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301 Septic Inspection 2016 July 7,2016 CITY of NORTHAMPTON PUBLIC HEALTH DEPARTMENT BOARD OF HEALTH MEMBERS: Donna Salloom, Chair-Joanne Levin. MD-Su_anne Smith, MD STAFF: lferridith O'Learv.RS.Director Daniel Wasiak Inspector-Edmund Smith, Inspector-Jennifer Brown.RS.Nurse Fannie Mae 301 Coles Meadow Road Northampton, MA 01060 RE: Sewage Disposal System Inspection 301 Coles Meadow Road Dear Homeowner: The Northampton Board of Health is in receipt of a report on the Subsurface Sewage Disposal System Inspection conducted by Bill Sieruta at your property,301 Coles Meadow Road,on June 15, 2016.That inspection report indicates that your subsurface sewage disposal conditionally passes to protect the public health and the environment as defined in Section 15.303 of CMR 15.000,State Environmental Code,Title 5. Therefore,in accordance with the provisions of 310 CMR 15.000 of the State Environmental al Code,Title 5, and owner under the property)o ey° are he eby ordered tolrepai the subsurface sewage disposal system at 301 Coles Meadr w of the ,with hereby (June 15,2018). If further Meadow Road,within two years of the date of the original inspection, Q degradation of the sewage disposal system occurs (e.g.sewage flowing to the surface of the ground),you may be required to complete the repairs sooner. All work to repair/upgrade your subsurface sewage disposal system must be performed by a licensed sewage disposal system installer,in accordance with the requirements of 310 CMR 15.000,and with plans approved by the Northampton Board of Health. Please be advised that you are entitled to a hearing on this order to upgrade your subsurface sewage disposal system,provided that you file a written petition requesting such a hearing in the Board of health office within seven (7) days of the receipt of this notice. Please feel free to contact the Board of Health office,at 587-1214 if you have any questions concerning this matter. Thank you for your anticipated cooperation in this matter. Sincerely, Daniel Wasiak Health Inspector 212 MaiPn (413)587-1214pFax(413)587-1221 Owner information is required for every page. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments Q/ CO&C5 tnagbIO ,w,q/J Property Address 16 ,u/.6 .r A /- Owner'/✓_Si"'c A. " o/OGO VL� g/� own State Zip Code Date of Inspection City/Town Inspection see results completeness mus u checklist at this f form.d Inspection the tion forms may not be altered in any Important:Wnen A. General Information fang out forms on the computer, use only the tab 1 Inspector: key to move your cursor-do not use the return Vey fins'11)10 Name of Inspector 4/LU rya ,'O! '/2 /Enu SE -1a V/ Com°ny if eg ---- / DT ,L�O/Q.IJ >r- Jlf15S U/oSei Company Address City/Town di �ll9 /8 / 7 Telephone Number State Zip Code S /SS License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the was performed based on my training and experrii complete the propter function and maintenance of on site sewage disposal systems.I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: Conditionally Passes Passes ❑ Needs Furt Evaluation by the Local Approving Authority ❑ Fails ectors Signature The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. Date Title 50snow Inspection Farm:eubwnew Sewage bispasS System•Page 1 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments , ?0/ C066 5- w/gppaa)- 1204/J peFiSt.U•tJ/E 11,64E / Owner DwnefsNem0 ilitlia 0� �//f '0/O60 /a/is./a . foemation is required ler every City/Team State Zip Cede Data of inspection page. B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.My failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass'section need to be replaced or repaired.The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Check the box for"yes', no or"not determined'(Y, N, ND)for the following statements. If"not determined;please explain. The septic tank is metal and over 20 years old'or the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent.System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. 