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2004 City of Northampton Board of Health Fees Governing Subsurface Sewage Disposal Adopted under authority of Ch. 111, Sec. 31 of the Massachusetts General Laws by the Northampton Board of Health on September 30. 1997. The following fees shall pertain to Subsurface Surface Sewage Disposal activities in the City of Northampton: Permit Type Fee $osal Works Installer $35.00 posal Works Repair $30.00 posal Works Construction $75.00 colation Testing/Soil Evaluation $40.00/hr v Construction colation Testing/Soil Evaluation $20.00/hr )air of Existing Systems stage Pumping& Transport $35.00 Effective upon publication Date: /I/D10/9rJ , Daily Hampshire Gazette DAILY HAMPSHIRE GAZETTE pa, NOVEMBER 20, 1997 bof Health Fees Governing Sehm-Me Sews Memel Adopted under tottbo Me M US SC S Gem nt las y m of Beard of Northampton Health oSeptember 30. M1 The®gvfMg fees nenjwm 1W to p wOW el , City of No Permite � 'eposal Weeks Installer I Disposal Worts Repair MAO Pircolatonn.h.._eC'ngcJ Evaluation :wJWEr 4 New Construction Percolation Testing/S Evaluation MOO/he e Repair of nasag SYat:: e Septage Pampiy• Mee a Nov.20 d ai iOARD OF HEALTH MEMBERS lA DOURMASHKIN,R.N.,Chair HARIE KARPARIS,R.N.,MPH RD P.BRUNSWICK,M.D.,MP T 3.McERLAIN,Health Agent (413)587-1214 FAX(413)587-1264 PCITY OF NORTHQLMPT^N MASSACHUSETTS 01060 OFFICE OF THE BOARD OF HEALTH PERCOLATION TEST FEES TO: Todd Cellura Sovereign Builders 135 Southampton Rd. Westhampton,MA 01027 210 MAIN STREET NORTHAMPTON,MA 01060 Date: October 20, 2003 Pero Test requested by: Bud Huntley Northampton Board of Health charges a fee for the witnessing of percolation tests: $25.00/hr.- Repair Peres (minimum fee$25.00) $50.00/hr - New Construction (minimum fee-$50.00). Date Location Lot# Witnessed by 10-7-03 Westhampton Rd. 6,7,8,9,10 Peter McErlain Start Time Stop Time Hours 9:00 a.m. 3:00 p.m. 6.0 340 Total Hours: 6.0 nu,$50.00/Hr. Amount due: $300.00 Please make checks payable to:The City of Northampton and mail to the Board of Health Office,210 Main St., rthampton,MA 01060 Thank you. Peter J. McErlain, Health Agent OARD OF HEALTH MEMBERS 4 DOURMASHKIN,R.N.,Chair ANNE BURES,M.D. IARIE KARPARIS,R.N.,MPH 3.McERLAIN,Health Agent (413)587-1214 FAX(413)587-1264 a CITY OF NORTHAMPTLii MASSACHUSETTS 01060 OFFICE OF THE BOARD OF HEALTH PERCOLATION TEST FEES TO Todd Cellura Sovereign Builders 135 Southampton Rd. Westhampton, MA 01027 210 MAIN STREET NORTHAMPTON,MA 01060 Date July 3,2003 Pere Test requested by: Todd Cellura Northampton Board of Health charges a fee for the witnessing of percolation tests: $20.00/hr.