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489 Title 5 Application/Permits 2009, Upgrade Approval Documents 2009, Soil Survey 2000 Land Solutions 2 Amherst Rd. Sunderland, MA 01375 00-048 -7/2W00- 9/5/90 Attn: Northampton Board of Health Enclosed are the perc test results, soil profile descriptions and plans for Barry Rothenberg at 489 North Farms Rd, Northampton. Cc: Barry Rothenberg FORM II-SOIL EVALUATOR FORM Rye 1 OF 3 Date:6113100 Nave: Job I00-48 ,y F.00-18 LAND SOLUTIONS, TWO AMHERST ROAD, P.O. BOX 121, SUNDERLAND, MA 01375 VOICE & FAX (413) 665-4777 Performed By: Witnessed By COMMONWEALTH OF MASSACHUSETTS Northampton, Massachusetts Soil Suitability Assessment For On-Site Sewage Disposal K. Christian Boysen Certification Date: Nov. 1994 Peter McErlain Date of Pere: 6/23/00 Location Address or Lot# 489 North Farms Rd. Northampton,MA Owner's Name: Barry Rothenberg Address: 489 North Farms Rd. Northampton Telephone: 586-4129 NEW CONSTRUCTION X REPAIR Garage grinder to be removed Office Review: Published Soil Survey Available: Year Published 1980 Publication Crate Drainage class: II Soil Limitations: Surficial geological report Available: Year Published 1991 Geological Material(Map Unit): ML Holyoke Landform: drumlin Flood Insurance Rate Map: Above 500 year flood boundary Within 500 year flood boundary Within 100 year flood boundary Wetland Area National Wetland Inventory map(map unit) No X Yes 1:15,840 Soil Map Unit: Hampshire Central, Charletan soil No Yes X Publication Scale: 1:25,000 Northampton,panel #1 No No No la Yes Yes Yes Easthampton, 1978: no wetlands indicated Wetlands Conservancy Program Map(map unit) Current Water Resource Conditions(USGS): Range Above Normal Other References Reviewed Month: May,2000 Normal Below Normal SOILS EVALUATION FORM 1 P#9 a..abAlll ltllAten Location Address or Lot No. 489 North Farms Rd Northampton.MA ON-SITE REVIEW Date:6/23)00 Name Rothenberg Job H:OO-04S Deep Hole No.: 1 Date: 6/3/00 Time: 12:20 pm Location: See Site Plan 35' East of SE corner of dog pen, 16' ESE of 12"Crabapple Land Use: Mowed lawn Vegetation Grasses Landform Drumlin Position On Landscape: Eastern edge at top of drumlin Distances from: Open Water Body: >200 feet Drainageway: >100 feet Possible Wet Area >100 feet Property Line: 150' feet Drinking Water Well: >200 feet Other town water DEEP OBSERVATION HOLE LOG Soil Haian Soil Texture (USDA) Soil Colon iM 0) Soil Matting Other (Structure,strum.Boulders,Continency, 9.Gravel) Depth from Surface(inches) 0-12" 12-31" 31-114" A import Bw C FSL FSL FSL 1YR 3/2 10YR4/4 2.5Y4/2 None None 41-43"=<5% 7.5YR5/6 43+"=>5% 10YR 4/4 10%subangular gravel,Many fine roots,Loose,Crumb 10% snhangular gravel,Occ. roots,Massive,Friable Massive,Friable, 10%gravel, Cobbles, Stones to 18"din r MINIMUM TWO HO Paint Material Glade DV Depth To Bedrock: hi 14" Depth To Groundwater S�'meag Wane in the hole None Wvpmg From Face None • Estimated Sevmal 1206 Groundwater 43" SOILS EVALUATION FORM 3 Location Address or Lot No. 489 North Farms Rd Northampton,MA Date:6/23/00 Name:Rothenberg Job*00-048 ON-SITE REVIEW Deep Hole No.: 2 Date: 6/23/00 Time: 1:00 Weather: 80 deg.pit cloudy Pm Location: See Site Plan SSE 50'from DH1 Land Use: Grasses Slope: 6% Surface Stones: None Vegetation Grasses Landform Drumlin Position On Landscape(sketch on back) Edge of drumlin Distances from: Open Water Body Possible Wet Area Drinking Water Well: >200 >100 >200 feet feet feet Drainageway: >100 feet Property Line: >100 feet Other Town water •MINIMUM TWO HOLES REQUIRED AT EVERY DISPOSAL AREA Depth To Bedo= >102" Sanding Water in the hole: None Weeping From Face 102" Paint Material Glacial DR Depth To Gramdwmc prima[d Seasonal High Groundwater. 33" SOILS EVALUATION FORM 4 DEEP OBSERVATION HOLE LOG Depth from Surface Mathes) Soil Haim Soil Texture (USDA) Soil Cola (Mumsell) Soil Marling Other (SBUdwe,su®,Boulders,Cm®3m%.% Gravel) 0-24- 24-33" 33-102" A import Bw C FSL FSL FSL I OYR 3/2 10YR4/4 25Y4/2 None None Distinct 20% 10YR4/4 Loose,Crumb,Many foots 5% gWru g Cobbles Massive,Extremely friable,Orrasional roots,5%subangular gravel. Massive,Friable,20%angular gravel •MINIMUM TWO HOLES REQUIRED AT EVERY DISPOSAL AREA Depth To Bedo= >102" Sanding Water in the hole: None Weeping From Face 102" Paint Material Glacial DR Depth To Gramdwmc prima[d Seasonal High Groundwater. 33" SOILS EVALUATION FORM 4 FORM 12 -PERCOLATION TEST Location Address or Lot No. 489 North Farms Rd,Northampton Date: 6/23/00 Name:Rothenberg Job No:00-048 COMMONWEALTH OF MASSACHUSETTS Northampton, Massachusetts Date: 6/23/00 Observation hole#: Depth of perc: Start pre-soak End pre-soak Time @ 12 PERCOLATION TEST Time: 12:50 pm 1 I Soils Homogenous Throughout the Site. r perc waived by BOB agent 52 :10 :25 •25 Time @ 9" 1:54 Time @ 6" 2:38 Time(9"-6) 44 minutes Rate minfinch 14 2/3 min/in SITE PASSED [X] SITE FAILED Performed By K. Christian Bovsen Witnessed By Peter McErlain Health Department,CSE Comments: SOILS EVALUATION FORM 5 LOCATION: 489 North Farms Rd Northampton,MA DETERMINATION FOR SEASONAL HIGH WATER TABLE METHOD USED: Depth observed standing in observation hole inches Depth weeping from side of observation hole inches Q Depth to soil mottles DEL # 1 43 inches D.H #2 33 inches Ground Water Adjustment feet Index well no. Reading date Index well level Adjustment factor Adjusted ground water level Depth of Nautrally Occurring Pervious Material DATE: 6/23/00 Nam Rothenbeg Job 3:00048 Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? Yes If not,what is the depth of naturally occurring pervious material? Certification I certify that in November, 1994 I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training,expe i an f. ce described in 310 CMR 15.017. Signature Date 6/26/00 SOILS EVALUATION FORM 6 sga coHer21 .: . it �!� 772 j",a sib _ r x ' �11f�� t adm 9 �rW AA 1-. t rnc%c I. PROJECT# CO-0V5 I USGS MAP: Mr l4ctx ca SCALE- I:Z5,0ca DATE: 199f 144ti, / I) Sheet of Land Solutions 2 Amherst Road Sunderland, MA 01375 Tel: 413 565-4777 •a w z C nt w w 0 O u PROJECT # CD•O`l5 FIRM MAP: SCALE. /,_ '%o DATE: note (0, /960 COMMUNITY PANEL#- WAD kaerNhypTO,V Sheet of 1,tJ Land Solutions 2 Amherst Road Sunderland, MA 01375 Tel: 413 665-4777 • ONAL`'WETLANDS INVENTORY IITED §TATS§ DEPARTMENT OF THE INTERIOR PF0114Y • FO \P 551E POWH PFOIE 'PF01/4E Pbou4E—� POW H--m€M€�� PFOIE P551E PFOIC PFOIE PF01/4E S E E PEME J i PFOIE P551E R30YYH WH ----0 PSSIE PF01E PEME PEON —rrPFOW P-IE R3OWH ' EOIE PON/Jj .;L; b j FAV�H fi3QWM t cir 1 PROJECT 4 OOO °Lib NATIONAL WETLANDS: MAP: HhsTNAN PrrN CJL:°°L SCALE. 1:04/cry DATE: 1978 IV� Sheet of Land Solutions 2 Amherst Road Sunderland, MA 01375 Tel: 413 665-4777 PRIORITY HABITATS OF RARE SPECIES For species protected under MA Endangered Species Act regulations (321 CMR 10) Note: NOT equivalent to Significant Habitat Effective October 1, 1999 through December 31, 2001 Produced by the Natural Heritage& Endangered Species Program, MA Division of Fisheries&Wildlife OK17Y NApITATS Of` KAMM SPCCI .S coS * : CO-0 V6 gpcoAD�/Jmo���d�.):; EfTNvMP7zrN Za-O /.'Z 55 coo LANP SOLWT IONS Z A t-I Ftt1ZST 1ZL. SU •Depcttlp MA- 0)376- (Yi )6bcV777 voice/r;�,e ESTIMATED HABITATS OF RARE WILDLIFE AND CERTIFIED VERNAL P For use with the MA Wetlands Protection Act regulations (310 CMR 10) Effective October 1, 1999 through December 31, 2001 Produced by the Natural Heritage& Endangered Species Program. MA Division of Fisheries&Wildlife 3 rIIktl�° .'L'1C'v /12*Th J iS1'r<rya'c% FS^ar i-&th r:.e 12& „ir ..s11naTr-fl RPSITkT5 os ,KAf ' 1Ln lrr s LO: co-c 1& NIPg7 QL)ap ) LV: ekSTN-atiPwv jipcTr: Zoo° ff CLKT Yr K!