25 Septic Inspection Sep. 1999 NOt!STE.fi INC .
1664 Cape St.
Williamsburg,MA 01096
413 628-4533
October 14, 1999
City of Northampton
Board of Health
City Hall, 210 Main St.
Northampton, MA 01060
Dear Board of Health,
Attached is a revised report for the Title 5 Septic System lnsepction for 25
Hawthorn Terrace This is based on new information from the Owner. Please substitute this
report for the earlier report.
Yours truly,
Thomas Leue
cc: Bill Cannon
epH Iever.Otlober 14,1999.8:53 AM.1
s
W I L I. I A M A.
CANON
LANDSCAPE ARCHITECTURE
ENVIRONMENTAL DESIGN
COMMUNITY PLANNING
LETTER OF TRANSMITTAL
JOB 25 W NTIOI tE I¢¢ (fat)
DATE erj
etrr +n+urcpi
❑ 7 ARE SENDING YOU
Attached ❑ Under separate cover via the following items:
• • • ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications
❑ Copy of letter ❑ Change order ❑
❑ WE ARE TRANSMITTING BY FAX— PAGES (Incl. this cover letter). If you do
not receive all the pages or if a problem arises during transmission, please call.
NORTHAMPTON STREET
SPi . MA o1P0A FAX
4 TELEPHONE 1 3 0
5 3• 7 . 65 3 5
COPIES
2-
DATE
NO.
DESCRIPTION
9t t Mitt l INAP wo lt*
10 Seta aploittA4 Divvy q wit
THESE ARE TRANSMITTED as checked below:
❑ Approved as submitted ❑ Resubmit_copies for approval
❑ Approved as noted ❑ Submit_copies for distribution
❑ As requested ❑ Returned for corrections ❑ Return corrected prints
❑ For review and comment ❑
❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US
❑ For approval
lel For your use
REMARKS
COPY TO
SIGNED:
ARGEO PAUL CELLUCI
COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS . -
DEPARTMENT OF ENVIRONMENTAL PROTECTION
ONE WINTER STREET,BOSTON MA 02198(617)292-5500
TRUDY COXE
SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM
PART A - CERTIFICATION
Property Address: 25 Hawthorn Terrace, Northampton, MA Owner's Name: Irene & Kelly Fradet
Date of Inspection: 8/9/99 Owner's Address: 25 Hawthorn Tr. , Northampton, MA 01060
Copy to: Board of Health, Northampton; (..):RAs Cuiv mod
Witness: Owner Number: SSDS-340
Name of Inspector: Thomas S. Leue Company Name: Homestead Inc.
I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000)
Company Address: 1664 Cape St. , Williamsburg, MA 01096 Telephone: (413) 628-4533
CERTIFICATION STATEMENT
I certify that I have personally inspected the sewage disposal system at this address and that the information reported 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 do not represent or warrant the operation or proper function of this
system for any period of time. The septic system condition must be evaluated and classified into one of the following four conditions:
Passes
Conditionally Passes
Needs Further Evaluation By the Local Approving Authority
Fails
The system condition: Passes
s
The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty(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 Department of Environmental Protection. The original should be sent to the system owner and copies to the buyer,if applicable
and the approving authority.
INSPECTION SUMMARY:Check A, B, C, or D:
A] SYSTEM PASSES:
I have not found any information which indicates that any of the failure criteria as described in 310 CMR 15.303 exist. Any
failure criteria not evaluated are indicated below.
COMMENTS: tle S flows revised from earlier submittal.
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.
Indicate yes,no,or not determined(Y,N,or ND). Describe basis of determination in all instances.(If not determined, explain why not)
_ The septic tank is metal,unless the owner or operator has provided the system inspector with a copy of a Certificate
of Compliance(attached)indicating that the tank was installed within twenty(20)years prior to the date of the
inspection;or the septic tank,whether or not metal,is cracked,structurally unsound,shows substantial infiltration or
exfiltration,or tank failure is imminent. The system will pass inspection if the septic tank is replaced with a complying
septic tank as approved by the Board of Health.
_ Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed
pipe(s)or due to a broken,settled or uneven distribution box. The system will pass inspection if(with approval by the
Board of Health). Describe observations:
broken pipe(s)are replaced
_ obstruction is removed
distribution box is levelled or replaced
Inspector's Signature:
Date: September 20, 1999
(revised 9/2/98 Page 1 of 7
Homestead Inc.
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A - CERTIFICATION (continued)
Property Address: 25 Hawthorn Terrace, Northampton, MA
l -ner's Name: Irene & Kelly Fradet
Date of Inspection: 8/9/99
The system required pumping more than four 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
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
the public health,safety and 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 THE PUBLIC HEALTH AND 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 APPROPRIATE)
DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS PUBLIC HEALTH AND SAFETY
AND THE ENVIRONMENT:
The system has a septic tank and soil absorption system(SAS)and is within 100 feet to a surface water supply or a
tributary to a surface water supply.
The system has a septic tank and a SAS and the SAS is within a Zone I of a public water supply well.
The system has a septic tank and a SAS and the SAS is within 50 feet of a private water supply well
_ The system has a septic tank and a SAS and the SAS is less than 100 feet but 50 feet or more from a private water
supply well,unless a well water analysis 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.Method used to determine distance (approximation not valid).
3) OTHER
D] SYSTEM FAILS:
Must indicate either"Yes"(Y)or"No"(N)as to each of the following:
I have determined that one or more of the following failure criteria as defined in 310 CM 15.303. The basis for this
determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the
failure.
YES or NO
N Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool.
N Discharge or ponding of effluent to surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool.
N Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool.
N Liquid depth in cesspool less than 6"below invert,or available volume less than 1/2 day of calculated daily flow.(Part 7)
N Required pumping 4 times or more in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped
N Any portion of the Soil Absorption System,cesspool or privy below high groundwater elevation.
N Any portion of a cesspool or privy is within 100 feet of a surface water supply or a tributary to a surface water supply.
N Any portion of a cesspool, privy or any portion of the Soil Absorption System is within a Zone I of a public well.
N Any portion of a cesspool or privy is within 50 feet of a private water supply.
N Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply with no acceptable
water quality analysis. If the well has been analyzed to be acceptable,attach copy of well water analysis for coliform bacteria,volatile
organic compounds,ammonia nitrogen and nitrate nitrogen.
E] LARGE SYSTEM FAILS:
The following criteria apply to large systems in addition to the criteria above:
_ The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat
to public health and safety and the environment because one or more of the following conditions exist:
YES NO
N the system is within 400 feet of a surface drinking water supply
N the system is within 200 feet of a tributary to a surface drinking water supply
N 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)
The owner or operator of any such system shall upgrade the system in accordance with 314 CMR 15.304(2). Please consult the local
regional office of the Department for further information.
(revised 9/2/98
Page 2 of 7
Homestead Inc.
Property Address:
Owner's Name:
Date of Inspection:
SUBSURFACE SEWAGE PDIIS DISPOSAL AL SYSTEM INSPECTION FORM
PART B
25 Hawthorn Terrace, Northampton, NA
Irene & Kelly Fradet
8/9/99
CHECK IF THE FOLLOWING HAVE BEEN DONE:
YES or NO
Y Pumping information was provided by the owner,occupant or Board of Health.
Y None of the system components have been pumped for at least two weeks and the system has been receiving normal flow
rates during that period. Large volumes of water have not been introduced into the system recently or as part of this
inspection.
WA As built plans have been obtained and examined. Note if they are not available with N/A.
Y The facility or dwelling was inspected for signs of sewage back-up.
y The system does not receive non-sanitary or industrial waste flow.
Y The site was inspected for signs of breakout.
Y All system components,excluding the Soil Absorption System,have been located on site.
Y The septic tank manholes were uncovered,opened,and the interior of the septic tank was inspected for condition of battles
or tees,material of construction,dimensions,depth of liquid,depth of sludge,depth of scum.