- Repair Peres (minimum fee 520.00) $40.00/hr - New Construction (minimum fee-$40.00). Date Location Lot# 6-17-03 Westhampton Rd. 1,2,3,4 6-25-03 Westhampton Rd. 5,11,12,13,14 6-27-03 Westhampton Rd. 6,7,8,9,10 (Deep holes only) Witnessed by P. McErlain& R. Meczywor P. McErlain P.McErlain Start Time 9:00 a.m. 9:15 a.m. 1:00 a.m. 1:30 p.m. Stop Time Hours 4:00 p.m. 7.0 12:15 p.m. 3.0 4:00 p.m. 3.0 4:30 p.m. 3.0 Total = 16 woo nO. ' Total Hours: 16 (i $40.00/Hr. Amount due: $640.00 Please make checks payable to: The City of Northampton and mail to the Board of Health Office,210 Main St., hampton,MA 01060 Thank you. Peter J. McErlain, Health Agent IOARD OF HEALTH MEMBERS os CITY OF NORTHAMP"9N D P.BRUNSWICK,M.D.,MPH, Chair 4ARIE KARPARIS,R.N.,MPH MY FLEITMAN,M.D. J.McERLAIN,Health Agent (413)587-1214 FAX(413)587-1264 Dan Gleason 49 Platinum Circle Florence, MA 01062 MASSACHUSETTS 01060 OFFICE OF THE BOARD OF HEALTH PERCOLATION TEST FEES 210 MAIN STREET NORTHAMPTON,MA 01060 Date _August 20, 2003 Perc Test requested by: _Mark Reed Northampton Board of Health charges a fee for the witnessing of percolation tests: $25.00/hr.- Repair Per (minimum fee$25.00) $50.00/hr - New Construction (minimum fee-$50.00). Date Location Lot# Witnessed by 7-30-03 640 Kennedy Rd. 2 (Re-test) Peter McErlain Start Time Stop Time Hours 9:15 a.m. 11:15 a.m. 2.0 Total Hours: 2.0 c $50.00/Hr. Amount due: _$100 .00 Please make checks payable to:The City of Northampton and mail to the Board of Health Office,210 Main St., hampton,MA 01060 Thank you. Peter J. McErlain, Health Agent DEPOSIT NO. # BOARD OF HEALTH MEMBERS RD P.BRUNSWICK,M.D.,MPH, Or 3NARIE KARPARIS,R.N.,MPH JAY FIF1TMAN,M.D. iR 1 McERIAIN,Health Agent (413)587-1214 FAX(413)587-1264 CITY OF NORTHAMPTON MASSACHUSETTS 01060 OFFICE OF THE BOARD OF HEALTH PERCOLATION TEST FEES jsmt_-Pea eia-Boyle Jim R. •CLCEry &T1jL& -o ax-290 6l Ma,c,xc- Grin astha p`e-a" 010 Eas‘kriej n 2701. 09-7 Pere Test requested by: Mike Mocko 212 MAIN STREET NORTHAMPTON,MA 01060 Date _Aug.20, 2003 e Northampton Board of Health charges a fee for the witnessing of percolation tests: $25.00/hr.- Repair Peres (minimum fee$25.00) $50.00/hr - New Construction (minimum fee-$50.00). Date Aug. 19,2003 Location Rocky Hill Rd. Lot# 1,3, & 4 Witnessed by Peter McErlain Start Time St 4 Time Hours 9:15 am. 11:: 2.5 45 a.m. 2.5• 0111 •Note: Due to equipment breakdown the actual time of the perc test extended to 1.15 p m. Total Hours: 2.5 na,$50.00/Hr. Amount due: $125.00 Please make checks payable to:The City of Northampton and mall to the Board of Health Office,212 Main St., orthampton,MA 01060 Thank you. Peter.). McErlain, Health Agent DEPOSIT NO. #k oal OARD OF HEALTH MEMBERS P.BRUNSWICK,M.D.,MPH, Chair IARIE KARPARIS,R.N.,MPH MY FLEITMAN,M.D. J.McERLAIN,Health Agent (413)587-1214 FAX(413)587-1264 ,.CITY OF NORTHAMPTAN TO: Louis Tacy 539 Westhampton Rd. Florence,MA 01062 MASSACHUSETTS 01060 OFFICE OF THE BOARD OF HEALTH PERCOLATION TEST FEES 210 MAIN STREET NORTHAMPTON,MA 01060 Date _August 20, 2003 Perc Test requested by: _Bob Sheehan Sorthampton Board of Health charges a fee for the witnessing of percolation tests: $25.00/hr.