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89 Septic Inspection 1997 TIMOTHY E. MAGINNIS, RS Environmental Consultant• Registered Sanitarian 70 Montague Road Westhampton, MA 01027 (413) 527-5291 Ms. Barbara A. Demerski Associate Broker Goggins Real Estate 226 King Street Northampton, MA 01060 Re, Northampton - Title-V inspection 89 Westhampton Road February 22, 1996 Dear Ms. Demerski: On February 20, 1997, 1 conducted an inspection of the individual subsurface sewage disposal system at 89 Westhampton Road in Northampton, MA. Enclosed for your records please find a completed inspection report. Based on this inspection 1 have not found any evidence that would indicate that the system is failing to protect public health or the environment. In my opinion, the system does not violate any of the failure criteria as defined in the State Sanitary Code Title-V. However, I recommend that the system be pumped at least once a year in the future— If you have any questions or would like any additional information please contact me at the above address. Very truly yo I Ismeo Timoth Jc.c. Northampton Board of Health rs; '' tin9 s-R S. Wiliam F. Weld Argo* CNlucci Comrnonweotth of Massachusetts Executive Office of Environmental Affairs Department of Environmental Protection Trudy Con boa" D•Nd B. Snits SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION roPerty Add,e.c �� I/JE - -.tnp?—IV �iUP Address of onven de'dri.peouo6 sea. QC) IGgI7 Cif different Inspector T�n.��sir-:./ c. 1v:CM hIN,S omp•ny Name,Adds. and Telephone Nuns sc.. 170 NIVAT'1Kdia ILJlt� C.tn rtMi?Jn1, /rn.q (4S)Gf.) - S-�`i ! RECTIFICATION STATEMENT certify that I lure personally inspected the sewage disposal system at this . , t the information reported below is tn.,.00my d complete as of the time of inspection_ The inspection was performed .:.'. - ..... . .d experience in the proper functlw and •intenance of on-site sewage dispoW systems. The system: Passes _ Conditionally Passe. Needs Further Evaluation By the Local App Fail. as specter's Signature: U. . t -. Y�`q q'\."'fit'cv ®-•y\ EC ISf�R' \ ,AV AN il �I CI F,c1. f/� J • System Inspector.hell submit• portion. If the system flow m the 0 glad orng Authority inspector or an (501 days of completing r sha this system is•shared system ere • flow it 10,000 glad carter, this inspotor sd the system owner shall submit the t�to�appropriate regional odors of the Department of EvvinameoMl Protection. • original should be sent to the system owner ad copies sent to the buyer.if applicable and the approving authority. SPEC'I'ION SUMMARY: Check A B, C, or D. SYSTEM PASSES: I have not bud any information which indicates that the system violates any of the tailors criteria as defined in 310 CMB 15.303 Any failure criteria ant evaluated are idicated below. SYSTEM CONDITIONALLY PASSES: _ One or more system components need to be replaced or repaired The system, upon completion of the repl.cament or repair, parr inspection.. (irate yr, no, or net determined(Y, N,or ND). Describe basis of determination in all instances. If'not determined'. erplun why not) Tb•septic tank u metal, cracked structurally unsound than substantial infiltration or aHitntiom or tank 4:]un is ® raiment. The system will pass inspection if the existing septic tank is replaced with .yoforroing septic tank u •ppmed by the Board of Health. sited 11/03/95) 1 On•Winter Street • Boston,Massachusetts 02106 • FM(617) 5561019 • Telephone (617)292-5500 0 SAES w ea.n,a.a>n SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Addreen e`l (.lRu4yf/$'HJko/J Owoor. [JR. ` .VCY,j {'UK Dote of Inspection: 2-w -5rj' BI SYSTEM CONDITIONALLY PASSES Icantiauedl Pf)Ru _ Nt r of iYlpiu�i Xv( Sewage backup or breakout or high static water level observed in the distribution box is due to bro. roken or districted pipe(.) or due to•broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health). broken pipe(.)an replaced __ obstruction is removed __ distribution bin is levelled or replaced The system required pumping more than tour times a year due to broken or obstructed pip.