130 Septic Inspection 2004 COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
DEPARTMENT OF ENVIRONMENTAL PROTECTION
TITLE 5
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM
PART A
CERTIFICATION
Property Address: 130 Cross Path Road-Northampton, MA.
Owner's Name: Charles Mazeski Jr. TEL UNLISTED
Owner's Address: SAME
Date of Inspection: June 10, 2004 (am)
Name of Inspector: (please print) TIMOTHY E. MAGINNIS R.S.
Company Name:
Mailing Address: 70 MONTAGUE ROAD—WESTHAMPTON, MA. 01027
Telephone Number: (413) 527—5291
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 the 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:
X Passes
Conditionally Passes
Needs Further Evaluation by the Local Approving Authority
Fails
Inspector's Signature: TIMOTHY E. MAGINNIS R.S. Date: June 13,2004
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 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. I RECOMMEND THAT THIS SEPTIC TANK BE PUMPED EVERY
YEAR. ALSO, I RECOMMEND LIQUID SOAP FOR WASHER AND DISH WASHER.
LIMITED USE AND GOOD COMMON SENSE DURING PERIODS OF SOIL
SATURATION.
WARRANTY: THERE IS NO WARRANTY EXPRESSED OR IMPLIED
****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.****
Title 5 Inspection Form 6/15/2000
page I
1
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM
PART A
CERTIFICATION
Property Address: 130 Cross Path Road - Northampton, MA.
Owner's Name: Charles Mazeski Jr. TEL. UNLISTED
Owner's Address: SAME
Date of Inspection: June 10, 2004 (am)
Name of Inspector: (please print) TIMOTHY E. MAGINNIS R.S.
Company Name:
Mailing Address: 70 MONTAGUE ROAD—WESTHAMPTON, MA. 01027
Telephone Number: (413) 527—5291
Inspection Summary: Check A,B,C,D or E /ALWAYS complete all of Section D
A. System Passes:
_X_ 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: ROUTINE MAINTENANCE SUCH AS FREQUENT PUMPING AND
INSPECTION. GOOD COMMON SENSE DURING PERIODS OF HEAVY RAIN.
B. System Conditionally Passes: N/A
_ 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,ND) in the for the following statements. If"not
determined"please 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 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 that the tank is less than 20 years old is available.
ND explain:
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
obstruction is removed
distribution box is leveled or replaced
ND explain:
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
obstruction is removed
ND explain:
Title 5 Inspection Form 6/15/2000 2
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 130 Cross Path Road-Northampton, MA.
Owner's Name: Charles Mazeski Jr. TEL UNLISTED
Owner's Address SAME
Date of Inspection: June 10, 2004 (am)
Name of Inspector: (please print) TIMOTHY E. MAGINNIS R.S.
Company Name:
Mailing Address: 70 MONTAGUE ROAD—WESTHAMPTON, MA. 01027
Telephone Number: (413) 527— 5291
C. Further Evaluation is Required by the Board of Health: N/A
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
I5.303(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
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 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 well**. Method used to determine distance ?
**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.
3. Other:
Title 5 Inspection Form 6/15/2000 3
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 130 Cross Path Road - Northampton, MA.
Owner's Name: Charles Mazeski Jr. TEL UNLISTED
Owner's Address: SAME
Date of Inspection: June 10, 2004 (am)
Name of Inspector: (please print)TIMOTHY E. MAGINNIS R.S.
Company Name:
Mailing Address: 70 MONTAGUE ROAD—WESTHAMPTON, MA. 01027
Telephone Number: (413) 527—5291
A. System Failure Criteria applicable to all systems:
You must indicate"yes"or"no"to each of the following for all inspections:
Yes No
NO Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool
NO Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or
clogged SAS or cesspool
_N/A Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or
cesspool.
NA Liquid depth in cesspool is less than 6"below invert or available volume is less than '/day flow
NO Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number
of times pumped,
NO Any portion of the SAS,cesspool or privy is below high ground water elevation.
N/A Any portion of cesspool or privy is within 100 feet ofa surface water supply or tributary to a surface
water supply.
N/A Any portion of a cesspool or privy is within a Zone 1 of a public well.
N/A Any portion of a cesspool or privy is within 50 feet of a private water supply well.
N/A 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.]
NO (Yes/No)The system fails.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.
Large Systems: N /A
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
NO the system is within 400 feet of a surface drinking water supply
NO the system is within 200 feet of a tributary to a surface drinking water supply
NO 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.
Title 5 Inspection Form 6/15/2000 4
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address: 130 Cross Path Road -Northampton, MA.
Owner's Name: Charles Mazeski Jr. TEL UNLISTED
Owner's Address: SAME
Date of Inspection: June 10, 2004 (am)
Name of Inspector: (please print)TIMOTHY E. MAGINNIS R.S.
Company Name:
Mailing Address: 70 MONTAGUE ROAD—WESTHAMPTON, MA. 01027
Telephone Number: (413) 527— 5291
Check if the following have been done. You must indicate"yes"or"no" as to each of the
following:
Yes No
YES Pumping information was provided by the owner,occupant,or Board of Health (HOMEOWNER)
NO Were any of the system components pumped out in the previous two weeks ?
YES Has the system received normal flows in the previous two week period?
NO Have large volumes of water been introduced to the system recently or as part of this inspection?
YES Were as built plans of the system obtained and examined?(If they were not available note as N/A)
YES Was the facility or dwelling inspected for signs of sewage back up ?NO BACK-UP OBSERVED
YES _Was the site inspected for signs of break out? NO BERAKOUT
YES Were all system components,excluding the SAS, located on site?
YES Was 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?
YES _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:
Yes No
YES Existing information.For example,a plan at the Board of Health. Information from current
homeowner.
YES 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(3)(6)]
Title 5 Inspection Form 6/15/2000 5
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION
PART C
SYSTEM INFORMATION
Property Address: 130 Cross Path Road - Northampton, MA.
Owner's Name: Charles Mazeski Jr. TEL. UNLISTED
Owner's Address: SAME
Date of Inspection: June 10, 2004 (am)
Name of Inspector: (please print)TIMOTHY E. MAGINNIS R.S.
Company Name:
Mailing Address: 70 MONTAGUE ROAD—WESTHAMPTON, MA. 01027
Telephone Number: (413) 527—5291
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): UNKNOWN
Number of current residents: 2
Does residence have a garbage grinder(yes or no):NO
Is laundry on a separate sewage system(yes or no):NO[if yes separate inspection required]
Laundry system inspected(yes or no): YES
Seasonal use: (yes or no):NO
Water meter readings, if available(last 2 years usage(gpd):NOT ACCESIBLE,APPEARS TO BE LOCKED.
Sump pump(yes or no): YES - NEVER USED
Last date of occupancy: CURRENTLY OCCUPIED
COMMERCIAL/INDUSTRIAL N/A
Type of establishment:
Design flow(based on 310 CMR 15.203): gpd
Basis of design flow(seats/persons/sgft,etcj:
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):
GENERAL INFORMATION
Pumping Records
Source of information: Charles Mazeski Jr.—HOME OWNER
Has system pumped as part of the inspection(yes or no): NO
If yes,volume pumped:_ How was quantity pumped determined?
Reason for pumping: REAL ESTATE TRANSFER
TYPE OF SYSTEM
_X_ Septic tank&soil absorption system-ONE LONG TRENCH- LENGTH UNKNOWN
Single cesspool
Overflow cesspool
_
Privy
_N_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)
Tight tank _Attach a copy of the DEP approval
Other(describe):
Approximate age of all components,date installed(if known)and source of information: 17 YRS
Were sewage odors detected when arriving at the site(yes or no): NO
Title 5 Inspection Form 6/15/2000 6
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 130 Cross Path Road -Northampton, MA.
Owner's Name: Charles Mazeski Jr. TEL UNLISTED
Owner's Address: SAME
Date of Inspection: June 10, 2004 (am)
Name of Inspector: (please print) TIMOTHY E. MAGINNIS R.S.
Company Name:
Mailing Address: 70 MONTAGUE ROAD—WESTHAMPTON, MA. 01027
Telephone Number: (413) 527—5291
BUILDING SEWER (locate on site plan)
Depth below grade: 30"
Materials of construction:_X_cast iron 40 PVC other(explain):
Distance from private water supply well or suction line: N /A'
Comments(on condition of joints,venting,evidence of leakage,etc.): NO EVIDENCE OF LEAKAGE,
JOINTS ARE WATER TIGHT - VENTING IS OK—OUT WALL/ IN TANK=OK
SEPTIC TANK: X (locate on site plan)RECCOMMEND RISERS BE INSTALLED.
Depth below grade: BELOW = 16"
Material of construction:_X_concrete metal fiberglass polyethylene ther(explain)
If tank is metal list age:_
Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate)
Dimensions: (8.5'L x 5.5'W x 4' DEEP) = 1200 GALLONS +
Sludge depth: NONE
Distance from top of sludge to bottom of outlet tee or baffle: N/A
Scum thickness: THIS TANK WAS FULL. SEE NOTES
Distance from top of scum to top of outlet tee or baffle:_N/A
Distance from bottom of scum to bottom of outlet tee or baffle: N / A
How were dimensions determined: OBSERVED AND 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.):
**THIS TANK HAS NEVER BEEN PUMPED. AT THE TIME OF THE INSPECTION IT WAS FULL. INLET
AND OUTLET BAFFELS PREVENTED SCUM FROM LEAVING TANK. THERE WAS NO FLOATING
SCUM AT THE OUTLET BAFFEL. INLET&OUTLET BAFFLES ARE CONCRETE. TANK IN SOUND
CONDITION. NO LEAKAGE OBSERVED. EFFLUENT EVEN WITH OUTLET INVERT. RECOMMEND
PUMPING EVERY OTHER YEAR. RECOMMEND THE USE LIQUID SOAPS AND GOOD COMMON
SENSE DURING PERIODS OF HEAVY RAIN. ALSO RECOMMENDED IT BE PUMPED BEFORE SALE OF
PROPERTY. ***
GREASE TRAP: (locate on site plan) N/A
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.):_
Title 5 Inspection Form 6/15/2000 7
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address. 130 Cross Path Road-Northampton, MA.
Owner's Name: Charles Mazeski Jr. TEL. UNLISTED
Owner's Address: SAME
Date of Inspection: June 10, 2004 (am)
Name of Inspector: (please print)TIMOTHY E. MAGINNIS R.S.
Company Name:
Mailing Address: 70 MONTAGUE ROAD—WESTHAMPTON, MA. 01027
Telephone Number: (413) 527— 5291
TIGHT or HOLDING TANK:--N/A (tank must be pumped at time of inspection)(locate on site plan)
Depth below grade:
Material of construction: concrete metal fiberglass polyethylene other(explain):
Dimensions:
Capacity: gallons
Design Flow: gallons/day
Alarm present(yes or no):
Alarm level. Alarm in working order(yes or no):
Date of last pumping:
Comments(condition of alarm and float switches,etc.):
DISTRIBUTION BOX: Of present must be opened)(locate on site plan)
Depth of liquid level above outlet invert:NO "D" BOX.
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.)
PUMP CHAMBER: (locate on site plan N /A
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.):
WARRANTY: THERE IS NO WARRANTY EXPRESSED OR IMPLIED.
****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.****
Title 5 Inspection Form 6/15/2000 8
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 130 Cross Path Road- Northampton, MA.
Owner's Name: Charles Mazeski Jr. TEL UNLISTED
Owner's Address SAME
Date of Inspection: June 10, 2004 (am)
Name of Inspector: (please print) TIMOTHY E. MAGINNIS R.S.
Company Name:
Mailing Address: 70 MONTAGUE ROAD—WESTHAMPTON, MA. 01027
Telephone Number: (413) 527-5291
SOIL ABSORPTION SYSTEM (SAS): X (locate on site plan,excavation not required)
If SAS not located explain why:
Type
leaching pits,number:
leaching chambers,number:
leaching galleries,number:
_X_leaching trenches,number,length: ONE LONG TRENCH. THE LENGTH IS UNKNOWN.
leaching fields,number,dimensions:
overflow cesspool,number:
innovative/alternative system Type/name of technology:
Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil,
condition of vegetation, etc.):
NO SIGNS OF HYDRAULIC FAILURE,NO PONDING,VEGETATION IS DRY GRASS. THERE ARE
NO SIGNS OF FAILURE ABOVE GROUND.
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,condition of vegetation,
PRIVY:N/A_(locate on site plan)
Materials of construction:
Dimensions:
Depth of solids:
Title 5 Inspection Form 6/15/2000 9
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 130 Cross Path Road-Northampton, MA.
Owner's Name: Charles Mazeski Jr. TEL UNLISTED
Owner's Address: SAME
Date of Inspection: June 10, 2004 (am)
Name of Inspector: (please print)TIMOTHY E. MAGINNIS R.S.
Company Name:
Mailing Address: 70 MONTAGUE ROAD—WESTHAMPTON, MA. 01027
Telephone Number: (413) 527-5291
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 feet. Locate where public water supply enters the building.
SEE ATTACHED AS-BUILT PLAN
DATED: June 13, 2004
WARRANTY:
THERE IS NO WARRANTY EXPRESSED OR IMPLIED
****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.****
Title 5 Inspection Form 6/15/2000 10
CROSS PATH ROAD - NORTHAMPTON, MA.
v
0
Existing septic tank
PLAN VIEW
SCALE: 1' = 20'
AS—BUILT DIMENSIONS
A to C = 34'
B to C = 31.5'
4" cast iron pipe
Inlet with baffel
Pumping manhole ( "C" ) Outlet with baffel
C"
Existing trench
3/4" — 1 1/2" stone
Title-5 Inspection Plan
130 Cross Path Raod
Northampton, Massachusetts
Owner: Chearle Mazeski JR!
Address: 130 A Cross Path Road
Northampton, Massachusetts
Telephone: UNLISTED
June 11, 2004
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENT
SUB SURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address. 130 Cross Path Road -Northampton, MA.
Owner's Name: Charles Mazeski Jr. TEL UNLISTED
Owner's Address: SAME
Date of Inspection: June 10, 2004 (am)
Name of Inspector: (please print) TIMOTHY E. MAG1NNIS R.S.
Company Name:
Mailing Address: 70 MONTAGUE ROAD—WESTHAMPTON, MA. 01027
Telephone Number: (413) 527-5291
SITE EXAM
Slope NEARLY LEVEL
Surface water NONE
Check cellaR: -NO WATER NOTED
Shallow wells
Estimated depth to ground water > t 0
Please indicate(check)all methods used to determine the high ground water elevation:
X Obtained from system design plans on record-If checked,date of design plan reviewed:
X Observed site-abutting property/observation hole
Checked with local Board of Health-explain:
Chocked with local excavators,installers-(attach documentation)
X_ Accessed USGS database-explain: HAMPSHIRE COUNTY SOIL SERVICE
You must describe how you established the high ground water elevation:
GROUND WATER WAS DETERMINED BY•
A. EXAMINATION OF SOILS AROUND SEPTIC TANK
B. REVIEW OF HAMPSHIRE COUNTY SOIL SURVEY
C. NO INFILTRATION INTO SEPTIC TANK
E. LOCAL KNOWLEDGE OF THIS SITE,. TEST PIT DATA ON ADJACENT PROPERTY
Title 5 Inspection Form 6/15/2000 II
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
SYSTEM INFORMATION (continued)
Property Address: 130 Cross Path Road-Northampton, MA.
Owner's Name: Charles Mazeski Jr. TEL UNLISTED
Owner's Address: SAME
Date of Inspection: June 10, 2004 (am)
Name of Inspector: (please print) TIMOTHY E. MAGINNIS R.S.
Company Name:
Mailing Address: 70 MONTAGUE ROAD— WESTHAMPTON, MA. 01027
Telephone Number: (413) 527—5291
NOTE:
A. This system is 17 years old. It consists of one 1200 gallon concrete septic tank and one long
trench of stone/and pipe. Its length is unknown. There were no signs of failure as a result of this
trench.
At the time of this inspection the septic tank was full and in need of pumping. Mr. Mazeski
assured me that it would be done. Later this day, Mr. Mazeski informed me that Karl's Septic
Pumper was at this site and pumped the tank and removed all the sludge.
Due to its age, I recommend that the tank be pumped annually and good common sense during
periods of saturated soils.
NO VIOLATIONS NOTED
Title 5 Inspection Form 6/15/2000 12