256 Septic Inspection 2002 OFFICIAL INSPECTION
SUBSURFACE
Property Addresr
DEC - 5 2E:^`?
NOr*NdUION BOND OF 11BAUH
UNTARY ASSESSMENTS
STEM FORM
Owner's Name: BARRY LUSTIG'_� ..
Owner's Adds.":_JANA,
Date of Inspection: 1211:m2
Name of Inspector:.
Company Name
Mailing Address: P.O.
Tdephoae Number.
CERTIFICATION STATEMENT
I certify the:nave peepnslli
is true accurate and complete,
experience in the
inspector pursuant
'.
Impe¢tt
The system
within 30 dayeof
the inspector.
should be sent to the
Notes and Comments
and that the information reported below
wasperfo®ed based on my training and
I ant a DM approved system
'Approving Aothmity
Nadi arDPP)
aOO argrater.
-The original
a�rloority '
This report only describes
does not address
condition of we at that time.This inaction
—..4N COO gosofma
Page,2 of I I
Property Address:.
Owner:. .
Date d
Inspection S.nax : Cheek
System tam:
1/ I have $1
310 OAR 15.304 wet.
ia310 4 13.303
Comments:
N..
I 14.e.': 1 Sf' '..el l
B. System Condielonally:Rims:
_ One or more system components
system,uponcompkdonotthp
sr4ion need to be replaced or repaired.The
OHS will pass.
Answer yes,no or not
The 8:1000tl
exhibits mbstendat
replaced with a
•A metal septic
indicating that the tank is
If soot determiner please explain.
or not)is Wu gaily unsound,
will pass inspection if the adpiog tank is
ifa Certificate ofCompliance
ND explain:
_
Observation of
obstructe*$ ($)
BOIS OMAN:
NI)explain:
The sy
if
digdngko box due to broken or
kupedion if(with:approval of
),The system will pan
ND explain:...
Page 3 of 11
ProParil Wale:
Owner.LUSTIG r_
Date of Lupeetioa:_12/02/02
C. !Nether EvWd sb3erpine 4Ytis
Conditions eat whidtte ate flnthm.
failing to pitted public health,&Any.or the
1. System will pus
system is nel
_ Cesspool or
Cesspool or
The sr0sth tos .. °"`". , 's mO SAS is within 100 feet of a suffice
wa
_ Thesyatm huaaaptinNnkadd SAS . - - I of public water supply.
_ The system has a septic talc and SAS and .50.Set of a private water supply well.
The system hasaol !cta*ipd . wd- y' '100 feat but SO feet ermore from aprivate
water apply wells.,Method
. T i
d rs',-,^ ,4"1,14,:t4
wig 31
"£ tav-n r rP
air a9 wee nqb
auttanop of ggaH�pawgoqtamuoa �.. �.`.`. tom?';,?+.+^ •r':� M�
oit pagspwp to lend tu0W0 amhgataiga
NIJOv' art „.,-:�., Y .
p rSulu.ata pu:-auia :
9taga�tgi1 �� `.
tatpo allalld llatin aaps0.4 .10P-A`. t A4 z —
'pare6 t� 1/ —
. .�r —
-togemis f..w. o.`" ..—�� ' hml :
bg
m E•�` .. . ,. .�
� a
,t A-•
.•,S, y1Nta0A
• M aaltos 114114 •a
ZO/!_oaI aan2Odw1JO Oita
� Y3>
—ours al--:ammo
' `' —cantssaviS rig •a�PPV[laada�d
Jo V°91€1
Page 5of11
Propertyk
Date of 7eepee1ent
Cheek if the folkwi6p= ' .
"" `.. fo eftba.8oikwing:
Yee No
✓ - Pumping information was provided by
Were any of the System components
- Has the system remivad normal
✓
Haw iargs what,Ofwwppcbs
_ Were ahnk +Rtharf
✓ — wama¢ril µg"
✓_ Wa the
aiotpr61a0
sG were all system
Z. Woods
baffles or tees,matauel�,
Board of Health
two weeks
period
y eras pan of this inspection
not available note as NIA)
otthetank inspected for the condition of the
sludge and depth of scum
with Want=al*pow
The size and laeetlojla
Yes no
_ Existing
on the site has been determined based on:
eppineimation of distance is
unacceptableY
•
Page 6 of II
Property Address:
Owner.
Date silupp
RESIDENTIAL
Number of bedrooms(deo*
DESIGN fow tuS 0104041t kS
Number ofautat residents:
.j. m):.
