13 Title 5 Pumping Record 1998, Letter of Septic Failure 1998 Commonwealth-of Massachusetts
Executive Office of Environmental Affairs
Department of
Environmental Protection
PART A - CERTIFICATION
13 Meadow Ave.Northampton,MA
5/1 /98
Bruce & Ilean Hart
13 Meadow Ave., Northampton, MA 01060
Board of Health,Northampton
Property Address:
Date of Inspection:
Owner's Name:
Owner's Address:
Copy to:
Mailing Address:
Witness:
Name of Inspector:
Company Address:
!`+0 THAMPTON Epker nr
Owner Number: SSDS-228
Thomas S. Leue, Homestead Inc.
1664 Cape St., Williamsburg, MA 01096 (413) 628-4533
CFRTIFICATION 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 system:
Passes
Conditionally Passes
Needs Further Evaluation By the Local Approving Authority
Fails
cam_
Inspector's Signature:
tr%h.aq . 'IJC�-�-� Date• May 6 1998
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 copes to the buyer,it 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 the system violates any of the failure criteria as defined in 310 CMR
15.303. Any failure criteria not evaluated are indicated below.
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
conforming 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):
- broken pipe(s)are replaced
- obstruction is removed
- distribution box is leveled or replaced
The system required pumping more than four times a year 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 of the Board of Health):
- broken pipe(s)are replaced
_ obstruction is removed
- distribution box is leveled or replaced
B]
Revised edition 04/25'97 Page 1 Homestead Inc.
Property Address:
Owner's Name:
Date of Inspection:
PART A - CERTIFICATION (continued)
13 Meadow Ave., Northampton,MA
Bruce 8 (lean Hart
5/1/98
The system required pumping more than four times a year 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 of the Board of Health):
broken pipe(s)are replaced
obstruction is removed
Cl 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 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,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 welt.
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). If the well has been analyzed to be acceptable, attach
copy of well water analysis for coliform, volatile organic compounds,ammonia nitrogen, and nitrate nitrogen.
3) OTHER
D] SYSTEM FAILS:
Must indicate either"Yes"(Y)or"No"(N)as to each of the following:
X I have determined that the system violates 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 NO
X _ Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool.
X Discharge or ponding of effluent to surface of the ground or surface waters due to an overloaded or clogged SAS or
cesspool.
- 7L Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool.
- X— Liquid depth in cesspool less than 6"below invert,or available volume less than 1/2 day of calculated daily flow?(Part 7)
- X_ Required pumping 4 times or more in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped_
- X— Any portion of the Soil Absorption System,cesspool or privy below high groundwater elevation.
- X_ Any portion of a cesspool or privy is within 100feet of a surface water supply or a tributary to a surface water supply.
- ?L Any portion of a cesspool or privy is within a Zone I of a public well.
- X_ Any portion of a cesspool or privy is within 50 feet of a private water supply.
- X_ 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.
E] LARGE SYSTEM FAILS:
The following criteria apply to large systems in addition to the criteria above:
The design flow is 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:
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 i s located in a nitrogen sensitive area(Interim Wellhead Protection Area(IWPA)or a mapped Zone I I of a
public water supply well)
The owner or operator of any such system shall bring the system and the facility into full compliance with the groundwater treatment
program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information.
Revised edition 04/25/97 Page 2 Homestead Inc.
Property Address:
Owner's Name:
Date of Inspection:
PART B - CHECKLIST
13 Meadow Ave., Northampton,MA
Bruce 8 (lean Hart
5/1/98
CHECK IF THE FOLLOWING HAVE BEEN DONE:
X_ 1 Pumping information was requested of the owner,occupant and/or Board of Health.
L 2 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.
N/A 3 As built plans have been obtained and examined. Note it they are not available with N/A.
X_ 4 The system does not receive non-sanitary or industrial waste flow.
._. 5. The facility or dwelling was inspected for signs of sewage back-up.
L 6. The site was inspected for signs of breakout.
7. All system components,excluding the Soil Absorption System,have been located on site.
L 8. The septic tank manholes were uncovered,opened,and the interior of the septic tank was inspected for condition of baffles
or tees,material of construction,dimensions,depth of liquid,depth of sludge,depth of scum.
