Lot 3 Septic Application Plans & Perc Test 2000 CHECK OR FILL IN WHERE APPLICABLE
ml COMMONWEALTH OF MASSACHUSCITS
BOARD OF HEALTH
__.......t-7-7 OFF%iC aZi H.4M.I'T.ln,
. ppliratinn far 3lispnsal Marks Clnnatruttinn Pruitt
Application is hereby made for a Permit to Construct (A) or Repair ( ) an Individual Sewage Disposal
System at• �'"
tl% ? Coley /rtparL , I %re e
�.u...,
Ron( a=2r
I—
Type of Building
Dwelling No of Bedrooms
Other—Type of Building ...
Other fixtures
Design Flow S'.5 gallons per pawn per day Total daily flow �.°
Septic Tank—Liquid tapaciry.41(S/Lgalluas L geh Width Diameter Depth____
gellonw
Disposal Trendy lo....LWidth 2 Total Length .c,�. Total leaching arcs �q ft
Seepage Wt N& ._......._.. Diameter____.__ Depth below mole• Total leaching am sq ft
Other Distribution box ( ) Dosing tank (Y ) '
Percolation Test Results Performed by Pate //'��-.(I
Tot Pit No. 1.!L_.._..minutes per inch Depth of Test Pit 12 71 Depth to ground water.:.._:?
Test Pit Nu. 2.:_.2 _uhinutes per inch Depth of Test Pit '20 Depth to ground waser..2LZ'
r
-s-w
�SSkcLra
ser Y
ti -i r ��. C1iu3S
site a. (C0_, O6C7 Cy; 1m
rep:melon Attie ( ) Garbage Grinder (/•( )
No of person. _ Showers ( ) — Cafeteria ( )
Description of Soil 1+ ;..%terA c .72 h.: 'ThArvnP
Nature of Repairs or Alterations—Answer when applicable.
Agreement:
The undersigned agrees to install the afordescribed Individual Sewage Disposal System in accordance with
the provisions of=TLC. 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board of health
Signed ��--•-- 7/71/2)
Application Approved By
u.
Application Disapproved for the following reasons•
Permit No. Issues'
ow
LHECK OR FILL IN\%HERE APPLICABLE
T
Nee a/- a
THE WEALTH OF MASSACHUSCITS
HOARD OF HEALTH
C) ry OF i4ili1lgm P7Ln7
Appliratiai far Disposal Marks C anstrurtiun Permit
Application is hereby made for a Permit to Construct (A) or Repair ( ) an individual Sewage Disposal
System a':
=.or 3 Ca ter $1fl r , , I %f's R
Ronr FR Fitt- „-rnti aaattt S$'+.0 1/i,4 —s ,W
h' ?J'
I'/eAP 'S -e°"" . �� tiP/- , "... 0/j3S
hessian aster
Type of Building - Size I» rt.?) 0cc) ca feet
Dwelling—No of Bedrooms Expansion Attic ( ) Cartage Grinder (N )
Other—Type of Building ... No. of persons - Showers ( ) — Cattalo ( )
Outer futures
Design Flow .9'-5 gallons per pavan per day. Total daily flow 98✓ 6a1 .
Septic Tank— Liquid npacity.l5.gallons Length Width Di inter D a
Disposal T,encili-p 14o..... — Wadi• 2'Z Total Length c.-i Total leaching at.1 "I+L jy ft
Seepage fah N4__..._........... Diameter _ Depth below inlet Total leaching are, 1'0--) q. ft.
Other Distribution box (y) Dosing tank (Y )
Percolation Test Results Performed by <gC,:,,i 2J`.= Dares �i ?t(.,
Teat I'ii No. I...lt�.._..minutes per inch Depth of Test Pit _2 t Depth to pound water.i_W`) '
Test Pit Nu. ' ! o minutes per inch Depth of Test Pit '8O` Depth to ground water 21.742 '
Description of Soil `u7r , = Prude
Nature of Repairs or Alteration—Answer when applicable.
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions tai .I'li 5 of the State Sanitary Cade—The undersigned furter agrees not to place the system in
operation until a Certificate of Compliance has been issued by the hoard of health.
