326 Septic Application Plans Soil & Perc Test COMMONWEALTH �O�F MASSACHUSETTS
Board of Health,' J Yom, MA.
APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERM
Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) - O Complete System //Individual Components
Location sac. e 4e dec L'eld j2.4
Owner's Name Er N es# d• lG rd 1441
Map/Parcel# /66- 073
Address 3a.6 (hnk Ytell Pi
bell
Lot#
t!Le T t/
Telephone# till sco. Iron'
Installer's Name
1204
tCaJ,
Designer's Name A( _ �'.L-u ss 2S
Address
Gd t
/
Address �4 l4 N(4C(Nt
Telephone# Y/3., 3? .1. 55'S x
Telephone#
. — Q%
Type of Building
Dwelling-No.of Bedrooms
Other-Type of Building No.of persons
Other Fixtures
yi t-sidle v.c -9
3 6 cf��s
lot Size 34,15r sq.f.
Garbage grinder OM
Showers ( ).Cafeteria ( )
Design Flow (min.required) iI O
Plan: Date
Title
gpd Calculated design flow 330 Design flow provided ± S gpd
Number of sheets Revision Date
Description of Soil(s)
Soil Evaluator Form No.
SPA't £1g4,, 2eps,r Pi&ti
CfgSC r L (LS )
Name of Soil Evaluator / . 1-11-07S S Date of Evaluation va9/65
DESCRIPTION OF REPAIRS OR ALTERATIONS .i N s/>:/1 - r/ecif S4S
The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and
further agrees to not to place thee',tem in operation until a Certificate of Compliance has been issued by the Board of Health.
4.
C Signed y - lT-60"4— Date Q -O 5 - v p
Inspections
Fax
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
1ppliratian for l isposttl I e nr .s Clinnntrartinn rrmit
i n is hereby for a Permit to Construct �') or Repair ( ) an Individual
Sewage o y age Disposal
System at:
31311
Locatik 'Address or Lot No.
r /tyl .c.- Vt
Ojvne Address
P
14 " Installer Address
q Type of Building Size Lot Sq. feet
le Dwelling—No. of Bedrooms Expansion Attic ( ) Garbage Grinder ( )
E Other—Type of Building No. of persons Showers ( ) — Cafeteria ( )
W Other fixtures
¢; allons per person per day. Total daily flow gallons.
fil
Design Flow r.r-m�gr P P P Y Y
rG Septic Tank— Liquid capacity' /- gallons Length Width Diameter D5Yth
x Disposal Trench—No. Width Total Length Total leaching area (a i 1 sq. ft.
Ill
Seepage Pit No Diameter Depth below inlet Total leaching area sq. ft.
z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by Date
'"1_+, Test Pit No. I minutes per inch Depth of Test Pit Depth to ground water
{i, Test Pit No. 2 minutes per inch Depth of Test Pit Depth to ground water
0.i
O Description of Soil
U
el
W
UNature 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
... -
Application Approval By1 Data
Application Disapproved for the following reasons'
4 % /
Permit No ) tJ Issued
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
:L•r OF /t 6.e_, IF;,
firrtifirnfe of (IImtiplinnre
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (4/) or Repaired ( )
by £>.: :r:f .21.tlt-F
h.taue
Article XI of T1 State Sanitary as described in the
at
has been installed in accordance with the provisions of r\r y
application for Disposal Works Construction Permit No dated
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE Inspector
Permission,
to Construct (�
at No
as shown on t
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.--‘8.1(I OF ,7P '.
flispnnnl Thprlui QI,nnrljrutaiun Wroth
wrchy granted
or,Revsiy/ "tan Individual Sewage Disposal System
Sheet
application for Disposal Works Construction Permit.No
DATE
FORM 1255
HOBSS & WARREN. INC. PUBLISHERS
Dated r
Board of neaIth
COMMONWEALTH OF MASSACHUSETTS
Hon rd of Hen 1Ji,brit Lk/Pi f !>iY'\ MA.
APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERM
Application for a Permit to Construct( ) Repairt4 Upgrade( ) Abandon( ) - O Complete System Individual Com
Location
a(r (' /Jr;p( .C'.-1l Pc/
(Tuner's Name C 1 her o f .., ., &u' (4c.Yi
Map/Parcel#
Ifj 6— 073
Address 31 F. (/,o-k • f.`!)-f
ft-J
Lot#
i(L, 7 2)
Telephone# t-1/3, Sts(d* 6C)4cC
Installer's Name
Raft,.
46---,44,J.
