Lot 14, 17, 19, 31, 33, 35, 39, 40 CHECK OR FILL IN WHERE APPLICABLE
No.AJ' LL
THE COMMONWEALTH OF MASSACHUSETTS
FEB
BOARD OF HEALTH
OF i It mil _:
Application for Disposal eu arks nnstruction j1rrmit
Application is hereby made for a Permit to Construct (la'"or Repair ( ) an Individual Sewage Disposal
Syste' at:
c Location•Address
Ov.ner
2.i
Installer
/ /
t/
or Ilot No.
r•a-fi.24
Address
THE COMMONWEALTH OF MASSACHUSETTS
Address
BOAR OF// HEALTH
OF.. L"(1/tuet , try
Appliratidn for 3ispnsal rfi irk hlu nnstrurtinn Prrmit
i
i/ -""G font
FEE
Application is hereby made for a Permit to Construct ( or Repair ( ) an India idual Sewage Disposal
tem at(:r � �
0
2ini
er
Size LAddress it
Size Loti t Mel .'
!_, Sq. feet
Expansion Attic ( ) Garbage Grinder ( )
of persons Showers ( ) — Cafeteria ( )
Type of Building
Dwelling—No. of Bedrooms
Other—Type of Building No
Other fixtures
Design Flow gallons per person per day. Total daily
Septic Tank—Liquid capacity/D Lgallons Length \Vida
Disposal Trench—No. Width Total Length
Seepage Pit No Diameter Depth below inlet
Ocher Distribution box ( ) Dosin tyc ( )
Percolation Test Results Performed by-. {_
Test Pit No. 1__7-- ainutes per inch Depth of Test Pit-
Test Pit No. 2 minutes per inch Depth of Test Pit
flow gallons.
Diameter Depth
Total leaching area_�'3..0..C2..sq. ft.
Total leaching area sq. ft.
Descri t� inn of Soi
Date..6 f --67
tepth to ground waterr2.'hd== -_
Depth to ground water
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 Article RI of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been t/ss/�ted bb the board of health.
Si ned (' ( _v tt. e-sa l'
Application Approved By ---- <1--�1
Application Disapproved for the following reasons'
A.,t/.QIa 7
Permit No Issued..
JJ IJ J .6..
AMER HUNTLEY, JR. & ASSOCIATES, INC.
Successsors to Davis Engineering Ca. Established 1870
Registered Land Surveyors & Civil Engineers
Board of Health
City Hall
Northampton, Mass.
Gentlemen:
3o CRAFTS AVE., NORTHAMPTON, MASS.
TEL. (413) 584-7444
May 26, 1965
I have made a percolation test on land belonging to
Victory Homes, Lot #31, Drewson Drive, Northampton, and
find the following conditions.
Soil: Coarse sand and gravel ; no ground water.
Percolation Rate : 2" = 1 Minute
Very truly yours,
Almer Huntley.
Registered Sanitarian
es
cc - Victory Homes
145 King Street
Northampton, Mass.
CHECK OR FILL IN WHERE APPLICABLE
No / 3°1
THE COMMONWEALTH OF MASSACHUSETTS
Fag
� }}'�BOARD djOF HEALTH
,�j
Application fur +i3ispnsul ' darks Qinnstrurtinn Permit
Application is hereby made for a Permit to Construct (Y ) or Repair ( ) an Individual Sewage Disposal
System at: n , {f..3( et .rb1 /J t
....y." 4r �L.'"' J or Lot No.
- - Address
,'�/~,�-• Address
Size Lot Sq. feet
Expansion Attic ( ) Garbage Grinder ( )
No. of persons Showers ( ) — Cafeteria ( )
Instance
Type of Building
Dwelling—No. of Bedrooms
Other—Type of Building
Other fixtures
Design Flow ga
Septic Tank—Liquid capacity JQ gallons Length Width
Disposal Trench—No. Width Total Length
Seepage Pit No Diameter Depth below inlet
Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by
Test Pit No. I minutes per inch
Test Pit No. 9 minutes per inch
lions per person per day. Total daily flow gallons.
Diameter Depth
Total leaching area 4 4 sqa ft. er
Total leaching area
Date
Depth of Test Pit Depth to ground water
Depth of Test Pit Depth to ground water
Description of Soil
Nature of Repairs or Alterations—Answer when applicable
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage bisposal System in accordance with
the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not t place the system in
operation until a Certificate of Compliance ha It ed by board o lth. )�S-
_Signed�^"' �!
