66 Applications & Permits & Plans PROPOSED DOMESTIC SUBSURFACE DISPDSAL SYSTIM DESIGN
Prepared For: /en
Location:
2/ I 04 Chad / .rtrecf,
N ' tan
Number of Bedrooms: li Garbage Disposal: Y�
1/
LEACH AREA DESIGN
Bedrooms x 2 persons/bedroom =
persons
7 Persons x 55 gallons cf wastewater/pers`n/day !/C/O total gallo.is of
wastewater/day.
Percolation Rate:
z-
min/inch
Gallon of wastewater/square feet of leach area for a Percolation Rate of:
Z . CD min/inch = t S Gal/SF Si_e'=a_l Area
/. 0 Gal/SF Boot_ Area
• If a leach bed is to be installed, no sidewall is allowed.•
* If pert:lation rate ext __e .. _n . , no _. _ — area li c_�J'.
* WnTHOU: GARBAGE ??SAL:
Gallons of wastewater day x o R:Q:_RED e_
„__a__ .
* in no c_.= w _ne - --?tic _=c... `-e less
r* WITH Gnz
4/54, 7a1Inne
_. - = t:: :
RECOMMENDED: /.ffpo ye / Septic Tank
** In no case will the septic tank be less than 1,500 gallons (effective liquid capacit
8&o
AT \IFR HUNTLEY. IR . g ASSOCIATES. INC.
LEACHING PIT DESIGN
a Precast Pit Used: /O ' Long x S ' Wide x 2. ' Effective Depth
Using y ' of stone all around and 2 ' of stone under pit.
SIDEWALL AREA:
28 ' Long x (i ' Effective Depth x 2 Sides = ZZr{ SF
13 ' Wide x ri ' Effective Depth x 2 Sides = to ¢ SF
Total of 3 Z\ Pi SF (Sidewall Area) x 2-- Sr Gal/SF = 8 Z-o Gal/Pit (Sidewall)
BOTTOM AREA:
28 ' Long x 13 ' Wide = 3 4 'i SF
3L y SF (Bottom Area) x 1.0 Gal/SF = 3Io Li Gal/Pit (Bottom)
52'0 Gal/Pit (Sidewall)
.3 4. q Gal/Fit (Bottom)
= // B f/ TOTAL Gal/Pit (Designed)
* Without Garbage Disposal: Total Gal/Dap (REQUIRED)
* With Garbage Disposal: 1.5 x '/1/40 Gal/Day (Daily Flow) = (e CPO Gal/Pit
(3 6Q.6.ye Oq oJa/J) (RITU hED)
Using &&6 Gal/Day (Daily Flow) // 9 y Gal Fic = / Fit(s)
ALNIER HUNTLEY, JR., & ASSOCIATES. INC.
AOTC da waer ,✓/LL GEL /E /E4CCOf�'�E wires THE 3T-are EN✓/RONNENT,�L
• GAGE f/F OR ORYWELL A.PE 6Ei.GG
�!seo i!O WHEN more TA/iej ewe WAGE
dE TyY,CE )J/E G.Tf/TEST EFffCT/✓E M/OTN 0.1 OEPTN OF TAU
P/T, /pw/CHE✓EAf /3
G,ffl TEA.
CODE Mitt S
ALMER HUNTLEY, JR. a ASSOCIATES , IN(
REGISTERED 25 PLEASANT ENGINEERS LAND SuR
STREET .
NORTHAMPTON , MASS .
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CHECK OR FILL IN WHERE APPLICABLE
thi
No
THE COMMONWEALTH OF MASSACHUSETTS
FEE
BOARD OF HEALTH
CITY OF NORTHAMPTON
Appliratinn for iBinpngal iftnrks Clnnntrurtion jrrmit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
Sy�� „.", h G $ i /k � ( (1
S/J s 1 Geounoy-Address
(. /2/ '1'"' � t
Owner Address
Installer Address
Type of Building Size Lot Sq. feet
Dwelling—No. of Bedrooms.F * Expansion-Attic ( ) Garbage Grinder (5 )
`
Other—Type of Building 11 `-- No. of persons I Showers (5) - Cafeteria ( )
Other fixtures
Design Flow - gallons per person per day. Total daily flow -/ Y 0 gallons.
c z....
