1443 Title 5 7-6-17 Commonwealth of Massachusetts
P i Title 5 Official Inspection Form
• Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
•t> N a 1443 West Hampton Road
Propety Address
Christine E.Young
Ovmer Demers Name
information e Florence-NOampton MA 01062 July 6,2017
required for ror even M
Cele/TownState Zip Code Data of Impaction
pose
Inspection results must be submitted on this form.Inspection forms may not be altered in any
way.Please see completeness checklist at the end of the form.
pnportentman A. General Information
filling out forms
on the computer,
useonyele tab 1. Inspector:
key to mow your
cursor-do not Michael Beausoleil
use the return Nana of Inspector
Bushey Sanitary Service, Inc.
MIConpeny Name
119 Nelson Road
Is'I ' Corpry Address
Colrain MA 01340
Ciy1Town State Zip Code
413-772-6531 17
Telephone Number License Number
B. Certification
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 the inspection.The inspection
was performed based on my training and experience in the proper function and maintenance of on site
sewage disposal systems.lam a DEP approved system inspector pursuant to Section 15.340 of
Title 5(310 CMR 15.000).The system:
❑ Passes ® Conditionally Passes 0 Fails
❑ Needs Further Evaluation by the Local Approving Authority
yip*/ Jury 6 2017
4aure Date
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 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 sane or different conditions of use.
15,¢eke.rev ens Tie alkiel Inspection Form'.9MaO Swage Mixed Bytom•P41 M17
Commonwealth of Massachusetts
• j Title 5 Official Inspection Form
• n Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
IL.
1443 West Hampton Road
Proper Address
Christine E.Young
Oyster Ovaries Name
informationb Florence-Northampton MA 01062 July 6, 2017
requiredrequiredfofor even
Gay/TownState Zip Cede oats of inspection
Pva.
B. Certification (cont.)
Inspection Summary: Check A,B,C,D or E l always complete all of Section 0
A) System Passes:
O 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.Any failure criteria not evaluated are
indicated below
Comments:
Needs a new distribution box,current one is cracked.
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,NO)for the following statements. If'not
determined,'pease 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 exfittration 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 ® N ❑ ND(Explain below):
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Commonwealth of Massachusetts
Title 5 Official Inspection Form
M0 Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
1443 West Hampton Road
Property Address
Christine E.Young
Owner Overer's Name
nbrrri. 0n" Florence-Northampton MA 01062 July 6,2017
rpured for every
Pape_ Cxy/rown State ZipCede Date of Inspection
B. Certification (cont.)
0 Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if
pumps/alarms are repaired.
B) System Conditionally Passes(cont):
Fzi Observation of sewage backup or break out or high static water level in the distribution box due
to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will
pass inspection if(with approval of Board of Health):
❑ broken pipe(s)are replaced OVONO ND(Explain below):
❑ obstruction is removed ❑ Y 0 N 0 ND(Explain below):
❑ distribution box is leveled or replaced ® YONO ND(Explain below):
Dishihutinn box sides are(sacked cover was hrnkan when we dug it up We pad plywood over it
for a temporary cover.
❑ The system required pumping more than 4 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 ❑ Y ❑ N ❑ ND(Explain below):
❑ obstruction is removed ❑ Y 0 N ❑ ND(Explain below):
C) Further Evaluation is Required by the Board of Health:
0 Conditions exist which require further evaluation by the Board of Health in order to determine if
the system is failing to protect public health,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
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Commonwealth of Massachusetts
�F.f Title 5 Official Inspection Form
M`7_' Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
m„I,,, 1443 West Hampton Road
Properly Address
Christine E.Young
Ower Ovmees name
Infornstion s Florence-Noempton MA 01062 July 6,2017
iaquired d for everyM
ray/Twat State Zip Cede Cate of lnnpcaen
Oaa>.
B. Certification (cont.)
2. System win fail 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
❑ 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.
❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water
supply.
❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water
supply well.
❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or
more from a private water supply were.
Method used to determine distance:
"This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal
cdifcrm bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal
to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must
be attached to this form
3. Other
D) System Failure Criteria Applicable to All Systems:
You must indicate Wes"or"No"to each of the following for all Inspections:
Yes No
❑ ® Backup of sewage into facility or system component due to overloaded or
dogged SAS or cesspool
❑ a Discharge or ponding of effluent to the surface of the ground or surface waters
due to an overloaded or dogged 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 invert or available volume is less
than%day flow
t&td%•IN.e'15 Tine 5 Official Inspeclim Pam:HOWIIM sewage Clip:sal System'Pap 4.117
Commonwealth of Massachusetts
Title 5 Official Inspection Form
--'.-1111t-- ; Subsurface Sewage Dispel System Form-Not for Voluntary Assessments
, „" 1443 West Hampton Road
Properly Address
Christine E.Young
Omer Owner's Nems
lnfwmadom s Florence-Northampton MA 01062 July 6, 2017
required for even City/Tam State Zip code Date at Inspection
rose
B. Certification (rant.)
Yes No
❑ ® 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.