(.). TS*system will pass inspection if(`nth approval of the Board of Health): broken pipet)are replaced obstruction is removed CI FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: Condit ions gist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT. - Cesspool or privy u within 50 feet of•surface water - Cesspool or privy is within 50 feet of a bordering vegetated wetland or• salt marsh. I) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER,IF APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT. - -The system has a 'septic tank sad soil absorption system and is within 100 fest to• surface water nipple or tributary to a surface water supply- _ has system h • septic tank and soil absorption system and u within•Zone I of•public water apply well. The system has• septic tank and soil absorption system and is within 50 feet of•private water supply w.I The system hue septic tank and soil absorption system and is less than 100 feet but 50 het or mon from•private water supply wall, unless • web water analysts for conform bacteria and volatile organic mmpourds indicates that the wen is free - from pollution from that facility and the presence of ammonia nitrogen sod nitrate nitrogen u equal tom tin than 5 ppm E OTHER revised 11/07/95) 2 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION loontiaued) roperty Add,eec. 8<f H/,nn o.Ail —ua(zi 1 If\AC)Oh, AkA. weer e- ate of Inspection: ''IIVcX/ X I SYSTEM FAILS: I hen determined that the system violater one or more of the following this determination u identified below. The Board of Heahb should be contacted r t..b in 310 ChM ns 15.303. The basis e ke failwe. determine.hat .ill be mmsaary m correct the &i` Backup of sewage into facility or system component due to an overloaded or dogged SAS or cesspool. i Discharge or ponding of effluent to the surface or the ground or surface waters doe to an overloaded or clogged SAS or Static liquid level in the distribution bur above outlet invert due to an overloaded a slogged SAS or crrpooL Liquid depth In cesspool is leas than 6 below invert or available volume is esa Nan 1/2 day pow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipets.). Number of time pumped Any portion of the Soil Absorption System, .pool or privy is below the high gramdwater elevation. Any pinion of•cesspool or privy is within 100 feet of a surface water supply or tributary to a surf a water ruppb. Any portion of•cesspool or privy is within •Zone I of•public we11. Any portion of•res.pol or privy is within 50 feet of•private water supply welt Any portion of•cesspool or privy u less than 100 feet but greater than 50 feet loom•private water supply well with no coc pia k water qty analysis. If the well has been analyzed to be acceptable,attach copy of well water analysis for ii.voatile organic compounds, ammonia nitrogen and nitrate nitrogen. • LARGE SYSTEM FAILS: The following criteria apply to Inge systems in addition to the criteria above The 8N/retry-serves•fealty with.design flow of 10.000 gpd or greater(Large System)and the system is • e th and safety and the environment because one or more of the folly significant threat to public following conditions ear. SA