368 Septic Inspection 2001 BOARD OF HEALTH
• MEMBERS
CYNTHIA DOURMASHKIN,R.N.,Chair
ANNE BORES,M.D.
ROSEMARIE KARPARIS,R.N.,MPH
PETER J.McERLAIN,Health Agent
(413)587-1214
FAX(413)587-1221
CITY OF NORTHAMPTON
MASSACHUSETTS 01060
OFFICE OF THE
BOARD OF HEALTH
To: Mark Goldberg, 368 Chesterfield Rd„- Beds
From: Peter McErlain, Health Agent
Date: July 5, 2001
Re: Septic System Inspection 368 Chesterfield Rd.
210 MAIN STREET,Room 8
NORTHAMPTON,MA 01080-3167
The Northampton Board of Health is in receipt of a report on a septic system inspection
conducted at 368 Chesterfield by Gregory Newman on 5/31/01. That report indicates that
your septic system was rated as passed conditionally, subject to replacement of the
deteriorated distribution ("D") box.
On June 13, 2001 Southampton Sanitary Engineering installed a new"D" box for which a
certificate of compliance was issued on 6/13/01.
With the installation of the new"D" box the Northampton Board of Health hereby declares
that the septic system at 368 Chesterfield Rd. now passes and complies with the
requirements of Title 5.
Please contact the Board of Health with any questions concerning this matter.
COMMONWEALTH OF MASSACHUSETTS
�/ :6,L EXECUTIVE OFFICE OF ENVIRONMENTAL AFF IRRjS�'V 212 DEPARTMENT OF ENVIRONMENTAL PROT aJPN_. ,,-�,._PrONe041, Up
TITLE 5
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM
PART A
CERTIFICATION
Property Address:
Name of Owner:
Address of Owner:
Date of Inspection:
Name of Inspector:
Company Name:
Mailing Address:
Telephone Number:
368 Chesterfield Road
Leeds,MA 01053
Mark Goldberg
368 Chesterfield Road
Leeds,MA 01053
May 31,2001
Gregory J.Newman
Newman Environmental Engineering
P.O.Box 395,
Worthington,MA 01098
413-238-5383
CERTIFICATION STATEMENT
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 inspection. The inspection was performed based on my training
and experience in the proper 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:
Inspector's Signature:
xxx
xxx
Passes
Conditionally Passes
Needs Further Evaluation By the Local Approving Authority
,.(1 Is
Date:
The System Inspector shall submit a copy of this inspection report to the Approving Authority($oard 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.
Notes and Comments:
1. Existing D-box is cracked and should be replaced
2. The leach field is located-90-ft from the private well supplying this house;Title 5 requires that well water analyses
are conducted for septic systems with leaching facilities located less than 100-ft from a private well. The required
well water analyses include:coliform bacteria,volatile organic compounds,ammonia-nitrogen&nitrate-nitrogen.
Well water analyses(attached)indicate the well is free of conform bacteria 8,VOCs and the total ammonia/nitrate-
nitrogen is less than 5ppm.
****This report only describes conditions at the time of inspectionand 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.
Prepared by Newman Environmental Engineering
Based on DEP form revised 6/15/2000
Page 1 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address:
Owner:
Date of Inspection:
368 Chesterfield Road
Leeds, MA
Mark Goldberg
May 31,2001
Inspection Summary: Check A,B,C,D,or E/ALWAYS complete all of Section D
A. System Passes
N I have not found any information which indicates that any of the failure conditions described in 310 CMR
15303 or in 310 CMR 15304 exist. Any failure criteria not evaluated are indicated below.
Comments:
B. System Conditionally Passes
Y 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.
Answer yes,no or not determined(Y,N,or ND)in the for the following statements. If not determined",please
explain.
N The septic tank is metal and over 20 years old* or the septic tank(wheteher 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 the tank is less than 20 years old is available.
ND explain:
Y Observation of Sewage backup or breakout or high static water level observed 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 the
approval of the Board of Health):
ND explain:
N broken pipe(s)are replaced
N obstruction is removed
Y distribution box is levelled or replaced
N The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass
inspection if(with the approval of the Board of Health):
N broken pipe(s)are replaced
N obstruction is removed
ND explain:
Prepared by Newman Environmental Engineering
Based an DEP form revised 6/15/2000
Page 2 of II
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 368 Chesterfield Road
Leeds, MA
Owner: Mark Goldberg
Date of Inspection: May 31,2001
C. Further Evaluation is Required by the Board of Health:
y Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to
protect the public health,safety,or the environment.
