pplitatiuu fur ilinpunal ilurkn(;)trltrtiuu jt~tgis.amherstma.gov/images/scans/septic/files/bay...
TRANSCRIPT
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MAR 27 199&
THE COMMONWEALTH OF MASSACHUSETTS
.i\pplitatiuu fur ilinpunal IlUrkn(;)trltrtiuU Jt~t 688 . . ./ Application is hereby made for a Permit to Construct (:.. ') Repai ("'" an Individual S'6w.aJte SlII ,',',
S . 'I, \\\ ystem. at. "'" ,la"~
......... t.J'...1-................ B.fJ..¥ .... &Oad..................................... .. ...................................... k!t .. ~.!.L ........................ ::~:.'.::.: ... Location· Address • Cl Co or Lot No. .
...................... _ .......... &m .... ~V.e,..r.dl.ere,....................... . .. !! ...... !'J~r.!?!,!.r:.'t-.. f.!!,!'.m§., ... ~~ .. ~!-?! .. ~hJ ... ~m.~-+, Cl\C>..
... 51 .. !Otl0"c"':.S ...... &~:;J;·· -........... 13.I..!L.&&Ol ................................... ~~~:::.~ .......................................... . \ Instal1~ Address
Type of Building Size LOL3.S.,.5.fHo. .... Sq. feet1: Dwelling - No. of Bedrooms ................. ~ ....................... Expansion Attic ( ) Garbage Grinder <y~ Other - Type of Building ............................ No. of persons............................ Showers ( ) - Cafeteria ( )
Other fixtures .................................................................................................................................................... .. Design Flow ................. l?.~ .................... gallons per person per day. Total daily flow ............. 8.i?,.$. ..................... gallons. Septic Tank - Liquid·capacityJ.S!;!Q .. galIons Length . .I~.,S.~ ... Width .... !>.'. ....... Diameter... ............. Depth . .s,.~· ..... . Disposal Trench - No ........ 1... ........ Width ..... J3· ........ Total Length ..... ~~.' ...... Total leaching area .. .1.5~ ......... sq. ft. 5'OEWALL Seepage Pit No ..................... Diameter.. .................. Depth below inlet ..... 3.~ ........... Total leaching area ... 3:b.§ ..... sq. ft.l!c>l1aM Other Distribution box ( ) Dosing tank ( ) Te.~ P'-¥. I q API>. II.. Iq ~q Percolation Test Results Performed by .... £.i.ti.o5 ..... !;,!J.:\:t:.r..p.r.'I.~?~:I.nk., ....... Date .. f.~.'I§*.: .. ..I.~ .. M.9.f(." I'V\ 0
Test Pit No. l ....... ~ ....... minutes per inch Depth of Test Pit....l~.,?.' .... Depth to ground water...No.nL ......... . Test Pit No. 2 ................ 01inutes per inch Depth of Test Pi!... ................. Depth to ground water. ...................... .
Description of SoiL ..... A:if~:h;;:J::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ............ :: ........ : .... : ......... : ..... : .. : ...... ::::::: ...... ::: .... :: .... ::: ...... :
Nature of Repairs or Alterations - Answer when applicable .............................................................................................. .
Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State' Code - The' to place the
system in operation until a Certificate of 3/27 ~1'lCJa-J
Application Approved B:~.....,~~~:;~~;;~~~<7~;)~~~~~~~~~~ ~7>;;-'" Application Disapproved for the foh'or;;;jn!,
Permit No. 9, --(l-<.S . ......................................... .
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF I-jEAL TH _
Cj Ot...U}t,) OF u~~uuu
l}Jte
(!t~rltfirat~ of (!tompliaur~
by .... ~~ISS;rOv:TX;.;~~~a~ .. t .. ~Indivi~ual.Se=a .. ~~sp~s~1.7!?~e)lns~~Ep~.~ ... ~ at ...................... '73<?K~M ............... I"'''' ................................................................. .
has been installed in)lc;:ordance with the provisions of TITLE 5 of The Stat~ironmental co~e desc¢>Aljn the applicatIOn for Disposal Works Construction Permit No. Eo.-u dated U. .;!. 7,1'..7.9
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONC";z:TRUED S GUARA TEE THAT THE SYSTEM WILL F'!.~I0.!il SATISFACTORY. ~ __ ./~
DATE C/l(.../9.cJ .. Inspector '~7~~ ~ -.--~ -~---- .. ----.- -
THE COMMONWEALTH OF MASSACHUSETTS
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FEB_~ \\\ \ till I "fll",
"'~l-\."\\I Of lit"."", THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH "'~~'" ",~ .~m"J,~~· ~'''-.......... Town .............. OF .............. Bmh~r.$.±......................... f':.. FREQrJlq{ ,:2J'1-.~ ~
::°1 y~~~~: 1\ppHtuttutl fur lIItIipuIiul lfurkIi{;;j. trutttUtl Jrnu· s, -< ~
Application is hereby made for a Permit to Construct (.) Repai (v? an Individual \ew / , , System at: .... " '* ):} " .... ' ................ ___ . ___ ............ ek."'¥' __ .. g~.n.d ...... _. ___ ......................... . ................. _ ......... __ ......... J:~£:-±n~.tL ......... _ ..... ~~~:.~!!J.U!.'"IJ.t ,\ \. \. \. \. '\
Location - ~d9ress Ct or Lot No .
