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241 Septic Inspection 2012 Owner information is required for every page. Important: When filling out forms on the computer,use only the tab key to move your cursor-do not use the return key. w 54na•11110 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form• Not for Voluntary Assessments 241 Hay9enville Road Property Address Girl Scouts of Central and Western Mass. owners Name Leeds Ciry/rown MA 01053 07.2.2012_._ State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered In'any way.Please see completeness checklist at the end of the form. A. General Information 1 Inspector: Alan E Weiss, M.S, Hydrogeologist, RS#933 Name of Inspector Cold Spring Environmental Consultants Inc _. Company Name 350 Old Enfield Road__ Company Address _.. Belchertown MA __.. City/Town.... —..._ State 413.323.5957 # 738 Telephone Number license Number 01007 Zip Code B. Certification 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 CM 15.000).The system: Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 07.02 2012 _. Date 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. ""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*Je 5 omaS Inwecton form subsurface Sewage Disposal System•Page I a'1f 7 Owner information is required for every page. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form • Not for Voluntary Assessments 241 Haydenville Road Property Address Girl Scouts of Central and Western Mass. _.._. Owner's Name Leeds Citynown _.. . _. MA 01053 07.2.2012 State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary Check A,B,C,D or E I always complete all of Section D A) System Passes: ® 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: Property has 1000 gal. S. tank and"barrel' P. Chamber. (installed, 1982)two 3' x 50'+/-leach benches. System was functional with no failure evidence, with 8-12 (workers) persons using. System serves 4,200 SF office. Pump 8 alarm was be checked. It should be checked every year with pumping septic tank every 2 years.All conditions were functional. No signs of failure observed. Process water from dehumifier,AC and hot water heater should not discharge to septic. Some roots in D. box, but sound. Elbow(45)added to inlet pipe. El) System Conditionally Passes: ❑ 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. Check the box for"yes", no or not determined" (Y, N, ND)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 exfiltraton 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. ❑ Y ❑ N ❑ ND(Explain below): This 5 00dM In Su C6Waw aeve9e Oispo, srotem.PWe 3a 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 241 Haydenville Road Property Address Girl Scouts of Central and Western Mass. Owner Owner's Name information equir required for is Leeds MA 01053 07.2.2012 tee Page- City/Town -- -- State Zip Code Date of Inspection every page. IAna•11110 B. Certification (coot.) B) System Conditionally Passes(cont.): ❑ 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 ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ 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 ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ 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)(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 ink 5 ORO.Y o-wucuw,Fvm SitbitIOACO swage O■pvA 5Yaten.rage]of 1F Owner information is required for every page. t5he.mn0 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 241 Haydenville Road ... _. Property Address Girl Scouts of Central and Western Mass. Owner's Name Leeds ClryRown MA 01053 072.2012 State Zip Code Date of Inspection B. Certification (coM.) 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 fecal coliform bacteria indicates absent 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: D) System Failure Criteria Applicable to All Systems: You must Indicate"Yes"or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than Y day flow TitFe 5 OM'S lrnpacum iwm Sobpurtace Sewage OMV4 System•Pape 4 of IT Owner information is required for every page. lens.11)ID Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 241 Haydenville Road __. .__.... .. PProperty Address Girl Scouts of Central and Western Mass. Owner's Name Leeds MA 01053 07.2 2012 City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS,cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® 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 fecal conform bacteria indicates absent 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 and chain of custody must be attached to this form.] ❑ E The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® 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: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems,you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. 