1. System will pass unless the 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:
N Cesspool or privy is within 50 feet of surface water
N Cesspool or privy is within 50 feet of bordering vegetated wetland or salt marsh
2. System will 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 the environment:
N 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.
N The system has a septic tank and SAS and the SAS is within a Zone I of a public water supply well.
N The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well.
y 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 well**. Method used to determine distance: Scale drawing of site plan
**This system passes if the well water analysis,performed at a DEP certified laboratory,for coliform bacteria
and volatile organic compounds indicates that the well is free from pollution from that facility 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.
Well water analyses(attached)indicate the well Is free of coliform bacteria 8.VOCs and the total ammonia/nitrate-
nitrogen is less than Sppm.
3. Other:
N
Prepared by Newman Environmental Engineering
Based on DEP form revised 6/15/2000
Page 3 of I I
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address:
Owner:
Date of Inspection:
368 Chesterfield Road
Leeds, MA
Mark Goldberg
May 31,2001
D. System Failure Criteria applicable to all systems:
You must indicate either"yes"or"no"to each of the following for all inspections:
Yes No
N Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool.
N Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or
clogged SAS or cesspool.
N Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or
cesspool.
N Liquid depth in cesspool is less than 6 inches below invert or available volume is less than Vi day flow.
N Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).
Number of times pumped:
No
N
N
N
Any portion of the SAS,cesspool,or privy is below high groundwater elevation.
Any portion of a 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 I of a public well
N Any portion of a cesspool or privy is within 50 feet of a private water supply well.
N 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 coliform bacteria and volatile organic compounds
indicates that the well is free from pollution from that facility 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.]
(Yes/No)The system fails. 1 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: NOT APPLICABLE
To be considered a large system,the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd.
You must indicate either"yes"or"no"to each of the following:
(The following criteria apply to large systems in addition to the criteria above.)
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 2 of a public water supply well).
If you 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.
Prepared by Newman Environmental Engineering Page 4 of 11
Based an DEP form revised 6/15/2000
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address:
Owner:
Date of Inspection
368 Chesterfield Road
Leeds, MA
Mark Goldberg
May 31,2001
Check if the following have been done. You must indicate either"yes"or"no"as to each of the following:
Yes No
x
x
x
N/A
x
x
X
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?
Have large volumes of water been introduced to the system recently or as part of this inspection?
Were as-built plans obtained and examined? (If they were not available note as N/A)-1978 design
Was the facility or dwelling inspected for signs of sewage backup?
Was the site inspected for signs of breakout?
Were all system components,excluding the SAS,located on the site?
Were the septic tank manholes were uncovered,opened,and the interior of the septic tank inspected
for condition of baffles or tees,material of construction,dimensions,depth of liquid, depth of sludge,
and depth of scum?
Was the facility owner(and occupants,if different from owner)provided with information on the
proper maintenance of subsurface disposal systems.
Copy of Your Septic System-A Reference Guide for Homeowners" (prepared by DEP)submitted to
Owner with this report.
The size and location of the Soil Absorption System(SAS)on the site has been determined based on:
Existing information. For example,plan at B.O.H.-per design plans,attached
Determined in the field(if any of the failure criteria related to Part C is at issue,approximation of
distance is unacceptable)[15302(3)(b)]
Prepared by Newman Environmental Engineering
Based on DEP form revised 6/15/2000
Page 5 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address:
Owner:
Date of Inspection
368 Chesterfield Road
Leeds, MA
Mark Goldberg
May 31,2001
FLOW CONDITIONS
RESIDENTIAL:
Number of bedrooms(design): 3 Number of bedrooms(actual): 3
DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms) 330 gpd
Number of current residents: 3
Does residence have garbage grinder(yes or no): no
Is laundry on separate sewage system(yes or no): no (if yes,separate inspection required)
Laundry system inspected(yes/no): NIA
Seasonal use(yes/no): no
Water meter readings(gpd),if available(last two years usage):
Sump pump(yes/no): YES-below basement floor;prior to installation basement flooded to 1.-2"above floor(per owner)
Last date of occupancy: currently occupied
not available-no meter on private well
COMMERCIAL/INDUSTRIAL:
Type of establishment: NOT APPLICABLE
Design flow(Based on 310 CMR 15.203)
Basis of design flow:
Grease trap present(yes or no):
Industrial waste holding tank present(yes or no):
Non-sanitary waste discharged to the Title 5 system(yes or no):
Water meter readings,if available:
Last date of occupancy/use:
OTHER(Describe):
gpd
GENERAL INFORMATION
Pumping Records
Source of information: Owner(invoice from Southampton Sanitary Engineering)-last pumped in May 1999
Was system pumped as part of the inspection(yes or no): No
If yes,volume pumped(gallons): nla How was quantity pumped determined?
