589 Septic Inspection 2002 BOARD OF HEALTH
MEMBERS
YNTHIA DOURMASHKIN,R.N.,Chair
ROSEMARIE KARPARIS,R.N.,MPH
RICHARD P.BRUNSWICK,M
PETER J.McERLAIN,Health Agent
CITY OF
NORTHAMPTON
MASSACHUSETTS 01060
OFFICE OF THE
BOARD OF HEALTH
210 MAIN STREET
01060
Tel:(413)587-1213
Fax(413)587-1221
eptember 6, 2002
largaret Ducharme
95 Kings Highway
Jesthampton, MA 01027
E: Sewage Disposal System Inspection 589 Spring St.,Northampton
year Mrs. Ducharme:
he Northampton Board of Health is in receipt of a report on the Subsurface Sewage Disposal System Inspection
Inducted by Ray Champagne at 589 Spring Street,Northampton on August 29,2002. That inspection report indicates
at the subsurface sewage disposal systems at that address fail to protect the public health and the environment as
efined in Section 15.303 of CMR 15.000,State Environmental Code,Title 5.
herefore, in accordance with the provisions of 310 CMR 15.000 of the State Environmental Code, Title 5,and under
ithority of Massachusetts General Laws,Chapter 2IA, Section 13,you(or the subsequent owners of the property)are
ereby ordered to repair the failed septic systems at 589 Spring Street within two (2)years of the receipt of this
otice. If further degradation of your sewage disposal system occurs(e.g. sewage flowing to the surface of the ground),
ie repairs will be required sooner. Note: If access to the city sewer system is possible for this property you must
ten have the dwelling connected to the sewer system rather than having the failed septic systems replaced.
11 work to repair/upgrade the subsurface sewage disposal system must be performed by a licensed sewage disposal
/stem installer, in accordance with the requirements of 310 CMR 15.000,and with plans approved by the Northampton
oard of Health. If the dwelling is going to be connected to the sewer system you would have to obtain a sewer entrance
ermit from the city Department of Public Works.
lease be advised that you are entitled to a hearing on this order to upgrade your subsurface sewage disposal system,
rovided that you file a written petition requesting such a hearing in the Board of health office within seven(7) days of
ie receipt of this notice.
lease feel free to contact the Board of Health office, at 587-1213, if you have any questions concerning this matter.
hank you for your anticipated cooperation in this matter.
ery tmly yours,
eter J. McErlain
ealth Agent
ertified Mail # 7001 2510 0004 8173 5471
Whiteley Septic Systems
133 Middle Road
Southampton Mass.01073
Phone (413) 527-1835
City of Northampton Ma.
Board of Health
This inspection was done for a Margaret Ducharme who is executor for the estate
of Her deceased brother. Margaret also informed me that another person is on the deed
for this property and Her name is Phylis Moat, of address unknown. Margaret believes
somewhere in Florida.
Margaret claims that Bill O'Neil of 351 Pleasant St.Northampton is representing
Phylis. My understanding is Margaret and Phylis are not communicating.
Margaret Ducharme,s address is: 195 Kings Hwy.
Westhampton Mass. 01027
Whiteley Septic Service
Ray Champagne
133 Middle Rd.
Southampton Mass. 01073
Phone: 527-1835
:EO PAUL CELLUCR
rraar
E SWIFT
.tenant Governor
COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
DEPARTMENT OF ENVIRONMENTAL PRO
ONE WINTER STREET, BOSTON.MA 02100 619
SEP 5
L,'4 ) __BD.d D +GRAND
e'Bt oHMART OF Ne0F ietary
ON LAUREN A I2SS
Commissioner
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
�c� �) PART A 1
e / S,0N.Ue 5'F,/`"O r�'/lAM O /i. "l �UC�AV MQ. �ICeG6t'�
^I V Name of �Ar 'o-r� µmy WPa (f
Properly /Andreas: Address NA ei S Kut 4-&An1
owner /� tro/j A,^Me_ �Cti.-,tsr.d) m.o s5.
