105 Septic Application Permit & Perc Tests CHECK OR FILL IN WHERE APPLICABLE
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FEE /\
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
-
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u
.Appliratinn for Bispnsttl uii urka (]anntrurtiinn tirrttlit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
Lora o .Ad
Owner / Address
E‘:.t�� fi+. ! Address
Installer
Type of Building Size Lot Sq. feet
Dwelling—No. of Bedrooms 3 Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building No. of persons Showers ( ) — Cafeteria ( )
Other fixtures
Design Flow gallons per person per day. Total daily flow gallons.
Septic Tank—Liquid capacity.ge.. gallons Length Width Diameter Depth
Disposal Trench— No. Width Total Length Total leaching area 1/S 0 sq. ft.
Seepage Pit No Diameter Depth below inlet Total leaching area
Other Distribution box (kr Dosing tank ( )
Percolation Test Results Performed by Date
Test Pit No. 1 minutes per inch Depth of Test Pit Depth to ground water
Test Pit No. 2 minutes per inch Depth of Test Pit 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 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 issuy the bo 'dpf hrxalth._
' g
Signed - - A l
D
Date
Application Approved By r' •A +M.» c 1,}1
Application Disapproved for the following reasons•
Date
Permit No...f..% / Issued.._Ylt'.._(.0 //6 S
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD) OF HEALTH
OF_.../ tl -a."Prt
ertilirnie at tknittplianrr
THIS IS„T�CER,TIFS T t the Individual Sewage Disposal System constructed ( ) or Repaired ( )
by oo�GLL1 t.>ce
--1 / ALE»,,wf `it
at
has been installed in accordance with the provisions of Article XI of The State Sanitary go4le as described in the
application for Disposal Works Construction Permit No 1-37 dated ( el'
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM//ILL FUNCTION SATISFACTORY. 7�
DATE >t.t1 7 116' Inspector.!'. lift''R"B'r' �• :N/nide)2
No t
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
FEE
?Natrona nrkn Ifoustryutinn Permit
Permissiot` iyherd,y granted ''N^iT� `'`,<"rJ>.
to Ccnstr rl or Rgpair.t ) an Indiyidu:d Sewage Disposal System
at No .__ _ ......... _. , . . 9J�
Street I
as shown on the application for Disposal Works Construction Suit No../ / Dated !:dL ✓I ) i2' J Board al h
DATE
FORM 1255 HOBBS S WARREN. I . PUBLISHERS
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
September 29, 1965
Board of Health
City Hall
Northampton, Mass,
Gentlemen:
I have made several percolation tests and soil sample tests
at land belonging to Donald Wade, located on the Westerly side of
Clement Street in Northampton.
For further information regarding these tests, please consult
the attached sketch showing the existing locations of the percola-
tion tests taken and reported to you last week, plus the location
of the new tests taken on September 28, 1965. This sketch shows
the setup for his proposed lots, plus the percolation test holes
and the percolation rate at each hole.
If you have any questions regarding this information, or re-
quire any further explanation, please do not hesitate to contact
me.
es
cc - Mr. Donald Wade
380 Chesterfield Road
Leeds, Massachusetts
Very truly yours
Almer Huntley , 11.
Registered Sanitarian
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
September 17, 1965
Board of Health
City Hall
Northampton, Mass.
Gentlemen:
I have made a percolation test on a lot belonging to Donald Wade
located on the Westerly side of Clement Street approximately 600' from its
intersection with Hurts Pit Road. I have found the following conditions:
Type of Soil:
0" - 7" silty clay
7" - 12" clay, very fine sand, silt
12" - 15" band of red cemented sand
15" - 36" clay, very fine sand and silt
Percolation Rate: 1" = 25 minutes.
No ground water or ledge was encountered at this site.
Note: This area has a poor percolation rate due to the clay and silt
in the soil. I would recommend that a large bed be constructed at
this site as high in elevation as possible.
Very truly yours,
6—Ani Iva*
er Huntley, Jr. C
Registered Sanitarian
es
cc - Mr. Donald Wade
Chesterfield Road
Leeds, Massachusetts
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
September 17, 1965
Board of Health
City Hall
Northampton, Massachusetts
Gentlemen:
I have made a percolation test on a lot belonging to Donald Wade
located on the Westerly side of Clement Street, approximately 500' Northerly
or Northwesterly of the intersection of Clement Street with Burts Pit Road.
This lot is the first lot on the left hand side as one comes from Burts Pit
Road along Clement Street. I have found the following conditions:
Type of Soil:
0" - 9" silty loam
9" - 12" cemented coarse red sand
9" - 36" coarse sand, some cementation
36" - 42" grey very fine sand, silt and clay
Percolation Rate: 1" = 10 minutes.
No ground water or ledge was encountered at this site.
Note: It is suggested that any leaching facilities at this site be
kept as high as possible in order that they may be constructed within
the first 25" or 30" in the coarse sand soil.
Very truly yours,
Almer Huntley, Jr.
Registered Sanitarian
es
ec - Mr. Donald Wade
Chesterfield Road
Leeds, Massachusetts
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