Lot on Main St. Leeds, Title 5 Applications/Permits 1973,1999, Report 1999, Design Waiver 1999, Water Sample Results 1999 Jun 22 BB 11 , 47.
Martha Frodanburah 11a-323-9532
2ua66n Zgez6 ca/Sn nt/ory
Be: 1192 Steelier Street, Belchertown,MA 01007
(413)-323-7134
r. I
Name: Tri-State Welt Dollies Co. Sample Dato: _ 6-15-99
Address: 51 Norwood Tetnee Report Data 616-99
It1 eke,MA 01040 Collected By David Hilt
Sande Location: flpe SaPVIY: Weil
Robert arum Ample No.= QAL 8620
150 Mat Saes Lob : M-02454
Leeds,MA 01053
man vat
I1TSULT$
sax.W.Cl7MMe5•IDIID Lana
Total C floe t Tisdale!
Nee
Fop&Calltora BaetsAa
Wee
Pas et Neer
Poe or Nee
Nitrite
0
.10
1A me
10.0 me/1
vH
33.86
63-8.5
Allmatity
20.0
No Limit
has
•1.78
e.44
Carver
.02
.30 mod
.05 len
13 mad
fiadtot*
no
Cblaido
4.14
needs..
20.0
Caedtrelivi4
67.5
Noiimk
No limit
Total Dlmdved fiends
44-5
300 my/1
Turbidity
4.5
Chatter
0
SNU
No Iisit
rh,9odtok 2.92 No Beak
•res e..�r w a...ISIS dam e+at ss ran atim.a des ltr lle
I 6011.110 aa/Ned r ism aceepaet.—Is 02w-7a4asw,.r— –*. ran a a e oat es dl•mpi
plemulnot/weft at St alai. e.r4 abdrsasaa.abwr
April 26, 1999
48 River Road
Leeds, MA 01053
Northampton Board of Health
210 Main Street
Northampton, MA 01060
Attn: Mr. Peter McErlain
Dear Mr. McErlain:
We request a waiver of your requirement that the septic system design for our new home
accommodate a garbage disposal.
We did not plan to, nor will we install a garbage disposal in our new home on Main Street,
Leeds.
Therefore,we agree that a restriction may be put in our property deed,prohibiting use of a
garbage disposal.
Sincerely yours,
Robert Grout
Mary Lee Grout
BOARD OF HEALTH
MEMBERS
CYNTHIA DOURMASHKIN,R.N.,Chair
ANNE BURES,M.D.
Rosemarie KarparIs,R.N.,MPH
PETER J.McERLAIN,Health Agent
(413)587-1214
FAX(413)587-1264
MEMO
CITY OF NORTHAMPTON
MASSACHUSETTS 01060
OFFICE OF THE
BOARD OF HEALTH
210 MAIN STREET
NORTHAMPTON,MA 01060
TO: Mr. &Mrs. Robert Grout, P.O. Box 64 , Leeds, MA 01053
FROM: Peter McErlain, Health Agent
DATE: May 4, 1999
SUBJECT: Septic System Design Waiver
You have requested a waiver of the Board of Health regulation, which requires 50%
additional capacity for garbage disposals in new sewage disposal systems.
In response to your request, on April 29, 1999,the Northampton Board of Health vote to
issue the waiver because you have very limited space in which to install a sewage leaching
system on your Main St., Leeds property and because you have agreed not to install a
garbage disposal in your new dwelling,
Per your waiver request you must now place a restriction on your deed which prohibits any
future installation of a garbage disposal.
Your sewage system construction permit will be issued upon receipt of the well test report for
your property.
Please contact me with any questions.
Thank you.