Designer's Name -
Address
//GCi t •
Address i� ,I ,/, -
Telephone#
SVy— IW'
Telephone# C/, 3 -$7_.3. Si Si
Type of Building
Dwelling-No.of Bedrooms
Other-Type of Building
Other Fixtures
Design Flow (min.required)
Plan: Date `I Pi / o S
a , (
f /J.o a orNNg
No.of persoi
Lot Siec,3`.4 ;° — sq.(.
• Garbage grinder (H
Showers( ),Cafeteria( )
Title
P
Description of Soil(s)
Soil Evaluator Form No.
gpd Calculated design flow J C3 Design flow provided <(`( .) gpd
Number of sheets Revision Date
S. 2': Syr_ 4» 2P,a > Pr.,.
(lit rr [ ( ( c
Name of Soil Evaluator I'.1 (^l ^ Date of Evaluation
DESCRIPTION OF REPAIRS OR ALTERATIONS -.( i ' (
f �1 ' .I v. S
The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and
'/ further agrees to not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health.
"f Signed ! /�� 0 / 'N-ecrn_ Date 7 - 0 5 ' 0 5
Inspections
No. 9Cr'I—G
COMMONWEALIH Of MASSACHUSETTS
CERTIEWATL Of COMPLIANCE
Description of Work: pvidual Component(s) ❑Complete System
The undersigned hereby certify thaLthe Sewage Disposal System; Constructed ( ).Repaired K.Upgraded ( ),Abandoned ( )
by:
7C-vF; 11 a -it
at r) i 6-16 11
has been installed in accordance with the provisions or310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to
application No. ,�ir� 6- dated l � Approved Design
. Flow (l c) (gpd)
C„
Date: _�Installe ?so, s 1 ra *-se.
Designer:11 (d { imp tor.
`r
The issuance of this permit shall not be construed as a guarantee that the systemiwil function as designed.
No_ J(
COMMONWEALTH OF MASSACHUSETTS
FE ;iv(''
DISPOSAL SYSTEM CONSTRUCTION PERMIT
Permission is hereby granted to.�;,�C�o.nstruct( ) Repail Upgrade( ) Abandon( ) an individual sewage disposal system
(^AM'.T
Disposal System Construction Pernylt No.c (h7(6, dated �- 69-/1,f
Provided: Construction shall be completed within three years of the date of this permit. All local
as described in the application for
Arm1255 Rev 5,96 A.M.sulkin Co.Charplwn MA
Date ":7� 3/et"jBoard of Health
Lions must be met.
f-i193 COLD SPRANG ENVtRONYMEN•p�
' �'•5' CONSULTANTS, INC.
ALAN E. WEISS,M.S.,L.S.P.
Licensed Site Professional
Registered Sani,rn an
llydrogeologisi
Pn stdcnt
350 01d Enfield Rd.
Bdc[enown.MA PIOP7
(a 13)323-5957&323-4916(FAX)
•Subsudacc Investigations
QIE Site Investigations
Pollution Remediation
•Percolation Tests and
Sciatic Designs
Soil Suitabili
Performed By: fllw
Witnessed By: a' (-71<r5
FORM II - SOIL EVALUATOR FORM
Page 1 of 3
Date:
Commonwealth of Massachusetts
/tp ut--Y-s,4,y-tcv, Massachusetts
Assessment for On-site Sewage Disposal
1.Jc:l
c= tic-)77:33 1
Date: SS 1Z-7(o9
.n..ante,or
Ld
Jew Construction D Repair rd
:a(c i )40 es:- vr-
Published Soil Survey Available: No 1 1
Year Published
Drainage Cass
Sudtcial Geologic Report Available: No
Year Published
Geologic Material (Map Unit)
Landform
Flood Insurance Rate Map: r��
Above 500 year flood boundary No �Dyes LJ
Office Review
Yes
Publication Scale
Soil Limitations
G✓ves fl
Publication Scale
A6ded AV'
TeLphdrc
CH(e( fn.,-A 'FPCc 7w:37- N ec:.�
H ce317: P (C/( (Le,
L. AS �1
C Its 3
`-/i3 -53 -&28
Within 500 year flood boundary No
Within 100 year flood boundary No
Wetland Area:
National Wetland Inventory Map (map unit)
Wetlands Conservancy Program Map (map unit)
J
Current Water Resource Conditions (USGS): Month
Range :Above Normal J.hornial L
Other References Reviewed:
ek Normal
Ed
DU'APPRO VED V0 HM-1 DO'/9
Sod Map Unit
Location Address o: Lot No 3
FORM 11 -SOIL EVALUATOR FORM
Page 2 of 3
(Lskr(le IQ1 (24. Lkcj,S
On-site Review
Deep Hole Nurnber L1 Date: YI z
Time: `
Weather
Location (identify on site plan)
Land Use Cu ?( 5
Slope (%) L"S Sur:`ace Stones Ar S:Yad ;Vey
Vegetation 50455 42'�*<( 2 „ti1-
Landform t ,~ A)-2(trc
Position on landscape (sketch on the back)
Distances from:
Open Water Body (GC 'j feet Drainage way feet
Possibie Wet Area JO ' fee' Property tine it feet
Drinking Water Well /1)0 ?O feet Other
' Depth from
Sur ace (Inc-es)
I f7 r3 I
z 1 ` (Ea I 1
!-L fc
II
DEEP OBSERVATION HOLE LOG'
Soil Teredre Soil Color Soi: j ry uher
(USDA) Mursetl) Moline ;St umure.Stones. Eo Je s. Consistency. vher
` f - Gravel;
Z /G y(ct/z )
r
L5 , 5,75 wP r Mc L.
