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c*1 //�J r 5,9 l /`• Swaimon PHONE 413-527.4333
EAST STREET
ei
PROFESSIONAL ENGINEER SOUTHAMPTON. MASS. 01073
I , Gary R . Swanson, Massachusetts registered professional
engineer , do hereby certify that percolation and deep hole
testing was performed as indicated below by Mr. James H .
Watkins under my supervision and authority to perform such
testina for the below-designated building lot in accordance
with 310 CMR 15.00, Mass . Environmental Code, Title 5; that
the results provided below are true and correct for the
building lot at the location shown on the accompanying site
plan prepared by Heritage Surveys, Southampton, Mass . entitled:
"Definitive Subdivision Plan of Tinkham Woods, Northampton,
Mass ." dated June 7, 1984; and that the designated building
lot is suitable for the construction of an on-site domestic
sewage disposal system in accordance with the above-referenced
Code .
CLIENT : Tinkham Woods Development Corp .
LOT NO : 4
DATE PERFORMED: 5-29-84 SOIL LOG: TEST PIT NO. 4
HEALTH DEPT. WITNESS:
P .McErlain j topsoil
BACKHOE: Jos . Misterka, Inc .
1 '
PERCOLATION RATE : 42 min, in . `'` 2 subsoil
'
DESIGN RATE : 2 min./in .
GROUNDWATER : none
DEPTH OF PERCOLATION HOLE fine gray sand
(TOP) : 2z ft .
tH OF AfolSS'c�
GARY R. 'G'\
SWANSON — 10'
NO- 27993 G'
SSi X�1L E�6 Q Q `a a
NO............. ------ F1--a............._...............
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
...... Ow.r! OF....N,0/ �4A.r.�.. to!'k.............. ..._. �...
Applirotion for Bi-nVanal lVar1w CSonritrnrfion r nit
UJ
Application is hereby made for a Permit to Construct (/) or Repair ( ) an lndividual'_}ewwy�e Disposal c�
System at:
�,
L�
/Q �
...... ..............°- .....--..-_`_-.........-----•..•-------......'�,...., _,& .x rY .................................
1-option-Address
O .� lddress JJ
W .___.._.......... ..............' 1.....................................................
.......... ... ......�. ._._.._
Leta Address
Type of Building Size Lot_�L�.�3............Sq, feet
Dwelling— No. of Bedrooms............4...........................Expansion Attic ( ) C,arbage Grinder (�/)
Other—Type of Building ---------------------------- No. of persons.--.----------._._._.__._... `showers ( ) - Cafeteria ( )
a' Other fixtures
W Design Flow............. .. ...................gallons per person per day. Total daily flow-._...... .......------...gallons.
Septic Tank---- Liquid cap:icityL�t ;allons Length---------------- kVidth-------.----._ Di.uneter.. .___...._ Depth....._.-----..
Disposal Trench -- No- -------------_----- W'idth_..I.._._.._....-_.. Total Length--------.-_------- Total leaching area..:?-. '.' ___sq. ft. r,
_.-..-. i�mT»ct r./'iLS�X�.' De tth below inlet--------------- ---- -Total leaching area_-�.�stl.
i �rclY+�;c 1'it Nu.-...-.� � i t; `
Other Distrihutitn box ( ) Dosing tank r
1'crcolatiun Test Results Performed h 4!.'�y._ . +_..._.-hlS.t-n �`2.^__._.._...•---.--- Date.....
H
Test Pit No. 1__._.2_._.-minutes per inch Depth of Test Pit.___..� .� Depth to ground water_jV,)t)__4.�%._...
Test Pit No. 2.__............minutes per inch Depth of Test Pit__................ Depth to ground water.-.___-_.__......- -..
--•-... ---------------------------•-••---..............._............_.........---......_.....--------•--.------.--...-.••---.........
0 Description of Soil.-.,rn-_L1C�S. 4-----------------------•----.....----------.....-------------------.....----------------------------.----...........--------
x --•---------------------------------------•---••-•-----------...-------•-•-------•.
_ ----------------- --- ------.-----... --- -.._.... --. -_.... ..-......--------........
t�
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'ZITLIE 5 of the State Sanitary 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.
Signed..............•---..._...---•------•----•--•----••-•--•-•-•--------...........-------- ----- ------......._.....__...._
Date
Application Approved By.....................................................•-----•---•-•--..............-------------- -•-----•---•------.IDa.te- ------.....--
Da
Application Disapproved for the following reasons:--••-•------•----.....-•.. ................••-•-----•-•-•----••-----•---•----------......---....................
................•---.............----...............----•--•---......_..........................-----.........-•----•--•--.....------........._....-•---------...---- ..---.......---•-----..__.........
Date
PermitNo...-•..................••.-•--_-----_--------------- Issued----.....------•------••---.._..--------.........._.....
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..............I.....O F.....................................................................................
Trr#if iratr ,af Cnnmplianrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
lt a
by-----•.....••------•-•---••------------------------------•---------_.....------------...._.I-ti .ller..._..•---•------------•-------------••---•--•----------------•-----------------------------------
nst
at..............................................••-----•--••-------..-----•--•-••-•----•-••-•-•-•-•----------•---•--•---•-••-•--------•-•--•-------.---•-------------•----•-..---------•- ------
has keen installed in accordance with the provisions of TITLE 5 of The State Sanitary Gode as described in the
application for Disposal \'Forks Construction Permit No......................................... dated .. .._....................._.._...........
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DAT1:------------------------------------•-•---.....-----....-•----.....---.......... Inspector.-----•-••------- •----------------------------•--------•----•---•. --------..---_
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