301 Septic Permits & Soil Eval form AMHERST CIVIL ENGINEERING
PO Box 3312, Amherst, MA 01004-3312 (413) 256-3400
November 25,2007
Ernest J. Mathieu
Director of Public Health
Board of Health
City of Northampton
212 Main Street
Northampton, MA 01060
Re: Repair of Septic System serving 301 Coles Meadow Rd., Northampton
Gregory J. Laporte,owner
I hereby request that the Northampton Board of Health grant a variance to its regulation that the
area requirements of all proposed soil absorption systems be increased by 50%in order to
accommodate any future installation of a garbage grinder. Granting this variance will allow the
installation of a replacement soil absorption system at the address specified above that is sized to
meet the Title 5 requirements for a three-bedroom house without a garbage grinder. This is a
three-bedroom house and the owner will remove the garbage grinder now installed in this house.
It is not possible to provide a soil absorption system at this site that provides a 50%increase in
area over and above the area required for a three-bedroom house because there is not sufficient
available space that meets the Title 5 requirement that sewage disposal systems be located in
areas where there is at least a four foot depth of naturally occurring pervious soil below the entre
area of the soil absorption area[310 CMR 15.240(1)]. The test pits indicated that the area of the
proposed leach bed does meet this requirement if the B-horizon is included. However,the area
to north of the proposed each bed is unsuitable due to a steep slope and, by the report of the
previous owner,the area to the east and south of the proposed bed is unsuitable because the soil
above the bedrock was built up with fill in order to extend the level area of the back yard. Test
pits confirmed the presence of till.
In conclusion, the leach bed proposed on the accompanying plan takes advantage of all the
available space that meets Title 5, 310 CMR 15.00 requirements for locating soil absorption
systems.
Thank you for your consideration of this request.
Very truly yours,
Richard E Costa P.E.
Robert Stover
V k ae /za•
S Via
NORTHAMPlDN BOARD OP ALT
PLAN APPRO ON
Ernest I. Whits,RS..MCAM S.CO.
Director of Public Bran
Tel.413.527-1214
FORM II - SOIL EVALUATOR FORM
Page 3 of 3
Location Address or Lot No. 3f) j Cola f/ILmdo-zi r Ed
No c.AAAAto- r,
Determination for Seasonal High Water Table
Method Used:
❑ Depth observed standing in observation hole___._.... inches
❑ Depth weeping from side of observation hole inches
Depth to soil mottles >51 inches
❑ Ground water adjustment feet
Index Well Number _. ..... Reading Date _.
Index well level
Adjustment factor Adjusted ground water level
Deoth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring pervious material exist in II areas
observed throughout the area proposed for the soil absorption system?
If not, what is the depth of naturally occurring pervious material?
Certification
I certify that on ./1993 (date) I have passed the soil.evaluator examination
approved by the Deportment of Environments Protection and that the above analysis
was performed by me consistent with the required veining,expertise and experience
described in 310 CMR 15.017.
Signature f . - -W44 'tzDate _ (47/2-10i
rtant:
fang out
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Commonwealth of Massachusetts
Cityipewil of f\ or-I4natv..io Ic
Certificate of Compliance
Form 3
DEP has provided this form for use by local Boards of Health. Other forms may be used, but the
information must be substantially the same as that provided here. Before using this form,check with
the local Board of Health to determine the form they use.
rm3 dac•06/03
This is to Certify that the following work on an On-Site Sewage Disposal System
❑ Construction of a new system
Repair or replacement of an existing system
❑ Repair or replacement of an existing system component
Has been done in accordance with Title 5 and the Disposal System Construction Permit(DSCP):
DSCP Number / DSCP Date
CaretrI Lyo
Facility 3Owner
�% LS VV
Street Address s a Lot#
Or-4n CIAMID I 64 1 Alik
City/Town State
Designer Info mation:
P N.d-tr
Namr
Sign lure
Installer Information:
o/two
Zip Code
4",r:572 c* JLL ety; 7 eerie:*
Name at Company
Y� ts/Oe
Date
Name
Name of Company
Signature Date
Use of this system is conditioned on compliance with the provisions set forth below.