NEWMAN ENVIRONMENTAL ENGINEERING
December 1, 1999
Robert& Mary Lee Grout
P.O. Box 64
Leeds, MA 01053
Engineer's Certificate of Compliance
THIS IS TO CERTIFY, That the On-Site Sewage disposal System installed Z or'' '
repaired/replaced n on November 29,1999 by R.Wade &R. Baker,Florence MA,
for Robert &Mary Lee Grout at Lot on Main Street, Leeds MA
has been constructed in accordance with the provisions of TITLE 5 of the State Environmental
Code as described in the plan entitled:
SEWAGE DISPOSAL SYSTEM
FOR
LOT ON MAIN STREET, LEEDS,MA
Dated 4/16/99
Prepared by: Newman Environmental Engineering
Drawing No. Z9904-3
With the following exceptions noted:
1. Minor changes to the location of the new septic system facilities as noted on the attached
"AS-BUILT" site plan.
2. Leach field cover, final grading, and loam& seeding had not been completed at the time
of inspection.
Use of this system is conditioned on compliance with the following provisions:
1. The area over the leaching facilities shall be loamed & seeded (with grasses) and
maintained to prevent cover erosion and/or root intrusions from trees and shrubs.
2. Final grades shall be constructedand maintained as show on as-built plan,attached.
DATE: /2/ 1/rI r'/ ENGINEER
Grego ewman,
P.E. No. 34017, Sanitary
CC: Board of Health, 210 Main Street, Northampton, MA 01060
Contractor- Robert Wade,442 North Farms Road,Florence, MA 01062
General Contractor- Richard Finn, 29 Hickory Drive, Northampton, MA 01060
No.
FORM I I - SOIL EVALUATOR FORM
Page 1 of 4
Cmmnomweath of Massachusetts
Leeds Massachusetts
oa.
Soil Suitability Assessment for On-site Sewage Disposal
Performed by Gregory J. New man P.E.34017
Witnessed by Peter McErlain
Date: April 8,1999
Location Addres.s or Lot No.
Owners Name,Addrem&Tel.e
Lot on Main Street
Robert&Man'Lee Grout
Leeds MA
P.O.Box 64
Assessors Map-10d,Lot-28
Leeds,MA 011153
New Construction a.
Repair
•
413-584-5579
Office Review:
Published Soil Survey Available. No ❑ Yes
Year Published. 1981 Publication Scale. 1:25,000 Soil Map Unit. Charlton
Drainage Class CnD Soil Limitations- potentially severe—stone
Surficial Geologic Report Available: No ❑ Yes LJ NOT REVIEWED
Year Published_ Publication Scale.
Geologic Material (Map Unit).
Landform.
Flood Insurance Rate Map.
Above 500 year flood boundary No ® Yes ❑
Within 500 year flood boundary: No ❑ Yes
Within 100 year flood boundary: No ❑ Yes
Wetland Area.
National Wetland Inventory Map (map unit): N/A
Wetlands Conservancy Program(map unit): N/A
Current Water Resource Conditions (USGS) -Month March 1999
Range: Above Normal ❑ Normal ® Below Normal ❑
Other References Reviewed Mass-GIS Title 5 Map Panel 5 -no impact area.
Northampton Assessors &Zoning Map (10d) appears to indicate building site is not in Watershed
Protection Zone.