The size and location of the Soil Absorption System on site has been determined based on:
Y a) Existing information on tile with the Board of Health.
y b) Determined in the field(if any of the failure criteria related to Part C is at issue,approximation of distance is
unacceptable)[15.302(3)(b)].
Y The facility owner(and occupants,if different from owner)were provided with information on proper maintenance of
Subsurface Sewage Disposal Systems(SSDS).
RESIDENTIAL:
110
4
3
701
4
Y
N
Y
N
115
N
continuous
FLOW CONDITIONS
Design Flow gallons/day/bedroom for SAS
Number of bedrooms(design)
Number of bedrooms(actual)
Total DESIGN flow gpd
Number of current residents
Garbage grinder(Y or N)
Laundry(separate system)(V or N); If yes,separate inspection required
Laundry systeminspected(Y or N)
Seasonal use(Y or N)
Water meter readings,if available(last two years usage)(gallons per day)
Sump Pump(Y or N)
Date of last occupancy
COMMERCIAL/INDUSTRIAL: Type of Establishment:
Design Flow: gallons/day(Based on 15.203)
Basis of design flow:
Grease trap present(Y or N)
Industrial Waste Holding Tank present(Y or N)
Non-sanitary waste discharge to the Title 5 system(Y or N)
Water meter readings, if available: _ gallons per day
Date of last occupancy:
OTHER:(Describe)
Date of last occupancy:
(revised 9/2/98 Page 3 of 7
Homestead Inc.
Property Address:
Owner's Name:
Date of Inspection:
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C-SYSTEM INFORMATION
25 Hawthorn Terrace, Northampton, MA
Irene & Kelly Fradet
8/9/99
GENERAL INFORMATION
"UMPING RECORDS and source of information:
Lumped May. 1999. from Owner's information
System pumped as part of inspection(Y or N)
If yes,volume pumped: gallons
Reason for pumping:
Comments:
TYPE OF SYSTEM:
X Septic tank/distribution box/soil adsorption system.
Single cesspool
Overflow cesspool
Privy
N Shared system(V or N), if yes, attach previous inspection records,if any.
I/A Technology etc. Attach copy of up to date operation and maintenance contract
Tight Tank
Other(explain)
Sewage odors detected when arriving at the site: N
APPROXIMATE AGE of all components,date installed(if known)and source of information:
System designed June 10, 1993.
BUILDING SEWER: y (located on site plan)
16" Average depth below grade
Material of construction: _cast iron X Sch.40 PVC _other(explain)_
5- Distance from private water supply well or suction line
4" Diameter
Comments: (condition of joints,venting,evidence of leakage,etc.) No problems seen,
SEPTIC TANK: Y (located on site plan)
2 Average depth below grade
Material of construction: X concrete_metal_FRP_polyethylene_other(explain)
If tank is metal, list age Is age confirmed by Certificate of Compliance(Y or N)
1.20 Septic tank length (inches)
58 Septic tank width(inches)
60 Septic tank height(inches)
1. 812 Calculated gross volume(gallons)
7 Air space in tank(inches)
1,500 Net Volume(gallons)
26 Baffle depth(inches)
3 Depth of sludge(inches)
1 Scum thickness(inches)
31 Top of sludge layer to bottom of outlet tee or baffle(inches)
18 Bottom of scum layer to bottom of outlet tee or baffle(inches)
5 Top of scum layer to top of outlet tee or baffle(inches)
How dimensions were determined: Measured.
(revised 9/V98
Page 4 of 7 Homestead Inc.
Property Address:
Owner's Name:
)ate of Inspection:
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C-SYSTEM INFORMATION(continued)
25 Hawthorn Terrace, Northampton, MA
Irene & Kelly Fradet
8/9/99
:EPTIC TANK,Continued
Comments: (recommendation for pumping,conditions of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,
structural integrity,evidence of leakage,etc.)
Center cover has riser 10" tall.
GREASE TRAP: N/A (Usually present in certain commercial systems)
Depth below grade:
Material of construction:_concrete_metal FRP_polyethylene_other(explain)
Dimensions: (A) scum thickness
(B) top of scum layer to top of outlet tee or baffle
(C) bottom of scum layer to bottom of outlet tee or baffle
(D) date of last pumping
Comments: (recommendation for pumping,conditions of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert,
structural integrity,evidence of leakage etc.)
