349 Septic Inspection August 1997 NORTHAMPTON BOARD of HEALTH
210 Main street,Northampton,MA 01060
Tek(413)5866958,Fatc(413)586-3726
Memo
To: Anthony Patillo, Northampton Building Inspector
From:Peter J. McEdain, Health Agent
Date: April 17, 1997
Re: Addition to Dwelling at 349 Coles Meadow Road
On 2/19/97 a septic system inspection was conducted Edward Miga P.E. at the
property of Cheryl Pasucci at 349 Coles Meadow Road. That inspection indicated
that the septic system was designed to accommodate a two, (2) bedroom dwelling
and was functioning properly at that time.
The Board of Health has received a letter from Ms. Pascucci regarding the building
addition proposed for that address While one bedroom is being added the total
number of bedrooms will not increase as one existing bedroom will be utilized as a
living room.
The Board of Health has determined that the existing septic system is adequate for
the proposed addition.
Please contact me if you require additional infomiation.
cc: Cheryl Pascucci, 349 Coles Meadow Rd.
• Page 1
Commonwealth of Massachusetts
Executive Office of Environmental Affairs
Department of
Environmental Protection
PART A - CERTIFICATION
arty Address: 1255 Burls Pit Rd.Northampton,MA
of Inspection: 7/31/97
tr's Name: Linda Rowley
:r's Address: 3 Hatfield St., Haydenville, MA 01039
to: Board of Health,Northampton
ng Address:
ess: none Number: SSDS-185
e of Inspector: Thomas S. Leue, Homestead Inc.
pany Address: 1664 Cape St., Williamsburg, MA 01096 (413) 628-4533
IIFICATION STATFMFNT
ify that 1 have personally inspected the sewage disposal system at this address and that the information reported is true,
ate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the
r1 unction and maintenance of on-site sewage disposal systems. 1 do not represent or warrant the operation or proper function of
/stem for any period of time. The system:
Passes
Conditionally Passes
Needs Further Evaluation By the Local Approving Authority
Fails
ctors Signature: Vlat Dater Altust 5 1997
d inspector has5a design s of copy this inspection tef to Approving r nd the system owner shall(submit the report to proprit Inspection. Ialof system
of is
Pr t g ppnbtte and to app lg authority.
ceof the
ment of Environmental ProlecAOn. The ariginel3laiAd be sent to the system owner and copies to Ito buyer,if applicable entl Cre epproveg autlwrity.
•ECTION SUMMARY: Check A,B,C,or D:
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.
tte 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 it(with approval of the Board of Health):
broken pipe(s)are replaced
obstruction is removed
distribution box is leveled or replaced
:d edition 04/25/97 Pagel Homestead Inc.
!rty Address:
r'$ Name:
of Inspection:
PART A - CERTIFICATION (continued)
1255 Buds Pit Rd., Northampton,MA
Linda Rowley
7/31/97
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
FURTHER EVALUATION I S 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:
I 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 50leet of a surface water.
_ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh.
) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(MD 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 l of a public water supply well.
_ 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 So teat 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 tree 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.
) OTHER
SYSTEM FAILS:
indicate either"Yes"(Y)or'No"(N)as to each of the following:
_ 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.
NO
Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool.
Discharge or ponding of effluent to surface of the ground or surface waters due to an overloaded or clogged SAS or
cesspool.
X_ 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 yearEW_idue 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 1001eet of a surface water supply or a tributary to a surface water supply.
X_ Any portion of a cesspool or privy is within a Zone I of a public well.
Any portion of a cesspool or privy is within SO feet of a private water supply.
1(_ Any portion of a cesspool or privy is less than 100feet but greater than 50feet Irom a private water supply with no
acceptable water quality analysis.
LARGE SYSTEM FAILS:
allowing criteria apply to large systems in addition to the criteria above:
_ The design flow is 1Q000 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 400leet 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(I W PA)or a mapped Zone l l of a
public water supply well)
iwner or operator of any such system shall bring the system and the facility into full compliance with the groundwater treatment
am requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information.
KI edition 04/25/97 Page 2
Homestead Inc.
arty Address:
!r's Name:
of Inspection:
PART B - CHECKLIST
1255 Buns Pit Rd., Northampton,MA
Linda Rowley
7/31/97
;K IF THE FOLLOWING HAVE BEEN DONE:
1. Pumping information was requested of the owner,occupant and/or Board of Health.
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.
3. As built plans have been obtained and examined. Note if they are not available with N/A.
4. The system does not receive non-sanitary or industrial waste flow.
5. The facility or dwelling was inspected or signs of sewage back-up.
6. The site was inspected for signs of breakout.
7. All system components,excluding the Soil Absorption System,have been located on site.
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(if any of the failure criteria related to Part C is at issue,approximation of distance is unacceptable)
[1 5.302(3)(b)j
10. The facility owner(and occupants,if different f rom owner)were provided with information on proper maintenance of
Subsurface Sewage Disposal Systems(SSDS).