Does residence have a garbage grinder(yea a
Is laundry on at amte
Seasonal use:(yaea.
Watts meter loadings,.
Sump Pump(yes or no):J
Last date of ocaoey
): S25_
required]
TYPI
Daeiw*1
Earia ot�e
Grease trap
Nor a nitary
Water meta madiPr
Last date ofc _..
OTHER(deaaihe):
Pumping Records
Source of.
Was syeters Pumpedee
If yes,volume pumped:•
Reason for pumping;. ...
An OF SYSTEM
4_kink Inni‘
OvergowcasaPPal
-Privy:,_.
Shand eql
lI rI 6' t : tC1.1:1
•wrir"3444;4141tr
ilsaasmined? PLAN &O.H.
fro
aMtmct(to be obtained
age]of 11
OFFICIAL.
Property Addres
Owner: Lingle
Date nspethen:_
BUILDING SBWB*(loclaton
Depth
Comments(m
SEPTC TANK:—( ?a
Depth below wade:
Material await
_odta(eetd^)
If tank is metal tiet
rNmenuimc:10'9
Shades depth
MANX**Ca 041140*
Scum tAaekaieaor Y
Distance from top or
RiSta ace from bottom
How were dimension!..
Commenta(on pumping.
related to outlet
lees
(yes or oo): (amp a ropy ofeatitkate)
condition.structural integrity,liquid levels as
KRUASEIRAP:
Death below Wadi
Material of c . :_
(explain):
Dimensions:
Scum thinks .,..,.;
Distance
ige 13,of I1
-reperq MOWS
Chimer: LVSTWG_
Date eflpedeo:__.1bOt1>12
:..; -o splan)
TIGHT orHOFBHlG'T —(t+l . ;+ xr
Depth grade: s ,. _other(eaplain)
Materiel of construction: concrete ° �a<
Dimensions:
C' '— —Woo
Design Flow:
Alarm present
s or no):
Alarm level. m in working o (yes or o0)
Date of last pumping._--
Comments(condition of alarm and Boat matches,etc.):
DISTRIBUTION"HORN ,.brp' umtb°.
Depth of liquid level above
Coed gat"ifboxit
into or out of box,etc)•
of solids carryover.any evidence of l dune
'x'e �riR N ✓xk f� 'c11$1 vy?�' r`Y` °l
:AAPId
•
,
pvtQ
, aaC' •edpunN
cgs=tosderosl 4-woassza
(.gdstn.s ^
t kr • rah a 6 ti ,, __
x— g
a: rudest
144. .sys�
x—; :(sys);calms Noltanosav uos
004nbals. .„ :wpslh.Ia st•Q
Dusty! =woo
ramanola
$
.1t13.6 d
[4 r �
h. to ,
Y
'2.4. ;i, .yy�� Ra g'k S
't- - -v•-•:...
lf €. .... xxg b
f :- )
: 1r R is
,.. f .v 'F`� E• 3
4 r
;'
?t■il=' •
c '...4-.:- a - v
e § c%
lit'':.; SL t
.
' zez P`?.'r 9 r., �i.. x f'P. R a' x yto nNemPae „ ga i-
, =:r; salMa
Q p
Wd
"� 'r
ATE EXAM
tope
Surface water
Check cellar
Shallow wells
Estimated depth to ground water SE.' feet
used to detem ins the i spar elevation:
gleam indicate(check)all methods
plan reviewed: _
Obtained from q 6d BAS)
=_Ogierved she(
Checked with kmel i4
Checked AcceSS �
You moat*oaths bow
0+00 0+20
04-to 1+20 1+40 1+60 A 1+80
shawl l on Pin via.assured
� y ei THM TIM - tv of - 412'
/ ynpya n Pia rhea.mu
3 Leachng Trenches (upper one shwn) I - 410'
y ; )5' Log X 2' Wide X 1' Below Inlet
$ 130.5' of 4' Pipe
Between Septic Tank and D-Box _ qpg•
S' Plpe S=2% Existing Ground Line
4 s=rr. M /
2' of va z•
0+00 0«26 / —rwx --_-s one
- 406'
Hort.{/ , 407.5' 406.9F' _ 0+365 ---T
,66.)13 J
1+17 4' Perforated Pipe y
Sep sta. 405.17' 1 5=0.5% 3 '^ 1+96 404'
Tank 1L 3/4'-t 1/2' 1+96 ' .•.•....Hi/
1+19 N2
4053p- 405.31' Washed Stone 1+96 tN OF
1+21 402' Y"'
q• 403.93' ,ci0I0 4''''
i i 403.93
pre 'a
o ¢
c:
1 Water Table oa RS.
at 399.93' 0•3 3 w
r F A' :''9sik • *'
Construction Notes
1. Septic tank should be Inspected
R20' R10' A CIO' L20' Lao' L40' SPECIFICATIONS and pumped anuolly.
