26 Applications & Permits OF
e
JAMES
ANTHONY
GR
a
��t
26 Westhampton Road
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
CITY_ OF NORTHAMPTON
pplirtttiun for Bispusttl ranrks &instruction lirrtitit
n is hereby made for a Permit to Construct (xx) or Repair ( ) an Individual Sewage Disposal
Theodore D . t'Ptiwn
adre..
Owner
Lot #2
o.
193 Northampton °� rxeet, Easthampton
Address
}{ k ' aatr Address
Type of Build ng � Size Lot 5.9.,i0.0.8 Sq. feet
Dwelling—No. of Bedrooms .3 Expansion Attic ( ) 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 495. gallons.
Septic Tank—Liquid capacity.1500gal1ons Length 10' Width 5' Diameter Depth 4'
Disposal Trench--No...4 Width..3 ' Total Length...2110...1£ Total leaching area 1.4.120. sq. ft.
Seepage Pit No Diameter Depth below inlet Total leaching area sq. ft.
Other Distribution box kcx) Dosing tank ( )
Percolation Test Results Performed by d_..A...Gxacia.-..PE Date 5-.4c.8.B
Test Pit No. 1 20 minutes per inch Depth of Test Pit 95" Depth to ground water 5.2"
Test Pit No. 2 minutes per inch Depth of Test Pit 9.6" Depth to ground water. 5.2"
Description of SoilVeryFine 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 TITLE 5 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.
igned ::-7.- -t .797)dte>(^T.
Application Approved By -� f '4..1E t ,. s ®te
Application Disapproved for the following seasons
Date
Permit No Issued
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH /
OF . _�...t„
C' y &rtifirttlpvr? u tnttr�
THIS IS Tio CAH , Tha t Individual Sewage Disposal Disposal System conssttru�cteed-(� �or�}Repaired ( )
by g& d0"4-__
at [f/ F T to Sanitary Code sees ribed in the
Ins been installed in accordance with to provisions of TITLE S Y
application for Disposal Works Construction Permit No dated ca. e...-.0 Jcff
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRI7ED -JA u.J • LAr+i-y T. T THE
SYSTEM WILL UNCTION SA�SFAVRY.
r.9* y lI i1 / l
DATE Inspector
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
i
- f" OF
fliopndal 'nlnrtis hlnnstrurtinn Permit
Permission is hereby granted..... P
to Construct ( or Repair ( ) atr laividuat Sewage Dispb s Sy�t
at No .1.... ! t T
as shown on the application n for Disposal Works Construction Permlyo r,1----. Dated
BoarQ of Health
DATE
FORM 1259 A
i
• 8n 'z
JAMES
ANTHONY
GRAN
M 21701
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
CITY OF NORTHAMPTON
ppliratinn fur Biupusnl rrnrks Olunnirurtinn Permit
Fxx AC
cation is hereby made for a Permit to Construct (xx) or Repair ( ) an Individual Sewage Disposal
System at:
26 Westhampton Road
kTheodore D . '1'(Wheat"'
Lot #2
.
193 Northampton °� rNoeet , Easthampton
Address
1 InstanerV Address
ype of Building Size Lots-9-,-0.0-8 Sq. feet
Dwelling—No. of Bedrooms 3 Expansion Attic ( ) Garbage Grinder ()o)
Other—Type of Building No. of persons Showers ( ) — Cafeteria ( )
Other fixtures
Design Flow 55 gallons per person per day. Total daily flow 435 gallons.
Septic Tank—Liquid capacity_15110gallons Length 10' Width 5' Diameter Depth 4'
Disposal Trench--No. _.4.___....__ Width....3 ' Total Length..280...If Total leaching area 140.0. sq ft.
