243 Septic Permits ifs a
6
vj c/
-Ai i
Dwelling—No. of Bedrooms o Expansion Attic ( ) Garbage Grinder ()( )
Other—Type of Building No. of persons Showers ( ) — Cafeteria ( )
Other fixtures
Design Flow 5" gallons per person per day. Total daily flow 30O gallons.
Septic Tank—Liquid capacity 150U gallons Length Witkh Diameter DeJnh
Disposal Bed _No. I Width 18' Total Length 34' Total leaching area 6u0 sq. ft
Seepage Pit No Diameter Depth below inlet Total leaching are sq. ft.
Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by..Lg.L--Huntley Associates Date5/27/76
Test Pit No 1 0.66 minutes per inch Depth of Test Pit 4 -Off Depth to ground water
Test Pit No. 2 2.0 minutes per inch Depth of Test Pit 4 -0 Depth to ground water
Description of rSoil 8'-6" deep, no ground water, 6tr OTS, 1T-6 silt, 2T=0" sand. and
gravel , 4 -6" very compact fine to medium sand with gravel .
Nature of Repairs or Alteralions—Answer when applicable
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of Article XI 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
Date
Date
Permit No Issued
Date
Application Approved By
Application Disapproved for the folio wing reasons'
by
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
(En-filtrate of f7uwpliaurr
Thus IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) pr Repaired ( )
at
has broil in,tllled in accordance with the prevision of Article XI of The `t:v.- Sault-try Cnde ac rfe cif ed in the
:lpplic:ttinn for Dispo+:d Works Co".trnr;ion Permit No dated
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT CE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE Inspector
No
Permission
to Construct (
at No
THE COM MONW:.ALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
FEE
fiapnsal Mirka (gam-auction tirrutit
is hereby granted
or Repair ( ) an Individual Sewage Disposal System
as shown on the
Street
application for Disposal Works Construction Permit No Dated
DATE
FORM 1258 HOBBS & WARREN. INC.. PUBLISHERS
fFTIC T•u.IK
cs.+ n
T�E.
'8'MIN
3L 0"MAX.
(Nu E£OF PIP
+9 ES VZR!E S
'ITW W Drab
PLAN VIEW
T1
''<f C: * 7E) 7+1
OPE1r?/F7. MIN.
rice5, F tM
DISTR!3C TIOn1 50X TO
FK= NO1.J -CRATED
ANC L412 LEVEL FOR AT
LEAST OA1C LENIG W OP
PIPE.
rimrsu 6FAre
LtXtsrlNC
GROOM)
t.•PE '. s FICe- yet. 7tt
%y//��Nk/rign DOTItx•1 Cr TEENcu YJ 5e
SIDE - VIEW
I HiN H�Or—.-.
WJ:N &SEEO O.0 . ALL'WORK TO BE DONE IN ACCORDANCE
WITN STATE SANITARY CODE-ARTICLE/1-
NOTES: . .
Ys"toY4" `7
WASNEDSIONE"'
a;. rorh"
WASNED4TONE
Costa I .10"MI14•
`� i:_•M14
• o � oI- '• MN•
a
,:
Ja 1 ,a..l 4rlr•�FERF a
, s .a 0 1;.;MIN•
X- SECTION
ALMER HUNTLEY, JR. 8 ASSOCIATES,INC.
REGISTERED LAND SURVEYORS a CIVIL ENSINEERS
125 PLEASANT STREET
NORTHAMPTON, MASS.
ZoT -At,
/SOO 6AL SEPT/C
74A/K
LOi #z
/.//9,¢c ±
(---53'
L o
400 SF L S4CN//UG ,
F/ELO ( /8 K 34 f \
NOUSE
7az'
4n 1 tvs
— Stu
24 35'
6AR
zo '
MIN
AUDUz5ON M N I i /fail"7
PLAN OESE11/46E I/S,S,gL SYSTE/vl
/W? LOT ' 'e, ,4Up(/ N/e0.4o, /✓OR7/-/4/7PTOr/
?,PEf'AREO
/FOSE'T SK'OCK/
ALMER HUNT LEY,JR. a ASSOCIATES, INC.
REGISTERED LAND SURVEYORS d CIVIL ENGINEERS
125 PLEASANT STREET
NORTHAMPTON , MASS.
DRAWN: Rf'B SCALE: /41.1- 50 '
DATE` 6/20/77
NOTE:
ALL WORK TO BE
DONE IN ACCORD-
ANCE WITH THE
ENVIRONMENTAL
CODE - TITLE 5
CHECK OR FILL IN WHERE APPLICAB
Add:e
Type of Building Size Lot Sq. feet
Dwelling—No. of Bedrooms Expansion Attic ( ) Garbage Grinder ( )
Other--Type of Building No. of person. Showers ( ) — Cafeteria ( )
Other l mimes
Design Flow gall ons per pc!son per day. 'Total daily flow gallon-
Septic flunk—Liquid capacity/K %dgallons Length Width Dinmete' Depth
Disposal Trench—No Width Total length Total leaching area sq. ft_
Seepage Pit No Diameter Depth below inlet Total leaching arc sq. it
Other Distribution box ( ) Dosing tank ( ) ,q Q.. J 0f4 ,{nk.,..04,,
.
