71 Applications & Permits THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
CITY
OF NORTHAMPTON
Application for Disposal Works &Instruction Drrniit
Application is hereby made for a Pernik to Construct (X ) or Repair ( ) an Individual Sewage Disposal
stem at
WOODBROOK aujonSION
Location Address
Owner
Installer
ype of Building
Dwelling X-No. of Bedrooms
Other—Type of Building
Other fixtures
'esign Flow. ' 55 gallons
eptic Tank X-Liquid capacity1.5.0.2.gallons
iisposal Trench-X No 4 Width 3
LOT #23A
WINTERBERRY LANE
or laot No.
Address
Address
Size Lot Sq. feet
4 Expansion Attic ( ) Garbage Grinder ( x)
No. of persons Showers ( ) — Cafeteria ( )
per person per day. Total daily flow 440 gallons.
Length 10116" Width 518" Diameter Dearth
6 Total Length 144 Total leaching area 741 sq. ft.
Diameter Depth below inlet Total leaching area sq. ft.
X) Dosing tank ( )
Performed by PHARMER ENGINEERING Date 5/24/84
6 minutes per inch Depth 24
of Test Pit Depth to ground ater
"
minutes per inch Depth of Test Pit , '
ieepage Pit No
)ther Distribution box (
'ercolation Test Results
Test Pit No. I 8
Test Pit No. 2
9 Depth to 0. Da - 6 CY
At 4
kscription of Soil 12"),Q - 12" silty s and - 84" silt • e
WILLIAM
c.
IP •
° c" •
ez tr.
trHAX.4.41s14
gature of Repairs or Alterations—Answer when applicable
kgreement: %at° ,00•ie rt•
The undersigned agrees to install the aforedescribed Individual Sewage Disposal S " rdance with
the provisions of Article X1 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
Issued.
Date
Date
Date
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
CITY or.. NORTHAMPTON
Faa, ..�::
Ap}Iliriuiinn for Disposal Li twits alonstrurtion f rrnmii
Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal
LOT #23A WINT No.
LANE
_..... _....._...._.._.._._....
or Lot no.
stem at:
WOODBROOIC, dr.IVIN 4?3_.._._.—.
A
Location.Address
.._.. -_. Owner_..
..........._.._...._...._.._._.- Address
Installer Size Lot Sq. feet
ype of Building 4 Expansion Attic ( ) Garbage Grinder ( X)
Dwelling X-
-Type of Bedrooms No. of persons Showers ( ) — Cafeteria ( )
Other—Type of Building
Other_fixtures gallons.
resign Flow. ' 55 gallons per person per day. Total daily flow 441) E
eptic Tank X-Liquid capacityi..OQgallons Length 1U"6" Width 518" Diameter De:th
lis osal Trench-X No. 4 Width 36 Total Length 144 Total leaching area 74� sq. ft.
leepage Pit No p Diameter Depth below inlet Total leaching area sq. ft.
'ercr Distribution box ( X) Dosing tank ( ) 4
PHARMER ENGINEERING p to pt4s
'ercolation Test Results mutes er by
D
Test Pit No. 1 8 •6 minutes per inch Depth of Test Pit Depth to -
Test Pit No. 2 minutes per inch Depth of Test Pit 9' Depth toll •n jvd"Arht- e
,u ....ALTAR\:F3:...
Description of Soil + 446131.
%.
Addrem
I.2"Icwm - 12" silty sand - 84" silt
Nature of Repairs or Alterations—Answer when applicable SatoNni
in accordance with
place the system in
Agreement:
The undersigned agrees to install the aforedcscribed Individual Sewage Disposal System
the provisions of Article XI of the State Sanitary Code--The and i n d further agrees not to
operation until a Certificate of Compliance beeen,,(( sued b the b d of Ma7th✓
Application Approved By
Application Disapproved for the following reasons
Date
Permit No
Issued.
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
CITY OF . NORTHAMPTON
Application for i3inpnnal Marko QIonntrnrtiun Wroth
Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal
:stem at:
WOODBROOK
Location Address
Owner
Installer
ype of Building
Dwelling e-No. of Bedrooms
Otter—Type of Building
Other fixtures
23A
or Lot No.
