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147 Septic Applications Permits Compiance & Plans B� 7vfYy FEE COMMONWEAETN OF MASSACHUSETTS \"\--\`' Board of Health,Np/'1tarylitjs� ,A-L1. APPLICATION FOR DISPOSAL SYSTEM_ CONSTRUCTION PERMI" Application for a Permit to Constr u:t(jp Repair( ) Upgrade( ) Abandon( ) - P Complete System O Individual Comp l� I fan Location to a- ? /Jta.t h 'Drive Owner's Name it/4-1-pi DA,one. Map/Parcel# Address fi Or Boy I Lot# 1ra4- a. Telephone# 4/3r 941, x}49 Installer's Name Al 6 [�%�/�,� Designer's Name �14h Weiss RS. Address 6T7/474„A„, I�`� l rn/9 oirndress Re/e%t/Lewn Telephone# vi-Ss9-2619 / asid- qik Telephone# yr3, 2a3. 5557 /2 S,'enrt £ c/r oo'nl2 Other Fixtures Design Flow(min. required) /1 C) gpd Calculated design Low Design flow provided 6,W gpd Plan: Date '/ 3 /06 !Number of sheets /� /� Revision Date 'title [eft"C Sys Aprn- (/GSi C?nqq � A Description of Soil(s) oOray LOae., e.m.ss V Soil Ealuator Form No. Name of Soil Etaluator A . LU/[i Sj Date ofE aluation r/o1/UC Lot Size /9///rCr/— sq.ft. It S Bk OVC win/ Garbage grinder Q.)� Type of Building Dwelling-No.of Bedrooms Other-Type of Building No.of persons Showers O,Cafeteria i/) DESCRIPTION OF REPAIRS ORALTERATIONS clh ; cj Jep ff J(_.fk 1 The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees of to pl 4 he system in operation until a Certificate of Compliance has been issued by the Board of Health. *Signed - Date! . 1))44–; Inspections No. Zan- is COMMONWEALTH OF MASSACHUSETTS Board of Health, MA. CERTIFICATE Of COMPLIANCE 4 %4s FkF Description of Work: U Individual Component(s) ❑Complete System The undersigned hereby certify that the Sewage Disposal System; Constructed ( ),Repaired ( ),Upgraded ( ),Abandoned ( ) by: at has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No. dated . Approvretd Design Flow (gpd) Installer . - J — RoPr41 . Designer: The issuance of Inspector: permit shall not be construed as a guarantee that the Date: function as designed. No. 1/'DE COMMONWEALTH OF MASSACHUSETTS Board of Health, 667. CERTIFICATE OF COMPLIANCE Description of Work: U Individual Component(s) 7 Complete System The undersigned hereby certify that the Sewage Disposal System; Constructed ( ),Repaired (),Upgraded ( ),Abandoned ( ) by: at has been installed in accordance with the provisions of MO CMR 15.00 (Title 5) and the approved design plans/achuilt plans relating to application No. dated AppmvSdppD��esign Flow /� (gpd) �Al Installer N _ dated mac.—>�, Rew a C. 6RoCAN7 Designer: Inspector: Date: The issuance of this permit shall not be construed as a guarantee that the system yell function as designed. No. Z UC 6: COMMONWEALTH OF MASSACHUSETTS DISPOSAL SYSTEM (_ONSTWUCTI©N PERMIT FEE Peritiss n is hereby granted to; Construct( p r( ) U La�de(f�) Aba don( ) an individual sewage disposal system at I t) sCY'�vE� � � 9"`-"' i`/t& s described in the application for Disposal System Construction Permit No.1_/J7%Li lii dated �2- (fX. p z� --av/pf� f Provided: Construction shall be completed wi tot 'ee years of the date of this permit. ocal conditions must be met. Form 1255 Bev.996 A N.swan Co Boson MA Date > (6./ Board of Health 1-92/ COMMONWEALTH OF MASSACHUSETTS 'i fEF/ QE/Jd rf D108011)eBoard of Health, ).locCf�w16� MA. �,• ICATION FOR DISPOSAL SYSTLM CONSTRUCTION PERMIT all-137-5113 i atti DRIVE Owner's Name 'pcotJpE t'r' ilk Map/Parrel# Address e.0 Sou.^ Q U_Sukio tAD IAA- Lot# 6- Telephone# (4C,akq)an9q 6tsbh"J Installerr ss Name Designer's Named FkA-G tNVts Address Address • sj 11 I t • 4 A l Telephone# Telephone 4)'-..) t/, - .g/ V Type of Building Su eL& r '� Dwelling-No.of Bedrooms Other-Type of Building Other Fixtures p.