211 Septic Inspecion 1996 BO l4
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION
Address of property: 211 WESTHAMPTON ROAD, NORTHAMPTON
Owner: WILLIAM LYNCH
Date of Inspection: 4-12-96
Inspector: James A. Gracia, PE
99 Glendale Street
Easthampton, MA 01027
413-527-5290
Certification Statement
CEOdEF
APR 1 6 1996
NORTHAMPTON BOARD OF HEALTL
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 inspection. The
inspection was performed based on my training and experience in the proper function and
maintenance of on-site sewage disposal systems. The system:
XXX Passes
Conditionally Passes
Needs Further Evaluation by the Local Approving Authority(Bd. Of Health)
Fails
Inspectors Signatu:lL/. _ _i��� Date: 4/12- S
The system inspect or all submit a copy of this inspection report to the Approving Authority
within thirty(30) days of completing this inspection. If the system is a shared system or has a
design flow of 10,000 gallons per day or greater, the inspector and system owner shall submit the
report to the appropriate Regional Office of the Department of Environmental Protection. The
original should be sent to the system owner and copies sent to the buyer and approving authority.
INSPECTION SUMMARY:
A. System Passes:
XXX I have not found any information which indicates that the system violates'any of the
failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are
indicated below.
B. System Conditionally Passes:
One or more system components need to be replaced or repaired. The system, upon
completion of the replacement or repair, passes inspection.
(Indicate yes, no, not determined (Y, N, or ND). Describe basis of determination in all instances.
If"not determined", explain why not.)
Septic tank is metal, cracked, structurally unsound, shows substantial infiltration or
exfiltration, or tank failure is imminent. The system will pass inspection if the existing
septic tank is replaced with a conforming septic tank as approved by the Board of Health.
Sewage backup or breakout or high static water level observed in the distribution box is
due to broken or obstructed pipe(s) or due to a broken, settled, or uneven distribution
box. The system will pass inspection if(with the approval of the Board of Health):
broken pipe(s) are replaced
obstruction is removed
distribution box is leveled or replaced
The system required pumping more than four 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
obstruction is removed
C. Further Evaluation is Required by the Board of Health:
Conditions exist 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 is within 50' of a surface water
Cesspool or privy is within 50' of a bordering vegetated wetland or a salt marsh
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2. System will fail unless the Board of Health (and public water supplier, if
appropriate) determines that the system is functioning in a manner that protects the
public health and safety and environment:
The system has a septic tank and soil absorption system and is within 100' of a
surface water supply or tributary to a surface water supply.
211 Westhampton Road,Northampton
3
The system has a septic tank and soil absorption system and is within a Zone I of a
public water supply well.
The system has a septic tank and soil absorption system and is within 50' of a
private water supply well.
The system has a septic tank and soil absorption system and is less than 100' but
more than 50' from a private water supply well, unless a well water analysis for
coliform bacteria and volatile organic compounds indicates that the well is free
from pollution from that facility and the presence of ammonia nitrogen and nitrate
nitrogen is equal to or less than 5 ppm.
D. System Fails:
I have determined that the system violates one or more of the following failure criteria as
defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of
health should be contacted to determine what will be necessary to correct the failure.
Backup of sewage into facility or system component due to an overloaded or
clogged SAS or cesspool.
Discharge or ponding 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 the invert or available volume is less
than '/ day flow.
Required pumping more than 4 times in the last year NOT due to clogged or
obstructed pipe(s). Number of times pumped
Any portion of the soil absorption system(SAS), cesspool or privy is below the
high groundwater elevation.
Any portion of a cesspool or privy is within 100'of a surface water supply or
tributary to a surface water supply.
Any portion of a cesspool or privy is within a Zone I of a public water supply well.
Any portion of a cesspool or privy is within 50' of a private water supply well.
Any portion of a cesspool or privy is less than 100' but more than 50'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 analysis for coliform
bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen.
E. Large System Fails:
The following criteria apply to large systems in addition to the criteria above:
The design flow of system is 10,000 GPD or greater and the system is a significant threat
to the public health and safety and the environment because one or more of the following
conditions exist:
211 Westhampton Road, Northampton
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The system is within 400' of a surface drinking water supply.
The system is within 200' of a tributary to a surface drinking water supply.
The system is located in a nitrogen sensitive area(Interim Wellhead Protection
Area or a mapped Zone II of a public water supply well).
The owner or operator of any such system shall bring the system and facility into full compliance
with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please
consult the local regional office of the Department of Environmental Protection for further
information.
PART B: CHECKLIST
X Pumping information was requested of the owner, occupant, and/or BOH
X None of the system components have been pumped for at least two weeks prior to
inspection 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.
N/A As-built plans have been obtained and examined. Note if not available with N/A.
Original construction permit found, but no plan of system.
X The facility or dwelling was inspected for signs of sewage back-up.
X The site was inspected for signs of breakout.
X All system components, excluding the SAS, have been located on the site.
X 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.
X The size and location of the SAS on the site has been determined based on existing
information or approximated by non-intrusive methods.
X The facility owner(and occupants if different from owner)were provided with information
on the proper maintenance of Sub-surface Sewage Disposal Systems.