Signed
Application Approved By
Application Disapproved f r the Ialloonng reasons•
DOW
Not
Permit No. Issue+
On-Site Review
Deep Hale Number I Date 103/00 Time 1.1j0 Weather ( /ea{
Location (Identify on site plan)
Land Use fCSir)e.(lNel Slope (%) "1- Surface stones /O rd
Vegetation w rhe»loan d
Landforrn &SuvnWn
Distances from:
Open Water Body aOO 4 feet Drainageway w,kv feet
Possible Wet Area 800 + feet Property Line (SO feet
Drinking Water Well in /d feet Other
DEEP OBSERVATION HOLE LOG
Oaotn from Surface
(inotes)
Soil Horizon
Soil Texture
(USDA)
Soil Color
(Munsei)
Soil Mottling
Other
(Structure.Stones.Boulders,
Consistency,%Gravel)
C7 17, [,
Ti, 37-
-2:7- 11., yo
LItr to Gj
(, 4 r, t>
A
i
C,,
Ct.,
s(1,_
X_
��5
(
j7
5
to yi. 3i3
ibrz 44
sy2 �
3
cre l9
5i2 S
�yt�, B+e
aF6y"
6use o+m
■RA`( Gt.,..43
,
Sax w�.arw rel
&:„„, p•.k, c„or,k,
ma.s5ve
e y [ ctobe
�g
54
Parent Material (geologic):
flenth to Groundwater.
0
3 f,E i, t) 1 i Depth to Bedrock a 2--
Standing Water in the Hole:plinvE Weeping from Pit Face: )tDAY&
N
Estimated Seasonal High Ground WaterL 4t'
No.:
Date: Apri11,1996
Commonwealth of Massachusetts
Peanct-8.107-oa Massachusetts
Site Suitability Assessment for On-Site Sewage Disposal
Performed By:. `1 ,Ees,vf v R• LFJ Cov z s F Certification Number, N 16—
Witnessed By: MTh/2 k3- e eez I/ A-'
Location Address or Lot No.:p¢p power 'CI> La'
3 I Cpl E 1'02el A1>p4r T2�'
Owner's Name,Address and Tel.#:
PI:Tr QerCkm e
'JS Syluia l i9 5
1-1o4tey , /d.4 otoss
New Construction 5 Repair ❑
Office Review
Published Soil Survey Available: No ❑ Yes TZ
Year Published or Publication Scale j.'igt9J Soil Map Unit �v cz t
Drainage Class /2if/I lae.o,wse", Soil Limitation Eitr
Surficial Geologic Report Available: No � Yes ❑
Year Published Publication Scale
Geologic Material (Map Unit)
Landform 1'2u rn L r A r
Flood Insurance Rate Map:
Above 500 year flood boundary No ❑ Yes IZ
Within 500 year flood boundary No It Yes ❑
Within 100 year flood boundary No O. Yes ❑
Wetland Area:
National Wetland Inventory Map (map unit) —_
Wetlands Conservancy Program Map (map unit)
Current Water Resource Conditions (USGS): Month 119n20-6 Zinn
Range: Above Normal ❑ Normal 'Y' Below Normal ❑
Other References Reviewed:
I O` es L 10'7
\
o 7
3 lv
\
i c, ►J ,v ti ro`7
'yam i
d .�F
h £ t
41°1 ^d
On-Site Review
Ceec Hole Number a. Cate • I '3 ' C6 Time L`CO ran, Weather t-CG9't
Location (identify on site plan)
Land Use (?ES, DE,.>irrI- Slope (%) Surface stones LD %'v
Vegetation LLJ D t/ i9a1 1'
Landform rsz L-itt
Distances from:
Open Water Body al° 1- feet Drainageway none feet
Possible Wet Area 9.00 ¥ feet Property Line 'DC,' feet
Drinking Water Well in /ra feet Other
DEEP OBSERVATION HOLE LOG
Ca=from Surface
(incnem
Soil fcrsn
Soil Texture
(USDA)
Soil Color Soil Moal:na
,Munseill
Other
(Strut ure.Stones.Boulders.
Consistency,%Graven
EDTD L.
b 'D
L iJ
TO 56
SD Te ) 2D
1
CL
T
/I._
5 L
6 9 .:
?(
c)
tote
v
�B [G�
7'Sr2 %
�y
5
y
Cst'ee.,-e.r
+a,L r.
tacit
t°°oe trait,
s ones
uses; reels, 5b1+es,
irawle, gr,anV.w
muasllc e' 4rTo.ble�
vent Car,,.,
Parent Material (geologic) I; ( Depth to Bedrock lib
flenth to Groundwater Standing Water in the Hole: Atm5F Weeping from Pit Face: finite--
Estimated Seasonal High Ground Water. 1)/31-
FORM 11 - SOIL L.VALUATOR FORM
Page 3,o1 .3
Location Address or Lot No. 3 / rG 9
Determination for Seasonal High Water Table
Method Used:
❑ Depth observed standing in observation hole ._.. inches
❑ Depth weeping from side of observation hole ... ... . inches
Depth to soil mottles N6Nb inches
❑ Ground water adjustment feet
Index Well Number Reading Date _. Index well level
Adjustment factor Adjusted ground water level _...._.. . . ..