................ _ .... ___ ..... JSQ.D .... "'~v..~.r.cli.~[~....................... . .. e .. ~!!:\:~!.!?~.'::!I' .. .f.~X.!!l2., ... '.i.~!e .. l1-l!2t. .. §>.t . .> •• 8!:nl:\?X"'~. 11\(\
....................... 71.J . .i../. ..... /:?€.";;;,.r..(;................................ . ............................................ ~~~::~~ ........................................... . Installer Address
Type of Building Size Lot...:1.g,~.5.e.l'c ..... Sq. feetz Dwelling - No. of Bedrooms ................. ~ ....................... Expansion Attic ( ) Garbage Grinder 1:(.-;) Other - Type of Building ............................ No. of persons ............................ Showers ( ) - Cafeteria ( )
Other fixtures .................................................................... , ................................................................................ . Design Flow ................. 1?.2 .................... gallons per person per day. Total daily flow ............. S.~2 ..................... gallons. Septic Tank - Liquid capacity.i.l?QQ .. gallons Length . .I.a ... .:/ ... Width .... S.~ ........ Diameter.. .............. Depth.S.,,~~ ..... . Disposal Trench - No ........ 1.. ......... Width ..... .1.~: ........ Total Length ..... ~.;;.' ...... Total leaching area ... 1.5.9 ......... sq. ft. 5.0"W,"L Seepage Pit No ..................... Diameter ....... : ..........•. Depth below inlet ..... ~~ ........... Total leaching area ... ~::?".~ ..... sq. ft. Gene"" Other Distribution box ( ) Dosing tank ( ) T"'~* F'I~: ,'t "'~';I\.. "Il. '1 Percolation Test Results Performed by ..... F..i.Ii." . ." ..... e..!:I.b~d~.f-'.r..i.~g.5, .. 'Ln~ ........... Date .. l''''~.:r.~!;d:.;. . .!.\!> ... ~''.c:<h 1''1', 0
Test Pit No. l.. ..... f ....... minutes per inch Depth of Test Pi!....12.,.'?.: .... Depth to ground water...~GI1'-- ........ . Test Pit No. 2 ................ minutes per inch Depth of Test Pi!... ................. Depth to ground water. ...................... .
Description of Soil ........ Ait~~:h;:;J:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ................................................................................................................ ..
Nature of Repairs or Alterations - Answer when applicable .............................................................................................. .
Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code - The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health.
Application Approved Byct2~;:l'~~~ 'j?~;lZ9P Appltcatlon Disapproved for the followmg reaJons:.........................r?~ .................... .................... .
Permit No. 9. -()-,s -----_ .................. ----_._ ........... .
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF "jEAL TH ~
.C::::Z::Qc...v~ OFAh:r~ . <!leriifiraie of QInmpliaure
by u ••• ~~~SBOZ~E!~r.x).T~~1?-~Ie:i~;~:~~7~;~~~sal{E;"lZtJ;clc/ .. ~6p?(u~ -z;? /' ~c::.- . ,",,;,,(,""
at .................. ~.4.k":. ...................... .g .. cL......................................................................................... . . has been installed in £Cordance with the provisions of TITLE 5 of The State..]w:ironmental co~e desc¢>~ in the application for Disposal Works Construction Permit No XO -.r . dated..:3.;l ~.zf:l
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONS21ZRUED UARA TEE THAT THE
SVSIEM WILLFU"9'blj.>AnSFACTORY. '/ 7~~ DATE 7!Z~/ff'd Inspector ~
~---------------- ---~-----...,. -- -----THE COMMONWEALTH OF MASSACHUSETTS
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.A,m,.:..c:l..Il'.-'\~;~ CL:~L;;CCI
GO'\'erJ'.or
CO"IMO",·WEAL TH OF MASSi,Cm:SEITS ExECUTIVE OITICEOF ENVIRONMENTAL AFFAIRS
I)EPAR'l'!4J:;N'rOF ENviRONMENTAL PRO'I'E.C'1'ION 01'& WINTER STREET. BOSTON MA 02!O~ ,6!1, 29"2.5500
SuasURFAC£ SEWAGE l>ISPOSAL S'IS nM INSPECnOH FO ..... PAin,..
C81nFlCATlON
~.Adch:s.$: 839 Bar Road, Amhcm, MA Rl)bertA mJ..:r
Name gf OwilMr Ruherht·I~ler
Addt .... of Owner: . 8.39 ~y Rood.. ~.~~.~!?= OtOOl 0Gte 0' b.peectorn: Urtt:lllber19, 1998 Naaw: of lMpOCtor:. Cf"te.Ne Print) ;.~,lrtDnd. ~!t:a1w<.ni;i
l.-n _ DEP..... ~d sptcm inlspectOr ~ to Section 1~340 of T""fI: 6 (3-10 CMR 15.ooo~ ~_, SYSTEMS ~ A ..... : P.O~ BC?X,~ fUDLE \-., MA olM5~ T_H_: 413,.54~13
CE!!T1f1CA noN 5T A·TEMBilT
TRtiDY COx<: S~t'~t~
:;L'l.\1.D.B._ ST.I,U:r.:S Comnu..:'oMf
I tenth tbe1l have personally itlsptK;tod th .. se\IVllIgru::tiaJ)o~aI sYSlt:M at this address .,nd that tf'Je infot'mabQI'1 rtlPQr'htd f)eiow Is true, accu,..to· And ccmplete 85 oi.the. time of i"spoction. TIte' tr.!!Ipection was p.,fofmod bo~od en m., t,aining and,~lIpClionc:. in th. plop'" 1unc:tioo Gl'ld. mamt9nanCe of on~t8 :iewage di.spout $~t.ms, The syltem:
~P":-;:'C'!I ConctittOt'lafiy PassH
__ 's ~~ ?i;l2Zj[Y m. L~~ A_ •• ong AU: Jon"on 1& 1_
The S~stem In~ot snalf. submit a "OOY ot thi:s. inoPoclion report to the'ApprovinS A~thority i9oa.td of l1u"h (;If' DEPJwithin thirty (301 tfays '01 complenng this ins.pcction. If tI)\f system.is· it snared system Ot hOI 0 4e&ign ilow of 10.000 gpd Of· 9f •• tor, 01* iMP9ClOf and the ~'1$t.rn owrwr sl'lall $ubmit the report to the apptop'i~te regional otfiC!l of ttl. O~pltrtmem 01' Environmental. Prot8'Coon. The O1igu'I'Si should be·sent to the sy~'.m O\IVnqf end c.opit1l~ sent to the_buy." if agptic;.aj)I., twI'd the appto .. lng authonl'l/,
NOTfS ANO COMMeNtS
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SUBSURfACE Sf:WABE DISPOSAL SY8'"TEM tNS~11ON FORM· PART A CfRl1ACA11OH ,_
• __ .: 8J911Ay R.,.d,.Amh'M~ ;\1A aw-, Rober ... L...t<r 0-Gf. • .... .. Dt< .... ber 19. 1~18
A. SYSlUi PASSe;:
E.- I ~e not found any informll1ion which indlcbt .. ""-'t t.rI.y Gf th.1b11ur. c.ondhlON deal;fibe,c;t in 310 CMR 15..303 exi$'!. ~ritef\O not .~~ Me andic:at.c:I below.
