985 Title V Witness Application & Inspection Report 6-24-2021- D I
of N co) Gt h m Pto ir�t
Health Dep -LL--.
212 Mahi Stree't
N o r Ic h a m pto n 1,1 7 M A. Oj 00
On June 2Zk, 2021 1 witnessed a title V inspection by Matt Bracei
Location: 9105 Florence Rd, 1\4orthampton. Map 44 lot 48
Observations-, The system appears to be some 16 years old. It is a pressure dosing system. The inspection
H
revealed that the alarm float has failed and needs to be Septic tank and pump chamber looks good.
They dug under the distribution line and found it clear, Also ran the pump which produced clear -,T\,Tater in the
observation port. So other that replacing the float the system is passing.
Sigf-ried:rtC C7
Charles Kaniecki, Witness for the City.
Page 12 of 41
Location septic tank and pump chamber
Page 2 of Aj�
0 A
OF
I
atAlp
Outlet baffle
Page rB of 41-,
Clean and dry under distribution line
CP Assevsor/zoninq Maps I North,- x "t tax-mzps-U +
C n b https "! . northamptonma.gov,'D,--rumentr-.,teriV.,-4,1175G5/tay.---Ial3c--4-,
a x
-0- QED
Ab Read aloud Draw Highl".ght Erase FI +
102.00
.44- 250.01
44178.55. - -.100
118.8 -. - '. - � I - '.
195.00' 250
1&8' 44162.1
124.96
-14&85-- 78.55-
100,,'-
IDIV416'g 10
3197
124.96
V- 100.00�
103.00. 00.
- -. "i- 100.00--:�-�-
1148.8&. 4011 326.50 3W.62 397.62
8100, 125
43
326.50
-20.02--
-AY-
- -30.86
---:��j 00 00
2.
---,,253.98
1 .00 -.79.84.
03 2016
'92.3 44. 80.58
'42.67.
'.100.00 -
.4 4 173.53
.92.31 ^-100.00'-
44-133
.78.88.. 41oo.00-
.61 163.9
'53.65-- 93.41
0-- '-103.00'- 9.39'.
.57.39.
♦ 221.74
• -:31-13
221.74
44 0:� 68.56
116.04
- - - '78-
125.00. .125.10. 357.57
4 A3125.004.�. 308.79
125.14 44 44-134
1 .00 8"
t
�7-13'-
125.00--`.7� '101.6 308.79 357.57
�-125.14 142. 3
.1bo. 0-
100. 100.00\,
M �-10000'. 4.24Z
22
rr
AU 100.00 - .03
337.54
0( 100.0044 . . . . .
aa 100. -100.00
100.(
:)8.00'-53.37,-47. 100.00. 224.24
. :5^ . . . . 100'- 337.54
0 -100-
I 00.00Z49�.
10000,
.0
00.004"
09.47-100' -.100
.1 - r41 . - - - yr 100.00.
1 0
-109.47. .100 .00 -71.23
00
00.00:
00.0(X.1470'-.
. . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . .
1&0x,100-0
. . . . . . . . .359.35.
53.77. . . . . . . . . . .
. . . . . . . . . . . .
. . . . . . .346.44
9.i5*-.
. . . . . . . . . .
. . . . . . 346.44
Type here to search
'gage 6 of 4Qj
CITY of NOR THA MP TON
PUBLIC HE, A L H DEPAR TMENT
Public Health Director Melridith O'Leary
jVunic'al Building - 212 Main Stro-r�-1 - Nonr'hainpttm, M-4 01060
IP
Phone (41.3)587-1214 - Fax (413)587-1221
plication for Witnessing Official Title 5 Inspections
Fee: $150.00 (2 hour field); $75/hotir thereafter *56J
IMA
Date :L
Site Address, &oi? 7oifWiwarcel #
Property -Owner:
Property Own e r Address: '45.T t VL. R_ C i'i A) urr 6-L)S�/7yfi r j 0 110 ig LIC). 2�7�
Telephone: Cell:
Mwa%v N'4,"Amog
Title 5 Inspector
Name of Inspector
License
City/State/Zip Code
Telephone: OfficeA Cell: V/
, 8 1 .'l- .2
#?wlease answer the following--.
.�rl"l-*.
Yes t� �o.F5 Inspector has most recent plans for system to be inspected
Yds0No'__T5 Inspector has ump-out records
Yes o: T5 Inspector, has, location of private water supply wells (within 150 feet of system location)
Reason for Inspectiow
Time:
Date requested for Inspection:
Return Appileation Ten, 15ays r1orto Requested Inspection Date to:
Northampton Board of Health
212 Main Street
tNorthamptorn, MA 01060
.. ....... ....... ................ ........ - ............... ........ ....... t..t ...... . ........ ........
MAKE CHECKS PAYABLE TO THE CITY OF NORTHAMPTON
4 . .......... -77--l-'. ! ... !.- .... ." . ..I ......
... .................. ......... a.
Application Fee is Non- Reftmdable
sessor Database
or, namPLUNj A, Az�
rPraperty Sefaplrch.-
Parcel Street 54unmber: St-reet Name.,
985 FLORENCE RD
Search L_Reset ts _j
Property Detcan-5.1':
,d",
Parcel RD.- Card.G Street Name.Street Numbers 7-oning: State Class: Acres: Plot-,
44-048-001 1 FLORENCE RD 985 Single Family Residence 0.65
Owner Information:
Owner Namew.
US BANK TRUST NA TRUSTEE
Owner 2 Name:
Exterior MVallls,.
01 w n e r 3 N -a 4-n e
RESICAP
Street Is
3630 PEACHTREE RD N E SUITE 1500
C1, t Y.-
ATLANTA
State.,
GA
0
ZIP..
30326
To, al Living Area Minus FBALA:
Dwelling Information".
style..
CAPE
1900
Exterior MVallls,.
FRAME
S t o r ,y, HI e 1, g Ill t.,
1.0
A, Rztti
PART FINISH
'Ssty
FULL
Bs'mt 1(3'ar Spaces:
0
Total LM3,ng Area:
1618
To, al Living Area Minus FBALA:
1618
u- nished Barsernent- Area,P
0
Rec Raomr
0
Hew',Jng Sy_c,,tej-n,.
OIL/WARM AIR
Cramtral Air:
No
Mreplaces:
0
RGO�nsLu'
5
Bedrooms:
2
Full Bath'S.--
1
Half Baths,*
0
Valuatio'n....
Appraised Lando.
$73,900.00
Appraised Bldg:
$116f800.00
Appraised Total:
$190,700.00
Out -8 uilidlings:
Property Images:
Picture:
21
16 1 - 5Fr/B 16
21
21
16 1 FFIB 16
21
22
15
30 FA/1 Fr/B 7
555 6
15 15
21
1, 1 FP_
EN--�
6 � 216)
D escriDtor/Area
A: FA/1 Fr/B
555 sqft
6:1 Fr/B
336 sqft
C: 1. FOB
336 sqft
D:OFP
216 sqft