Seepage Pit No Diameter Depth below inlet Total leaching area sq. ft
Other Distribution box (LX) Dosing tank ( )
Percolation Test Results Performed by +I....A...Greeta..-_PE Date 5-.4c.88
Test Pit No. 1 20 minutes per inch Depth of Test Pit 9.6" Depth to ground water 52"
Test Pit No. 2 minutes per inch Depth of Test Pit 96" Depth to ground water .52"
Description of SoilVeryFine Sand
Nature of Repairs or Alterations—Answer when applicable
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System
the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to
operation until a Certificate of Compliance has been 'ssued by the board of here
Application Approved By
Application Disapproved for the following reasons
in accordance with
place the system in
Permit No
Issued
Date
No...7501
I
Pak./.376(
THE COMMONWEALTH OF MASSACHUSETTS
, BOARD OF HEALTH
OF / Y"/
04
&}Iyliratinu fur fiuunuttl I lnrkn Tuuhtrurtinu jirrntit
Application is hereby•made for a Permit to Construct (K) or Repair ( ) an iudi■idnal Savage Disposal
System at: 1yS
Etna r/' J y
,QQ� . _ kefJ .mare
na —
c� R .
t�.anR nad,.ss
Type of Btuil ig Size Lot Sq.�feet
ans
Dwelling—No. of Bedrooms Expion Attic ( ) Go rhage Grinder V' )
Other--Type of Building No. of person. Showers ( ) — Cafeteria ( )
(Miler ures
Design Flow gallons per person per lay. Total d lv flow . .gallon>.
Septic T-tile—Liquid ct.,tacit/ irgallon Length Width. Di: .meter•
Disposal Trench No. Width Total L. gth-_ _ Total leaching nova sq. t.
Seepage Pit No Diameter Depth below inlet Total Iy 'i g are- sq. t
t�,� GN'C�vJ�.
Other Distribution box ( ) Dosing tank ( ) � _ '�o f/ 006 VV v �'
Percolation Test Results Performed by Date
Test Pit No. 1 °Mutes per on Depth of Test Ht Depth to ground rwite
Test Pit No. 2 minutes per inch Depth of Test Pit Depth to ground water_
Description of Soil
Nauee of Repairs or Alterations--Answer when applicable
g een tut:
The undersigned agrees to install the aforedescrited Indtvidtttl Sewage Disposal System in accordance with
the provisions. of Article NI of the St:Lie S tdt:g Code The undersigned further agrees not to place the system in
operation until a Certificate of Coniplia ice has fleet issue by he board of health.
Application Approved Sy
Applicati ?n Disapproved for the fallen
Lt
asons:
xedni
Permit No 7> L
Issued._ -
rHE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
Trrtifirnfe of
THIS IS TO Qinm}Tlittnrr
by
£L [[FY, That the Individual Sewage Disposal
''-- ___ P System constructed ( ) or Repaired-- _ _ fed ( )
h,s beer installed in f •� (� _._ ._._.
n with the provisions of Article XI - -
^PPhc
application for Disposal P al Works Coatsc.ion Permit Co of The Stag Sanitary
THE ISSUANCE -"' -
NCE OF -__._
SYSTEM N S ISrAC KATE _ Code as descril)ed in the
WILL FUNCTION SHALL NOT BE CONSTRUED ,
SATISFACTORY. NSTRUED qS --"
D'\TC - AGUARAN _- - _
-________ TEE THAT THE
_.___.______.____ Inspector.___.
THE COMMONWEALTH OF MASSACHUSETTS
7 ,, BOARD`OF HEALTH
fro_/ < 4. / —
. -.
FEE. '____/iy
,} Untt1 i11Lrt5 c_nnstr nrxln l y irrnlil Permtsston fYltereb b 8 granted 211 - i-. t] f .____. .__-' -..
_-.to Construct (/) n� P r� ) an-Ipdm�dualfSewa L D�sposal System No_ -, ( ._ i w -- _ -
s- on the application on for Disposal Works Construction Permit Nat-. .-cs Dated_!t i
j
Bohrd of Health
'H" INC, PUBLISHERS