15 Septic Inspection 1995 HUNTLEY
ALMER HUNTLEY, JR. & ASSOCIATES, INC.
SURVEYORS • ENGINEERS • LANDSCAPE ARCHITECTS
May 9, 1995
Mr. Peter McErlain
Board of Health
City Hall
210 Main Sheet
Northampton, MA 01060
Dear Mr. McErlain:
Enclosed is a copy of the Subsurface Sewage Disposal System Inspection report for the property
at 15 Westhampton Road.
If you have any questions, please contact us.
Sincerely,
ALMER HUNTLEY,JR. & ASSOCIATES, INC.
mer M. Huntley, Jr., P.E.
President
AMH:ctp
Enclosure
125\n72-02.1.t
30 Industrial Drive East • P.O. Box 568 • Northampton,MA 01061 • (413) 584-7444 • FAX (413) 586-9159
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
SYSTEM INFORMATION
FLOW CONDITIONS
If residential
µr
t/ number of bedrooms
S number Ot Current residents
garbage grinder, yes or no
ES laundry connected to system, yes or no
4 O . seasonal use, yes or no
If nonresidential, calculated flow:
Water meter readings, if available:
.?Yell#O Last date of occupancy
ATT/Nt of,/L'9/ECrA,A,
GENERAL INFORMATION
Pumping records and source of information:
ocour en) C/TYof a,rtio.e-7pDj , r&neoo,t //A9Ftrt1
YES System pumped as part of inspection, yes or no
if yes, volume pumped /SOD t,9[ 'r
Reason for pumping:
)P5PEC7 ,0A) bf >'/`},vk. 044FG�S
Type of system
J Septic tank/distribution box/soil absorption system
Single cesspool
Overflow cesspool -
Privy
110 Shared system (yes or no) (if yes, attach previous inspection
records, if any) '
Other (explain)
Approximate age of all components. Date installed, if known. Source of
information:
S rpr/r 7»yJC' - /gale f SAS -Cove /5e77
A h Sewage odors detected when arriving at the site, yes or no
ssDS %5-/ao
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
,(20gr tenW,,yQ
Tess of property /54!..,6 57LlI7HPW'U Rt'8
ar's name ,ZE6 Vi
a of Inspection Amp 3 t5c /ors—
PART A
CHECKLIST
:k if the following have been done:
_ Pumping information was requested of the owner, , an of
Health.
I MAY Y 0 i9Q--) L l
j
NOMNAMPION bDAND OF HEALTH
7
_ None of the system components have been pumped for at least two weeks
and the system has been receiving normal flow rates during that
period. Large volumes of water have not been introduced into the
system recently or as part 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 back-up.
_ The site was inspected for signs of breakout.
_ All system components, excluding the SAS, have been located on the
site.
_ The septic tank manholes were uncovered, opened, and the interior of
the septic tank was inspected for condition of baffles or tees,
material of construction, dimensions, depth of liquid, depth of
sludge, depth of. scum. _
_ The size and location of the SAS on the site has been determined based
on existing information or approximated by non-intrusive methods.
The facility owner (and occupants, if different from owner) were
provided with •information on the proper maintenance of SSDS.
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
SYSTEM INFORMATION continued
SOIL ABSORPTION SYSTEM (SAS) 211e-44/4-211e-44/4-76- P17-5 (2 GI9LLa,('S,
(locate on site plan, if possible; excavation not required, but may be
approximated by non-intrusive methods)
If not determined to be present, explain:
Type.
leaching
leaching
leaching
leaching
leaching
overflow
pits and number
chambers and number
galleries and number
trenches, number, length
fields, number, dimensions
cesspool, number
Comments:
(note condition of soil,
condition of vegetation,
p)c M.41 34- P/7-
02
signs of hydraulic failure, level of ponding,
recommendations for maintenance or repairs,et
fi ;L/ /7F EFFL/I FAST. S.(�rAlS /J� �SI.O/N-OG
CESSPOOLS (locate on site plan) :
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 (cesspool must be pumped as
part of inspection)
Comments:
(note condition of soil, signs of hydraulic failure, level of ponding,
condition of vegetation, recommendations for maintenance or repairs,etc
PRIVY:
(locate on site plan)
materials of construction
dimensions
depth of solids
Comments:
(note condition of soil, signs of hydraulic failure, level of ponding,
condition of vegetation, recommendations for maintenance or repairs,etc,
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
SYSTEM INFORMATION continued
rIC TANK:137;o Cove'Q67F
:ate on site plan)
th below grade: 12"i'
arial of construction: )L concrete _metal _FRP
9
other(explain)
znsions: Sn9D PAtD 5/ 2£ /d Sr., 4J
sludge depth
t distance from top of
C scum thickness
distance from top of
G distance from bottom
sludge to bottom of outlet tee or baffle
scum to top of outlet tee or baffle
of scum to bottom of outlet tee or baffle
nents:
:ommendation for pumping, condition of inlet and outlet tees or baffles,
th of liquid level in relation to outlet invert, structural integrity,
fence of leakage, recommendations for repairs, etc. )
VV LL ET 7EC Ok' y /9vrZfr /-IAS 1"3fFFL E • iV�"Fbs yve c20.2.
95-17'F/ ED
rRIBUTION BOX: X COvcn .NOT Lot'9rt 'PO sir pgoO St, ere,
:ate on site plan)
depth of liquid level above outlet invert
vents:
be if level and distribution is equal, evidence of solids carryover,
Jenne of leakage into or out of box, recommendation for repairs, etc.)
/1Frre L-xa-/k/9/k T/fr ram 1F'AAAN//7.S- r1/y' f, irAtaleFARs
9 r 7?jf' Wiips,vr IS nor f3FlaPrr pne.c:Pl3 vu 177?/Do P .14-7-771E
'Cr 2.6:r et)C.)r A29.--'131 Fir /5 F/1/L t fr FA",r'E C. r*' O7.4
C f�r/'F_1/?/AJ G vpn .4/7-7-ASL'fF4 OC.cr D/57;" Sax are-DS 715
,PE-tcvtt-fib AND ?Mir 72) 4447-4-rt/ Fit cHre/eto Foe -pi RE7tKn6-E.
P CHAMBER:
=ate on site plan)
L_ pumps in working order, yes or no
vents:
to condition of pump chamber, condition of pumps and appurtenances,
nmmendations for maintenance or repairs,etc. )
p&HP IL)PEIKJA)C- 41{. D>QAW 7,40)A oft" A )6 ?,Pzr, Fla-KS
•144,sp vrr_D
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
FAILURE CRITERIA
Indicate yes, no, or not determined (Y, N, or ND) . Describe basis of
determination in all instances. If "not determined", explain why not)
ADD Backup of sewage into facility?
Y Discharge or ponding of effluent to the surface of the round or
.
surface waters? 5// 0,C4 'S) 3b'49/GG- SMELL j,�j So/L)
S/%o.OG-y
X171? Static liquid level in the distribution box above outlet invert?
CovLD 1v0r 1oCRrre D -BoX.
Liquid depth in cesspool <6" below invert or available volume< 1/2
flow? AX7 LESS Art-
A) Required pumping 4 times or more in the last year?
number of times pumped
» Septic tank is metal? cracked? structurally unsound? substantial
infiltration? substantial exfiltration? tank failure imminent?
r ' Is any portion of the SAS, cesspool or privy:
n/ below the high groundwater elevation?
'V within 50 feet of a surface water?
A) within 100 feet of a surface water supply or tributary to a surface
water supply?
A) within a Zone I of a public well?
within 50 feet of a bordering vegetated wetland or salt marsh
(cesspools and privies only, not the SAS) ?
4) within 50 feet of a private water supply well?
N less than 100 feet but greater than 50 feet from a private water
supply well with no acceptable water quality analysis? If the well
has been analyzed to be acceptable, attach copy of well water analys
for coliform bacteria, volatile organic compounds, ammonia nitrogen
and nitrate nitrogen.
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
SYSTEM INFORMATION continued
CCH OF SEWAGE L=SPOSAL SYSTEM:
.ude ties to at least two permanent references landmarks or benchmarks
'to all wells within 100 '
sepo -
N6 f r
11
C%rr 10 rte.
,UD p1e/v#7t tv&ZLS.
Soo G�.e .
�c e �j teizXo�e P�r
^� I
- 7201(
COOT F00 AUD3
a
'H TO GROUNDWATER
;Gn
y(%HP C'ri PHIV-E
,89-0D RISER f2' RAE
/see, 6 9L . sevnc vk
depth to groundwater ,4r 2E//che fc/'T .4o0¢.7704J
od of determination or approximation:
F,Pnf! v rW fenkED5 - s-.&-9z
- I -
•
13
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART D
CERTIFICATION
me of Inspector AzwetC /ij• , ivilree7 .r,e, iE
mpany Name #-Zitir lo,(7/-/_Ey -rE. (9e. /}sacc/ATFS,/NC •
30/..vpivs77e/n4wc-Arr
mpany Address A)OAe72Ay/1/42T7n,U) /09 e1/42,//
rtification Statement
:ertify that I have personally inspected the sewage disposal system at
is address and that the information reported is true, accurate and
nplete as of the time of inspection. The inspection was performed and
t recommendations regarding upgrade, maintenance and repair are
nsistent with my training and experience in the proper function and
nitenance of on-site sewage disposal systems.
:ck one:
_ I have not found any information which indicates that the system fails
to adequately protect public health or the environment as defined in
310 CMR 15. 303 . Any failure criteria not evaluated are as stated in
the FAILURE CRITERIA section of this form.
i
_ I have determined that the system fails to protect public health and
the environment as defined in 310 CMR 15.303 . The basis for this
determination is provided in the FAILURE CRITERIA section of this
form. {�
,pector's Signature 625. ( D%%j
.e Ant2/ 9, /995
ginal to system owner
ies to:
yer (if applicable)
proving authority