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.