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407 Septic Permit Design & Pump Test CHECK OR FILL IN WHERE APPLICABLE THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH City Northampton OF . ;titration for Disposal is arks Construction Drrmit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: to Of f Audobon Road Lot #5 dacks.Qn..Suhdiuis;m" or Lot No. Location.Address Alan Branch Address RPM- :::: yt✓hV Address Type of Building Size Lot 17.47 .(tc.,--9gt:daat Dwelling—No. of Bedrooms 3 Expansion Attic ( ) Garbage Grinder (X ) Other—Type of Building No. of persons Showers ( ) — Cafeteria ( ) Other fixtures Design Flow 82.S gallons per person per day. Total daily flow 495 gallons Septic Tank—Liquid capacity 1500gallons Length Width Diameter Depth Disposal Trench—No. 6 Width 3 Total Length 60 Total leaching'xxn _....B.so.fPD acif Seepage Pit No Diameter Depth below inlet Total leaching ar?a sq. t. Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by D.T. Huntley Assoc. Date 3-IQ-S.3. Test Pit No. 1 2.L_Ominutes per inch Depth of Test Pit Depth to ground water Test Pit No. 2 minutes per inch Depth of Test Pit Depth to ground water Description of Soil 9" OTS 1 r0" silt, 8'3" compact groundwater at 916" sandy till with boulders 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 Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issue b the board of health. //�1' � )�� � Sieaed f:�f4 } .,�' -tnfyt.NCk 1213�' et AL/Lit-Cc Application Approved By Application Disapproved for the folio 9 asons- Permit No !fF -Ll' Issued. Date Date PROPOSED DOHESTIC SUBSURFACE DISPOSAL SYSTEM DESIGN Prepared For: Q/ (OjrGn ! h 1 LC/n GYq/1CC, Location: L.0 f #S / padOdor) Rood / 4v Number of Bedrooms: c 3 Garbage Disposal' Y LEACH AREA DESIGN 3 Bedrooms x 2 persons/bedroom - G persons (, Persons x 55 gallons of wastewater/person/day - ...3-3O total gallons of wastewater/day. X /.S = 4/9S Percolation Rate: 2/ min/inch Gallon of wastewater/square feet of leach area for a Percolation Rate of: 2..5- min/inch - O. 44O Gal/SF Sidewall Area O Gal/SF Bottom Area * If a leach bed is to be installed, no sidewall is allowed. * If percolation rate exceeds 20 min/inch, no bottom area is allowed. - SEPTIC TANK - * WITHOUT GARBAGE DISPOSAL: Gallons of wastewater/day x 150% = REQUIRED effective liquid capacity of septic tank. RECOMMENDED: Septic Tank * In no case will the septic tank be less than 1,000 gallons (effective liquid capacity). ** WITH GARBAGE DISPOSAL: 49,5- Gallons of wastewater/day x 200% = 990 REQUIRED effective liquid capacity of septic tank. RECOMMENDED: /SOO Septic Tank ** In no case will the septic tank be less than 1,500 gallons (effective liquid capacity) ALVIER HUNTLEY. JR.. & ASSOCIATES. INC. USING BOTTOM AREA ONLY: LEACHING FIELD DESIGN Gallons (Total Daily Flow) t * With Garbage Disposal: gal/SF = SF Leaching Field (REQUIRED) SF Leaching Field x 1.5 = SF Leaching Field (REQUIRED) SF Leaching Field (Designed): ' Long x ' Wide LEACHING TRENCH DESIGN SIDEWALL AREA: 0. 4/O Gal/SF x 3. o ' of effective depth x 1' length x 2 sides = Z- S/' Gal/1.F of trench (sidewall). BOTTOM AREA: Gal/SF x ' wide x 1' length = O Gal/LP of trench (bottom). Z V Gal/LF (Sidewall) O Gal/LF (Bottom) Z- c/ TOTAL Gal/LF of trench Total of V95— Gal/Day (flow) t Z. 9 Total Gal/Day/LF = Zo(o LF of trench trench (REQUIRED) * With Garbage Disposal: 2-0 40 LF of trench x 1.5 = .3/ U LF of trench (REQUIRED) 3&o LF of trench (Designed): 6 Trenches, 3 ' Wide x to O ' Long with 3 ' Effective Depth. ALMER HUNTLEY, JR., & ASSOCIATES, INC. .URV! ( R' NGIAf FRs - PI AAFR• • • SEWER 'me -S/ZE .R!Norco on/ALIN- ALL ✓O/NT3 TO QE SATE/C770117" SLOPE • *%PT/N/NJ SEPTM TANK 0/37A/E1/7/0N• 02 TV at SET LEVEL. SHIP R7aE6' SIDE PEPSI X NEAOER P/PE3 FAQ/I THE o/,STR/QUT/O.V 00X 70 SE NON- PEA/VAI7 •0 AND LA/a0 LEVEL AAA AT 1E437 ONE LENS TN op PIPE. 2 Y• (N/N.) &N/311 GRADE PLAN LE:LI //I' 70 S4• WISHED 370N! M'ASPEO S70NE 00770.41 Of FIELD 7D QE Atop/20A/741.. ♦'N/N. RJ O.tOUND HATER Oi /NtERY/Otti LAYER 3ECT/ON - X gra T EFFECT/YE DEPTN(VARAESJ • II e -I _ TN/CE EfPECTIVE N/DTN_1 A T - (N/N.) EFFECT/YE M/OTN •/• NO7 USED fOR RESERVE (VAR/ES) AREA • f' 11/Al /LO•N/ • /F USE FOR RESERVE AREA • 6' N/N. Alt WORK 70 SE DONE /N AKORDANCE w/TN THE $TATS ENV/RONMENTAL CODE ^ 7/71E S. S ALMER HUNTLEY, JR. & ASSOCIATES, INC. SURVEYORS - ENGINEERS - MANNERS 125 PLEASANT STREET NORTHAMPTON , MASS. PROJECT NO. SHEET OF 1t . 62?1 - 6 7/)- Commonwealjh, of4vjas ks tts City/Town of (� /� System Pumping Record Form 4 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 your local Board of Health to determine the form they use.The System Pumping Record must be submitted to the local Board of Health or other approving authority within 14 days from the pumping date in accordance with 310 CMR 15.351. A. Facility Information Important: When filling out 1. System Location: forms on the computer,use only the tab key Address to move your cursor-do not City/Town use the return key. 2. System Owner: t� L1b7)?117` 11�i) UtCt3 RP/ Address(if different nt from location) State Zip Code City/Town 1 ee S B. Pumping Record WI ( 'l L/0 1. Date of Pumping pate 3. Type of system: ❑ Cesspool(s) State V k 07 L q / Zip Code Telep one Number am/ 2. Quantity Pumped: Gallons eptic Tank ❑ Tight Tank ❑ Grease Trap ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes 5. Condition of System: If yes,was it cleaned? s ❑ No 6. Systempumped By: Company 7. Locatio9.,where contents were disposed: S t5form4 dap 03/06 Vehicle License Number Signature of Hauler Date Signature of Receiving Facility Date System Pumping Record•Page 1 of 1