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120 Septic Inspection 2014 RM Scott& Associates 31 Shutesbury Road Pelham, MA 01002 Office: (413)256-0647 Mobile: 413-658-4921 Email: rscottpe(a,comcast.net June 2, 2014 Edmund Smith Health Department 212 Main Street Northampton, MA 01060 Subject: Title 5 Septic System Inspection at 120 Dunphy Drive (Property of Beverley Carrigan) On May 12 and May 28,2014, 1 completed an inspection of the septic system at the subject property in accordance with 310 CMR 15.000(Title 5)requirements. A copy of the report is enclosed for your use and files. This system is certified as, "Passed" by the criteria in the regulation. Additional comments are included in the report. If you have questions on any aspect of the inspection or the report please contact me at the address, email or telephone contacts above. Sincerely, Zdtotia- Richard Scott, P.E. cc: Beverley Carrigan, Owner Julie Held, Realtor,Maple and Main Buyer do Julie Held E5 Commonwealth of Massachusetts z, Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 120 Dunphy Drive Property Address Beverley Carrigan Owner Owners Name information is required for every Northampton page. City/Town Important:When filling out forms on the computer. use only the tab key to move your cursor-do not use the return key. Jt MA 01060 5-28-14 State Zip Code Date of Inspection 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. General Information 1. Inspector. Rick Scott Name of Inspector Richard Scott, P.E. Company Name 31 Shutesbury Road Company Address Pelham CityITown 413-256-0647 Telephone Number MA State 511030 License Number 01002 Zip Code B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority Inspector's Signature Date 5-28-14 The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ""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 the future under the same or different conditions of use. Owner information Is required for every page. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 120 Dunphy Drive Property Address BeverleyCarrigan Owner's Name Northampton Cityffown MA 01060 5-28-14 State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E l always complete all of Section D ✓A) 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: No failure criteria observed. System passes See additional notes in report. B) System Conditionally Passes: l/ ❑ 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," p lease explain. The septic tank is metal and over 20 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. ❑ V ❑ N ❑ ND (Explain below): e\ Commonwealth of Massachusetts Title 5 Official Inspection Form . Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 120 Dunphy Drive Property Address Beverley Carrigan Owner Owners Name information is Northampton MA 01060 5-28-14 required for every p page. Ctty/TOwn State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes(cont.): ❑ 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): ❑ broken pipe(s)are replaced [' YON ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced [' VEND ND (Explain below): El The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y E N E ND(Explain below). ❑ obstruction is removed ❑ Y E N E ND(Explain below). C) Further Evaluation is Required by the Board of Health: n/P ❑ Conditions exist which require further evaluation by the Boar of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ 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 s Owner information is required for every page Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 120 Dunphy Drive Property Address Beverley Carrigan Owners Name Northampton City/Town MA 01060 5-28-14 Code Dade State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ 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. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ 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 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, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) 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 pending of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool 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 %day flow Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 120 Dunphy Drive Property Address Beverley Carrigan Owner Owner's Name information is Northam ton MA 01060 5-28-14 required for every p page. Cdyrrown State Zip Code Date of Inspection B. Certification (tont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ Z 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 cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ Z 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. [This 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, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 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. E) Large Systems: To be considered a large system he system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. Al A For large systems, you must indicate either"yes"or no to each of the following, in addition to the questions in Section D. 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 II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments tre Owner information is required for every page 120 Dunphy Drive Property Address Beverley Carrigan Owner's Name Northampton _ MA 01060 5-28-14 City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ 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) Z ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ 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: ( Alp'Rank Ave rr icAr3 Existing information. For example, a plan at the Board of Health-Pcr 4E.A LTwd=rc 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)] Z ❑ • Z Z ❑ D. System Information "Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual) DESIGN flow based on 310 CMR 15.203 (for example. 110 gpd x#of bedrooms): 3 330 Owner information is required for every page. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 120 Dunphy Drive Property Address Beverley Carrigan Owners Name Northampton City/Town MA 01060 5-28-14 State Zip Code Date of Inspection D. System Information Description: 1000 gallon septic tank. Gravity flow to Distribution box and Leach Field of unknown size. Number of current residents Does residence have a garbage grinder? Is laundry on a separate sewage system? (Include laundry system inspection information in this report) Laundry system inspected? Seasonal use? 1 ❑ Yes ® No ❑ Yes ® No ❑ Yes ❑ No 50 ❑ Yes ® No Water meter readings, if available(last 2 years usage(gpd)): Detail: Water usage available only for the period 8-28-13 to 12-7-13. Usage shows approximately 102 gallons per day average. Sump pump? Last date of occupancy. Commerciaglndustrial Flow Conditions: 7/4 Type of Establishment: Design flow(based on 310 CMR 15.203): Basis of design flow (seats/persons/sq ft., etc.). Grease trap present? Industrial waste holding tank present? Non-sanitary waste discharged to the Title 5 system? Water meter readings, if available. Gallons per day(gpd) ❑ Yes ® No Currently Occupied ❑ Yes ❑ No ❑ Yes ❑ ❑ Yes ❑ No No Owner information is required for every page Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 120 Dunphy Drive Property Address Beverley Carrigan Owner's Name Northampton MA 01060 5-28-14 Ciyrtown State Zrp Code Date of Inspection D. System Information (cont.) Last date of occupancy/use'. Other(describe below). General Information V Pumping Records: Source of information: Was system pumped as part of the inspection? If yes, volume pumped: How was quantity pumped determined? Reason for pumping: v Type of System: Currently Occupied. Date Per owner, previous pumping was >10 years ago. 1000 gallons From tank dimensions Heavy solids accumulation ® Yes ❑ No 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 I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe) Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 120 Dunphy Drive Property Address Beverley Carrigan Owner Owners Name information is Northampton MA 01060 5-26-14 required every page P __.. page_ City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: System installed in 1976 when the house was built. No System Design Plan available. Were sewage odors detected when arriving at the site? Building Sewer(locate on site plant- Depth below grade- Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): 2 feet ❑ Yes EI No Distance from private water supply well or suction line: N/A. Municipal supply- pressure line. Comments (on condition of joints, venting, evidence of leakage, etc.): All in-house plumbing is in excellent condition No evidence of any previousproblem. Vented to roof. Septic Tank (locate on site plan): Depth below grade: Material of construction: ® concrete ❑ metal ❑ fiberglass 1000 gallon concrete septic tank with cast-in baffles. If tank is metal, list age. 10 feet ❑ polyethylene ❑ other(explain) years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions 108" X 54" X 48"effective depth. Sludge depth. 36" Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 120 Dunphy Drive Property Address BeverletCarriyan _. Owner Owner's Name requir d for s Northampton MA 01060 5-28-14 page tlfor every p page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank (cont.) Distance from top of sludge to bottom of outlet tee or baffle Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle <0" 12" <0" 0" How were dimensions determined? Direct observation during the pumping_ Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.). Very heavy solids accumulation. No significant separation between top of sludge and bottom of scum, so very little retention time in the tank. Liquid levels are correct. No evidence of past leakage out of the tank or high liquid levels above the outlet. Tank is in good condition. Cast-in inlet and outlet baffles are in good condition with some minor deterioration consistent with age. Next maintenance pumping recommended in 2016, depending on rate of usage. Grease Trap(locate on site plan): ,7% Depth below grade. Material of construction: ❑ concrete ❑ metal feet ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions. Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping- Date Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 120 Dunphy Drive Property Address Beverly Carrigan Owner Owner's Name information Is Northampton MA 01060 5-28-14 required for every _- _-_ page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank (tank must be pumped at time of inspection)(locate on site plan): NA Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow'. gallons per day Alarm present ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No Commonwealth of Massachusetts rr Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments Owner information is required for every page. 120 Dunphy Drive Property Address Beverley Carrigan Owner's Name Northampton City/Town MA State 01760 Zip Code 5-28-14 Date of Inspection D. System Information (coot.) Distribution Box (if present must be opened)(locate on site plan): Depth of liquid level above outlet invert 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, etc.): Box is level and is distributing flow equally. Solids carryover is observed. 4" depth of solids was pumped out of the D-Box sump. No evidence that solids have been carried out the distribution pipelines. Some deterioration of the box side walls, consistent with age but the D-box is structurally sound. No evidence of previous leakage out of the D-box or high liquid level above the outlets. Pump Chamber(locate on site plan): NA Pumps in working order: Alarms in working order: ❑ yes ❑ No* ❑ yes ❑ No Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): If pumps or alarms are not in working order, system is a conditional pass. /Soil Absorption System (SAS) (locate on site plan, excavation not required). If SAS not located. explain why. D-Box found. Likely SAS is a leach field of unknown size. See sketch. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 120 Dunphy Drive Property Address Beverley Carrigan Owner Owners Name information Is Northampton MA 01060 5-28-14 page.etl for every p _ _.. page. City/town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number. ❑ leaching trenches number, length: leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): No sign of problems observed from ground surface. Distribution box is buried approximately 18". A 16" maple tree is planted 5 feet east of the D-box so it is directly over the inlet to one of the distribution lines. The tree roots have invaded the ID-box and might be invading the distribution pipelines. The roots were cut and cleaned out of the D-box during the inspection and pumping. It is recommended that this tree be removed to prevent recurring problems at the D-box or root invasion into the distribution lines. One. Unknown size. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Air/i4 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 ❑ Yes ❑ No e\ Commonwealth of Massachusetts Owner information is required for every page. Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 120 Dunphy Drive Property Address Beverley Carrigan Owner's Name Northampton MA 01060 5-28-14 Citylrown State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan) Materials of construction. Dimensions tiM Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 120 Dunphy Drive Property Address Beverley Carrigan Owner Owners Name information is required for every Northampton page. City/Town MA 01060 5-28-14 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: ® hand-sketch in the area below ❑ drawing attached separately (x.t Lty_ ER'r at ft 'Et 45E) s Rvocxcs. Lb,3ES rn-3,= 82'-(o" —bc4t 4" �I/R3o v 3v'-b° 16a1s"� I:c_c Ku4.LqA 3441 JL1 ELs 5'iSi=_N. LcLaCr 12-O IA I �Rw�_ Ifi4Tba.r � ` &b -L 1 lei.7.5 . Owner information is required for every page. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 120 Dunphy Drive Property Address Beverley Carman Owner's Name Northampton City/Town MA 01060 5-28-14 State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ® Surface water ® Check cellar ❑ Shallow wells Estimated depth to high ground water: 6 feet Please indicate all methods used to determine the high ground water elevation: ❑ 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: No record at Health Department. 1994 house inspection report provided by owner included a septic system"dye test" but no additional information. ❑ Checked with local excavators, installers - (attach documentation) ❑ Accessed USGS database-explain. You must describe how you established the high ground water elevation: The lot is generally flat with a gentle downward slope from the back of the house over the septic tank and leach field. The floor of the basement is approximately six feet below ground surface. The finished basement does not have a sump pump and there is no evidence of any previous groundwater entrance into the basement. SCS Soil Survey maps (Central Hampshire County) confirm this area as Hinckley soils-excessively well drained. Before filing this Inspection Report, please see Report Completeness Checklist on next page. Owner information is required for every page. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 120 Dunphy Drive Property Address Beverley Carrigan Owner's Name Northampton _ _ __ MA 01060 5-28-14 City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ❑ Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D(System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file