Lot 17 Title 5 Applications/Permits 1986,1988,1990 THE COMMONWEALTH OF MASSACHUSETTS
BOARD QF HEA H
or
Certificate of Campliante
THIS L.C.-/T/0 CERT�'Y ThaprJle Individual Sewage Disposal System constructed
by � �Z C C
f /7 <1.7 1(
at
has been installed in accordance wife the provisions of_TITLE 5 of The State Environmental Code s sed in
the application for Disposal Works Construction Permit No. C- 1 C dated /x/1 (=
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY. �7 �
DATE � —A S ../-/-
/7/ Inspector !� G.-- m
(
Street
Repaired
THE COMMONWEALTH OF MASSACHUSETTS
1�
BOARD OF HEAL7H
—2& C cb of
No....G� �. r
Uispanal rr•prks 4nnstrurtfnn 1rrmit
Permission is hereby granted T /t /' /. '(
to Construct ( o, Repair ( ) an Indivj'`�f Sewage Dis System
at No `..6..-7 fl/7 i(../..::9/. ......: X.�q.G...i.(..1-'T.'L(
as shown on the application for Disposal Works Construction Permit No..ZS.,a,l ',Dated__L
att
Board. v
B F - -
ear g(Health
DATE
` f�
/ /
L
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS
CHECK OR FILL IN WHERE APPLICABLE-
Nd% FEB
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
City or
Northampton
Application for Binomial
rr;
larks Cnnnztnxrtiun rrmit
Application is hereby made for a Permit to Construct (x) or Repair ( ) an Individual Sewage Disposal
System at:
Maple Ridge Road Lot # 17
John Puccitioo.nacre„
Owner
Juggler
Type of Building
Dwelling—No. of Bedroom
Other—Type of Building
Other fixtures
Design Flow 55
Septic Tank—Liquid cappeity 150C1ons
Ilona
3
Disposal Trench—No. L Width
or Lot No.
Address
4 Expansion Attic (
No. of persons
Address 70,044
Size Lot Sq. feet
Garbage Grinder (E )
Showers ( ) — Cafeteria ( )
per person,Be! r(5y. Total dailyrflow 660
F.ength 6 WidthZO., Diameter
Total Length Total leaching area sq. ft.
Total leaching area sq. ft.
nt Sp�)lpns.
Seepage Pit No Diameter Depth below inlet
Other Distribution box ( 7f) Dosing tank ( )
Percolation Test Results Performed by armer Engineer
Test Pit No. 1 4 minutes per inch Depth of Test Pit 9Z
Test Pit No. 2 minutes tier inch Depth of Test Pit
oi 'Log
Description of Soil
o - 8° topsoil
g't - 2E" sandy subso
24" - !2't sandy till w/itnes
Engineering Corp. Date 5/ 1/86
Depth to ground water 74"
Depth to ground
Nature of Repairs or Alterations—Answer when applicable
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System ' rtVith
the provisions of TITLE 5 of the State Environmental Code e undersigned further agree syn 4gto p ace the
system in operation until a Certificate of Compliance,has ed by the board of health.
��
Signed �� 11n r� rj �l
Application Approved By �_Y � ` i�l� ,��Gr-�-� / l�S�i�,
Application Disapproved for the followang rP'ruonr
Permit No. %U
Issued
Ir / / J`.50
ECK OR FILL IN WHERE APPLICABLE
No
THE COMMONWEALTH OF MASSACHUSETTS
Fxx
BOARD OF HEALTH
CITY OF NORTHAMPTON.
Application for Duipn!in1 i'1lnrli!i a11 notrnrilnll 11`I'11111
Application is hereby made for a Permit to Construct (x ) or Repair ( ) an Individual :x-wage Disposal
System at:
MAPLE RIDGE ROAD LOT jr`17
Lmation-A irrs Ins No.
DOUG KOAL BAKER RD. r$HUTESBURY
A44ll
I,i tiI1.,
Typo of Building Size Lot 70, 044 Sq. feet
Dwelling—No. of Bedrooms 4 Expansion Attic ( ) Carh.-agc Grinder ( x)
Other—Type of Building No of persons Hbovers ( ) Caietcr is ( )
Other fixtures
Design Flow 55 gallons per person iiiii day. Total clailx Il v. 440 niiillom,.
S.ptic Tank— Liquid capact' 1500gallim I xingthla 6 VA'lltli5 8 Dialmt I) Itl 5 t in
Disposal Trench No. 2 \\'ialh... 3 .. To1: I I cmgrli 102 Tidal Icaching i-, 510 ki ii
Seepage Pit No Diameter Depth helo:v inlet Total leaching arm IL
Other Distribution box (x ) Dosing �umk ( )
Percolation Test Result Performed by
FARMER ENGINL'L'R1NG
Test Pit No. I minutes per inch Depth of Test Pit
Test Pit No. 2 TEST s_pIT nch Depth of 'test I'it
Description of Soil 0 -8" TOPSOIL
MASS .