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—I W PA)or a mapped Zone I I 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. tMe 5O MOY■ wFrecaon Form Suhuuface Cn em•page 5 or 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form• Not for Voluntary Assessments 241 Haydenville Road Property Address Girl Scouts of Central and Western Mass. Owner Oxne/s Name information Is Leeds MA 01053 07.2.2012 evey page g . City/Town ---- --- State Zip Code Date of Inspection avert P . C. Checklist Check if the following have been done. You must indicate"yes"or"nor as to each of the following: Yes No ® ❑ Pumping information was provided by the owner,occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? Have large volumes of water been introduced to the system recently or as part of ❑ ® this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) CO ❑ Was the facility or dwelling inspected for signs of sewage back up? a ❑ Was the site inspected for signs of break out? ❑ Were all system components,excluding the SAS, located on site? ® ❑ 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? ® ❑ 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: ❑ Existing information. For example, a plan at the Board of Health. ® ❑ 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(5)] D. System Information Residential Flow Conditions: Number of bedrooms(design): Number of bedrooms(actual): DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): lens•»no nue 5(Waal'napecum rertr s■Qwnac Swage oisposs SMwn Pape 6 o,17 Owner information is required for every page 15m•11710 Commonwealth of Massachusetts Title 5 Official Inspection Form • Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 241 Haydenville Road Property Address Girl Scouts of Central and Western Mass.. . Owner's Name Leeds MA 01053 0722012 Oty/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: Does residence have a garbage grinder? ❑ Yes ❑ No Is laundry on a separate sewage system?[if yes separate inspection required] ❑ Yes ❑ No Laundry system inspected? ❑ Yes ❑ No Seasonal use? ❑ Yes ❑ No n/a Water meter readings, if available(last 2 years usage (gpd)): Detail: Sump pump? Last date of occupancy: Commercial/Industrial Flow Conditions: Type of Establishment Design flow(based on 310 CMR 15203): Basis of design flow(seats/persons/sq.ft.,etc.): Grease trap present? Industnal waste holding tank present? Non-sanitary waste discharged to the Title 5 system? Water meter readings, if available: ❑ Yes ® No Current Date__._... _...._. Office Gallons per day(gpd) 4200 sf ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Tale 5 Onwal Inspection form&WNwlece Sciatic Disposal Syttom•Page?Of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 241 Haydenville Road Property Address Gin Scouts of Central and Western Mass. Owner's Name informa• tion is Leeds required for --- ---- even,page. City/Totten D. System Information (cont.) Last date of occupancy/use: MA 01053 07.22012 Stale Zip Code Date of Inspection Other(describe below): Girl Scout office has 8-12 workers 8 hrs ago. General information Pumping Records: Source of information: Was system pumped as part of the inspection? If yes,volume pumped: How was quantity pumped determined? Reason for pumping: Type of System: Z Septic tank, distribution box, soil absorption system ❑ Single cesspool current Date 2yrs _..._. _ ... 000 galbns meas. Inspection Z Yes ❑ No ❑ Overflow cesspool ❑ Privy ❑ 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 contact(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. Other(describe): T•Y•$OIrod katkur Pam &timeace Sewage oosp sS Sys(em•Page 8 3117 Owner information is required for every page. sins•11110 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form• Not for Voluntary Assessments 241 Haydenville Road Properly Address Scouts of Central and Western Mass. Owners Name Leeds _._ MA 01053 072,2012.. ..._ City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 30+l- yrs, S.tank, Pump and L.trenches. Were sewage odors detected when arriving at the site? Building Sewer(locate on site plan): Depth below grade: Material of construction: ® cast iron ❑ 40 PVC ❑ other(explain): Distance from private water supply well or suction line: ❑ Yes ® No 3.0 feet >20' feet Comments (on condition of joints,venting,evidence of leakage, etc.): ok gees out through floor Septic Tank(locate on site plan): Depth below grade: Material of construction: ® concrete ❑ metal Good condition baffles in place, If tank is metal, list age: Is age confirmed by a Ce Dimensions: Sludge depth: 4.5' feet ❑fiberglass ❑ polyethylene ❑other(explain) years icate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No 8.5 x 4.5'x 4.2' _.... 