182 Septic Application Permit & Perc Test CHECK OR FILL IN WHERE APPLICABLE
No q l
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Cat y OF rill !iptii
.Appliratinn fur 3ainpusttl 'Narks Cllnnntrnrtiun e .
Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual$
Sys t: ..
d Du&pkv ,Pri 'e Let
LL L' Lo at�sn .4Ctlr s
Installer Address
Type of Building Size Lot..i24O4V t..Sq. feet
Dwelling—No. of Bedrooms if Expansion Attic ( ) Garbage Grinder (X) yes
Other—Type of Building No of persons Showers ( ) — Cafeteria ( )
Other fixtures
Design Flow ,S''S' gallons per person per day Total daily flow 660 Ions.
Septic T. k—Liquid. capacity LSL>Ogallons Length.L0..61 Width `$'" Diameter Depth
'`9i tee rexeriet o. Width I.Rf Total Length 38� Total leaching area 68..t sq. ft.
Seepage Pit No Diameter Depth below inlet Total leaching area sq. ft.
Other Distribution box (K) YQS Dosing tank ( ) gat Percolation Test Results Performed by Reber t 77at Date ft't 1S' c':ss
Test Pit No. I 1....minutes per inch Depth of Test Pit If Depth to ground water 8 f 3" /
Test Pit No. 2 minutes per inch Depth of Test Pit 7'2v Depth to ground water 8.6 1 (9•o)
Description of Soil._.14 Chtd
Nature of Repairs or Alterations—Answer when applicable
Agreement:
The undersigned agrees to install the aforedescrihed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Sanitary Code — The undersigned further agrees not to place the system in
operation until a Certificate of Compliance s b iss ed by,the board of health. p�
Signer...ms_� _ I /1 ..d..n1.._.
Application Approved By � ' 5 k
5—
Application Disapproved for the following reasons
Permit No `7..! —Q C
Issued
r/C Date
by
THE COMMONWEALTH OF MASSACHUSETTS
BOARD
OF P�j�OF���H''E'EA'L��`T�H`��`�'
li— V
kiertifirate of tanmplittnrr
THIS IS TO RT Y, T Vtl thc�Ipdiy'dual .Sewage Disposal System constructed (ti<oiCRepaired
has been installed in accordance with the provis ns of yµTL' 5 of T State Sanitary Code a des ribed in the
application for Disposal Works Construction Permit No yf-7) dated /. €2- tr
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONS UEJ AS AAG GUARANTEE/AT THE
SYSTEM WILL FU CTI SATISFACTORY. �� (�
DATE y �. /LC Inspecto
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF_J` r1 i- 1 ii 244 7"-)
FEE
fl4npn at !Harlin Qlunntrnrtinn throat
Permission is heleby granted =
to Construct ( o1Rep it ( , ) atr Indi idual Se*a$ Disposal System
at No i^' 1 'll 1
as shown on the application for Disposal Works Construction Pelt N�' ' Dateda_/ 1
YIL�,
DATE
FORM 1255 N0665 & WARREN. INC.. PUBLISHERS
Board of Health
ALMER HUNTLEY, JR. & ASSOCIATES, INC.
SURVEYORS ENGINEERS- LANDSCAPE ARC IIITIiCTS
P.O. IMn 980 IIS Pt'ASSN', ST.!NORTH 4MPION, MASS Mat,
14131 5844440
SOT
Robe cY11a1 Lett
Harlingen, Texas 78550
ALMER HUNTLEY,JR. PE., RIS
DOUGLAS W. TIIOM)PSO\ LIES
WILL IA II R. CAR RITZ. LA
JOHN G. RAYMOND, PE
V, C ( /2e,--064
Re: 2 lots If Dunphy Drive, Northourytnn
On, 5-15-85 a representative of our office performed deephole and per-
colation tests on the aforementioned property in conformance with Title V of the
State Sanitary Code. We have attached a copy of those tests. FINAL APPROVAL OF
TEST RESULTS AND ISSUANCE OF PERMITS RESTS WITH THE LOCAL BOARD OF HEALTH.
X . The percolation test and the deephole, in our opinion, meet the
requirements set forth in Title V.
_ One or more of the tests were marginal.
A. _ Percolation rate was minutes per inch.
B. _ Groundwater was at a high level.
C. _ Impervious formations were encountered.
D. _ Slope and other site restrictions may preclude a subsurface
sewage disposal permit from being issued.
E. Other:
_ The tests did not pass.
A. _ Percolation rate over acceptable limits.
B. High groundwater and/or impervious formations.
C. Site restrictions; i.e. distance to slopes, wells, water
courses or wetlands.
If the tests passed, please contact this office when you wish to proceed
with your application and plot plan.
If the tests were marginal, please contact this office to discuss the
problem and possible solutions.
Certain communities haye a time limit on the validity of the tests.
Please contact the Board of health for further information.
Thank you for your confid,.nce in this firm for allowing us to perform
these services. If you have any questions , please call this office.
Very truly yours,
ALMER HUNTLEY, JR. , & ASSOCIATES, INC.
Richard P. Brazeau
REQUESTED BY:
LOCATION:
OBSERVATION PITS
Roh( ri 11.111 P.it
Dunphy Road, Northal•1RLou
MAILING ADDRESS:
DATE: 5-15-85 OBSERVER:
#1
9
l
51�
C-M sand
& gravel
Li I I
oxide 5 0"
Groundwater 8'3"
3'0"
1 '3"
RPR
9'3 '
#2
OTS
silt
Mrd sand
silt
oxide @ 4 '6"
Groundwater R'0"
Perc Rate Perc Rate 2.0 min/in
9'0"
Lot #2-I
OTS
silt
C-M sand
L wt '.i II
1 '0"
9"
5'3"
11 '0"
Lot 2-2
OTS
silt
C-M sand
sill
Groundwater 7 '0" Groundwater 101(1"
Perc Rate
Perc Rate 2 0
I '0" •
I '9"
1 '0"
I '0"
• Overnight Test
ALMFR HUNTLEY, JR , & ASSOCIATES, INC.
I 'll"