-1 ft:015 ' htib 591_UTIOIIS 2 Pch■ tK5T .)NC P r-Vc s (5l96b5.4777 vou.ElrrX. i:25, col> PROJECT oo oyg STREET MAP'. Sheet of Land Solutions 2 Amherst Road Sunderland, MA 01375 Tel: 413 665-4777 mow WO o ? oobro H N H w$ i�(( � I �'- v $ WI' � W-r Y* 'r r *1 1 � I a r ■ y Isl yL 6 c• ,, • p �I b '' � � �unpsbl .. � 8yy'^ �h ldllt ,a rq u a � ,(r: n �.___ skr 4 dY '0'jiir t ;fi r ' ° ,IS it;; 1 7: 4.} tia i� s �,L. OrP �r t :.tlm r ;„r ir. ! Z c, JA4 £�� F y . w 1p plr s r r 1 , �� ‘'5,I, Z l r� q � yt h It,: yI 4 L -0".ht 1S. d1 f 1 e 11 4 A. J� h4 I` t I 1 ' if (1 h t w 'r s AL cat 1Fx. r 1 r ..r 6 '�` Ir E a 1.,'‘... 'E `�Tf 1 $ Po �iR �+ im } i r T r �. ��� is �e r s II.f iN r, /( irh JW 3.w i21.1 ut fra-t'�` 'iPl. N t' tY �< t d : t( .sr ° lstsf An. i' r 6dd ey "' '' }i r , 1A yF 1 a .11 :„ AL,ii �r ill G { n �� ' � Ov fr — a,a r ,' I IA,`?r)-. A 'kyfl. 1 ,_ nom' jr R 'tt 1* ��( 1 ▪ a het, : . t P {ry" i y : tre . lti' 4 i, • -1144,E i ti 4 s �' et r t $!! 9� 1 s •r H 1,, Il.r• ' I I _ ?• 'Iq. co a-n. 1_. _Y � -s, ice__-l ,-�.7—.,• _. l 6,‘,N I/x•2\_ Y Cs' 0. N N "_ ^ n �!! � �” \C >\' ll V — 0. m V w V km V LOCATION CHARLTON Established Series Rev. RAS-EHS 4/87 CHARL I ON SERIES: CkB CmC CnB CT±MA NH NY RI CkC CmD CnD CnE CHARLTON SERIES The Charlton series consists of very deep, well drained loamy soils formed in friable or firm glacial till on uplands. They are nearly level to very steep soils on till plains and hills. Permeability is moderate or moderately rapid in the surface layer, subsoil, and substratum. Mean annual temperature is 50 degrees F. , and mean annual precipitation is 47 inches. TAXONOMIC CLASS: Coarse-loamy, mixed, mesic Typic Dystrochrepts TYPICAL PEDON: Charlton fine sandy loam - forested, very stony. (Colors are for moist soil. ) Oe--1 to 0 inches; black (10YR 2/1) partially decomposed forest litter. (0 to 2 inches thick) A--O to 3 inches; dark brown (10YR 3/3) fine sandy loam; weak fine granular structure; very friable; many fine roots; 5 percent gravel; very strongly acid; abrupt smooth boundary. (1 to 6 inches thick) Bwl--3 to 6 inches; dark brown (7 .5YR 4/4) fine sandy loam; weak coarse granular structure; very friable; many fine and medium roots; 5 percent gravel; very strongly acid; clear wavy boundary. Bw2--6 to 18 inches; yellowish brown (10YR 5/6) fine sandy loam; weak medium subangular blocky structure; very friable; common fine and medium roots; 10 percent gravel and cobbles; very strongly acid; clear wavy boundary. Bw3--18 to 26 inches; light olive brown (2 . 5Y 5/4) gravelly fine sandy loam; massive; very friable; few medium roots; 15 percent gravel and cobbles; very strongly acid; abrupt wavy boundary. (Combined thickness of the Bw horizon is 14 to 36 inches. ) C--26 to 65 inches; grayish brown (2 .5Y 5/2) gravelly fine sandy loam, thin lenses of loamy sand; massive; friable, some lenses firm; few medium roots; 25 percent gravel and cobbles ; strongly acid. TYPE LOCATION: New Haven County, Connecticut; southeast corner of the town of Middlebury, 450 feet south of Long Meadow Road, 50 feet west of second class road, and 400 feet northeast of a finger of Long Meadow Pond. RANGE IN CHARACTERISTICS: Thickness of the solum ranges from 20 to 38 inches. Depth to bedrock is commonly more than 6 feet. Rock fragments range from 5 to 35 percent by volume to a depth of 40 inches and up to 50 percent below 40 inches. Except where the surface layer is stony, the fragments are mostly subrounded gravel and typically make up 60 percent or more of the total rock fragments. Unless limed, reaction ranges from very strongly acid through moderately acid. The A horizon has hue of 7. 5YR or 10YR, value of 2 or 3 , and chroma of 1 through 3 . Disturbed pedons have an Ap horizon with value of 3 or 4 and PAGE 02 chroma of 2 through 4. The A or Ap horizon is sandy loam, fine sandy loam, or loam in the fine-earth fraction. It has weak or moderate granular structure and is friable or very friable. Some pedons have a thin E horizon below the A horizon. It has hue of 10YR or 2 . 5Y, value of 4 through 6 , and chroma of 1 through 3 . Texture, structure, and consistence are like the A horizon. The upper part of the Bw horizon has hue of 7 .5YR or 10YR and value and chroma of 4 through 6. The lower part of the Bw horizon has hue of 10YR or 2 .5Y and value and chroma of 4 through 6 . Fine-earth texture of the Bw horizon is loam, fine sandy loam, or sandy loam with less than 65 percent silt plus very fine sand. It has weak granular or subangular blocky structure, or it is massive. Consistence is friable or very friable. Some pedons have a thin BC horizon with value and chroma like the lower part of the Bw horizon, but includes hue of 5Y. The BC horizon has texture, structure, and consistence like the Bw horizon. The C horizon has hue of 10YR through 5Y, value of 4 through 6, and chroma of 2 through 6 . Texture is loam, fine sandy loam, or sandy loam in the fine-earth fraction, with pockets or thin lenses of loamy sand. The horizon is massive or it has weak plates. Consistence is very friable to firm. COMPETING SERIES: These are the A.mostow-n, Ashe, Bernardston, Broadbrook, Brookfield, Cardigan, Chatfield, Cheshire, Chestnut, Ditney, Dutchess, Edneyville, Fedscreek, Hazel, Lordstown, Maplecrest, Marrowbone, Maymead, Montauk, Nantucket, Newport, Paxton, Pollux, Riverhead, Satsop, Scituate, St. Albans , Steinsburg, Valois, Wethersfield, and Yalesville series in the same family. .Amostown and Pollux soils are underlain by stratified very fine sand or silt within a depth of 40 inches. Ashe, Cardigan, Chatfield, Ditney, Hazel, Lordstown, Marrowbone, Steinsburg, and Yalesville soils are 20 to 40 inches deep to bedrock. Bernardston, Eroadbrook, Montauk, Nantucket, Newport, Paxton, and Wethersfield soils have a dense substratum. Brookfield, Cheshire, and Maplecrest soils have 5YR or redder hue in the B horizon. Chestnut soils have weathered bedrock at a depth of 20 to 40 inches. Dutchess and St. Albans soils are dominated by rock fragments of slate, shale, or phyllite. Edneyville soils formed in residuum and have a C horizon of saprolite. Fedscreek soils formed in colluvium from sedimentary rocks. Maymead soils are formed in colluvium. Riverhead soils have a stratified sand and gravel substratum within a 40-inch depth. Satsop soils receive 60 to 80 inches of precipitation annually. Scituate soils have a dense substratum and are mottled in the lower part of the B horizon. Valois soils have rock fragments dominated by sandstone and siltstone. The Canton, Gloucester, Narragansett, and Sutton series are similar soils in related families. Ca and Narragansett soils have a coarse-loamy over sandy or sandy-skeletal particle-size control section. Gloucester soils are sandy-skeletal. Sutton soils have low chroma mottles within a 24-inch depth. GEOGRAPHIC SETTING: Charlton soils are nearly level to very steep soils on till plains and upland hills. Slopes range from 0 to 50 percent. The soils formed in acid glacial till derived mainly from schist, gneiss, or granite. Mean annual temperature ranges from 45 to 52 PAGE 03 degrees F. , mean annual precipitation ranges from 37 to 49 inches, and the growing season ranges from 115 to 185 days. GEOGRAPHICALLY ASSOCIATED SOILS: These are the competing Broadbrook, Brookfield, Canton, Chatfield, Gloucester, Montauk, Narragansett, Paxton, Scituate, and Sutton soils and the Acton, Essex, Hollis, Leicester, Rainbow, Ridgebury, Wapping, Whitman, and Woodbridge soils. The moderately well drained Sutton and the poorly drained Leicester soils are associated in a drainage sequence. Acton and Wapping soils are moderately well drained. Essex soils have a sandy particle-size control section and a dense substratum. Hollis soils have bedrock within a depth of 10 to 20 inches. Rainbow and Woodbridge soils are moderately well drained with a dense substratum. Ridgebury soils are poorly drained and have a dense substratum. Whitman soils are very poorly drained with a dense substratum. DRAINAGE AND PERMEABILITY: Well drained. Surface runoff is medium to rapid. Permeability is moderate or moderately rapid throughout. USE AND VEGETATION: Areas cleared of stones are used for cultivated crops, specialty crops, hay, and pasture. Many scattered areas are used for community development. Stony areas are mostly wooded. Common trees are red, white, and black oak, hickory, sugar maple, red maple, black and gray birch, white ash, beech, white pine, and hemlock. DISTRIBUTION AND EXTENT: Connecticut, Massachusetts, New Hampshire, New York, and Rhode Island. The series is of large extent. SERIES ESTABLISHED: Worcester County, Massachusetts, 1922. REMARKS: Diagnostic horizons and features recognized in this pedon are: 1. Ochric epipedon - the zone from 0 to 3 inches (A horizon) . 