Loading...
67 Septic Inspection Form 2009 Date: 3 September 2009 To: Northampton Board of Health From: Tom Martin Turkey Hill Field Services 140 Easthampton Rd. Westhampton,Ma. 01027 413-527-5311 tompmartin(aiyahoo com Re: Notification of Emergency Repair In accordance with 310 CMR 15.353 please let this letter serve as Notification of Emergency Repairs to the septic system at 67 Old Wilson Rd.,Northampton for Eugene Carletta Significant tree root intrusion was discovered in this septic system during a Title V system inspection prior to the sale of the property (see attached Title V Official Inspection Form). Significant tree root intrusion was discovered in the distribution box extending into the leaching bed lines and in the area of the septic tank sewer inlet Normal water flow could not be possible with this blockage. Repairs were conducted on September 2"by Jim Demos ofJ&C Septic Services. The septic tank sewer inlet was removed,the roots into the tank were cut, a large root mass removed from the tank and a new inlet and inlet tee installed The tank was pumped and thoroughly checked for other intrusions. The area around the distribution box was excavated and the lines to the box cut.All leaching bed lines were cleared of root intrusion. A new distribution box with risers to within 6 inches of the surface was installed along with new connections to the leaching bed lines. The 2 inch pump line into the distribution box?a so replaced and a bleeding hole installed in the pump chamber line in order to insure water was not sitting in the pump line. Water was run through the lines to check normal water flow within all lines and to the distribution box. Please note that no modification or alteration of the system design was required in this emergency repair. Other than the blockage from root intrusion the system is in compliance with 310 CMR 15.000. Respec `?9'v14 Tom Itartin Turkey Hill Field Services /mer nonalion is wired for ety Page. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Fomh-Not for Voluntary Assessments 67 Old Wilson Rd., Northampton, Ma. Property Address Euglne Carletta Owners Name 434 Highway#70,Williston, Symma NC 28579 8/31/09 City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form.Inspection forms may not be altered in any way. out A. General Information ben filing ms on the sneerer.198 1. Inspector ily the tab key move your Torn Martin irsor-do not Name of Inspector e the return Turkey Hill Field Service Company Name �+ 140 Easthampton Rd. Company Address Westhampton Ma City/Town State 413-527-5311 514199 Telephone Nunber License Number 01027 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.l am a DEP approved system inspector pursuant to Section 16.340 of Title 5(310 CMR 15.000).The system: El Passes ® Conte naally Pass assts ID Fails ❑ Needs Further Evaluation by the Local Approving Authority Ire 'Signature�l/ V�-- 8/31/09 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 o1 use. gpq►s . {PPPdddfiSD"litir-ufpp : [ [ [- -fieL) ) Trowtoirit9Pea°s+ 111?Be Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Acsessments 67 Old Wilson Rd., Northampton, Ma Property Address Eugine Cartetta miner Owners Name omiation Need for Highway y y 434 H' h #70,Williston, S mma NC 28579 8/31/09 tweed fo NY page. CdY(rOVm State Zip Code Date of InspeaEkm B. Certification (Cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ❑ 1 have not found any infomtation 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: 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 detemiined, 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 efiltrration 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: T . -_z) ® Observation of sewage backup or break out or high static water level in the distribution box due L to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box.System will Zoo` inlTVSi N.) pass inspection if(with approval of Board of Health): Set 444..46410♦ Nvir07c4eoo *0, /13 ❑ broken pipe(s)are replaced ® obstruction is removed )raPr ot amid=•0309 TMe 5 011ld Form:S W 6cs Se.sT Disposal Sy*Sn•Page 2 a 15 nor irritation is 'aired for ny page. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 67 Old Wilson Rd., Northampton, Ma. Properly Address Eugille Carletta Owners Name 434 Highway#70,Williston,Symma NC 28579 8131/09 City/Town State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes(cont.): ® distribution box is leveled or replaced ND Explain: root intrusion into d-box and leach bed lines. lines need to be cut and roots removed.d-box may need to be replaced. ❑ 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: ❑ the exist which require further evaluation by the failing to protect public health,safety or the rviironmen in order to determine if em 1. System wul pass unless Board of Health determines In accordance with 310 CMR 15.303(1Nb)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 fall 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 o tr, 100 feet of a surface water supply or tributary to a surface water supply. w ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. $tsvS �P Y Sc j ttem has ajgl4tank and SAS all �S�w.w g�88Q w �e L lee 5 Mel F4 Form Subteen Swage Dept *nee NW for 16 fropyof LtiwEOC.@'C- 101 motion is Arad for ry page. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Fonn-Not for Voluntary Assessments 67 Old Wilson Rd., Northampton, Ma. Property Address Eug51e Cadetta Owner's Name 434 Highway#70,Williston, Symma NC 28579 8/31/09 City/Town State Zip Code Cate of Inspection 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 paskes if the well water analysis, performed at a DEP certified laboratory,for cotiform 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 O ® 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 8° below invert or available volume is less than'h day flow O ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: O ® My 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. TIM 5 Mill Inspection Farr s,tMew Sewage Disposal System.RP 4 a 15 Cop/S1..51'5156=. '6409 minion iced for Y Page. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 67 Old Wilson Rd., Northampton, Ma. Properly Address Eu*e Cadetta Owner's Name 434 Highway#70,Williston, Symma SNmCa 2857799 /o0f Ciyrtaan B. Certification (cont.) Di System Failure Criteria Applicable to All Systems(cunt): Yes No ❑ ® 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.] 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 coned 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 11 of a public water supply well COW awro.ec•awe 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. TM 50 r aY hupdM fmm:SWx lete Swage Disposal Symen Sege 5 15 L \ Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Fonn-Not for Voluntary Assessments ner mullion is for for lIy page. 67 Old Wilson Rd., Northampton, Ma. Property Address Euq,te Cadetta Oenefs Name 434 Highway*70,Williston,Symma NC 28579 8/31/09 City/Town 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 ® ❑ 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) no novas o' NwMw04 •■ Ba 11 ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? O ❑ 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? Copse tamed=•coos 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. CPS evwts 0 M f 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)] ille 5 Waal Inspeabon Fares Subsurface Sw.W psp a Systen•Page 6 of 15 . Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ner amation is wired for in page. 67 Old Wilson Rd., Northampton, Ma. Property Address Eugine Cadetta Owner's Name 434 Highway#70,Williston, Symma Cityffown NC 28579 8131/09 State Zip Code bate of Inspection D. System Information Residential Flow Conditions: Number of bedrooms(design): • itifitisot cop/a lWp.doe•03/C9 2 Number of bedrooms(actual): 220 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 220 7M1S Scjs4(ren IS aes.rfd4i z bedroom u/ 1 Number of current residents: deep] te5f'ncliom viit,v toned ')k d aiti pcAl5 Does residence have a garbage grinder? Four V4(f-f^f S Otto td;irk ® Yes ❑ No Syci•vn • flat drPtvielwcl) Is laundry on a separate sewage system?