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Lot 16A Septic Application Permit Compiance & Inspection 1986 t \\HERE APPLICABLE CHECK OR iFIL THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH CITY OF NORTHAMPTON Fag Appliratinu fur fiupunal Itlnrltn fannntrurtinn 1rrutit Application is hereby made for a Permit to Construct (X)e) or Repair ( ) an Sodvidual Sewage Disposal System at: BIRCH LANE WOODBROOK LOT #16A or Lot u.,. coca on-Add WARD,CHRISTENSEN—I-I,QWARD, INC. O Addr.or m;�nn�. - Q Size Lx 864393 Sq. feet Type of Building Dwelling—KNo. of Bedrooms 4 Expansion Attic ( ) Garbage Grinder ( x) Other—Type of Building No. of persons Shower ( ) — Cafeteria ( ) Other fixtures Design Flow 5.5 gallons per person per day. Total daily flow 440 gallons. Septic Tank—Liquid capacity 1500gapons Length 10 ' 6"Width 5 ' 8"" Diamete- Depth 5' 4" Disposal Trench—No. 1 Width 8 Total Length 41 Total leac'ting r_i , 512 sq. ft. Seepage Pit No Diameter Depth below inlet Total leaching area sq. ft. Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Perforated by Pharmer Engineering Corp. Date.. 4/3/86 Test Pit No. 1 4 mints per inch Depth of Test Pit 61/2 Depth to tro y Test Pit No. 2 mina tes per inch Depth of Test Pit Depth to 3" loam Description of Soil 21" fine sand 36" med. to coarse red sand 17" coarse sand Nature of Repairs or Alterations Answer when applicable Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System m accordance with the provisions of Article XI of the State Sanitary Code-- The undersigned further agrees tot :o place the system in t e41 $ the board of hcdth. operation until a Certificate of Comp,tce has Leen Sig Application Approved By Application Disapproved for the following reasons y I +-z-- s/' ,6 Permit No . Issued ' 1;/" Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF /y„/ f(Irrti irttr of Tuntpitutt r TN ISY T CERTIFY, That U e . dividual Sewage Disposal System constructed ( or Repaired ( ) by % O .... has born installed in accordance with the provisions of Article XI o( e State Sanitary Code as described in the nppHuaJ-m for Disposal Works Coostructinn Permit No vt-D-j'{o dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A C'UITANTEE TH • THE SYSTEM WILL FUNCTION SATISFACTO(ty. 13r/ 8'7 Inspector at No ).,1-2k THE COMMONWEALTH OF MASSACHUSETTS f hipun Perm ti sign is hereby granted to Construct ( yy Repair ( ) Ind' t ual Se ge DS OARD O p HEATH OF Al Cn it trt: osal Sy as shown on the application for Disposal Works Construction Perm e)—(16 Lr fJtd st Pharmer Engineering Corp. civil engineering & land surveying 39 MT. TOM AVENUE HOLYOKE, MASSACHUSETTS 01040 413/533-7276 JULY 9, 1987 TO: NORTHAMPTON BOARD OF HEALTH 210 MAIN ST. NORTHAMPTON, MASS. 01060 RE: INSPECTION OF LOT #16 , BIRCH LANE ,WOODBROOK ATTEN PETER McERLAIN, PUBLIC HEALTH AGENT THIS IS TO REPORT THAT THE SUBSURFACE SEWAGE DISPOS.3L SYSTEM WAS IIISTALLED ON THE ABOVE-MENTIONED LOT AND WAS FOUND TO BE IN SUBSTANTIAL COMPLIANCE WITH THE DESIGN STANDARDS ACCORDING TO THE MASSACHUSETTS SANITARY CODE, TITLE V. DAVID M. PALANtI, C.E.