6" TMe 5 oec2I■Wection Form wMumce Sewage WposaJ System•Psge a o'17 Owner information is required for every gage. inns.11/10 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 241 Haydenville Road Property Address Girl Scouts of Central and Western Mass,... Owners Name 01053 07.22012_ City/Town ---- ---- -- - State Zip Code Date of Inspection 0. System Information (cont.) Septic Tank (cont.) Distance from top of sludge to bottom of outlet tee or baffle 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 38" c2" 12 Meas How were dimensions determined? - ------------" - - Comments(on pumping recommendations,inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): stucturally sound. Grease Trap(locate on site plan): Depth below grade: feet - - --- -- 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: Date Tito s ONAara Impaction FM...5"EWnace Sewage Dmposat Systen•nape 10 W Ir Owner inquired is required for every page. cSMs•11i1a Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 241 Haydenville Road Property Address Girl Scouts of Central and Western Mass. _.. . _. _.. _. Owners Name-- - Leeds MA 01053 07.2.2012 . City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): good conditions &levels. Tight or Holding Tank (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 per day - -- Alarm present: ❑ Yes ❑ No Alarm level: - ----' - - Alarm in working order ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No Title 5 of uaI InspeWw From SuWmlace Sswege Disposts System'Page 11 0111 Owner information is required for every page. mne.1110 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form• Not for Voluntary Assessments 241 Haydenville Road Property Address Girl Scouts of C entral and Western Mass_ Owners Name Leeds MA 01053 372.2012_ _. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box (if present must be opened) (locate on site plan): @ inv. 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.): Good level flow no high staining, box @ 24' BG _ __. ..._. Pump Chamber(locate on site plan): Pumps in working order: Alarms in working order. ® Yes ❑ No ZYes ❑ No Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Pump operational, Alarm float repaired 2 yrs earlier. Soil Absorption System (SAS)(locate on site plan, excavation not required): If SAS not located, explain why: Tale 5()maw inspenbcn rrcm Subsurface Sewage DIsposal 6Mtm.Page R of Owner intonation is required for every pege. fifes•11110 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 241 Haydenville Road Property Address Girl Scouts of Central and Western Mass. Owner's Name Leeds _.... MA 01053 07.22012. __.. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ 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.): No signs of failure or pending noted in stone or D. box area. 2, 3' x 50' Cesspools(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 ❑ No Title 5 Meow mgeulm f one SWw1Nace&woo aurae snmm•Pape u of n Owner IniMneeon t6 required for every page. met.11110 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form•Not for Voluntary Assessments 241 Haydenville Road Property Address Girl Scouts of Central and Western Mass. - _._..._ Owner's Name Leeds GtyTtawn MA 01053. 07.2.2012...... State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation, etc.): Tie 5 OFou Inpeagn Eon" SYCwnaw garage burnt&System•Page,a of I? Owner information is required for every page. Sms•,VID Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form• Not for Voluntary Assessments 241 Haydenville Road Property Address Girl Scouts of Central and Western Mass._ Owners Name Leeds _. MA 01053 07 2.2012.. CitylTawn State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view 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- Check one of the boxes below: ❑ hand-sketch in the area below ® drawing attached separately 7pe5 Mal∎nepemor Fmm Suh14ace Serape Dspcls.al System•Pegs t5 a17 Owner iMdmation is required for every page. thins.•HMO Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 241 Haydenville Road Piwa,ty Address Girl Scouts of Central and Western Mass. Gamete Name Leeds _. OiryWTown MA 01053 07.2.2012 State Zip Code Date of Inspection D. System Information (cont.) Site Exam: Check Slope ❑ Surface water ® Check cellar ❑ Shallow wells Estimated depth to high ground water. 