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OM OI·mote system c-omponem:. "' deKritl1t4 in the "Conditfonal Pan" aaetion nllJed to be·rep$ .... ·'Od Of repaired. Tho- .V.tam. upon c:GmPJotion o1·tM"~.meIlt Qt.,.p.r. aa approved by tM Board Clof HeoJth.. will p8S6.
bMkOto yes, no. or n~t dele,,",,"ed (Y. N, or ND). Dnc:ribc belsb o.f dete,tnlnatton in IIIH "'::;tmte05. If -not dotetmlntnf". frJlphun wby ,",t. The septic mnk it m.taI. unless tht ow,*"Qll)f)Mator hU.flrQviclod tho ay.ttttm-in"f)8ClOt with. upy. o.f a CortitkAt •. of Complianco·{ettat;fted~ indicating tam: thO ttank was in,mtltd·within twenty (201 yows prior 10 rho date of tt. in&(MCt!on; or the ,eptic tank. wMthel or not JMtai. IS'. C1ack8d. ItN<:tUraily u~nd, shoows wbstantW ltrliltratloo Of .. filtration. OJ tank '-"ute Is· Imminent. The-ry'tom witt Den ·in,poK1ion if tM existing ,eptic tank i6 ,ep&aca4 with • Qornp,b.9 .-p1W:: tank _ eNlra ... e.d.by the BbGrd csf Hearth.
&ClWoge IalM:;fWp Or bf1J8kout or hfgh stMk; wtnftt'levet obaafVt;(i in ~ dimibv'CtQf1 boA I:. Clue to broker'll or Gbatnlnod'pipe{sl Of due to III broken, unfad or uneven dlsmOutil)t'I bo)!. Th. aystem wID pas.s II\5~n If ,with .,.,..oval of itJ6 8oerd. Gf
H.""hl. broken. plpell, ate taplac«t Qbal~ it. I'ta'tllWad di,U1but1on bo .. i5 Jeve1f.o or ,cptae.<t
The ,.,.,18m fequired JNm:ping. tnOte than four limes • .,.., dU& to brokeh or obSb'Ud;ttd ;Plp~~). Ttt. .y.'em wits. ,... inspttC1lon If (with epprovaJ of the BDitfd at Haalth):
broken,ptpe(al are-reoI6Ct4 obstruction ,& retnO'ied
revised 9/2/98 PaCt 1 of n
cd Wd6c:l'O 666, 8, 'L1er '01'1 3~IOHd
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SUBSURfACE SEWACE PISI'IlSAL S VSTiM INSI'a;nON FOfIM PART A
CS\l1RCA"-I ... ,",_41
~ Prvpott'y ~ 839- HAy Road, t\Jul\~Nt, M-:\ 0-.: Rubc.rt». ts...Jer o.te Gf b; *'=*: £).:c,:mbtr 19, .t 99'S
c_ AJRfHfPI- EVALOIH1OH &$ REnUIR£D BY THE BOARD. 0* HEAl. m:
CondldwII ".IIiat .... N~h tOquHe fw1'ther ..... aJt.latiQol'l by the 8DaJ'd a.f Wig.:dth in. o~d.1II to clet.rmln. If d'lo4t .. ytttem 14 felting to protec.t the public: health, HI.ty and \h9 .IUlV;ror'li'n1mt.
11 Syna ........ PASS UNU$SBOARD OF HEALTH D£TERMINES .. ACCDRDANC£ WJTH :no <:MIl 15,303 (IHI>I nu.T THE SYSlQl IS NOT RlNcnoNaGlN ,,_ wtIICtt W1I.I. PROrea THE ..... au<: HEALTH ANO SAFETY AND THE ~~
Cuapool or privy fa wi1Nn 50 foOt of aq,*_ w.o.tet Ceaspom Of privY f. within 50-tnt of. bordC"ing wgtttalad walland Qr 0. uk maJ"Sh..
II SYSTtM·W1LL fAI.· UNl£SS THE BOARD Of HfAUlt lAND P\J8UC WATER SUPI!\.IER. If ANY) OlE I U _~ TWA T 1lf£ SYS1'EIII1S F\JIIIC11OHIIIIG lie A _ ntAT PROttCTS TlIE Pl,lBU(;·HEAl.TH ANO SAfUY AND THE~:
31 OTHER
The lIythm has-. Hpttc tonk af'IQ toit.~ SVStem t$AS) and the SAS-i5 wtttWrl 100 f..-: ef a surface w.,.,·suppy Of
l.ri:bUWY to 8 autfac:. water supply. Tho system h.s a $eptiC tank· and ou abaorprion system III"'" the SAS is within _ %~~, of a f1Ublic. water a.upply ......
