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CITY OF NORTHAMPTON
DEPARTMENT OF PUBLIC WORKS
125 I mast Street
Northampton,MA 01060
Phone 413-587-1570
FAX 413-587-1576
PENDING APPROVAL 140 COLES MEADOW ROAD
Permit No. 6016
PRO DISAPPROVED
Date lss 8/31/2010
By
(Department of Public Works)
No work to start until signed
TRENCH PERMIT
Pursuant to G.L.c. 82A § 1 and 520 CMR 7.00 et seq.(as amended)
THIS PERMIT MUST BE FULLY COMPLETED PRIOR TO CONSIDERATION
This permit(License for excavating on any public wry and private property)is issued under the provisions of M.O.L.c 82A§1 and 520 CMR 14.00
and Section 285-21 of the Revised Ordinances of the City ofNonhamptou subject to the"Specifications for Care of Street Cuts"approved and adopted
by the Department of Public Works on September 21,1991.The applicant hereby agrees to protect all Ms with barricades and lights,and to save the
City of Northampton harmless from all claims for damages whatsoever arising from the occupation of all properties affected by this permit until such
time as the work has been approval and accepted by the Department /Public Works as provided for below,and in the case of private utility,to pay all
charges for resurfacing.
Fee:5250.00 Check# 9457. Valid for 30 days from date of approval Expiration Date: IA—ate 4U
Name of Applicant
J.C.&COMPANY,INC
Street Address
140 FAIR STREET EXT..
City/room STATE ZIP
NORTHAMPTON MA 01060
Phone Cell
575-2069 JIM DIMOS •
Name Excavator
Phone Cell
of (if different from applicant)
SAME'
Street Address
City?own STATE ZIP
Name of Owner(s)of Property
JOYCE LAK
Street Address
140 COLES MEADOW
City/Town STATE ZIP
NORTHAMPTON MA 01060
Phone Cell
584-0330
Location of proposed trench: 140 COLES
Description and purpose of proposed trench:please describe the exact
description of what is(or is intended)to be laid in proposed trench(eg,
INSTALL NEW SEPTIC
MEADOW ROAD, NORTIL4MPTOM --
ocation of the proposed trench and its purpose.Include a
pipes/cable lines etc...)
SYSTEM
PENDING APPROVAL
Estimated dates of occupation of s reet.
Insurance Certificate#:
ON FILE
Name and Contact Information of Insurer:
ON FILE
Policy Expiration Date: ON FILE
Dig Safe#: 2010-360-1648
ALL PERMITS ISSUED PURSUANT TO 520 CMR 14.60 SHALL BE POSTED IN PLAIN VIEW ON THE SITE OF THE TRENCH
Note-Contractors will be charged for Inspections requested outside of regular working hours(7:00 a.m.-3:00 pan.M-F)
Contractor to notify DPW when job Is in progress.
Engineers need ties to this service for our records.
INFRA-RED SHALL BE REQUIRED AFTER TRENCH CUT IS MADE
NOTE:
TEMPORARY
PATCH REQUIRED
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PENDING APPROVAL 110
OLES MEADOW ROAD
BY SIGNING THIS FORM,THE APPLICANT,OWNER,AND EXCAVATOR ALL ACKNOWLEDGE AND CERTIFY THAT
THEY AREFAMILIAR WITH,OR,BEFORE COMMENCEMENT OF THE WORK,WILL BECOME.FAMILIAR WITH,ALL
LAWS AND REGULA'('TONS APPLICABLE TO WORK PROPOSED,INCLUDING OSHA REGULATION$,6.L.e.82A)520 CM.
7.00 et.seq.,AND APPLICABLE MUNICIPAL ORDINANCES BY-LAWS AND REGULATIONS AND THEY COVENANT
AND AGREE THAT^�+,' WORK DONE UNDER THE PERMIT ISSUED FOR SUCH WORK WILL COMPLY THEREWITH IN
ALL RESPECTS AND KITHTHE CONDITIONS SET FORTH BELOW.
THE UNDERSIGNED OWNER AUTHORIZES THE APPLICANT TO APPLY FOR THE PERMIT AND THE EXCAVATOR TO
UNDERTAKE SUCH WORK ON THE PROPERTY OF THE OWNER AND ALSO,FOR THE DURATION OF CONSTRUCTION,
AUTHORIZES PERSONS DULY APPOINTED BY THE MUNICIPALITY TO ENTER UPON THE PROPERTY TO MONITOR
AND INSPECT THE$)RK FOR CONFORMITY V/TTH THE CONDITIONS ATTACHED HERETO AND THE LAWS AND
REGULATIONS GO G SUCH WORK
THE UNDERSIGNED APPLICANT,OWNER AND EXCAVATOR AGREE JOINTLY AND SEVERALLY TO REIMBURSE THE
MUNICIPALITY FOR ANY AND ALL COSTS AND EXPENSES INCURRED BY THE MUNICIPALITY IN CONNECTION WITH.
THIS PERMIT AND THE WORK.CONDUCTED THEREUNDER,INCLUDING BUT NOT LIMITED TO ENFORCING THE
REQUIREMENTS OF STATE LAW AND CONDITIONS OF THIS PERMIT,INSPECTIONS MADE TO ASSURE COMPLIANCE
THEREWITH,AND MEASURES TAKEN BY TILE MUNICIPALITY TO PROTECT THE PUBLIC WHERE HIE APPLICANT
OWNER OR EXCAVATOR HAS FAILED TO COMPLY THEREWITH INCLUDING POLICE DETAILS AND OTHER REMEDIAL
MEASURES DEEMED NECESSARY BY THE MUNICIPALITY.