'A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. Y 0 N ❑ ND (Explain below): i1M 50IOdei bvpedu+Form.Subsurface Sewage OlspoW System•Page.2 of 17 Wins-11/10 >weer nformation Is equired for every ,age. 'Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1JO, CUSS ,t,I A,OOL<.% .P_O/W Properly Address F,441tiit /Wit( 1Owne '-2 l/ SG/I1 1 T Zp Code W 6 Data o ns / r's Nam e 0� G CltyROwn- B. Certification (cont.) B) System Conditionally Passes(cont.): ❑ to broken or obstructed pipe(s)or due to a broken,settlted water uneven distribution botx.Systemuwill In the pass inspection if(with approval of Board of Health): El broken N 1:1 ND (Explain below): broken pipe(s)are replaced ❑ ❑ ❑ obstruction is removed ❑ Y N ❑ ND (Explain below):❑ ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 limes 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 ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ ❑N ND(Explain below): C) Further Evaluation is Required by the Board of Health: ❑ exist which further Board in order to determine if the system is failing to protect public health,sat safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh roe 5 omds YupedO"So=Ssbeurhase Sewage Disposal System•Peg.3 of 11 --- .Commonwealth of Massachusetts Title 5 Official Inspection-Form Subsurface Sewage Disposal System Form•Not for Voluntary Assessments / ,&EES L E ' ea.) AO Proper cress t rAl Owner ewne i du kin Oi060 c D/ Co page.0lion is Code . to of l pection aquired for every City/Town. State Zip page. a Certification (cont.) 2. System will fall unless the Board of Health(and Public Water Supplier,If any) determines that the system is functioning In a manner that protects the public health, safety and environment: o The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. O The system has-a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. O The system has a septic tank and MS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and MS and the SAS is less than 100 feet but 50 feet or more from a private water supply Method used to determine distance: "This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen s equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the be attached to this form. /� 3. Other. /vE.EZ E/i .eEfiJ9/AS et 19- vo/r° /..5 .ar act I /2ti3O/1/E g&/c. If ' t CT/2IC//G ,0 TIC Z . 3 /1.-TS/2 /,f./ F Pl/ ' '/sF2S • .1 / 771 POI_Ctrt//.v6 ,tpautfc &ova 77.t//t5 q12E 32.1 /o 36 " - - ouJ ‘.04.0C- - k a' • OUrtEt C0viZ 70 /C T6 Attoev print C604 5-arc T/%N 1,ocer cav-tk TL pump 7d•v/c 111. D) System Failure Criteria Applicable to All Systems: !p/, ,�/S�US4 eke/r- svisin You must indicate"Yes" or"No"to each of the following for all inspectionsf itiOT 42/5/64)" Fo - Q/ SPOSf� Yes No ❑ ,yt Backup of sewage into facility or system component due to overloaded or W clogged SAS or cesspool ❑ • Discharge or pending of effluent to the surface of the ground or surface waters i.' due to an overloaded or clogged SAS or cesspool ED Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑Dit Liquid depth in cesspool is less than 6'below invert or available volume is less �1 than%day flow pL/c /LEQO,,fzsy sin. 11110 Tie sprga'n$MRM TOM:Subwnau swag.Disposal synam•Pap a of 17 Ac'-- Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 0/ CODS NI.EA.t70uJ 4121 A 11114 pie 60 41/43- •?0/ State Zip Code Date of Inspection Owner information Is required for every page. 61ns 11110 Qty/To B. Certification (cont.) D ❑ Xei 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 SAS,cesspool or privy is below high ground water elevation. Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone 1 of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This laboratory,Pysforfecal coliform bacteria Indicates absent and the presence laboratory, of ammonia nitrogen and nitrate nitrogen Is equal to or less than ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. The system falls. I have determined that one or more of the above failure system owner should contact the Board of Health et fdeterrmine what willl be he necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. N For large systems,yo must indicate either"yes'or no to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply, ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone II of a public water supply If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered"yes in Section D above the large system has failed.The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgGede,the system in accordance with 310 CMR 15.304.The system owner should contact the appropritae regional office of the Department. PN 5 Official YupKeon FMrrt SWw,fem Sewage Disposal System Page 5 of 17 'Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 30/ OtE M‘TT 040 ;20/1 wner !formation is paired for every CIyRo age. C. Checklist Check if the following have been done.You must indicate"yes°or"no"as to each of the following: p1 cvo6 State Zip Code Date of Inspection Yes No $( ❑ Pumping information was provided by the owner, occupant,or Board of Health ❑ % Were any of the system components pumped out in the previous two weeks? ❑ A Has the system received normal flows in the previous two week period? ❑ Xr Have large volumes of water been introduced to the system recently or as part of this inspection? .,.,r ❑ Were as built plans of the system obtained and examined? (If they were not �t available note as N/A) $' ❑ Was the facility or dwelling inspected for signs of sewage back up? `P( ❑ Was the site inspected for signs of break out? - X ❑ Were all system components,excluding the SAS, located on site? 1Sd' ❑ Were the septic tank manholes uncovered,opened, and the interior of the tank Inspected for the condition of the baffles or tees,%' dimensions,depth of liquid, material traction, iquid,d pth o slludge and depth of scum? X ❑ Was the facility owner(and occupants if different from owner)provided with N' Information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soli SYstpm(SAS)on the site has been determined based on: .E t.J ❑ Existing information.For example,a plan at the Board of Health. ta. ❑ Determined in the field(if any of the failure criteria related to Part C is at issue Pl approximation of distance Is unacceptable)[310 CMR 15.302(5)1 D. System Information Residential Flow Conditions: Number of bedrooms(design): ▪ Number of bedrooms(actual): 330 6PD DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): /,LGrii/u 47L.57 4-0 332 °PO Tito 60111tlS 6+Wbm FmrtSutuu,lau Sw'ape OispaSS Sy.I.m pyr 6✓tT -'--Cootmonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage'Disposal System Form-Not for Voluntary Assessments W a /w/121 lot) MA ono a io%a�/ao� State Zip Code Date of Inspection xner Iormafion Is pulfed for every ,ge. D. System Information Description: VACAAJ 7— Number of current residents: • fiXtrioVE s/'a1/jL ,o( Yes ❑ No Does residence have a garbage grinder? S/ ° Q �iS A[ sY3�rH suu ired Is laundry on a separate sewage system?