92 Depth to grow]:i water__74
Depth to gr
CORP. Date 5/1/86
B-24" SANDY SUBSOIL
24-92' SANDY TILL W/FINES
Nature of Repairs or Alterations—Answer when applicable
Agreement:
The undersigned agrees to install the aforedcscrihed Ind • Dispos;t
the provisions of Article NI of the State Saniniry Code-- fh: un.Iw pm.aiunlmr ;igreees
operation until a Certificate of Compliance has been issued h.r the b,,u . :a( health.
Application Approved By
Signed
Application Disapproved for the following reasmis'
Permit No
Issued
mm
CHECK OR FILL IN WHERE APPLICABLE
THE COMMONWEALTH OF MASSACHUSETTS
PA oRD QF H ALTFjI
Application for l ilpnn t orks Cn'nnstrnrtinn Permit
Application is hereby made or Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
nstaller
Type of Building
Dwelling—No. of Bedrooms
Other—Type of Building
Other fixtures
dd
Address
Size Lot Sq. feet
Expansion Attic ( ) Garbage Grinder ( )
No. of persons Showers ( ) — Cafeteria ( )
Design Flow ��{{gallons per person per day. Total daily flow gallons.
Septic Tank—Liquid capacity fJ"'gallons Length Width Diameter Dee th
Disposal Trench--No 5a.:____ Width 3 ' Total Length 102 t Total leaching area Sip sq. ft.
Seepage Pit No Diameter Depth below inlet Total leaching area sq. ft.
Other Distribution box ( ) Dosing tank ( )
Percolation Test Resultsy If Performed by w Date
Test Pit No. I minutes per inch Depth of Test Pita Depth to ground water—IY.e
Test Pit No. 2 minutes per inch Depth of Test Pit Depth to ground water
o —g• �fisol/
se. . s.
Description of Soil & 3 r
Nature of Repairs or Alterations—Answer when applicable
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Dis�Q sal System in accordance with
the provisions of TITLE 5 of the State Sanitary Cod —The undersigned further 99rees not to place the system in
operation until a Certificate of Compliance has bee j. �t the b d of �altx
ed
Application Approved By _ . . ,3f/3
Application Disapproved for the following ret.rons•
Permit No
Date
Issued
Date
CHECK OR FILL IN WHERE APPLICABLE
No '
•
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
City_ OF
Northampton
Appliratian far laispasttl
rr1
arks Cnnunirurtinn fermi#
Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal
System at:
M3p-A.f: 11144 Rpad Lot 1117
Location-Address or Lot No.
John Pucci.
Owner
Installer
Type of Building
Dwelling—No. of Bedrooms
Other—Type of Building No
Other fixtures
4
Address
Address 70 ,044
Size Lot sq. feet
Expansion Attic ( ) Garbage Grinder (x )
of persons Showers ( ) — Cafeteria ( )
Design Flow 55
Septic Tank—Liquid capacity
Disposal Trench—No. 2
Seepage Pit No
Other Distribution box ( x)
Percolation Test Results
Test Pit No. I 4
Test Pit No. 2
Description of Soil
gallons per person per day. Total daft flow 660 li 5galops.
IU ' 6 di)/
150%allons Length Width t Diameter Dept
Width 3 Total Length 120 Total leaching area 6 06 sq ft
Total leaching area sq. ft.
Diameter Depth below inlet
Dosing tank ( )
Performed byP h a me Engineering Corp . Date 5/ 1 /86
92 ' Depth to ground water '74n-
Depth to ground water
minutes per inch Depth of Test Pit
minutes per inch Depth of Test Pit
Soil to
0 - 8" topsoil
8" - 24" sandy subsoil
24" - 92" sandy till to/fines
Nature of Repairs or Alterations—Answer when applicable
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Di po
the provisions of TITLE 5 of the State Environmental Code—The undersigned further
system in operation until a Certificate of Compliance has been issued by the board of health.
Signed
Application Approved By _
Application Disapproved for the following reasons.. - -
ith
ace the
Date
Den
Due
Permit No. Issued
Dae
CHECK OR FILL IN WHERE APPLICABLE
No•
Fax
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
City OF Northampton
Applirtttiun for 313iopuuttl i,fl arks Citonstrurtion 1 rrmit
Application is hereby made for a Permit to Construct (x) or Repair ( ) an Individual Sewage Disposal
System at:
k4.plg...l{.Ld&q Road
Location-Address
John Pucci
Owner
Installer
Lot # 17
or Lot No.
Addres
Type of Building
Dwelling—No. of Bedrooms 4 Expansion Attic
Other—Type of Building No. of persons
Other fixtures
Design Flow 55
Septic Tank—Liquid capacity
Disposal Trench—No. 2
Address 70 ,044 q
Size Lot sq. feet
Garbage Grinder (g )
Showers ( ) — Cafeteria ( )
per person peril ay. TotalSdtily fiow 660
gallons Qa11?Ps.
I 50%allons Length Width Diameter Depth 5 4
Width 3 ! Total Length 120' Total leaching area 606 sq ft
Seepage Pit No Diameter Depth below inlet Total leaching area sq. ft.