408' ALL MATERIALS AND CONSTRUCTION MUST BE 2. Inlet and outlet tees must
Existing Ground IN ACCORDANCE WITH COMMONWEALTH OF extend 14' and 24' below the flow
>2' Line MASSACHUSETTS DEPT. OF ENVIRONMENTAL line respectively,
PROTECTION STATE ENVIRONMENTAL CODE 3. Topsoil and subsoil must be
2' T- TITLE 5. removed to a distance of 10'
I
Calculations around system
13.6' i 404' For a 5'
4 For a 5 bedroom house with a garbage PROFILE
4, grinder a capacity of 825 h gal a
G. T Designed ATI SYLVESTER RD. Mi RiHAMPTON MA
6' Slope CalMatiwn 402' 3 Leaching trenches 75'L X 2'W X 1'
Slope X 150 = Distance below inlet (effective depth). Hp FNbz Enterprises, Inc For.Kevin Oita
4' 1/12.5 X 150 = 12' 8 min/Inch with a percolation rate to of 69 Pelham Rd. xaCar Plm NA 01039
B nm/Inch with a sidewall and bottom Amherst MA 01002
400' loading factor of 125 and 0.63 gal/sq.ft. (413) 2566-6000
respectively. SCALE' NOk 1'N0D'
Water Table Slderal•6 sidesOS'X19L25 gal/sq.ft. = 5625 gal 0ra BP P. Poioc •OR 1•H3.0•
39E' Hottom'3 bottons()5'X2').63 gal/sq.ft. 283.5 gat FyER 3 d 3
Total'
846 gal. 20 April. 1990
1 4
Property Line
IP Found
Pil110'
73'
r
NOTES
Existing I L TBM IS TOP OF WELLC420')
TBM I 50, HWSE i 15W 1, Septic Tank
200' OFOTHERLEACLH AREA AT
I + / THE TIME OF SURVEY.
I / / I IP Found
126, 'f!'s.. -r 1 f I
6. I I jt a,.
I })�/ I j LEGEND
170'\7•b/1k4 1 ,t \4' jaj, OPT PERCOLATION GEN TEST
Li 11 I tl/+ 11 Alt DEEP TEST PIT
A i \ I + Distribution Box /SO k4f„ �� CONTOUR
S
! 1 ! ! I fr -
1 1 1 I I q Y � -
1 ! 1 I 1 j I 3 Leaching Trenches i 1O4 R''
1 1 r 1 1 1 ea
! 1 1 I 1 I ! 75' Long x 2' Wide X 1' Helow inlet % +
II 1 4' Separation Between Trenches '^.,,• *•..•'•
1 f 1 1 �;e
1 1 1 1 / / ++II
1 I 7 r / / *Pj± /
1 1111 / M(i� !1 7 Reserve DETAIL OF SEWAGE DISPOSAL SYSTEM
11 1
11 111 r �1 + ATi SYLVESTER RD., NORTHAMPTON, MA
CU o c o In nut RRRRPFa¢ we FORS KEVIN OTTO
+ 69 PELHNI RR 2 CIDER MILL RD.
a a a a ANeMST M. M042. HHYDENVILLE, MA 01039
d13 3256-003:1
DRAWN BY P. RQUS SCALD CAP
19 IPR33951) PAGE t IT 3
1
1 P
•
384.03' 25925'
I
I o
en
0
19543'
1.0T 1 I
co
co
I 8.97 ACRES t ca
(390,733 SOFT.) 3044,
v, w
o t-
rn
LOCUS OF DETAIL PAGE 2 °o W
ui >
n J
y ,a',t �OG`'.
1004.65'04.65' ° n z •'SA
Plan aDJ' c•n• •-
Alta
o the ' F I q l:.dsn^ o°lcww
subject to the follow ••
LOCUS OF SEWAGE DISPOSAL SYSTEM
IIIEMZU
liMaintal
s ct as