❑ ® Anypo to a surface
If cesspool
r Pd supply.whin 100 feet of a surface water supply or
tributar
❑ ® 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
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 is equal to or less than 5 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 flaw of 2000g0-
10,000gpd.
❑ ® The system(all$.I have determined that one or more of the above failure
criteria exist as described in 310 CMR 15.303, therefore the system fails.The
system owner should contact the Board of Health to determine what will be
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.
For large systems, you must indicate either°yes'or'no"to each of the following, in addition to the
questions in Section D.
Yes No
❑ 0 the system is within 400 feet of a surface drinking water supply
❑ 0 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 well
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 upgrade the
system in accordance with 310 CMR 15.304.The system owner should contact the appropriate
regional office of the Department.
15nae%.rev.UI6 Tile 5 glial irspecdon Fong,.dIEa,Rea Sewer Disposal System'P45 of 17
Commonwealth of Massachusetts
I=. ,_ 't Title 5 Official Inspection Form
f % Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
1443 West Hampton Road
Properly Address
Christine E.Young
()valor Owrr's Name
intonation
amain('
Is
went
amain('roFlorence-Northampton MA 01062 July 6,2017
rose. cxyrte..l sane Zip cede Date of McPeeeen
C. Checklist
Check if the following have been done.You must indicate'yes'or no as to each of the following:
Yes No
® 0 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?
® ❑ Has the system received normal flows in the previous two week period?
❑ 0 Have large volumes of water been introduced to the system recently or as part of
this inspection?
® ❑ Were as built plans of the system obtained and examined?(If they were not
available note as N/A)
• 0 Was the facility or dwelling inspected for signs of sewage back up?
® 0 Was the site inspected for signs of break out?
® 0 Were all system components, excluding the SAS, located on site?
• 0 Were the septic tank manholes uncovered, opened, and the interior of the tank
inspected for the condition of the baffles or tees, material of construction,
dimensions,depth of liquid,depth of sludge and depth of scum?
127. ❑ Was the facility owner(and occupants if different from owner)provided with
information on the proper maintenance of subsurface sewage disposal systems?
The size and location of the Soil Absorption System(SAS)on the site has
been determined based on.
la 0 Existing information. For example, a plan at the Board of Health.
• ❑ Determined in the field(if any of the failure criteria related to Part C is at issue
approximation of distance is unacceptable)[310 CMR 15.302(5)]
D. System Information
Residential Flow Conditions:
Number of bedrooms(design): 4 Number of bedrooms(actual): 4
DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 440
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Commonwealth of Massachusetts
Title 5 Official Inspection Form
• a Subsurface Sewage Disposal System Form-Na for Voluntary Assessments
,51:-f ',,.a 1443 West Hampton Road
Rorty Address
Christine E.Young
Owner Owner's Name
information is Florence-Northampton MA 01062 July 6, 2017
required tor every
CiryInspectionState Zip Code Data of Inspection
reg
D. System Information
Description:
3
Number of current residents:
Does residence have a garbage grinder? ❑ Yes ® No
Is laundry on a separate sewage system?(Include laundry system inspection ❑ Yes ® No
intonation in this report)
Laundry system inspeded? 0 Yes 0 No
Seasonal use? ❑ Yes 0 No
None
Water meter readings, if available(last 2 years usage(gpd)):
Detail:
Sump pump? ❑ Yes ® No
current
Last date of occupancy: Date
Commercial/Industrial Flow Conditions:
N/A
Type of Establishment
N/A
Design flow(based on 310 CMR 15203): Gallons per day Napa)
N/A
Basis of design flow(seats/persons/sett.,etc.):
Grease trap present? 0 Yes 0 No
Industrial waste holding tank present? ❑ Yes ❑ No
Non-sanitary waste discharged to the Title 5 system? 0 Yes 0 No
N/A
Water meter readings,if available:
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Commonwealth of Massachusetts
II Title 5 Official Inspection Form
- Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
• ,—;,s" 1443 West Hampton Road
Properly Address
Christine E.Young
Owner Owner's Name
inre"1B"0e is Florence-Northampton MA 01062 July 6,2017
required for every
pays. City/Town State Zip coda Data of Nepocton
D. System Information (cont.)
N/A
Last date of occupancy/use: Dem
Other(describe below):
N/A
General Information
Pumping Records:
Source of information: Approximately3 years per owner
Was system pumped as part of the inspection? ® Yes ❑ No
1,500
If yes,volume pumped: yens
How was quantity pumped determined? Pumper truck
Check Tank
Reason for pumping:
Type of System:
Septic tank,distribution box,soil absorption system
❑ Single cesspool
❑
Overflow cesspool
❑ Privy
❑ Shared system(yes or no)(if yes, attach previous inspection records, if any)
❑ Innovative/Alternative technology. Attach a copy of the current operation and
maintenance contract(to be obtained from system owner)and a copy of latest
inspection of the I/A system by system operator under contract
❑ Tight tank Attach a copy of the DEP approval.