2 . Cambic horizon - the zone from 3 to 26 inches (Bw horizon) . 3 . Coarse-loamy particle-size class - the control section from 10 to 40 inches. National Cooperative Soil Survey U.S.A. I' Land Solutions 2 Amherst Rd Sunderland, MA 01375 00-048 -iao 9J5-fre Attn: Barry Rothenberg Endosed are the pert test results, soil profile descriptions and plans for 489 North Farms Rd, Northampton. Cc: Northampton Board of Health FORM 11-SOIL EVALUATOR FORM Page lOFS DM=6/Z1900 sac Rothenberg 'obi 00-03 LAND SOLUTIONS,TWO AMHERST ROAD,P.O.BOX 121, SUNDERLAND,MA 01375 VOICE & FAX(413) 665-4777 COMMONWEALTH OF MASSACHUSETTS Northampton,Massachusetts Soil Suitability Assessment For On-Site Sewage Disposal Performed By IC.Christian Boysen Witnessed By Peter McErlain Certification Date:Nov.1994 Date of Parc: 6/23/00 Location Address or Lot# 489 North Farms Rd. Northampton.MA Owner's Name:Barry Rothenberg Address: 489 North Farms Rd. Northampton Telephone: 586-4129 NEW CONSTRUCTION X Office Review: Published Soil Survey Available: Year Published 1980 Publication Scale Drainage class: II Soil Limitations: Surficial geological report Available: Yea Published 1991 Geological Material(Map Unit): ML Holyoke Landfonn:drumlin Flood Insurance Rate Map: Northampton,panel i41 Above 500 year flood boundary No Yes Hi Within 500 year flood boundary No U Yes Within 100 year flood boundary No Ed Yes Wetland Area National Wetland Inventory map(map unit) ' Easthampton,1978:no wetlands indicated Wetlands Conservancy Program Map(map unit) Current Water Resource Conditions(USGS): Month May,2000 Range Above Normal N Normal Below Normal RIP AIR Garage grinder to be removed No X Yes 1:15,840 Soil Map Unit: Hampshire Central,map#9 Changan soil No Yes X Publication Scale' 125,000 Other References Reviewed SOILS EVALUATION FORM I Sewage Disposal System Barry Rothenberg 489 North Farms Road Northampton,MA Sheet 41 of (V S Dwc ammo N .xaemcg Sob*:00-148 Location Address or Lot No. 489 North Farms Rd Northampton,MA ON-SITE REVIEW Deep Hole No.: 1 Date: 6/23/00 Time 1220 pm Location: See Site Plan 35'East of SE corner of dog pen,16'ESE of 12"Crabapple Land Use Mowed lawn Vegetation Grasses Landform Drumlin Position On L-Me,-apt: Eastern edge at top of drumlin Distances from: Open Water Body. >200 feet Drainagewey: >100 feet Possible Wet Area >100 feet Property Line: 150' feet Drinking Water Well: >200 feet Other town water DEEP OBSERVATION HOLE LOG Depth Em Sodas()ache) S®1 Hm= Sal Color (Mmeell) Soil Mottling Other (S4umae,atma.Baulders,Cmsittmcy, w Gravel) Soil That (USDA) 0-12" 12-31" 31-114" A import Bw C FSL FSL Fa 1YR 3/2 10184/4 2.5Y4/2 None None 41-43"=<5% 7.5YR5/6 43+"=>5% 10YR 4/4 10%subangolar gravel,Many fine roots,Loose,Crumb 10% sobangular gravel,Occ. roots,Massive,Friable Massive,Friable, 10%gravel, Cobbles,Stones to 18"dia MINIMUM TWO HOLES REQUIRED AT EVERY DISPOSAL AREA Pam M aiat Glad&TN Depth To Bedrock: >114- Depth To Gnmdenten Szabo;Wacatheholc. None Estimated Serval MphGramdwac 4r Z 31 > rs, 72.5 Bast pa 42" SOILS EVALUATION FORM 3 eying Fran Facc None Sewage Disposal System Barry Rothenberg 489 North Farms Road Northampton,MA Sheet 5 of it Location Address or Lot No. 489 North Farms Rd.Northampton.MA ON-SITE REVIEW Dme 623/00 Name Raimbeg aotB 00-044 Deep Hole No.: 2 Date: 6/23/00 Time: 1:00 Weather. 80 deg.prt cloudy pm Location: See Mte Plan SSE 50'from D111 Land Use: , Grasses Slope: 6% Surface Stones: None Vegetation Grasses Landform Drumlin Position On I*they)(sketch on back) Edge of drumlin Distances from_ Open Water Body >200 feet Drainageway. >100 feet Possible Wet Area >100 feet Property Line: >100 feet Drinking Water Well: >200 feet Other Town water DEEP OBSERVATION HOLE LOG Depth from Surface(ad, ) Soil Had= Sol Temre (USDA) Soil Color (Mmsdl) Soil Mathias Other (Structure,amq Boulders,Cmvmmry,% Gavel) 0-24- 24-33" 33-102- A import Bw C FSL FSL FSL IOYR 3/2 10YR4/4 2.5Y4/2 None None Distinct 20% 10YR4/4 Loose, Crumb,Many fine roots,5% subangular gravel,Cobbles Massive,Extremely friable,Occasional roots,5%subangular gravel. Massive,Friable,20%angular gravel •MINIMUM TWO HOLES HEW:RED AT EVERY DISPOSAL AREA Prom Material: Glacial Till Dq,lh To Grauselvalth Simliag Water in the hole Estimated Scathe!Wash Gramdwmc. 33- = 2:• S' = C.f. v-3 BAsa OP SPE N+A•bws Depth ToBdmck: nor SOILSEVALUATIONFORM 4 gq.a Weeping Em Fa= 102` Sewage Disposal System Barry Rothenberg 489 North Farms Road Northampton,tMA Sheet ter of/ ,t QZ FORM 12-PERCOLATION TEST Location Address or Lot No. 489 North Farms Rd.Northampton Data 6/23/0o Nat RothSnra Job Na:00045 COMMONWEALTH OF MASSACHUSETTS Northampton,Massachusetts PERCOLATION TEST Date: 6/23/00 Time: 12:50 pm Observation hole#: I Seas Homogenous Throughout the Sim r pert waved by BOH agent. Depth&pert: 52" Start presoak - 1:10 End pre-soak 1^S Time @ 12" 125 Time(3a 9" 1:54 Time @ 6" 238 Time(9"-6') 44 minutes Rate min/inch 14 2/3 mien SITE PASSED SITE FAILED Performed By IC Christian Boysen Witnessed By Peter McErlain Health Department,CSF Comments: Sewage Disposal System Barry Rothenberg 489 North Farms Road Northampton,MA Sheet tot//f SOILS EVA WA TION FORM S DATE: 62YW N®r.Yothmbee 03.048 LOCATION: 489 Nort MA DETERMINATION FOR SEASONAL HIGH WATER TABLE METHOD USED Depth observed standing in observation hole inche Depth weeping from side of observation hole - inches [ Depth to soil mottles Dial# 1 43 inches DEL#2 33 inches Ground Water Adjustment feet Index Index well no Reading date Index well level Adjustment factor Adjusted ground water level ile.ejr of N u 11v Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? Yes If not what is the depth of naturally occurring pervious material? Certification I certify that in November,1994 I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training expe ' an 1vt�: - : descnted in 310 CMR 15.017. Signature Date 6/26/00 Sewage Disposal System Barry Rothenberg 489 North Farms Road Northampton,MA Sheet 7 of/y SOILS EVALUATION FORM 6 Land Solutions 2 Amherst Rd. Sunderland, MA 01375 00-048 -7/28A10 9/site Attn: Barry Rothenberg Endosed are the pert test results, soil profile descriptions and plans for 489 North Farms Rd, Northampton. Cc: Northampton Board of Health FORM 11-SOR.EVALUATOR PORM Par 1015 1WS 6/2310: Mace RaNmbrta kb* 004 LAND SOLUTIONS,TWO AMH ERST ROAD,P.O.BOX 121, SUNDERLAND,MA 01375 VOICE &FAX(413) 665-4777 COMMONWEALTH OF MASSACHUSETTS Northampton,Massachusetts Soil Suitability Assessment For On-Site Sewage Disposal Performed By K.Christian Boysen Witnessed By