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16 Bayberry Lane Perc Test 20219Commonwealth of Massachusetts City/Town of Northampton t, f Form 12 — Percolation Test A. Site Information Harold Jordan and Renee Rossi Avner Name 16 Bayberry Lane Assessors Ma 35 Parcel 229-001-1 Street Address or Lot # 01062 Northampton MA Zip Code City/Town State ZCo Harold Jordan and Renee Rossi Contact Person Telephone Number B. Test Results 1!11!19 11:20 am Date Time Date Time Observation Hole # 1 2 Depth of Perc 34" Start Pre -Soak 11:20 End Pre -Soak Poured 24 gallons Sieve analysis Time @ 12' Results: Class 1 Time @ 9' Time @ 6' Time 9 — 6' Rate (Min./Inch) 2 rnpr Test 2 Test Passed 0 Passed Test Failed Cl Test Failed Peter LaBarbera Test PErtem*d er. Daniel Wasiuk Witnessed By DEP Form 12 Percotation Test Analytical Engineering, Inc. Granby, MA & Newburyport. MA Grain -Size Analysis of Soils i Sample I.U. S-1 Delivered to lab by: PR LaBarbera On-site material: 16 Bayberry Lane, Northampton, Mass. Description. Burmister c -f SAND, little Gravel, tr-Slit Munselt color Grain Size Distribution 100 _ . I I ; Silt 90 Sand GraveE � I Clay 80 -,-- c 70: I ii 50 i i i *6 U 40-,I 30- i #[1 a 20, , r I I I I I V­�_ I I I i 11 10 0 . 10 1 0.1 0.01 0.001 Grain Size minus #10 fraction (mm) Tested by: AEI IWAS 2116 - 17/2019 Methodology: ASTM D-422 W -tare (g) 129.00 Cumulative Cumulative % Finer Specification Sieve D (mm) Weight (g) % Retained % Finer Cormoed to /10 94 4.75 199.6 70.6 14.84 8516 #'10 2 247.2 118.2 24.85 75.15 100.00 920 084 351.0 222.0 46.67 5333 70.97 #40 0.42 4615 332.5 69.90 30.10 40.06 #60 0.3 552.7 423.7 89.07 10.93 14.55 #100 0.15 568.1 439.1 92.31 769 10.24 #x200 0 074 585.0 456.0 95.86 4.14 5.51 Pan f - 604.7 475-7 Method D (mm) % Finer hydrometer 0,10057 700 hydrometer 0.07166 6.22 I hydrometer 0.05125 5.44 hydrometer 0.03664 4.67 hydrometer 0.02610 3.89 hydrometer 0-01872 2.72 hydrometer 0.01328 2.33 hydrometer 0-00944 1.94 hydrometer 0.00671 1.55 hydrometer 0-00477 1.17 hydrometer 0.00338 0.97 hydrometer 0.00240 078 hydrometer 0.00157 039 Summary: Sand 95 % Silt 4 Clay- 1 Sample is classified as a: Unified USDA SAND PLAN REVIEW - SYSTEM COMPONENTS NORTHAMPTC',I BOARD OF HEALTH 212 MAIN STREET, Ci #W TON, MA 01060 Lot Number Address, OWNER NAME OWNER ADDRESS Fjlf ,C&b Applicatiou No. V/r,2 TELEPHONE # ( _) DESIGN ENGINEERISANITARIAN FACILITY DESIGNED FOR A. Single or Multifamily dwelling # Bedrooms Garbage Disposal yes na Total Design Flow 35�- G� gallons per day B, Other (describe) Design Basis Total Design Flow COMMENTS or PROBLEMS: r� vI le e-- NORr (P ro v,A &j �1 yAMPT�JN gOA NOR IIA�N SrRFEr RD OF NEALrk NA . 'OiV, fviA 01060 Pager I of 16 //0. gpd�����j BUILDING SEWER ITEMS TO NOTE: Pipe diameter Schedule of pipe Watertight joints Slope (min for 4" pipe is 0.01 or 1/$" per foot; desired slope is 0.02 or 1144" per foot) Invert elevation at building _ Length Alignment and grade (manholes required at changes in both allPmelat and grade.) Manhole (Must have metal frame and cover at grade) Pager 2 of 16 SEPTIC TANK Tank size at least 200 % of design flow (minimum tank size is 1,500 gal) 2" - 3" drop from inlet to outlet / ex Js Minimum 41 liquid depth J Tees extend 6" above flow line Inlet tee 10" below now line (minimum) Air space (31'above tees, 9" above flow lune) Depth of outlet tee (minimum 14") .Access manhole over center of tank and each tee Number of compartments Gas baffle on .new construction Septic tank detail provided Buoyancy calculation (if necessary) On 6" crushed stone Pager 3 of 16 DISTRIBUTION SOX ITEMS TO NOTE: Inlet elevations�O r �_ Outlet elevations Drop (inlet - outlet) Sump (6" mfnlmum) Baffle or inlet tee All outlets at same elevation ventilation Manhole cover to grade # of outlets / size of outlets (diameter) Distribution laterals: No. Size Detail Provided�� Aabrr 4 of 16 LEACH FIELD Items to note: Dimension of fleld(s): Length WIdth Number of fields Field separation (10 ft. min) Total area provided