Application Approved By (1 Date
Application Disapproved for the •following reasons'
i3 ..
Permit No
Dale
as )fb�"
Date
THIS IS
by
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF 7
rrtifiraie of Tom +liana
ll.�cMTfdI'1 FY...J�hat th In bual Sewage Disposal System constructed k or Repaired (
Yoijen )
at
has been installed in accordance with the provisions of Articll ya l The State S d it ry od as thArilNi
application for Disposal Works Construction Permit No J ��7i
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED GUARANTEE THE
SYSTEM ILL UNCJION SA7JS 9GTORY. L
DATE .0 l i b.5 Inspector xlM't^'
No pa-
THE COMMONWEALTH OF MASSACHUSETTS
664
BOARD OF HEALTH
OF ayilin
£giapnnal inr s isirn tr inn Vamp
Permissiorliis hereby ratted
fit.,, vi_di ewagc Disposal System
to Constt�IpG� )'�� 'rte"'�"'r �'°"4
at No
as shown on the application for Disposal Works Construction el'
DATE
FORM 1255 HOBBS 8 WARREN. INC.. Pn BLIBNERS
FEE
Board of IIavUN
�i..1.1.E
CHECK OR FILL IN WHERE APPLICABLE
No...�_,r —�
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Ct.th of j/
Attpliratiga far ht uuSal Moths Olrnwtrtutintt ihrtnit
Application is hereby made for a Permit to Construct <<' ) or Repair ( ) an Individual Sewage Disposal
System at:
Owner J{rr,.
Type of Building
Dwelling—No. of Bedrooms Expansion Attic
Other—Type of Building . No. of persons
Other fixtures
Design Flow gal
Septic Tank L 'd capacitygii d gall
Width Total Length Total leaching area rs¢. ft.
Seepage Pit No Depth below inlet Total leaching area /'-S U L
Other Distribution box ( ) Dosing tank ( ) C "`I "'`"cJ
Percolation Test Results, Performed by Date 0
Test Pit No. I . minutes 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
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 Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has beery issued by the board of bea tt'
Signedd A2 ,L Sy -R FF
Application Approved By
.Xl e.l.,.. .IL �/ ie !{!r/ //.'.v /o!t/ 7f..;
z
Application Disapproved for the following reasons
Date
Permit No /i-:; -
Issued 7/6i✓ I e
Date
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD �O��F��,e�H�EALTH
OF 7..%'r`
rrfifirate of (oittpliaorr
THIS I$jO C RTIF5 That th Individual Sewage Disposal System constructed (' ) or Repaired ( )
,�� 3 ,L i,40.-en, Installer
d
at a
has been installed in accordance with the provisions of Article XI of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No 13 -6 dated_/4aa' / _r i 9 4 ,}
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY. � (
DATE /Gt, 11 .1%i3 Inspector a:yrd'r`r‘r't ) et qe er2
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
No
Ear
?divansl ir;arks Tp,tutrurpnit ¶rrittit
PermissionAsiaereby granted fie ' ten/
to Construct (V) or Repair ( ) an Individual Sewage Disposal System
at No „ ,44- t b 33 �.4iaj.e'Th., H'` Street
as shown on the application for Disposal Works Construction Permit No J= - Datteed ,/4 / .::l.
S .�J
BcaN 6( Health'
DATE
FORM 1255 HOBBS B WARREN. INC.. PUBLISHERS
CHECK OR FILL IN WHERE APPLICABLE
an •
No.153
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF, HEALTH
FEE
Appliratinu far flinpuiiat Be nrkn oeunstrurtiun lrrmit
Application is hereby made for a Permit to Construct ( (- or Repair
at•
,
Lo®non•Add ress
Owner
an individual Sewage Disposal
or Lot yo.
4adr,,
Address
Type of Building t��� Size Lot �iuL Sq. feet
Dwelling—No. of Bedrooms Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building No. of persons Showers ( ) — Cafeteria ( )
Other fixtures
Design Flow )) gallons
Septic Tank—Liquid capacitylt CQgallo s
Disposal Trench—No. Width
Seepage Pit No Diameter
per person per day. Total daily flow gallons.
n Length Width Diameter Depth
Total Length Total leaching area_..:....Q.L sq. ft.
Depth below inlet Total leaching area . sq. ft.
Other Distribution box ( ) DosingS.. ( ) •
Percolation Test Results/ Performed by -'^t'4— '
Test Pit No. 1 minutes per inch Depth of Test Pity
Test Pit No. 2 minutes per inch Depth of Test Pit
Description of Soil .......L-.fL�L.+i-=' ^-�+
24" Date& = C' G.7
Depth to ground waterrL-e.,,..s..