The sy:Jtem bB •• septic tank and '~'ItU5Qrp1iCln ayuem III'ftCI tho SAS is within 60 foet of. private watot s\loply welt. The .youom·IHtS a upIic 1"'* end 0<riI ""oorptIon ......... ON! .... SAS Is __ 100 ... , but 60 IMt ......... """, .. j)tJVlt. wat., a.u.ppty w.o. I.Il11e .. -a wfll'W"Cnor analysl, Jot ootl1orm biJqtan. attd YQl.ayIta a.ganIc compounds- indieMH;-that tile· •• 51 it flo.-. from poIkstion flam 1h.at facrntv an<f tM pretence of Qm~p nitTog.on and nitrate nhrogen ls oqual W or lou than 5 ppm.' Method uud to detetmirte distanc. (apprD1irnllticm not 'felld).
revised 9/2/98
[d ~Jd5G: r-0 555 T 8, 'U'ef 'DN 3~IDHd '·JDd.:!
1 •
SUBSURFACE. SEWAGE: DISPOSAL SYSTEM INSPECTlOff FOfIM PART A
83? Bay Ro.d, ""lIhtl">~ .\IA Robc-rto ~h:r lJccembcr l'~ I ~
CERTlfICAT10III (~
D. SYSTEM fAU: YCU,fTlWI\ Pldic..IIte eithor ~n- or "''Nc~ 10 tllf!lt::h of the: toCQ"tn~
I flo .... dtt.,mm$d thet one Of' mot. 01 \hO,foUowtnt .. ,. conClrtiQnlS ,exil!lt ... ctncri!J.ed In 310 eMil 15.303, The beala·Jew thr5
datarmlna1lan 16 Identified below. The Bolt'd: of Health -stlwld be lO:omact1I'd to dototmi,.. what wid 1>0 M'C;~ to c:ftrroct the hlikue.
Yes No
Diachafg8 at ponding of atftuant to ttl. IiUrltJCO of thft ground Of ~urfACe Wcrtef. due to an o~~d Of dogg.d SA;$' at
euspool.
Stede liquid le~l, in "'"' distribution box above outiet tnwm due to Dtt owartoaded Ot eloggod $AS Of ~.
Liquld'depth.in C_upoOi ialftt,tn.n 6~ boU>w In'llVt 01 a"ad&hi. vnlume ia laas than 1,2 day. flow.
Requited ~ng mor.· than 4' timu In the J.,t vur NOT dl.'" to dogged Of' O!hatrue18d pipet.)... Humber 01 times pumpt'd _
Any portion of the SoU Absorption System. C.asspool or ptjvy. is, below the high 9'ouf)dwO'ter ekrw.tioP.
Any pQl1ion Of • lO:2Sspaol or privy i5 lIVlmtn III lone J o1'a pubtic w.o.
Any pottJon Qf a eo,sspool or privy ls withkt 50 feet of III private WlitIn" wppty wott.
Any pordon ot • (""pool Of privy'. loeo-thon 100 ffft but .. _ .. then SO feet from • P~"'4Ut wQte,. sUPP.Y well wkt1 f1CI
lItCXl.pt.Ob'CI watel' ql.l.rtty .n.lym. tf Ihe woU tRIS bcnm 1JftCII.,;ccd tQ be lIleeePtwble. M\cIc.h ~Pp., Of _eO _~ 1IMIl,.... for
. eoldamt bactefla. volatile otpoo eompounds. ammcnh. nitrogen and nitrate nitroeen.
E. LARGE SVSTnI FAIlS, You muot inckato ofthOl "Y .. w
Of "No~ to each of'Ule toao.'na; The follDwlng ertt.ria appy to 1itfV8 aystem$ to additiOn tQ the crite," ~
The ayat-.m .etve. a tac:iIty with a de.r;;gn· flow of, 1.0,000 tpd or gr .. ..., (Lorge System) and the system"is iii aiQ"'rificant threClt 10 ,puO!k' h4""UI and s'.tetv and .,.",. *n",i'bhrn.nt bttc.Dl.I1;. one 0' more 01 the folloWing conditions exiAt:.;.
Ya, No
.,- the system is within 400 flilet of * surface drintlng waler ~uppt'l
the systen't is within 20Q feet of • tributart to a aurtace drinking water supply
the- S'(SU:lft f.located in'e "itfO~ ~shivo attO tlnterim Wolihoad Ptatttetion. Area· IWPAJor·. mapped Zone JI Of II pubfic'.
w.tw 5Upply welll
Th& Dwner Or Qp6fator Of any Mleh .ystom sh-" upgrade the 'yltem In 4ccorctlllnce with 310 CMR 16.304(2). Pte.,,, ~Dnsult the laeaIl~ ~c:e of the Dtopa"menc fot funMr InfOOMtion.
revised 9/2/98
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I7d 1·,ld0[:170 666T 8T 'lrer 'OCI 3HClHd HCld.:l
Property Addrna: ,,--,
SUBSURFACE SEWAGE Pf8ft08AL. 3YST'fM tNSPECTlON FORM PARI e
839 Bay Road, Amherst. :¥lA. Rob.!rts lsaler
CHECJ[UST
Date crt II, den: I)(ocembe-r 1'. 1998
ChaO. if the foAOwlng nay" bean ~no; You muJJt indc'ZltD Dithet "Ves'" 01 ~NQ~ o~ to each af ~II followlnsr.
Y •• X
X
X·
X
X
x
. x
x
X
No
... ~.
Nono 01 m~ tYSten1 ~ have been pwm"';'for at leut twO wnkA en1tth.-~ boa ,been·,.cetvlJ4f.1'bt'1'ftIIIt fte. .... rerte. cfuring thet ptftOCl. Wge voIl,IInOS of watet' AQve nol b.ren inm.duced into the .yac.m. tft;Ontfy Ot ,a.tl p4W1: .of dli. I,...,pection.
AS bultt plans t\ave been obUined end 8.ilrninad. Note if they arit not avtllilabfo wiCh N,A:
The faciUty Of dwelling was iflspect.d tor ~ of u .... O.~ back-up.
