Misc. Septic Application 13 (2) CHECK OR FILL IN\HERE APPLICABLE
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THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
67/7)1 OF .n.'.�A.PYH.B/XP TO.t/
Application fur 13iopunal lurks Olnnstrartinn ilcrmit
Application is hereby made for a Permit to Construct (el or Repair ( ) an Individual Sewage Disposal
System at:
!uc lion-AAJres' Lot Na
6oeE42a.di .i .._ .uc.k_..........._...._......_.._.__. .ral....N .10-4v S3 FEstAC. Cr
Owner Address
Installer
Type of Building Size L. /O ,r
Dwelling o. of Bedrooms Size Lot ¢e Grinder er ( a'a
ng— 3 Expansion Attic ( ) Garbage Grinder ( �'
Other—Type of Building No. o[ ersons
Showers ( ) — Cafeteria ( )
Other fixtures p
Design Flow Sol gallons per person p . Total dm1 thaw 30
Septic Tan Li uid capacity ��� ''° 3 yam^ A �ibrS�
�FD 9 � gallons Length Width Diameter Depth
Disposal TreTreh—No Width.....az>2 Total Length ?O Total leaching area....60.0 sq. ft.
Seepage Pit No Diameter Depth below inlet Total leaching area sq. ft.
Other Distribution box ( ) Dosing tank ( ) �
Percolation Test Results Performed by ✓ Hg!e_,7!-.,r.4�& At .c(I>SInt? .Date 44/17-3
Test Pit No. 1 0 minutes per inch Depth of Test Pit ' J Depth to ground water -7 L pA
Test Pit No. 2 G minutes per inch Depth of Test Pit $= 6 a Depth to ground water.... O.e✓t..
De§piip oil 6 t04:4 Oc. 70,7t e :.PF;4 ".£a ftl:7S Co./Alefl.. MAKtf Y �r A I
7_o,
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 Article XI 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.
Date
Date
Date
Permit No Issued
Application Approved By
Application Disapproved for the tattooing reasons'
Date
ALMER HUNTLEY, JR., fl ASSOCIATES, INC.
SURVEYORS - ENGINEERS - PLANNERS
January 28, 1975
Mr. Floyd Andrnc, Jr.
81 Lake Street
Florence, Massachusetts 01060
Dear Mr. Andrus:
P.O. Box 568
125 PLEASANT STREET
NORTHAMPTON, MASS.01060
(413) 584-7444
' We are writing to you relative to percolation tests and deep
holes performed on your 10 acre plot of land on the South side of
Chesterfield Road in Northampton, Massachusetts. These tests
were performed on February 9, 1973 by this firm.
The percolation test and the deep hole made at site #2 would
indicate that there was adequate distance over the ledge for a
leaching field. The percolation rate of 6 minutes per inch at
this site is very good. In our estimation, an individual sub-
surface disposal system of adequate design and proper construc-
tion placed at this site should perform satisfactorily.
WBA/cs
Very truly yours,
ALMER HUNTLEY, JR. & ASSOCIATES, INC.
William B. Allen, P.E. ,
Chief Engineer
WEST SPRINGFIELD OFFICE
PIO IIm II.N STRrrT
GREENFIEI.D OFFICE
15E MAIN STREET
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ALMER HUNTLEY, JR. a ASSOCIATES, INC.
REGISTERED LAND SURVEYORS S CIVIL ENGINEERS
238 BRIDGE STREET
NORTHAMPT/`N, MASS.