Other Distribution box ( g) Dosing tank ( )
Percolation Test Results Performed byPharmer Engineering Corp . Date 5/ 1 /86
Depth to ground water 74 6
Test Pit No. 1 4 minutes per inch Depth of Test Pit 92
Test Pit No. 2 minutes per inch Depth of Test Pit Depth to ground note.
Soil Log
0 - 8" topsoil
8" - 24" sandy subsoil
24" - 92" sandy till w/ fines
Description of Soil
Nature of Repairs or Alterations—Answer when applicable
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Di pos. ^ i ru -. 's '" with
the provisions of TITLE 5 of the State Environmental Code—The undersigned further . ace the
system in operation until a Certificate of Compliance has been issued by the board of health.
Signed
Application Approved By
Application Disapproved for the following reasons:
Permit No. Issued
nd
CHECK OR FILL IN WHERE APPLICABLE
No' —'
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
Fax
Pgiptiuition fur ilinpnnttl 3 irks @Tnnstrurtinn jrrmit
Application is hereby made for a Permit to Construct ( 1) or Repair ( ) an Individual Sewage Disposal
System at:
Location•Address or Lot No.
Owner
Installer
Type of Building
Dwelling—No. of Bedrooms
Other—Type of Building
Other fixtures
Design Flow gallons
Septic Tank—Liquid capacity ' gallons
Disposal Trench—No. Width
Seepage Pit No Diameter
Other Distribution box ( ) Dosing tank ( )
Percolation Test Results ,, by Date
Test Pit No. I Y minutes per inch Depth of Test Pit i Depth to ground water.
Test Pit No. 2 minutes per inch Depth of Test Pit Depth to ground water
Description of Soil
Address
Address
Size Lot Sq. feet
Expansion Attic ( ) Garbage Grinder ( )
No. of persons Showers ( ) — Cafeteria ( )
per person per day. Total daily flow
Length Width Diamete
Total Length i
Depth below inlet
se t
gallons.
Depth
Total leaching area sq. ft.
Total leaching area sq. ft.
j
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 TITLE 5 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 rea'•ons•
Date
Permit No
Date
Date
Issued
Date
by
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF . .. . .. . .. . . ... . . . . .
Olrrtifirnte of Qtamplianrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired
Installer
at
has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No doted
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE Inspector
No
THE COMMONWEALTH OF MASSACH USETTS
BOARD OF HEALTH
OF
Disposal
°rho cgnnstrurtinn Permit
FEE
Permission is hereby granted
to Construct ( ) or Repair ( ) an Individual Sewage Disposal System
at No street
as shown on the application for Disposal Works Construction Permit No Dated
Board of Health
DATE I
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
CHECK OR FILL IN WHERE APPLICABLE
'NdaC .212
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
City OF Northampton
.Appliration for Bispnsttl 331nr1us &instruction Permit
Application is hereby made for a Permit to Construct (/) or Repair
System at:
Mq,ple Ri4ge Road Lot 1117
Loc a1 m,.Address
John Pucci
2 i/
Type of Building
Dwelling—No. of Bedrooms
Other—Type of Building
Other fixtures
Design Flow 5 5
Septic Tank—Liquid capacity
Disposal Trench--No. 2
4
an Individual Sewage Disposal
or Lot No.
Address
Address 70 ,044
Size Lot Sq. feet
Expansion Attic ( ) Garbage Grinder (g )
No. of persons Showers ( ) — Cafeteria ( )
gallons per person per day. Total daily flow 660 gallgps
150(%apons Length I U 6 Width 5 8 Diameter Depth 5 4
Width 3I Total Length I20 ' Total leaching area 606 sq. ft
h' s . ft
Seepage Pit No Diameter Depth below inlet Total leac rng area q •
Other Distribution box ( g) Dosing tank ( )
Percolation Test Results Performed byPharmer Engineering
Test Pit No. l 4 minutes per inch Depth of Test Pit 9 2
Test Pit No. 2 minutes per inch Depth of Test Pit
Soil Log
Description of Soil
0 - 8" topsoil
8" - 24" sandy subsoil
24" - 92" sandy till w/ fines
Corp . Dat
Depth to ground water
Depth to ground ware
5/ 1 /86
Nature of Repairs or Alterations—Answer when applicable /Y
Agreement: ,/
The undersigned agrees to install the aforedescribed Individual Sewage Di poszf S`y'7
the provisions of TITLE 5 of the State Environmental Code ! e undersigned further
system in operation until a Certificate of Compliance as b•- ed by the board of health.
Signed �� yr/ Y
® ��'/! J Crr/ .' 50
k)
Application Approved By _ �,5/
Application Disapproved for the following on
74"
Permit No. cm). 5 - 9)
Issued
1/4y/5o
LaValley Construction
Standard Tie Form
s
L
L -D"''
i
Ilia
H
I
eic>. _l am --- - -----
-----------------------
5'rignt Bldrs.
-obi _
Client Lot g 17 'Maple Ridge Rd.
Location p;edtall Septic and Dtilit i es
Description of Installation-Ma
?grow Concrete Proauc is
Make and Type of-VaWa 3d Health File
Client ^ office COPY to LaV alley Constr.
Date r.a' BY