The issuance of this certificate shall not be construed as a guarantee that the system will function as
designed. lj - S l 0 + P2A-9)4i /
Approving Authority
Signature
ARTIST I. MAT9IEO, RS, M.S., C .0.
DIRECTOR OF HEALTH
Date
Certificate of Compliance•Page 1 of 1
FORM I1 - SOIL EVALUATOR FORM
Page 2 or 3
Location Address or Lot NO 3o 1 Co 104 eitt2. 4
Nor 4A“1-ffer+i
On-site Review
Deep Mole Number _. ,._ Date:-J O%7-/D% Time: j t 3O Weather S 7-"W21517-‘) BOG
Location (identify on site pie2) ._._ _S.ep. FP-41.A
Land Use frS 1� L')r°�c valid Slope (%) 2. Surface Stones LT). -y.._.Ltged.e,�1._�QAdsr
Vegetation !t-Cd 04.6 / /-.�r /wf.S��2f-04,L {�_ _—_
LarWrorm _.J tdrsn C aTh beallCAt - _.._. ._;..
Position on landscape (sketch on the back)
Distances from:
Open Water Body ?yo feet-f Drainage way A crn2 feet
Possible Wet Area IOC feet ± Property Line 41° feet '~
Drinking Water Well 20D. - feet'+ Other
DEEP OBSERVATION HOLE LOG
Depth from
Surface !Inches)
Sod Horizon
Sod Tenure
(USDA)
Soil Cola
(Muns&ll
So"
Mottling
Other
ISauctae,Stones,Boulders.[eminency.
Greve()
y - 18
1B -5Z
eivv
G
►o•R313
Atka.,
is YI-16
flea-
Fria LB.
is 6 ix) iktany S'iI+'^°a-
•MINIMLAA Or 2 HO1 LLS�p Rto AT1tk�O�LAY
,�PAOPOSID DISPOSAL AR.A
Ps Meenia!geologic -"TI Il St "tat�L •
OIbt Grwatlwatar: Standing Ws N the Hob: ✓1 ow-
str Dee saaew Nigh Gram Want.
S
osplhaaseudc S 2. n
Weeping Fan Pit Faa: 0.2• s.L
DO APPIOVr PD{M.LinnIn
Location Address or Lot No.
FORM 12 -PERCOLATION TEST
3o) Coles.. w" eel
COMMONWEALTH OF MASSACHUSETTS
IJorAclink Massachusetts
Percolation Test
Date: ....(.Dill/07 - Time: ._:.JD.;N3.__.__'
Observation Hole #
Depth of Perc
2 ' I I l
is n
Start Pre-soak
10;q3
t I : 65-
End Pre-soak
0 :6/
11 la
Time at 12"
l 0 SG
H,
Time at 9"
(L 13
11 ;2-°(
Time at 6"
11 ; 97
Time (9"-6")
Rate Min./Inch
• Minimum of 1 pe colation test must be performed in both the primary area AN
reserve area.
Site Passed g Site Failed ❑
Performed By:
witnessed By:
Comments'
S
Zn%er" 5-1.8✓er
El-nesf- Alad ;A«
ii< Z f2-eh.c e4 8 h ✓�-itan
WINVIWVIDTMM-Wfly
No.
FORM 11 - SOIL EVALUATOR FORM
Page 1 of 3
Date: rola 107
Commonwealth of Massachusetts
No r-4-6mnplon , Massachusetts
Soil Suitability Amssment for On-site Sewage Disposal
Performed By: R-06erjr —5±over
Winansed By. E 064- +4b7c..x
Date: 1 all2 1°7
li
a--...... ?a i Oqes tilatdaw 40.
l
ew Construction 0 Reflir [
Office Review .
