661 Local Upgrade Application for Local Upg—ade Aonrnval
Title 5, 310 CMR 15 . 000
DEP Approved form required by 310 CMR 15 .403 (1)
To be submitted to Local Approvinc Authority/board of Health: For
the upgrade of a failed or nonconforming system with a design flow
of <10, 000 gpd, where full compliance, as defined in 310 CMR
15 .404 (1) , is not feasible.
To be submitted to DEP: For the upgrade of a failed or
nonconforming system with a design flow of 10, 000 to up to 15, 000
gpd and/or for upgrade of a state or federal facility, where full
compliance, as defined in 310 CMR 15 .404 (1) , is not feasible.
NOTE: Local upgrade approval shall not be granted for an upgrade
proposal that includes the addition of new design flow to a
cesspool or privy or the addition of new design flow above the
existing approved capacity of a system constructed in accordance
with either the 1978 Code or 310 CMR 15 . 000 .
1) Facility/system owner
Name Michael 0 Brien
Address 661 Westhampton Road, Northampton
Phone # (413) 586-5413
Address of facility Same
2) Applicant (if
Name
Address
Phone #
different from above)
Miter }kmtley Jr., & Associates
30 Industrial Drive East, North ton
(413) 584-7/64
3) Type of facility
x residential commercial _ school
—institutional
(Specify)
4) Type of existing system
_privy cesspool (s) conventional system
x Other(describe) septic tank learhine ch.n+mber
Type of soil absorption system (trenches, chambers, pits,etc . )
Leaching chamber
5) Design flow based
a) Design flow of
Approved?
b) Design flow o
c) Design flow of
on 310 CMR 15 .203 design flows
existing system N/A gpd
no x yes approval date unimown
proposed upgraded system 396 gpd
facility N/A gpd 3 BDR w/garage grinder
-11-i7 sa:dd 1414/tl411Vu
2
6) Proposed upgrade of existing system is
a) x Voluntary
Required by order, letter, etc. (attach copy)
Required following inspection required by 310
CMR 15 .301 (provide date inspection form(date)
submitted to
the approving authority)
b) Describe the proposed upgrade to the system
Installation of a leaching area to be connected to existing septic tank, with
abandorrrent of existing leaching chamber.
c) Which of the
upgrade?
Reduction of
reduced with
following are applicable to the proposed
setback (s) (list setbacks to be
proposed setback distances)
Percolation rate of 30-60 minutes per inch (state
actual pert rate)
reduction Up to 25%requirements (staterequired & proposed disposal design
size)
Relocation of water supply well (identify well, describe
relocation)
x Reduction of required separation between bottom of SAS &
high groundwater (specify proposed reduction & pert rate)
erc rate < 2nnn/in separation from 5' to 4'
Other requirements of 310 CMR 15 . 000 that cannot be
met (specify sections of the Code)
System upgrades that cannot be
310 CMR 15 .404 & 15 .405 , or
requirements of 310 CMR 15 . 000,
310 CMR 15 .410-15.417 .
performed in accordance with
in full compliance with the
require a variance pursuant
,-11-1777 SC;CO 1a1J a» 1vv
3
7) 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 ground water elevation pursuant to 310
CMR 15 .405 (1) (i) (1) . Thuevaluator must be a member or agent
1
of the local approving authority:
Distance from soil absorption system to high groundwater
4 feet
As determined by Peter Mcerlaia
Evaluator' s name
Evaluator' s signature? ig5a
Date of evaluation
8) Notice to Abutters
No application for upgrade approval shall be complete
until the applicant has notified all abutters by
certified mail at least ten days befo Board
be on
Health meeting at which the upgrade approval will
the agenda pursuant to 310 CMR 15 .403 (1) and 15 . 405 (2) .
Such notice shall include the date, time and place where
the application will be discussed.
If the Department is the approving authority, then such
notice to abutters must be completed prior to the date of
submission of the application to the Department .
All notices to abutters shall include a copy of the
completed application form and for applications involving
the reduction of a setback from a property line or a
private 310 CMR 15 .402hthrough e the standards
15 .405
List of Abutters to facility with proposed upgrade :
Date notified
Abutter Name
Address_
Abutter Name
Address.
Abutter Name_
Address
Abutter Name
Address
Date notified,
Date notified,
Date n! otifed
9) ispnotnfeasiblel leachl as CMR 15 .404 (1) ,
completed) :
a) an upgraded system in full compliance with 310 CMR 15 . 000
is not feasible: The 5' senaration between the seasonal high gravid water
and the bottom of the proposed leaching area would require the installation of a
pump chavler, and additional grading that may require the removal of several
large trees due to site constraints.