Address
Address
Size Lot 5.7=ac re s3�4XRKtx
4 Expansion Attic ( ) Garbage Grinder ( X)
No. of persons Showers ( ) -- Cafeteria ( )
440 11om.
resign Flow 55 gallons per person per day. Total daily flow g'2
;optic Tank--Liquid capacity15O.fkallons Length10_' 6'1 dtt5 ' 8" D ameter area Depth_- sq. ft.
lisposal Trench—No. - Width Length
ieepage Pit No 1 Diameter.41',x$'._ Depth below inlet Total leaching area.524 sq. ft.
)titer Distribution box ( ) Dosing tank ( ) ¢��g�85
'ercolation Test Results Performed by.PBARMEA_ENCzINEER1NC--C-DER. Date 5 ' 6"
Test Pit No. 1__I..-1..minutes per inch Depth of Test Pit 9 ' 6 n Depth to ground water
P
'1'e�-t Pit No. 2 minutes per inch Depth of Test Pit Depth to ground water
12" to soil, 24" silty sandy subsoil, 6 ' 6" si 1 nz
Description of Soil
Nature of Repairs or Alterations—Answer when applicable
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal Sysi
the in ovisions of Article XI of the State Sanitary Code—The undersigned further agrees not t
operation until a Certificate of Compliance has been issued by the board of health.
Signed
Application Approved By
Application Disapproved for the follow'
9
n=a
aeons-
Permit No
Date
THE COMMONWEA TH Cr M SS LI T ��
BOARD BR HE LTH P4
_......_..
OF N
�httttre tftrttte at tanm
y/Ohat the ndiv (Sewage Disposal System constructed ( or Repaired )
THIS IS TO CER 51x1 ,t - - """
at he
a3_ -
at _.�/1 7 � j1G(� `'
dated
/-
,s I �t n t Iled in accordance with the provisions ts� lrude I of T State Sanitary Code
;guilt(' H,n for ISSUANCE Works THIS
CERTIFICATE Ii I AT Permit No
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONS����GU• ANTEE TH T THI
SYSTEM WILL FUN T SATISFACTORY.
DATE ✓�� F""........._.............__._.... Inspector..._...._.__.....
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.._..._.._............................
oF__.._......._._._._..._._._.__._._..._._._._.._._._._.
No.........................
FEE
�gn} nai crnrks @nnetrurtinn rr
Ynst uct t is hereby air a .) an.......................................................... .
In..
.
._.._.._._.
to No onstrna l )
or Repair ( ) an Individual Sewage Disposal System __ ___ ___________________
at street Dated
as shown on the application for Disposal Works Construction Permit No. .._.-._ ._... .
—��� � aaa.d 0l Hcalth
DATE................................................................................
No._I 2- 5. Fad..a-s.r.z
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH •
CITY OF NORTHAMPTON
Applirtttinn for 13thpnsttl 11nrkz f2nnntrnrtinn 3ermit
Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Dispo.
System at: LOT #23A WINTERBERRY LAN
WOODBROOK auf3f)I.Vfl.1011 ,,—„
-_"'— Location-Address or Lot No.
_. -..-_.._...-....-Ownv--........_...�.... ._.- Addreu
Di ...._....-....-_..-.._.....-.....
Iutal4r Address
Type of Building Size Lot Sq. 1
Dwelling X-No. of Bedrooms 4 Expansion Attic ( ) Garbage Grinder (
a. Other—Type of Building No. of persons Showers ( ) — Cafeteria (
G Other fixtures
55 gallons per ersonp er day. Total dail flow 44.f1 gait
Design Flow. P person y' X
W Septic Tank X-Liquid capacity15.91.gallons Length 1U 6" Width 5 ' 8 ' Diameter Depth
Disposal Trench-X No. 4 Width 36 Total Length 144 Total leaching area 741 sq
iSeepage Pit No Diameter Depth bel ow inlet Total leaching area sq
z Other Distribution box ( X) Dosing tank ( )
Percolation Test Results Performed by PHARMER ENGINEERING Date 5/24/89
a] 8 .6 minutes er inch De th of Test Pit 24 Depth to gr -ZMSIEIWs, ...
Test Pit No. 1 P P .