BASED ON DEP APPROVED FORM- 12107/95
IC
"GIN\SOILSUIT.DOC1
FORM 11 - SOIL EVALUATOR FORM
Page 2 of 4
Location Address or Lot No R& M.Grout
Lot on Main Street,Leeds,MA
Assessors Map-10d,Lot-28
On-Site Review
Deep Hole Number: NO. 1 Date'. 4/8/99 Time 8+AM Weather: Sunny
Location. See plan
Land use cleared woods Slope(%)_2-5+% Surface stones: Common
Vegetation: oak,pine,hemlock
Landform outwash knoll
Position on landscape(sketch)_
Distances from
Open water body
Possible wet area
> 100
>60
Drinking water well > 100
feet
feet
feet
Drainagewaa >50 feet
Property line >60 feet
Other
DEEP OBSERVATION HOLE LOG
Depth from,surface
(inches)
Soil Horizon
Soil Texture
(USDA
Soil Color
(Monsel)
Soil
Mottling
Other
(structure.none .boulden.ronsi. greed
A
sandy loam
5YR3/I
none observed
loose_friable. roots
9-25'
B
sandy loam
75YR5/6
none observed
loose.blocky.roots
gravel -5%
25-60'
C t
v.sandy loam
5YR5/3
faint mottles
not consistent
<5'9
loose,friable
gravel-5%n
60-120"
C 2
sandy loam
5YR4/4
5YR4/6 1/8-
5YR5/2 1/R'
>20%at 61»
firm.blocky(w/sandy lenses)
gravel-10'9
Parent Geologic Material. outwash Depth to bedrock: > 120 inches
Depth to groundwater: Standing water in hole: NO Weeping from pit face: NO
Estimated Seasonal High Groundwater: 61" (per mottles)
BASED ON DEP APPROVED FORM- 12/07/95 IC:\ENCINlsoirsrrr.DOCI
FORM 11 - SOIL EVALUATOR FORM
Page 3 of 4
Location Address or Lot No; It & M. Grout
Lot on Main Street,Leeds, MA
Assessors Map-10d,Lot-28
On-Site Review
Deep Hole Number NO. 2 Date: 4/8/99 Time 9+AM Weather Sunny
Location' See plan
Land use: cleared woods Slope(Ye): 2—5+% Surface stones- Common
Vegetation: oak pine hemlock
Landform'. outwash knoll
Position on landscape(sketch):
Distances from'.
Open water body > 100 feet
Possible wet area >60 feet
Drinking water well > 100 feet
Drainagewav >50 feet
Properly line >60 feet
Other
DEEP OBSERVATION HOLE LOG
Depth from surface
(inches)
Soil Horizon
Soil Texture
(IISDS
Soil Color
(Murrell)
Soil
Mottling
Other
(structure,stones.boulders.eonsist.,gravel
A
sandy loam
5YR3/1
none observed
loose. friable.roots
6—26"
B
sandy loam
5YR6/8
none observed
loose.friable. roots
gravel—5%2-12' stone—5%
26—40'
C 1
v. sandy loam
5YR4/4
yang'
grains
none observed
loose. friable
gravel-10% 2-6" stones—10%
10—108-
C 2
sandy loam
with layers
6-8' thick
5YR7/6
5YR4/4
5YR5/6
firm.friable/blocky
gravel 5-10%.2-L` stones-40%
large rock at 68'
5YR5/2
>10%at T•
Parent Geologic Material_ outwash (weathered rock) Depth to bedrock_ > 108 inches
Depth to groundwater. Standing water in hole_ NO Weeping from pit face. NO
Estimated Seasonal High Groundwater_ 73" (per mottles)
BASED ON DEP APPROVED FORM - 12/07/95 EC:(ENGIN\SOI!SrrLDOCI
FORM 11 - SOIL EVALUATOR FORM
Page 4 of 4
Location Address or Lot No R & M. Grout
Lot on Main Street,Leeds,MA
Assessors Map-10d,Lot-28
Determination for Seasonal High Water Table
Method Used:
❑ Depth observed standing in observation hole inches
❑ Depth weeping from side of observation hole mchcs
® Depth to soil mottles 61 &73 inches TP 01 & 2, resp.
H Ground water adjustment feet
Index Well Number_
Reading Date_ Index Well Level_
Adjustment Factor. Adjusted groundwater level.
Depth of Naturally Owning Pervious Material
Does at least four feet of naturally occuring pervious material exist in all areas observed
throughout the area proposed for the soil absorption system? Yes ® No n
If not, what is the depth of naturally occurring pervious material''
Certification
I certify that m June 1995 I have passed the soil evaluator examination approved by the
Department of Environmental Protection and that the above analysis was performed by me
consistent with the required training. expertise and experience described in 310 CMR
15.017.
Signature
--o, 1f/i Cs /4
Gregor ' `°wman. P.E.