Date of Inspection: I
Noroactlnspector.(Please Print) /•BALI C11nm p A-5 E
I am a DEPtappippel system pyrsuantto Section 15,940 aiTitle 5(910 CMR 15.000)
Company Name: / trey, is aerul��
Mailing Address: /3'4 M2 c4/4 d -Yo414174-4/004U )n.4 °/0 "
Telephone Msnber. yL3 SRL/59 36-
110 CUntrarrFec ti Fe
CERTIFI ATION STATEMENT
1 certify that I have personally bspected the sewage disposal system atthis address and that the adormation reported
below is tore,accurate and complete as data thee M inspection TM Inspection was performed based an my training
and experience in me proper function and maintenance or en-site sewage disposal systems. The system:
Passes
_ Cmsdb7lwaNy Passes
Needs Further Evaluation By the Local Approving Authority
Fails
inapeetots 5goature: ._L —'
Date: 836—az-
The System Inspector dull submits copy ofthat Inspection report to the Approving Authority(Board et Health or
DWyefh01 thirty(30)days of'impietbg this atapectisa Mlle system is•doted system or has•design flow of 10,000
PPS or greater.the hspcdor and the system patter sloe submit the reps nto ineapp eopriate regional WIGS ctme
DepaMmntorEnvironmental Protection. The original should be mato the system w wines and copies sotto the buyer,
INIPP6cable.and the approving authority.
111 NOTES AND COMMENTS 1) T't.s eiule.A%+A� t _%irutcej b4 a sS..p+.c, TN+3hA
OT4 av-e. ,(J f"'o Griu A<+rl %¢4�,ASC Erne- /00056/ %+1u 4- 9 anti' S'a., Sa7 pawls ,
2\ so, �( °"AJr_ G80% P hl e f. 50 Lads .a ppea r-rod Yo be_ 2a,60r,1.
s) PO 1424 CIA it 'ndkeut.i o< plre+.: aiiAclr ed.)
q) NO -ckkicJs '+tf !A E s �e. a To le Acl, q .4s emu+le+
c` hN a +s
µre d6•1, *rue) i7u:J leee(s ,4 e_ 5alcdu o LA-7e+
TIM informal un.I.br in diemrmforma by falligeur ADA Cmrdinlor Si(617)574-W2DEP On 0e WorlWde Web
MpAteart mgneisutema.us$dep
SUBSURFACE SEWAGE DISPOSAL SYSTEM ifiSPZC='-i. —"
PAM A
• CERTIFICATION(continued)
4.89 S , ,� sr . A tharnp+c,v ma._
f r
"r ty Address: i ,
Owner. aft ..4.01 1Do444rme (de e.rs.J)
Date of Insoectlon:9—Z8—OZ
INSPECTION SUMMARY: Cheek A, 8, F,
A. SYSTEM PASSES:
1 have not found any
exist Any fafure cd
COMMENTS:
tiw,which indicates that any 01tia failure conditions described In 310 CMR 15.303
not evaluated are indicated below.
B. SYSTEM CONDITIONALLY PASSES:
One or more system components as described in
repaired. The system,upon completion of the
pass.
Indicate yes,no.or not determined(r,N,or NO).
explain why not.
_ The septic tank is metal,unless th
of•Certificate of Conp4enee
years prior to the date of the
structurally unsound.shows
system will pass Lapeelion if
approved by the Board of
"Conditional Pass"notion need to be replaced or
cement or repair,as approved by the Board of Health,will
basis of daMmkatke in ail instances. H'not debrminee,
owner or operator has provided the system inspector with a copy
d)Indicating I M the tank was installed vAthIn twenty(20)
•er the septa tankc weather or not metal,is cracked.