4
b) an alternative system approved pursuant to 310 CMR
15 , 283-15 . 288 is not feasible:
c) a shared system is not feasible:
d) connection to a sewer is not feasible :
No sewer present.
10) An application for a disposal system construction permit,
including all required attachments (e .g. plans &
specifications, site evaluation forms) , must accompany this
application. Is the DSCP application attached? yes no
il) Certification
"I, the facility owner, certify under penalty of law that
this document and all attachments, to the endest of
my
knowledge and belief, are true, accurate, complete.
am aware that there may be significant consequences for
submitting false information, including, but not limited
to, penalties or fine and/or imprisonment for knowing
violations. "
ittujia
Faci-iT ty owner' s signature
Print Name
Almer Huntley, Jr. & Associates, Inc.
Date
6-22-98
Date
Name of preparer
(413) 5£Y+-7/di■ 30 Industrial Drive East, Northampton, MA 01061
Telephone # & address of preparer
NOTE: Title 5, 310 CMR 15 .403 (4) , requires the system owner or
operator to submit to the Department a copy of the local upgrade
approval upon issuance by the Hoard of Health and prior to
commencement of construction.
Soil name and Hydro Duration Months Depth Him action -r _
map symbol I logic Frequency -
-----------1 °°16--12 ._,____
T �— o- n --- High ;High High.
rD None --- --- 0-1.0 Apparent Jan-Dec >60 -- H
Fm v
Freetown j
GIC, GM1B, Lov :Low High. of
G GB, GxC, — >60 ___
WIC, GxB, ___ ___ >fi.o ___ m
D A None
Gloucester _ Xlgh Mow Moderate. m
Ha B Occasional Brief
Feb-Apr 4.0-6.0 Apparent Nov-Apr >60 ,b
Hadley m
High Mow Moderate. .O
HO: Feb-Apr 4.0-6.0 Apparent Nov-Apr )60 -- 1
Winooski B Occasional Brief >60 High :Moderate Moderate. M.
Broom ki R Occasional Brief Feb-Apr 1.5-3.0 Apparent Nov-Apr
i
Urban land. Moderate Mow High.
>6.0 --- ___ )60 ___
B None -'-
1laven 1
--- >60 ___ Low______ILow High.
NBA, HgB, HgC, ___ ___ )6.0 ___
HgD, HgE A None________
Hinckley Low �LOw High.
>60 ---
___ >6.0 ___
Hue: A None ___ Low :Low------ High.
Hinckley ___ >60 ---
Merrimac A None '--
Urban land.
N ___ 10-20 Hard Moderate Mow High.
>6.0 --
vC C/D None ---
Holyoke 0.5-1.5 Apparent --- High :High Low.
Brief t Nov-Jun >60
Lk C Frequent----
Limerick ,1_0.5 Apparent Oct-Aug >60 ---
High IHigh Moderate.
Mace D None ---
Maybid
Low Low High.
NPR, MeG, ___ >6.0 ___ >60 ---Me A, A None ---
MeD
Merrimac
>60 Moderate ;Low---- High.
MoB, MoC, MsC, ___ 2.0-2.5 Perched Feb-Nay
MSB, MxC, MADNone--------
Montauk
Moderate .Low Moderate.
>60 ---
>6.0 ___ ___
NaCe, Nape: --- High.
Holyoke C/D ;None Moderate Low B __ >6.0 --- --- 10-20 Hard
c/D .None -
olyoke b
See footnotes at end of table.
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•rl ‘S CIIIS
WESTHAMPTON ROAD (RTE 66)
HUNTLE`.
ALMER HUNTLEY,JR. &ASSOCIATES,I:
SURVEYORS •ENGINEERS -LANDSCAPE ARCHITI
July 30, 1998
Mr.Peter McErlain
City of Northampton
City Hall
210 Main Street
Northampton,MA 01060
RE: Septic System Record Plans, 661 Westhampton Road,Northampton,MA
Huntley No. 98-094
Dear Mr. McErlain:
Based on the inspections performed by our office during the installation of the repair system for
the house at 661 Westhampton Road,Northampton,MA. The system appears to have been
constructed conforming to the Title V,Sanitary Code requirements.
We are therefore requesting a Certificate of Compliance from the Board. Thank you for your
attention to this matter. Please find enclosed two(2) copies of the record plans. Should you
have any questions please do not hesitate to contact our office.
Very truly yours,
ALMER HUNTLEY,JR. & ASSOCIATES,INC.
Re a L. Sherer,P.E.
Project Manager
RLS: cjh
cc: Mr.Michael O'Brien
Enclosures
himtleyl\projinfo\projects\98-094'SIs01
(800)227-7723 •(413)584-7444 •FAX(413)586-9159 0 30 INDUSTRIAL DRIVE EAST •P.O.Box 568 •NORTHAMPTON,MA 01061