[if yes separate inspection required] 0 Yes X No Yes ❑ No ❑ Yes j' No Laundry system inspected? Seasonal use? Water meter readings, if available(last 2 years usage(gpd)): Detail: flu"' S 2,6- y4Cfl107- ❑ Yes No Sump pump? Date Last date of occupancy: ��ll Commercial/Industrial Flow Conditions: !l A /i4 Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/personslsq.ft.,etc.): ❑ Yes ❑ No Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? Non-sanitary waste discharged to the Tille 5 system? ❑ Yes 10 No Water meter readings,if available: TIYk 5 Offiai Inspection Font autuuded geweae elrpaw system Rage 7 a» Owner information is required for every page. tans 111,0 Commonwealth of Massachasbtts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form•Not for Voluntary ments 30/ 6404.4S /liE/gd i// � Property Address nth()/ Ai /CAI H» O/660 /s ��/41 State Zip Code Date of Ins action owners Name CryRo D. System Information (cant.) Last date of occupancy/use: Other(describe below): General Information Pumping Records: Source of information: Was system pumped as part of the inspection? If yes,volume pumped: How was quantity pumped determined? Reason for pumping: Type of System: Date v,vv ,/r"12ga o/5/V1 U a /1/6/4 L G� X Yes ❑ No gallons N O MFII5U/Z ,£/9 EC 77C) f5fl Septic tank, distribution box,soil absorption system /❑` Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no)Of yes,attach previous inspection records, if any) ❑ Innovative/Alternative technology.Attach a copy of the current operation latest maintenance contract(to be obtained from system owner)and a copy of latest inspection of the RA system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe)'. not 5 Cade/losses-bon Foss.Subsurface Sewage papasi System•Papa 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form•Not for Voluntary�sss s n4A 01060 6 i if State Zip Code Date of Inspection Owner information is required for eve page, no ciynown D. System Information (cant.) Approximate age of all components date installed(if kno ///a3 /a7 Were sewage odors detected when arriving at the site? Building Sewer(locate on site plan): Depth below grade: Material of construction: ❑cast iron 40 PVC n)and source of information: ❑ Yes No feet SPA.-3.5— 'other(explain): Distance from private water supply well or suction line: U.3� ✓ dz0 eat Comments(on condition of joints,venting,evidence of��, etc.): 12-0.6 L e Septic Tank(locate on site plan): Depth below grade: Material of construction: ❑ metal ❑fiberglass polyethylene ❑other(explain) 36 feet concrete if tank is metal,list age: years certificate) El Yes ❑ No Is age confirmed by a Certificate of Compliance? (attach a copy of co e Dimensions: te/c/Ott, 6/�r Sludge depth: /Z re Ma s°Mal N^f W an rdm:subsurface Sewage aspUtl Sysinm•Page a of 17 a Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments a Bouts �.nJ Oa) Property AtltlreW/t1/ ` WYE Owner Owner's Name �-/ q information is A/n,�/` ,i�� N %o� Date or Inspection required for every -- State Zip Code page, CityRawn D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 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 How were dimensions determined? Comments(on pumping recommendations,inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): NO /Z046 