78 Septic Application & Letter No 7C—ere)
FORM 1-APPLICATION FOR DSCP
Fee
Commonwealth of Massachusetts
NORTHAMPTON, Massachusetts
Application for Disposal System Construction Permit
Application is hereby made for a Permit to Construct(X) or Repair() an On-site Sewage Disposal
system at:
Location Address or Lot No.3
KCOLES MEADOW ROAD
Owner's Name.Address and Tel. #
ROY GIANGREGORIO
31 RUSTLEWOOD RIDGE
NORTHAMPTON.MA 01062
413/586/7623
Installer's Name, Address,and Tel. #
.laAy
Designer's Name, Address and Tel. #
MacLeay Associates, Inc.
102 Bridge Street
Shelburne Falls,MA 01370
(413) 625-9774
Type of Building:
Dwelling No.of Bedrooms Garbage Grinder
Other Type of Building_No.of Persons Showers Cafeteria
Other Fixtures
Design Flow 440 gallons per day. Calculated daily flow 666 gallons
Plan Date 6/22/99 Number of Sheets Revision Date 5/8/00
Title SUBSURFACE SEWAGE DISPOSAL PLAN IN NORTHAMPTON,MASS FOR ROY
GIANGREGORIO,LOT 3 COLES MEADOW ROAD.
Description of Soil MEDIUM SAND SEE PLAN FOR DETAILED TEST PIT DESCRIPTIONS,
SEASONAL HIGH GROUNDWATER AT 80 PERC RATE 5 NUN./INCH. . WITNESSED BY PETER
McERLAIN
Nature of Repairs or Alterations(Answer when applicable)
Date last inspected:
Agreement:
The undersigned agrees to ensure the c• stru 0•�• :nd maintenance of the aforedescribed on-site
sewage disposal system in accordance with t ro • Pof Title 5 of the Environmental Code and not to
place the system in operation until a Certify �j pliance has been issued by this Board of Health.
y
Application Approved by
Application Disapproved for the following reasons
Date
Permit No.
Date Issued
HOARD OF HEALTH
MEMBERS
DONNA C.SALLOOM,CHAIR
JOANNE LEVIN,M.D.
SUZANNE SMITH,M.D.
STAFF
Benjamin Wood,MPH,Director
Patricia Abbott,R N.,Public Health Nurse
Daniel Wasiak,Health Inspector
Edmund Smith,Health Inspector
Heather McBride,Clerk
4/5/2012
Brian 8 Jen Hoffman
78 Coles Meadow Road
Northampton MA 01060
Dear Brian and Jen—
CITY OF NORTHAMPTON
MASSACHUSETTS 01060
OFFICE OF THE
BOARD OF HEALTH
212 MAIN STREET
NORTHAMPTON,MA 01060
413-587-1214
I came out to your house about 2 weeks ago when the septic pump failed and the system had to be pumped and repaired.
At the time I spoke with Jen about the lack of a Title V report in our files, and also the lack of as-built measurements for
the locations of the tanks and field. Can you let me know who the realtor was who handled your sale, the date of the
transaction, and anything else relevant—for example, did you have home inspector go over the house and paperwork
before you bought? I'd like to find out who did the Title V inspection for the seller when you bought the property, and
make sure this is an isolated case of records not reaching us.
Thank you—I appreciate your help.
Sincerely
Ed Smith
Health Inspector
Northampton Health Department
1(413)587-1339
esmithanorthamptonma.gov(please feel free to email me—you can send any scans of documents to this email)