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531 Local Upgrade FORM 9B - Local Upgrade Approval Commonwealth of Massachusetts /4er2TM,"P710 ,Massachusetts (City/Town) LOCAL UPGRADE APPROVAL Issued Pursuant to 310 CMR 15.404 and 15.405 Facility/System owner: j,&041Cyd YQyvvro5 Address: 58/ I(i`SW la=w�j fri '-YLG� City/Town: nageNC<1- / � State: frVf— / - ,Zip: dj/L}�' i-- Facility Address: ,�r3� we5 4++/1R.rty/Town: FrobF'Uc... Type of Facility: Residential ❑Institutional gn flow per 310 CMR 15203 System Designer: Address: City/Town: ❑Commercial ❑School gpd Local Upgrade Approval is granted for: ❑ Reduction in setback(s) (Specify) ❑PE gRS State: /f/l/{ Zip: m/OJ7 ❑ Percolation rate for 30 to 60 min/inch Percolation rate min/inch ❑ Reduction in SAS area of up to 25% (SAS size and%reduction) SAS sq ft Reduction -/ Reduction in separation between the SAS and hiah goundwal Separation reduction ( ft Percolation rate .5 min/inch Depth to groundwater a ft ❑ Relocation of well(Explain) List local variances granted not requiring DEP approval per310 CMR 15.412(4): List variances granted requiring DEP approval: A..ro ed by to /.&e4z i /. .fr oard if Jth N( // - �- 7 K-.0.)---- (Prin;or type name and Title) gSig amre) (Date) The system owner shall provide a copy of this local upgrade approval to the appropriate Regional Office of the Department of Environmental Protection, Bureau of Resource Protection,Division of Watershed Management, upon issuance by the local approving authority and before commencement of construction. Depamnent of Environmental Protection DEP Approved Fenn—3/20/02 WARD OF HEALTH MEMBERS A DOURMASHKIN,RN.,Chair MARIE NARPARIS RN.,MPH tD P.BRUNSWICK,M.D.,MPH t 3.McERIAIN,Health Agent (413)587-1214 FAX(413)587-1221 CITY OF NORTHAMPTON MASSACHUSETTS 01060 OFFICE OF THE BOARD OF HEALTH To: Mr. & Mrs. Leonard Yarrows 531 Westhampton Rd. From: Peter McErlain, Health Agent Date: July 2, 2002 Re: Septic Repair Permit—531 Westhampton Rd. 210 MAIN STREET,Room 8 NORTHAMPTON,MA 010 60-316 7 On June 24, 2002, the Northampton Board of Health issued the Local Upgrade Approval allowing the repair of your septic system at 531 Audubon Rd., Florence. Your septic system repair permit, a stamped copy of the septic repair plan and a copy of the upgrade approval are enclosed. Please notify the Board of Health when you have selected a septic system installer. Please note that all septic repair work must comply with any order of conditions issued by the Northampton Conservation Commission. Please contact the Board of Health office with any questions concerning this permit. Thank you. FORM 9A - Application for Local Upgrade Approval Commonwealth ofMassachusetts p� hth t n t Massachusetts (City own? Application for LOCAL UPGRADE APPROVAL Title 5, 310 CMR 15.000 DEP Approved Form Required by 310 CMR 15.403(1) Form 9A is to he 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 of310 CMR 15.000,require a variance pursuant to 310 CMR 15.410 through 15.417. 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 a septic system constructed in accordance with either the 1978 Code or 310 CMR 15.000. Facility Address: 531 Westhampton Rd. City/Town: Northampton Facility/System owner: Leonard Yarrows Address: S8. Salle \\ City/Town: y 2626 (tcaaUCe1 State: Zip: 01062 MA Telephone: ( ) Type of Facility(check all that apply): 'F Residential ❑Institutional ❑Commercial ❑ School Describe facility septic sysLtem Type of existing system: ❑Privy ❑ Cesspool(s) WnConventional System ❑ Other(describe) Type of soil absorption system (trenches,chambers,leach field,pits,etc) field Design Flow per 310 CMR 15.203: Design flow of existing system 330 gpd Design flow of proposed upgraded system ? gpd. Design flow of facility 383 gpd Proposed upgrade of system is: © Voluntary ❑ Required by order, letter,etc. (attach copy) ❑Required following inspection pursuant to 310 CMR 15.301 Provide date of inspection . Department of Environmental Protection FORM 9A - Application for Local Upgrade Approval Page 1 of 3 DEP Approved Form-3/20/02 Describe the proposed upgrade to the system New S. tank, P. chanter and L Field Local Upgrade Approval is requested for: ❑ Reduction in setback(s) (Describe reductions) ❑ Percolation rate for 30 to 60 min/inch Percolation rate min/inch ❑ Reduction in SAS area of up to 25% (SAS size and%reduction) SAS sq ft Reduction 4E Reduction in separation between the SAS and high groundwater Separation reduction Percolation rate 5 min/inch Depth to groundwater 42 ft ❑ Relocation of water supply well(Explain) ❑ 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)(1)(1).The soil evaluator must be a member or anent of the local approving_authority. High groundwater elevation determined by: Alan Wpi ss RS & Pet-Pr MCFrl an 5/30102 (Print or type evaluator's Name) ( ignature of evaluator) (Evaluation Date) 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: Minimize change inTopbgraohy & runoff. 