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40 Septic Inspection 2008 Omer information ta required for every page. 84 Rocs St cal.03/08 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form•Not for Voluntary Assessments 40 Hatfield Street Properly Address Construction Service Owner's Name Northampton Cdyfrown MA 01060 June 4, 2008 State to Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E l always complete all of Section D A) System Passes: ❑ 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 18304 exist.My failure criteria not evaluated are indicated below. Comments: B) 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. 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: 0 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 To 5 0I8CN Inspection Form'Subsurface Sewage Dispose/Syslem•Page of 15 Or information is required for every Page. Important When lifting out forms on the computer, use only the tab key to move your Cursor-do not use the return key. 34 Raw St CSI 03/08 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 40 Hatfield Street Property Address Construction Service Owner's Name Northampton City/Town MA 01060 June 4, 2008 State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. A. General Information 1. Inspector: Matthew Bracci Name of Inspector Title 5 Inspection Services Company Name 270 Allen Street Company Address East Longmeadow City?own (413(525-1911 Telephone Number MA State SI 4968 License Number 01028 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 CMR 15.000).The system: ❑ Passes ❑ Needs Further Evaluation by the Local Approving Authority faZt-'- Inspectofs Signature ❑ Fails JGne -5 nook 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. Tide 5Official Inspection Far:Subsurface Saone arpnsal syelwn•Pee 1 c4 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 40 Hatfield Street Properly Address Construction Service Owner Owner's Name information Is 01060 for eve ry Northampton MA June 4, 2008 page. City/Town State Zip Code Date of Inspection 34 Rca.St CSI 02/06 B. Certification (cont.) C) Further Evaluation is Required by the Board of Health(cunt.): ❑ 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 colifonn 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 0 El 0 El CI E CI N CI El CI El 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 dogged SAS or cesspool Static liquid level in the distribution box above outlet invert due to an overloaded or dogged SAS or cesspool Liquid depth in cesspool is less than 6"below invert or available volume is less than"A day flow Required pumping more than 4 times in the last year NOT due to dogged or obstructed pipe(s). Number of times pumped: Any portion of the SAS, cesspool or privy is below high ground water elevation. My portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. The 5 Official Inspection Fwm.Subsurface Sewage Uspmal System-Page 4 of 15 Owner Information is required for every page. 34 Rows St CSI.D3Se Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 40 Hatfield Street Property Address Construction Service Owners Name Northampton City/Town MA State 01060 June 4, 2008 Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes(cont.): ❑ distribution box is leveled or replaced ND Explain: Side of leaching facility was exposed to surface by grading or other activities, leaching stone is exposed. ❑ 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: - 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)1b)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. Tm.5OIAcil hspecb n Fan:Subsurface Sewage Disposal System•Par 3d 15 Owner information is required for every page. 34 Raw Si CS/•63/08 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 40 Hatfield Street Property Address Construction Service Owner's Name Northampton city/Town MA 01060 June 4, 2008 State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes°or°no'as to each of the following: Yes No O ® ❑ ® ❑ ® ❑ ® ❑ ® ❑ 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?(N they were not available note as N/A) Was the facility or dwelling inspected for signs of sewage back up? 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)] The phial eryscton Form:Subsur mos Srvye gynsals item•Page 6 cf 15 Owner Information is required for ev e h Northampton n MA 01060 June 4, 2008 page. Cdy/Town State ap Code Date of Inspection Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Fenn-Not for Voluntary Assessments 40 Hatfield Street Property Address Construction Service Ovmefs Name Jt Rua St CSI.0.W9 B. Certification (cant.) D) System Failure Criteria Applicable to All Systems(cunt.): Yes No ❑ ® My 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. ❑ Z My 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.] ❑ ® 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—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 5Olnclal Inspclion Forms SuGwfe[a Sewage Disposal System.Page 5 d 15 Owner information is required for every Pape. 31 Pocus St 041.0.'Lm Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Fonn•Not for Voluntary Assessments 40 Hatfield Street Property Address Construction Service Owners Name Northampton City/Town MA 01060 June 4,2008 State Tip Code Date of Inspection D. System Information (cunt.) 