Reason for pumping: regular maintenance
TYPE OF SYSTEM
X 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 copy of current operation&maintenance contract(obtained from owner)
Tight Tank Attach a copy of the DEP Approval
Other(describe):
Approximate age of all components,date installed Of known)and source of information: septic system is-23 years old,
based on 1978 design by A.Huntley.
Were Sewage odors detected when arriving at the site(yes or no):
Prepared by Newman Environmental Engineering
Based on DEP form revised 6/15/2000
no
Page 6 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address:
Owner:
Date of Inspection:
368 Chesterfield Road
Leeds, MA
Mark Goldberg
May 31,2001
BUILDING SEWER(locate on site plan):
Depth below grade: about 32 inches
Material of construction: x cast iron X 40 PVC Other(explain)
Distance from private water supply well or suction line: >50-ft
Comments(condition of joints,venting,evidence of leakage,etc.):
joints appear to be o.k.(observed at basement wall);system appears to venting adequately;no signs of leakage from building
sewer.
SEPTIC TANK: yes (locate on site plan)
Depth below grade: -20 inches (has riser over center port)
Material of construction: X concrete metal fiberglass polyethylene Other(explain)
1,500 gallon septic tank
If tank is metal,list age N/A Is age confirmed by Certificate of Compliance(yes/no): n/a (attach copy of certificate)
Dimensions: internal dimensions:9.5'x 5.0'x 50.5"(liquid level)
Sludge depth: 3-6 inches
Distance from top of sludge to bottom of outlet tee or baffle: >24 inches
Scum thickness: 2-4 inches(estimated)
Distance from top of scum to top of outlet tee or baffle: -7 inches
Distance from bottom of scum to bottom of outlet tee or baffle: -20 inches
How dimensions were determined: measured
Comments: (on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related
to outlet invert,evidence of leakage,etc.):
Owner has offered pumping(as coutesy to buyer);unable to observe inlet due to porch construction(a load carrying timber for the
porch was placed across the inlet end of the septic tank);concrete outlet baffle o.k.-some spelling;top of tank is 4"RC 8 shows
spelling on underside(inside tank),otherwise the tank appears to be structurally sound(no cracks observed);liquid level is at
outlet invert(normal).
GREASE TRAP: N/A (locate on site plan)
Depth below grade:
Material of construction: concrete metal fiberglass polyethylene Other(explain)
Dimensions:
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:
Date of last pumping:
Comments: (on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,
liquid levels as related to outlet invert,evidence of leakage,etc.):
Prepared by Newman Environmental Engineering Page 7 of I
Based on DEP form revised 6/15/2000
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address:
Owner:
Date of Inspection:
368 Chesterfield Road
Leeds, MA
Mark Goldberg
May 31,2001
TIGHT or HOLDING TANK:
Depth below grade:
Material of construction: concrete
N/A (Tank must be pumped prior to,or at time of inspection)(locate on site plan)
metal
fiberglass polyethylene Other(explain)
Dimensions:
Capacity(gallons):
Design flow(gallons per day):
Alarm present(yes or no):
Alarm level:
Date of last pumping:
Comments:(condition of alarm and float switches,etc.):
Alarm in working order(yes or no):
DISTRIBUTION BOX: yes (if present must be opened)(locate on site plan)
Depth below grade: -24 inches
Depth of liquid level above outlet invert: liquid level at outlet Invert
Comments: (note if box is level and distribution to outlets is equal,any evidence of solids carryover,any evidence of leakage into
or out of box,etc.):
0-box is slightly out of level with five(5)outlets;the two outlets on east side of box appear to take most of flow;some signs of
solids/scum carryover; liquid level near invert of two lowest outlets;high water mark about 1-1%inch above current liquid level,no
signs of high water surcharge In D-box;sidewalls of 0-box are cracked and may be leaking(however,no root intrusion into box
despite many roots outside of box).Recommend replacing 0-box-care should be taken during backfilling to not place large stones
around or over the 0-box.
