813 Septic Application Permit Compliance & Plans THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
City of Northampton
oration for Marko Lonstrurtion Permit
pplication is hereby made for a Permit to Construct ( X) or Repair ( ) an Individual Sewage Disposal
t:
Florence Road 4 f Al 6
Ress -Route 66, Wesfhld ton, MA
FEB oar. CO
9
CHECK OR FILL IN WHERE APPL
Owner Address
/ Installer V Address
e of Building Size Lot....12.,.fi0.0 Sq. feet
Dwelling—No. of Bedrooms 2 Expansion Attic ( X) Garbage Grinder (X)
Other—Type of Building No of persons Showers ( ) — Cafeteria ( )
Other fixtures
Design Flow 55 gallons per person per day. Total daily flow 440_- 1• 5=660 gallons.
Septic Tank—Liquid capacity1.510.Ogallons Length Width Diameter t
}}-- -ingarem .� �65 d
Disposal— �[R—No. 1 Width 9._A ' Total Length 13,5 ' Total leaching area �.
Seepage Pit No Diameter Depth below inlet Total leaching area sq. ft.
Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by DST Ewalt-ley_ S..S.Q.Q., Date 4.-2.4-.6.0
Test Pit No. 1_2•00 ..minutes per inch Depth of Test Pit 1.6 ' Depth to ground water None
Test Pit No. 2 minutes per inch Depth of Test Pit 6 ' Depth to ground water .None
Description of Soil 36" M-C sand 7•F-M-C sand
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 T ITLL, 5 of the State Sanitary Code—The unders�i/•ned further agrees not to place the system in
operation until a Certificate of Compliance has p-4isj�ed b the b`I of h Ith.
VAZIC
Application Approved By
6 . d
Application Disapproved for the following reasons
Permit No 4— o
Issued
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF ..0-.t. tt
tdrrtifiratr of Qtumptittnrr
THIS ISdO CERTIFY, That the ndividual Sewage Disposal System constructed ((j4 or 7R/epaired ( )
by ti....� .eInstaller i A..-t.�The-State' lC. .a t-tre lee:
at has been installed in accordance with the provisions of TITLE j of Sanitary Code/as descjibed in the
application for Disposal Works Construction Permit No g"ir}- dated F./'.i/-P.2+-
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
DATE SYSTEM WILL FUNCTION SATISFACTORY. ^ /
r/4 re- Inspector 7. f+'c-
Noy
THE COMMONWEALTH OF MASSACHUSETTS
n BOARD OF HEALTH____
t-' ' of '_�-, c-..," C.,.
311inpnu 1 KFnrlin htnnntrnrtian prr it
Permission tj�ereby granted /
to Construct r ) or Repair L ) an Individual ewage DispoS 1 System
at No
`j", ;
J
t 5" n✓
FEE
Street r .
as shown on the application for Disposal Works Construction Per d '/ r
DATE
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
' `
Board of Health
T/9-2
A'eseRVF _-i
ARe/4 is i
- 29 --
34?
of
PROPOSEDi
NOUJt < 3,Y H
6.0't
Y /00
LEACN P/T CACea14T/ONs
2 etOROOH NOOSE®//Ogpd' 22DSpd
GR/NOER /NC vjj
2 j3,77e00n (XS N/r/e : 3 y P d
339a 0 bpd
p65/6.✓ FLOW (,60 'Pat
PERCO LAT/ON RATE z 2OM4inz
%CLOWABLE S/OfWALL= 2.5p44/. '
BOTIOH /.a1m/g.,
USE KELLOoc /000 L101. ORY Keit
DRY WELL = 4.4 y6. v4.7d
ADO 2. J STONE ALL FIROUND
P/T 9. 4' z /3.5' r 4. 7 d
S/0EW9LL BAPAC/Tr :
0442.5)x4.7r 2S;rn/r.F
= 530gpd
307TOH CAPA /TY- 9.4X/3.51Y/fA0.
_ /27jpd
SYSTEM Clb°, e/n'
5.3end * /27nd., 445e f»'
PLAN OF PROPOSED SEWAGE DISPOSAL SYSTEM
FLORENCE ROAD, NORTHAMPTON
PREPARED FOR- /HESS BU/LO/N6 CORP.
1 , LMER HJN'. '_EY,JR. d ASSOCIATES, INC.
RE3 STEREr LAN ) SJRVEYORS 8 C /iL ENGINEERS
125 PLEASANT STREET
NORTHAMPTON , MASS.
JJT SCALE: / 40
I,_ 4-4/-8z
n. TE
ALL WORM TO BE
DONE IN ACCORD-
ANCE WITH THE
ENVIRONMENTAL
C( ri fIF 5
e
/3. S
w
99
4.4,
2:5
DN Y WELL a- 24
8.�
/ � Al —
(ND 5 .v(E)
- !io M/N C. 4470
/2 F1/N/1d0M
Mi ET
4,7#
PROF/I F
(No SCALE)
-- 2.5
-L/?c'1YjN 'U—PE7A1L —
7 - li
V✓R.:NFD STONE
f. S [)(VPALL
M
IN MUM
e _ L
.7/.4a/1;f-417 79N E
-X-^:+VF n r/
NE/LE .-.',EL
n O T EA !_ 14Cf Ht;NTLLY , JR. a A3SOCIATES, INC. AU WORK TO RE
tiE SIS NvED ASD EEYORS S COL: NE£R ' DC FCC ..H'1
125 PLEASANT STREET
ANC W THE
NORTHAMPTON , MASS.
C�:;L- tiTLE 5
T
kl-cMJES'II'D t',r :
LOCI,TI ON:
MA I LING
DATE:
1 t'