Lot 21 Septic Applications Permits & Plans'HERE APPLICABLE
CHECK OR FILL IN
No. 7n Fea/ .6
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
�.L OF _1
Application -fur Diopagal iliurltu"Lutuitrurtiuu Permit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an lndit idual Sewage Disposal
System em a t
: ili y/
4Addr%s nxs s a
ess
{ Installer L/ Address
Type of Building Size Lot Sq. feet
Dwelling—No. of Bedrooms S Expansion Attic ( ) Garbage Grinder
Other—Type of Building No. of per,ond Showers ( ) — Cafeteria ( )
Other fixtures
Design Flow gallons per person per day. Total daily flow gallon=-
Septic lank—Liquid capacity_ gallons Length Width Diameter Depth.
Disposal Trench—No. Width Total Length Total leaching area sq. ft.
Seepage Pit No Diameter Depth below inlet Total leaching are' sq. If
Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by Date
Test I'it No. 1_.31 minutes per inch Depth of Test I'it Depth to ground 'ate
Test Pit No. 2 minutes per inch Depth of Test Pit ��__ Depth to ground water_._
6 ''
Description of Soil
Nature of Repairs or Alterations—Answer
en applicable
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of Article NI of the State Sanitary • e—T ee undersigned further agrees not to place the system in
operation until a Certificate of Compliance has b ep s,ed by the boar of I
Application Approved By
Application Disapproved for the following reasons'
Sign
n,ee
22.4 1-4,-1.97
Permit No 61.6
Issued 7P.c.t
nate
117-s-
1 o
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3
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THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
err Y OF 41 e 7, f{IQ.97,0 TOS/
FEE
liratinn for flispusat rr; arks (knnstruction jtrntit
Application is hereby made for a Permit to Construct (✓) or Repair ( ) an Individual Sewage Disposal
System at:
C /�-�9ONt /stir/ 5 2I.ogas
anon A die. or Lot No.
/naeAi ,..IIV� .._....
Owner Address
Installer
Type of Building
Dwelling—No. of Bedrooms
Other—Type of Building
Other fixtur
Design Flow
Septic Ta
Disposal
Address CC 2/l
Size Lot._.L.5. �✓V...sq. feet/
Expansion Attic ( ) Garbage Grinder (✓J
No. of persons Showers ( ) — Cafeteria ( )
gallons
iquid capacity/ZDR..gallons
—No. 1......_ Width
Seepage Pit No Diameter
Other Distribution box ( ) Dosing
Percolation Test Results Performed by
per person PP,e�er,day. Total daily flow Q gallons.
Length /62'0 Width_5-Q,'�Dameter Deppth.. L4-
ZsP Total Length 3.0 Total leaching area W.C2...sq. ft.
Depth below inlet Total leaching area sq. ft.
X.egi-:t.Gael.fl t) —ih/ LC.K:.. Date 5/7-42/.254
minutes per inch Depth of Test Pit...Sr.._O._. Depth to ground water Ds✓
Test Pit No. 2
minutes per inch Depth of Test Pit e Depth to ground water
Description of Soil b an., 4"4 iL%. 5g7---..---I.�-r /
-0 " F'NIw..s4d..0
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.
Application Approved By
Signed
Application Disapproved for the following reasons
Permit No Issued.
Date
Date
Date
Date
by
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF ._ , .. . . .
f trtifiratt of f mttplianrt
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired
Installer
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 EE CONSTRUID AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE
Inspector
OBSERVATION PITS
REQUESTED BY: Robert E. Hallett (Mardi Construction Inc.)
LOCATION: ' .. -- -
(Off #66) Northampton,
MAILING ADDRESS:
.fJJIM�J�-fi.
Ma. / G
DATE: August 6, 1973 OBSERVER:
9'0"
Lot #11
Fill
Silt
and
Sand
Sand
2'6"
1'6"
5'0"
J. Hart
n
Lot #12
7'6"
Fill
Sand with
some silt
Groundwater None Groundwater None
Perc Rate 1.7 min./in.
Perc Rate 13.4 sec./in.
7'0"
Lot #13
Topsoil
Silt and
sand
Sand
1'4"
5'6"
1'6"
6'0"
Lot #14
6'6 '
Topsoil
Silt and Sand
Sand
3"
1'3"
Groundwater None Groundwater None
Perc Rate 0.67 min./in.
Pere Rate
0.5 min /in.
5'0"
* Overnight Test
ALMER HUNTLEY, JR., & ASSOCIATES, INC.
SURVEYORS - ENGINEERS • PLANNERS
REQUESTED 8Y:
OBJERVATION PITS
2ogc�i E 4/41t./=7 T �j DATE: 8 6-73
/lO.nipi./ L{'lI. OBSERVER: .I. NaC r
p 'ACC ` N:)^t 4M+)Te nd "14 SS O'
AWL ADDEESS
l
9'6
0
F„
FILL
St Lsc
z'6 '
6POUND WATER ,&°"'e
PERC RATE : 13.4 5 e/
Le r
e i3
11\-1
7,0„
7OP5oIL
5 i c1-
5 a.45-J
SAHr
I_4
GROUND WATEe
AR 2ATE: C S m'-a/
t6
620UND WATER
Ari r RATE : /4.9 "'" 2/r v
'yI
C 0"
AJ�Na
I-
4 =6.
Lo r
at/¢
Tp/3c/L
5,cr
SAND
.3 "
5 'I
GROUND WATER ^'ooF'
PERC RATE : O. 67 / ^-11,)
ALMER HUNTLEY, JR. a ASSOCIATES, INC.
ISTERED LAND SURVEYORS B CIVIL ENGINEERS
238 BRIDGE STREET
NORTHAMPTON, MASS.
AA/C Gi
c i/Ar/IIT
/,i: -IP( ✓.' LAA/C
L)T",2
F 7. AA/ Df THE Pk'OP6.2 /2 1 E<LL-7A:E
DlS6'O_'AL s srE/-1 OAl LOT a /i , PIALE
All%,PTNA/7PTOA/ 7 /1 ASS- y2A,
/;PE PA.PEO /Or
COA/STPL/CT/DAl /NC.
'/A,ED/
/ ALMER
M,
HUNTLEY, J:2
ALMER HUNTLEY,JR. & ASSOCIATES,INC.
REGISTERED LAND SURVEYORS S CIVIL ENGINEERS
125 PLEASANT STREET
NORTHAMPTON,MASS,
SCALE : /"- PI
DATE : /LAY /9_ /'AL`:
DRAWN:
NOTE:
ALL WORK
TO BE DONE IN
ACCORDANCE WITH
BTATE SANITARY
CODE ART. XI
I,•A;:[ i
1-0
e,d, •t1-;
AP.CA
21 46
- _,_ /,F.((1/Z"Vi UTA_/E_
F1L.AN DF
a/Cp 1 S.A[
T,lE Pk )PG-'Lii
Y>TEr/ (-Ai / r / « u , O.�',�c fritD:5t6' t.
/1/ K1 IA ii 7()Al , /JA 's>. 'tea`" yh(� {Di in<
Xir/ ad a f n.'
ALMER \G
M.
.auNrLCr.
ALMER HUNTLEY,JR. & ASSOCIATES,INC.
REGISTERED LAND SURVEYORS S CIVIL ENGINEERS
125 PLEASANT STREET
NORTHAMPTON,MASS,
DRAWN: SCALE:
NOTE:
ALL WORK
TO BE DONE IN
ACCORDANCE WITH
STATE SANITARY
CODE ART. XI