Peter McErlain Certification Date: Nov.1994 Date of Pere 623/00 Location Address or Owners Name: Barry Rothenberg Lot at Address:489 North Farms Rd. Northampton 489 North Farms Rd. Northampton,MA Telephone: 586-4129 NEW CONSTRUCTION Office Review: Published Soil Survey Available: X REPAIR Garage grinder to be removed No X Yes Year Published 1980 Publication Scale: 1:15,840 Soil Map Unit: Hamprhlre Cermml,map 49 Cha,ieron soil Drainage class: II Soil Limitations: Stu-finial geological report Available: No Yes X Year Published: 1991 Publication Scale: 125,000 Geological Material(Map Unit): Mt.Holyoke Landform:drumlin Flood Insurance Rate Map: Northampton,panel#1 Above 500 year flood boundary No Yes El Within 500 year flood boundary No El Yes Within 100 year flood boundary No U Yes Wetland Area National Wetland Inventory map(map unit) ' Easthampton,1978:no wetlands indicated Wetlands Conservancy Program Map(map unit) Current Water Resource Conditions(USGS): Month: May,2000 Sewage Disposal System Range Above Normal E1 Normal Below Normal Barry Rothenberg 489 North Farms Road Northampton,MA Sheet 1 of t Other References Reviewed: SOILS EVALUATION FORM I DNc 623na Nano Rothenberg Job a:00048 Location Address or Lot No. 489 North Farms Rd Northampton.MA ON-SITE REVIEW Deep Hole No.: 1 Date: 623/00 Time: 12a0 pm Location: See Site Plan 35'East of SE corner of dog pen,16'ESE of 12"Crabapple Land Use: Mowed lawn Vegetation Grasses Landfarm Drumlin Position On Landscape:Eastern edge at top of drumlin Distances from: Open Water Body >200 feet Drainageway. >100 feet Possible Wet Area >100 feet Property Line 150' feet Drinking Water Well: >200 feet Other town water DEEP OBSERVATION HOLE LOG Dept from Surface(inches) Su)Babe) Sol ranee (USDA) Sal Cda (bhm.m) Soil Mooting Cthc (arumae.Omo.Boulders,Cmiemry. %Gravel) 0-12" 12-31" 31-114" A import Bw C FSL FSL FSL 1YR 3/2 10YR4/4 2.5Y4/2 None None 41-43"=<5% 7.5YR5/6 43+"=>5% 10YR 4/4 10%subangular gravel,Many fine roots,Loose,Crumb 10% subangniar gavel,0a. roots,Massive,Friable Massive,Friable, 10%gravel, Cobbles,Stones to 18"dia MBIIMUMTWO HOLES REQUIRED AT EVERY DISPOSAL AREA Parma Mrcisl Oral TN Depth To Gramdwate. $ratug Wat¢ie the hole, None EstbIlaed Smamal High Gmmdwaer. As- = 3.6` = @P. Y1•5 Depth To Bedrock >114" 94sc °1 42 y1 SOILS EVALUATION FORM 3 spins From,Face None Sewage Disposal System Barry Rothenberg 489 North Farms Road Northampton, Sheet 5 of `74.1 Location Address or Lot Na 489 North Farms Rd.Northampton.MA DAC 62ba Name Ramberg Jobth 00048 ON-SITE REVIEW Deep Bole No.: 2 Date: 6/23/00 Time: 1:00 Weather. 80 deg.prt.cloudy pm Location: See Site Plan SSE 50'from DB1 Land Use Grasses Slope. 6% Surface Stones: None Vegetation Grasses Landform Drumlin Position On Landscape(sketch on back) Edge of drumlin Distances front Open Water Body. >200 feet Drainage way >100 feet Possible Wet Area >100 feet Property Line: >100 feet Drinking Water Well: >200 feet Other Town water DEEP OBSERVATION HOLE LOG Depth Row 9'(lades) Soil Hauer Sol Those (USDA) Sol Color (Munson) Sail Mcellag Other (Stmmue,arms,Builders,Cmirtency.% Grata) 0-24" 24-33" 33-102- A import Bw C FSL ESL FSL 1OYR 3/2 10YR4/4 2.5Y4/2 None None Distinct 2Oa/ 1OYR4/4 Loose,Crumb,Many fine roots,5% subengular gravel,Cobbles Massive,Extremely friable,Orrasiona( roots,5%subangnlar gravel. Massive,Friable,20%angular gravel •MINIMUM TWO HOLES REQUIRED AT EVERY DISPOSAL ARV) rainMamac Gbdd 110 Depth To Groundwater: Sta&mg Warr m the bete None Fwimand Surmal Ei*Grumdwtc 33" 2• S = a ffY 3 Bantry Depth To Beim& >Or SOILS EVALUATION FORM 4 g.a Weeping From Face 102" Sewage Disposal System Barry Rothenberg 489 North Farms Road Northampton,�MA Sheet (o of/ ( 42 FORM 12-PERCOLATION TEST Location Addressor Lot No. 489 North Fauns Rd. Northampton COMMONWEALTH OF MASSACHUSETTS Northampton,Massachusetts DSc 62wa Nan Rotabna Job Not oo-c a PERCOLATION TEST Date: 623/00 Time: 12:50 pm Observation hole#: 1 Sills Homogeaoas Throughout the Site. 2's pee by BOH agent. Depth d'perc 52" Start pre-soak - 1:10 End pre-soak 1 25 Time @ 12" 1:25 Time @ 9" - 1:54 Time @ 6" 2:38 Time(9"-6") 44 minutes Rate min/inch 14 2/3 min/in SITE PASSED SITE FAILED Performed By IC Christian Hansen Witnessed By Peter McErlain Health Department.CSE Comments: Sewage Disposal System Barry Rothenberg 489 North Farms Road Northampton,MA Sheet SP-of/tf SOILS EVALUATION FORM 5 LOCATION: 489 North Farms Rd Northampton.MA DETERMINATION FOR SEASONAL HIGH WATER TABLE MEnAOD USED: Depth observed standing in observation hole inches Depth weeping from side of observation hole inches ❑X Depth to soil mottles D.R#1 43 inches DE#2 33 inches Ground Water Adjustment feet Index well no. Reading date Index well level DATE: 623100 N®eialbmbsa Jab*03-048 Adjustment factor Adjusted ground water level Desch of Naunally Occurring Pervious Material Does at least four feet of naturally marring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? Yes If not,what is the depth of naturally occurring pervious material? Certification I certify that in November, I994 I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training - - an j s.. - . described in 310 CMR 15.017. ZrairkTirrka Signature Date 6/26/00 SOILS EVALUATION FORM 6 Sewage Disposal System Barry Rothenberg 489 North Farms Road Northampton,MA Sheet 7 of/ Important:When filling out forms on the computer, use only the tab key to move your cursor-do not use the return key. MOD Commonwealth of Massachusetts City/Town of Northampton Form 9A - Application for Local Upgrade Approval DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use Form 9A is to be submitted to the Local Board of Health for the upgrade of a failed or nonconforming septic system with a design flow of less than 10,000 gpd, where full compliance, as defined in 310 CMR 15.404(1), is not feasible. System upgrades that cannot be performed in accordance with 310 CMR 15.404 and 15.405, or in full compliance with the requirements of 310 CMR 15.000, require a variance pursuant to 310 CMR 15.410 through 15.415 NOTE: Local upgrade approval shall not be granted for an upgrade proposal that includes the addition of a new design flow to a cesspool or privy, or the addition of a new design flow above the existing approved capacity of an on-site system constructed in accordance with either the 1978 Code or 310 CMR 15.000. A. Facility Information 1. Facility Name and Address. Barry Rothenberg Name 489 North Farms Road Street Address Northampton City/Town 2. Owner Name and Address Of different from above) Name Crtynown Zip Code 3. Type of Facility(check all that apply): Z Residential ❑ Institutional 4. Describe Facility: 4 bedroom house MA State Street Address State Telephone Number 01060 Zip Code ❑ Commercial ❑ School 5. Type of Existing System: ❑ Privy LI Cesspool(s) Z Conventional ❑ Other(describe below): Septic tank followed by leaching facility if unknown type 6. Type of soil absorption system (trenches, chambers, leach field, pits, etc): Unknown t5for9a•rev.7/06 Application for Local Upgrade Approval*Page 1 of 4 Commonwealth of Massachusetts City/Town of Northampton Form 9A - Application for Local Upgrade Approval DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. A. Facility Information (continued) 7. Design Flow per 310 CMR 15.203: Design flow of existing system: Design flow of proposed upgraded system Design flow of facility: 440 gpd 440 gpd 440 gpd B. Proposed Upgrade of System 1. Proposed upgrade is(check one): ® Voluntary ❑ Required by order, letter, etc. (attach copy) ❑ Required following inspection pursuant to 310 CMR 15.301: 2. Describe the proposed upgrade to the system: 1500 