w1 S" N0 .0 /.0 /5 it /= / /=itrF UN/7- J :05,0 ,C/Z// /Y Al / Uri 1-M.04 )5.7 Gd/t/Z EGT/U.t/ /A/ 5 z_o o E. Grease Trap (locate on site plan): '^ Depth below grade: N /r Material of construction: ❑concrete ❑ metal feet 6C. -ea i(/c"‘4.5 fiberglass ❑ polyethylene ❑other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tea or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: :5 ins•r iio Date me s 011tl9 InpeNar Form:suoanam Sewage Disposal System.Pave to inn -•---Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments of CG 11 Az2& cJ 441. Ai 414 o/O"G a /s" �d- State Zip Code . Dale of Ins action roar ormatfon lwred for every ga. 15ms 1 lltO Citrro D. System Information (cont.) Comments liquid lent (on pumping recommendations,ends evidence of leakage,toe or baffle condition, structural integrity, Tight or Holding Tank(tank must be pumped at time of inspection)(locate on site plan): /V /� Depth below grade: 49 Material of construction: ❑concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: Design Flow: Alarm present: Alarm level: Date of last pumping: gallons gallons per day ❑ Yes ❑ No Alarm in working order: ❑ Yes ❑ No Cate Comments(condition of alarm and float switches,etc.): Attach copy of current pumping contract(required). Is copy attached? C] Yes 0 No iMr s of di unW*'rom=6up;rl.m$9wage ols%ui ayaw PAP 1t onl Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 40 _ :Ai ext% %U Property Pddre Owner Information S required for every C'tyn page. D. System Information (cont.) Distribution Box(if present must be opened)(locate on site plan): ov 0/040 State Zip Code . Date of lnsp.dion Depth of liquid level above outlet invert Comments (note if box is level and distribution to outlets equal,any evidence of solids carryover, any evidence of leakage into or out of box,etc.): -_ Pump Chamber(locate on site plan): Pumps in working order: Alarms in working order: /Comments(note condition of pump chamber,condition of pumps and appurtenances, `/ //A/rs/r/ZS rot WD /W 657,0 ,WYes D No rg Yes D No ¢me.uno ,Q OTC/ /Ni E T 121'/9/2/2 4J ,L' .go O op /2-49-O4//7 06 1Ed Soil Absorption System (SKS) ocate on site plan,excavation not required): Oc soelernvi J 1vo 00n LET If SAS not located, explain why: Tres OIli9 In$petlbfl rWns suWUnus Shag.oIspsS System'Pep 12 of t1 • Commonwealth of MassacliuSetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M/ WtO / ) /2-00 /t?A _‘—)1-a-41° �� _ /6 State Zip Code Data of sePBOIIDn Owner information is required for every page. lsns f 11113 D. System Information (cont.) Type: ❑ leaching pits number: El leaching chambers number: 1p leaching galleries number: ❑ leaching trenches number, length: KY leaching fields / number,dimensions: ❑ overflow cesspool number: ❑ innovative/altemative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure, level of ponding, damp soil,condition of vegetation,etc.): /I 2 S /y Soa -/on e4,1 60//T20G lU/rit/9/2/3 Cesspools(cesspool must be pumped as part of inspection)(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 ❑ Yes ❑ No The S O113cS Inspection Form:subsurf ace Swage olsposai Sytlam'Pape n or n Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 429 Owner information Is required for eve page. 15ms•1810 0/ Property Address efs Name 4.1 ildn State lip Code Da own-own. D. System Information (cont.) Comments (note condition of soil,signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): U Ath Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of pending,condition of vegetation, etc* no s Ol da inspection RIM:subsonau sewage onWeal s