[if yes separate inspection required] ❑ Yes ® No Laundry system inspected? dto M 4ckr rte, ai von\t..w1 &K. Seasonal use? •TMis t..rlt war ralu++1nc..01 4 n$ \ °P41.1\ '4M■ 4)5o Sow SVtsen11 u3t tdy Ownet 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): ❑ Yes ❑ No ❑ Yes i❑ No N 1- roof t bk ❑ Yes ® No 7 Date Gallons per day WPM ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Date Title 5 and S FFS'dm Fwm Subsurface Swage Dirpeal Syann•Papa/v(15 er mation is ired for Y Page. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 67 Old Wilson Rd., Northampton, Ma. Property Address Eugie Cadetta Owner's Name 434 Highway#70,Williston, Symma NC 28579 8/31109 Cm,Rovm State Zip Code Date of Inspection D. System Information (cunt.) Croy a t5htep.cis•9309 General Information Pumping Records: not p ,t(9 Slur( (nskiat o.4 in 1993. Source of information: °why Was system pumped as part of the inspection? ® Yes ❑ No 1500 If yes,volume pumped: gallons How was quantity pumped determined? size of tank sludge depth above bottom of inlet tee Reason for pumping: Type of System: Septic tank,distribution box, soil absorption system p Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system(yes or no) (if yes,attach previous inspection records,if any) El Innovative/Altemative 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. O Other(describe): pump chamber in addition to septic tank Approximate age of all components,date installed (if known)and source rm urce of infoation: 12 yearscid , ploN da}eJ 1993 . No &den ON Ward cm/ Al3r}tµA10rr l 13011 src ai4acuod Were sewage odors detected when arriving at the site? ❑ Yes ® No ma 5 Oaritl hsppm n Ram SMMO Swage osww System•PM 8 S rs Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 67 Old Wilson Rd., Northampton, Ma. Properly Address Euorne Cadetta sr Owners Name n8bfn is 434 Highway#70,Williston, Symma NC 28579 8/31/09 red for I Sage. City/Town State Zip Cade Date of Inspection D. System Information (cont.) Building Sewer(locate on site plan): Depth below grade: Material of construction: ❑cast iron ®40 PVC ❑other(explain): 1.5 feet 6.5 Distance from private water supply well or suction line: feet Comments(on condition of joints,venting, evidence of leakage, etc.): conditions of joints fine, no evidence of leakage Sere Tank(locate on site plan): Depth below grade: Material of construction: ® concrete ❑ metal 8 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 Coe/ `a Peac•QSW 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 detemtined? 101x 6' x 4.5' 2.5' 6 inches above outlet tee 8 inches with root intrusion 3 inches with root intrusion following root ball intrusion measured Ode 5 Official segdHi Fan'Subsurface Seep Deposal System P&P 9 et 15 er nation's ired for Y Page. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 67 Old Wilson Rd., Northampton, Ma. Property Address Eugfne Carlene owners Nagle 434 Highway#70,Williston,Symma NC 28579 8/31/09 City/town 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.): root intrusion into tank through inlet area. root ball to large to remove, inlet seals need to be recemented after root intrusion is located and cut. inlet tee installed upside down. re-install to gain positive flow from sewer to tank. outlet tee ok. liquid levels related to the tank show no signs of leakage. Copy or tErrapdoc-owe Grease Trap(locate on site plan): Depth below grade: Material of construction: feet ❑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: Dam 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): TPb5 0111del Form'SWwlra Swap 0Wve System•Pop 10 d 15 sr nation is fired for f Page. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 67 Old Wilson Rd., Northampton, Ma. Property Address Eugine Cadetta o«nars Name 434 Highway#70,Williston,Symma NC Zip 28579 ode Date of inspection City/Town D. System Information (cont.) Tight or Holding Tank(cont) 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 Distribution Box(It present must be opened)(locate on site plan): 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.): significant root intrusion into d-box and leach bed lines. lines need to be cut and all roots removed from inlet and outlet lines.d-box will likely need to be replaced as well. recommend owner talk to city about removing Norway Maple at roadside. Pump Chamber(locate on site plan): Pumps in working order Alarms in working order. cad aC aspeaf•osiae ® Yes 0 N ® Yes ❑ No Tea 5 Ofd Impeded Gantt&to as Sewage Deposal Aside•Pm)11 a 15 ation is 5d for Page. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 67 Old Wilson Rd., Northampton, Ma. Property Address Eugl�e Carletta Ownefs Name 434 Highway#70,Williston, Symma NC 28579 8/31/09 C1ty/Town State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of pump chamber,condition of pumps and appurtenances, etc.): pump chamber in good condition. electrical connection sound. no signs of corrosion. cwi olt5Syax•m15 Son Absorption System(SAS)(locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number ❑ leaching chambers number. ❑ leaching galleries number. ❑ leaching trenches t IeA<M had) number, length: ❑ leaching fields number,dimensions: ❑ overflow cesspool number: ❑ innovative/altemative system Type/name of technology: 5,50' Comments(note condition of soil, signs of hydraulic failure,level of ponding, damp soil, condition of vegetation,etc.): no signs of hydraulic failure, ponding or damp soil or unusual vegetation. please note root intrusion of lines in the area of d-box. leach lines in out of the d-box need to be cut and roots removed to insure proper working condition of leach bed. Norway Maple to be removed?It is on city property. MS 5—bimodal Font&Again Swop a4utl System'PP 12 S 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 67 Old Wilson Rd., Northampton, Ma. Pro petty Mdress Euq}ne Cadetta Owners Name ation fo a 434 Highway#70,Williston, Symma NC 28579 8/31/09 p ge. City/Town State Zip Code Date of Inspection paw D. System Information (cont.) Cesspools(cesspool must be pumped as part of inspection)(locate on site plan): Number and configuration Depth—top of liquid to inlet invert Ceps aSna.doc.«w8 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 pending, 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.): TX65 Vadat hen FORA.Subsurface Sewage Dispose System•new 13 of 15 3f nation is red for I page. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 67 Old Wilson Rd., Northampton, Ma. Properly Address Emile Carletta Owner's Name 434 Highway#70,Williston, Symma NC 28579 8/31/09 City/Town State Zip Code Date of Inspection D. System Information (cont.) 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 water supply enters the building. ce ' asti3t➢ t' H OL W■L5oro IZd\ Copt arv4mas•osce T 5 Official Imps:lion Form siWM Serape Oispeaa SySM•Poi 14 at 18 L\ Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Fonn-Not for Voluntary Assessments 67 Old Wilson Rd., Northampton, Ma. Property Address Eugfte Cadetta Owners Narne 434 Highway#70,Williston, Symma NC 28579 8/31/09 City/Town State Zip Cade Date of Inspection canon ed for Page. D. System Information (cont.) Site Exam: ® Check Slope Z Surface water ® Check cellar ❑ Shallow wells 4.8 Estimated depth to high ground water: Net Please indicate all methods used to determine the hgh ground water elevation: ® Obtained from system design plans on record (oc W Scpttiei pLAAI) No ucordt p4 Lk a Norfitsrotians 3oH If checked,date of design plan reviewed: Dare 7Pm 1130/49 ❑ 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: soil logs on septic plan date 10-14-97 by Bob Sheehan drawing it 97170POR (ow+w_r Sytp)krA i TN!5 QSdtl fspwrio,Fmn:aM+Ha Synge pews SYSem•Pyp 15 of copy of lSvnPax•come PUFF SPECS SPECIFICATIONS: MOpEL 3886, OR EQUIVALENT WITH ALARM