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: none available ❑ Yes ® No gallons ❑ Septic tank, distribution box soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system(yes or no)(if yes, attach previous inspection records if any) El Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(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): Approximate age of all components, date installed(if known)and source of information: Septic tank and leach pit, age unknown. Were sewage odors detected when arriving at the site? ❑ Yes ® No Mae 5 Official inspection Form:Subsurface Sewage Disposal System.Page 0 of Owner Information is required for every page. 34 Rar,St cSI.oxa Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 40 Hatfield Street Property Address Construction Service Owner's Name Northampton City/Town MA 01060 June 4, 2008 State Zip Code Date of Inspection 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): Number of current residents: Does residence have a garbage grinder? Is laundry on a separate sewage system?[if yes separate inspection required) Laundry system inspected? Seasonal use? Water meter readings, if available(last 2 years usage(gpd)): Sump pump? Last date of occupancy. Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? Industrial waste holding tank present? Non-sanitary waste discharged to the Title 5 system? Water meter readings, if available: Last date of occupancy/use: Other(describe): Concrete Plant ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Date Garage/storage/industrial 15 GPD Gallons per day(gpd) 1 persons x 15 gaVper./day ❑ Yes ® No ❑ Yes ® No ❑ Yes ® No na present Date fie 5Official Inspection Form:Subsurface Sewage Qs{rss4 System•Page 7 0115 to Owner information is required for every Page. 31FOau St CSI.03/08 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Fonn-Not for Voluntary Assessments 40 Hatfield Street Property Address Construction Service Owner's Name Northampton City/Town MA 01060 June 4, 2008 State Lp 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.): No problems found with tank Grease Trap(locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal feet ❑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 Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 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): Tide 5 Official Impaction Form:SubsWx•Sawry Disposal System•Page 10S 15 Owner informaeon is required for every page. 34 Rocus St CSI a?M Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 40 Hatfield Street Property Address Construction Service Owner's Name Northampton Ckytrown MA 01060 June 4, 2008 State Zip Code Date of nspection D. System Information (cont.) 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: varies feet feet Comments(on condition of joints, venting, evidence of leakage, etc.): no problems found. Septic Tank(locate on site plan): Depth below grade: Material of construction: ®concrete ❑ metal 2 feet ❑fiberglass ❑polyethylene ❑other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No Dimensions: Sludge depth: 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 How were dimensions determined? 5'x 8 x 48" (under slab) none na none na na probe/measure The 5 drelal InspecRn Form:Subsurface Swage Disposal System•Page 911 15 Cs Owner information is required for every page. 34 Rowe St C51.03/09 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 40 Hatfield Street Properly Address Construction Service Owners Name Northampton CltytTown MA 01060 June 4, 2006 State Lp Code Date of inspection D. System Information (cont.) Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System(SAS)(locate on site plan, excavation not required): If SAS not located, explain why: Type: leaching pits leaching chambers ❑ leaching galleries ❑ leaching trenches ❑ leaching fields ❑ overflow cesspool ❑ innovative/alternative system Type/name of technology: number: number: number: number, length: number, dimensions: number: 1 Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Pit is located near roadway cut bank, and leaching stone is visible at cut. This sytem will pass N this issue is corrected under permit by local Health Dept. rise scram Poem.soti:w:e S ystem•Page 12 u • Owner information is required for every page. 34 Rows St CSI.0i/B Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 40 Hatfield Street Property Address Construction Service Owners Name Northampton City/Town MA 01060 June 4, 2008 State Tip Code Date of Inspection D. System Information (cont.) Tight or Holding Tank(cont.) Dimensions: Capacity: Design Flow: nations 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 Distribution Box(if present must be opened)(locate on site plan): none found 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.): Pump Chamber(locate on site plan): Pumps in working order: Alarms in working order: ❑ Yes ❑ Yes ❑ No ❑ No Title 5 Official Inspection ram:Subw,lx.saypa pspxal System•Gpa 11 of 15 Owner information is required for every page. 34 Rmus SL CSI 03105 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 40 Hatfield Street Property Address Construction Service owners Name Northampton City/Town MA 01060 June 4, 2008 State Zip Code Date of Inspection D. System Information (cunt.) 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 w:t=r supply enters the building. I_ - V rewr ! t%le1IQLG 4teo(/O!i Latew 471-2/w7 SNP Subsurface Sewage Disposal System•Papa 14 d15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 40 Hatfield Street Property Address Construction Service Owner Owner's Name information required rer is Northampton MA 01060 June 4,2008 Page. City/Town State Zip Code Date of Inspection 34 Roots St.CSI 0348 D. System Information (cunt.) 