Depth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring pervious material exist in all areas
observed throughout the area proposed for the soil absorption system? ye I.
If not, what is the depth of naturally occurring pervious material?
Certification
I certify that on // 9,5 (date) I have passed the soil evaluator examination
approved by the Depar ment of Environmental Protection and that the above analysis
was performed by me consi ent with red training, expertise and experience
described in 310 CMR 141 7v 0,04,
4
Signatur-/./L S� 422S Date 9'•/ 3 ' CC
f err
DEP APPROVED FORM•11:0795
Location Address or Lot No. 3 Fa. r sc
FORM 12 - PERCOLATION TEST
COMMONWEALTH OF MASSACHUSETTS
/p z`(}fo' ii'p Massachusetts
Percolation Test'
Date: L-{- 1 3 - at Time.. ( :Biz...?,yj
Observation Hole #
Depth of Perc
t.
?G0
Start Pre-soak
1 • y4
d
End Pre-soak
-t i
P Et )4 4.91,
Time at 12"
Z
/ /.) 6-2_6 �Ea
min,
Time at 9"
2 7 7- y
7
Time at 6"
2 : 57
Time (9"-6")
43 3 /v� lµ .
!
` 2.
Rate Min./Inch
! '
< a
Minimum of 1 pe colation test must be performed in both the primary area AND
reserve area.
Site Passed 121 Site Failed ❑
Performed By: to.V t ; f2- in 4 COUea. &c
Witnessed By: &p rZ }Ac C -bA5
Comments: __..... _.. .. .....
DEP APPROVED FORM-11109195
Thomas J. FizGerald, R.S.
Percolation Testing * Septic System Design
Registered Sanitarian " License#1026
November 29, 2000
Mr. Peter Mcriain
Northampton Board of Health
Main Street
Northampton, MA. 01060
Dear Mr. MoOdain:
This is to certify that a septic system constructed at Lot 3 Coles Meadow Road in
Northampton was Installed according to plans as approved by your office using a
non-intrusive inspection methodology.
Sincerely,
Thomas J. FitzGerald
72 Davis Road,Southwick, MA 01077* 413/569-3828
HOWARD LABORATORIES of NEW ENGLAND, INC
750 North Pleasant Street
Amherst, MA 01002
Phone: (613)5*9-8260 Aar: (413)549-1850
Ma Lab L1c4 M-00851
WATER ANALYSIS REPORT
Analyzed For: Bercume Builders
Address:
Telephone:
Bample47339
Sample Location: Lot 3, Coles Meadow Rd
Northampton, MA
Sampled By: 4WD
Date Sampled: 7/3/00
Date Received: 7/3/00
Parameter
Results
Limits
Comments
Total Coliform
Bacteria
Absent
Presence/Absence
OK
pH
7.22 pa unit*
6.5-83 pa Units
OK
Manganese
0.031 eon
a05 rail
OK
Hardness
32 me
xa standard
a0 soft,
.100 hard
Conductivity
0. 16 ms/on
No standard
No Standard
Chloride
26 wn
Mass
OK
Iron
0. 05 m n
0.1mo/t
OK
Sodium
17 pen
781Wt
OK
Nitrate
0.6 *en
�-
10ag/t
OK
Nitrite
0.002 min
tacit
OK
Color
*
36 Ptco rotor Chits
*
8.8 NTU
15 Pt Co Color Uni td
H-
saro
*
*
Turbidity
Recommendations: See enclosed MA DEP intermretations sheet for color &
turbidity
This sample meats acceptable standards of potability for the parameters tested,
except for those parameters marked with an asterisk (*) .
Analyst: D.C. � ,Cc, / Date: 7/8/00
Checked By:Jonathan S. Begq
Laboratory Supervis
On-Site Review
Deep Hole Number I Date 103/00 Time /..00 Weather r tear
Location (identify an site plan)
Land Use fCSideM-1e1 Slope (%) ")— Surface stones 10 M
Vegetation w e9oalcw d
Landform aN vn Lin
Distances from-
Open Water Body 3004- feet Drainageway nib ne feet
Possible Wet Area 'Azle + feet Property Line tSil feet
Drinking Water Well n /d feet Other
DEEP OBSERVATION HOLE LOG
Ceotn from Surface
(incites)
Soil Horizon
Soil Texture
(USDA)
Soil Color
(Munseip
Sod Mottling
Other
(Strucure.Stones,Boulders,
Consistency,%Gravel)
n lb to
L y n
72 7i yb
L( tr To L'f
LD y r g>
A
1310
C,,
C.�
S/`
X_
c/5
(
%
�/
5
(O ylc 3l�
L°y 2 L
sy2 9
l3
S y2 %
Y2
J ! /y
ay 64„
6use ov.