tem.Raga 14 oil? t Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 30/ GOB r Ogn.9 111204/' ae/t/9-v,o/6 %~1%F melofor is egary A10/2211/9149 "11/ /r Owner Owners Name Page- � State D. System Information (cont.) Sketch Of Sewage Disposal System:Provide a view of the sevlege disposal system,including ties to at least two pemfanentreference landmarks a benchmarks. L lcate all wells within 100 feet. Locate where public water supply enters the buildin Check one of the boxes below: hand-sketch in the area below drawing attached separately r,E ° C fj CO AC ac," gGZG ' �TCJE r 76, G/0%O dl's/ 1°/6 Zip Coda Date of!nap alien /8k33 0 /sr to x z 4 Z- Yz Sa ovi Ee BC 25.0 vEie 8c 29.O O vigie L 3Zg to cot/64C 2437.0 COL/ rgtl y/,� se 717 out_ , Lrr AO kZ6eS )U1 Lir 40 zaeu isim•11110 1-=�T PGkT nt4 C O toe S "6E/mow 02.0 'Sit 5 Credal Inspection Foam Subsurface Sewage deposal System..Page IS of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form fVoluntary As5essments al � Property Addre yAlia i�l0 2r M114 Mir/ rref, °boa to%s le/4 orvners State Zip Code •Date of Inspaceon City/Town D. System Information (cont.) ation Is ad for every Dins 11110 Site Exam: Check Slope ❑ Surface water gCheck cellar ❑ Shallow wells Estimated depth to high ground water: Please Indicate all methods used to determine the high ground water elevation: feet S �plYco cr3!/ba s ye 6/c,7y2io'n6.0 Obtained from system design plans on record /% 23/ 7 If checked,date of design plan reviewed: Data XObserved site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: • Checked with local excavators,Installers-(attach documentation) t/ {<% Carro^4 CLX Accessed USGS database-explain: You must describe how you established the high ground water elevation: A/6/iciat tliot) At-11-7101,-40 f Bet ore filing this Inspection Report,please see Report Completeness Checklist on next page. 111115 oma!Ir paam Fomt sub.on.w Sewn.D16mW system•Pape 19 o 17 rar red nation is nTetl for eve commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments /44&400A/ A1N: 457- a0/� State Zip Code • Date of Inspection Property Addre Owner's Name i J ,n ism..n 10 City/Town E. Report Completeness Checklist ❑ Inspection Summary:A,B. C, D,or E checked completed ❑ Inspection Summary D(System Failure Criteria Applicable to All Systems)comp ❑ System Information—Estimated depth to high groundwater ❑ Sketch of Sewage Disposal System either drawn on page 15 orattached in separate file Tne s omas Ins p.Nai Faro sa &re sewpa Disposal System•Page t/of 17 TO A VERTICAL OIA ASTON IATEH/.LS WITH A"OM`SOLID SORtE 4' ALL TIGHTLY TO TALL BE INVERTED"U"SHAPED AND SUMMED. TO BED. HOLES IN THE BOTTOM IT'OF A PIECE OF SOD e DIA SOTO PVC: TEND INSPECTION PIPE VOTTIr'a6LYT1aIOLIaHr. IFILTER FABRIC;E% IRN OR A SD EWETf E CAP. EXTEND PIPE UPWARD T3WITIMS 4. p V / Q \1/ p of\ s3z U Doti til lD obl t S ` D° a priests the n of the s manta� LL 7).No Menges staller thoo approalb yomd yes" Daises seethtBoarspWlica Data wdthe Board ofEtulthAiwL 4).OMMeicosditiose: MLS.,C.H.O. YT FILL.BOULDERS :US MATERIAL ENCOUNTERED I BED S FOR S''IN ALL DIRECTIONS. 