gallons septic tank with an leach bed 20 by 40 feet. date of inspection 3. Local Upgrade Approval is requested for(check all that apply): ❑ Reduction in setback(s)—describe reductions: ❑ Reduction in SAS area of up to 25%: SAS size,sq.R. %reduction ® Reduction in separation between the SAS and high groundwater: Separation reduction Percolation rate Depth to groundwater 1 ft @ 3 feet fl. 15 min./inch 2.8 ft ft. t5form9a•rev.7/06 Application for Local Upgrade Approval,Page 2 of 4 Commonwealth of Massachusetts City/Town of Northampton Form 9A - Application for Local Upgrade Approval DEP has provided this form for use by local Boards of Health. Other forms may be used but the information must be substantially the same as that provided here. Before using this form,check with your local Board of Health to determine the form they use. B. Proposed Upgrade of System (continued) ❑ Relocation of water supply well (explain): ❑ Reduction of 12-inch separation between inlet and outlet tees and high groundwater ❑ Use of only one deep hole in proposed disposal area ❑ Use of a sieve analysis as a substitute for a perc test ❑ Other requirements of 310 CMR 15.000 that cannot be met—describe and specify sections of the Code: If the proposed upgrade involves a reduction in the required separation between the bottom of the soil absorption system and the high groundwater elevation, an Approved Soil Evaluator must determine the high groundwater elevation pursuant to 310 CMR 15.405(1)(h)(1). The soil evaluator must be a member or agent of the local approving authority. High groundwater evaluation determined by: K Christian Boysen 6/23/2000 Evaluators Name(type or print) Signature Date of evaluation C. Explanation Explain why full compliance, as defined in 310 CMR 15.404(1), is not feasible. (Each section must be completed) 1. An upgraded system in full compliance with 310 CMR 15.000 is not feasible: 2. An alternative system approved pursuant to 310 CMR 15.283 to 15.288 is not feasible: t5fonn9a•rev.7/06 Application for Local Upgrade Approval Page 3 of 4 Commonwealth of Massachusetts City/Town of Northampton Form 9A - Application for Local Upgrade Approval DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use C. Explanation (continued) 3. A shared system is not feasible: 4. Connection to a public sewer is not feasible: Non available 5. The Application for Local Upgrade Approval must be accompanied by all of the following (check the appropriate boxes): ® Application for Disposal System Construction Permit ® Complete plans and specifications ® Site evaluation forms ❑ A list of abutters affected by reduced setbacks to private water supply wells or property lines. Provide proof that affected abutters have been notified pursuant to 310 CMR 15.405(2). ❑ Other(List): D. Certification "I, the facility owner, certify under penalty of law that this document and all attachments, to the best of my knowledge and belief, are true, accurate, and complete. I am aware that there may be significant consequences for submitting false information, including, but not limited to, penalties or fine and/or imprisonment for deliberate violations." Faci 7 Own= 's Signature Date 7/21//7 Barry Rothenberg Print Name Roland Dupuis July 29, 2009 Name of Preparer Date P.O. Box 474 Easthampton Preparers address City/Town Mass 01027 413 478 3861 State/ZIP Code Telephone t5form9a•rev.7/06 Application for Local Upgrade Approval* Page 4 of 4 Important:When filling out forms on the computer, use only the tab key to move your cursor-do not use the return key. Commonwealth of Massachusetts City/Town of Blandford Local Upgrade Approval Form 9B DEP has provided this form for use by local Boards of Health if they choose to do so. The Local Upgrade Approval is to be completed by the local Board of Health and a signed copy provided to the system owner. The system owner shall provide a copy of the Local Upgrade Approval to the appropriate Regional Office of the Department of Environmental Protection, Bureau of Resource Protection, Title 5 Permitting Program, upon issuance by the local approving authority and before commencement of construction. A. Facility Information Facility Name and Address Barry Rothenberg _ Name 489 North Farms Road Street Address Northampton MA 01060 City/Town State Zip Code 2. Owner Name and Address Of different from above) Name City/Town Street Address State 413 Zip Code 3. Type of Facility(check all that apply): ® Residential ❑ Institutional 4. Design flow per 310 CMR 15.203: 5. System Designer: P.O. Box 474 Address Telephone Number ❑ Commercial ❑ School 440 gpd Roland Dupuis Name Easthampton City/Town ® PE ❑ RS MA 01027 State,ZIP B. Approval 1. Local Upgrade Approval is granted for ❑ Reduction in setback(s)—specify: Septic Tank From House and Leach Field from House CMR 314.211 ❑ Reduction in SAS area of up to 25%: SAS size,sq.ft. %reduction tsfor9b•rev.5/02 Local Upgrade Approval Page 1 of 2 Commonwealth of Massachusetts City/Town of Blandford Local Upgrade Approval Form 9B B. Approval (continued) Z Reduction in separation between the SAS and high groundwater: Separation reduction 1 ft(c?3 feet Percolation rate 15 min/inch min.hnch Depth to groundwater 2.8 R. ❑ Relocation of water supply well (explain): List local variances granted not requiring DEP approval per 310 CMR 15.412(4): List variances granted requiring DEP approval: //o✓ ra 6oarc 6f Approving Autho *nee Pti 1∎17 Print or Type Name and Title' 9/Z=/' Date t5formgb•rev.5/02 Local Upgrade Approval Page 2 of 2 D3 Engineering Inc P 0 Box 474 Easthampton, MA 01027 413 478-3861 &413 586-2293 Fax 413 584-6590 Dcuded3@camcastnet Ellen Bokina Title 5 Inspector Board of Health Northampton Northampton, MA 01060 August 22, 2009 Re: Submittal of North Farms Rd Plan Dear Ms Bokina Thank you for meeting with me to discuss your letter dated June 19, 2009. I did not expect a letter but a telephone call. As a result I was late in replying to your letter. As discussed with you in person, my operating system on my computer went down and I had not backed up my data since February 2009. It took a while get everything back in order to allow me to work. The plans for North Farms were lost and needed to be redrawn. Attached please find two copies of the plans redrawn. The following are how I have addressed your comments found in your letter 19th of June: 1. Benchmark not disturbed during construction, within 75feet of facility The new septic tank is within 24 feet of the bench mark shown on the plan page 3. 2. Location of every water supply, public and private. There are no wells or public supplies within 200 ft of the proposed system. This was noted on page 1 and now on page 3 as well. 3. Location of water lines and other subsurface utilities.- The incoming public water line to the house is in the front and no other untilies are known to exist. 4. Distances noted house to tank, etc The distant from house to the tank is shown on page 3 5. Local upgrade request forms attached to plan A copy of the upgrade request form was hand delivered to you at our meeting in early August 6. Check calculations specifically ground water, base of stone and leach field elevations. Elevation are correct you misread my writing on the soil evaluation form which was hand written in. 7. Vent, show cross-sectional of piping There is no need for a vent, but the cross section of the field is shown on page 2 BOARD OF HEALTH MEMBERS JAY FLEITMAN,M.D.,Chair SUZANNE SMITH,M.D. XANTHI SCRIMGEOUR,MHE ,CHES Health Director PETER J.McERLAIN,R.S.,MPH Title 5 inspector (413)587-1214 FAX(413)587-1284 6-17-09 Roland Dupuis P.O. Box 474 Easthampton,MA 01027 CITY OF NORTHAMPTON RE: 489 North Fars Road,septic design plans Dear Mr.Dupuis: MASSACHUSETTS 01060 OFFICE OF THE BOARD OF HEALTH The following items are missing from the septic plans: 1. Benchmark not disturbed during construction, within 75feet of facility. 