system is within 400 feet of•surface drinking water supply the system is within 200 feet of tributary to•surface drinking water supply the system is located in• nitrogen sensitive area (Interim Wellhead Protection Ana (IWPA)or• mapped Zone D of•puhhc water supply we0) owner or operator of any such system shell bring the system and insets of 314 CMR 5.00 and 6.00. Please consult the local regional facility into of the Department� �wmat on- pertinent ire further information. iced 11/03/95) 3 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST .. Pre Perty Addre.c �`� l/JCmjl ft,AAfiVaso) KJhb —N. ciit-ii,ANA3M) V11VA Owner. (SR `_•IitJE ) u Date of InspeoOon: tree. 1.R Check if ib following have been done: VPumping information was requested of the owner, occupant, and Board of Health. None of the system components have been pumped for at but two weeks and the system has been receiving normal Bow rats -1 IN� during that period. Large volumes of water have introduced root been introduced into the system recently atly or put of this inspection. ' +As built plans have been obtained and examined. Note if they are not available with N/A ✓The facility or dwelling was inspected for signs of sewage beck-up. ✓ The stem does not naive ncneanhary or industrial waste floviPoZ..G rJJ�.ft� JNL-) ✓The site was inspected for signs of breakout. All system components,excluding the Soil Absorption System, have been located on the site. ✓The septic tank mho. anholes were uncovered, opened, and the interior of the septic tank was inspected for condition of bf0es or tees, material of construction,dimensions, depth of liquid,depth of sludge,depth of s vin / v' Tha size and location of the Soil Absorption System on the site hoe been determined based on existing information or approximated by con-intrusive methods. The facility owner(and occupants,if different from owner)were provided with information on the proper maintenance of Sub SurLce Disposal System. revised 11/03/95) 1 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION roperty Address: 8,9 W41 ETS.Thfrnk wnen DIL S76.) 1J ate of Inspection E9IDENTfAL• ✓igs flow gallons umber ofbedrooma .9 umber of current residents ✓ALn.)).1 whose grinder(yes or non_VS L =dry connected to system or m). /f L *monad use(yes or m):�© Z� star meter readings if available: Nil wec- & -It -Ok rbvfl FLOW CONDmoNs it date of occupancy: I‘..) --A-rthAAB/SC N`%b 1MMERCIAL/INDUSTRIAL �Irl lee of establishment: sign flow: ealIon✓day ease trap present: (yes or m)_ `f Inserts'Waste Holding Task present (yes or m)_ naanrtary waste discharged to the Title 5 system. (yes or not_ air meter reading., if salable: it date ofoocupancy:__ HER: (Desert) it date of octopus, GENERAL INFORMATION MPLNG RECORDS and source of information: SYSTEA4 Pt'mpep J 4 yRs. S4J System pumped as pan of its2�eec�ttion. (yes or no).*5 D yea, volume pumped: 3/W)O yellow Reason for Pnmpier Resat esYgre. -rRANsptiz PE OF SYSTEM _ Septic .sin stela __ be n " d absorption system 5irzF I+ Single cesspool OsarOow cesspool Privy Shared system(yes or m) (if yes, sttech previau inspection records, if any) Other(explaiol R.nylr3o fay : 5:.,,,,t -v j Sot ti t&ti s'4 ?ROXIMATE AGE of W components, date installed at known)and source of information 'age odor. detected when arriving at the site (yea or m) N LJ Wised 11/03/95) S _T 17j �:a:-1k-: SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (oontlnued) Property Address 8j l,jGS M,.nAcil,.Q RYAS -1IorCHAAfji- iAAT per: v2,Siev�i., Date of Inspection: SEPTIC TANK ;locate on site plan) 1( Depth below pede.._ i'� Material of mnrrruction: '/mnmefe