BASED ON DEP APPROVED FORM - 12/07/95 n?:\ENGIN\soILSrrr.DOCI
Location Address or Lot No.:
FORM 12 - PERCOLATION TEST
R. & M. Grout
Lot on Main Street,Leeds,MA
Assessors Map-10d,Lot-28
COMMONWEALTH OF MASSACII['SEVIS
Inds, Massachusetts
Percolation Test*
Date: April 8, 1999 Time: see below
Observation Hole No.
1
2
Depth of Pere
48"
60"
Start Pre-Soak
9:15 AM
10'23 AM
End Pre-soak
9:30
10:38
Time at 12"
9:31
10:40
Time at 9'
9:41
10:43
Time at 6"
9:56
10:47
Time (9" - 6")
15 min.
4 min.
Rate (mini. inch)
5 mpi
2 mpi
* Minimum of 1 percolation test must be performed in both the primary area AA"D reserve are
Site Passed ® Site Failed ❑
Performed by- Gregory I Newman, RE.
Witnessed be Peter McErlain, Northampton BOLE
Comments: 4-ft separation is adequate in vicinity of VF-1. Second
pert test may be influenced by gravelrock layer and not
representative
BASED ON DEP APPROVED FORM-12/07/95 (C ENGIN SS-SITE C-FRVRI.A.00C
Ull•I. I:11i I'.
(11110MIAVI ,,S°M4=]469
o
dat /
rP 3� /
1 7
/
SITE PLAN
\ WPROX.`LLB, I" -50'
\• .4,
'IT �� ❑ 'f l'- 1 OEEP LOB.NLLE(1E51PIf)N0,1
0 PT—I RkL2NN0.1
@ A"PROd.LGfMILN OF YELL
ROPERNWIt(MPWA(.LOG.)
SBM AW/LL
VkII.MDS(BPM OR RIPBE WE)
°" ° 511E EVALUA110N (5011,5 & MPG) - it/ 8/ 99
ILOV ON MAIN 5TM 1', I- W5, MA
A
RODEt f & MAC I EE Gt 0Uf
NEWMAN ENVIRONMENTAL ENGINEERING
> 21 GUARD ROAD, WORTHINGTON, MA 01098
-----
df j;111 TEL: 413-238-5383 FAX: 413-238-4276
fhLta■
PERCOLATION TESTIS)
Time: I Time:
Observation Hole #1 Observation Hole #2
Depth of Perc q'0L4 Depth of Perc /
Start Pre-soak , ) Start Pre-soak /t12 � 3
End Pre-soak 4 3 9 End Pre-soak
Time at12" 3 / Time at12' /,7 ; q7j�
Time at 9' y'I I Time at 9' /0O 3U
Time at6' 6 ■,-) Time at6'
Time(9"—6') Time(9"—6")
Rate Min./Inch Rate Min/Inch
'minimum of 1 percolation test must be performed in both the primary area AND reserve area.
■
• • •
Performed by I Performed by
Witnessed by Witnessed by
Comments:
t
On-Site Review r1,, g + vv-tn.
gezt
'l
Deep Hole#: 1
-'— I
LocatiorAddress or of#d
/ S'+
S
Owner
Time
C.
