132 Septic Inspection 2000 ENVIRONMENTAL FIELD SERVICES, INC.
P.O. BOX 518
LEEDS, MA 01053
1-413-586-7200
November 3, 1999
Board of Health
Town Offices
Northampton, MA 01060
re: Inspection of Septic System Repair, Messier Home, 132 Crosspath Road
Dear Board:
On November 1 , 1999, a representative from our office performed an inspection of
the repair septic system installation referenced above. The system was installed by
J. C. & Company of Northampton, MA.
Our representative found that the system is installed properly and in accordance
with our septic plan dated 10-2-99. The as-built locations of all system
components have been documented on the attached sketch.
This letter shall serve as Engineer and Installer Certification that the system was
installed in accordance with Title V and our approved system design. If there are
any questions, please contact our office.
Sincerely yours,
Mich. - J. /.vigne
Eng'neering Manager
I hereby certify that the above referenced system was installed in accordance with
Title V and the approved septic design prepared by Environmental Field Services.
J. C. & Company. Northampton. MA
FORM 9A - APPLICATION FOR LOCAL UPGRADE APPROVAL
PAGE 2 OF 5
4) Type of existing system
privy cesspool(s) Vconventional system
Other (describe)
Type of soil absorption system (trenches, chambers. pits.etc.)
leach b ( tJd
5) Design flow based on 310 CMR 15.203
a) Design flow of existing system UL _. gpd
Approved? yes approval date
no why'
b) Design flow of proposed upgraded system, g"' 9 gpd
c) Design flow of facility3 30 gpd
6) Proposed upgrade of existing system is
a) 1/ Voluntary
Required by order, letter. etc. (attach copy)
Required following inspection required by 310 CMR 15.301 (provide date
inspection form was submitted to the approving authority) (date)
b) Describe the proposed upgrade to the system
cx c-ew av'xav 'X9 " 5ev(J0 • `yn //rip added 7p e ,Cijlvn
000 ` • i • / I 1 - -�
c) Which of the following are applicable to the proposed upgrade?
Reduction of setback(s) (list setbacks to be reduced with proposed setback distances)
Percolation rate of 30-60 minutes per.inch (state acwal perc rate)
DFP APPROVED FORM- 11'07/95
FORM 9A - APPLICATION FOR LOCAL UPGRADE APPROVAL
PAGE I OF
Commonwealth of Massachusetts
OrI-hannE1o,v , Massachusetts
Application for Local Upgrade Approval
Title 5, 310 CMR 15.000
DEP Approved form required by 310 CMR 15.403(1)
To he submitted to Local A .rovin Authoriru/soard of Health. For the upgrade of a failed or
nonconforming system with a design flow of < 10,000 gpd, where fu!I compliance, as defined in
310 CMR 15.404(1), is not feasible.
To be submitted to DEP: For the upgrade of a
of .10,000 up to 15.000 gpd and/or for upgrade
compliance, as defined in 310 CMR 15.404(1),
failed or nonconforming system with a design flow
of a state or federal facility, where full
is not feasible.
NOTE: Local upgrade approval shall not be granted for an upgrade proposal that includes the
addition of new design flow to a cesspool or privy or the addition of new design flow above the
existing approved capacity of a system constructed in accordance with either the 1978 Code or 310
CMR 15.000.
1) Facility/system owner
Name Rr bet—f me sL
Address
Phone ft
Address of facility
t - !SAM • • • • to. • AA • rL eu
2) Applicant (if different from above)
Name San-i-€
Address n S
Phone ft
a lOou-Q
3) Type of facility
residential commercial school
institutional
(Specify)
00'APPROVED FORM• IE/07/95
FORM 9A - APPLICATION FOR LOCAL UPGRADE APPROVAL
PAGE 4 OF 5
Notice to Abutters
No application for upgrade approval in which the setback from property lines or a
private water supply well is reduced shall be complete until the applicant has
notified all abutters whose property or well is affected by certified mail at least ten
days before the Board of Health meeting at which the upgrade approval will be on
the agenda. Such notice shall include the date, time and place where the upgrade
approval will be discussed.
If the Department is the approving authority, then such notice to abutters must he
completed prior to the date of submission of the application to the Department.
The notices to abutters shall include a copy of the completed application form and
shall reference the standards set forth in 310 CMR 15.402 through 15-405.
List of affected Abutters:
Abutter Name
Address
Abutter Name
Address
Abutter Name
Address
Abutter Name
Address
Date notified
Date notified
Date notified
Date notified
9) Explain why full compliance, as defined in 310 CMR 15.404(1), is not feasible (each
section must he completed):
a) an upgraded system in full compliance with 310 CMR 15.000 is not feasible:
Cost a •vd space Co.usiderorl=1
b) an alternative system approved pursuant to 310 CMR 15.283-15.288 is not feasible:
Not A eCeSCq �v
pID MPRO VID FORM. 12,rrn5
FORM 9A - APPLICATION FOR LOCAL UPGRADE APPROVAL
PAGE 3 OF 5
Up to 25% reduction in subsurface disposal area design requirements (state required
& proposed size)
Relocation of water supply well (identify well describe relocation)
VReduction of required separation between bottom of nSAS & high groundwater
(specify proposed reduction & perc rate) ///3/ t s e 1' A r-a'/ (DL)
Other requirements of 310 CMR 15.000 that be met Cspecify sections of the
Code)
System upgrades that cannot be performed in accordance with 310 CMR 15.404 &
15.405, or in full compliance with the requirerents of 310 CMR 15.000, require a
variance pursuant to 310 CNIR 15.410-15.417.
7) If the proposed upgrade involves a reduction in the required separation between the bottom
of the soil absorption system and the high groundwater elevation,.an Approved Soil
Evaluator must determine the t:igh ground water elevation pursuant to 310 CMR
13.405(1)(i)(l). The evaluator must be a member or agent of the local approving authority:
Di3tjnce from soil absorption system to high groundwater
feet
As determined by.
Evaluator's name /y)) dine /
Evaluator's signature
Date of evaluation ' —
DEP APPROVED FORM• 1E07/95
FORM 913 - LOCAL UPGRADE APPROVAL
Commonwealth of Massachusetts
IUD r'J-homy-j-ux Massachusetts
LOCAL UPGRADE APPROVAL ISSUED PURSUANT TO 310 CMR 15.404 & 15.405
Name Pohert%/icSSii6Address: M-g. C f-OS.% FY7*L Rp f)n �,
Address of facility Rd 7proo
Facility/system owner:
Type of facility
residential t.7 institutional
design flow per 310 CMR 15.203 to/KI gpd
commercial school
System designer' Namee (-,
Local Upgrade Approval granted for:
reduction in selbackls) (specify)
1G
Address )/30/‘71g- LeCCISjria
Phone No -%tea
perc rate of 30-60 min./inch (specify rate)
reduction in SAS area of up to 25%
(specify % reduction & size of SAS)
reduction in separation between
SAS & high groundwater
(specify reduction & perc rate)
relocation of a well (explain)
3 ' serial -agirs .)
'1 ,11C&) /fine {)
List local variances granted (no DEP approval required per 310 CMR 15412(4))
List variances granted requiring DEP approval
Board of Health �/�-pproyal of proposed up rade
Signature City t�n
e / Nafne Tid<
Date
THE SYSTEM OWNER OR OPERATOR SHALL PROVIDE A COPY OF THIS LOCAL UPGRADE APPROVAL
TO THE APPROPRIATE REGIONAL OFFICE OF THE DEPARTMENT OF ENVIRONMENTAL PROTECTION
DIVISION OF WATER POLLUTION CONTROL UPON ISSUANCE BY THE LOCAL APPROVING AUTHORITY
& BEFORE COMMENCEMENT OF CONSTRUCTION.
oe'APPROVED EORM- 12/07/95
DNI
D0%
Location Address or Lot No
FORD? I I - SOIL EVALUATOR FORD?
Page 2 of 3
13 1 aPoSs 90 -11)
Olt-site Review
Deep Hole Number I .d-"9 Date: C/-r?-3- 99 Time: t77Or"1"5 Weather oCU.ti-
Location (identify on site plan) SR1CLKJ _..
Land Use 9ar-c u,_ Slope (%) O Surface Stones k.ar-4—
vegetation vario t,s (l+.cs-hfy cr-CeS_!Grp p s-cr on-elk- {oq.b-4ocv !>..
Landform l
Position on landscape (sketch on the back) Son 6 L * C N /1>I, yam_
Distances from:
Open Water Body >/00 feet Drainage way feet
Possible Wet Area >/OO feet Property Line >ao feet
Drinking Water Well >/00 feet Other
DEEP OBSERVATION HOLE LOG.
Depth from
Surface (Inches/
Soil Horizon
Soil Texture
(USDA)
Soil Color
(Munaelll
Soil
Mottling
Other
(Structure,Stones, Boulders, Consistency, %
Gravel)
0- 1(c"
/b" a9 "
" Oa"
A
13
a
SL
5
F, 5.L.
'al R3Ja
IOYR�I(3
101Ryla
Nr)l,,e
Nome
iol!)51/
eU3a18
t pso1.I
SUbsoi I
0 -'ISS; "
I fS'1- 30"
30"- lao"
IR
13
a
St
SL
F. Si L .
ok/R313
)o4Q4l3
IovQala
U0 )
NON-e_
/oyR 511
/oVRsM-
Topsoil
Sf4b3oi I
Parent Material lge logic) Cmdc-1-Ls) Q c.•,1-) DepthtoBedrock: - I3k" 130 /1
Depth to Groundwater: Standing Water in the Hole: F)r j ) IJO$Jt Weeping from Pit Face: �r i )00"
Estimated Seasonal High Ground Water: L)( U LI 1l .J1 \f
DEP APPROVED FORM-12/07195
Environmental Field Services, Inc.
P.O. Box 518 Leeds, MA 01053
14131 586-7200
No.
FORM 11 - SOIL EVALUATOR FORM
Page 1 of 3
Date: 9- 079- 99
Commonwealth of Massachusetts
A)orthcnnp1tm , Massachusetts
Soil Suitability Assessment for On-site Sewage Dis�og
Performed By: /I i e 11 e1 (czul
Witnessed By: .Pe.ter m° eel ICUmo
Date: 4-a 3 9 9
Liana,Marta a 13a Cross
La
•
Path R.d
New Construction ❑ Repair M
D.asa•a• Robert Me 'LS S)
"thin n° 13D Cross Pc t-h /Rd
Akie hn Mp tar■ f/1 17
O/Olio
Tekphow I
Office Review
Published Soil Survey Available: No ❑ Yes ❑
Year Published Publication Scale
Drainage Class Soil Limitations
Surficial Geologic Report Available: No ❑ Yes ❑
Year Published
Geologic Material (Map Unit)
Landforn
Flood Insurance Rate Map:
Above 500 year flood boundary No ❑Yes ❑
Within 500 year flood boundary No ❑Yes ❑
Within 100 year flood boundary No ❑Yes ❑
Wetland Area:
National Wetland Inventory Map (map unit)
Wetlands Conservancy Program Map (map unit)
Publication Scale
Soil Map Unit
Current Water Resource Conditions (USGS): Month
Range :Above Normal ❑Normal ❑Below Normal ❑
Other References Reviewed:
DEP APPROVED FORM-11/O1/%
Environmental Field Services, Inc.
P.O. Box 518 Leeds, MA 01053
(413) 586-7200
) Oro 12//-77PERCOLATION TEST
Location Address or Lot No. ) 3 9 C rc Ss PO r/� l:�l /?9 .1
COMMONWEALTH OF MASSACHUSETTS
po r+ha m P fox.) , Massachusetts
Percolation Test`
Date: 9-‘9 3 -99 Time.,/1iom (ins
Observation Hole #
-2
Depth of Perc
6 D
, „
Start Pre-soak
/O '1,2
//.'/7
.End Pre-soak
/O . /7/'
// .'az
Time at 1 2"
/1 0 '2 1 7
// .'22
Time at 9"
/7 39
// ?
Time at 6"
//.' y 9
Time (9%6")
/ Xo,- Le.-c/
/0
Rate Min./Inch
/
Minimum of 1 percolation test must be performed in both the primary area AND
reserve area.
• Site Passed Site Failed ❑
Performed By:
Witnessed By:
Comments:
1712%J /� 1/?v.,/.c C
e rick- /reek- Ia/A-
ORP APPRO■tO FORM-I2/07/95
FORM 11 - SOIL EVALUATOR FORM
Page 3 of 3
Location Address or Lot No. r0 53 '4-_? Eh Rd
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 yF. 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 II reas
observed throughout the area proposed for the soil absorption system?
If not, what is the depth of naturally occurring pervious material?
Certification
I certify that on II 94 (date) I have passed the soil evaluator examination
approved by the Department of Environmental Protection and that the above analysis
was performed by me consistent with the required training, expertise and experience
described in 310 CMR 15.017.
Signature r-----Date 002
DEP APPROVED FORM-12/07195
I 0C-
PUMP SYSTEM DATA SHEET
1.) Pump chamber to be an Arrow Concrete AC-1000 PC.
See accompanying manufacturer's schematic.
2.) See accompanying Pump Chamber Schematic.
3.) The pump chamber shall be water proof, include vibration
bushings, and be equipped with a high level alarm powered
by an electrical circuit separate from that of the pump.
4.) Set pump floats as follows for the flows specified:
Lower Limit (off) 6" above tank floor
Upper Limit (on) 22" above floor (-330 Gallon Dose)
Alarm 6" above Upper Limit Float
5.) The 2" pressure line must either be insulated, buried beneath
the frost line, or laid such that all liquid flows out of the pipe
when the pump shuts off, so as to avoid winter freezing.
6.) The attached manufacturer's schematic and Pump Chamber
Schematic do not require strict adherence. Equivalent
chambers, pumps, electrical systems and plumbing supplies
may be utilized at the installer's discretion and will be
subject to inspection prior to closure. Call if you have questions!
7.) The Pump System must be functionally tested through a complete
cycle as part of the System Installation Inspection.
• v
\ H
11"X11" 24" r A
/COVER UP OPENING l
/
'--k 8 1 vir
Prod a' 1 A 8 C D
24" tide.
AC-1000-PC 5'0" 8'6" 5'5" 4'8" 1"
T
AC-1500-PC 5'8" 10'6" S5" 4'8" j 1 T
I
b T
DESIGN NOTES
1. Concrete - 4000 p.s.i., 28 days
2- Reinforcement - steel wire mesh 6' x 6"10 gage C
3. Tongue and groove joint sealed with mastic
sealant 0
rn
AC - PUMP CHAMBER (3) n or 1
1000 - 1500 T
T �"
ARROW CONCRETE PRODUCTS, INC.
GRANBY, CT. (860) 653-5063 15
,-�
•
•
— RISER w/ COVER
ft MYERS a onc,-z�-
1-1/2" P.V.C. ELEC. COND. JUNCTION BOX if C'JL" Sp`LI 1-I te)L
SJBSN
40111 14Rittli
0_—
MOUNTING 1
b j STANCHION - 1 UNION
/ MYERS 1 GATE
C // I LEVEL
CONTROL 2" SOR 21
4 P.V.C. GALV. /I1Iq�lf_I■�'I1:76
ADAP ER
SDR 35 Pg! MYERS, RCW-25
FROM I -ALARM
SEPTIC If MYERS ON �jC-- /COO -PC SEAL
AMS T
WHR5 '�ii SEAMS ETC.
PUMP —■ _ 'M AS PUMP CHAMBER
on OFF
v.,ua neae� =ma. G no
Ct
PUMP CHAMBER
NO SCALE Y- ,
S
r
qq \
qs \
\ \
\ \
\ ZK„ � Fo-IIed \
_ ,o-ol-- F e1d \ \
w»p
IRS' 1°
Gelf
ove�-
, ro-dc_ -1c,e2 ijcs -
qq.S
1(a
G.
r
CtO Af7 -r H �OpD
'IONS
MINIIN (Measured at 4 MlnlIn)
FE: 110 GPDIBEDROOM x 3 BEDROOMS=330 GPD
A: • -
rLCS-ri.��
/✓a_ Lille// lo ti
N
SITE PLAN
grail : I" e .20