6 Applications & Permits THE COMMONWEALTH OF MASSACHUSETTS
+` BOARD OF HEALTH
City OF. Northampton
,} pplitatian far l iapasal Gearks Tamara-lion jrr
Application is hereby made for a Permit to Construct QIX) or Repair ( ) an Individual Sewage Disposal
System at: Lot No. 11
6 Sylvan Lane ......................................................
4 Tiffany Lane, liotf4 °dmpton
James F. and �a�izcaa �. Boyle .._.... mares
...... .........._.._.._....._............_..--'rise...........................................
..................._........ .. 42,395 Sq. set
Size Lot Y
Type of Building Garbage Grinder 1X )
4 Expansion Atnc ( ) Cafeteria ( )
Dwelling-—No. of Bedrooms - - Showers
Type of Building No. of persons........__._-..��- (
Other- 0th qq0 x 1.5 = 660 �atlons.
Othestixmres Total daily flow p
_.____.__gallons per person per day. 5' Y Diameter 900 4
Width
Design Flow.._._._..-.__. .��:". 1500 gallons � Length 150t
1
Disposal l Tr nt —Liquid capacity g 2 Total Length Total leaching area sq. ft.
Disposal Pit No—No...3... Diameter Width Depth below inlet Total leaching area sq. ft.
Seepage Pit No._._...._..-._.. Diameter p 4 March 1996
Dosing tank ( Date
Other Distribution box (X) performed by Kellam Assoc- L. Smith >12'
Percolation Test Results 12' Depth to ground water. >10'
Depth to ground water Test Pit No. I_..-�--minutes per inch Depth of Test Pit
Test Pit No. 2._._._..__mmutes per inch Depth of Test Pit 10�...............p...._.........._.._.........._......
p and Bar la ers reva.oul stn ed awe DHll 1 0 144 C1 sari ,
Descriptionof Soil.. P....._.._.____X__..._p.._._....._.X.._......_.pk_ Y__..__._. .._._,,. ...__,'...._.._........__....._...._
DH 11-2 0"-120° Cl sand.
Nature of Repairs or Alterations—Answer when applicable
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
Agreement:
the provisions of TITLE S of the State Sanitary Code—The un further agrees not to place the system in
operation until a Certificate of Compli-rice has issued t r a -i ) -JG
` ..
1?....Z .-Skr
�_. i�...... ..... Date
Application Approved By_....___..
Application Disapproved f or the fo(lounm _ ............
Date-asons:.._._.__._-_.---�----'---"'"'"'"��������������-��-
...._........_._....._._._.._........_.._.._......_.._.._._......._.......
Issue
n
Permit No_""'""....."""' d-
THIS
by
/
P
THE COMMONWEALTH OF MASSACHUSETTS
/
BOARD OF HEAT
IPrtifirtttr of (It 1
=pliant
ISoT O/L RTIFY, Thane Ind,vi¢ual Sewage Disposal System constructed
_..e_:.'..... „.? ✓.:.Lt:_. ._. (vY or Repaired ( )
has been installed in Accordance with the provisions of TITLE
application or Disposal R orks Construction Permit No 6:y of The State Sanitary Code as described in the
dateA_.. :.
SYSTEM WILL FUNCTION SATISFACTORY.
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
at .) .
for
DATE
--�����--�- Inspector.....
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Fee...::-ri ..............
3lispnsttl H arks (1}nitstru ting. Prrmit
Permission is hereby granted _ -
to Construct --'
St (✓Terr Repair ( ) an Individual Sewage,D4ppgsal System
..........
.........I... .......
as shown on the application for Disposal Works-----Construction Permit No' !`/,,; .-1
Dated,
c
_.1 ti - - __ ....
DATE. �i = - , . . L.,,..::::::::::::::,=,,.,
_ "Board of Aealth "
FORM 12555 A. M. SULKIN,
BOSTON
by
at 12... 1410-- -- L. 'AP/I sr.- mdJbe-rF
has been installed ki accordance
with the provisions of-rl'ITtt,' 5 of e State Sanitary Cade as described n the
=
application for Disposal Works Construction Permit No T —j..(p dated_ y.)" —I ."�- --�,p/JTT�j E
THE ISSUANCE OF THIS SATISFACTORY. SHALL NOT BE CONSTRUED GU
SYSTEM WILL jU�NyC�T{�N SICRY. {{,((////11 yam"" ''`
DATE 17 / Inspector
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
(lrrtifiratr of kinmplittn
THIS IS TO isRT , That t IndJivi Sewage Disposal System constructed ( ) or Repaired (-
THE COMMONWEALTH OF MASSACHUSETTS
No 1..l [ l BOARD OF HRLT�`
OF Aar
Ilinpun►d 31Ufnrk ,[r�yT'1►►�truriin►► rr► t
Permission is L r<hy grouted Ja-vH-e4, , {••1/'..ie,/ L'4� �J
at No
to Constru4S 1or'� .41.t."pair ( ) a ndividoal Se ge9 I ln J sal J$yste —
q}.ys .....,.... aged. 6
as shown on the application for Disposal Works Construction Permit N
DATE
FORM 1253 A. M. SULNIN. BOSTON
e s1 u<dn s