PUMP CHAMBER: N/A (locate on site plan)
Depth below grade:
Pumps in working order(yes or no):
Alarms in working order(yes or no):
Comments:(note condition of pump chamber,condition of pumps and appurtenances,etc.):
Prepared by Newman Environmental Engineering Page 8 of 11
Based on DEP form revised 6/15/2000
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address:
Owner:
Date of Inspection:
368 Chesterfield Road
Leeds, MA
Mark Goldberg
May 31,2001
SOIL ABSORPTION SYSTEM(SAS):
If SAS not located,explain why:
yes (locate on site plan,excavation not required)
Type:
leaching pits,number:
leaching chambers,number:
leaching galleries,number:
leaching trenches, number:
x leaching fields,number:
overflow cesspools,number:
innovative/alternative system: Type/name of technology:
dimensions:
dimensions:
1 dimensions: "L"shaped;4D'x 15'+40'x 10'=1,000 SF(see attached design)
Comments:(note condition of soil,signs of hydraulic failure, level of ponding,damp soil,condition of vegetation,etc.):
soils appear normal and dry with no signs of hydraulic failure,ponding or dampness;vegetation Is mostly grasses(normal),but
noted that shrubs and nearby trees may have resulted in significant root Intrusion Into field. Dug into soils near(or over)leach
field area at TP-A(about 24 inches deep) and did not find wetness or sewage staining.
CESSPOOLS: N/A (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 or no):
Comments:(note condition of soil, signs of hydraulic failure, level of ponding,damp soil,condition of vegetation,etc.):
PRIVY: N/A (locate on site plan)
Materials of construction:
Dimensions:
Depth of solids:
Comments:(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,etc.):
Prepared by Newman Environmental Engineering Page 9 of I1
Based on DEP form revised 6/15/2000
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address:
Owner:
Date of Inspection:
368 Chesterfield Road
Leeds, MA
Mark Goldberg
May 31,2001
SKETCH OF SEWAGE DISPOSAL SYSTEM:
Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or
benchmarks. Locate all wells within 100-ft(locate where public water supply comes into house)
SEE ATTACHED SITE PLAN
Prepared by Newman Environmental Engineering
Based on DEP form revised 6/15/2000
Page 10 of I I
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 368 Chesterfield Road
Leeds, MA
Owner: Mark Goldberg
Date of Inspection: May 31,2001
ESTIMATE OF SEASONAL HIGH GROUNDWATER ELEVATION:
NRCS Report name: Soil Survey of Hampshire County,Massachusetts,Central Part,prepared by USDA,
Soil Conservation Service,December,1981
Soil Type: Woodbridge(WxB)
Typical depth to groundwater: 1.5-3.0-ft,perched
SITE EXAM Slope downward slope to northwest from leach field
Surface water no surface water observed In area;no damp soils
Check cellar cellar has sump below floor;previously had basement flooding of 1-2 inches on floor
Shallow wells not available
Estimated Depth to Groundwater: 6.0 feet
Please indicate(check)all methods used to determine the high groundwater elevation:
no Obtained from system design plans on record-If checked,date of design plan reviewed unkown
yes Observed Site(abutting property/observation hole within 150 feet of SAS)-basement flooding history
yes Checked with local Board of Health-explain: nearest test pits are more than 500'away
no Checked local excavators,installers(attach documentation)
no Accessed USGS database-explain:
You must describe how you established the high groundwater elevation:
1. High groundwater elevation is estimated based on former basement flooding to 2" depth(about 6'-7"below top of
foundation. The top of foundation is about 7"above existing grades on north side of house(near 0-box and leach field).
Accordlingly,it Is estimated that high groundwater is about 6-ft below existing grades on north side of house(near leach
field).
The NRCS soil classification for this region indicates a perched water table about 1.5-2.5 feet below grade.
Owner indicated that drainage had been installed on south side of house and in driveway east of leach field. It Is
concluded that drainage improvements,house construction and leach field construction have essentially removed any
perched water table in the leach field area and up gradient areas.
Based on D-box observations,leach field piping is less than 3-ft below grade,indicating that the bottom of leach field
stone is less than 3.5-ft below grade.