9. The size and location of the Soil Absorption System on site has been determined based on:
a) Existing information on file with the Board of Health.
b) Determined in the field(H any of the failure criteria related to Part Cis at issue,approximation of distance is unacceptable)
[15.302(3)(b))
L 10 The facility owner(and occupants,if different from owner)were provided with information on proper maintenance of
Subsurface Sewage Disposal Systems(SSDS).
RESIDENTIAL-
Design Flow:
FLOW CONDITIONS
unknown gallons/day/bedroom for SAS
3 Number of bedrooms
4 Number of current residents
BL_ Garbage grinder(Y or N)
Y Laundry connected to system(V or N)
Al_ Season use(Y or N)
N Sump Pump into system()/or N)
Water meter readings,if available: N/A
Date of last occupancy: rnntinuous
gallons per day
CO MM F R CIA L/IND U STR IAL-
Type of Establishment:
Design Flow' gallons/day
Grease trap present(Y or N)
Industrial Waste Holding Tank present(V or N)
Non-sanitary waste discharge to the Title 5 system(V or N)
Water meter readings,if available: gallons per day
Date of last occupancy'
OTHER: (Describe)
Date of last occupancy
Revised edition 04/25/97
Page3 Homestead Inc.
Property Address:
Owner's Name:
Date of Inspection:
PART C - SYSTEM INFORMATION
13 Meadow Ave., Northampton,MA
Bruce & !lean Hart
5/1 /98
PUMPING RECORDS and source of information:
pmmned August 1997 from Owner's rernrds
N System pumped as part of inspection(Y or N) [subsequent day]
If yes,volume pumped:
Reason for pumping:
Name of Septage Pumper:
gallons
TYPE OF SYSTEM:
X Septic tank" '"tanIdoliretiriamiitmeerasoil adsorption system.
Single cesspool
Overflow cesspool
Privy
1`L Shared system(V or N),if yes,attach previous inspection records,if any.
I/A Technology etc. Copy of up-to-date contract?
Other(explain)
APPROXIMATE AGE of all components, date installed Of known) and source of information:
pare of rnnetrurtion nnknnwn estimated mid 1940's
Sewage odors detected when arriving at the site:(Y or N) N
BUILDING SEWER: V
(located on site plan)
18" Average depth below grade
Material of construction: X cast iron _Sch.40 PVC _ether(explain)
3W Distance from private water supply well or suction line
4" Diameter
Comments: (condition of joints, venting, evidence of leakage etc)
SEPTIC TANK: Y (located on site plan)
11" Average depth below grade
Material of construction'_concrete_metal_FRP_polyethylene_other(explain)
Dimensions' 10'-6" long by 48"deer)by 48"wide (net measurements inside)
How dimensions were determined: Mpa=urpd
(A) sludge depth
(B) top of sludge layer to bottom of outlet tee or battle
(C) bottom of scum layer to bottom of outlet tee or baffle
(D) scum thickness
(E) top of scum layer to top of outlet tee or baffle
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.)
Pat flea are minsinn they tend to fall
off on tanks of rhic time an Art Prodnrrc
•. •-•
rxravared to carfare of tank nid not nnen herance numoer not availahle at rhic rime
cvcrem snhmeroed 1 to 2 inches helow cewane 9urainn
Revised edition 04,/25/97
Page 4
Homestead Inc.
PART C - SYSTEM INFORMATION (continued)
Property Address: 13 Meadow Ave., Northampton.MA
Owner's Name: Bruce & !lean Hart
Date of Inspection: 5/1 /98
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.)
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.)
DISTRIBUTION BOX; N/A. (locate on site pan)("D-box")
Depth of liquid level above outlet invert:
Comments: (note it level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box,
recommendations for repairs, etc.)
COIL Af1SORPTION CYCTFM ISASty
Locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods. If not
determined to be present, explain'
Type:
a. leaching pits&number:
b. leaching chambers and number:
c. leaching galleries and number:
d. leaching trenches,number,length' 1 nines estimated at 70'long
e. leaching fields,number,dimensions:
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.)
Pine estimated hesed on surfare renditions nnr rnnfirne4 Pinn and learhfield
dre rinnned w th sewarte solids and is flow harkinn un in sentir tank 9ewaae
snreod un 2^ unnn shower use and did not return in 30 mils
Revised edition 04/25/97
Pages Homestead Inc.
