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757 Septic Upgrade & Plan FORM 9B - LOCAL UPGRADE APPROVAL Commonwealth of Massachusetts , Massachusetts LOCAL UPGRADE APPROVAL ISSUED PURSUANT TO 310 CMR 15.404 & 15.405 Facility/system owner: Name: / /( Address: 75'% rAle ' ��a,Qarh ,nd Address of facility — - ` / ✓� /'rV'I' Type of facility: residential rV institutional _ commercial flow �per 310 CMR 15.203 mmercial _ school gPd System designer: Name /rl/+/' J»HI 4)Address Po.pc". /144-//J//p16 Phone No Local Upgrade I of b( pgrade Approval granted for: reduction in setback(s) (specify) W3-3512,5YG¢ perc rate of 30-60 min./inch (specify rate) reduction in SAS area of up to 25% (specify % reduction & size of SAS) reduction in separation between SAS &high groundwater (specify reduction & perc rate) relocation of a well (explain) at rd ,3 S Si a eenJ 521-5 5 List local variances granted (no DEP approval required per 310 CMR 15.412(4)) List variances granted requiring DEP approval Board of H- - • ;proval of proposed upgrade gier J- cfr kle Q„ /Q Name& Title 5 Si re City/towm Date Datel THE SYSTEM OWNER OR OPERATOR SHALL PROVIDE A COPY OF THIS LOCAL UPGRADE APPROVAL TO THE APPROPRIATE REGIONAL OFFICE OF THE DEPARTMENT OF ENVIRONMENTAL PROTECTION DIVISION OF WATER POLLUTION CONTROL UPON ISSUANCE BY THE LOCAL APPROVING AUTHORITY & BEFORE COMMENCEMENT OF CONSTRUCTION. DPP APPROVED FORM•I2I07/95 -NOTE- THIS PLAT IS COMPILED FROM DEEDS, PLANS AND OTHER SOURCES AND IS NOT TO BE CONSTRUED AS AN ACCURATE SURVEY AND IS NOT TO BE RECORDED. TO: SPRINGFIELD INSTITUTION FOR SAVINGS & FIRST AMERICAN TITLE INSURANCE COMPANY I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING MONUMENTATION ALL EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES, EXCEPT AS NOTED. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED WITHIN A FLOOD PRONE AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR COMMUNITY # 250167 SURVEYOR. R £. _- Tr' -NOTE- THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY AND DOES NOT CONSTITUTE A PROPERTY SURVEY -MORTGAGE LOAN INSPECTION PLAT- NORTHAMPTON, MASSACHUSETTS PREPARED FOR RAYMOND F. & CHARLENE M. CALL SCALE: 1 "=40 ' MAY 31 , 1996 HAROLD L EATON AND ASSOCIATES, INC. REGISTERED PROFESSIONAL LAND SURVEYORS 235 RUSSELL STREET - HADLEY - MASSACHUSETTS