DISTRIBUTION BOX: Y (locate on site pan)('D-box)
Depth of liquid level above outlet invert: 0"
Comments: (note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box,
recommendations for repairs,etc.)s
$ox appears level and flow equal . Cover has a crack but appears structurally
caaalile of supporting customary loads.
SOIL ADSORPTION SYSTEM(SAS);
Locate on site plan,if possible;excavation not required, but may be approximated by non-intrusive methods. If not located,explain:
Type:
a. leaching pits&number:
b. leaching chambers and number:
c. leaching galleries and number:
d. leaching trenches,number,length:
e. leaching fields,number,dimensions: one field, designed at 21' by 39'
f. overflow cesspool,number:
g. Alternative system,name technology:
h. Comments: (note soil conditions,signs of hydraulic failure, level of ponding,condition of
vegetation, recommendations for maintenance or repairs,etc.)
No problems seen on surface
CESSPOOLS: N/A (locate on site plan, if any)
Note: Cesspools must be pumped as part of the inspection.
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(cesspool must be pumped as part of inspection)
Comments: (note soil conditions,signs of hydraulic failure,level of ponding,condition of vegetation,etc.)
(revised 9/2/98
Page 5 of 7 Homestead Inc.
Prc ,Address:
Owner's Name:
Date of Inspection:
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C-SYSTEM INFORMATION(continued)
25 Hawthorn Terrace, Northampton, MA
Irene & Kelly Fradet
8/9/99
PRIVY: PUA (locate on site plan,if any)
Materials of construction:
Dimensions:
Depth of solids:
Comments: (note soil conditions,signs of hydraulic failure,level of ponding,condition of vegetation,etc.)
PUMP CHAMBER: N/A (part of pump-up systems only)
Pumps in working order: (Y or N)
Alarms in working order:(Y or N) _
Comments: (note condition of pump chamber,condition of pumps and appurtenances,etc.)
TIGHT OR HOLDING TANK: N/A (Special circumstances only)
Depth below grade:
Material of construction: concrete_metal_FRP_polyethylene_other(explain)
Dimensions:
Capacity: gallons
Design flow: gallons/day
Alarm level: Alarm in working order Yes No
Comments: (conditions of inlet tees,condition of alarm and float switches,etc.)
ESTIMATED DEPTH TO GROUNDWATER: about 84 inches
NRCS Report name
Soil Type
Typical depth to groundwater
USGS Date website visited
Observation Wells checked
Groundwater depth: Shallow Moderate Deep
SITE EXAM Slope
Surface water
Check Cellar
Shallow wells
Please indicate all the methods used to determine High Groundwater Elevation:
X Obtained from Design Plan on record
_ Observation of Site(Abutting property,observation hole,basement sump,etc.)
Determine it from local conditions
_ Check with local Board of Health
Check FEMA Maps
Check pumping records
Check local excavators,installers
_ Use USGS Date
Describe how you established the High Groundwater Elevation.(Must be completed)
previous soil evaluation found soil water at this depth.
COMMENTS:
Updated information as per this date based on revised engineering plan.
RESOURCES:
Department of Environmental Protection,Western Regional Office,436 Dwight St.,Springfield,MA 01103, (413)784-1100;
Title 5 Hotline-(800)266-1122
(revised 9/2/98 Page 6 of 7
Homestead Inc.
Garage
Note:No drinking water source within 100.
Partial
House
Plan
18 772,
o
37 22%.dig
Septic tank
35,
4.
).I
Called North e.,
Distribution Sox�
ti^
Leachfield
IAs-built Drawing of Scale: 1 : 150 Owner: Irene & Kelly Fradet HOMESTEAD INC.
Existing Septic System Note: 25 hawthorn Tr. 1664 Cape St.
Pa e, 7 of 7 Some Dimensions Approximated Northampton, MA 01060 Williamsburg, MA 01096
9 F4131628-4513