) ❑ ❑ ❑ h) Leaching Pits(310 CMR 15.253) Number of pits. ❑ ❑ ❑ Depth of pits: ❑ ❑ ❑ stone is double-washed f314'to 1W1(15.247) ❑ ❑ ❑ Each pit has min. 1 20'access cover ❑ ❑ ❑ Piping network and configuration of ❑ ❑ ❑ pitafdlambers per plan i) Tight Tank(310 CMR 15.260) Tank is set level with 6'stone under Visual and with level ❑ ❑ ❑ Tank is proper size per plan Visual with plan ❑ ❑ ❑ Pumping contract has been provided ❑ ❑ ❑ Covers to grade Visual ❑ ❑ ❑ NV alarm set at 3/5 tank capacity Check floats by raising ❑ ❑ ❑ . An/alarm test on separate circuit Set off alarm ❑ ❑ ❑ spec Sperm 1. on Checklist 11-00.6a:•don Fpm Menlo•Pape 5 of 6