❑ Other(describe):
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Commonwealth of Massachusetts
I' _;yl' Title 5 Official Inspection Form
E ' ,, Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
- ,,: " 1443 West Hampton Road
Properly Address
Christine E.Young
Owner Owner's Name
nfon"'uon Is Florence-Northampton MA 01062 July 6, 2017
required for every City/Tenn State Zip Code nab et Inspection
page.
D. System Information (cont.)
Approximate age of all components,date installed(if known)and source of information:
August 17, 1998 design by Maginnis
Were sewage odors detected when arriving at the site? 0 Yes ® No
Building Sewer(locate on site plan):
At Floor,walk out basement
Depth below grade: feet
Material of construction:
❑cast iron ®40 PVC ❑other(explain):
46'
Distance from private water supply well or suction line: yet
Comments(on condition of joints,venting, evidence of leakage,etc.):
Septic Tank(locate on site plan):
Inlet 13" Middle and Outlet 12"
Depth below grade: ten
Material of construction:
®concrete 0 metal ❑fiberglass 0 polyethylene ❑other(explain)
If tank is metal, list age: win
Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes 0 No
10'6"X 5'
Dimensions:
11"
Sludge depth:
19ee<•IW.we Tib 5 MOO Iisps:lien Faro:Sl:curia,Sewage Disposal Silken•Page 9 S 17
\ Commonwealth of Massachusetts
Title 5 Official Inspection Form
^
l
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
. ,s1 1443 West Hampton Road
Property Address
Christine E. Young
Owler Ovmer's Name
1donnBtion is Florence-Northampton MA 01062 July 6,2017
required for every CiWrevm able Zip Code Deb of Inspection
Page.
D. System Information (cont.)
Septic Tank(cont.)
20"
Distance from top of sludge to bottom of outlet tee or baffle
20"
Scum thickness
Distance from top of scum to top of outlet tee or baffle 6"
Distance from bottom of scum to bottom of outlet tee or baffle
2'below
Ruler
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.):
Inlet end outlet'TY are ok,the wastewater was at the bottom of Me outlet invert,it is a two compartment
tank no filter,no leakage seen.
Grease Trap(locate on site plan):
N/A
Depth below grade: feet
Material of construction:
❑concrete 0 metal ❑fiberglass 0 polyethylene 0 other(explain):
N/A
N/A
Dimensions:
N/A
Scum thickness
N/A
Distance from top of scum to top of outlet tee or baffle
Distance from bottom of scum to bottom of outlet tee or baffle
N/A
N/A
Date of last pumping: Dale
Mato:•m.8/16 Tiles MOS roped*,cam.SWvlwa serge pM1"al%atm•Page 10a 17
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
,Il,r 1443 West Hampton Road
Properly Address
Christine E.Young
Ostler Cwer'a Nemo
info""'tlen is Florence-Northampton MA 01062 July 6,2017
moulted for ovary City/Tow Snare Zip Code Data of Impaction
page.
D. System Information (cont.)
Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage,etc.):
N/A
Tight or Holding Tank(tank must be pumped at time of inspection)(locate on site plan):
N/A
Depth below grade:
Material of construction:
0 concrete 0 metal 0 fiberglass 0 polyethylene 0 other(explain):
N/A
N/A
Dimensions:
N/A
Capacity: allure
N/A
Design Flow gallons per day
Alarm present: 0 Yes 0 No
N/A
Alarm level: Alarm in working order: 1:1Yes 0 No
N/A
Date of last pumping: Dm
Comments(condition of alarm and float switches,etc.):
N/A
*Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No
ISM doe•rem&16 Tb 5 CelS Inyefa Fmm:SSYnm swap nvosal SNr•Page 11 a117
Commonwealth of Massachusetts
UTitle 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
1443 West Hampton Road
Property Andress
Christine E.Young
Dreier OeNer's Name
infpinia°°n 15 Florence-Northampton MA 01062 July 6,2017
ige for every
PaD {ovn state 2b Gods Date of Inspection
wve
D. System Information (cont.)
Distribution Box(it present must be opened)(locate on site plan):
0'
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.):
Distribution box needs to be replaced. Broken and cracked. We put a piece of plywood over the
cover. Has solids carryover, no leakage seen, 16"below grade to the cover.
Pump Chamber(locate on site plan):
Pumps in working order: 0 Yes 0 No'
Alarms in working order. ❑ Yes ❑ No'
Comments(note condition of pump chamber,condition of pumps and appurtenances, etc.):
N/A
•If pumps or alarms are not in working order, system is a conditional pass.