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 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.): Tdo5 Qfical Inspector Fpm'.SupfuFxeSewpe Disgvl System•Ppa 13d 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 40 Hatfield Street Property Address Construction Service Owner Owner's Name information required o em Northampton MA 01060 June 4, 2008 page. City/Town 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 >6' 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: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Roadway cut below bottom of pit dry 34 Rocus St.CSI.03/08 Trtle SOmdal Inspection Form: a Sewage Deposal system•Page moos M Ai dfrig g Ka Flow Discussion Flow data presented in this report was based upon interviews with building manager, staff or others that were familiar with the facility. Water use figures available from the appropriate Town /City water supplier were not used because the majority of that is used in process applications. Facility Construction Service 40 Hatfield Street Northampton, MA Contact: Ken Scott lemployees 1 toilet, 1 sink In addition toilets are used by drivers Estimated flow= 5 flushes/day x 5 gals. Flush = 25 gpd BOARD OF HEALTH MEMBERS JAY FLEITMAN,M.D.,Chair SUZANNE SMITH,M.D. XANTHI SCRIMGEOUR,MHEd,CHES Health Director PETER J.McERLAIN,R.S.,MPH Title 5 Inspector June 20, 2008 Construction Services 40 Hatfield St. Northampton, MA 01060 CITY OF NORTHAMPTON MASSACHUSETTS 01060 OFFICE OF THE BOARD OF HEALTH 212 MAIN STREET NORTHAMPTON,MA 01080 (413)587-1214 Re: Sewage Disposal System Inspection @ 40 Hatfield St. Gentleman: The Northampton Board of Health is in receipt of a report on a sewage disposal system inspection conducted at 40 Hatfield St. Northampton by Matthew Bracci, on June 4,2008. That report indicates the following: • Construction of a roadway on your property cut into the adjacent embankment and exposed the leachfield portion of your septic system. Based on Mr. Bracci's report your sewage disposal system has been classified as"passed-conditionally." In order for the sewage disposal system to be classified as"passed," the following must occur: • A qualified septic system designer must(within 30 days of the receipt of this notice) contact me at the Board of Health office to set up an inspection of the damaged leach field, and then prepare a plan for the repair of the damaged leachfield. • That completed plan must then be submitted to the Board of Health in order to obtain a permit to conduct the repair work. • All septic repair work must be conducted by a licensed septic system installer. 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 587-1214, if you have any questions concerning this notice. Thank you for your anticipated cooperation in this matter. Very,t;uly yours, Peter J. McErlain Title 5 Inspector Certified Mail #7006 2760 0005 2243 0561 BOARD OF HEALTH MEMBERS JAY FLEITMAN,M.D.,Chair SUZANNE SMDH,M.D. XANTHI SCRIMGEOUR,MHEd,CHES Health Director PETER J.MOERLAIN,R.S.,MPH Title 5 inspector June 20, 2008 Construction Services 2420 Boston Rd.. Wilbraham, MA 01095 CITY OF NORTHAMPTON MASSACHUSETTS 01060 OFFICE OF THE BOARD OF HEALTH 212 MAIN STREET NORTHAMPTON,MA 01060 (419)587-1214 Re: Sewage Disposal System Inspection @ 40 Hatfield St. Gentleman: The Northampton Board of Health is in receipt of a report on a sewage disposal system inspection conducted at 40 Hatfield St. Northampton by Matthew Bracci, on June 4, 2008. That report indicates the following: • Construction of a roadway on your property cut into the adjacent embankment and exposed a portion of your septic system's leachfield. Based on Mr.Bracci's report your sewage disposal system has been classified as"passed-conditionally." In order for the sewage disposal system to be classified as"passed," the following must occur: • A qualified septic system designer must(within 30 days of the receipt of this notice) contact me at the Board of Health office to set up an inspection of the damaged leach field, and then prepare a plan for the repair of the damaged leachfield. • That completed plan must then be submitted to the Board of Health in order to obtain a permit to conduct the repair work. • All septic repair work must be conducted by a licensed septic system installer. 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 587-1214,if you have any questions concerning this notice. Thank you for your anticipated cooperation in this matter. Very truly yours, Peter J. McErlain Title 5 Inspector Certified Mail#7006 2760 0005 2243 0578 BOARD OF HEALTH MEMBERS CITY OF NORTHAMPTON JAY FLEITMAN,M.D.,Chair MASSACHUSETTS 01060 SUZANNE SMITH,M.D. XANTHI SCRIMGEOUR,MHEd,CHES Health Director PETER J.McERLAIN,R.S.,MPH TIte 5 Inspector June 20, 2008 Construction Services 2420 Boston Rd.. Wilbraham, MA 01095 OFFICE OF THE BOARD OF HEALTH 212 MAIN STREET NORTHAMPTON,MA 01060 (413)587-1214 Re: Sewage Disposal System Inspection @ 40 Hatfield St. Gentleman: The Northampton Board of Health is in receipt of a report on a sewage disposal system inspection conducted at 40 Hatfield St. Northampton by Matthew Bracci, on June 4, 2008. That report indicates the following: • Construction of a roadway on your property cut into the adjacent embankment and exposed a portion of your septic system's leachfield. Based on Mr. Bracci's report your sewage disposal system has been classified as "passed-conditionally." In order for the sewage disposal system to be classified as"passed," the following must occur: • A qualified septic system designer must(within 30 days of the receipt of this notice) contact me at the Board of Health office to set up an inspection of the damaged leach field, and then prepare a plan for the repair of the damaged leachfield. • That completed plan must then be submitted to the Board of Health in order to obtain a permit to conduct the repair work. • All septic repair work must be conducted by a licensed septic system installer. 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 587-1214, if you have any questions concerning this notice. Thank you for your anticipated cooperation in this matter. Very truly yours, Peter J. cErlain Title 5 Inspector Certified Mail#7006 2760 0005 2243 0578