- Repair Peres (minimum fee$25.00) $50.00/hr - New Construction (minimum fee-$50.00). Date Location Lot# Witnessed by 8-14-03 539 Westhampton RD. 1 Peter McErlain Start Time Stop Time Hours 9:15 a.m. 10:15 a.m. 1.0 Total Hours: 1.0 (R),$25.00/Hr. Amount due: $25 .00 Please make checks payable to:The City of Northampton and mail to the Board of Health Office,210 Main St., hampton,MA 01060 Thank you. e er J. lain, Health Agent ■ARD OF HEALTH MEMBERS P.BRUNSWICK, M.D.,MPH, Chair ,RIE KARPARIS,R.N., MPH AY FLEITMAN,M.O. McERLAIN, Health Agent (413)587-1214 'AX(013)587-1264 Scott Harlow 350 Coles Meadow Rd. Northampton, MA 01060 CITY OF NORTHAMPTON MASSACHUSETTS 01060 OFFICE OF THE BOARD OF HEALTH PERCOLATION TEST FEES 210 MAIN STREET NORTHAMPTON,MA 01060 Date _August 13, 2003 Perc Test requested by: Mike Lavigne_ orthampton Board of Health charges a fee for the witnessing of percolation tests'. $25.00/hr.- Repair Peres (minimum fee$25.00) $50.00/hr - New Construction (minimum fee-$50.00). Date Location Lot# Witnessed by 8/13/03 349 Coles Meadow Rd. Peter McErlain Start Time Stop Time Hours 9:15 a.m. 12:15 p.m. 3.0 ®Epost1 t4 # O 1 y Total Hours: 3.0 1 525.00/Hr. Amount due: $75.00 Please make checks payable to:The City of Northampton and mail to the Board of Health Office,210 Main St., hampton,MA 01060 Thank you. Peter J. McErlain, Health Agent MD OF HEALTH MEMBERS BRUNSWICK,M.D.,MPH, Chair LIE KARPARIS,R.N.,MPH Y FLEITMAN,M.D. MCERLAIN, Health Agent (413)587-1214 1X(413)587-1264 Dough Kohl 35 Campus Plaza Hadley, MA 01035 'CITY OF NORTHAMPTCI MASSACHUSETTS 01060 OFFICE OF THE BOARD OF HEALTH PERCOLATION TEST FEES 210 MAIN STREET NORTHAMPTON,MA 01060 Date July 2, 2003 Perc Test requested by: Christian Boysen mthampton Board of Health charges a fee for the witnessing of percolation tests: $20.00/hr.- Repair Peres (minimum fee$20.00) 540.00/hr - New Construction (minimum fee-S40.00). Date 6-16-03 6-18-03 6-23-03 6-30-03 7-1-03 Location Turkey Hill Rd. Turkey Hill Rd. Turkey Hill Rd. Turkey Hill Rd. Turkey Hill Rd. Lot# 6,12,102,103,104,105 305,306,307,308 309,310,311,312 520,540,550,560 230,550,600 Witnessed by Peter McErlain Rich Meczywor Rich Meczywor Rich Meczywor Rich Meczywor Start Time 10:30 a.m. 10:00 a.m. 10:30 a.m. 10:30 a.m. 10:30 a.m. Please make checks payable to: lampton.NIA 01060 Thank you. Stop Time 4:00 p.m. 5:00 pm. 430 p.m. 4:30 p.m. 4:30 p.m. Hours 5.5 7.0 6.5 6.0 6.0 Total =31 Total Hours: 31 (n $40.00/Hr. Amount due: $1,240.00 The City of Northampton and mail to the Board of Health Office,210 Main St., Peter J. McErlain, Health Agent