2. Location of every water supply,public and private. 3. Location of water lines and other subsurface utilities. 5. Distances noted house to tank,etc. 6. Local upgrade request forms attached to plan. 212 MAIN STREET NORTHAMPTON,MA 01060 Also, what is the reason for the 9 year gap,from perc test in 2000 until the current design plans? I am unable to locate any previous plans other than the perc results from 6-23-00. If you have questions please call me in my Amherst office at 413-259-3241. Thank you Sincerely, Ellen Bokina Title 5 Inspector ci 3 55 — ��1Y {�✓ �euc,6.Frld e\eYmhe, �i lD 5-c at I�`G"�` w X Sze. of -N0 „es 1 it qI +3 bc,.� Li( 5 Plan: HF. No v`tif1 'fa✓✓YK Nerrifig inn p fo.- 7 Application page attached to plan [ PR or RS sf athp date, signature - Variances t6 property line setback distances must have Surveyor Stamp .Y',jD i3 i R" l Legal boundaries noted n Easements noted [/Dwellings and buildings existing or proposed noted [-Q/tocation of driveway or parking areas, other impervious areas ❑ and dimensions of reserve area (new) CMR 15.248(1) j i . /0y (y) [� ystem design calculations [✓Garbage grinder.Y or N be Ya(cenn 00r ❑,Benchmark not disturbed during construction, within 75 feet of facil forth arrow CMR 15.200(4) (g) - _ Contours Deep hole location and data _✓Perc hole location and data E]< Elevations - Alt Names of approving authority and soil evaluator CMR 15.211 p. 49 ❑ Location of every water supply,public and private CMR 15.220(k) Within 400 feet of system incase of surface water and gravel packed public water supply Within 250 feet of system in case of tubular public water supply. Within 150 feet of private supply wells isd sera$:f 6, i. 55•1 l•a k Well statement if applicable - -Location of any surface waters, rivers, vegetated wetlands `y Location of water lines and other subsurface utilities - . Qbserved and adjusted ground water elevation in the vicinity of system 15 220 4 O(n) • _file of system , _, ocus plan to show location of facility, including nearest street Materials of construction and specs for system - Gas Baffle J 5; •7. V ["Pipe in center line of tank 310 CMR 15227, 15.06(8) Rpouble washed stone Schedule 40 PVC for trafficked areas,house to tank Distances noted from house to tank, etc. -If dosing is proposed, design and specs of dosing system When alternative technology is required, complete plan and specs, including hydraulic profile Trenches preferred over beds CMR 15.240 (6) Buoyancy calculations for tanks or components partly below 1120 table 15:221(8)p. 56 3 to 1 slope outside of mound,toe ending 5 feet from property line Local upgrade requests on the plan _ _ ,_ Local upgrade forms attached to application - Note on plan listing all variances sought in conjunction with the plan ��tab g✓cN rd N,C. NOTES. �—lJ. — .�P�'t'h +o ro-,Arai -waFe-✓ 4 f �Pn#. to •�0J W='�Fi�S q �M4C A 00144‘. Vitt — x g ar of r Cr Designed by: D /a 4 f UIS CHECK LIST FOR SEPTIC PLANS/l CMR15.220 (4)(q) To *vole„ Jlo e5 - 5 ,en04k€ C 7209 tau 'Hie( 1F1 vs-102 � haEl q3.7 33 -r bas e.3490tki k,,,se sine vial Itke Vii,. ,.Gitri ,:,'= ✓, Ha-0 BOARD OF HEALTH MEMBERS JAY FLEITMAN,M.D.,Chair SUZANNE SMITH,M.D. XANTHI SCRIMGEOUR,MHEd,CHES Health Director PETER J.McERLAIN,R.S.,MPH Title 5 Inspector (413)587-1214 FAX(413)587-1284 6-19-09 CITY OF NORTHAMPTON Roland Dupuis P.O.Box 474 Easthampton,MA 01027 RE: 489 North Farms Road,septic design plans MASSACHUSETTS 01060 OFFICE OF THE BOARD OF HEALTH Dear Mr.Dupuis: The following items are missing from the septic plans: 1. Benchmark not disturbed during construction,within 75feet of facility. 2. Location of every water supply,public and private. 3. Location of water lines and other subsurface utilities. 4. Distances noted house to tank,etc. 5. Local upgrade request forms attached to plan. 6. Check calculations specifically ground water,base of stone and leachfield elevations. 7. Vent, show cross-sectional of piping. 8. Show ties. 9. Make plan to scale. )0. Check spelling. Also what is the reason for the 9 year gap,from pert test in 2000 until the current design '��this address other than the pert results from 6-23-00 which you also submitted. Please resubmit the plans. Thank you. If you have questions please call me in my Amherst office at 413-259-3241. Sincerely, Ellen Bokina Title 5 Inspector I 212 MAIN STREET NORTHAMPTON,MA 01060 plans? I am unable to locate any previous plans Commonwealth of Massachusetts City/Town of Northampton Form 9A — Application for Local Upgrade Approval DEP has provided this form for use by local Boards of Health.Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Heakh to determine the tone they use. B. Proposed Upgrade of System (continued) ❑ Relocation of water supply well (explain): ❑ Reduction of 12-inch separation between inlet and outlet tees and high groundwater • Use of only one deep hole in proposed disposal area ❑ Use of a sieve analysis as a substitute for a pert test i] Other requirements of 310 CMR 15.000 that cannot be met—describe and specify sections of the Code: If the proposed upgrade involves a reduction in the required separation between the bottom of the soil absorption system and the high groundwater elevation, an Approved Soil Evaluator must determine the high groundwater elevation pursuant to 310 CMR 15.405(1)(h)(t). The soil evaluator must be a member or agent of the focal approving authority. High groundwater evaluation determined by: K Christian Boysen 62312000 Evak fs Name(type of print) Signal One Dare of evaluation - — - C. Explanation Explain why full compliance,as defined in 310 CMR 15A04(1), is not feasible. (Each section must be completed) An upgraded system in full compliance with 310 CMR 15.000 is not feasible: 2 An alternative system approved pursuant to 310 CMR 15.253 to 15.288 is not feasible: titp+cea-rev.7t5 yd 0€9tES E!4 Arnim:In::cal lt(Ppire ApxwaL Vaee 3 tt 4 suidnr puetou dee ao 50 of dos Commonwealth of Massachusetts City/Town of Northampton Form 9A - Application for Local Upgrade Approval DEP has provided this form for use by local Boards of Health.Other forms may be used, but the information must be substantially the same as that provided here- Before using this form, check with your local Board of Health to determine the form they use. C. Explanation (continued) 3. A shared system is not feasible: 4 Connection to a public sewer is not feasible: Non available 5. The Application for Local Upgrade Approval must be accompanied by all of the following (check the appropriate boxes): ® Application for Disposal System Construction Permit • Complete plans and specifications ® Site evaluation forms ❑ A list of abutters affected by reduced setbacks to private water supply wells or property lines. Provide proof that affected abutters have been notified pursuant to 310 CMR 15 405(2). ❑ Other(List): D. Certification "I the facility owner,certify under penalty of law that this document and all attachments, to the best of my knowledge and belief,are true,accurate,and complete I am aware that there may be significant consequences for submitting false information, including, but not limited to. penalties or tine and/or imprisonment for deliberate violations" Facility Owners Sgnalure Barry_Rothenberg Print Name Roland Dupuis Name c1 P¢peaer P.O. Box 474 Preparers address Mass 01027 Slate/ZIP Code psfalau? Dale July 29 2009 Dale Easthampton City/Town 41347838.61 Telephone t5ronr9a•rev.7106 Application