VCry Gtr.,43
to ,Caw Fe,F ade
So i had aivwe1
&t,„,, p,ne, fn;ank,
nu ssve
Litni G,»,, Gf1C.ible
ccootaJ,Md Slenes
Sc'
Parent Material (geologic): f R Sc i, rr 1 Depth to Bedrock CI,7—
Deoth to Groundwater. Standing Water in the Hole:y+'ONE- Weeping from Pit Face: WoN&
Estimated Seasonal High Ground Water./9V
No.:
Date: Apri1.1,1996
Commonwealth of Massachusetts
(Us�tfta-rjca Massachusetts
Site Suitability Assessment for On-Site Sewage Disposal
Performed By:. `DEA=nil, R ■ L_9 Cav•a y F. Certification Number. U
Witnessed By: MT /a %ter e t-ez I r ,u
Location Address or Lot No.:774B p -.'t--tr.
3 ) Celt- vairr psrr Taal,
Owner's Name,Address and Tel.#:
Pvv, bC:Y4. nn e
•S Sylulc. 1-4I hls
t-bdley , WA Dross
New Construction '5g Repair ❑
Office Review
Published Soil Survey Available: No ❑ Yes bl lif
Year Published Or Publication Scale /. is VJJ Soil Map Unit /vca t
Drainage Cass /i2}F1I (`Yeo iPJe 0 Soil Limitation S�
Suficial Geologic Report Available: No 8 Yes ❑
Year Published — Publication Scale
Geologic Material (Map Unit)
Landforrn iiz_u rn Li A)
Flood Insurance Rate Map:
Above 500 year flood boundary No ❑ Yes 21
Within 500 year flood boundary No 211 Yes ❑
Within 100 year flood boundary No Yes ❑
Wetland Area:
National Wetland Inventory Map (map unit)
Wetlands Conservancy Program Map (map unit)
Current Water Resource Conditions (USGS): Month N1a2ad Zfnn
Range: Above Normal ❑ Normal 'A Below Normal ❑
Other References Reviewed:
Iv`7 as £ !07
5 / "A
n
.17',2c, F ta7
tir:
47 t t 4191 "d
c
S 1a`7
On-Site Review
Deec Hcle Number a. Date L4 A ••• ' 06 Tme Luba en, Weather eCeO t
Location (identify on site plan)
Land Use RE,1 DE.. t trl Slope (%) Surface stones LO `fro
Vegetation IL)"e r>l ern) L�
Landform FLU ref 1---(4)-
Distances from:
Open Water Body attO t- feet Drainageway none feet
Possible Wet Area aO0 f feet Property Line oiCo feet
Drinking Water Well in /d feet Other
DEEP OBSERVATION HOLE LOG
:eon from Sur.'ace
(incites)
Sod a:rz:n
Soil Texture
t USDA)
Soil Color Soil Motti:rg
,Munsedl
Other
(Strucure.Stones.Boulders.
Consistency,%Graven
ODI
� y.,_
. /O �o
TG 57)
L
5D To ) ZD
l
CL
C
/
�CL
J
5/C.
19
l :
m/
`b' c
ByG�
7-5 r`z�
5 �m.• ' j
l°°sefrcobs,6 ,
loose, reols, Sones,. •
crAgo2, gren,414r
tact
rnaasl�e. e, Crtb.612,
vent Gr`n,
Parent Material (geologic): Vft-,EL- Ti I ( Depth to Bedrock lab
flpoth to Groundwater Standing Water in the Hole: ittovE Weeping from Pit Face: A10.OE
Estimated Seasonal High Ground Water124t-
FORM 11 - SOIL EVALUAtOR;PORM
Page 3ofS
Location Address or Lot No. 3 J 2b pt S.e
Determination for Seasonal High Water Table
Method Used:
❑ Depth observed standing in observation hole ___. inches
Depth weeping from side of observation hole inches
Depth to soil mottles NINE inches
❑ Ground water adjustment feet
Index Well Number .__ Reading Date Index well level
Adjustment factor Adjusted ground water level
Depth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring pervious material exist in all areas
observed throughout the area proposed for the soil absorption system? ye S
If not, what is the depth of naturally occurring pervious material?