Prepared by Newman Environmental Engineering Page Hi of 11
Based on DEP form revised 6/15/2000
CHESTERFIELD ROAD
1,000 SF LEACH FIELD
(APPROX LOCATION)
D-BOX
WOODS
1,500 GALLON �b y
SEPTIC TANK / r�13`6' �\,
4'
GARAGE
PORCH
J
oft
It
m `
DECK
EXISTING
3 BEDROOM
HOUSE No. 368
PA TIO
SITE PLAN
SCALE: 1"= 30'
Q m_n SHALLOW TEST HOLE-A
- • — PROPERTY LINE(APPROX.LOCATION)
WELL
se EXISTING CONTOUR(REL.TO SITE B M.)
PROPOSED CONTOUR
— • — STREAM/WETLANDS BOUNDARY
- -_— BURIE WATERLINE(APPROX.LOCATION)
— —. — BURIED ELECTRIC LINE(APPROX.LOCATION)
—_ — BURIED GAS LINE(APPROX.LOCATION)
FENCE
O
NOTE:LEACH FIELD DIMESNIONS BASED ON
PLAN BY A. HUNTLEY, P.E.,8-1-78
TITLE 5 SEPTIC SYSTEM INSPECTION- 5/31/01
368 CHESTERFIELD ROAD, LEEDS, MA
FOR MARK GOLDBERG
NEWMAN ENVIRONMENTAL ENGINEERING
P.O. BOX 395, 21 GUARD ROAD, WORTHINGTON, MA 01098
TEL: 413-238-5383 FAX: 413-238-4276
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CONTEST Fax:4135256405 Jun 22 2001 15:48 P.01
con-thste
ANALYHCAL LrfaM TQRY
Fato t �t a3Fs- Kahl„
Phone:
Re:
Laboratory Results
Urgent ❑For Review
39 Spruce Street, 2nd Floor
East Longmeadow, MA 01028
413.5252332
413.525.6405 (fax)
From
O Cathie Month <Theresa Fenentino
O Jennifer GodIn 0 Laurie Kopysenski
O Deborah Mc,Gorry O Pam Nowakowski
0
Pages: 9 (including this one)
Gate: 1p2z—U 1
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CONTEST
con-tESt'
YIALVIKLL LABORATORY
Fax:4135256405
Jun 22 2001 15:48 P.02
39 Sprvaa Street'2na Floor'East Longmeadow,MA 01028•FAX 4131525.6405'TEL.4121525-2332
REPORT DATE 6121101
ONETIME INDIVIDUAL CLIENTS
ATTN: MARK GOLDBERG
CONTRACT NUMBER.
PURCHASE ORDER NUMBER_
PROJECT NUMBER:
ANALYTICAL SUMMARY
LIMS BAT X LIME-55223
JOB NUMBER -
The results or analyses W dormed on 11M followingsomple6 PM:milted to Me CON-TEST Analytical Laboratory are found in this report
PROJECT LOCATION: S68 CHESTERFIELD RD LEEDS MA
FIELD SAMPLE I LAB IO MATRIX SAMPLE DESCRIPTION
01
02
D2
02
01 BI5755
01015756
01E115756
01515756
DKG WATER
OKG WATER
DKG WATER
MG WATER
NOT SPECIFIED
NOT SPECIFIED
NOT SPECIFIED
NOT SPECIFIED
TEST
mlisure
ammonia nesalar
nitrate
The CON-TEST Enwronmentel Laboratory operale5 under the following c4ifCaYOns and accrditttion&
AIHA 100033 AIHA ELLAP(LEAD) 100033
MASSACHUSETTS MA0100 NEW HAMPSHIRE 2515
CONNECTICUT PH-0587 VERMONT DOH(LEAD)No LL015036
NEW YORK ELAP 10899 RHODE ISLAND(LIC.No.112)
I certify that the analyses listed above.unless spodhcally listed as subcontracted,if any,were performed under my direction
according tl0 resappLW6fr obtaining formation.the and that contained in this report is,,to the best of my KIIVwlcdge and
Imme,ac r to and comfor obuinin9
belief,aoWrate and complete.