for Local Upgrade Ancona*Page 4 of 4 gd 0659'795 EH; sindn0 puelo d€£.30 60 OL deg Commonwealth of Massachusetts City/Town of Blandford Local Upgrade Approval Form 9B B. Approval (continued) El Reduction in separation between the MS and high groundwater Separation reduction 1 it©3 feet t Percolation rate 15 minflnC11 mm.firclr Depth to groundwater 2.8 ft. ❑ Relocation of water supply well(explain): List local variances granted not requiring DEP approval per 310 CAR 15.412(4)_ List variances granted requiring DEP approval: owing A 4itict Pr,1.Dak aaste- Pint or Type Name and The nature t5form9b•rev.5/02 Loral Upgrade ppprovar Page 2 of 2 L d 0699-178S 844 smdnp pueioa dE£ZO €0 O4 des knporlant:When rddng eat twins on he com,uler. use nn'y die tab key to move your cursor-do not use the return key Commonwealth of Massachusetts City/Town of Northampton Local Upgrade Approval Form 9B DEP has provided this form for use by local Boards of Health if they choose to do so. The Local Upgrade Approval is to be completed by the local Board of Health and a signed copy provided to the system owner. The bystem owner shall provide a copy of the Local Upgrade Approval to the appropriate Region:Office of the Department of Environmental Protection, Bureau of Resource Protection,Title 5 Permitting Program,upon issuance by the local approving authority and before commencement of construction. A. Facility Information 1 Facility Name and Address Barry Rothenberg Name 489 North Farms Road Street Address Northampton MA Citytrcm State Z Owner Name and Address(if different from above): Name C Ply/Town Zip Code 3. Type of Facility(check all that apply)'. ® Residential institutional 4 Design flow per 310 CMR 15.203: 5. System Designer P.O. Box 474 Address Street Address State 413 Telephone Number ❑ Commercial fl School 440 gpd Roland Dupuis Name Easthampton Cdy,Tavn 01050 Zip Code ® PE ❑ RS MA 01027 State.ZP B. Approval 1. Local Upgrade Approval is granted for J Reduction in setback(s)—specify t5tangbr rev 5402 ad ❑ Reduction in SAS area of up to 25%: mg-vas £tb SAS sae,sg. %redLUjon Local Upgrade Approval.Page 1 of 2 smdna puepH d££'-ZO 50 Of des Important:When filling out fortes on the computer. use only the tab key to more your cursor-On not use the return key_ Commonwealth of Massachusetts City/Town of Northampton Form 9A — Application for Local Upgrade Approval DEP has provided this torn for use by local Boards of Health.Other forms may be used,but the information must be substantially the same as that provided here Before using this fmn, check with your local Board of Health to determine the form they use. Form 9A is to be submitted to the Local Board of Health for the upgrade of a failed or nonconforming septic system with a design flow of less than 10,000 gpd, where full compiatce, as defined in 310 CMR 15.404(1), is not feasible. System upgrades that cannot be performed in accordance wkh 310 CMR 15.404 and 15.405,or in full compliance with the requirement of 390 CMR 15.000, require a variance pursuant to 310 CMR 15.410 through 15_4/5. NOTE. Local upgrade approval shall not be granted for an upgrade proposal that includes the addition of a new design flow to a cesspool or privy,or the addition of a new design flow above the existing approved capacity on-site system constructed in accordance with either the 1978 Code or 310 CMR 151)00. A. Facility Information 1. Facility Name and Address: Barry Rothenberg Name 489 North Farms Road sheet Address Nortnamofm City/Town —.... 2. Owner Name and Address(if different from above): MA Stale Name Street Address Gay/Town —_— Zip Cate 3. Type of Facility(check all that apply): ® Residential 4. Describe Facility: 4 bedroom house Slate Tekpnone Number ❑ Institutional ❑ Commercial ❑ School 01060 Z p Code 5. Type of Existing System. ❑ Privy E Cesspool(s) Conventional ❑ Other(describe below): Suit tank followed by leaching facility if unknown type 6. Type of soil absorption system(trenches,chambers, leach field, pits, etc). Unknown 15fonn9e•rev 7/05 6 d 0693795 £L6 MPMation for Local Upgrade Approval*Page 1 of smdna puelcy dZ£.ZO 60 OL des Commonwealth of Massachusetts City/Town of Northampton Form 9A - Application for Local Upgrade Approval DEP has provided this form for use by focal Boards of Health. Other forms may be used, but the intorma1 n must be substantially the same as that provided here_ Before using this form,check with your local Board of Health to determine the form they use. A. Facility Information (continued) 7. Design Flow per 310 CMR 15.203: Design flow of existing system: Design flow of proposed upgraded system Design flow of facility: 440 gpd 440 owl 440 god B. Proposed Upgrade of System 1 Proposed upgrade is(check one). • Voluntary ❑ Required by order, letter,etc. (attach copy) ❑ Required following inspection pursuant to 310 CMR 15.301: 2. Describe the proposed upgrade to the system. 1500 gallons septic tank with an leach bed 20 by 40 feet date or inspection 3. Local Upgrade Approval is requested for(check all that apply): ❑ Reduction in setback(s)—describe reductions: tstonnea•rev. 7,06 ❑ Reduction in SAS area of up to 25%: sAS sae,sq.it • Reduction in separation between the SAS and high groundwater. Separation reduction Percolation rate Depth to groundwater £'d O6S9VBS LW 1 ft Qc 3 feet R. 15 min finch 2.8 ft ft. %redtclvn Applcatcn for lova;Upgrade Approval,Page 2 of 4 sindnp puepa dZ£:ZO 60 0L de8 D3 D3 Engineering Inc. P 0 Box 474 Easthampton, MA 01027 413 478-3861 8 413 5862293 Fax 413 584-6590 Fax Cover Sheet Date � Gob To 4/41`-3 }1 `( p bLocation/Department 4r4Ac..,h}cvi i}Gq L}-y , I From Representing ylr'Hieq hu`�( Message or brief instruction: 2-1W74 tir Nst5 'V &)5r 7 .37 )22-) Number of pages transmitted including this cover page 0559'785 El4 7 spdn0 puepa dZ£z0 50 01. deS 8. Show ties. I have the bench mark shown on page 3 9. Make plan to scale. Pages 1 and 3 have scales on them as shown. 10.Check spelling I apologies for the spelling errors but I believe I have corrected them. I will call you today at your office with the hope that you will get this at the B of H agenda this week so construction can begin in September. Thank you in advance for your quick attention to this matter. The items are as discussed at our meeting. Best,regrrds Roland Dupuis P.E. BOARD OF HEALTH MEMBERS JAY FLEITMAN,M.D.,Chair SUZANNE SMITH,M.D. XANTHI SCRIMGEOUR,MHEd,CHES Health Director PETER J.McERLAIN,R.S.,MPH Title 5 Inspector MEMO TO: DATE: RE: (413)587-1214 FAX(413)587-1284 CITY OF NORTHAMPTON Northampton Board of Health MASSACHUSETTS 01060 OFFICE OF THE BOARD OF HEALTH 212 MAIN STREET NORTHAMPTON,MA 01080 August 7,2009 Review of Application for Local Upgrade Approval and Plans for the construction ofa new Soil Absorption System at 489 North Farms Road,Northampton. SYSTEM OWNER: DESIGNER: SYSTEM DESCRIPTION: BACKGROUND Barry Rothenberg Roland Dupuis,PE Septic System Upgrade—Proposed new system to be gravity fed for a 4 bedroom single family house. Title 5,the State Environmental Code,310 CMR 15.000 Standard Requirements for On-site Sewage Treatment&Disposal Systems authorizes Boards of Health to issue Local Upgrade Approvals(LUA) when it is deemed necessary to repair/replace failed soil absorption systems on lots where conditions do not allow full compliance with the Code. An LUA must be voted upon/approved by the Board of Health during a legally posted meeting and would vary the application of the Code without the need to obtain a formal variance from DEP. LOCAL UPGRADE APPROVAL: The attached application for the Local Upgrade Approval seeks a one(I) foot reduction in the separation (from 4 feet to 3 feet)between