Depth to ground water
ti r
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 Article XI of the State Sanitary Code—The undersigned further agrees nut to place the system in
operation until a Certificate of Compliance has been j Cued»the board of health.
iC �. ( JAL ?L tt
Signed S i
A..iiiiihn
Application Approved By
Application Disapproved for the following reasons
Date
>.a
.9
x1 2
eats
Permit No
CHECK OR FILL IN WHERE APPLICABLE
No }
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
-
FEE
)ppliratiun fur Disposal ri,arks abittstrtution Permit
Application is hereby made for a Permit to Construct ( l ) or Repair ( ) an Individual Sewage Disposal
Syst at:
any
Installer
Type of Building
Dwelling—No. of Bedrooms
Other—Type of Building
Other fixtures
Design Flow
Septic Tank—Liquid capacity
Disposal Trench—No.
Seepage Pit No
Other Distribution box
Percolation Test Results Performed by
Test Pit No. 1 minutes per inch
Test Pit No. 2 minutes per inch
or tat No.
Address
Address
Size Lot Sq. feet
Expansion Attic ( ) Garbage Grinder ( )
No. of persons Showers ( ) — Cafeteria ( )
gallons per person per day. Total daily flow
gallons Length Width
Width Total Length
Diameter Depth below inlet
Dosing tank ( )
Date.
Depth of Test Pit Depth to ground water
Depth of Test Pit Depth to ground water
gallons.
Diameter Depth
Total leaching area sq.ft.
Total leaching area sq. ft.
Description of Soil
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 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
Application Approved By.=�:r.
Application Disapproved for the following reasons'
Permit No
Issued
Date
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
0.Ln-filtrate of atomplitinrr
THIS IS TO CE TIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
by
Instiller
at
has been installed in accordance with the provisions of Article Xl
application for Disposal Works Construction Permit No
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE
SYSTEM WILL FUNCTION SATISFACTORY.
?
DATF '
of The State Sanitary Code as described in the
dated c'M7-; • -: • 2
CONSTRUED AS A GUARANTEE THAT THE
• ;
Inspector
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
No
Iliopoottt orko atottotrurtion Permit
Permission is,kereby granted
to Construct (, 7) or Repair ( ) an Individual Sewage Disposal System
at No
FEE
Street
as shown on the application for Disposal Works Construction Permit No Dated
Board of Health
DATE
FORM 1255 'HOBBS & WARREN. INC.. PUBLISHERS
No
THE COMMONWEALTH OF MASSACHUSETTS
I Rx
BOARD OF HEALTH
C/ry _ _OF Noer/fQA7ArciAi
Applirntinu fur Eiupusttl Thnrtui Qtnueitrurtinu lirrmit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
Pe Etz.:SEXI pent LOT44°
Location-Address:
Nj jam,,,.„ 4Af O A(
Owner
or Lot Sa.
.kb.K stlAAl s t1dreEL
Address
NO. 14 riELL;11A.
W
a
Ins
taller d Type of Building
V Dwelling—No. of Bedrooms " Expansion Attic
`l Other—Type of Building ..eAblaN No. of persons
a. Other fixtures
d
Address q
Size Lot /850 4t' Rey.
Garbage Grinder (V)
Showers ( ) — Cafeteria ( )
Design Flow Sc gallons per person per day. Total daily flow
ol
4' Width •-9 x Disposal Trench—No W }}''Septic Tank capacit %oOgallons Length Width Diameter De
' Total Length__Aar? Total leaching area Yi sq.ft.
.
---
Seepage Pit No `Diameter Depth below inlet Total leaching area sq. ft
z Other Distribution box (tom/ Dosing tank ( ) j /� /
`.. Percolation Test Results Performed by E.X4Q y/wri.Er7' fissoc. Date /�J
`.1 Test Pit No. 1.Q,..3-3...minutes per inch Depth of Test Pit 2 =6" Depth to ground water.._NNLOA/C
N Test Pit No. 2 minutes per inch Depth of Test Pit Depth to ground water
Soo galelons.