THE UNDERSIGNED APPLICANT,OWNER AND EXCAVATOR AGREE JOINTLY AND SEVERALLY TO DEFEND,
INDEMNIFY,AND HOLD HARMLESS THE MUNICIPALITY AND ALL OF ITS AGENTS AND EMPLOYEES FROMANY AND
ALL LIABILITY,CAUSES OR ACTION COSTS,AND EXPENSES RESULTING FROM OR ARISING OUT OF ANY INJURY,
DEATH,LOSS,OR DAMAGE TO ANY PERSON OR PROPERTY DURING THEIWORKCONDUCTED UNDERTHISPBRMLT.
DATE / /✓ 712 ..
EXCAVATOR SIGNATURE(IF DIFFERENT)
OWNERS SIGNATURE DIFFERENT)
BOARD OF HEALTH
MEMBERS
SUZANNE SMITH,M.D.
DONNA C.SALLOOM
JOANNE LEVIN,M.D.
STAFF
Benjamin Wood,MPH
Director of Public Health
Patricia Abbott,R.N.,Public Health Nurse
Aimee Petrosky,Health Inspector
Heather Mcbrlde,Clerk
July 16, 2010
Mr and Ms. Fusco
140 Coles Meadow Road
Northampton Ma 01060
CITY OF NORTHAMPTON
MASSACHUSETTS 01060
OFFICE OF THE
BOARD OF HEALTH
212 MAIN STREET
NORTHAMPTON,MA 01060
Dear Mr and Ms. Fusco,
On July 14, 2010 we had a phone conversation regarding your septic system, and you asked
me to send it to you in writing. This letter is to follow up on our conversation and to reiterate that you
have 1 month to have a Title V inspection done on your septic system. The reason for this is
because during your recent pumping your tank was over full and it was suspected that your leach
field was running back into it. Failure to have this system inspected could result in fines, so please
ensure the inspector contacts our office with the results. If you have any other questions please do
not hesitate to call me at 413-587-1217.
Sincerely,
This inspection report is signed and certified under the pains and penalties of perjury
Aimee Petrosky
Health Inspector
212 Main St
Northampton Ma, 01060
413-587-1214
310 CMR: DEPARTMENT OF ENVIRONMENTAL PROTECTION
15.305: Deadlines for Completion of Upgrades
(1) Ifa system is failing to protect public health,safety,welfare or the environment as set forth
in 310 CMR 15.303(1)or 15.304(1),the owner or operator shall upgrade the system within two
years of discovery unless:
(a) a shorter period of time is set by the local Approving Authority or the Department based
upon the existence of an imminent health hazard;or
(h) the continued use of the system is permitted by the local Approving Authority in
accordance with the provisions of an enforceable schedule for upgrade. Bases for continued
use include,but are not limited to,proposals to connect to a sanitary sewer or shared system.
A fiscal commitment to the sewering plan or shared system plan,together with an approved
facility plan where appropriate,proposing connection or replacement of the failing system
within five years,and an enforceable commitment by the owner to perform interim measures
(for example,regular pumping)shall accompany any such local approval. Such approval
shall expire in five years or upon the failure of the applicant for such approval to meet
interim deadlines set forth in the enforceable schedule for upgrade and the plan. The
Department may by specific written approval authorize the local Approving Authority to
allow a longer period of time, where the municipality has provided the Department a
proposed implementation schedule for design and construction and has made a demonstrated
financial commitment to the construction schedule. The Department may revoke any such
approval if the approved schedule is not met.
(2) If a system serving a facility with a design flow of 10,000 gpd or greater but less than 15,000
gpd is a significant threat to public health,safety,welfare or the environment as set forth in 310
CMR 15.304(2),the owner or operator shall upgrade the system within five years of discovery
in accordance with the provisions of an enforceable schedule unless:
(a) a shorter period of time is set by the Department based upon the existence of an
imminent health hazard;
(b) the continued use of the system is permitted by the Department because it is necessary
to allow implementation of an environmentally superior solution. An enforceable
commitment by the owner to perform interim measures(e.g.,regular pumping,addition of
fill)shall accompany any such approval by the Department. Such approval shall expire in
seven years or upon the failure of the applicant for such approval to meet interim deadlines
set forth in the enforceable schedule for upgrade.
(3) The owner or operator shall take appropriate measures throughout the period between
discovery of the condition requiring upgrade and completion of the upgrade to ensure that there
is no backup or direct discharge of sewage or effluent to buildings,to the surface of the ground,
or to surface waters. The local Approving Authority or the Department may order the owner or
operator to take any measure necessary to ensure the protection of public health,safety,welfare
and the environment during such period.
(4) Except as provided in 310 CMR 15.004(3),all systems shall be abandoned in accordance
with 310 CMR 15.354 and the buildings served by the systems shall be connected to a sewer
when a sewer becomes available,unless:
(a) the system is an alternative system approved for such use pursuant to 310 CMR 15.280
through 15.287;
(b) the Department has made the determination in approving either the remedial use of an
alternative system pursuant to 310 CMR 15.284 or in certifying an alternative system for
general use pursuant to 310 CMR 15.288 that any person using such system need not connect
the facility to a sanitary sewer if such connection is feasible;or
(c) the owner of an existing system has obtained a variance from this requirement pursuant
to 310 CMR 15.410 through 15.415.
All systems shall be abandoned in accordance with 310 CMR 15.354 and the buildings
served by the systems shall be connected to a sewer when directed to do so by the Board of
Health pursuant to M.G.L.c. 83,§ II,by the Department pursuant to 310 CMR 15.000,or by
court order.
15.340: Approval of System Inspectors
(1) System Inspectors who perform inspections pursuant to 310 CMR 15.301 shall be approved
by the Department and shall be limited to: