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246 Inspection Form 2002 Timothy E. Maginnis RS Registered Sanitarian 70 Montague Road Westhampton, MA 01027 Barbara Demerski Associate Broker Goggins Real Estate 226 King Street Northampton, Ma. 01060 Re: Northampton - # 244 & # 246 Haydenville Road Title— 5 inspections May 8, 2001 Dear Barbara: Enclosed please find two copies (each) of Title-5 inspections that I conducted on May 7, 2002 at# 244 & # 246 Haydenville Road in Northampton. Please be aware that the entire sewage disposal system at # 244 has failed and must be replaced in accordance with the State Sanitary Code Title-5. The soil absorbtion system (SAS) at# 246 is in good repair and does not need to be disturbed. However, the septic tank at # 246 is in poor condition and should be either repaired or replaced. I recommend a new tank. I have spoken with Mr. Peter McErlain of the Northampton Board of Health and he has agreed to allow.a 2000 gallon septic tank to serve both units witt each unit having their own SAS. As we discussed on May 7, 2002, I will design and submit, upon confirmation, a new sewage disposal system plan to the Northampton Board of Health showing a shared 2000 gallon septic tank for # 246 & # 244. In addition, a new SAS at# 244 will be designed to function in combination with the SAS at # 246. 2 Please confirm the above and I will begin the new design immediately. If I can be of any further service or you have any questions, please contact me. Very truly yours; Timothy5 gm is R.S. /cc Northampton Board of Health BOARD OF HEALTH MEMBERS CYNTHIA DOURMASHKIN,RN.,thair ROSEMARIE KARPARIS,RN.,MPH RICHARD P.BRUNSWICK,M.D.,MPH PETER].McERU1IN RS MPH Health Agent (413)587—1214 FAX(413)587-1221 May 14,2002 Mr.John Mckenna 70 a Montague rd. Wendell,MA 01379 Dear Mr.McKenna: CITY OF NORTHAMPTON MASSACHUSETTS 01060 OFFICE OF THE BOARD OF HEALTH 210 MAIN STREET,Room 8 NORTHAMPTON,MA 01060-3167 Re:Septic Inspection at 246 Haydenville Rd.,Leeds The Board of Health is in receipt of a report on a sewage disposal system inspection conducted at 246 Havdenville Rd.. Leeds on May 8,2002 by Timothy Maginnis.In his report Mr.Maginnis has classified your septic system as a "Conditional Pass"due to the following: • The septic tank is deteriorated and must be replaced. In order for your sewage disposal system to be classified as"Passed,"you must do the following: • Replace the deteriorated septic tank with a new 1500 gallon two compartment tank. All of the work described above must be done by a licensed septic system installer in accordance with the requirements of 310 CMR 15.000 and a Septic System Repair Permit must be obtained from the Board of Health office prior to beginning the work. In accordance with the provisions of 310 CMR 15.000 of the State Environmental Code,Title 5,and under authority of Massachusetts General Laws,Chapter 2IA,Section 13,you(or the subsequent owners of the property)are hereby ordered to repair the subsurface sewage disposal system at 246 Haydenville Rd.,within two years of the date of the original inspection,(by May 8,2004).If further degradation of the sewage disposal system occurs,(e.g.sewage flowing to the surface of the ground),the repairs will be required sooner. Please be advised that you are entitled to a hearing on this order to upgrade your subsurface sewage disposal system, provided that you file a written petition requesting such a hearing in the Board of health office within seven(7)days of the receipt of this notice. Please feel free to contact me at the Board of Health office,at 587-1213 if you have any questions concerning this notice. Thank you for your anticipated cooperation in this matter. Very trill y Ypgr /711 Peter J. McErlain,Agent Northampton Board of Health Cert.Mail g 7001 2510 0004 8173 5198 cc: Barbara Demerski, Goggins Realty, 266 King Street, Northampton BOARD OF HEALTH MEMBERS CYNTHIA DOURMASHKIN,R.N., ROSEMARIE KARPARIS,R.N.MPH RICHARD P.BRUNSWICK,M.D.,MPH PETER I.McERIAIN,Health Agent CITY OF NORTHAMPTON MASSACHUSETTS 01060 OFFICE OF THE BOARD OF HEALTH 210 MAIN STREET 01060 (413)587-1213 May 14,2002 Mr.John McKenna 70 a Montague Rd. Wendell,MA 01379 Re: Septic Inspection at 244 Haydenville Rd.,Leeds Dear Mr. McKenna: The Northampton Board of Health is in receipt of a report on the Subsurface Sewage Disposal System Inspection conducted by Timothy Maginnis at 244 Haydenville Rd. Leeds on May 8,2002. That inspection report indicates that the subsurface sewage disposal system at that address fails to protect the public health and the environment as defined in Section 15.303 of CMR 15.000,State Environmental Code,Title 5. Therefore,in accordance with the provisions of 310 CMR 15.000 of the State Environmental Code,Title 5,and under authority of Massachusetts General Laws,Chapter 21 A, Section 13,you(or the subsequent owners of the property)are hereby ordered to repair the subsurface sewage disposal system at 244 Haydenville Rd.,within two(2)years of the date of the inspection,(by May 8,2004).If further degradation of the sewage disposal system occurs(e.g. sewage flowing to the surface of the ground),you may be required to complete the repairs sooner. All work to repair/upgrade the subsurface sewage disposal system must be performed by a licensed sewage disposal system installer, in accordance with the requirements of 310 CMR 15.000,and with plans prepared by a Registered Sanitarian or Registered Professional Engineer and approved by the Northampton Board of Health. Please be advised that you are entitled to a hearing on this order to upgrade your subsurface sewage disposal system, provided that you file a written petition requesting such a hearing in the Board of health office within seven(7) days of the receipt of this notice. Please feel free to contact the Board of Health office,at 587-1213,if you have any questions concerning this notice. Thank you for your anticipated cooperation in this matter. Very truly yours, Peter J. McErlain Health Agent Certified Mail#7001 2510 0004 8173 5198 " kiwk stc, COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PR TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 244 HAYDENVILLE ROAD—ONE HALF OF TWO BEDROOM DUPLEX NORTHAMPTON,MA. 01060 Owner's Name: JOHN McKENNA Owner's Address: WENDELL MA. Date of Inspection: APRIL 7,2002 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: Inspector's Signatu onally Passes rther Evaluation by the Local Approving Authority ,j Date: MAY S, 2002 The system inspector shall s DEP)within 30 days of comp gpd or greater,the inspector and the DEP.The original should be sent to the authority. Notes and Comments This system was installed in 1975. All components are original and in failure. ection report to the Approving Authority(Board of Health or n.If the system is a shared system or has a design flow of 10,000 owner shall submit the report to the appropriate regional office of the system owner and copies sent to the buyer,if applicable,and the approving ****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 1 Page 2 of I I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 244 HAYDENVILLE ROAD NORTHAMPTON,MA. 01060 Owner's Name: JOHN McKENNA Owner's Address: WENDELL MA Date of Inspection:APRIL 7,2002 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: _N/A I have not found any information which indicates that any of the failure criteria described in 310 CMR 15303 or in 310 CMR 15304 exist. Any failure criteria not evaluated are indicated below. Comments: THIS SYSTEM WAS INSTALLED IN 1975. THIS IS ORIGINAL DATE OF CONSTRUCTION ALL COMPONENTS ARE IN FAILURE 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. _X_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: THIS SITE REQUIRES A NEW SEPTIC TANK AND SAS. BOTH ARE FAILING. N_ 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: NO DISTRIBUTION BOX 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: T:ao 6n cnnnn 2 Page 3 of 11 OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 244 HAYDENVILLE ROAD NORTHAMPTON,MA. 01060 Owner's Name: JOHN MCKENNA Owner's Address: WENDELL,MA. Date of Inspection: APRIL 7,2002 C. Further Evaluation is Required by the Board of Health: NO 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 15.303(1)(6)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: 6/1G nnnn 3 Page 4 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: Owner's Name: Owner's Address: 244 HAYDENVILLE ROAD NORTHAMPTON,MA. 01060 JOHN McKENNA WENDELL,MA. Date of Inspection: APRIL 7,2002 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No _X_ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool _ X 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 N/A Liquid depth in cesspool is less than 6"below invert or available volume is less than'A day flow _ X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped X_ Any portion of the SAS,cesspool or privy is below high ground water elevation. _ X Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. X Any portion of a cesspool or privy is within a Zone 1 of a public well. X Any portion of a cesspool or privy is within 50 feet of a private water supply well. X 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 (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. E. 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 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 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 All cnnnn 4 Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 244 HAYDENVILLE ROAD NORTHAMPTON,MA. 01060 Owner's Name: JOHN McKENNA Owner's Address: WENDELL,MA Date of Inspection: APRIL 7,2002 Check if the following have been done.You must indicate"yes"or"no"as to each of the following: Yes No X Pumping information was provided by the owner,occupant,or Board of Health X Were any of the system components pumped out in the previous two weeks? X Has the system received normal flows in the previous two week period? X Have large volumes of water been introduced to the system recently or as part of this inspection? N/A Were as built plans of the system obtained and examined?(If they were not available note as N/A) X Was the facility or dwelling inspected for signs of sewage back up? X Was the site inspected for signs of break out? -NO BREAK-OUT OBSERVED X _ Were all system components,excluding the SAS, located on site? X Were 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? X 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 X Existing information. For example,a plan at the Board of Health. X 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)] THE EXISTING SAS WAS UNCOVERED. SEWAGE BACK-UP WAS OBSERVED. THE LEACHING PIT WAS FULL OF EFFLUENT AND/OR GROUNDWATER . Cr ♦ n .... 6n c nnne 5 Page 6 of 1 I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 244 HAYDENVILLE ROAD NORTHAMPTON,MA. 01060 Owner's Name: JOHN McKENNA Owner's Address: WENDELL MA Date of Inspection: APRIL 7,2002 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design):UNKNOWN_ Number of bedrooms(actual):_2_ DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): UNKNOWN Number of current residents: VACANT AT TIME OF INSPECTION Does residence have a garbage grinder(yes or no):_YES_ 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)): 55,390 CU.FT. Sump pump(yes or no): YES—CELLAR SHOWS SIGNS OF WATER DAMAGE Last date of occupancy:CURRENTLY UNOCCUPIED COMMERCIAL/INDUSTRIAL: N/A Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sqft,etc.): 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: HOME OWNER/REALESTATE AGENT Was system pumped as part of the inspection(yes or no):NO If yes,volume pumped: gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM _X_Septic tank,distribution box,soil absorption system— ONE PIT WITH 4' STONE AROUND. _Single cesspool _Overflow cesspool Privy NO Shared system(yes or no)(if yes,attach previous inspection records, if any) Innovative/Altemative 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: THIS SYSTEM WAS INSTALLED IN 1975.APPROXIMATELY 27 YEARS OLD. ALL COMPONENTS ARE ORIGINAL AND IN FAILURE. Were sewage odors detected when arriving at the site(yes or no): NO Tao[T.,,...e,.:.». v ..., cn[noon 6 Page 7 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 244 HAYDENVILLE ROAD NORTHAMPTON MA. 01060 Owner's Name: JOHN McKENNA Owner's Address: WENDELL.MA Date of Inspection: APRIL 7,2002 BUILDING SEWER(locate on site plan) Depth below grade: 12" Materials of construction:X cast iron X 40 PVC_other(explain): Distance from private water supply well or suction line: N/A—CITY WATER Comments(on condition of joints,venting,evidence of leakage,etc.):NO EVIDENCE OF LEAKAGE JOINTS ARE SECURE AND NOT LEAKING SEPTIC TANK: X (locate on site plan) Depth below grade: 14" Material of construction: X concrete metal fiberglass polyethylene other(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'x 5.5' 4.0'D Sludge depth: NONE Distance from top of sludge to bottom of outlet tee or baffle:N/A Scum thickness: NONE 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 IS IN FAILURE. AT THE TIME OF THIS INSPECTION THE WATER LEVEL AT THE OUTLET WAS 10"BELOW THE INVERT. THIS INDICATES THAT THE TANK IS LEAKING AND SHOULD BE REPLACED. IT ALSO,MIGHT BE IN GROUNDWATER. 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.): lraie en cnnnn 7 Page 8 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 244 HAYDENYILLE ROAD NORTHAMPTON,MA. 01060 Owner's Name: JOHN McKENNA Owner's Address: WENDELL MA Date of Inspection: APRIL 7,2002 TIGHT or HOLDING TANK: N/A (tank must be pumped at time of inspection)(locate on site plan) N/A 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: NONE_(if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: 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.): NO"D"BOX FOR THIS SYSTEM. PUMP CHAMBER: N/A (locate on site plan) 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.): 8 Page 9 of 1 I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 244 HAYDENVILLE ROAD NORTHAMPTON,MA. 01060 Owner's Name: JOHN McKENNA Owner's Address: WENDELL MA Date of Inspection: APRIL 7,2002 SOIL ABSORPTION SYSTEM(SAS):_YES (locate on site plan,excavation not required) If SAS not located explain why: Type X leaching pits,number:ONE LEACHING PIT AT THIS SITE. IT WAS FULL OF EFFLUENT. leaching chambers,number: leaching galleries,number: leaching trenches,number, length: 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.): THIS LEACHING PIT WAS FULL AT TIME OF THE INSPECTION. THE EFFLUENT LEVEL WAS 9" BELOW THE INLET INVERT. THIS INDICATES A FAILED SAS DUE TO CLOGGED STONE AND SURROUNDING SOIL OF THE LEACHING PIT. ALSO,THIS PIT MAY BE M GROUNDWATER. CESSPOOLS: (cesspool must be pumped as part of inspection)(locate on site plan) N/A 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,etc.): PRIVY: (locate on site plan)N/A Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): C/14 tintin 9 Page 1 0 of I I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: Owner's Name: Owner's Address: 244 HAYDENVILLE ROAD NORTHAMPTON MA. 01060 JOHN McKENNA WENDELL,MA. Date of Inspection: APRIL 7,2002 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. TitIc G Inenc.Hn..C SEE ATTACHED PLAN en cnnnn 10 % AS-BUILT DIMENSIONS x \ x \ STOCKADE FENCE I % 'A' to 'C' = 29' x 'A' ■ ICRT1ERLY COPIER OF HOUSE lE5! PR DATA \x "6' to 'C' = 21.5' 'B' • mummy CORNER or HOUSE X \x _._.rtil A Imo 3 / 2 a• R" / W \x WW FLING SEPTIC TANK \ Ow ImS/SL 3 a•- 35. X TEST PIT % \ %mti R\ %\ X /�_7 x C IqR 5 / 2 ,����{cP1h�,��, L'W^N STANDING WATER: NONE W XISTING 1350 GALLON lPTIC TANK EsllM: Xa' I 'al , # 246 RING: fi I EXISTING 111111111111111111 [ X CONCRETE GALLERIES 'B' % A' I • 246 2 BEDROOM :F0�0/ NOTE 3/4' - 1 1/2 STONE UNR '/ x x �,_�qry$ I FAILING LEACHING PR 244 248 1. EXISTING SEPTIC TANK AND "W 244 I LEACHING PIT FOR # 244 ARE IN FAILURE AND MUST BE x x REPLACED. I0 0 X IPLAN VIEW _ x X SCALE; L' = 30' TITLE-5 INSPECTION x x OWNER: JOHN McKENNA N - X - x X- X-x x -X SITE: 244 HAYDENJILLE ROAD BY: TIMOTHY E. MAGINNIS R.S. DATE: AP' DOI Vii Alkyd. (iiiR 14t HAYDENVILLE ROAD — NORTHAMPTON, MA. Page 11 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 244 HAYDENVILLE ROAD NORTHAMPTON MA. 01060 Owner's Name: JOHN McKENNA Owner's Address: WENDELL MA Date of Inspection: APRIL 7,2002 SITE EXAM Slope: <3 Surface water: NONE Check cellar:EVIDENCE OF SURFACE WATER INFILTRATION DURING PERIODS OF HEAVY RAIN AND MELTING SNOW WALLS OF CELLAR SHOWED SIGNS OF PAST WATER PROBLEMS WHICH CONTINUE TO THIS DATE. Shallow wells: NONE Estimated depth to ground water 4.0'feet 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 within 150 feet of SAS) X Checked with local Board of Health-explain:DISCUSSED SITE WITH HEALTH AGENT Checked with local excavators,installers-(attach documentation) X Accessed USGS database-explain: REVIES OF HAMPSHIRE COUNTY SOIL SURVEY BY USCS. You must describe how you established the high ground water elevation: SEE ABOVE AT SITE EXAM. THE GROUNDWATER WAS DETERMINED BY INSTALLING A DEEP HOLE IN THE VACINITY OF LEACHING AREA, ALSO,I REVIEWED THE HAMPSHIRE COUNTY SOIL SURVEY BY THE UNITED STATES SOIL CONSERVATION SERVICE. ****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. T;oo c..,..,,ancnnnn n tr[i trrx .�ovia6ft-- I a76 l r to 2,/ al r � r -. I 3/3 1 1 PERCOLATION TEST(S) I Time: I I Time: I I Observation Hole #1 Observation Hole #2 Depth of Perc 3 5 y Depth of Perc y 'Start Pre-soak ./,1 A / Li Start Pre-soak /I i / End Pre-soak y 3 / End Pre-soak // , j Time at 12' a / Time at 12' /� ' 11 . 33 Time at 9' Time at 9' � Time at 6' Time at 6' Time(9'-6') Time(9'-6') 7i' Rate Min./Inch Rate Min./Inch / /f, *minimum of 1 percolation test must be performed in both the primary area AND reserve area. Performed by . Performed by 4 p'U I C^t! Witnessed by I Witnessed by Comments: • A. \ \ , �J�.JJ' S 7k .:`k_ . 7 On-Site Review Deep Hole#: DEEP MINIMUM OF TWO LocationAddress or Lot# ,;-y L. Owner Time �Q`M btrf. , .Qiiy.Hiiifx-. Address Weather Soil Tenure (USDA) Date 31 , 55 s-130, -e - Engineering Firm T Engineer or Sanitarian .2r: --- - - Idgntity on Site Plan - - -- - Land Use - Slope% Surface Stones I - - Vegetation I Landform - Position on Landscape Distances from: Open Water Body feet Drinking Water Well feet feet , Property Line Other feet feel Possible Wet Area feet Drainage Way Deep Hole#: DEEP MINIMUM OF TWO OBSERVATION HOLES REQUIRED HOLE LOG* AT EVERY PROPOSED DISPOSAL AREA Depth from Surface(Inches) Soil Horizon Soil Tenure (USDA) Soil Color (Monsen) Soil Mottling Other (Structure,Stones,Boulders,Consistency-%Grovel) ,y, 1 5 ,D z II . f - j1— r is 3/Y 0 Parent Material(geologic) I Depth to Bedrock Depth to groundwater. Standing Water in the Hole I Weeping from Pd Face I Estimated Seasonal High Ground Water ' . U Deep Hole#: ;- Depth from Surface(Inches) DEEP OBSERVATION HOLE LOG* 'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA Soil Horizon -Soil Texture (USDA) Soil Color (Munsell) Soil Mottling Other (Structure,Stones,Boulders,Consistency,%Gravel) J . 6 C Pa(entl t J1N(geptogio)`I Dep313:3 ro d St44. xESUmsted Seasonal tjigh ag��.at€�tt `.:p§milo fladropt , IWeepinglfpm PdF,aig,,1 1