for disposal (1 x w x no. of fields) Gallons of treatment provided: (sq. ft.) Bottom area x loading factor (from 15.242) P -al. (must be equal or greater than design flow) Note: Leaching area .must be increased if garbage grinder is used. Elevation of bottom of the field (must be 4 ft/or 5 ft above max. high groundwater depending on Pere rate.) Number of distribution pipes Type Length (100'm x.) Slope (min. 0.005) Spacing (6' max.) Depth of stone beneath pipe (min 6") Plan states stone is double washed 2" cover of 1/8" to %" stone over pipe crown Ends capped Aggregate depth 6" minimum and 12" maximum Depth of cover material above stone (min.911) Construction of leaching facility in rdl? Yes _ No Fill is specified as Titley on plan Certification on fill submitted Fill is specified for 5' around entire system Separation between lines (6 ft maximum) Separation between Unes and edge of bed - four feet maximum. Pager 5 of 16 MW] LEACHING TRENCHES Number of trenches , length (max. 100') width (min.24) Depth of stone beneath pipe (6"' min ) Leaching area available bottom = length x width x no. trenches sides = length x depth (2'max) x w x # of trenches sq ft: TOTAL @ sq ft. note: the effective depth shall be equal to the depth of the trenches below the invert of the distribution pipe up to maximum of 2 ft. Leaching are requirements: Total leaching area (bottom plus sides) x loading factor = gallons treated Loading factor is based on pert rate (see 15.242) Total gallons treated by system design must be > design flow for ste LEACHING AREA REQUIREMENTS SATISTIED7 Yes , No ( note: leaching area must be increased if garbage grinder is used) Ground water elevation: 4 feet or 5 feet separation between trench bottom and max. high groundwater. Trench spacing 3 x effective width or depth whichever is greater Trench width 4 ft maximum Pipe slope (min. 0.005 slope, or 6" per 100 feet) Backfill depth (min. of 911) Ends capped Distribution lines exceeding 50 ft are vented. Diameter of distribution pipe (min. 3') Distribution line orifice (min. 318, max %") The area between trenches shall be designated as reserve area only where the separation distance between the excavation sidewalls is at least six feet. FRI Is specified as Title V on plan Certification on Fill submitted Fill is specified for 5" around entire system Pager 6 of l 6 PLAN REVIEW CHECKLIST GENERAL INFORMATION CHECK TO VERIFY THAT THE PLAN INCLUDES THE FOLLOWING REQUIRED INFORMATION: MASS. REG. SANITARIAN, or MASS. P.E. stamp and signature 4/ Scale of I" = 40' for plot plan Scale of I" = 20' for system component details gal boundaries of the facility being served including easements which could affect the impact the system Installation/performance. All dwellings, buildings existing and proposed impervious areas Location of all existing and proposed impervious areas �ocation and dimensions of the system including reserve area Design calculations: Sewage now gpd gpd gpd Septic tank $ire required " "provided gpd G North arrow, existing and proposed contours �ocation and log of deep bole observations test — date of test existing grade elevations for each test Pager 7 of] 6 PLAN REVIEW CHECKLIST (cont.) Name of approving authority representative Name & approval no. of soil evaluator Location and results of Pere test Date of perc test �Loeatian of water lines and other subsurface utilities on facility Observed groundwater elevation in vicinity of the system -Z,C-O-mplete profile of the system _JZA note: on the plan listing; all variances to the provisions of 310 CMR, 15.00 and local requirements sought in conjunction withthe plan —L -Location and elevation of benclunark within 5o to 75 feet of the facility which is not subject to dislocation or loss during conjunction of the fi►cility If dosing system is proposed: complete design and specifications of the system dosing chamber capacity; required provided number of dosing cycles, depth of cycles PAger 8 of 16 PLAN REVIEW CHECKLIST (CON IT) Recirculating