Soil Color
(Munsell)
Address
Weather
•
A"
*
Date r�
w
slag_
5` (
/
S%
r it
/ , ,� Oxa9�
Engineering Fi
f„ "--t4
0)
Engineer or Sanitarian
•rd Yµ/-ynrcnw.�
Identity on Site PI
n
- -
Land Use
[� ] /Slope
Surface T es
Vegetation
�,
Landform
42 i 2 R.-/� ./'ry --
Position on Landscape
Estimated Seasonal HO Graound Water
J / "
s
f'^Tr. - p sa
Distances from:
_-
Open Water Body
> Ir-0
feet
'Drinking WatBrWell'-
} OD '
feet
'Pfop6M1y LIdA-'r`
>60 '
feet
Possible Wet Area
>- fop'
feet
Drainage Way
j/ fir)
feet
Other,
feet
'l
Deep Hole#: 1
DEEP OBSERVATION HOLE LOG*
*MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Depth from
Surface(Inches)
Soil Horizon
Soil Texture
(USDA)
Soil Color
(Munsell)
Soil Mottling Other
(Structure,Stones Boulders,Consistency.%Gravel)
0
b- a1
0/0
n
S
5` (
/
S%
r it
N(i
0
-'S'U
f„ "--t4
0)
//J,,
S L
-
� s Tio
--
5
Parent Material(geologic) I fr-, I\- \)3(94-4/N
Depth to Bedrock
Al"-r)...N.,_
Depth to groundwater. Standing Water In the Hole
/-/CY-yk./".--_
Weeping from Pd Face I tiB-rLA
Estimated Seasonal HO Graound Water
J / "
s
f'^Tr. - p sa
Deep Hole#:
DEEP OBSERVATION HOLE LOG*
'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Depth,
Surface Inches) ;
Soil Harmon
-Soil Texture ; -
(USDA)
Soil'Ctllor.
(Munsell) ,
Soil Mottling
Other
(Structure.Stones,Boulders,Consistency,%Gravel)
b- a1
0/0
1°V
Y
r.
_./ I
0
-'S'U
p
IN
0)
//J,,
- (,,t-#
/
`r ��
,.
;alas
P ..+'�"y:•_'Sdf /
s
f'^Tr. - p sa
130.
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Totes OF Leas, Mf 1
APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT
a Yam fora Permit in(onslrecl 1 V( cpoir • 1 t'P_ed, • ) AM1:mJon • • - mpletc 1_1 Individual Cnniponemx
Lair ou MAou Sr. Lets, kV
*Ranier 4 It/ ' Let CaeLxcr
m,..
By Bau (A Leeds iV4 o f os s
_
r..,a�.,
D6sess.,es NLa-e i ook
i�
L.o� - z�
daa,a„
A13-5PtF - 557
I.an
. / rJUPM1.•ncJ
C,kia-ems of /!2.El kf>I✓
0�aan.esv:i,
/„ ni�d/ G Addre n il/lA e�o98
44113 ' r)-3P3- 53e3
Ina.,na,.n„mr
sae,.,.
ricrhune c
IaIcPFnnc:
Type of Building: KES:D Dwelling—No.of Bedrooms 2/
Other—Type of Building U)i
Design Flow (mil. req ire za_ gpd Calculated desivn flow 330 gpd Design flow provided? , glad
Plan: Date •s( 1 �ei 1 Number of sheets Revision Date
Title & tMert ISR:Cr -S/Si _. rot LDr a..1 Mw, Sac LEE rVV10-
Other fixtures
No of persons
Lot Site .9'-AciztS Strfect
Garbage Grinder (No
Showers ( ) Cafeteria ( )
Description of Soll(s) S+.,CX Lc* s / 'SEC
Soil Evaluator Form No. 11 11 It Name of Soil Evaluator a. 1v&d 1N Date of Evaluation
DESCRIPTION OF REPAIRS OR ALTERATIONS Net...) Gysr 'Ke't- IAIr-iJ-1/4-S
i SOV e9nriC -- BdX._ 4 o sF_ RAI Se/0 Y36U 1.-E7404 1Ci "L-rb
D (52rV[TT/ flniNfeC7vE I (Al . _
The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of
TITLE 5 and fu grees not to lace system in operation until a Certificate of Compliance has been issued by the Board of Health.
Signed �I Date
Inspections
4 199
FORM I - APPLICATION FOR DSCP DEP APPROVED FORM 5/96
No.