{x, Test Pit No. 2 minutes per inch Depth of Test Pit 91 Depth to it o . r - 11..
a. Y WILLIAM- -'t�;a
O Description of Soil 12_J,.R.dm - 12" silty sand - 84" silt . � .■
.; f .Px:Au.N ten
O 19446
W tt (o" r I
...�_w� .... `: -
U Nature of Repairs or Alterations—Answer when applicable �• e A
' Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance
the provisions of Article X1 of the State Sanitary Code/—The undersigned further agrees not to place the systei
operation until a Certificate of Compliance has been' ssued by theb•.rd of heal
,
. r' Cl.^
Application Approved By
-.- is
ii Date
Application Disapproved for the following reason-
^. ` Date
Permit No........._.-.._L�-_SS....7..-....._.._ Issued .52i/�-a
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF H LTH
CF
rrtifiratt itt Tampa na
THIS IS TO C. RT1ijtxThat t.e ndivi 1 Se age Disposal System constructed (v5 ;Repaired
.,,v. 3 Inst,
been installed in accordance with the provisions of Article XI 4 T e Sanitary Code s detjibkd in the
pliem ion for Disposal Works Construction Permit No it dated
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS GUARANT THAT THE
(STEM WILL FUNC 0 TISFACTORY.
fiTE ...57.-
0 /7-
Permission is
Inspector
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HALTH
OF k (kkit
thapugallorko Tangtrurttaxhermit
hereby grantecL 6r2-1- n
System
Construct (,Anr Re ( ) an ,Individ
No ;:t ?-.3 JAIL.
age Dispo
Street
;shown on the application for Disposal Works Construction Perini
ATE
FEE C. Cr)
ted.
'>';-4.fr"""•^'
of Health
'6S
.1ER
.EY,
JR
9419
VIL
stca
Fax
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
City OF Northa^tFCAn.
A hliratiill fur 3isp nai 1 Iurkz 11x121 itnution Vnmif
an Individual Sewage Disposal
Application is hereby made for a Permit to Construct ( g) or Repair ( )
tem at. 3
"Woodbrook" Subdivision
Locatbv-Address
Sundance De 18R
or Lot No.
P.0. Box 1,._Itmhexex
Address
Address Installer
Size Lot 1.98 Ac. }: x
pe of Building 3 Ex ansion Attic ( ) Garbage Grinder (X )
Dwelling—No. of Bedrooms P
Other—Type of Building
No. of persons Showers ( ) — Cafeteria ( )
Other fixtures Ions
sign Flow 55 gallons per person per day. Total daily flow 330
1500 Length Width Diameter Depth
ptic Tank—Liquid capacity gallons Len
sposal Trench—No. Width 3 Total Length 35 Total leachinwitt achy=I12 'D
Lepage Pit No
Diameter Depth below inlet Total leaching area sq.
- i Dosing tank ( )
trco Distribution Test eox ( ) g Date...May -23.,-.1.984_...-
^rcolation Test Results Performed by.._._Phaxme x_Engmaer.>.ng y-
2.0 minutes per inch Depth of Test Pit Depth to ground water
Test Pit No. I P ground water to Depth Test Pit No. 2 minutes per inch Depth of Test Pit De P g
65" fine Land.....Air No-groundwater
escription of Soil
15" loam,
!attire of Repairs or Alterations—Answer when applicable
agreement:
The undersigned agrees to install the aforedescribed Indiv
he provisions of TITL. 5 of the State Sanitary Code—The un
iperation until a Certificate of Compliance has bee ssuet ,the
Application Approved By
dual Sewage Disposal System
lersigned further agrees not to
oard a health.
Application Disapproved for the following reasons'
in accordance with
place the system in
Permit No
/mate
Issued. 7/is u
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
...._.._.._
'.OF .. .. . ..
@lrrtifiratt 01 (!lump ianrt
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed
or Repaired
by
at
is of The State Sanitary Code as described in t i
has been installed in accordance with the provisions of doted_
application for Disposal Works Construction Penult No--
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT
SYSTEM WILL FUNCTION SATISFACTORY. Inspector
DATE._.........._..._._..._._......__._.___. ---
THE COMMONWEALTH OF MASSACHUSETTS
BOARD. OF HEALTH ,
OF' __.,_ FEE
Nth .
5� ACCJ
Disposal. Thorp Tunstrttrtiun PerittiafieL.