b
iz 1G'
SIGNATURE DATE
Tod Kopysanski
Director of Operatiors
Edward Denson
Technical Director
CONTEST
con-tEste
ANALYTICAL LASORATOKY
Fax:4135256405
Jun 22 2001 15:49 P.03
39 Spruce Street'2nd Floor'East Longmeadow,MA 01028'FAX 413/525-6405'TEL.413/525-2332
MARK GOLDBERG
ONETIME INDIVIDUAL CLIENTS 8Y11 1ro1
Page 1 of 7
Purchase Order No
Project Location: 368 CHESTERFIELD RD LEEDS MA
Date Received: 6/8/01
Field Sample#: d2
Sample ID: 01615756 Sampled:6/6/01
NOT SPECIFIED
Sample Mafim DKG WATER
Units
LIMS-BAT 4: LIMS48223
Job Number. -
Results Date Analyst RL SPEC Limit P/F
Analyzed Lo Ri
Benzene ug/I ND 06/09)01 BGL 0.2
Bromobenzene ugl ND 06109'01 BGL 0.5
BromochlemmOtane ugh ND 06109/01 BGL 0.5
Bromodichlommethane ug/I ND 06/09101 BGL 0.5
Bromomethane ugl ND 06/00/01 BGL 0.5
Bromoform ugh ND 06/09/01 BGL 0.5
n-BUMberaece ugh ND 06(09101 BGL 0.5
seoBulNbemene ugh ND 06/09101 BGL 0.5
tert-Butylbonzene ugh ND 06/09/01 BGL 0.5
Garber Tetrachloride ugh NO 06/09/01 BGL 0.5
Chlorobenzera ugh ND 06/09101 BGL 0.5
Chlomdibromomethare ugh ND 06/09101 COL 0.5
CnIornet1ane ugh ND 06/09/01 6GL 06
Chloroform ugh ND 06/09/01 BGL 0.5
Chhorometena ugh NO 06/09/01 BGL 0.5
2-Chlorotoluene ugh ND 06/09101 BGL 0.5
4Chorotolyene ugh ND 06/09/01 BGL 0.5
Dibromomethene ugl NO 06/09)01 BGL 0.5
1,2-01chlorobemahe ugh ND 08/09101 BGL 0.5
1.3-Dithlorobenzere ugh ND 06/09/01 BGL 0.5
14-DlCmawbanzene ugh No ewoa/01 eon e5
Dichlorod18uorometene ugh ND 06)09101 BGL 0.5
11-DiOIl0r0ehane ugh ND 06/00/01 BGL 0.5
12-Ditleroethane ugh ND 06/09/01 BGL 02
1,1-Dichloroethylene ugl NO 05/00101 BGL 05
ds-1,24Dichloroetyene Ugh ND 06)09)01 BGL 0.5
tans-lR-DichwmethYlene ugh ND 06/09/01 BGL 0.5
I,2-DicLloropropane ugh ND 06/09/01 BGL 0.5
1.3alchomo rODane ugh ND 06/09/01 BGL 0.5
2.2-Dicnloroprcpane ugl ND 06/09/01 BGL 0.5
RL-Reporting Limit SPEC LIMIT=a client specified recommended or
regulatory level for comparison with data to
ND=Not Detected determine PASS(P)or FAIL(F)condition of results.