Sand Filters Complete plans and specifications hydraulic profile location of the treatment works and nearest existing street street and lot number Pager 9 of 16 DOSING TANK Dimensions L x W x D= Vol. Nui�r / size of siphons Number aft�size of pumps (No. . Capacity gpm Discharge size Manholes to grade Groundwater elevatiok(min. X ft below inlet) Pump controls Alarm (on separate power Buoyancy calculations (if Pump system calculations Pager 10 of 16 LEACHING CHAMBERS/PITS ITEMS TO NOTE Manufacturer 0, 7 , Installation 1 GcC. - �--i✓ f/rr� �5 Bed Formation Number of beds of trenches Leaching area available: ers) Length Width Depth ,�D a/,X x 7 93s, �/I k = v�5,�o s.�2 bottom: (length x width x no. of pits) sides: (2 x (length x depth (2'max.)+ (2 x Jr (width xx depth (2'max) x # of pits. /-/, Total leaching area available = / 5 -- sq. ft. 1,4e LEACHING AREA REQUIREMENTS: Total leaching area (bottom + sides) x loading factor from 15.242 -- ✓ ��' �j� gals. This must be greater than or equal to the design flow for the system. Increase leaching area if garbage grinder is used. Distribution Trenches: every 20 feet Beds: area for pipe not to exceed 60 x 60 feet Spacing Trenches: 2 x effective depth or width Beds: 4 feet between excavation sidewalls. Manholes (min -one 20" access per unit; a 24" diam for > 2,000 gal units) z--- Stone around chamber ('12" to 48" of'/ " to 1 %" stone) 2" cover of i/S" to ''/_" stone 4' separation between max. high GW and trench bottom? Yes No _ Pager 11 of 16 rn t413J ��. l u1 r ruA t—j 1.4 I t PLAN REVIEW - SYSTEM SITING Performed By: ............................................. Approval # ................. Witnessed By:..... ........................................ Date ..................... Location Address or Owner's Name, Lot Number: Address and Telephone No. Office Review Published Soil Survey: NO YES Year Published ............Publication Scale........... Soil Map Unit ............ Drainage Claes ............ Soil Limitations ...................................... SurtIcial Geologic Report Available: No Yes Year Published ............. Publication Scale ................. Geologic Material (Map Unit) ........................................ Landform............................................................ Flood insurance Rate Map: Above 500 year flood boundary No Yes Within 500 year boundary No Yes Within 100 year flood boundary No Yes Pager 12 of 16 Area: National Wetland Inventory Map (map unit) Wetlands Conservancy Program Map (map unit) Current Water Resource Conditions (USGS): Month Runge: Above Normal Normal . Below Normal Other References Reviewed: M n"n"Rt setback distances (where applicable) shall be shown on the plan for the proposed disposal facility (septic tank and soil absorption system.) Septic Tank Property line 1.0 Cellar waWinground swimming pool Slab Foundation Water supply pressure Line Surface waters (except wetlands) 10 10 10 25 Soil Absorption System (SAS) 10 Pager 13 of 16 20 25 10 50 r Septic Tank SAS --Bordering vegetated wetlands, suit nurshes, inland and coastal banks 25 50 SURFACE WATER SUPPLY Reservoirs and impoundments 400 Tributaries to SWS 260 Wetlands bordering SWS or tributaries thereto 100 Certified Vernal Pools 100 Private water supply well or suction line 50 PUBLIC WATER SUPPLY WELL Gravel packed 400 Tubular 250 Irrigation well 10 Open, subsurface, or surface drains which discharge to SWS or tributaries thereto 50 Pager 14 of 16 400 200 100 100 100 400 250 25 100 Soil Absorption Septic Tank System !r,~ r ` Other open, surface or subsurface drains (ex- cluding foundation drains) which intercept seasonal high groundwater 25 50 Other open, surface of subsurface drains (ex- cluding foundation drains 5 10 %/ Leaching and catch basivas & drywells 10 25 Y Downhill slope N/A 15' (min) to top of 3:1 slope v Inspection Port(s) kl-'Ma;nctic Tape erect # of deep bole per code revision Note: slope stabilization shall be provided (Including retaining; walls) when an adjacent