IDENTIAL•
Design Flow:
FLOW CONDITIONS
unknown gallons/day/bedroom for SAS
_ Number of bedrooms
_ Number of current residents
_ Garbage grinder(Yor N)
_ Laundry connected to system(Y or N)
_ Season use(Y or N)
_ Sump Pump into system(Y or N)
Water meter readings,if available not available
Date of last occupancy' continurmv
MERCIAL/INDUSTRIAL•
Type of Establishment
Design Flow. gallons/day
_ Grease trap present(Y or N)
_ Industrial Waste Holding Tank present(Y Or N)
_ Non-sanitary waste discharge to the Title 5 system(Y or N)
Water meter readings,if available:
Date of last occupancy:
E8. (Describe)
gallons per day
gallons per day
Date of last occupancy:
td edition 04/25/97
Page 3
Homestead Inc.
rrty Address:
is Name:
of Inspection:
PART C - SYSTEM INFORMATION
1255 Rurts Pit Rd., Northampton,MA
Linda Rowley
7/31/97
PING RECORDS and source of information:
Pumned 5 years Ann from Owner's rernrdc
System pumped as part of inspection(Y or N)
If yes,volume pumped: 750 gallons
Reason for pumping: System insnertion and maintenance
Name of Septage Pumper: Karl's Fxcavating
OF SYSTEM:
_ Septic tanlaatimeemletlersoil adsorption system.
_ Single cesspool
_ Overflow cesspool
_ Privy
_ Shared system(Y or N),if yes,attach previous inspection records,if any.
• I/A Technology etc. Copy of up-to-date contract?
_ Other(explain)
IOXIMATE AGE of all components. date installed Of known) and source of information:
pate of ronctrurtinn 1972 from Owner's rernllertinn
ge odors detected when arriving at the site:(Y or N) N
DING SEWER: Y (located on site plan)
6. Average depth below grade
ial of construction: X cast iron _Sch.40 PVC _other(explain)
IL Distance from private water supply well or suction line
_▪ Diameter
vents: (condition of joints,venting,evidence of leakage etc)
'IC TANK: Y (located on site plan)
9. Average depth below grade
ial of construction: concrete_metal_FRP_polyethylene_other(explain)
laions: R'long hv 56"deep hv 4A"wide
limensions were determined: pleasured
_ (A) sludge depth
- (S) 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
nents: (recommendation for pumping,conditions of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,
ural integrity, evidence of leakage, etc.)
Inlet hafflp in nlare Outlet baffle had fallen into the tank Mid carrion baffle
deteriorated Tank rmmnletely filled with no air are Riser over inlet r1ean-out
previously used ae clean nut nnrt but this 1nrati n n r ovi des inadenuate arracs for
prnnar (=Alai tin Riser chows nrevinus evidenre of sn,m rise over normal tank
curfare Larne volume of water returned from learh rhamher when tank oumned
d edition 04/25/97 Page 4
Homestead Inc.
PART C - SYSTEM INFORMATION (continued)
arty Address: 1255 Burts Pit Rd., Northampton,MA
pr's Name: Linda Rowley
of Inspection: 7/31/97
1SE TRAP: N/A (Usually present in certain commercial systems)
below grade:
ial of construction: concrete_metal_FAP_polyethylene_other(explain)
esions:
- (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
lents: (recommendation for pumping,conditions of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,
ural integrity, evidence of leakage, etc.)
7 OR HOI DING TANK N/A (Special circumstances only)
i below grade:
ial of construction:_concrete_metal_FRP_polyethylene_other(explain)
esions:
city: gallons
n flow- gallons/day
level: _Alarm in working order—Yes' _No
nents: (conditions of inlet tees,condition of alarm and float switches,etc.)
RIBUTION PDX- N/A (locate on site pan)("D-box")
i of liquid level above outlet invert.
nents: (note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box,
emendations for repairs, etc.)
ADSORPTION SYSTFM fSASI:
Locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods. If not
determined to be present, explain'
leaching pits&number: nne chamber
leaching chambers and number:
leaching galleries and number:
leaching trenches,number,length:
leaching fields,number,dimensions:
overflow cesspool,number:
Alternative system,name technology:
Comments: (note soil conditions,signs of hydraulic failure,level of ponding,condition of vegetation,
recommendations for maintenance or repairs, etc.)
remcnt learh rhamher with nravel
d edition 04/25/97
Page 5
Homestead Inc.
arty Address:
rr's Name:
of Inspection:
PART C - SYSTEM INFORMATION (continued)
1255 Burts Pit Rd., Northampton,MA
Linda Rowley
7/31/97
CHAMRFRi N/A (part of pump-up systems only)
s in working order:(Y or N)
s in working order:(Y or N)
tents:(note condition of pump chamber,condition of pumps and appurtenances,etc.)
2P001 S; N/A (locate on site plan,if any)
Cesspools must be pumped as part of the inspection.
er and configuration:
i-top of liquid to inlet invert:
iof solids layer:
'of scum layer:
isions of cesspool:
ials of construction:
Mon of groundwater inflow:
(cesspool must be pumped as part of inspection)
nents: (note soil conditions,signs of hydraulic failure.level of ponding,condition of vegetation,etc.)
WA (locate on site plan,if any)
ials of construction:
osions:
of solids:
nents: (note soil conditions,signs of hydraulic failure,level of ponding,condition of vegetation,etc.)
rH TO GROUNDWATER: >72- 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
ribe in your own words how you established the High Groundwater Elevation.jMust be completed)
AnH infnrrnatinn nn noinhhnrhnnd ar<nmdwator ronditi(Inc
MENTS:
OURCES:
Department of Environmental Protection, Western Regional Office, 436 Dwight St., Springfield, MA
01103, (413) 784-1100; Title 5 Hotline - (800) 266-1122
;d edition 04/25137 Page6 Homestead Inc.
rdlildl muse re
/
Tz
0
Septic tank Leach tank
No known potable water source within 1001
.
Called North
As-built Drawing of Scale: 1 : 150 Owner: Linda Rowley HOMESTEAD INC.
Existing Septic System Note: 1255 Burls Pit Rd. 1664 Cape St.
Some Dimensions Approximated Northamtpon ( Florence) MA 01060 Williamsburg, MA 01096
141:11 62 8-4515