NM=Not Measured
'•See end Of report for comments and notes OPOIyIng
to this sample
CONTEST Fax
Jun 22 2001 1549 P.04
con-test°
.ALYTICAL LABORATORY
39 Spruce Sheet'2nd Floor•East Longmeadow,MA 01026°FAX 4131525-6405°TEL 413/525-2332
MARK GOLDBERG
ONETIME INDIVIDUAL CLIENTS
Purchase Order No.:
Project Location: 368 CHESTERFIELD RD LEEDS MA
Date Received: &691
Field Sample*: 02
Sample ID: 01015756 Sampled'.6/691
NOT SPECIFIED
Sample Matrix: DKG WATER
&21/01
Page 2of T
LIMS-BAT LIMS-56223
Job Number. -
Units Results Dale Analyst RL SPEC Limit P/F
Analyzed Lo Hi
1,14>chlaopropene ugh ND 06/09/01 SGL 0.5
cis-1,3-DlchlorOproOene ugh ND 05/09/01 BGL 0.5
erns-1.3-Dichloropropene ugh' ND 06/09/01 BGL 0.5
Etnyl Benzene ugh ND 06/09/01 BGL 0.5
HexechlOrobuladiene ugh ND 06/09/01 BGL 0.5
isepropNbemwne ugh ND 0609/01 031. (Y5
p4sapmpyltoluene ugh ND 06/09/01 SOL 0.5
MTBE ugh NO 06/09/01 BGL 0.5
Methylene Chloride ugfll ND 06/09/01 BGL 0.5
Naphthalene ug/I NO 06/09/01 BGL 0.5
n.Propylbenzene ugh NO 06/09/01 BGL 0.5
Styrene ugh ND 06/09/01 BGL 0.5
11,1,2-Tehaehloroethane ugh ND 0609'01 BGL 0.5
1,1,22-Tetrachloreethane u911 ND 06/00/01 BGL 0.5
TeVathIoreethylene ugh ND 08/09/01 BGL 0.5
Toluene ugh NO 0609/01 BGL 0.5
1,2,3-TrioblorobeKene ugh ND 06/09)01 BGL 0.5
124-Trichlorobanzene ugll ND 06/09/01 BGL 0.5
1.1.1-Tncbloroethene ugh ND 06/09/O1 BGL 0.5
1,1,2-TrichLroetofe ugh NO 0609/01 BGL 0.5
Trichlomelhylene ugh ND 06/09/01 9GL 0.5
Thchloroflugpmethare ugh ND Qe/O9/01 BGL 0.5
1.23-Trichloro OPane ugh ND 06109)01 BGL 0.5
1,2,4-Tdmethylbenzene ugh NO 0609/01 BGL 0.5
1,3.5-Trimethylbenzene ugh ND 05/09/01 EGL 0.5
Vinyl Chonde ugh ND 06/09/01 BGL 0.5
m*p Xylene ugh ND 06/09/01 0GL 0.5
o-Xylens ugh ND 06109/01 BGL 0.5
RL Reporting Limit SPED LIMIT=a pliant speuried recommended or
regulatory level for comparison with data to non of results.
NM Not Detected determine PASS Op (F)
NM-Not Measured
*=See end of report for comments and notes applying to this sample
CONTEST
con-test°
ANALYTICAL LABORATORY
Fax:4135256405 Jun 22 2001 15:49 P.05
39 Spruce Street'2nd Floor•East Longmeadow,MA 01028'FAX 413/525-6405'TEL.413/525-2332
MARK GOLDBERG
ONETIME INDIVIDUAL CLIENTS
Purchase Order No.:
Project Location: 368 CHESTERFIELD RD LEEDS MA
Date Received'. 613/01
Field Sample#: 02
Analytical Method:
EPA 526.2
SAMPLES ARE CONCENTRATED BY PURGE AND CHROMATOGRAPHY/MASS SPECTROMETRY IGC/MS)AND ANALYZED BY GAS
6/21/01
Page 3 et 7
LIMS-BAT#: LIM&56223
Job Number. -
RL=Repoi611g Limit SPEC LIMIT=a client speed recommended or
regulatory level for comparison with data to
ND=Not Detected determine PASS(P)or FAIL(F)condition of results.
NM=Not Measured
'=See end of report for comments and notes applying to this sample
CONTEST
con-tEst°
ANALYIKe.LABORATORY
Fax:4135256405 Jun 22 2001 15:49 P.06
39 Spruce Street and Floor'East Longmeadow,MA 01028'FAX 413/5256405'TEL.418/5252332
MARK GOLDDERG
ONETIME INDIVIDUAL CLIENTS 3/21/01
Page 4of 7
PWthaaa Order No.:
ProjeCt LOcatiom 368 CHESTERFIELD RD LEEDS MA
Date Received: 6)8/01
Held Sample Y: 02
Sample ID: 01615756 Sampled:818/01
NOT SPECIFIED
Sample Matrix ORG WATER
Units
LIM$-BAT Y_ LIMS-56223
Job Number: -
Results Date Analyst RL SPEC Limit P/F
Analyzed Lc Hi
Ammonia(as N) mg(L NO 06/11101 LL 0.20
Analytical Method:
SM 4500-NH3C
AFTER STEAM DISTILLATION SAMPLES ARE ANALYZED SY THE COLCRIMETRIC METHOD
USING THE NESSLER REAGENT.
RL=Reporting Limit SPEC LIMIT a a Client Spoclfed recommended or
ND=Not Det¢Cled regulatory level for Comparison W1th data to
determine PASS(P)or FAIL(F)condition of results.