The site wa. if);.po<rtad for Digno of breakout •
AU sVstem componems, ucludtnglhe SQii.AbsOfption,Syatam. ho.,. ~ located on tho ei •••
The.aeptic taniI. monholes wore UncOVOled. D,-ned.. M)d tM-lftter'of of·lha _.pac tank IIIII'IN,i~ tQl, c.ondltiQn of blim... or toell. matoriat at caRStntction. dimoneione. depth of Hquid, cMpth of sJudge. 4hptn of ~um. Tb* ~, end lac.non of ' tho Soi1 AD.orption Systwm on ttHI stt. hat. btI.-n determined' based' gn:
existing information. for uampte, Plen B1: 8.<U",.
O~ned In tho fle4d tif·any of CtI9 f.JuI. ~nt.na r.lated to Part C is at i.ltu •• epptoxHnetion of dis.1BOCe i. unm;coptablct) 116.302{311bll
The'facility owner (and OCCIoIPttnU. it OlHet.nt ttom ownet) were provided wkblttfotmtatkm on the propel mointenaACa.of SU:bSuriaCD Diapoul Syst..as .
revised 9/2/98
'OH 3elOHd ~IIJdJ
suaso,nu;j\a __ DISPOSAL SYS18IIINSP£C11OfII_
~ARl C SYSTDot IIIfORMA noN
PrapMty ~1I!tSS. 83' &y Rood., Ambent,. ~1A 0..-.: RnMrta k'ller o.t. of t.upactiao1! .ococemw t9, 1'921
R.OW CONOITIOfOS RESroEN!1AL: OO-sian ftQw:~g.p.d.JbedJoom. ~ II»f:bedroomll tdesignl:__ ~umb. .. of b.draom.& (ac:tuen.: 2.... T .... DESIGN flow Number of CUff.fit -~~d~b~"l Garllog. fIfI'-IYOo ., no): YES L.aundry (tttpatate &y:r.tflm) --'yos Of tto):,l'iO; II 'Ie:;,. 68pAf .. t.JnApectloo ,eqW.ed:
t.~ ~~ inspeCted (yea Of no)
SasontII u,.:',,, or ftOl:.NO WSle, rn&ttIt"·readlngs., If ;;;P~e Clast twc) year', u~aga (gpd): ~On;;.;;~T;.;u;.;";;n;.\.;.\;.;"";; .. ;;r;.,.. _________ _ Sum!> Pump, (YO' 011'0/: NO last _ .'·_y'Qw:mdy O<:cupied
C9MMfi!ICI!IL!!ITRlAL: TvP- 04 "hlbH~:' __ --::-7-:::-_~-::::-::7:::-__ -Deslgn.QQw: gpd ( 8 .. "" on 11 •• 2031 &u~"d.RvnQQw~.~~~:-_________________________________________________________________ __ G ____ (_",.001 _
__ Crie! W .... Hclding rank p ...... " lyoa 01 nol_ Non"4anitary wnw drschiugcd 10 the llde S. 'ystem: lye-s or no._ W_......,~. ;r._labk' _________________________________________________ _
.Lut dam of occuponey: __ _
OTHER:IOe.<ribel _______________________ --____________________________________________ _
l(lat data of OCCupaftCy:_
System pumped"as pert of Inapeet!oA: lye. Of"no)YJi,"S If yo •• vOkHn •. pumpod: 1500 g.dons. _ fot"""""ng, _____________ _
lYP£qFSYSllM -lXX..;. 8.* ",,1I:/dlltrlbtnion'bolt/soM .bsorpClon ov.stam
$Ingle c:.esspool O'(Otflow cesspool Privy Sh.,od,.ptom Cyn Ot no) Ut 'fOG, Mta,.h p'o-.nous lnspceUon recOfds, if any) IIA' T~alogy etc. Amac:h f;OPY ohfp 10 daw oporattOfl end mcsJnwntm~. ~oet Tiont T..... _ ..... __ • Copy of DEP Approval
revised 9/2/96
'Of! 3HOHd 1·IOd.:J
-.
IIUBSURFAa: SEWAGE DISPOSAL IIYSTBO ftSPECTlOH F()fIIl'I
PA/ll'C SYS'TUIIIIlNFOIIMAnoN ~
~·Addreaa: 839 llsy Ro,"d, AmA4:nt. ~ Owner. Robcrb Isskr Dooo at. I _: Deeelnber 19, 19911'
BIIIlDING S~ {butt' ~ .. *6 pI.\IIftf
00pU\ b4Iow arDd*;., __ Metotial Df'con"trUCtion: _ ,est iron ~ 40 PVC -,-,om..- (.JI~l'1t
D"t~ f,OfI'I pt'JVOf8 wattt S\iPOiv wen Of wction ~ ___ _ D;ametar
Commem.; t~ of jolnu.· ~g •• \rJ~~u of ~~ de.)
SEPllCTANI(:.ll Uocato 4n sita p&anl'
D."." ""low g ...... :~ ,.,1ft8fUIl Of COMtrucdon: x.concrete- _m.uf .:....-fibcfv'u. _POl-yeth~",e _Qdtet'(NplaiO.
DIm .... ,ons:. 5' WIDE X lO·J.ON(~ - Sludg. d09llt: S D~ tram-: .... -"--o";j-.,:-udg"; • to bottom of oudet tee Of batflCl:--12:.