IARD OF HEALTH MEMBERS P.BRUNSWICK,M.D.,MPH, Chair ,RIE KARPARIS,R.N.,MPH AY FLEITMAN,M.D. .M<ERLAIN,Health Agent (413)587-1214 AX(413)587-1264 The Burt Family P.O. Box 494 Hatfield, MA 01038 CITY OF NORTHAMPT941 MASSACHUSETTS 01060 OFFICE OF THE BOARD OF HEALTH PERCOLATION TEST FEES 210 MAIN STREET NORTHAMPTON,MA 01060 Date _June 30, 2003 Pere Test requested by: Mark Thompsom_ orthampton Board of Health charges a fee for the witnessing of percolation tests: $20.00/hr.- Repair Peres (minimum fee$20.00) $40.00/hr - New Construction (minimum fee-$40.00). Date Location 6-23-03 Glendale Rd. &Park Hill 1,2,3,4 Rd. Lot ik Start Time 1:15 p.m. Please make checks payable to: thampton,MA 01060 Thank you. Stop Time Hours 3:45 p.m. 2.5 Witnessed by Peter McErlain 7 I 1\r Total Hours: 2.5 (a),$40.00/Hr. Amount due: $100.00 The City of Northampton and mail to the Board of Health Office,210 Main St., DEPOSIT NO. # 005 Peter J. McErlain, Health Agent BOARD OF HEALTH MEMBERS RD P.BRUNSWICK,M.D.,MPH, Chair MARIE KARPARIS,R.N.,MPH JAY FLEITMAN,M.D. R J.MCERiAIN,Health Agent (413)587-1214 FAX(413)587-1264 CITY OF NORTHAMPTON MASSACHUSETTS 01060 OFFICE OF THE BOARD OF HEALTH PERCOLATION TEST FEES TO: Tom Borawski 12 Vernon Street, Apt. 1 Northampton,MA 01060 210 MAIN STREET NORTHAMPTON,MA 01060 Date June 13, 2003 Perc Test requested by: _Mark Reed c Northampton Board of Health charges a fee for the witnessing of percolation tests: $20.00/hr.- Repair Peres (minimum fee$20.00) $40.00/hr - New Construction (minimum fee-$40.00). _ - Date Location Lot ti Witnessed by 6-4-03 Kennedy Rd. 1 Peter McErlain Start Time Stop Time Hours 11:45 a.m. 12:45p.m. 1 Total Hours: 1 (a�$40.00JHr. Amount due: _$40 .00 Please make checks payable to:The City of Northampton and mail to the Board of Health Office,210 Main St., mthampton,MA 01060 Thank you. Peter J. McErlain, Health Agent DEPOSIT NO. $005 OAR()OF HEALTH MEMBERS I P.BRUNSWICK,M.D.,MPH, ash ARIE KARPARIS,R.N.,MPH ]AY FLEITMAN,M.D. 3.McERL/OH,Health Agent (413)587-1214 FAX(413)587-1264 ou Ohl Tofno Assoc. Campus Plaza H MA 01035 CITY OF NORTHAMPTON MASSACHUSETTS 01060 OFFICE OF THE BOARD OF HEALTH PERCOLATION TEST FEES 210 MAIN STREET NORTHAMPTON,MA 01060 Date June 11, 2003 Perc Test requested by: Al Weiss lorthampton Board of Health charges a fee for the witnessing of percolation tests: $20.00/hr.- Repair Perm (minimum fee$20.00) $40.00/hr - New Construction (minimum fee-$40.00). Date 6-11-03 Location Turkey Hill Rd. Lot# 2 Witnessed by Peter McErlain Start Time 9:00 a.m. Stop Time 10:00 a.m. Hours 1 Total Hours: 1 ( $40.00/Hr. Amount due: $40.00 Please make checks payable to:The City of Northampton and mail to the Board of Health Office,210 Main St., tamptan,MA 01060 Thank you. 1% Peter McErlain, Health Agent DEPOSIT NO. # o o5