Permission is her by granted Sf/."'•i .i 'n.."."+.si. SellariFr
jell-
to Construct Y or .e.cr ( ) an Individual nirt.ge Dis s_al System
at No..._.____.. 4'1/- ..� ""'"' -`s reet (j _ Date � 3.1
as shown on the application for Disposal Works Construction Pe `_5/
n
-' i Gard of H Ith
DATE....- -_ � _.1ri-
FORM 1255 HO ES & WARREN. INC.. PUBLISHERS
ER
Y,JR.
I19
L
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
City OF_ .. . North ant on
Fax /VC
� a
plicatinn for 33isposttl IF arks Cnnnstrnrtion Permit
Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal
tem at: Lot #3
"Woodb ro ok" Subdivision or Lot No,
Location-Addr(ss
Sundance Des an
Address
1D /4�`t(1,3>/s!1f�'y} Address AC.
i p Size Lot 1.96 St'Feet
e of Building 3 Expansion Attic ( ) Garbage Grinder QC)
Dwelling— of Bedroom s Showers ( ) — Cafeteria ( )
Other—Type of Building No. of persons
r
Other fixtures 330 gallons.
sign Flow gallons per person per day. Total daily flow De th
1500 Width Diameter P
ptic Tank—Liquid capacity gallons Length
Width Total Length Total leaching area sq. ft.
spage Pit No No. Total leaching$414fx x;fixpfx
Berge Pit No Diameter Depth below inlet 3•4 capacity-934 GPD
:her Distribution box ( ) Dosing tank ( ) 12-17-85
RPB Huntley Assoc,
Test
:m n Test Results Performed by D Date Depth to ground water
Test Pit No. 1 2'0 minutes per inch Depth of Test Pit eP
Test Pit No. 2 minutes per inch Depth of Test Pit Depth to ground water
11-9°fpaLL 117 OTS 1 '0'r silt and sand 712" layer C-F sand,
groundwater at 8T6'
'
ess alt ott P i
fature of Repairs or Alterations—Answer when applicable
rgreeent:
The undersigned agrees to install the a{oredescribed Individual Sewage Disposal System in accordance with
rn
he provisions of 71T IS 5 of the St e Sanitary de—The undersigned Sher agrees not to place the system in
operation until a Certificate of Complia has b ,is d b7(t�he oar of e th. J l� i [7
f ( cam- l 4110
Signed..-�1 \ . ........ �� /
/ mte
Date
Application Approved By
Application Disapproved for the following
asons
Permit No
.3 ?-- "-
Date
r /
Issued `/ /.Fe
THE COMMONWEALTH OF MASSACHUSETTS
OARD OF HE . TH /
PYtiufratP llff /�. .....p1 FI
THIS IS TO CER Y That the I t
l'LIIIYI
by...................................... .................H vidua '1 a e D a
( � conem c t
structed I stalk,-
is
has been installed in accordance with the provisions Tj,�- .......
�System -,: , / (
1 V/l Repaired
application for Disposal Works Construction Permit No._ 33 -
5 of State Sanitary
THE ISSUANCE OF - Y Code dce� in
SYSTEM WILL N THIS CERTIFICATE SHALL RU dated ..R `> t
FUNCTION NOT BE AS A GU
DATE_._-...-......... ACT R5... �o \VVVI` THAT 11
4. .J..�j1tJ
.... Inspector._..
THE COMMONWEALTH OF MASSACHUSETTS
� � 6 , BOARD OF HEALTH /
No 5_ _ re ..........Lr. '. • OF . ''-�.i-G .-1
kl
�t$#tA$M �
FEE y G
Permission i reb Ar omin Y I ""'
to Construct Y granted.._.__.. _L�-it / a --- ` n E2_c f
(�) yB� -M
at No. uct 7 re.�r y ) an ndiei I Sewage Dts o tee
� .__�J. _p sat syst / ...
as shown on the application for Disposal Works Construe perm[ 9 ---2 C� �`
N63 " SS .. .......
t— Date �...r�
DATE �" /- — -
rS--
->ll1� �'-- Board of Health-
. _
.......w ~--
FORM 1255 _ ...-
XOBBB g wppRBq INC.. PUBLISHERS