NM=Not Measured
•a See end of report for comments and notes applying to this sample
CONTEST
Fax:4135256405 Jun 22 2001 15:50 P.07
39 Spruce Street'2nd Floor'East Longmeadow,MA 01028°FAX 4115255405'TEL.413/525-2332
MARK GOLDBERG
ONETIME INDIVIDUAL CLIENTS
Purchase Order No.:
Project Loredon: 368 CHESTERFIELD RD LEEDS MA
Oats Remved: 6/8(01
Field Sample A! 01
Sample ID: 01S157$$ Sampled'6!3/01
NOT SPECIFIED
Sample Matrix: [KG WATER
Units
Total Coli(onn
6/21/01
Page 5 of
LIMS-DAT M: LIMS-58223
Job Number.
Results Date Analyst RL SPEC Limit P/F
Analyzed Le Hi
ABSENT 08/00)01 SSK
Analytical Method:
COLtSURE
SAMPLE IS INCUBATED 28-48 HOURS UPON ADDITION OF COLISURE SELECTIVE AND
DIFFERENTIAL MEDIUM. PRESENCE OR ABSENCE OF TOTAL COLT FORMS AND E.COLI
ARE DETERMINED BY COLOR CHANGE AND FLUORESCENCE RESPECTIVELY.
RL=Repelling Limit SPEC LIMIT=a Client specified recommended or
regulatory level for comparison win data to
ND=Nct Detected detemllne PASS(P)or FAIL(F)condition of results.
NM a N01 Measured
=See end of report for comments and notes applying to this sample
CONTEST
con-ter
ARALYTtLL LABORATORY
Fax:4135256405 Jun 22 2001 15:50 P.08
SS Spruce Street•2nd Floor•East Longmeadow.MA 01028 FAX 413/5256405°TEL 413/525-2332
MARK GOLDBERG
ONETIME INDIVIDUAL CLIENTS
Purchase Order No
Project Location: 388 CHESTERFIELD RD LEEDS MA
Dale Receivod: 8/8/01
Field Sample A: 02
Sample ID: •01 B15756 Sampled:6/8/01
NOT SPECIFIED
Sample MANS DKG WATER
6121/01
Page of 7
LIMS-BAT#: LIM536223
Job Number. -
Units Results Date Analyst RL SPEC Limit P1 F
Analyzed Lo Hi
Nitrate mg/l - ND 06/12/01 KFA 005 10 P
Analytical Method:
SM 4500-NO3 F
AUTOMATEOLOLORIMErRIC ANALYSIS WITH SULFANILAMIDE.AMMONIUM CHLORIDE
AND CADMIUM REDUCTION
RL=Reporting limit SPEC LIMIT=a client specified recommended or
ND=Not Detected regulatory level for comparison with data to
detamine PASS(P)or FAIL(F)condition of results.
NM=Not Measured
'=See end of report for comments and notes applying to this sample
CONTEST
con-test°
ANALYIMJL LABORATORY
Fax:4135256405 Jun 22 2001 15:50 P.09
38 Spruce Street 2nd Floor'East Longmeadow,MA 01028°FM 413/525-6405°TEL.413/525.2332
MARK GOLDBERG
ONETIME INDIVIDUAL CLIENTS
Purth ase Order No
Project Location: 368 CHESTERFIELD RD LEEDS MA
Data Received: 6/8/01
The following notes were attache to the reported analysis:
Sample ID:
Analysis:
• 01815758
Nitrate
NITRATE REQUIRES ANALYSIS OF BOTH NITRATE/NITRITE AND NITRITE SEPARATELY.
THE NITRITE PORTION IS UNPRESERVED AND ANALYZED WITHIN THE 4a HOUR HOLDING TIME.
WE PRESERVE NITRATES WITHIN 48 HOURS OF COLLECTION AND THE HOLDING TIME IS THUS
EMENDED. PRESERVED NITRATE/NITRITE SAMPLES HAVE A 28 DAY HOLDING TIME.
""END OF REPORT"
6/21101
Page 7 of 7
LIMS-EAT;: LIMS.56223
Job Number: -
RL•Repereng Lima SPEC LIMIT=a client specified recommended or
ND=Not Detected determine level for comportsOn with data to
tletermine PASS(P)or FAIL(F)condltlon of results.
NM•Not Measured
=See end of report for comments and notes applying b this sample