�� �.,� Design Flow (min.required) 5 50 gpd Calculated design flow 8Q�o D Design flow provided ase gpd Plan: Date T)--5-8 i�" Number of sheets a Recision Date Title ( c()O O E tC S f T W\ D&51 Description ofSoil(s) 6 1" 4 i �c L / A") �Tz1�ii/� Soil Evaluator Form No. Name of Soil Evaluatotr—P'WD ..n't/(1AVs Date of Evaluation 3^J5'04- Lot Size "1k )e+ sq.ft. Garbage grinder frr. No.of persons (0 Showers (kiipANifefe•ifif-r DESCRIPTION OF REPAIRS OR ALTERATIONS I. N�A bomoGn M.fl,AA4‘ C NRt41hA) QaysEl The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees to not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date Inspections Nr,. r04 9 Z Z COMMONWEALTH Of M4SSACTII'SLTTS Board of Health, MA CERTIFICATE OF COMPLIANCE Description of Work: U Individual Component(s) U Complete System The undersigned hereby certify that the Sewage Disposal System; Cons('tic cd ( ).Repaired ( ),Upgraded O,Abandoned ( ) ftF at ! Y% (7`-42) �ht`�-, has been :milked ' accordance with-�aion.s of 310 CMR 15.00 (Title 5) and the approved design plan s!as-built plans relating to application Novalp)q 2V dated Approved Design Flow (gpd) Installer Designer: Inspector: Date: The issuance of this permit shall not be construed as a guarantee that the system wi l function as designed. „moo y- 2Z COMMON1WL%LTT4 OF MASSACHUSETTS Bowel qf Healik/1%1_4.I-t2// 77 it MA. DISPOSAL SYSTEM (_ONSTI?I'CTION PERMIT Permission is hereby granted to; ConstructVRepair( ) Upgrade( ) Abandon( ) an individual sewage disposal system at J a t-f%, a1 .t( - 11 -' -.97,ryyn ' �}i/�7 [Am as described in the application for r`� Disposal System`Constr uction Permit No.?Pt'-17, dated 71 Vi 7. Provided: Construction shall he completed within three years of the date of this permit. All local conditions must be met. ro:mress Rev 516 Arvi.saunoa.Boston MA Date Board of Health }i1' Flt:/7i ) &l d/L/46 Oct. 30, 2006 Northampton Bd of Health RE: Septic System Repair Installation Inspection # 147 Dunphy Road On this date, the writer inspected the installation of a (Septic Tank and New Leach field) . The writer found the installation to be complete (except for completion of cover material) and in compliance with our plans and 310 CMR 15. 000 . The installer representative and our inspection noted that the system was built & installed properly, in accordance with the state/local regulations and our plans . The contractor was requested to have sufficient soil on site and properly cover the system according to our plans and may backfill the system after review by local Health Department representatives . **Clean/pump the septic tank every two-three years. Sincerely, Cold Spring Environmental Consultants, Inc. Alan E. Weiss, M. S. , L. S. P. President Principal Hydrogeologist Licensed Site Professional #6442 Registered Sanitarian #933 Cold Spring Environmental 350 Old Enfield Road Belchcrtown,Ma.01007 413-323-5957,phone 413-323-4916.fax ***Revised As built plans attached. Name: EASTHAMPTON Date:7/5/104 Scale: 1 inch equals 2000 feet Location: 042° 18' 12.0" N 072°40'36.0" W Caption: Proposed septic system Lot#2-Dunphy Drive Northampton. MA. Copyright(C)1097,Maplech,Inc. 3.241± Ac. V \ SEPTIC LOCATION / DITCH TO BE RESTORED BUILDING ENVELO KA LOT #2 1 / TO ORIGINAL GRADE. RESTORED L IA � ENHANCED V XISTING CONTOURS �_ ENHANCEMENT ARE,, •,L� � 1 ,395 S.F. / 7_______ ... r_____ i 40.04 AS BUILT: 10/30/061 STO e / ' / N, 4 ' do== 914 l� rR� �"rll�llk•I M :11011FII*11� 4darr,,, *IIF 11411 1/51 �[ 3 �// WW1, 4 KF PROPOSED _ F ER SOCKC / -a� vewnv LaauoN .4 BEDROOM / SINGLE FAMILY f EXISTING Mse LIMITOF WORK / "fir ,1 1 � � -� SETBACK 4 ,RING-----7( � ' ��� .• 51 03 40 00 � EW24'X53'SAS - \. t.