3(-
s 7/3
j r%,I ,
i ct ft; Crib frS f 5rres
I _ r,e.deu
— [n=b l�h
Cara. t rcQ L cry< �7c../ef
25`-c r '( 5
' MINMUM Or 2 HOLta RLOUIRrD AI EU=nY7fROFUScD OIh POSAL nP.0
Parent Material (geologic) �Ok ( S/r.4S
Ab I ( De,arzneedrock
Depth to Groundwater. Standing Water in the Hole: / i ./
wlT;l Weeping from Pit Face:
Estimated Seasonal High Ground Water: Sr
DEP APPAO VEj FOR,I- 11'0711
L.ccdt:o,, Address or Lot No _L‘
FORM 12 - PERCOLATION TEST
W7.
COMMONWEALTH OF MASSACH ,. S
7/644,,101--/
Massachusetts
Percolation Test*
Date: . Atke _.
TTS
Depth of Pero
Star Pre-soak
grid Pre-soak
roe a_ ? 2
c.a a. 5'
i e
Time (2s-6")
Rate Min./Inch
Tr serve a ea.t pe,co:aren test must be performed in both the primary area AND
of Site Passed Site Faded
Performed By
Witnessed By
Comments: .
`H
DEP APPROVED FOP 107195
Page 3 of 3
Location Address or Lot No.
Cis at) fd
Determinatioyn. for Seasonal High. Water Table
Method Used:
7 Depth observed standinc in observation hole... inches
rJ D th weeping from side of observation hole inches
I `TDepth to soil mottles t0..�e inches
Ground water adjustment feet •
Index Well Number _..._ Reading Date Index well level
Adjustment factor _.. ._.... Adjusted ground water level _ _.._..._ ..
Depth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring pervious material exist in all areas
observed throughout the area proposed for the soil absorption system? Jr` S
If not, what is the depth of naturally occurring pervious material?
Certification
certify that on Jpy 95-
(date) I have passed the soil evaluator examination
approved by the Department of Environmental Protection and that the above analysis
was performed by me consistent with the required training, expertise and experience
described in 310 CMR 15.017..
Signature J7' Date e z7 o?
PEP APPROVED FORM IL07/95
-NOTE-
THIS PLAT IS COMPILED FROM DEEDS, PLANS AND OTHER
SOURCES AND IS NOT TO BE CONSTRUED AS AN ACCURATE
SURVEY AND IS NOT TO BE RECORDED.
350
TO: UNITED AVINGS BANK &
I HEREBY REP RT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING
MONUMENTATION ALL EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON
THE GROUND 48 SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES,
EXCEPT AS NOTED. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED WITHIN
A FLOOD PRONE AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR
COMMUNITY # 250167
SURVEYOR. Re kJL Ji 1. 1;
LAWYERS TITLE INSURANCE CORPORATION
-NOTE-
THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY
AND DOES NOT CONSTITUTE A PROPERTY SURVEY
-MORTGAGE LOAN INSPECTION PLAT-
NORTHAMPTON, MASSACHUSETTS
PREPARED FOR
ERNEST J. , JR. & CAROL ANN HEON
SCALE- 1 "=60 ' SEPTEMBER -19 , 1992
HAROLD L. EATON AND ASSOCIATES, INC.
REGISTERED PROFESSIONAL LAND SURVEYORS
235 RUSSELL STREET - HADLEY - MASSACHUSETTS
VIA <Up /AMP1 w>a
•
COLD SPRING ENVIRONMENTAL T
CONSULTANTS INC.
• ?If sx Jr.. tgaciam
• SJaaurface n.erg=xiun.