Inmratbn oredltratlon.or tank future is knmined. The
existing septic tank Is replaced with a complying eepBc tank as
_ Sewage backup or
broken at obstructed
pass bspection if frith
abs
d
or high static weber)oval observed M the diablbotkn boa N due to
)or due to•broken,settled or uneven 6strauUon box. The system will
roved at the Board of Health).
pipes)are replaced
Is removed
n box is levelled or replaced .
The system • . ,. pumping more than tour times a year due to broken or obstructed M,e(s). The
if(with approval of the Board of Health):
pipes)are replaced
obstruction Is removed
SUBSURFACESEWAGEDISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 69 Spri.� 54- QO Aropinv ma,
owner. Uiilh .n 0UC4nrm_(cdeceased)
Date of Mopes-Dom B_ge_OZ
C. FURTHER EVALUATION IS REQUIRED BY THE BO SRD OF HEALTH:
Conditions exist which require further
Talhg to protect the pubbc heats,safety,
1) SYSTEM WILL PASS UNLESS BOARD
(1)(b)THAT THE SYSTEM 15 NOT
AND SAFETY AND THE ENVIRON
by the Board of Heats In Order to dalermYne If the system Is
mrWannrnt
HEALTH DETERMINES IN ACCORDANCE WITH 310 CMR 15.505
NG IN A MANNER W/BCH WILL PROTECT THE PUBLIC HEALTH
Cesspool or privy is wI#i 50 feet or surface water
Ceaapool or privy 501eet of a boWerbg vegetated wetland or a salt mart
2) SYSTEM WILL FAD UNLESS THE BDARDOFHEALTH(AND
THAT THE SYSTEM 15 FUNCTIONING IN A MANNER THAT
AND THE ENVIRONMENT:
3) OTHER
The system has a septic tank and soil
surface water supply or trio utary to a surface
The system has a septic tank and 300
water supply well
The system has a septic tank and soil
water supply wed.
The system has a septic tank and
or more from op/Nrattwater supply
volatile organic compounds
parsons.of ammonia nitrogen and
determine distance (a
WATER SUPPLIER,IF ANT)DETERMINES
THE PUBLIC HEALTH AND SAFETY
system(SAS)and the SAS is within 100 feet of a
swWY.
system and the SAS Is within•Zone I of a public
Limn system and the SAS la within 50 reel ofa private
system as the SAS Is less than 100 feet but 50 feet
unless a well water analysts for=Worm bacteria and
the well It foe from pollution from that fray and the
nbogen Is equal to or less than 5 ppm. Method used to
not cold).
SUBSURFACE SEWAGE W SPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(conl^Wed)
Property Address:-5- y Jprd'tick Si. IVur-Ih.nnip-{c"✓ /)1P.
Owner: �r lhazn Do c�1/kr M2 eceASecl)
Date of Inspection: 1_ as_01
D. SYSTEM FAILS:
Y lhave datennYwd Malone or more of the following ire conditions aOStMdescribedIn310CIP115.303-
Thebasisfortldsdetermination is Identified below The Board of Health should be contacted to determine
what will be necessary to correct the failure.
Yes �14
c
Qi
Backup of sewage Idofac ity or system component due to an overloaded or clogged SAS or
cesspooi-
D ischarge orpondfg 0f effluent tO the surface ofM a ground asatere waters due to an overloaded
or clogged SAS or cesspool
Static liquid level In the distribution box above outlet Insert due tan overloaded or clogged SAS or
cesspool.
Liquid depth in cesspool is less than r below Invert or sealable volume is less than 112 day flow.
Required pumping more than 4 tines In the last year wr due to clogged or obstructed plpe(s).
Number of tines pumped_
Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation.
Any nation eta cesspool or privy Is 1eIa`im 404 tet e(a surface water supply or tributary to•surface
water supply.
Any portion of a cesspool or privy is within a ZoneI of public well.
Any portion of a cesspool or privy Is wNdn 50 feet of private water supply well.