Published Soil Survey Available: No 0 Yes A -
Year Published • Il'8.1 Publication Scale I : 15 gig° Soil Map Unit d4 C
Drainage Class .6' Soil Limitations
Surficial Geologic Report Available:No 0 Yes 0 i'l■th kJ 449a 4.-6-4' ---= >Co•et
Year Published Publication Scale bte-*)\-te-k. = > 4c,'
Geologic Material(Map Unit)
61r63 4 inn( taper-k,
_761 coks wibutt4
D(640
- 72-9 3
landform
Hood Insurance Rate Map:
Above 500 year flood boundary No 0 Yes 21
Within 500 year flood boundary No ales 0
Within TOO year flood boundary No Nies 0
Wetland Ant
National Wetland Inventory Map(map twit)
Wetlands Conseriancy Program Map(map unit)
Cument Water Resource Conditions(USGS): Month
Range Above Normal 0Normal 0&i0 w Normal od Lpe7
Other References Reviewed:
102 APROVID 10114•urn
-
FORM 11 - SOIL EVALUATOR FORM
Page 2of3
c-kne .A.stl-ann
Location Address or Lot No 3o( Co Its YkaiOW IFID
On-site Review
Deep Hole Number _..I Date: /t7/12Io7 Time: .q ,?0 4M Weather .OVCrCaS+ Ca0°
Location (identity on site plan) ---. .eSP.tz--. 2x'1 _. �,
l�......_...
Lend We fPS iAA 54,14 ,, trUP Slope (%) 2 T.+ Surface Stones _ 4 .4K I .<cwT!9
Vegetation Sexalo<JLj rcce,..cat
Landform
Position on landscape (sketch on the back)
Distances from:
Open Water Body jet leett Drainage way IUV`L feet
Possible Wet Area tr'fl feerr- Property Line 'Ia. feet
Drinking Water Well 2tv feet-Y Other
DEEP OBSERVATION HOLE LOGe
Depth horn
Surface finches(
Soil Horizon
Soil Texture
(USDA)
Sail Color
(Monsel)
Soil
Pooling
Other
IStructae.Stones,Boulders. Consistency.%'•
IS
L-1 - IS
18— 5i
Qjyt/
G
Art_
rS.4-
FsL''
10Y03
IQYR4J4
f r)ne
f^�
Fria tC
N',w 1
rr., ,Dle . kn.,.
MINIMUM Vr L Tltt ncu✓rncv n. c.cn. ,,.y.--.. ... ---
Parent M.ruriel(g• bi J - I orate fxJYOZ Deosweevai: 37-Z—"
•fir. Standing Water S.the Hole: P1 Weeping from fit Fro:.
Simms! Soma* !!Iph Ground Water: �`
•
•
S
MS ARnOrm POSH 12101/95
Commonwealth of Massachusetts
City/jewrrof Nor ,N °
Application for Disposal System
Construction Permit
Form IA
9-0.0 7 (Z
Number
s
JOed
B. Agreement
The undersigned agrees to ensure the construction and maintenance of the aforedescribed on-site
sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and
not to place the system in operation until a Certificate of Compliance has been issued by this Board
of Health. q �j
it, / Cal
Signame (/ V Date 2
Application Approved By
Fee
a4CI-r41227
Name Date
Meer 1. MEM. RS, MS, UM
(SP CTOR OF lam
Application Disapproved for the following reasons:
i/72_67,4 7
t5fonn I a.doc•06/03 Apolicaton for Disposal System Construction Permit•Page 3 of 3
artant:
n filling out
s on the
outer, use
the tab key
s your
n
-do not
be return
12a.aoc 06/93
Commonwealth of Massachusetts
City/Town-of /V'cr-04 ai ,t pi0 1
Disposal System Construction Permit
Form 2A
Number
DEP has provided this form for use by local Boards of Health. Other forms may be used, but the
information must be substantially the same as that provided here. Before using this form, check with
the local Board of Health to determine the form they use.