the estimated seasonal high groundwater elevation and the bottom of the leach field. CONCLUSION: This is a reasonable and common request which will allow a gravity system to be installed;otherwise a pump would be required. This request is feasible and allowable. I therefore recommend issuance of the Local Upgrade Approval. Please feel free to contact me with any questions concerning this review. Thank you, Ellen Bokina.DC,MPH,RS Date BOARD OF HEALTH MEMBERS JAY FLEITMAN,M.D.,Chair MASSACHUSETTS 01060 SUZANNE SMITH,M.D. CITY OF NORTHAMPTON XANTHI SCRIMGEOUR,MHEd,CHES Health Director PETER J.MCERLAIN,R.S.,MPH Title 5 Inspector MEMO TO: DATE: RE: (413)557-1214 FAX(413)587-1264 Northampton Board of Health OFFICE OF THE BOARD OF HEALTH 212 MAIN STREET NORTHAMPTON,MA 01060 August 7,2009 Review of Application for Local Upgrade Approval and Plans for the construction of a new Soil Absorption System at 489 North Farms Road,Northampton. SYSTEM OWNER: DESIGNER: SYSTEM DESCRIPTION: BACKGROUND: LOCAL UPGRADE APPROVAL: CONCLUSION: Barry Rothenberg Roland Dupuis,PE Septic System Upgrade—Proposed new system to be gravity fed for a 4 bedroom single family house. Title 5,the State Environmental Code,310 CMR 15.000 Standard Requirements for On-site Sewage Treatment&Disposal Systems authorizes Boards of Health to issue Local Upgrade Approvals (LUA) when it is deemed necessary to repair/replace failed soil absorption systems on lots where conditions do not allow full compliance with the Code. An LUA must be voted upon/approved by the Board of Health during a legally posted meeting and would vary the application of the Code without the need to obtain a formal variance from DEP. The attached application for the Local Upgrade Approval seeks a one(I)foot reduction in the separation (from 4 feet to 3 feet)between the estimated seasonal high groundwater elevation and the bottom of the leach field. This is a reasonable and common request which will allow a gravity system to be installed;otherwise a pump would be required. This request is feasible and allowable. I therefore recommend issuance of the Local Upgrade Approval. Please feel free to contact me with any questions concerning this review. Thank you, Ellen Bokina,DC, MPH,RS Date D D'Engineering Inc P 0 Box 474 Easthampton, MA 01027 413 478-3881 &413 588-2293 Fax 413 5846590 Dcuded3@corncastnet Board of Health Northampton Northampton, MA 01060 Dear Board Members August 30, 2010 Re: Plan for repair Title 5 System 489 North Farms Rd Attached please find the following: 1. A copy of the AS Built plan for a replacement septic for 489 North Farms Rd. 2. Engineer & Contractor Sign off. If you have any questions on the plans please contact the undersigned at 413 478 3861. Thank you in advance for a rapid review of the plan. cc Barry Rothenberg BeeXpetia,R ooland The City of Northampton Title V Certification of Compliance TO BE FILLED OUT BY THE SYSTEM DESIGNER/CONTRACTOR DESIGNER/CONTRACTOR SIGN-OFF Pursuant to 310 CMR 15.0 of the State Environmental Code:Title V, Minimum Requirements for the Subsurface Disposal of Sanitary. Section 15.021 (3),the Designer of a system is required to sign this form as a condition for the issuance of a Board of Health Certificate of Compliance for the onsite septic system. This is to certify that the onsite sewage disposal system that I designed as: new construction X repair(existing system) at 489 North Farms Rd on August 9,2009 DWPC# address date has been construded in compliance with 310 CMR 15.00 and all local requirements. Any changes to the anginal approved plans have been reflected in the as-built plan that has been submitted to the Board of Health. Roland J.Dupuis (Print resigners name (Address) l4 JV t !g.ai August 26, 2010 (De igners s .Nre) / (Date) P.O. Box 474 Easthampton MA 01027 Robert Cennamo //././// (Contraactors na ) ( ct(C (Contractor ssignatu 340 East Mountain Road Westfield MA 01085 (Address) Auaust26 2010 (Date) NOTE This certification represents no warranty,expressed or implied as to the functioning or longevity of the on-site subsurface disposal system. Rather the plan and installation are in compliance with all applicable rules and regulations as are in effect at the time of plan submittal. THE COMMONWEALTH OF MASSACHUSETTS Nartilehm e TIDE J MASSACHUSETTS L :5teApplica inn for pispoosal $gstem Construction Permit Application is hereby made for a Permit to Construct ( )or Repair( ) an On-site Sewage Disposal System at: Location Address or Lot No. map? Ast29 '181 Napdrk Fus r tasial N I Yl TCl.no. Owner's Name,Address and Tel No. Bitty Rotbcn btry HBY arth rt-r*s A� hie Designer's Name: dares and Tel.No. 819 - buputs '%/3 Y78394) AEU)c omplary Of/4- Type of Building: Dwelling No. of Bedrooms Other Type of Building Other Fixtures 4, Garbage Grinder( No per Persons Showers( ) Cafeteria( ) Design Flow 9/P gallons per day. Calculated daily flow 990 Plan Date 5/?y/o l Number of sheets it/H5 Barry 8 4*t.6rry tan N. Frrras Description of Soil gallons. Revision Date Nature of Repairs or Iterations(Answer who;applicppble) chi"( Lich(Answer AL' ris tr.LfAsH T Date last inspected' Agreement: The undersigned agrees to ensure the construction and maintenance of the aforedescribed on-site sewage disposal system in accordance with the provisions of Titl 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has b n- ued i emu.rrrdd�ofHealth. Signed r°S e[ )gt A� Date 5L#9 Application Approved by Date Application Disapproved for the following reasons Permit No. 7..00 5 " g Date Issued THE COMMONWEALTH OF MASSACHUSETTS MASSACHUSETTS � IpficattIIf for piZpD88t ` )gstEm Ton%trUttion ltrmtt Application is hereby made for a Permit to Construct ( )or Repair F. FEE,Jd 1 ocation Address or t of No r 7 ist t Ij 1 7.) 11h Fit),Ale, installerk x Address. rd TelNo. i /24` Type of Building: Dwelling No. of Bedrooms No. per Persons Other Type of Building Other Fixtures it� gallons per day. Cl� d+ an On-site Sewage Disposal System at Owner's Name, Address and TeL No. B4rry RD-ti(,, Ij et- b? / NOtf 1 F4r*45 ) Alortte,n, Designer's Name: ddress and Tel No y/ . 7� � Lb ylolc. ,df bdpul`= P, a79 icy 01 ,4. esr Garbage Grinder( 11/0 Showers( I Cafeteria( Design Flow Plan Date — Title Description of Soil Calculated daily flow Revision Date U Number of sheets k Nature of Repairs or Alterations(Answer whe gallons. Date last inspected: The undersigned agrees to ensure the construction and maintenance of the aforedescribed on-sue ite sewage disposa system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has ben igsued byi floard of Health. S / 4L , - j PE-. Date Signed Application Approved by Application Disapproved for the following reasons Date Issued Permit No. Date THE COMMONWEALTH OF MASSACHUSETTS I i• MASSACHUSETTS Qertifieutr of Campfiance THIS IS TO CERTIFY, that the On-site Sewage Disposal System installed(k) or repaired;replaced( )on bl, for at has been constructed in .. _. accordance with the provisions of Title 5 and the for Disposal System Construction Permit No -( dated Use of this system is conditioned on compliance with the provisions set forth below: The issuance of this certificate shall not be construed as a guarantee that the system will function as designed. This Certificate expires on DATE Inspector THE COMMONWEALTH OF MASSACHUSETTS MASSACHUSETTS !ispasul c*gstem Construction Permit --(77,1-/I Permission is hereby grant to to construct( ) or repair(/ an On-site Sewage System located at and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. All construction must be completed within three years of the date below. j DATE — Approved by FORM 1259 Rev.3^5 A.M.W SKIN CO.-BOSTON.MA