Any portion of a cesspool or pffvy is leas than 1001estbut wester than 50 teeth.= �acceptable,
guppy wed with no acagRabie water Wages analysis. *Medea has been annaiy ab
attach copy of well water'analysis for coMUrm bacaria' compounds,
nitrogen and nitrate wlrogen.
E. LARGE SYSTEM FAILS:
Yoe Must Meats either-Yes-or'Ne'to each of in rrmtlwaaMeriaahaga:
ThefaMCwing criteria apply tolactic
The system senses a facility with a de I10 flow of 10,000 g-d or geaulweaora or more System)d the system Isa
significant groat to public health safety and the environment
conditions exist
Yes No the system is within feet of a surface thinking water supply
the system Y 200 feet of a tributary to a surface drinking water supply
Me systems ted in a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a
mapped Zone 11 a public water supply well)
The swrera operator af any su system shalt upgrade The systerf%n ac°wdO1Wawite S10 MR 15-3043/421- Please
consult the local regional office the Depariment for further hdonnatlon.
A
0
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART S
CHEMIST
Jr�7 3)/rl.:O 51. »or'+"N"nt,dc
.'
Property AddrIgfsSsa ✓YIF)
owner: 1.4.,a ^t.* dr¢ Pece-4-Sei)
Date of Inspection: 8 29 L
Check if thefWowing have been done:You must indicate effter'Yai or'NO'as to each WON folbsenG
Yes No
%f& Pumping information was provided by the owner,occupant,or Board of Health.
_ None of the system component have been pumped for at Ieastbwo weeks and the system has been
receiving normal lbw rates durbg that period. Large volumes of water have not been introduced into
the system recently or as part of this bepec :In.
As built plans have been obtained and examined. Note if they are not available with NIA
The facility at dwelling eras inspected ear signs of sewage back-up.
The system does not receive non-sanitary or industrial waste lbw.
The site was Inspected for signs of breakout
All system components,excluding the Soil Absorption System,have been located on the site.
41( _ The septic tank manholes were uncovered,opened,and the interior of the septic tank was b,spected
for condition of baffles or tees,materbl of construction,dimensions,depth of liquid,depth ofsludpe,
depth of scum. gva�am _
The sizaardct, on of a Sail Abaornii eld:t the she — pass stat .z.s.e- I •
$U
To ea act,row ofthe: mti, ,ptic e. 9y3f03 b — Qtennj d
kg— Existing information.For example,Plan at B.O.H.
_ Determined in the field(If any nt the failure criteria related to Part C b at issue,approximation of
distance is unacceptable)I15.302(3)(b))
[Jj1/4 The facility owner(and occupants,11 different from owner)were provided with Information on the
proper maintenance of Subsurface Disposal Systems.
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION IDRM
PART C
SYSTEM INFORMATION
propedy Add jjg.n�,56157 5;2- v SF- No-'hanip+c.v
Owner Le IRA m tiiAvm e..
Date of Ias.ection:g 2 9-G,t
FLOW CONDITWNS
RESIDENTIAL
D.YpnlmM w: .p.dAWroot9.
timber Wbedroaars(detwO:It Bordner atbedrooms Decthao):i
TotS DESIGN flow NR
Number of currant
Garbage grinder no).-'r }Aer[s
tawdry(tattering system) (Yes'a✓.—: N yes.separate inspection required
Landry system (yes w no ,
Seasonal use(Mess :JO
Water meter fle�{q.,jm,p�1eBast yt�wo years usage(god): -A/1oi- .aua Jed 41 tt.