O 7W,�so r /=an /YEo,
• apAig Description of Soil Ye toe - el0 een d€L
UNature of Repairs or Alterations—Answer when applicable
To Co,Fre5C
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
Application Approved By
Application Disapproved for the fallowing reasons
Date
Permit No
Issued
Date
Date
by
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
firrtifirntr of fllnmplinttrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired
at
has been installed in accordance with the provisions of Article XI of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No dated
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE Inspector
No
Permission
to Construct
at No
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
Oisposnl
rCi
orks Qlonstrurtiun ¥rrmit
is hereby granted
or Repair ( ) an Individual Sewage Disposal System
FEE
as shown on the
el
application for Disposal Works Construction Permit No Dated
Dowd of health
DATE
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
IECK OR FILL IN WHERE APPLICABLE
No
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF .
Appl ra#inn fur Uiapusal lBurkn Cllunztrurfinn emit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
. Location•Addr
Owner
Installer
Type of Building
Dwelling— No. of Bedrooms
Other—Type of Building
Other fixtures
Design Flow gallons
Septic Tank—Liquid capacit$ ....gallons
Disposal Trench—No Width
Seepage Pit No Diameter
Dosing tank ( )
Performed by Date
minutes per inch Depth of Test Pit Depth to ground water
minutes per inch Depth of Test Pit Depth to ground water
or Lot No.
Address
Expansion Attic
No
Address
Size Lot Sq. feet
Garbage Grinder ( )
of persons Showers ( ) — Cafeteria ( )
per person per day. Total daily flow gallons.
Length Width Diameter _ Depth
Total Length Total leaching area
Depth below inlet Total leaching area
q. ft.
q. ft.
f ((rife [c . CC
Other Distribution box
Percolation Test Results
Test Pit No. I
Test Pit No. 2
Description of Soil
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:In.: 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has hew-issued by the board of health.
Signed
Application Approved By
Application Disapproved for the following reasons
Permit No Issued.
Date
Date
Date
Date
by
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
Qrrtifiratr of Qlumplianrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
IA,eaaer
at
has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the
TITLE
application for Disposal Works Construction Permit No dated
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATF Inspector
No
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
flinpnsttl illorku Qlnnntrurtinn lirrmif
FEE — L
Permission is reby granted
to Construct ( -1or Repair ( ) an Individual Sewage Disposal Sysiatn
at No Street
as shown on the application for Disposal Works Construction Permit No Dated
BEard of trayrs
DATE
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS
CHECK OR FILL IN WHERE APPLICABLE
No Li-5()
THE COMMONWEALTH OF MASSACHUSETTS
//OARD OF HEALTH
C ,,aa,,%%
�.x .oF :4::ntY_thf.Cyrl(
Application for f�iopooal isr arks fkonutrurtion permit
Faa._/.r.._
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at: //
4', '' .e.:e._ss.`-:la''
o�ryow.
L am:} 4ra( -
ekattOwnq ).+it.l r,�
t Installer Dwelling—No. of Bedroom
Other—Type of Building No. of persons
Other fixtures gallons.
Design Flow gallons per person per day. Total daily flow
Septic Tank—Liquid capacit `gallons Length Width Diameter Depth
Disposal Trench—No Width Total Length Total leaching area ret...(1..0sq. ft.
Seepage Pit No Diameter Depth below inlet Total leaching area sq. ft.
Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by
Date
Test Pit No. 1 minutes 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
or Lot No.
Address
.-4^ —r Address
Size Lot Sq. feet
Type of Building
Expansion Attic ( ) Garbage Grinder ( )
Showers ( ) —— Cafeteria ( )
Description of Soil
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 Article XI of the State Sanitary Code— The under rt ter agrees not to place the system in
operation until a Certificate of Compliance hasbeffi?issued bye e dr tn.
Sig ( �t h note _ 1
.rt<t„1/1. .4 t '..nr'1 1;icia tDate .'t .1J
Application Approved By ',w. _... .._.:� (i Date •
Application Disapproved for the following reasons'
Permit No
Issued..:
pf Date
.Date ..1r...i_j. 1._.
nam
by
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF .. .
Tagil-mitt of Tamplienrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
int.net
at
has been installed in accordance with the provisions of Article XI of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No dated
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE Inspector
No b
Permission
to Construct 11
at No
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF (Liar
Tisponal nrks (lionstrnrtinn Vrrmit
ereby granted.......__.yf...._t..,.c......__t_...--- P......_ r
or Repair ( ) an Individual'Sewage Disposal System
as shown on the application for Disposal
DATE
FORM 1255 HOBBS a WARREN
FEE..F.� •r
Street
Works Construction Permit Dated.
.. -K >:� t`
Board of Healtlq I
NC.. PUBLISHERS