I-�l�RONIRED INTO HOUSE PU.p: PARA IS TO BE OUJLDS SNITCH. THE PUMP AND TFE ALARM ON A SEPARATE CIRCUIT FROM DEDI MERCURY LEVEL CIRCUI- ARE BOTH TO BE GN SEPARATES 0 BOX I SLTO BE NSTAL�LED SO THAT I T I DRA I NSECOMPLETELY BACK BETWEEN ' C ?EER * PUMPS ARE AVAILABLE FROM F. C. BACK INTO PU�F CHA1•BER �� PU•P SHUTS OFF. C;CILDS TAPL IN CO. , WEST SP INOF I ELD. MA. KW CHAMBER KW CHPPBER IS TO BE 1000 OALLCM LON BOY SEPTIC TANK WITH BALLAST TO ETES PREVENT FLOATING. ENTIRE UNIT BET LE• UN IATEER PROOFED HAVE CONOALLEE�ER RC SURFACES TO PREVENT GRCUFD WATER IOF BRING COVER FLUSH WITH GRADE. DISTRIBUTION BOX: HJST HAVE MI N IM.I'1 CAPACITY Cr 2 CU FT. DOSING CALCULATIONS: EACH CYCLE HJST PUMP 55 GALLONS R V3100 CAL 15.254. 1000 GALLON LON BOY SEPTIC TANK HOLDS APPROXIMATELY 285 GALLONS RRVEITATALY 6 IP1THER. CUB IC PLC CYCLE SHOULD DROP LIQUID LEVEL IN P1R'P CHAMBER VOLUME OF LEACH ING SYSTEM = 30 X 50 FT X 0.5 FT = 750 CU FT. 750 X 0.25 VOIDS =187.5 CU FT X 7.48 GALS PER CJ FT = 1402.5 GALS AVAILABLE VOLUME IN BED. A PVC TEE MUST BE ATTAC€ED TO THE END OF THE 2 INCH PRESSURE LINE IN THE D BOX. �D/'LT�FAw4 � �d5� or -f3 o M ay. ®ARRROVED BY �S UC/%�/ IT£O �- '+: FIEA1cm1-44_11+ lo 1q-/9 INNS 1 .-�• � " �.�`, ® ti -FR12 (c/a -���nJ �'4Iy'L-7i^$ e I PTIC •jl•s-r /N n7 ,{�� /WI No.22 0�. M `""`� '1-TJ{ G(I�1TU� �F` 0,1/4-", �,��(,,.��(,�/V / DRAWING NUMBER ��}0/5-0- / �� �<.J.... /ATCG //QC 0717(-.-RnR SO 1 L LOGS HOLE HORIZON DEPTH FROM SOIL SOIL MOTTLING OTHER NLMBER SURFACE TEXTURE COLOR INCHES M.JNSELL ELEVATION: 101 .01 2 A 0-19 SL 10YR4/4 Bw 19-32 SL 10YR5/6 STONES, GRAVEL, 5Y5/3 C1 32-50 SL FIRM, FRIABLE. ROOTS TO 36' MUST BE REMOVED • C2 50-99 VFSiS 2.5Y4/4 2.5Y2/6 5%+ a 62" ESTIMATED SEASONAL HIGH GROUND WATER @ 62" ELEVATION 95.84 ELEVATION: 100.20 4 FILL 0-38 FILL A 38-42 SL 10YR4/4 Ew 42-50 SL 10YR5/6 SL 5Y5/3 STONES, GRAVEL, C1 SC-66 FIRM, FRIABLE. REMOVE ANY nnnfllln MATCOt Al 99.7 4'069 0q?y ,rct ✓C„T, QO, - _ E6 Nc/f1 Prx 1 I R « n /I �I n 2 z �1 I. ��i Ems_.” OF SEPTIC SYSTEM _LNVERT ELEVATIONS No SITUATION: 2 BEDROOM DWELLING, NO GARBAGE (MINDER, PERC RATE AT HOLE 2 OF 60 MI MJTES PER INCH, DOP 55 INCHES, PERC RATE AT HOLE 4 CF 60 MINUTES PER INCH, DOP 49 INCHES. SOIILL EVALUATOR: ROBERT F.9ST�,�DCERTI�FIED NOIVENB R-1994. MOERLAINE. 2 BEDROOMS @ 110 GALS = 220 GALLONS. ESTIMATED AVERAGE DAILY FLOW BASED ON 1995 TITLE 5 REGULATIONS LEACHING SYSTEM IS TO CONSIST OF 1 BED, 30' X 50' WITH 6" OF STONE. THIS SYSTETt HAS BEEN DESIGNED WITH A BED BECAUSE 1HERE IS OF011-ERLREASONABLE SOLUTION TO REPLACE THE EXISTING SEPTIC SYSTEM.T urn AUMC 114 nF RACK YARD --e l� of /5 ( DESIGN CALCULATICNS: ?v sni (Kb in BOTTOM 30' X 50' = 1500. SO FT X 0.15 = 225 GALS PER DAY GALS .IC/f_ ©` � °�'DU` 1995 TITLE 5 LOADING FACTORS USED FOR CALCULATIONS l VARIA REQUESTED TEABERATT1ON TO B(TI I OF TRENCHES N4 FEET E, 3 FEET PER 30 15.405 O i VARIANCE REQUESTED FOR REDUCTION OF SYSTEM LOCATION SETBACK FROM C i&) C_7?.Ls /J CELLAR WALL FROM 20' TO 10' . 310 CM 15.405(1)(6) VARIANCE REQUESTED FOR REDUCTION CF SYSTEM LOCATI CN SETBACK FRCM -f4Ck,ikj' 2i/5T /I FRONT PROPERTY LINE FROM 10' TO 5' . 310 CPC 15.405(1)(a). ��� 7774d T�kY=dss vARI AR��SRTMEPERCrI AT ON RATE I5 BETWEEN 30 AND 60 MINUTES AN CAd3.: 1r 1,P.61/I6 E5 PER INCH. 310 C?R 15.405(1)(c). (ikAt)2-_ ,4 csr ,QUID/c.'/ Coti)lco2 to 1O rya SINCE THE SEPTIC SYSTEM DESIGN IS BASED ON A DWELLING WITH LESS THAN `)Cye2. LPN / (k»7!!`- 3 BEDRCCMS, ACTUALLY 2, THE PROPERTY OWNER MUST HAVE A DEED RESTRICTION ( OA) LIMITING THE USE OF THE DWELLING TO 2 BEDROOMS ATTACHED TO THE DEED. /� r(��l'aLY ()PACE 310 CMN 15.203(1) AND 310 CFR 15.002. M To 1Ff7. 4,14x/BIONl -45/ELF KT"iJT LP z _� 144i:,.. 9C° SCALE APPROVED BY.�US M(-j I y t) 7j DRAWN BY GOBERT `tA q R"I"D 1 ; FA �.g NAPE: NcALT l��EC7D2, /O�/ �YQ �I� '�? ,' ci P- 7c. 5-/5-r< #H /2,4.1)MIA_ /-oe •41 -EG.!sJEP-a GA2c r A 67 )i 5o J / D JcPT1�{af �O lilli \•. _ CN D wwc NDmBFA IQ QS 11.- si4Anl�sso /Arcs ItoC I q7 �"m' PD CY/P,d/l1,Cj A✓ c6lLl