1+46 1+46 4 41343742 TtC$ ULC P.O. BOX 713 X0106-07'3A VARIANCE TO LOCAL GARBAGE G N R REGULATION REQUIRED. Upon the Northampton Department of granting ing a application on and repair gnat are so: atileS- systems be sized to accommodate of waste system prop4aed in this plan nobsuitable for the disposal grandn9 a variance to its requirement that soil facility shall be removed and n< garbage drby ga. ag is generated by garbage disposals. The garbage gander In this garbage grinder shall be installed. AL SYSTEM IS NOT SUITABLE FOR BARBA OR EFFLUENT DISPOSAL P THIS PLAN PROPOSE USE EP IIITITLE SOIL POLICY E F THE B HORIZON FOR PERMITT D BY THE MASS. DER 1TIL 5 POLICY SYSTEM UPGRADES' DATED DECEMBER PLAN OF EPl E M REPAI 311 NORTHAMPTON, GREGORY J. LAPORTE 301 COLES MEADOW RD., NORTHAMPTON, MA 0106( APPROVED BY: DRAWN BY Ravisao AMHERST CIVIL ENGINEERING IG RICHARD COSTA, P.E. I ROBERT ER P.O. BOX 3312, AN1HERST, MA 01004-3312 I A 41VMG_IMIG DRAWING MUM ,DRANGLE tito TS as )POOR APHIC) ,i 72°37' 30" °J 42°22' 30" 90 SOIL EVALUATION Soil Evaluator. =Sever BON ReplaaenbNVe' Y'^'0'Mathieu Date of Ewbu9am �OO.cttobber 12,2001 Ground shaNOs ea.ea ' rest pit el; 97.19'. E5L Sensorial WO Elev.; 92.92'. Bedrock El� � Soil Color Mottling Other Soil Tealun Death None Friable FSL 10TRY] o;" '� None Friable,shallow root zone FSL lOYRUa W. FSL 10TR5/8 None slightly firm Parent Material over pM SanntngWP a oe Weeping from Pit Face: no ne Estimated Ground water 62" Ground sonSla valuation DII2 97.19'.BsdSa kemWl �erS dWatnr Elev.: 92.8 2' Bedrock ElsvaYe '0.0.92'' Soil Color Mottling Other Depth WNarla°n Soil Texture 10YR313 None Friable OA I FSL None r A oot shallow ot a oat ~ ESL 1uYRUa None slightly firm 10 52" C FSL 10YRM8 Parent Ma Its.:WI over Weeping from Pit Face: none Standing S Mohr tam W:B St Estimated gdpmpl{jl Ground Water: 61' DESIGN LMEWp Design flow Y for aiYdroPm house;garbage grinder shall be removed. DESIGN CAMMATt M ]-bedrooms no garbage grinder •330 wad. Design flow: Retain t Existing aESpr Tank: 1000 gallon. PercolatIon Rate°12 minute per Inch Effluent LOaalr:e Make; Class II soils seat. Effluent loading rate°039 gP Proposed Son Absorption System: one n.wad bed: long X 3r 594 SF. MpNna area: 18'W allowed d .000 SF. sW.wa area: not .332.64 mad. DesignMOW:Design S905F%DS6 GPO/SF: =330.00 god (ONl Total ppaulred Design Flaw GENERAL CONDITIONS 1. Tl**S Oc 5 aim repair plan Is prepared In accordance with Title 5,310 CPR 15.00. CBI W ua ion to Bye[regulations. M without fl* SIer s Blnlou t the designer W any unusual conditions and shall not meal/ plan x. The 1Ma11ocon ult of the designer. � tin the Pp area shall be removed and disposed of In accordance with Y Ism this plum 4 N to any user of a system Installed parts is Ian. 4. The svanlnty the ess°dner and Department when tlnryarp�nnxeady fee nhand 9 when swear Installation DIs c stash a 12 hours prior be a 1 ready for couplets but Nlmusl�i 5. notIf Ilte de Pea row ImilaYWdsalOmi�lwndnflnbMd Oradea nadY larlmPrtgon. NalYsWSII every three years. to the Pm of ins mse 9 The septic tank shalt be pumped and inspected as necessary and M Yet CONSTRUCTION NOTES encountered during 1 Any topso il,old fill;stumps,stones,dsbdt r other impervious pMaraa homunered around the soil absorptIon sallm'removed d from whelwx fill Is be pla soil ced. An/1111 placed under or adlacent to the soil absorption Mtem,rn i sand and conform to the speclncations of Tltle5.310 OMR absorption ryaamishall be a clean,granular un 15.255NJb system shall have eminimum two Percent s'.�n to shed 2. The flrshod gratlaiabOVe the soil absorption yv surface runoff any from the system. and mulched until sable vegetation Is established. J. oltlrdta.aiW Shall be Warned,seeded Basest&wasgNa be loaned,seeed andmechedamelstabl elevation and shall sh1d. ter• TIP minimum of first two feet(21. ,.�-^- 6. Eaauna septic tank[hall M lit al M°nm..an.,....