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Lot 24 Septic Applications lz THE COMMONWEALTH OF MASSACHUSETTS pia_ BOARD OF HEALTH eny OF Acee$14/0041 App tirafirnt fur Disposal Works etanstntrtion Permit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Systan at: eV-2 Aideraer .2f dd ./Z1 itlaideter• Installer Atlas Type of Building Size Lot .Sq. feet Dwelling—No. of Bedrooms Expansion Attic ( ) Garbage Grinder ( ) ckt Other—Type of Building No. of persons Showers ( ) — Cafeteria ( ) n P. Other fixtures .11 Design Flow gallons per person per day. Total daily flow gallons. 6 c4 Septic Tank—Liquid capacity.2.47.4tga Ions Length Width Diameter rt Disposal Trench--No Width Total Length Total leaching area...f....-...-..sq. ft. ;-.-.. Seepage Pit No Diameter Depth below inlet. Total leaching scat N. ft. z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.effeeeft/ialISOK...49/ .eaet-A-47 Date -24eitlif .-I Test Pit No. I / minutes pi inch Depth of Test Pit...3..:..12 " Depth to ground water.. trtfe.e. .-4 It Test Pit No 2 minutes pm inch Depth of Test Pit Depth to ground water 0 Description of Soil Lot. .2€44C..(0.,c4z,...ritregdf."..52a.c.....exterfacdr re ad u Nature of Repairs or Alterations—Anwer when applicable. X Agreement: The undersigned agrees 16 'lista I the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the Stare Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the beard of health. Application Approved By Signed. Application Disapproved for the follototsg reektems• RE APPLICABLE CHECK OR FILL IN W No THE COMMONWEALTH Or MASSACHUSETTS Fmk BOARDt,OF HEALTH CtTyoF !v oRr," ig" 'PTcn/ Appliratiott far tlispnsal 3finrku (lnuutrurtinn Permit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: 2_4 f....43. r-/Fr9v0Lot No. 7T Loation-Addre=-. ,�,R u v£CT Owner Type of Building Address T< N2iaam. Installer Address Size Lot it °13 O Cr,, feet Dwelling—No. of Bedrooms Expansion Attic ( ) Garbage Grinder ( ) No. of persons Showers ( ) — Cafeteria ( ) Other--Type of Building Other fixtures Design Flow . Septic Tank—Liquid capacity Disposal Trench—No. Seepage Pit No Diameter Depth below inlet Other Distribution box ( ) Dosin tank ( ) /Qis t, Percolation Test Result Performed by.,.l_.�iA. .� — ��furL With 4//9/ J.7 • ,i -T minutes Depth -7 L Q. Depth to ground water. Z, Test Pit No. 1.... :_{.... per inch D th of Test Pit Test Pit No. 2 minutes per inch Depth of Test Pit Depth to ground water Description of Soil 5 t• L o 9#% 22-<` S/C[:_.�_..I 3 n VFW/Cie F,?via gallons per person per day. Total daily flow gallons. gallons Length Width Diameter Depth Width Total Length Total leaching area sq. ft. Total leaching area sq. L•. 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 NI 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 following reasons' Permit No Dae Date Date Issued Date L CHECK OR FILL IN WHERE APPLICABLE No Fax. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF city Nort hampton Appliration for Binomial thorito Untotrurtion Permit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: Florence Road Brad Collins Location-Address #24 or Lot No. Owner Address Installer Type of Building Dwelling—No. of Bedrooms Expansion Attic ( ) laarla Grinder ( ) Other—Type of Building 3 No. of persons Showers ( ) — Cafeteria g ) Other fixtures Design Flow gallons per person per day. Total daily flow gallons. Septic Tank—1541iid capacity gallons Length.. Width Die.meftett Depth Disposalkt—No 12.0 Width TlzOnaekth 5.10" Total leaching area 5'441.ft. Seepage 1... Diameter 201 Depth below inle8.0 ' Total leaching arez603 sq. ft. Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by Date. Test Pit No. 1 minutes per itaBnisleami-Bmnabley...R...Atamtato groun4 Test Pit No. 2...9.*.0 minutes per inch Depth of Test Pit 4.13" Depth to groun 5.!.0." Address Size Lot Sq. feet Description of Soil 9" ina,_217tailty_sand....5.111" mery_fine_sami_ i7- 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 Application Disapproved for the following reasons Permit No Date Date Date Issued Date