4•+/(1982 design elevations) feet Please indicate all methods used to determine the high ground water elevation: Obtained from system design plans on record If checked,date of design plan reviewed: Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) • Checked with local Board of Health-explain: see plans.._ • Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Interpreted soils and topography relative to brook. . _ _. .. Before filing this Inspection Report,please see Report Completeness Checklist on next page. tnl@ 5 Ofkal InspIXLm Fpm&.MWaw Swage dann.Y System•Pace to of 17 Owner information is required for every page. tone•llpn Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 241 Haydenville Road Properly Address Girl Scouts of Central and Western Owner's Name Leeds City/Town _.. _.. MA 01053 072.2012 State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary:A, B, C, 0,or E checked Z Inspection Summary D(System Failure Criteria Applicable to All Systems)completed Z System Information—Estimated depth to high groundwater Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file Title 5 oRael In&pec0n Fomm Suesurfea Sewa4u D'Wau4 System'Page 17 M t7 airL scot# C31fi n #2.Nr oj ■..; s N-. 41 ''',. .. ` 7n7)y )l0 r' ., iiiircilhirr,„ A iaP ¢ y '44li�JJ 1' '?/ d vwi -- 3 u Q _..._ .OS 1 __ _ _.y � �x l\i4 AL'ai'" , \ i Pr //a..t. 1 _-_ f , - -_ - �_ _ — - - — = 7 4\i,es, „.,a.l G,...t)ra/ < .f -_3j c PF ioN „,,,,c.... 4.1,,.. �i `k S T5('iL aroQr oa>+:Y.`-I 1 124-,N ra ,,w1u3pH-t' . 2 jL._;. eaGs ^ t- -_- te _\ bJ � 'zut.,∎o” pc ) 3:r�3) }• 1) �� .) \{ tu.--_ am•. F) a p;. t! SSN4 ' ,,,t '.t 1 :.i)x ... .t io54 L-y . •• e ter fain - Northampton Board of health //I/82 - 1 pump with wiring and alarm circutry in building - 1 pump chamber with riser to surface - Approximately 20 FEET force main or sealed pipe from the pump chamber to the distribution box. - 1 distribution box - 5 FEET of solid pipe off distribution box leading to distribution lines. - 2 - 50 FOOT lung, 3 FEET wide, 5 FEET deep trenches, - trenches will be 6 FEET apart and excavation to be to a total of 5 FEET deep, so that dark material at a depth of 4 FEET can he removed and to insure that the system is in the gray silky area underneath. FILL 2 FEET of sharp sand in the botton of trench, 18 inches of trap rock over sand, 4 inch perforated pipe on top to be covered to top of crown of pipe with trap rock (total trap rock 22 inches) - 2 inches pea stone over trap rock and 1 foot of top soil backfllled. slope of pipe to be 3 inches per 50 feet or .005%. HOARD OP HEALTH JOHN T. JOYCE,Gammas PETER C. KENNY,M.D. KATHLEEN O'CONNELL. R.N. PETER J. McMRLALE. Health Attat CITY OF NORTHAMPTON MASSACHUSETTS OTFiCE OP THE BOARD OF HEALTH TO: Girl Scouts Western MA Council Haydenville Road, Northampton, MA 01060 FROM Peter J. McErlain, Agent, Northampton Board of Health DATE; July 1, 1982 RE: Repair of Septic y 210 MAIN STREET 01060 (41315$6-6450 Eat i13 Examination of the sewage disposal field at the Girl Scout Council Headquarters on Haydenville Road, June 30, 1982, revealed that the field was no longer work- ing satisfactorily and, therefore, must be replaced. Because an adjacent storm drain line and a nearby brook greatly restrict the relocation of the sewage disposal field, test holes were dug up gradient and to the north of the septic system. While the soil in this area was found to be only marginal at best, the lack of other acceptable sewage disposal alternatives necessitates locating the system in this area. The following is a list o£ equipment and materials needed to repair the Girl Scout Headquarters sewage disposal system: 1 . one sewage effluent lift pump with separate line wiring and alarm circuitry in building, 2. one sealed pump chamber with risers to grade, 3. approximately twenty feet of solid farce main joints (of size and type compatible with pump) distribution box, 4. one distribution box with five feet of solid pipe leading to each leaching trench, 5. two 50' long - 3' wide leaching trenches, excavated to a depth of 5' , with the removal of dark brown impervious mat- erial at the 2' to 4' depth and a 1' penetration of the grayish, silty sand layer at 4' , plus. The trenches will consist of 2' of sharp sand, topped with 22" of $" to 11/2" washed trap rock or native stone to the crown of the 4" diameter pipe, topped with 2" of pea stone and hackfilled with 1' of topsoil. The 4" diameter perforated pipe shall he laid at a minimum slope of 0.005 or 3" per 50' with the down gradient end sealed. There shall be at least 6' be- tween the trenches. th sealed eading C., Septic Inspection Area 241 Haydenville road. Leeds (Northampton), Ma 07.02.2012 S. tank Inlet Baffle/Riser 241 Haydenville road. Leeds (Northampton), Ma 07.02.2012 S. tank Outlet Baffle/Riser 241 Haydenville road. Leeds (Northampton), Ma 07.02.2012 Pump, Floats, Chamber Barrel 241 Haydenville road. Leeds (Northampton), Ma 07.02.2012 D. box 241 Haydenville road. Leeds (Northampton), Ma 07.02.2012