Misc. Lot 3 Septic Application & Perc Test CFIECK OR FILL IN WHERE APPLICABLE
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THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Cry OF /L(et INfl/!7PleJ
Application far Disposal urka fllanstrurtinn rrmit
Application is hereby made for a Permit to Construct (V ) or Repair ( ) an Individual Sewage Disposal
System at:
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ation Address or Lot No.
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Owner Address
Installer
Type of Building
Dwelling—No. of Bedrooms / Expansion Attic
Other—Type of Building No. of persons
Other fixtures
Address .r.
Size Lot_1n..`41.,,ad _. Sq. feet
Garbage Grinder (a-'
Showers ( ) — Cafeteria ( )
Design Flow gallons
Septic Tank—Liquid capacity?z7! gallons
Disposal Trench—No. Width
per person per day. Total daily flow /UL' gallons.
Length-! (12" Width.Y'12 - Diameter Depths-4A
Total Length Total leaching area sq. ft.
Depth below inlet Total leaching area ' -"` sq. ft.
Other Distribution box ( ) Dosi tank ( ) '/
Percolation Test Results . Performed b ...r.ltilgie7 ' /Lint"74.E)'
Test Pit No. 1 17' minutes per inch Depth of Test Pit. ..a('"
Test Pit No. 2 — minutes per inch Depth of Test PitZO.:.0 '
Seepage Pit No Diameter
f4t.GR. Date /L
Depth to ground water •r/vt•'�
Depth to ground water...;?`/C'
Description of Soil J/c 7 wt 7// <<'5�''F - Acad..1247.f
C2%5. 21 G.L t`G
7.O 2 ./ 77f',4 E T F
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.
Application Approved By
Signed.
Application Disapproved for the following reasons
late
Date
Date
Permit No Issued
Date
ALMER HUNTLEY, JR. & ASSOCIATES, INC.
Successsors to Davis Engineering Co. Established 1870
Registered Land Surveyors & Civil Engineers
Board of Health
City Hall
Northampton, Mass.
Gentlemen:
3o CRAFTS AVE., NORTHAMPTON, MASS.
TEL. (413) 584-7444
July 27, 1965
I have made a percolation test at land belonging to
Carey located on the Easterly side of Coles Meadow Road on a lot
to be purchased by a one rep Engel.
I find the soil at this site to be coarse to medium sand,
no silt or large stones. The percolation rate is 1" in 1 minute.
I feel that a leaching trench or trenches should be constructed
at this site due to ledge in the area to the South and North of this
lot. However, no ledge was encountered in this test hole, nor was
ground water encountered.
Very truly yours,
es
cc - Mr. Ralph Farrick
Almer Huntley, Jr.
Registered Sanitarian
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