metal_FRP_otSe$mplsin) Dimensions: j :1 ' oe (, (o x 4 Sc „+) oi1,- 31t depth: _T" Distance from top of phudge to bottom of outlet tee or baffle. Sam thickness. h/7i /, Tetam from top of.cu to top of outlet en or belle. %J�y I I,, Team from bosom of scum to bottom of outlet tee or baf➢e.A I L1 .omments: recommendation for pumping, condition of inlet and outlet ten or boffin,depth of liquid level in relation to outlet Maven, structural intgity, Mcleod,of leakage, etc.) F!e•;( Cm Akry-4) Roa))fi( I-4JAN),A)41 3REASE TRAP. N/ locate on site plan) kpth below grebe._ Material of once Lion: o cptrete metal_FRP_other(ezplain) Sewn[hackman:_ Notate*from top of atom to to of outlet the or baffle. 3letancs hum team of scum bottom of outlet tee or baffle :ommenu recommendation for pumping nidem of leaky. Mc.) ndition of inlet and outlet tin ar baffle. depth of liquid )trek u relation to outlet invert, structural integrity, revised 11/03/95) 6 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) roperty Addreem 57 LVb fleet ate oflnrpeotioo: r CI in-`.11 OAi, eN ok Y L-4:i t5,'7 IGHT OR HOLDING TANK_ rate m site plan) tpeb below grade:_ M arW of entwine. ction: m A _FRP_ather(oplain) me>siou: peaty- gallons Pain flow: gallons/day arm level: minion of Wet tee, condition of alarm and STRIBUTION$OX_ ate on site plan) ptb of liquid level above outlet invert: mmenta: se if level sad distrthrtion is equal, m of solids carryover. evidence of leakage into or oui of boa,etc.) IMP CHAMBER ate on tits plan) rape in working otder(yes or no)_ Hens: to condition of pump chamber,mrdition f pumps and•ppurtenances etc) "tilled 11/03/95) 1 (S6/40/u Pal laao I n. 'aopnaln Jo nogrycoo in4P00d m Iw7'a"`pn 0Rnv+PC41 10 rata 110.10 00!?Pnna non) :nnvmmM 444100 10 gda( avopnami0 :ngy U zan4 Ma'am/ (dMd rpm .noM —:AAM, 1"7). Vo!Ina/an J0 no414P4103 '1147410d 10 taAat 'IotraJ 04144+PA11 10 rdt• 41044744400 non) :nnamno, (noryvdam 10 vvd n pdmM q m (oodnc)sop a "'la -P7nCla l0 nopr"Po cmvnnnm 10'Mann /codas,J0 anop0amy Jail UM.N gdal it'P.M Jo 444.1 m vim an Pmin/Jo do-g4. nagamlpnoa Pun,agmry no n aq mid ea - �ICJ (— S100dSSII, wpc, N(V - �r�^i,rz)IS d�n - �f; j a:v.�• `.{1 1� �J(� of 1 Inc .i )•�> 1!Y'I e/'b JTf 47 Q? Y .gaa X9(1 t .N f»anonnals.J0 acnryuw TAnpuod Jo IW 1.117% alins+P1g Je .vA. rm Jo vonlpvm am) :nv.mt0; —:vacant 1ood.an raven, rr T�l 1A 1((/' ' '??C) :anoaanamry 'nagmnn '.p/q 10!44,.'1 �QE C)� �J'1 rJ�'�c' p 4tB?ai agmnn wgwu�fiq-nol p TJ Z. aa9mno •aa+apd 1o'g>4• lv•gmnn 'ugmago 14unram ea, -0 i - i-n X rn S 6 1. O 1 c� »-n1 ,i,o/7 "(FE" > brr.i np(dn`nand q n P.Ofmnwp Ion J lvpog,.m wmgm.uo 6q pynmmrdda q Am IN • almb.a,on nonnron'MQaaod p 'avid am no n ool /l/ 16Y6) IYaIHAB N0LGd11069Y 7104 –2 mgovdnl Jo nvC M r"Jr`�I 5 21C vva� IV2_Chvbili 71.4'N - CVJO� N2.1(Y-4 l(t'1 113 PVVX,•.eo+` (Panngdoo) NOLLVWHOL.NI W316A6 0 1HVd WHOA NOLL03d6NI W3.16A6 7Y60d610 30VM36 30VaHf169f16 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (ooetinued) WIT Adarw.F FOX RESIDENCE 89 WESTNAMPTON ROAD - NORTHAMPTON,- nr: N1A. S7;VEni Fax e of Idpaotbm 2-ZG-47 7C8 OF SEWAGE DISPOSAL SYSTEM: include tide to at least two permanent reference/landmark.or benchmark. locate J]welt within I00' EX/STING LFACTIING PIT(28'BELOW GRADE) EXISTING±1800 GALLON SEPTIC TANK 4 "SOLID PIPE to,\mH OF 444%.\1e TIMOTHY E. MAGINNIS `^ No.982 AFCISTE%e N S4 NIT PO' TOE OF SLOPE 0' i (5 `os 1 17 3 1i T �c?o ca: GARAGE BULKHEAD TM TO GROUNDWATER h to pmmdwater¥bet od of determination or approima : /N5124-CT)OAl aF C&LAfS C ORy) - ON 5/T?' V "CiL rsTICVJ - (.p t' pJ cl O EXISTING 2 BEDROOM HOUSE ± 78 ' PLAN VIEW WESTHAMPTON ROAD (RT. 66) lied 11/03/95) 9