211 Westhampton Road, Northampton
PART C: SYSTEM INFORMATION
FLOW CONDITIONS
Residential:
Design Flow: 440 Gallons per Day
Number of bedrooms: 4
Number of current residents: 1
Garbage disposal: No
Laundry connected to system: Yes
Seasonal use: No
Water meter readings, if available: N/A
If vacant, last date of occupancy: N/A
Commercial/Industrial:
Type of Establishment:
Design Flow: Gallons per Day
Grease Trap present:
Industrial Waste Holding Tank present:
Non-sanitary waste discharged to the Title 5 system:
Water meter readings, if available:
Last date of occupancy:
Other: (Describe)
Last date of occupancy:
GENERAL INFORMATION
Pumping records and source of information:
System last pumped more than 2 years ago.
System pumped as part of inspection: YES
If yes, volume pumped: 1000 Gallons
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211 Westhampton Road, Northampton
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Type of system
X Septic tank/distribution box/SAS
Single cesspool
Overflow cesspool
Privy
Shared system(If Yes, attach previous inspection reports, if any)
Other
Approx. age of all components/Date installed/Source of info:
System installed in November 1964 per Board of Health records.
Sewage odors detected when arriving at the site: No
SEPTIC TANK: OK
Depth below grade: 12"
Material of construction REINFORCED CONCRETE
Volume: 1000 GALLONS
Dimensions: 3'9" W x 8' L x 4'6" D
4" sludge depth
34" distance from top of sludge to bottom of outlet tee or baffle
1" scum thickness
8" distance from top of scum to top of outlet tee or baffle
14" distance from bottom of scum to bottom of outlet tee or baffle
Comments: Tank in good condition. New outlet baffle installed as part of inspection.
Old baffle had been in place prior to inspection, but was found in a weakened condition
therefore it was replaced. Outlet baffle should be routinely checked as part of future
pumpings. See general system comments at end of report.
211 Westhampton Road,Northampton
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GREASE TRAP: N/A
Depth below grade:
Material of construction:
Volume:
Dimensions:
Comments:
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
TIGHT TANK or HOLDING TANK: N/A
Depth below grade:
Material of construction:
Volume:
Dimensions:
Design Flow:
Alarm Level:
Comments:
DISTRIBUTION BOX: OK
Depth of liquid level above outlet invert: 0"
Comments: Top of distribution box found to be 18" below grade.
PUMP CHAMBER: N/A
Pump(s)in working order:
Comments:
211 Westhampton Road, Northampton
SOIL ABSORPTION SYSTEM(SAS): OK
If not located on site, explain:
Type&Dimensions:
Leaching Pit, Chamber, or Gallery:
Leaching trenches
Leach field 15' W x 30' L
Overflow cesspool
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Comments: Leaching system found in acceptable condition, however,this system is
approximately 30 years old and its future useful life is undetermined. Future life of this
system will depend on proper preventive maintenance of the septic tank. Indiscriminate
use of this septic system will result in failure of the SAS. See attached literature concerning
use and maintenance of a septic system.
CESSPOOL: N/A
Number& 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 (during pumping)
Comments:
PRIVY: N/A
Materials of construction
Dimensions
Depth of solids layer
Comments:
211 Westhampton Road,Northampton
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General System Comments:
The existing leaching system at this dwelling is located less than 50 feet from a wet area
along the westerly side of the lot. The wet area appears to be from seasonal runoff from the land
to the rear of the dwelling and should dry up when the weather improves. No evidence was found
of septic breakout into this seasonal wet area. Regular pumping of the septic tank at two year
intervals is highly recommended to extend the life of this system.
NOTICE TO PRESENT AND FUTURE OWNER OF PROPERTY:
The attached Sewage Disposal System Inspection Report indicates that no evidence of
septic system failure has been found at this property. The evaluation has been based solely on the
physical evidence observed on the day of the inspection and existing documentation of system
construction and maintenance. Criteria for inspection of septic systems has been set forth by the
Department of Environmental Protection regulation 310 CMR 15.302. Based on these criteria,
this evaluation cannot be construed to be a guarantee of long term system life. The life span of a
conventional septic system is dependent on a number of factors, several being preventive
maintenance, normal use, soil conditions, and water table depth.
With regular preventive maintenance and careful use, this septic system could operate
trouble free for any number of years. Failure to clean the septic tank at regular intervals and the
indiscriminate flushing of cooking grease, household chemicals, or any hazardous wastes will
severely shorten the life span of any septic system, new or old. Please read the attached literature
concerning septic system use and maintenance.
211 Westhampton Road, Northampton
ES A. GRACIA, PE
endale Street, Easthampton, MA 01027
)UNDWATER ESTIMATED TO BE BELOW
ACH SYSTEM BASED ON TOPOGRAPHY
WESTHAMPTON ROAD (ROUTE 66)
1000 GALLON
SEPTIC TANK
2" BELOW GRADE)
DIST. BOX
(I8" BELOW GRADE)
#211
EXISTING
4 BEDROOM
DWELLING
55'
EXISTING
LEACH FIELD
115 X 30)
245
34'
SEASONAL
WET AREA
211 WESTHAMPTON ROAD
NORTHAMPTON, MA
SEPTIC INSPECTION PLAN
NOT TO SCALE) 4 -12-96