dowrddfl slope to a disposal facility is greater than 3:1. Pager 15 or 16 EFFLUENT LOADING RATES (gpd/sq. ft./day) PERC.RATE SOIL CLASS (min./in.) CLASS I CLASS II CLASS M CLASS IV <5 0.74 0.60 - - 6 0.70 .0.60 - - 7 0.68 0.60 - - 8 0.66 0.60 - - 10 - 0.60 - - 15 0.56 0.37 - - 20 0.53 0.34 - - 25 - 0.40 0.33 - 30 - 0.33 0.29 - Loading criteria listed below apply only to the upgrade of existing systems pursuant to 310 CMR 15.405 (1) (c) or systems constructed pursuant to 310 CMR 15.417 40 60 - Pager 16 of 16 0.25 0.15 Y. CITY of NORTHAMPTON PUBLIC HEALTH DEPARTMENT Public Health Director -- Merridith O'Leary, RS Municipal Building — 212 Main Street -- Northampton, MA 01060 Phone (413) 587-1215 M Fax (413) 587-1221 hip: //www. northamptonma.gov/245/Health Onsite Septic Construction Pern Commission ReviE NOTE: As of 1/1/11, septic System Permits will not be i of Health until we receive this form signed by the Northa Staff member. The conservation Commission can; be reac o Sarah LaVall!2�y. Conservation Preservation and Land Use Planne Property Owner: Address: lu PuiblicHealth Prevent. Promote. Protect. Co y 15 Gam,' 7v � ��5 W M M SLaValle northam tonma. ov Office of Planning & Development 210 Main Street, Room. 11, City Hall Northampton, MA 01060 C-1 Engineer: / Conservation Preservation and Land Use Planner Date: ❑ New Construction 0 /Uo�, oti Repair Construction _ tieel (8e %14- Nat �nl � /ICI,tCJ/ , 212 Main Street, Northampton, MA 0.1060 Ph (413) 587-1214 Fax (413) 587-1221 City of Northampton Board of Health 2017 ' t 212 Main Street ' Northampton, MA 01060 413-587-1214 - PERC TEST WITNESS FEE ��/� 200.00 per 3 hours !/ Permit Number: o $75.00 per hours after 3 hours Fee Collected: eir Cfee W�cl% FEE'S ARE NON-REFUNDABLE Perc Test Date: January 11, 2 019 APPLICATION MUST BE SUBMITTED IO BUSINESS DAYS PRIOR TO THE SCHEDULING OF A PERC TEST Application for Percolation ("Pert") Test Date of Application: January 10, 2019 9 Home Owner Name: Harold Jordan and Renee Ross; Address: 16 Bayberry Lane City/Town/State/Zip Code: Florence SOIL EVALUATOR LICENSE NUMBER: 1328 R.S.(X Engineero ADDRESSEnvir)nmental Planning Associates, P.D. Box 351, South Deerfield, MA 01373 PHONE 413-665-7903 E-INTAIL enpl-an@comcast.net EXCAVATOR Richard Jaescke (hack -hoc oneratc, ADDRESS 774 Bridge Rd., Northampton, MA 01060 PHONE 413-584-7898 CHECK LIST ❑ New Construction ® Repair/ ipgrade ***Number of Lots to be Pere Tested —New Construction only- Give Lot Numbers*** ® Dig Safe Sign -Off: Gas/Electrical # 2018-4902084 ❑ Trench Perinit/Info Sign Off from DPW (413) 587-1570 For Goad .MMM Ute Only : CITY of NORTHAMPTON PUBLIC HEALTH DEPARTMENT ti y BOARD OF HEAL T11 MEMBERS: Donna Salloom, Chair — Joanne Levin, MD --Suzanne Smith, MD STA FF.- Merridith O'Leary RS, Director — Daniel Wasiuk, Inspector — Edmennd Smith, Inspector — Jennifer Brown, RN, Nerrse October 31, 2018 Harold Jordan 16 Bayberry Lane Florence, MA 01062 RE: Sewage Disposal System Inspection 16 Bayberry Lane Dear Homeowner: The Northampton Board of Health is in receipt of a report on the Subsurface Sewage Disposal System Inspection conducted by Marcus Millett at your property, 16 Bayberry Lane, on September 28, 2018. That inspection report indicates that your subsurface sewage disposal system fails 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 Code, Title 5, and under authority of Massachusetts General Laws, Chapter 21A, Section 13, you (or the subsequent owner of the property) are hereby ordered to repair the subsurface sewage disposal system at 16 Bayberry Lane, within two years of the date of the original inspection, (September 28, 2020). If further 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 Wasiuk Health Inspector 212 Main Street, Northampton, MA 01060 ph (413) 587-1214 Fax (413) 587-1221 ■ BOARD OF HEALTH . MEMBERS JAY FLEITMAN, M.D., ACTING CHAIR SUZANNE SMITH, M.D, DONNA C. SALLOOM DIRECTOR OF PUBLIC HEALTH XANTHI SCRIMGEOUR, MHEd, CHES, CITY OF NORTHAMPTON ltiASSACHUSE TTS 