Sc~ 1NeIuMtSB=....lf>"· ,--_ 0....,,,. fram top ,of ItCJIfJl to mp of oudet tee or b.~:_6__ " CI.,u.nee from ,bottom ,of.aa.&m to'bonom· of. ouOe. tee 01 baffle!_8 _ How dtmention, were detet'rnlned;I!It"! 'lMEAffilRfD
C~on.~'
Tank 11 in goo(htructunti eunditiun and. everything :tppt:lIr!i tu be funcriotiliag c()rrC'Ctty
f~ommendatic»\ for pumpU'l11 .. condl.*", of ""Of and'ouUot 1e-o.s' ot b6tnH, de9th of Jlquid lowl in tt.ltdfon to 0U1fa1 ,"vert. '~C1W'aI fnttQritr~ ..ndance ot'Ieft-ve •• tc~) Liguid depth e-v¢O with 4" ou.t1,,'t ~ no sign! "f bydJ'aulic foillure .. "fa-ok ""pecan; tu. be functioning prupcr!y
~1RAP:N/A (fOcato Oft .... pI .. l
D ..... _ .. ~: __
Macerlal of eDn.~: _<tI. ... rmtrto _fnetot _AbofglNa _Pofy~ono _ ott'ler("xptanl
~~Uons~,::::====::::::::::::::::::::::=---------------------------------------------~----S...., tllicI<neos! __ Distance from top of ~ to top af outlet tefl' or beffle: __ DtStllnc:.-f.om bottOm of .eum tg tmttam of outf!t1: tee Of batfte: __ 0_ of .. JIUftIcMns; _._
Coittfnept'" (reeommOf\daUon for pumPing. condition of Inlet end outlet tees Of battlH. depth of liquid fevel in Hfation to outtet invert. ,wcturai integrity. -. of llial<ogo. tlk.l .
revised 9/2/98
2-d Wd;:[: <'0 666 t 8 T 'ue f
SU8SURFACl S£WAGE DCSPOSAL SYSnM 8I$PEC'1lOtIt ~ ~ARl C.
SYST9I .. FOAM,,11QII t_ ........., ,,-, fI,3? Oar R""d, ,'\nlIl<n<, ~lt\
- Robo.1>lWec o.te.of "'tp I ctiCM,: December 1', ·19'Jt' .
SOL AIISOIII'l1OK $YS1UiI1$ASJ, XX Uoc:ot* on. sHe plan. ·If poa .. bIe; .xclI-:;-tIon not rCJqUlred, IDI;.atiott m.y bot apptlt:.ftft\6Cad by non"nuui~1it. m.tnQd.a1
100chInv plta. _'ll~CH, 4.5' WIDE BY S' LOC'!{lIlY 6' !)t;EI' .. .cNnt chambet'al ~:_ loocNntIJI_, ___ · _ loed1iot "...,M&, '"""I>«. lenglh: ___ _ leechlng'fiekls. numb«. dWnel't'lons: _____ _ overfkt.w oeSSllOGI. num~·f:_. _
AttenratiYe .y:stem:_-,...-..,...---------Name of 'rodmology: ______ _
ComM*ntI: ~nOt. concfiz1Gn.ot .solt •. signs..of hydraulic: 1Ai.!U1"*.I ...... oI.o1 pondlng; d.,.,.-aoil. Condition of ~~ 0=.) u~di :1'~J~.~.3pONJimlltdy 4': btoJO\" g.r;,d~ - top of 1X~"'tnng fhund and.) - til' d\.'Cn.· nu siym uCbn'riSuIW fjtilu!"i!" nll·siuns ufsun:lij4.rgigg
C£SSI'OC)t$, ~ .
00eate Oft !lite "'-At ~b .. 4ft4 eonflgureUon;'";';;;;C======== ~WO'·of Aqutd to Wet Invert: Dep1IIof _la~'; __________ _ Depth-o',cum 1.,..:_· 7"----------~of CMlpool: __________ _
. MetetIaI. 01 conatructJon: __________ _
indication of g __ ,_-. __ ---:' __ ....,-,,---iIdlow C~upo~ must be pumped u parT I'Jf 1n.t~tiGftJ _________ ~ ___________________ _
---._._----------------------c.-.. : (~. CI)nditiOA of .oil. _191'1_ 0' h'ldreuUc '''IUf ••. I~ of ponding. C:Cndh:ion of tItt1t.tatien. etc.l
PIUV'I:N/A UOCOle ....... ,.. ... f _.0'_ ... " _____________________ OWnonoion.: • .:.· ____ _ Dep1IIoh.lld,, __ CGmmenta~
ff10tti COt'Idh:tQn of 1IoU. ~SIJl' of hydr.ulc faHure. level of .pOt"ldktg, condition· Of vegetation. ete,)
revised 91219B
'ON 3NClHd 1..1:J"l 1 ~·l n·ed / SvI31SJ..S 1·IOd.:l
.. 5tJSSUJIfA(:1< "notA"" IlI8POSAL S"'~_O£C'T1ON FOtIM .. .... rc
&YSTBII_1'IOIII1 II
"'-" ,,_. 8J~ BO,. a-I. Ala" ..... 0...:. MA 0... at' I do~ Robtrlta. &sWr
SUfCttOf __ PIIIf'O$"llY4T1iM; k1 .... tn.. to «11 .... t twO ~~n. 'tI""~D t~n~ 01 banQrun.rtc.s loc;Me ... weNs wtthkl 100' {L.Kate trhot'e putrik wat~ I\.IPPIY tomes irnq ~ffi
-- -
revised 9/2/98 1'<' 10 all1
O.d Hd[[:rO 666. 8. 'uer UI3HOHd
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SIIIISURI'ACE SEWAGe DISPOSAl. SYSTBIINSPECTION FOItM PARTe
SY~ INfORMA TIC)IIlauilda uedl
PrGPII'tY AcIdra.e: 83' Say Roa..l. A,nbe.'!U~ ~ 0 ... :· Roberta rur"" . Dale '" lnspccUon; o..:.rnbet J:l, J:l?8
NRCS ~~., __________________________________________________________________________ __
Soft r- __ ... , -.:.:=========-______________ _ T\1IiGaI. dasttb. 101· arOuru1WAW ~
USGS Dat.·w-';,. via.iIad.
Obs ..... ....,n wen. <M<ked a,oundw •• ., depth; SbaRow ______ -, _____ _
SlT£ EXAM 51_ 1% Surlace w~,et n~ CbBck eollar S~oIIo ... wells
___ Ob30tved Site {Abutting:ptOpeNy. cM.rvation hM. be$emen~ S1.I~ -etc.)
D.lenninod trom tocat c:CHtdItiOn&.
Cbedrad·with toea. 80ard of heatth
.. Clle<I<odl'£MA Mop.