PART C - SYSTEM INFORMATION (continued)
Property Address: 13 Meadow Ave., Northampton,MA
Owner's Name: Bruce & !lean Hart
Date of Inspection: 5/1/98
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.)
CFSSPOOIS; 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:
Inflow(cesspool must be pumped as part of inspection)
Comments: (note soil conditions,signs of hydraulic failure,level of ponding,condition of vegetation,etc.)
PRIVY N/A (locate on site plan,it any)
Materials of construction:
Dimensions:
Depth of solids:
Comments: (note soil conditions,signs of hydraulic failure,level of pending,condition of vegetation,etc.)
DEPTH TO GROUNDWATER: >60" inches
Please indicate all the methods used to determine High Groundwater Elevation:
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 in your own words how you established the High Groundwater Elevation.(Mon be completed)
Pealarively dry site with drop off of about d6" as-Ham-it to field location
Near dry hasement lnration Garden renortpd as drovahty No deer hole du n
COMMENTS:
wstem maintained hut at the end of it's useful life Rerommend rnnnertion
to the nuhlir sewer at about 150 ft distanre Pasement remrired
RESOURCES:
Department of Environmental Protection, Western Regional Office, 436 Dwight St., Springfield, MA
01103, (413) 784-1100; Title 5 Hotline - (800) 266-1122
Revised edi:icn 04/25/97 Page 6 Homestead Inc.
i
i
Note: No well water source wicrim 100 r ld,,,2 1 Gardcri Ar-,i
Garden Area
Leach pipe (estimated buyout)
Septic tank
21 °: A
=n
r° ti�6s1 10,
'C T (-
2
Called North
As-built Drawing of Scale: 1 : 150 Owner: Bruce and Ilean Hart HOMESTEAD INC.
Existing Septic System Note: 13 Meadow Avenue Williamsburg,Cape St.
Some Dimensions Approximated Northampton, MA 01060 g, MA 01096
• [4131698-4594 •
BOARD OF HEALTH
JOHN T JOYCE.Chairman
ANNE RURES.M D.
CYNTHIA DOURMASHKIN,R.N.
PETER 1.McERLAIN.Health Agent
May 13, 1998
Bruce & Ilean Hart
13 Meadow Avenue
Florence, MA 01062
Dear Mr. & MrsHart
CITY OF NORTHAMPTON
MASSACHUSETTS 01060
OFFICE OE THE
BOARD OF HEALTH
Re: Septic Inspection, 13 Meadow Ave.,
Florence, MA
210 MAIN STREET
01060
(413)586 6950 Eat.211
The Board of Health is in receipt of a report on a sewage disposal system inspection
conducted at 13 Meadow Ave., by Thomas Leue on May 6, 1998. That report indicates
that the eptim 3 eadow Avefais to potec he 1M 1public health and the
environment as defined in Sec.15.303 of CMR 15 000 State Environmental Code Titles,
Because your dwelling is located on a street where the city's sewer system is now
available you must, in accordance with the requirements of Mass. General Laws Ch. 83
Sec. 11, connect your dwelling to the sewer line, if possible.
Therefore, in accordance with the provisions of 310 CMR 15.000 of the State
Environmental Code,Title 5, and under authority of Massachusetts General Laws,
Chapter 2IA, Section 13, and Chapter 83, Section 11, you(or the subsequent owners of
the property) are hereby ordered to connect the dwelling at 13 Meadow Ave. to the city
sewer system within sixty(50) days of the receipt of this notice
In order to tie into the city sewer you must obtain a sewer connection permit from the
Northampton Dept. of Public Works. Any questions concerning sewer connection should
be directed to Asst. City Engineer George Andrikidis at 413-587-1574
Please be advised that you are entitled to a hearing on this order to upgrade your
subsurface sewage disposal system, provided that you file a written petition requesting
such a hearing in the Board of Health office within seven (7) days of the receipt of this
notice.
:
Please feel free to contact the Board of Health office, at 587-1213, if you have any
questions concerning this notice.
Thank you for your anticipated cooperation in this matter.
Very truly yours,
Peter J. McErlain, Agent
Northampton Board of Health
cc: Asst. City Engineer George Andrikidis, DPW
Cert. Mail # P 573 708 114
•