Permission is hereby granted to:
CI rfq or
Name J Name of Company
3D, o[.es /%'ieac/tw Ed,
Address
j1/or {( ua LpL OIO60
Ciry4own State Zip Code
to perform the following work on an on-site sewage disposal system:
❑ Construction
epair or replacement
❑ Repair or replacement of system components
Fadliry Address
GC-7 State• La Pbe (413) 33E- 7 22 z
Owner Telephone Number
The work to be performed is further described in the Application for Disposal System Construction
Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions
or special conditions:
All constr
Approved by
Title
ust be completed within three years of the date below.
-11115T 1,DIRECTOR EOf HEALTH GR.O.
Date
Disposal System Consbucbon Permit Page 1 of 1
Important:
When filling out
forms on the
computer, use
only the tab key
to move your
or-do not
use the recum
key.
Commonwealth of Massachusetts
City/Town of A)el—1 L,at,,iot07
Application for Disposal System
Construction Permit
Form 1A
0762,7— it
Number
$ So . 00ed
Fee ZZ
DEP has provided this form for use by local Boards of Health if they choose to do so. Before using
the form, check with your loco Board of Health to make sure that they will accept it.
A. Facility Information
Application is hereby made for a permit to:❑Construct a new on-site sewage disposal system
Repair or replace an existing on-site sewage disposal system
i]Repair or replace art existing system component
Frmgescr.P sys4E14 is no-f sot-Cable
1 Location of Facility:
�M � _roc a26aae �,Spcsc.Q' .
30 1 Coles 01-ea s'.tr r O
An Address or Lot 4 11 vt�j•{-nom
O t�T✓la." 't
Gn'rown
State
oOGO
C
ZO Code
2. Owner
Own eyr Information
/reito Dr /'k- ( ti d J %, Y
144. 01 601
Name
So a caeur n is--Address(i:different from above)
wpp
c Cp..
Cm: car:Town
p !h 3744^
01 R
Installer Information
T h%. Co
Name
n/I4 oio6o
State Zip Code
CH 13) 3? - 7z42
Telephone Number
Name of Company
wares
if logg
City/Town - State Zip Code
tu — �6 2 SSG
Telephone o Number
4. Designer Information
e_cc.keN.O1E ,C_CS�( t re/C ber4- S{ot/er Awt G.arst [;tai I Evt�ikt eeyi h'
Ncrie Name of Company
P e. Sox 33/2
Address
A v, h-.ers
Cityaown
614 Dloey 33IZ
State (9 )2-5 G Z�p.3L/ct
Telephone Number
t5`orm I a.doc•06/03 Application for Disposer System Construction Permit•Page 1 of 3
Commonwealth of Massachusetts
City/Eewn of wer-I,a-.- P
Application for Disposal System
Construction Permit
Form IA
2av7 -iz
Number
$ SU •eve,
Fee
ch_tigt. 22-7
A. Facility Information (continued)
5. Type of Building:
Dwelling
Other:Type of Building
❑ Showers
Specify other fixtures:
6. Design Flow:
Calculated Daily Flow:
7. Plan:
p.. ,
Number of showers
!JD
❑ Garbage Grinder(check if present)
O-"j C-taNbu DiSF05aI
gr rewNeuei,
❑ Cafeteria
Number of Persons Served
❑ Other fixtures
33o , oa
Gallons per Day
332. t0y
Gallons
It/ 23 /07
Date of 0 ginal
Number of Pei en% c4 t.,� C `] , ,e 4tv.i sion Date �z, , .
'rte of Plan I T
8. Description of Soil: q
44 a t L2-00
9. Nature of Repairs or Alterations(if applicable):
C-911 Q uml jn i .- p-t,t.+�.� ��.s+� L -`\� pvmj -eJ/Oen*
'Yti'a,„ -E.X iS'{r✓l _se_pit,' 4a,.,k C 660 (60i) 4-6 vn.:.o-
9l1ttj i•aecQ Ct8r c 235 ;h back l-faA.61l
10. Date last inspected:
nt a doc•06/03
Date
moo +
Application for Disposal System Construction Permit•Page 2 of 3