THE COMMONWEALTH OF MASSACHUSETTS
_____1ir 4p^-' BOARD OF HEALTH
CERTIFICATE OF COMPLIANCE
Description of Work: ❑ Individual Component(s)
omplete System
FEE
The undersigned hereby certify that tt e Sewage Disposal System:Constructed X Repaired ( ),Upgraded( ).Abandoned( )
bv: /- c/) /14th. 4 c2t:tit //l /Qc ` 1rrt=
at ..i t 1 {1A/-e-rtS ,•C-AC_„efi 6 ( ' /GC-1 a s-/ -)
has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5)./and the approved design plans/as-built
plans relating to application No " I`l dated G» S/t Approved Design Flow (gp(11)
r
Installer /--Lt'II G/1„ /I d t.:- /
Designer: /-` ^ /:i✓!i /llLx-2-I Inspector kir 61 %'1/6r1Ai 1p-4-v Date ' /�"/J2
f
The issuance of Mis certificate shall not be construed as a guarantee that the system will function as designed.
FORM 3 - CERTIFICATE OF COMPLIANCE DEP APPROVED FORM 5/96
No. - THE COMMONWEALTH OF MASSACHUSETTS
�2'71✓//-6447)-1cN BOARD OF HEALTH
DISPOSAL SYSTEM CONSTRUCTION PERMIT
Permission is hereby gran(ed to Construct ( cpair ( ) Upprade ( ) Abandon ( ) an individual sewage
disposal system at 11 4 ?rwrS-/ / F�/gam '�al/'hG/ /' II (�pfrY ice (rf/+ns scribed
in the application for Disposal System Construction Permit Ne. ?Ile/C1I ,dated / / J /1 i .
Provided: Construction shall be completed within three years of the date of this perthf Ap l ice: c9nditio(sM y4t be met.
Date it /Y 57% CI Board of Health r '1 bi Af;t _. (-,
7 1/
FORM 2 - DSCP DEP APPROVED FORM 5/96
FORM 1255 (REV 5/961
II2W j Hams a WARREN"
PUBLISHERS - BOSTON
ERE APPLICABLE
z_
CHECK OR
Nos 4
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Fax ' d.
ntq( oE...1.LC1Y-t �.a.tasp'lml
Application -fur fliapnsttl ifinrhi aintilitrartion Vrrntit
Application is hereby made for a Permit to Construct ( ) or Repair ( an lndi■idual Sewage Disposal
System at:
.4frect, 1-020/44-
Ctiii-
Installer
or wt Na.
Address
Addersss
Type of Building Size Lot Sq. feet
Dwelling—No. of Bedrooms Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building No. of poster Showers ( ) — Cafeteria ( )
Other fixtures
Design Flow gallons per person per day. Total daily flow gallon..
Septic T:i:k—Liquid capacity. gallon Length Width Diemetc- Depth
Disposal Trench--No. Width Total Length Total leaching area sq. ft.
Seepage Pit No Diameter Depth below inlet Total leadling are, sq. h,.
Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by Date
Test Pit No. I minutes per inch Depth of Test licit Depth to ground Ovate-
Test Pit No. 2 minutes per inch Depth of Ttat Pit Depth to ground waft,.
Description of Soil
Nature of Pepa
Agreement'
The undersigned agrees to install the aforedescrrbed Individual Sewage Disposal System in accordance with
the provisions of Article NI of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has bee sued by the boarrLof I :l[h.
or .Nterations Answer wppl ca 10��J
Si ned
Application Approved By 7G
Application Disapproved for the following reasons'
rS;if 73
<n,e
Permit No..51.4 Issued.
Date
Date
atlf?
by
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
Trrtifiratr at Tompliaurr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
at
has been installed in accordance with the provisions of Article XI of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No dated
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE Inspector
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
No.._- . ./_p t_o / OF.. i..w-steA
�inpna-t_l�Illorkg 1T9mitrurtinu Permit
Permission is hereby ganged/
to Construct ( ) or I2ep ayr ,({/) ideal Se _a I Syst
at No neuag
as shown on the application for Disposal Works Construction e n it Nos..6 / Dated
DATE
FORM 1255 HOBOS & WAPREN, INC_ PUBLISHERS
FEE.V5 f_ed
czef a/3