CIIoclcod Pllmo;na'ltcords
eeac.ribe how you ..ctabJisbed'tl'wI High Groundwater EleVB.tion. f!!!a! be c.omptatedJ
SliRROln-;mNG TOPOGRAPHY
revised 9/2/')8 "~tl1o(U
nd WdtoZ: toG 555. 8. 'U\? r
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" SUllSURFAQ; _AGE 0CSP0$Al SYSTEM INSI'£CnoH F<>IIM PARTe
SVSTDII_TIOIO .,do *" -. ,,_ 839 B.y !Wad, .\mIu=t, MA 0....: Roberta lS'Jkr Oato Of fltI1l'l:;1ic:.t.! Dcc(!JJtbcr 19, t~)8
11GHT OR HOl..DdItG T4NK:~.n.ank mu.!ll b-. pump-d.ptiQl' to, 01 at time bf. Wa~on~ 1I00000on .... pIart}
Oepth below grade: __
MoStariaI (If conatructlon:. _concrete _metal _fib:et;lea$ _Pofyethylene _other(e)(J)lamJ
Dim~s:~~ __ :=;;:-:-:-________ _ Cap_, gooIIono Oeaign flow: gatlonaJda,y Atann __ _
A*m levef~ Alarm in wOfldng ordot; Yea No P ..... f ~ .,.""""g: - -Comm.nts:
DIS1lII8U1IOIIsox,NIA ffOoote on .he ptetn)
O'l1th of 6Q11id Jeve' above cud.t InYtlft: __ _
Comment$; (nota if 'awl.tnd dlctribution,~t~. evkI..,. of todd'$, conyov.'. OVicJ.ene.·of teatcage lnto ()f' OUt of OOK, etc_)
PUMP CHAiI8ER:JIrr,j/'" (locate on:sM.pt~
Pump. in woritlng·Ofder: fYaaar No._' _ A1tIrtInS (f'I 'lllrorlting ordar ,V ••. Ot "0' __ COfnnMM.; (note condhlon of pump CNmbet. condidon of putnp1 and apputtenances, etc.t ______________________ _
revised 9/2/98
8d WdC:Z: 170 666 T aT 'U€r U09 51'S UI7 'ON 3~IOHd
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·~
. FILIOS ENTERPRISES, INC.
69 Pelham Rd. Amherst, MA 01002
Name: Ronald LaVe.rdie.rE-
Address: C.cH1nr-bury Fo.rms '-13/0 WM-\- 5+. 11m hu.s+ , MA 01002.
Dear Ronald,
This Is to notIfy you that Filios EnterprIses, Inc. has Inspected the sept! c system! nsta I led
AT: Lo+ II So. ~ I':oo.d Rm h~rsf.) mil: 01002.
Unless exceptIons are noteci belc',I, the system compl led wIth the approved design and elevatIons.
ExceptIons:
I.) The e-/eva.ft'ons and ~('a.des of The OIS-b .. ;f+ 6e.pI·'-G .system w.ry fro'" thOSI!. of ~ du;ijn -t-o fht.. Ll'-/-u\"r shown in n:d 0" +he. coPy <>f the. f('ofi I" endose.d.
z.) The. /a.yout of' fht.. <>-S -built sep+i<. sy.s4-em v"vie~ -froM -rn,,'+o.f +ho:. dc.si3n -t-o -t~ u:t-mt "hown in.-c.cl 0", +h.. Cop y of +he. i'i:tJll ... II; 0:.1,) .e.ndcb.,d.
~::~~~p (F~ederick A. FIIlos)
C.C. to Board of Health
/
j~~' ~ V~,.( . . ' -. TOWN OF AMHERST [". 0 ~ •
R-e~/4;/L -./~'.
~ PERC TEST DATA SHEET
',' / ~ ~ / /~ "" c., r-: DATE 17/87 LOCATION £'L4y' /Cd)<>' C LOT SIZE I'i
OWNER /20 tI !. ~ f/-eIL-J j~DDRESS '/ '-( 8' WI /dt4'~ J)-< TELE 41 2-,j-Z-f'.-~-/'-J-P.E./RS 72"k-ettr W(/'l/VFIRM £It.~f ,t;00BSERVED BY DAY/2~/~ BACK HOE OPERATOR ( C~;(;-e y l,<{ BENCH MARK ___________ _
II
PERC DEPTH c..rPRE SOAK DEPTH PRE SOAK TIME ___ _ ,.
TEST /d '1).3'0 'f ~
1/ q;.? /
C, II q:J 7 ~ 'i'~' '1 i J '7 ~
RATE ---....lC2d"...==7L------~ RATE ______________ ___
#1 TOP 7" TOP
!
I
SUB I~ SUB
.J/fL.A---r;~/.e / q,,~ 1/
rn-IJ{' J/./ 'ltO -
TOP TOP
SUB SUB
TOP TOP
SUB SUB 1--------":,...----",,,...---,---_ .. -_._-, 1-----_Il_<f.y' _1?-~"...:II.q'_'dc--____ _
Q~<jy
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DEEP SOIL LOGS ,. OWNER 'Ron!.a llcea/ieff "
oATE ____ -LtQ~e~r~iL/-L19~.41~9~8~9~---Lot- II
LOCA TION House Let
Arnbecrt: Bof H Valle. Z.'VoXl'nsk,"
lJ... 0"-7" Topso; I
7"- J~" Su b.so i I
18"-7' Sh-qt\ ~ie.d ~ 3r'a.ve.( So.f\d
/3 'I'). S+mfi+icd, sa"d
7'-/'10"
lifO .:.... /J~ ,
GR8UND WATER ___ ~~c~n~e~ __ _ GROUND WATER __________ __
GROUND WATER __________ _ GROUND WATER ______ ~ __ __
£F.2.E!lR'~~" O~L"'A~TLI~o='!~!..r ..!.R;::A~T;E:......!!A""T...:2:::.4__=_".:..:. * ~rc defe.r (C~ <2. min./inch ~n. 1"50+ f"r+o.-rAed
1<1> M,"-Lh ''1q~
."~ .', -'--..,
",
c 0 ... 6 ." c :> 0 u. .. IO
" 0 ::t
...