-• . .MAX,SLOPE• PLO\ION SCALD: " 20 PROPOSED FINISHED GDE., _- ��__ LELEV.95.32' BOTTOM OF ED IS LEVEL' EXISTING PIPE TO HOU: EXISTING GROUND SURFACI ANY OLD`:LL BOULDERS AND ANY OTHER IMPERVIOUS MATERIAL G EXCAVATION FROM BELOW LEACH BED AND FOR S' REMOVE CLEAN,GRANULAR SAND THAT A CONFOR AND 10 CMOEVI55( ) IN ALL DI 0,010 CM0.15.i5513). CONFORMS S PERT ELEVATIONS OF DISTRIBUTION LINES: ENO: 97 32' �OBMpG: 01.4T L+y0 L+20 R}20 �t5o SECTION OF LEACH BED SCALE' H: 1"= 10' V: 1„ = y 112^DOUBLE wASHI O+ONE. SENT CONNECT ENT E SO ENO PREVENT INTRUSION U, PREE SENT INTR INSPECTION PORT: DRILL WRAP BOTTOM 12"OF THIS THE WASHED STONE AND'. Of THE FINISHED GRADE',C PROPOSED:ONE LEACH BED: NO WIDE x33'LONG. HIGH GROUND WATER B TOP OF BEDROCK ELES 2 k 2 PILE OF SYSTEM MANHOLE(MINIMUM WINCH OPENING(: WITH A READILY RESIOVN3LE COVER AT WATERTIGHT COVER OF DURABLE MATERIAL LOCATE ACCESS FINAL OOTURE RESIST/01T JUNCTION BOX. QUICK DISCONNECT. CHECK VALVE. ED UNE. 1 SON 40 PRESSURE PVC. yr DUX WEEP HOLE. NYLON ROPE. TONS. HES TO PUMP 216 GAL/CYCLE r•PER CYCLE I GEL OF DRAWBACK ATE ND Of CYCLE.) APO FRO 290000 FEET PROJECT LOCA USGS EAS HA LEPTON t DISTRIBUTION BOX(D. T TEELUT ABOVE OUTLET INVERT; NCCNETIC MARKING COMPARABLE; CCESS RISER FO®'ER EN.GRADE EXISTING GROUND SURFACE • WATER SUPPLY WELLS TER SUPPLIES OR SYSTEM LOCATION. 'STEM LOCATION. RE TEO SYSTEM LOCATION FACE WATER SUPPLIES Iq WATER BODIES WITHIN • Lc i . y �AARM ELECTRICAL PANEL L(IN&RBUILDING) INDICATOR UCNT. CONTROL CABLES POWER AND OSIILOING SEPARATE BRANCH CIRCUIT FOR PIMP ALARM. " ^In FINISHED GRADE. z 7 I"PVC FROM SEPTIC TANK. LOT 1 AREA: 20,828 SF N W Q r 0 IPROPOSED LEACH BED: 10'WIDE X ST LONG. INLET LEE. EMERGENCY STORAGE; PUMP CH N FGMP CFF,. NI" I� co LEVEL STABLE BASE: S"CRUSHED STORE od PRECAST CHAMBER::K COARSER )1500 GAL USE 1000 GAL CHI DETAIL: PUM LEGEND P u"A 37I J 1-J2.,J di 46 Lit 0 INSPECT EXIST.SEPO0 TAB FILTER. 1000 GAL.t`.VSTALL OUR 00NTOUR LINE(1'INTERVAL) PROPOSED CONTOUR(1'INTERVAL DEEP OBSERVATION HOLE PERCOLATION TEST DECIDUOUS TREE CONIFEROUS TREE WA 7ER SUPPLY LINE(PRE=='RE) UTILITY POLE FIRE HYORAIIT WETLAND BOUNDARY SILT FENCE/EROSION BARRIER TART 10000 TION ED IWL IN.BASE ELEVA OF I0"0611 RED ASSUM OAK OTE: THIS AREA{5 SERVED ST Pt'BLIC WITHIN 150'Of THE PSE SYSTEM THERE ARE NO TUBULAR WATER SUPP�S ORENOTWBDS BOIRDERINGS RFACEW OR I'U 100 STEM 100'OF 1 HE OF THE PROPOSED s 100.OF iNE PROPOSED SOIL AP3ORPTII Sc ]POSED PUMP CHAR 0 GAL.SEE DETAIL BOARD OF HEALTH SIsUTION LATERALS Wm14'DIA.SOLID r SHALL BE INVERTED 41.1'SHAPED MD R INTO BED. TO A VORTICAL 4"OP -- TIG.NR.Y TO C.H.O. LLC 3 JS°HOLES PAW BOTTOM 13°OF A.PIEGE D ITH FILTER FABWC'EXTEND INSPECTION PIPE_ j. iAND oWSOIL ELOW THE STONE;EXTEND PIPE RPSEYDTaIFUY :WITH A SCREW-TirE CAP. -Si 6 I,6 yo1� cpt'S vG ''°p I1 Dot" r"o3-t%l 414— tett' for WY FILL BOULDERS. :US MATERIEL'ENCOUNTERED N$ED S FOR P IN ALL DIRECTIONS. 1 -So VARIANCE TO LOCAL GARB This permit application and repair Men that so'�' granting a variance to Its requirement garbage grinder. The system promised In this geminated by garbage disposals. The garbage garbage grtnder.shall be installed. THIS SYSTEM I- NOT SUITABL OR GARB E O. B± TFIEL 01038-0713 REGULATION RE T PER YSTEM P PROP BY UP USE OF'[ HE B OIL E: . ITLE 5 iL! DATED DE: EMBER UIRED. the Northampton Department of systems be sized to accommodate disposal suitable for the facility shall be removed and n EFFLUENT DISPOSAL/ OF THE B HORIZON FOF PLAN OF SEP STEM REPAI 301 COLES MEADOW RD., NORTHAMPTON, MA 01060 gREGORY J. LAPORTE 301 COLE MEADOW RD., NORTHAMPTON, MA 0106(n DRAWN BY APPROVED BY: REVISED AMHERST CIVIL ENGINEERING RICHARD COSTA, P.E. I ROBERT STAYER DRAWING NU P.O. BOX 3312, AI4IHERST, MA 01004M12