Lot 7 Septic Application & Plans Appl
ft-74
FEE
COMMON1WL \LI11 Of F1:1SSAILII ISDITS
Board of h ealth kle.r11-1 A ini7TO l.�
LION FOR DISPOSAL SYSTD1 CONSTPI TION RFR7"OT
Construc11bl Repair( ) Upgrade( ) Abandon( ) - B Complete System _]Individual Components
weatitii CALeS isil eARDow (Lb
0„,,] .NaineGacidine P&yirt.0E25. 1.-1-1C-
Address,I5 `.,L✓. HTa - NFldlahei Att.4
Map,Pal(el#
Lade
17
-rclephdm,r (4tV 5q5 — 42,70
Installer's Name
KiAL1 5 rxCA✓A71J✓
Designers Name
Taw.5ky v,W vrtini+ )
Address
14RDL6 MA
'hi Ma /RD (uasThfiL
»R
Tcicphonek
(4,13) 549 - 3 '5(3 .
telephoned (4t3) 5Li 5Zg1 e -
,
Type of Bondi pc SlP&I C eaM Int Site(aV-5 At ck •srr,.k,
Dwelling-No. of Bedrooms 4 Garbage grinder Se<
Other-Type of Building No of persons S. Shower Call e.i i )
Other Fixtures
Design Flow (min. required) 440 gpd Calculated design flow (aLG Design now prodded 9(a'dO gpd
Plan: Date G- /3 - 0 I Number of sheets oZ Res isiou Dane
Title LGYNC-4 /�A 1 et SysiE - LoT • ) 7
Description of Soil C) 5r E PLOW Av.,0 Sot t ��
Soil Evaluator Form No. Name of Soil Esaluani°bL&O45e- Dane of F1'aluatian 1
DESCRIPTION OF REPAIRS OR ALTERATIONS
The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and
further agrees to not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health.
Signed >¢—�" ' Dated af':
Inspections
COFIINONWF:\LIll Of MIISSAITIIITSFTTS
Flth
CL;ITILJC,\1L OL CO\1PLL\NLh
Description of Work: 7 Individual Component(s) 7 Complete System
The undersigned hereby cenib that the Sewage Disposal S,.t. n: Consvnrred O. Repaired ( 1. Cpg ailed ( ).Ahandrined
by:
at
has heel insialled in a lance with the ( 'o utons of310 CMR 15(Id (lisle 3) and the app eyed tit Mtn. built phi
application No dared - Approted Design Flow t gpd)
htaallei
g
a Designer Inspector Date.
The issuance of this permit shall not be construed as a guarantee that the system will function as designed.
CO\1\1Oi\I\\![ \LM OF LIASS.-VT-I1I 'SETTS
Board of Health
DISPOSAL SYSTEM I CONSTRUCTION PERMII
Permission is hereby granted to; Construct( Repair(
at �C a>1 A
Disposal System Construction Permit No.
C
Upgrade( ) Abandon( 1 all mditidual sewage disposal system
as described in die application for
r , dated — '
Provided: Construction shall be completed within three years of the date of thyisyeI i t loca)l !m d%d on1 s!mf ui s t a h t r met.
Form 1255 P 5;960.M.5ulkr CO Bwto1.MA Date f{pald Of Health
(f7
FORM 2-DISPOSAL SYSTEM CONSTRUCTION PERMIT
Commonwealth of Massachusetts
NORTHAMPTON, Massachusetts
Disposal System Construction Permit
No 5O--CD
Permission is hereby granted to ROY GIANGREGORIO to construct (X) or repair()
an On-site Sewage System located at
✓lµ LOT*COLES MEADOW ROAD
11 QA� '
and as described in the above Application for Disposal System Construction Permit. The
applicant recognizes his/her duty to comply with Title 5 and the following local provisions
or special conditions.
All construction must be completed within two years of the date below.