Sump Pump _tat((�l.'TV'r 11JAvks nsu b& or"wt (Nell
Last data of occupancy:14)4 (,r�r.{
t• ,aL .-s sue.S/1"
AL
Type of establ
Design flow: (Based on 15203)
Basis of design
flow
Grease trap . :. (yes or no)_
Industrial Holding Tank present(yes or no)_
waste discharged to the Title 5 system:(Yea or no)_
Water me r readings,if available:
Last da `of occupancy:_
OTRER:(Describe)
Last date of occupancy:
PUMPING RECORDS and source d information:
ERAL INFORMATION
System pumped as part of mspectioo:(Yes et/
Wyss,.diaaept 'pet_rapes
Reason for pumping:
TYPE OF SYSTEM
_X Septic tanMdfatistitdienasskoil absorption system
_ Single cesspool
_
Overflow cesspool
Privy
Shared system(Yes ar no) Of yes,attach previous Inspection resat.11 any)
SE Technology ate.Attach copy of up to date operation and maintenance contract
TIght Tads Copy of DEP Approval
Other
APPROXIMATE AGE of all components,data mdwled(if'mown)and source of information: ate t f JS
Sewage odors detected when arriving aids aflc(yes a(l(10
KJ
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: \
5�9 SPnh. ▪ s� tjor ktm4) k u PiA.
Owner: [S%r 1114 m YU ch.* e-
Date of Inspection:6),..219
BUILDING SEWER:
(Locate on site plan)
D epth below grade:t
Material of construction:Scat bon 40 PVC Sather(explain) 4'C'(.&4 is
Distance from Prate water supply wed or suction line C=Y.� /.UAi-e✓
D iameter_
Comments:(ouWidon ofjoets,venting,evidence of leakage,etc.)
din Poi.fecmm off- teak-49 e- a/as-0r✓e,,
SEPTIC TANK:_
(locate on ode plan)
Depth below grade:%
Material of construction:Sonerete_metal_fiberglass _Polyethylene_other(explaln)
N tank Is metal,list age Is age confirmed by Certificate of Compliance (Ye&No)
Dimensions: ifd'><d8 K4d' 6/ /or O.'o-t Tc.•.E 'e t
Sludge depth:_ 0`r
Distance from tap of Mudge to bottom of outlet tee or baffle:_
Scum thickness: 7'r
Distance from top of scum to top of outlet tee or baffle:_
Distance from bottom of scum to bottom of outlet tee or baffle:_
Now dimensions were determined:
bait/ Tria-)Es crr✓�� bsQro
cbud level b
h2.(0 L“ caul+ 10V✓e+>
Comments:
(recommendation for pumping,condition of Y.Ietapd outlet tees or baffles,depth or liquid level In relation to outlet Inyert,
structural Integrity,evidence of leakage,etc.) Caco.nm ex.d Ti.. i...4 04y -Se,s;v..- et h.c.it
- •.-e , •.z... £' - + - W/4r are+ Du
GREASE TRAP
(locate ohstep n)
Depth below .. de:_
Material of
_concrete_metal_Fiberglass _Polyethylene—ot het(exp1M4
Dirnensions
Scum
Distance
top of seam to top of outlet tee or baffle:_
Distance bottom of Scum to bottom of outlet tee or baffle:_
Date of last • coping:_
Comments
structural i -tinily,evidence of leakage etc.)
for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert.
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
per- 11.tmp+c.v (774 .
Property Address:529 SP n,C)
Owner. L()r&hew ,Pas%Rr'Pm a
Date of Inspection: 8-019—s1 2-
TIGHT OR HOLDING TANK:
(locate on site plan)
Depth below grade:_
Material of constructlon:
Dimensions:
Capacity: 9a
Design flow: B. ° day
Alarm Present_
Nano level: In working order.Yes No_
Dated previous . .hg:_
Comments:
(condition of in condition of alarm and Iloat switches.etc.)
(T must be pumped prior to,or at tkne of.inspection)
seta_metal_Fiberglass_Polyethylene—other(explain)
DISTRIBUTION BO%:_
(locate on site plan)
Depth of liquid level above outlet kryht
Comments:
(note R level and distribution Is/gnal,evidence of solids carryover,evidence of leakage into or out of box etc.)
PUMP CHAMBER:_
(locate on site plan)
Pumps in working order.etas
/Uanns In working order(Yea
Comments.