Percolation Test Results Performed by _ Date I ii
Test Pit No. 1 minutes per inch Deptl I of "fret Pit Depth to ground water
Test Pit No. 2 minutes per inch Depth of Test lit (Depth to ground water
Description of Soil
Nature of Repairs or Alterations—Answer when applicable
Agreement:
The undersigned agrees to install the aforedescrihed Individual Sewage Disposal System in accordance with
the provisions of Article NI 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
f Date
Application Approved fly.. ; -
Date
Application Disapproved for tire following reasons:_. - U
Permit No._7(r Issued '-U–i
THIS-Is TO CJ RTIPk
by x.:;-- /
at
Date
Dale
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
' . .t.; OF �jet- -F.7Qn... .,t--
drrtifiratr of To liana
TI at the Individual Sewage Disposal System constructed ('r") or Repaired
lietrae
has been installed in 2ccordance with the provisions of A rtide Si of The State Sanitary ode s described in the
application for Disposal Works Construction Permit No /T/
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUAR NTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATI 'ice } I'`)7 2 Inspector // dS E3x�t�p a
dated ',site u1:+' /7/1
No Jr/
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
1'141!j OF F-/r"it
FEE ,7v
Bigot-tool ifinrks Tnnotrnrtion drrntit
Permission is ereby granted r %Mt�' t%i(t 'r et
to Construct( ) or Repair ( ) an Indiiridugl,Sewage Disposal System
at No 't t t - _ m4f''
.tees Y
as shown on the application for Disposal Works Construction Permit No_� 1 Dated `. Ch_ F – 1/72
Boa"d al Health /
DATE Pt
-,
FORM 1255 HObSS & WARREN. !NC.. PUBLISHERS
CHECK OR FILL IN WHERE APPLICABL
Installer Huutenn
Type of Building ,j Size Lot Sq. feet
Dwelling— No. of Bedrooms 1 Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building No of persons Showers ( ) — Cafeteria ( )
Other fixtures
Design Flow r gallons per person per day. Total daily flow
Septic Tank-Liquid capacity "r'gallons Length Width Diameter_ Depth
Disposal Trench—- No Width Total Length Total leaching area sq. ft.
Seepage Pit No Diameter Depth below inlet Total leaching area sq. ft.
Other Distribution box ( ) Dosing tank ( )
gallons.
Percolation Test Results
Test Pit No. 1
Test Pit No. 2
Description of Soil
iYpys
Performed by - Date
ninutes per inch Depth of Test Pit Depth to ground water
ninutes per inch Depth of Test Pit Depth to ground water
L
Nature of Repairsi r'Alte�ations—Answer when applicable I- 4
• .r
(
` r
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 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
i . <
Application Approved By
Application Disapproved for the following reasons
by
at -has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the
application fpr Disposal Works Construction Permit No dated
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONST RUED AS A GUARA)TEE,l'HAT THE
SYSTEM WILL FU C SATISFACTORY. /l 7/
4 DATE � �. . .. inspector
Date
nat
Date
Permit No Issued
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
CITY orNORTHAMPTON
Trrtifiratr of Tompliattrr
ewage osal System constructed ( ' ) or Repaired
- 6r
No
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
CITY or NORTHAMPTON
13io}Tnsal
Permission is hereby granted..,.
to Construct ( ) or Repa ..L" ) an Individual Sewage Disposal System
at No / ]§
Ord 1. n µ _ r i
f=r
lib
nrhn ¶nswt u ttntt 1Yrmtt
./
FEE br
lo
Street
as shown on the application for Disposal Works Construction Permit No - Dated - -
, /
DATE l/ /y
FORM 1255
Board of Health
No
FEE
��
THE COMMONWEALTH OF MASSACHUSETTS
!( MAyDAJ MASSACHUSETTS
■ppltrftttort for !isposul *stern Construction Permit
Application is hereby made for a Permit to Construct( ) or Repair(X an On-site Sewage Dispo.al System at:
Location Address o)
Z k3 Address
Lot No_ ,,,,//))
/��
O11 '_Name Address d Tel-No
N4[LWWMo.Ji2 &c-NAelme 36 QAPdbi
Qgda AIoeniAliaro,J S34,I iaa
In
Ile Name Address
and set No.
Designer's Name Address and eL No.
egitawi ,Jssoc /n.k lg6W-oe
Sr 4eaust1 494 5113 4772.8
Type of Building:
Dwelling No. of Bedrooms
Other Type of Building No per Persons Showers( ) Cafeteria ( )
Other Fixtures
Design Flow 33=') gallons per day. Calculated daily flow 33 0 gallons
Plan Date i q6 u' of sheets / Revision Date
Title / O 6f6� able
Description of Soil
S
Garbage Grinder Oh
Se
F7G.4 DA) Qf SI�Y
Nature of Repairs or Alterations(Answer when applicable)
411 efitialtt
'e e„S.
ION nth
Date last inspected'
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.
Signed
Application Approved by
//— o
Application Disapproved for the following reasons
Permit No. Date Issued
aCOMMONWEALTH OF MASSACHUSETTS
RT7JAm rail) MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY, that the On-site Sewage Disposal System installed ( ) or repaired;replaced X)on
by for
at t real r6)40 has been constructed in
accordance with the provisions of Title 5 and the for Disposal System Construction Permit No dated
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. T his
Certificate expires on
DATE Inspector