Date
Approved by
DEPT Of BUILDING INSPECTIONS
NORTHAMPTON,MA 01060
FORM 11 - SOIL EVALUATOR FORM
Page 3 of 3
Location Address or Lot No. 1 — Kze pA SF
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 mottlesS7+ 6Oinches
❑ 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? �/'c5
If not, what is the depth of naturally occurring pervious material? /
Certification
I certify that on /I"PA (date) I have passed the soil evaluator examination
approved by the Depa ment of Environmen I Protection and that the above analysis
was performed by me consistent with th- fired training, expertise and experience
described in 310 CMR 15.0 7. t
Signature A�/iA.l� ✓L 'gate Sji gO
Signature
DEP APPROVED FOR11. 1_:0795
Location Address or Lot No. 7
FORM 12 - PERCOLATION TEST
7-c>/tas>e 0g
COMMONWEALTH OF MASSACHUSETTS
PiketntilenS'fvu, Massachusetts
Percolation Test'
Date: 5 -11- d 0 Time:. q.'oa.a°
Observation Hole #
-1-
Depth of Perc
510 if
k[ 2I'
Stan Pre-soak
C-1;1,7
q : ; 4
/
End Pre-soak
Time at 12"
9 ,` y2
q,' Ss
Time at 9"
q , yie,
q: S
Time at 6"
cL•' $ z
16.'0 /
Time (9"-6")
Rate Min./Inch
a,
r Minimum of 1 percolation test must be performed in both the primary area AND
reserve area.
Site Passed `671 Site Failed ❑
Performed By: 't & 71; I� L9C»ves-
Witnessed By: )'t/2 't r'rz/4-•,.
Comments: _
DEP APPROVED FORM-1310]/99
On-Site Review
Deep Hole Number . - Date S — /C • tto Time `(X00 n.x Weather Yee rtat/ op
Location (identify on site plan) l(
Land Use w On Tit n N1}7 Slope (%) 2 Surface stones Z.}e
Vegetation J4tt,t' Ffeu-c',L.>60n s
Landform "172v-n -J i
Distances from:
Open Water Body Nb rJt feet Drainageway 1v O.,JS feet
Possible Wet Area at a t feet Property Line /8 feet
Drinking Water Well /✓/D' feet Other
DEEP OBSERVATION HOLE LOG
Ceom from Surface
(inches)
Soil Horizon
_Soil Texture
(USDA)
Soil Color
(Munsell)
'Sod Mottling
Other
(Structure,Stones,Boulders.
Consistency,%Gravel)
, 1-' Co
4
Sly
la%c /Y
tOt?& (tool-
6,0-rv4.71rc
5 t. '97
Finn; i-n,.9In-
57 °
!7ev%7 stt9»JuF
to 7b 7a
13
5�t
s r` %
7,5,./.2 5.
a
174.-r,b ,e ,Jr
L
5
Co g 4,'e 1a1 Y9>iUe
TA �6 r
�S
�'b Y l `l
to -re'l U-e l
Parent Material (geologic): 5-L ) ' // Depth to Bedrock gy
f enth to Groundwater: Standing Water in the Hole: ,+&• Weeping from Pit Face: NBal&
Estimated Seasonal High Ground Water: S$
r'
No.:
Date: Apri11,1996
Commonwealth of Massachusetts
fUm2i-*q,,P4„a , Massachusetts
Site Suitability Assessment for On-Site Sewage Disposal
Performed By:. TJ)E ,.r,:
Witnessed By: I?-j,�L 107A Fa 4¢n .,
Certification Number.