• Pollution Remaiarian
• I5P'on Staff
• Iortmc Septic lnvestippriai:
October 06, 2009
Northampton Rd_ Of Health
RE: Septic System Repair
Inste T7ation Inspection
#326 Chesterfield Road (Neon)
t2- 7Za '
• P rco] tine Tests
SapIXr Design.
• Reglrsry Cornpliance
• Reerills andaolid W'asee
• SecoolOpm.mc
On this date, the writer inspected the '.nstal :ation of a new
(L. Field only ) . The writer found the installation to be
complete (except for corpletion of cover material) and in
compliance with our plans and 310 CMR 1 5.000. The installer
representative (River Drive Exc.) and ocr inspection noted that
the sister was built s installed properly, in accordance with the
state/local reyala'_ions and our plans. The contractor was
requested to have sufficient soil cn site and properly cover the
system according to our plans and may :,ackfill the system after
review by local Health Department representatives.
Sincerely,
Cold Spring Environmental Consultants, Inc.
. an E. Weiss, M.S. , L. S.P.
President
Principal Hydrogeologist
Licensed Site Professional #6442
Registered Sanitarian Y933
Gold Spring Enviramnnmal
350 Old GnGeld Road
ReLicrtown,Ma.01007
413-323-5957,dune
413-323-0916,fax
`As built Attached,
350 Old Enfield Road=Belchenown,MA.01007=Phone:413.32159.57 Fax413.32349in
email: -=..saehartr:,:ct wwa-rnldspnngenvironmenralcom
C
A
10.06.2009
MAP 15B LOT 02
SCALE: 1"=30'
35,000± Sq. Ft.
0.800±Ac.
901=160.9 841-11
CLSE-k"StINGSzt
TANK IPCN ODMP_ETE
IN ('.MN ONLY
IP PLACE IF OEGRACM)
I APWiOR-
95
L TAM(
R ENT,
°VYP,CRUSH
FIIL
ON 14 X 43'SAS
art
CONT
Ai,Po
TO S.
2SE 40 NIL POLY LINER
6'OFF STONE 9E0
- RCPCSEC
CONTOURS
100.60
ROAD
•
Board of Health, City of Northampton July 15, 1966
Attention: Mr, Robert Langdon Page 2
bed should be prepared. The downhill side of this bed should be
banked with at least 15" of impervious material to prevent seeping
out along the face of this embankment, Above this gravel or sand
fill, a normal leaching bed of at least 600 sq. ft. should be con-
structed.
I believe that the system will work in this area if properly
constructed and taken care of. Other systems in the area seem to
be working satisfactorily at this point.
If you have any questions regarding the above, please do not
hesitate to call me.
es
cc - Mr. Ralph Farrick
Heritage Homes
Russell Street
Hadley, Mass,
Very truly yours,
-
�Almer Huntley, Jr.
th )7
Registered Sanitari n
ALMER HUNTLEY, JR. & ASSOCIATES, INC.
Successors to Davis Engineering Co. Established 1870
Registered Land Surveyors & Civil Engineers
30 CRAFTS AVE., NORTHAMPTON, MASS.
TEL. (413) 584-7444
July 15, 1966
Board of Health
City Hall
Northampton, Mass.
Attention: Mr. Robert Langdon
Dear Mr. Langdon:
I have made a percolation test at land belonging to
Mr. Ernest Heon, located on the Southerly side of Chester-
field Road in Leeds.
The proposed location of the dwelling to be erected is
approximately 150' to 200' South of the road on a high area.
The first test hole was dug approximately 50' in front of the
proposed house location. At this point, ledge was struck at
2z' .
A second test hole was dug approximately 100' to 125 '
from the front of the proposed house. At this point, ledge
was struck at 31' . Due to trees, large boulders and the
general unevenness of the terrain, it was impossible to dig
another deep pit closer to Chesterfield Road.
The type of soil at the second test hole was generally
glacial till comprised of large and small stones, sands, and
some silt and pebbles, The percolation test was done at this
site with a percolation rate of 1" = 15 minutes being arrived
at.
Due to the proximity of ledge to the surface of the ground,
the area in which the sewage disposal facilities are to be con-
structed must be built up by bringing in gravel, sand or other
material that will provide a good leaching base under the pro-
posed leaching facilities, Since the State Law requires that
there must be a minimum of 4' between the ledge and the bottom
of the leaching facilities, probably a considerable amount of
fill is going to be required at this site.
It is my recommendation that a leaching bed be constructed
at or near the location of the test hole approximately 100' to
125' from the front of the house. The existing top soil, stumps,
large stones and boulders should be removed from the site. The
natural ground should then be leveled and then coarse bank-run
gravel or sand should be brought into the site and the base of the