01060 OFFICE OF THE BOARD OF HEALTH 212 MAIN STREET (413) 587 -1214 NORTHAMPTON, MA 01060 FAX (4131) 587 -1221 CJ /6 l / ste Suitabi£it or On -Site Sewn a Dzs asa q Project Number. Date: Performed by. ee k l Equipment Operator. Heath Inspector � 1 I X r Site Address Client Name U° Address i New Construction Q Repau Office Review Published Soil Survey Available: No O Yes Year Published Publication Scale Soi ap Unit Drainage Class Soil Limitations Surficial Geologic Report Available: No O Yes Q Year Published Publication Scale Geologic Material (Map Unit) Landform Flood Insurance Rate Map: Above 500 year flood boundary D Within 500 year flood boundary ❑ Within 100 year flood boundary Q Wetland Area: National Weiland Invetory Map (Map Unit) Wetlands Conservacy Program Map (Map Unit) Current Water Resource Conditions (USGS): Month Range: Above Normal C1 Normal Q Below Normal O Other References Reviewed: PPrcnlntinn Test Results Perc 1-1 Time Measurement Time Measurement Begin Saturation J Begin Saturation End Saturation End Saturation Measurement o Measurement 6" depth 1 6" depth Measurement Measurement --- _ ElElapsed Time Elapsed Time apsed 9" to 6" Percolation Rate <'�inm. m erco a o" n l�atcr )3ottom of Percolation Test Hole: " i�.%r Bottom of Percolation Test Hole: - method UsedViIAe Depth observed standing on observation hole.> ❑ Depth weeping from side of observation hole _inches �(Depth to soil mottles _ inches ❑ Groundwateradjustment inches. nIndex Well Number Reading Date Index well level Depth of ldaturally Occurine Pervious Material Does at least four feel of rally occurring pervious mz:terial exist to all areas observed throu¢hout die area proposed for die soil absorption system? If yes, what is the depth of naturally occurring pervious rlaterial? Itrtet rorlratiile depth of naturally occurring pervious material; T.P. # 1-1 Gn-Site Review Deep Hole Number: % Date: y Tin ie: -,,i Weather Cool & Overcast Location (identify on stfte-plIt,- Land LiscNegetat�on"Lauv/gruss 1 i Slope {%): surface Stones: none Landform: Position of Landscape: Distance from: � - q lV Open Water Body'� eei- Drainageway Feet Possible Wet Area CIJL �' Fect Property Line Feet Drinking Water Well <t (� �(� r Feet Other r� 5rr:C lL' �� Feet i Parent Material (geologic) De tb to -Groundwater. Standing Water in the Hole: /I lwe Depth to Bedrock: > Fstimated Seasonal High Oround Water: n Weeping from Pit Face: ff ,J` � ii✓ Depth from Surface rhes SoilSoil Horizon TeVutre- (USDA) 'Soil Color Soil Other (Structure, Stones, Boulders, (Munsell)_ mottl ng Consistency, %Gravel) -- i Parent Material (geologic) De tb to -Groundwater. Standing Water in the Hole: /I lwe Depth to Bedrock: > Fstimated Seasonal High Oround Water: n Weeping from Pit Face: ff ,J` � ii✓ l Commonwealth of Massachusetts title 5 official Inspection Form ubsurface Sewage Disposal System Form - Not for Voluntary Assessments 6 Bayberry Lane roperty Address Harold Jordan Owner Owners Name information is required for every Florence MA 01062 9/28/2016 page. CitylTown State Zip Code Date of Inspection Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. ISI IBJ 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. A. Inspector Information Marcus Millett Name of inspector Homestead Inc. Company Name 1664 Cape St. Company Address Williamsburg City/Town 413-628-4533 Telephone Number B. Certification MA 01096 State Zip Code SI -13748 License Number I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. After conducting this inspection I have determined that the system: 1. ❑ Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ® Fails . �k-� 1 October 2018 Inspector's Signature Cate The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEA) 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 form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: 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. LSmap doc • rev 712SM1e T$le 5 Ofrac�al In"cbon Form Subsurface Sewage pis pawl System •page 1 or id