Soil Absorption System(SAS)(locate on site plan, excavation not required):
If SAS not located, explain why:
N/A
t5mhc•rev.e15 Ise 5 Mast Inspema hum.SutM0ce Sewage Deposa1System•Page 1211117
Commonwealth of Massachusetts
Ut
Title 5 Official Inspection Form
• Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
1443 West Hampton Road
Property Address
Christine E.Young
Owner Owner's Name
intimation is Florence-Northampton MA 01062 July 6, 2017
required for every
Sage
Cay/Town Stet Zip Code Date of Inspection
P9e
D. System Information (cont.)
Type:
❑ leaching pits number:
❑ leaching chambers number:
❑ leaching galleries number:
❑ leaching trenches number, length:
❑ leaching fields number,dimensions:
❑ overflow cesspool number:
❑ innovative/alternative system
Type/name of technology: Infiltrators, 7 rows 36'long each
Comments(note condition of soil, signs of hydraulic failure, level of ponding,damp soil, condition of
vegetation, etc.):
No Hydraulic failure,no ponding,weeds were over the top.Took the information ott the design from Tim
Maginnis
Cesspools(cesspool must be pumped as part of inspection)(locate on site plan):
N/A
Number and configuration
N/A
Depth-top of liquid to inlet invert
N/A
Depth of solids layer
N/A
Depth of scum layer
N/A
Dimensions of cesspool
N/A
Materials of construction
Indication of groundwater inflow 0 Yes ❑ No
%snow•rev.6'16 Tile 5 Official InspeCton Form:SULaelace Sewage Woosal System•Page 13 d17
Commonwealth of Massachusetts
Lli,
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
1443 West Hampton Road
Property Address
Christine E.Young
Owner owner's Name
tldOni°°"" Florence-Northampton MA 01062 July 6. 2017
required for every
IfeR, City/town State Zip Code Dare of Inspection
D. System Information (cont.)
Comments(note condition of soil,signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
N/A
Privy(locate on site plan):
N/A
Materials of construction:
N/A
Dimensions -
Depth of solids N/A
Comments(note condition of soil,signs of hydraulic failure, level of ponding, condition of vegetation,
etc.)-
N/A
tc.):N/A
rensdoc.rm.WS Title 5Mae)neps-Yn Fmn:Stlawace Sewer oNw Ssten-Page 14 a11
Commonwealth of Massachusetts
T-e Title 5 Official Inspection Form
r'.� Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
ay(id
1443 West Hampton Road
Properly Address
Christine E.Young
Owner Owner's Name
information is
required for every Florence-Northampton MA 01062 July 6.2017
h
peLa
City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to
at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate
where public water supply enters the building. Check one of the boxes below
® hand-sketch in the area below
0 drawing attached separately well
house
chicken
coop
Garage Oc
G H O
NO SCALE
A-C 327"
A-D 35'
A-E 38'5"
G-F 962"
B-C 21'3"
B-D 272"
B-E 29'6"
H-F 89'5"
F
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Commonwealth of Massachusetts
Title 5 Official Inspection Form
1 Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
1443 West Hampton Road
Property Address
Christine E.Young
Owner Oxner's Name
reeked to formatfon° Florence-Northampton MA 01062 July 6,2017
Page- tor every
Page- City/Town Mete Zip Code Date of Inspection
D. System Information (cont.)
Site Exam:
❑ Check Slope
❑ Surface water
❑ Check cellar
❑ Shallow wells
36"
Estimated depth to high ground water feet
Please indicate all methods used to determine the high ground water elevation:
• Obtained from system design plans on record
If checked, date of design plan reviewed: August 17, 1998
nem
❑ Observed site(abutting property/observation hole within 150 feet of SAS)
❑ Checked with local Board of Health-explain:
❑ Checked with local excavators, installers-(attach documentation)
❑ Accessed USGS database-explain:
You must describe how you established the high ground water elevation:
From design by Tim Maginnis dated August 17, 1998
Before filing this Inspection Report,please see Report Completeness Checklist on next page.
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Commonwealth of Massachusetts
_� ry Title 5 Official Inspection Form
111.,--,i` Subsurface Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
t �ti s
1443 West Hampton Road
Property Address
Christine E.Young
Owner Owner's Name
'Promotion is Florence-Northampton MA 01062 July 6,2017
requited for every
Mgt OW/Town State Zip Code Deb of Inspection
E. Report Completeness Checklist
21 Inspection Summary: A, B, C, D, or E checked
a Inspection Summary D(System Failure Criteria Applicable to All Systems)completed
® System Information—Estimated depth to high groundwater
Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file
tam ax•rev.6/16 ribs grim)Inye.Yn Form:SueSNare Sewage Deposal SKbn•Page 17>1l