Certification
I certify that on /) `i (date) I have passed the soil evaluator examination
approved by the Depa ment of Environmental Protection and that the above analysis
was performed by me consi ent with r-fired training, expertise and experience
described in 310 CMR 1 ' • 7C
I
Signati(/L ins
. ✓.✓�i Date y'l 3 ' OG)
VI
D EP APPROVED FORM•1210V95
FORM 12 - PERCOLATION TEST
Location Address or Lot No. 3 het,eat. sz.
COMMONWEALTH OF MASSACHUSETTS
bio,a-0694,r,tpt> Massachusetts
Percolation Test'
Date: ±- l 3 — Cr) Time:. / t et per,
Observation Hole #
1
z
Depth of Parc
SY "
eeso
Start Pre-soak
2/ Y4
• 0
End Pre-soak
-0 I
Fou- D . -Y Gol•
Time at 12"
bZ
/ 1) E22VEA
mi43.
Time at 9"
2 7 Z'7/
Timeat6"
Z 557
Time (9"-6")
3 M -
!
S. 2-
Rate Min./Inch
I I
< a
Minimum of 1 percolation test must be performed in both the primary area AND
reserve area.
Site Passed S Site Failed ❑
Performed By: 75- Nut ; f' ' 1-. 4 COU-2 4e-
Witnessed By- aTai e l-c Ctb,
Comments:
DU APPROVED FORM-13101155
a-3t .1 1 / 3 0-0 I
PERCOLATION TEST(S)
I Time: I I Time: I 1
Observation Hole #1 Observation Hole #2
Depth of Pere J 4 Depth of Percj
Start Pre-soak Start Pre-soak
End Pre-soak End Pre-soak gL_ `
; '10I I,, 1
Time at 12' Time at 12° -------- ) l
Time at 9° Time at 9° '
Time at 6" ,-,, Time at 6"
c)- t
Time(9"-6') �/ Time(9"-6")
3
Rate Min./Inch Rate Min./Inch
• I *minimum of 1 percolation test must be performed in both the primary area AND reserve area.
Performed by I Performed by
Witnessed by Witnessed by
Comments:
`tom. '
/ / vN
t f r
t
er
\
NORTHAMPTON BOARD of HEALTH- Title 5 - Site Review
. .. - . AD-I- C-;,12-i& V` 'Amer• (t)O v 't 16"i"S�'I,tA.vwli
Soil Horizon
Dale - li 15 00 Time
Depth from
Surface(Inches)
Owner's
Address
Soil Texture
(USDA)
Engineer
he Po-vXAA_
Weather Phone#
Land Use
%Slope
Surface Stones
Landform
�-'t�/�-
"4
VVU
Vesetation Start Time J ', 4 S
Positgn on Landscape( ketch on the back)
Distances
Drinking Water Well
Stop Time
Open Water Body
feel
feet Property Line
feet
Possible Wet Area
feet
Drainage Way
feet Other
fee(
DEEP OBSERVATION HOLE LOG`
Deep Hole it: ) r-3 _ I 'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Soil Horizon
Soil Texture
(USDA)
Depth from
Surface(Inches)
Soil Horizon
Soil Texture
(USDA)
- (p
Sol Color
(Munson)
_ 1.._
Soil
Morning
Other
(Structure Stones,Boulders,Consis(ency,°°/Gave)
Co
L0
`�
�-'t�/�-
"4
VVU
11 U( 1 ��'-
co
' `1
I
V " M
1
et— i-A
v '
parent Mathal(geologic) 1
DeoN to Bedrock
De I groundwater Slandtnq
/ Depth to Bedrock
I
Estim ted Seasonal High Ground
Water
Depth to groundwater Standing Water in the Hole
>
2
Weeping from Pit Face
I "A
f
Estimated Seasonal High Ground Water
to U .
jeep Hole it: k ±) S-
DEEP OBSERVATION HOLE LOG*
'MINIMUM OF TWO HOLES REQUIRED AT EV
Depth from
durface(Inches)
Soil Horizon
Soil Texture
(USDA)
Soil Color
(Monsell)
Soil
Mottling
Other
ISWcture,Stones,Boulders,Consistency.%Grave()
- (p
P
_ 1.._
10 ),-1 -1/3
x/34-15
i Cj ,
---i.5
'1 ' -
V " M
1
�1 / wed-�
Parent Ma:nai(g °logic
DeoN to Bedrock
De I groundwater Slandtnq
Water in the Hote
> I p-� WeepingR P ��-
Estim ted Seasonal High Ground
Water