Septic Tank—Liquid capacity gallons Length Width Diameter Depth
Disposal Trench--No. Widt� T �_y'�otal Length Total leaching area
Seepage Pit No Diameter /�oeDept below inlet Total leaching area sq. ft.
Other Distribution box ( ) Dosing tank ( ) /%// A .
Percolation Test Results, Performed by FAY 1- Date
Test Pit No. I d— minutes per inch Depth of Test Pit 13 t Depth to ground water-PCS` e
Test Pit No. 2 minutes per it Depth of TAW.Pi Depth to ground water
Description of Soil
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 Comph ne been issued by.thriuoard of health.
Application Approved By „.„...`-' 9/2„,::,,,,e
Application Disapproved for the following reasons
Date
Permit No Issued
b
at
THE CO-17 OAF WEACFN—OF—M __
BOARD OF HEALTH
CITYoF NORTHAMPTON
Otntifirnir of flinntplinnrr
THIS IS TO CWIFiY1 Tha e Indict ual S wage Disposal System constructed ( ) or Repaired ( )
S.5'
has been installed in accordhce with the provisions of TITLE e State Sanitary L e s d bf�-in the
application for Disposal Works Construction Permit No T� S dated V/_P .]
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
Installer
SYSTEM WILL FU CTI N SATISFACTORY.
DATE ! '%IB FS
No
Inspector /
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
CITY orNORTHAMPTON_
Disposal grk.s alinuitriartiAtt
Permission is hereby granted
to Construct ( Repair
at No
fR
ndiv
rrntit
rwa5ii sal System
Street
as shown on the appli Lion for Disposal *arks Construction Permit No
DATE • 11 .71 /0
FORM 1255
Retard"( Health
CHECK OR FILL IN WHERE APPLICABLE
No
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
Appliratiau far fispusal ifiurks. Cllanstrurtiun lrrmit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
Location•Address
Owner
]mtallpyr
Type of Building 2 6-CZ-
Dwelling—No. of Bedrooms Expansion Attic
Other—Type of Building No. of persons
Other fixtures
Design Flow _ ' gallons per person per day. Total
Septic Tank—Liquid capacity gallons Length Width
Disposal Trench—No. Width Total Length
Seepage Pit No _ Diameter Depth below inlet
Other Distribution box ( ) Dosing tank ( ) „r�„,'
Percolation Test Results Performed by
Test Pit No. 1 minutes per inch Depth of "test Pit
Test Pit No. 2 minutes per inch Depth of Test Pit
y,
or Lot No.
Address
Address
Size Lot Sq. feet
Garbage Grinder ( )
Showers ( ) — Cafeteria ( )
daily flow gallons.
Diameter Depth
Total leaching area sq. ft.
Total leaching area sq. ft.
e
' Date r
Depth to ground water
Depth to ground water
Description of Soil
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 7.1T LL 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-Rae hoard of� .d�lr.-
Signed
Application Approved By
Da(
Date
Application Disapproved for the following reasons
Permit No
Issued
Date
Date
by
at - of The State Sanitary Code as described in the
has been installed in accordance with the provisions of TAT`L 5 dated for Disposal Works Construction Permit No
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE Inspector
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF . . . .. _ . . . .._.. .. _.. ..
Trrtiffrtttr of Tamplima
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired
)
Installer
No
THE COMMONWEALTH OF MASSACH USETTS
BOARD OF HEALTH
. . . . .. .. . .. ....
OF
flis.posttl Marko hlon¢trnrtion titrmit
FEE
Permission tuc ( is Ne Repair granted
to Construct ( ' ) or Repair ( ) an Individual Sewage Disposal System
at No ._ _._. ... ..... . . .. .. . .. . ... -Street
as shown on the application for Disposal Works Construction Permit No
Dated
Board of Heald'
DATE
FORM 1255 HOBBS d WARREN. INC.. PUBLISHERS