Location Address or Lot No.: 7
Cel:r Y '&477sio' 1
Owners Name,Address and Tel.#:
12 into )?j E2 /.1
.5 Sy t v t'4 it;45Th _
iy97/Ey flsrt. 6Itcc5
New Construction ' Repair ❑
Office Review
Published Soil Survey Available:
Year Published I
No ❑ Yes g,
Publication Scale ).'(s it Soil Map Unit /61CcZI-
Drainage Class Lljs/i t e.pruca Soil Limitation 5 top E v LEaSg
Surticial Geologic Report Available: No 2-Yes ❑
Year Published Publication Scale
Geologic Material (Map Unit)
Landform 1;>.t•u-•, 4A,
Flood Insurance Rate Map:
Above 500 year flood boundary No ❑ Yes 8.
Within 500 year flood boundary No ® Yes ❑
Within 100 year flood boundary No 0 Yes ❑
Wetland Area:
National Wetland Inventory Map (map unit)
Wetlands Conservancy Program Map (map unit)
Current Water Resource Conditions (USGS): Month i4rti t
Range: Above Normal ❑ Normal p- Below Normal ❑
Other References Reviewed:
Deep Hole Number Z
Location (Identify on site plan)
Land Use 11)195 *I A n Slope (%) . -
Vegetaticnm7Ii t . /Cqep. y7LVDB bS
Landfcnn 17e L»+-7 /N
On-Site Review
Date S X12' eo rime lm.tem.>•..+ Weather.�i4!-U
Surface stones Z `rip
Distances from:
Open Water Body AP>N b- feet
Possible Wet flea �__ckeff feet
Drinking Water Well /✓/ 1-7. feet
Drainageway ,V OOt feet
Property Line A.D feet
Other
DEEP OBSERVATION HOLE LOG
_torn frcrn Surface
(incnes)
Scd L-':n.=n 1, Solt Texture Soil Color
ILISCA) (Munsed)
Sae Moelxc
Other
(Structure.Stones.Boulders.
Consistency,%Gravel)
b 78
A I GL
(t
(i
l
5
5-y <
WI-
LD
Lce>e f .e—asst
.z 4N,/
toots
7ar.f 5/F h7R 53+c
LDOY QED.
SANt'
"art fr-e-te31F-
07-1.7&fr,N193>/v-
S to Grz4v6
Parent Material (geologic): 319,E L Depth to Bedrock ( D
flenth to Groundwater: Standing Water in the Hole:f11&Z* Weeping from Pit Face: /UGdC
Estimated Seasonal High Ground Water.t40
F7, G s-ci% L1 7
LEb tE
7S
sT R t x
PE I
i
(o0
So
Im
•
rE)r grx
ileytc 3
HOWARD LABO
Phone:
WATE
Analyzed For: Bercume Builders
Address. 25 Sylvia Heights
Hadley, MA 01035
Telephone:
Sample# 10447
TORIES OF NEW ENGLAND, INC.
750 North Pleasant Street
Amherst,MA 01002
13) 549-8260 Fax: (413) 549-1850
Lab License: M-00851
ANALYSIS REPORT
Sample Location: Coles Meadow Rd
Lot*7
Sampled By: HWD
Date Sampled: 3/10/03
Date Received: 3/10/03
PARAMETER
REyULTS
LIMITS
COMMENTS
Total Coliform
Bacteria
[ 0 colonies/
ioomi
[OK
0 colonies/loom]
pH
7.35
pH Units
65-8.5 pH Units OK
Manganese
0.021
mg]
oo5 mg/] OK
Hardness
96
mgt
No Standard c50 SOFT, >I00 HARD
Conductivity
0.19
ms/cm
No Standard No Standard
Chloride
4.4
mg/]
250 mW] OK
Iron
0.06
mg/I
0 s mg OK
mall
Sodium
mgr!
28 m OK
g]
Nitrate
0.0 tarn
io mg] OK
Nitrite
0.00: me
, mg,] OK
Color
13 •Co Color Units
1 5 PtCo Color Units OK
Turbidity
1. NTU
5 NTU OK
Recommendations:
This sample meets acceptable standards of potability for the parameters tested.
Analyst: AK
Checked By: Jonathan Begg
Laboratory Su rviso
Date: 3/14/03