2. An alternative system approved pursuant to 310 CMR 15.283 to 15.288 is not feasible: No i mr>3rt Li Department of Environmental Protection Page 2 of 3 DEP Approved Farm-3/20/02 FORM 9A - Application for Local Upgrade Approval 3. A shared system is not feasible: N/A 4. Connection to a public sewer is not feasible:NoA The Application for Local Upgrade Approval must be accompanied by all of the following: (Check the appropriate boxes) ❑L, / Application for Disposal System Construction Permit yr r Complete plans and specifications --8-- 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) CERTIFICATION: "1,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.1 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. • Facility owner's signature "°sl "''/ 1 Date 6 / LG/ OY Print name LavYAtb YieCcLi. Name ofpreparer At : "E t (S Date .S/ / t'Z Preparer's Address: ;22,4:4))51-5 &k/'e b f.D City/Town: 4e14-- - State: MA Zip: a<b7 Preparer's telephone: ( Vi) ) -3z3 -5159 NOTE: 310 CMR 15.403(4) requires the system owner to provide a copy of the local upgrade approval to the appropriate Regional Office of the Department of Environmental Protection,Bureau of Resource Protection,Division of Watershed Management,upon issuance by the local approving authority and before commencement of construction. Department of Environmental Protection Page 3 of 3 DEP Approved For,-320102 nspections Investigations iee Investigations Remediation June 10, 2002 COLD SPRING ENVIRONMENTAL CONSULTANTS, INC. Mr. Peter McErlain Northampton Board of Health City Hall Northampton,MA. 01062 RE: Septic System Residence Repair and Local Upgrade Approval Yarrow/531 Westhampton Road, Northampton,MA Dear Mr McElain: • Percolation Tests and Septic Designs • Regulatory Compliance • Recycling and Solid Waste With the intent of full compliance with 310 CMR 15.000,(Sanitary Septic Code, Title V),and the understanding that maximum feasible upgrade should be achieved to maximize protection of public health and safety and the environment, a Local Upgrade Approval is requested for the repair of the system at the above mentioned property. It is the opinion of the writer that strict enforcement of the code would be manifestly unjust (310 CMR 15.410). The following Local Upgrade Approval is noted: -lack of 4 feet of minimum groundwater separation to the bottom of the stone of the absorption system(310 CMR 15.405,I,2),3.00' proposed. (The situation requires this approval in order to minimize fill placement in order to not create problematic surface runoff patterns and accommodate gravity flow from the existing grade of the residence (if feasible). It is understood that the system was sized using an appropriate percolation test and soil identification technique approved by the Massachusetts DEP that utilizes the most conservative/appropriate loading factor for that soil (Class I) (Perc=S Min/In). It is also noted that the site is served by a well (as shown) and that there are no wells noted within 100 feet of the proposed SAS. It is my opinion that given all the possible scenarios for a new disposal system, and due to spatial constraints,this plan best meets the intent on the Sanitary Code. It is understood that my client must provide you this letter. In addition, a copy of the Local Upgrade Approval from your board and a copy must be sent to Mass. DEP,436 Dwight St., Springfield, 01103,by the owner,after your approval and prior to the start of construction. 350 Old Enfield Road•Belchertown,MA 01007 • (413) 323-5957 Fax : 323-4916• aweiss @supplyguys.net Page 2: Mr. Peter McErlain June 10,2002 Please feel free to contact me should you have any questions. Sincerely, Cod Spring Environmental Consultants, Inc. 4, U40ek� A an E. Weiss, M.S., R.S. President Principal Hydrogeologist, Registered Sanitarian Lic. #933 cc: Mr. Leonard Yarrow, Owner IUL-02-2003 1543 P.01 August 21, 2002 Northampton Board of Health RE: Septic System Installation Inspection 531 Westhampton Road, Northampton On this date the writer inspected the installation of a Soil Absorption System (septic system) . The writer found the installation to be complete (except for completion of cover material and final fill) and in compliance with our plans and 310 .CMR 15.000. The installer representative (River Drive Excavating) and my inspection noted that the system was built properly, in accordance with the state regulations and our plans. The contractor was requested to have sufficient breakout soil on site and properly cover the system according to our plans and may backfill the system after review by local Health Department "representatives. Sincerely, ,Cold ing Environmental Consultants, Inc. A . Weiss, M.S., L.S.P. :President Principal Hydrogeologist 'Licensed Site Professional #6442 ,Registered Sanitarian #933 Cold Sorg*Eawunnrnul ISO OM E6fid Rod B,klverrt Ma.01007 413-123.59S7.phone 413-323-4916.fu AS Built Attached • TOTAL P.01