(note condition of pump
No)_
m,condition of pumps and appurtenances,etc.)
R
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
Property Address: -S'' / SP ua
timer1t/i114dt Du eft fir me_
late of Inspection:A_a9
:OIL ABSORPTION SYSTEM(SAS):_
locate on she plan,N possible;excavation not required,location may be approximated by non4ntrusive methods)
foot located,explain:
S'�JS Lto# E GRw446i .4s ,Vo flo.) 'ias Tel AIdi 7o The SAS
Score 71rne
SYSTEM INFORMATION(continued)
-Si- MN-43A mp+a... ONE
type:
leaching pits,number._
leaching chambers,number— erU e k--171 l.v er f.0 h e ul
leaching galleries,number._ CpvT/ay a rcr
leaching trenches,number,length:
leaching gelds,number.dimensions.
overflow cesspool,number._
Alternative system:
Name of Technology:
Comments:
(note��qitto Nu ,pore @
m soil,condition of vegetation,etc.)
the Area '5 a SKly (/e6eft .4e4
CESSPOOLS:
(locate on site plan)
Number and configuration
Depth-top of liquid to Mkt vert
Depth of solids layer.
Depth of scum layer.
Dimensions of
Materials of eons
Indication ofg dwater.
Inflow cesspool must be pumped as part of Inspection)
Comments:
(note condition of soli,signs
failure.level of ponding,condition of vegetation.eta.)
PRIVY:
(locate on site plan)
Materials of construction: (*pensions:
Depth of solids:_
Comments:
(note condition of soil,signs of h ulic failure,level of pending,condition of vegetation,etc.)
9
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
,rJ'('jo Sprsu�t Sf /Jor#A.antro+e.v ✓ 1N.
Pwnerly Add�gs9: V
Owner (,7)c II�A.n I�vch.a.-m c.
Date of Inspec0on:B aq.OZ_
SKETCH OF SEWAGE DISPOSAL SYSTEM:
Include lsndrnsrhs or barMdanarNs
olude Ilea to at least c pemwnenl
baste all wells wi hia 100'(locate where public water supply comes into house)
---8o4tt Iaa>Ls E% fc s ca Znr
in
®welll.uci
p
/0
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
St .Venlh.am pfc.. CAR.
reperty Address:Se q s'P r•'
wrner: ILAIlf ern Midi At.atc
Pate of Inspection:6, -.n--o T.
IRCS Report
ISMS
Bob Type_
Typical depth to groundwater
JSGS Data weMite visited
Observation Wells checked
Groundwater depth: Shallow Moderate Deep
iITE EXAM Slope
Surface water
Check Cellar
Shallow webs
:stimated Depth to Groundwater `/' Feet
rlease indicate all the methods used to determine High Groundwater Elevation:
Obtained from Design Plans co record
Observed Site(Abetting property,observation hob,basement sump etc.)
Determined from local conditions
Checked with local Board of health
_Checked FEMA Maps
_Checked pumping records
_Checked local excavators,installers
Used USGS Data
Describe how you established the High Groundwater Elevation.(MEM be completed)
/,WO-/er in Arks
obsere,ed S,&
o ,U Ce/&r wet l(9
,QWc ttLQl Area IUear.
Broke., Cloy Qip+- Yo t000 3
!✓I,1_t
takEnQ b 1 "a. rye/ IDS 00_5 f° i 1tt'°
/ag 000/ nVi_. { tog cos }al -F'
.
• ^a ,,,,,',5 ,. Qn, l aa 'Zing d/ F ann, -/a!-No ("alsq �. .9 1
- I-+'O +y, na . o..Q nobl lD: 00 S' a:l,aln 4&l n+1 o-, - - ^b! l �iFi
•
•
dal X41 - }al+^o Ival '1na,/_ a.
'YOla9 .,2 I •nal 'r' '1 / bog 000/ +71- r° .no/"l ,,t / - 7"-tL !dg