0+00 0+20 0+40 0+60 0+80
I r. .. n"i"'d I I"",
L
~ -mUTT -_________ Cl~a.n-out
~ rls~r _ ....
3.68 ~~p~\ 2' dla.l'!. 2' of 118'- 112'
S=2Y. 'w'a.sh~d Ston~ r 4' Plp~ .5 .. t.-.-/. Ilr
~ ~~;.~~, "ll
'10.3! 0+33 J " .-"" J 12 500 Ga.l 7
!'"
0+00
L+40
-
L. ~ '1("."10 I 96.30'
.:..., L 0+43.;; .,..." r 14" -jDry 'w'~lls
'1",(/3' '9(0.10 4' __ I-- I ~ I I
25'L X
0+20
L+30 L+20
CROSS-SECTION OF
LEACH PIT I
AT A-A'
I
1500 Ga.l 5. W 0+60 _ r ~o: ~;; ~;;:;!c --!-- 4' S:~ptc 94.01 I;:'
fD.~k 0+5<P~ ;':"-~'---T------t 0+81 Q" Q.d 92.84"
I '12.. S{!;' 14'-1 1/2' 'w'a.sh~d St,)ne
LEACH PIT 6,34' 13''w' X 3' BELO'w' INLET
l'OTIO" OF DRY
~ c:
~ L ::; AT 86.5' ,
L+l0
I I I
.... 0+40
0+70 R+l0
-
: 2 -l--...j- 500 Ga.l
: ~ Dry 'w'~lls
4' -j I- --i r- 4'
L~~,-r---~ 92.84'
"11., S!)' ,
0+60 A'
R+20 R+30
"TEST
'72.5S' '
PIT
I 0+80
R+40
100'
- 98'
- 96'
- 94'
- 92'
- 90'
f-
r-
r-
r-
r-
-
toO" Elavu'tlon Assul'led ~ t TSM. TRo1 Is iop of r.~r door stoop ~s 5hDwn on Pion VIeW.
100'
98'
96'
94'
92'
90'
B8'
SPECIFICA TIONS
ALL MATERIALS AND CDlNSTRUCTION MUST BE IN ACCORDANCE 'w'ITH COMMON'w'EALTH OF MASSACHUSETTS DEPT. IDF ENVIRONMENTAL PROTECTION STATE ENVIRONMENTAL CODE TITLE 5 .
Ca.lcula.1tlons R~qLlir~dl For a. 4 bedrool'! house With a. ga.rba.g~ dlsposo.l a. l"Iinll"lLll"I ca.p,a.Clty of 825 Go.l.
D~slgn~dl A l~a.chlng pit 25' Lon,g X 13' 'w'lde X 3' b~low Inlet (efffectlVl~ depth). D~slgned with a. perco>la. tlon ra. t~ of 2 I"Iln.llnch. a.nd bottol"\ o.nd sld~wo.ll loa.dlng fa.ctors of 1.0 o.nd 2.5 ga.l./sq. ft. respectively.
Sld~wo.lb 2 sld~s(25'X3')2 .. 5 ga.l./sq.ft.= 375 go.l. Enclwa.lb 2 endsC13'X3')2.5) ga.l./sq.ft. = 195 ga.l. Bottol"ll (25'X13')1 go.l./sq.ft. = 325 ga.L Tota.b 895 ga.L
Construcition Noi:es
1. Septic to.nk should be inspeci:e-d o.nd pUMped onua.lly ..
2, Inlei: o.nd oui;le·t tees I"lust extend 14' o.nd 24' below thE: flow line res pe ci; Iv el y .
3. TOPSOil o.nd subsoil I"lust be reMoved to a. distance- of' 10" o.round systel"l,
PROFILE ATI LOT 11 BAY RD.) AMHERST ~Y' ntbS EntE!!rpr1S~s. lnc. Fer. Ro>nolr::l L~ Verd"l"~
MA
69 Petro" Rei c/o C~ni"l"buI"Y Fnl"~~, Al'lh~rsi, MA 010D2 4 3 G \oIE!!'Si: St. I
i (413) 256-00(8 o\nh",.st HA 01002 !
n,...o. 'M'I By' P. Flies SCALEI HIlR 1'=10D'
I '1m 1'=3.0'
21 M .. ,..ch 1990 PAGE 2 OF 2 I
Well To Be. Destroyed W,,\\ t)..sty"y.,J
@ 35,56£0 Set Ft.±
ID::::-- 1500 Go.l Septic Tunk
1~-:2.~ House 42' X 28'
, L-____ ~CL/:="'_;----- 68.17' -----\
__________________ ~~~l_--~------\'-O-~-T.-O-l£--O-C-h-R-;+----\ 142.210 j
ED • Dl:tch Bllsr.
By:
NOTES
I. T hiS lot will be. s.e.rve.d by town Wo.+e.r.
2. No o+lw- wells with;n Zoo~' of +he. le.ae h 0. retl. tl.t t; meof the 5urve y
LEGENI>
o PeY'col .. 1ion '.st
.Deep res1 Pit
PLAN or .snIAC£ j)ISPOjAL .s'VST£M
AT". LOT ", ~AY RD.) AMI-lt:ms~ MA
PI li()s e{1t~rp rtses, 1/JC. for: ROl'ltald LaV.,rd~re '1· PeJhartl RO<!d 0/" C"'"fe.d ..... ry farWl!> A,., h'''$ t, M;' 01002- 'f 3" we.st Shut <~13) 256 - 8008 AWlk,er$r, MIl 0,002-
Dra.wN By: P. Fdios Seal.: ,'" ~ 30.00'
2.31 Ma~ch (490 Page J 0(' Z.
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