Lot 16 Title 5 Application/Permits 1988 CHECK OR FILL IN WHERE APPLICABLE
No
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
ClT..y OF NOR.TBAM.P.TON
ppliraftun far Dinpazal 3 nrks tttanutrurtinn Frrmit
Application is hereby made for a Permit to Construct in or Repair ( ) an Individual Sewage Disposal
System at:
MAPLE RIDGE ROAD LOT #16
Location.Address —
CHRISTENSEN–HOWARD INC. or Lot No.
76 KING STREETh NORTHAMPTON,MASS.
Owner
Address
Installer Address
Type of Building Size Lot56, 105
Dwelling—No. of Bedrooms 3 Expansion Attic Sq. feet
Other-T e of Building n ( ) Garbage Grinder (Ye)
Other g No. of persons Showers ( ) - Cafeteria ( )
Other fixtures
Design Flow 55 gallons per person per day. Total daily flow 330 + 165= 495
Septic Tank—Liquid capacfty1500 gallons Length 10 ' 6" gallons.
g• g Width 5 ' 8" otal leaching eter..._.. . ... Dept0 S t 4"
Disposal Trench—No. 2 Width 2 PT.Total Length 90 ET-Total l am 360 sq. ft.
Seepage Pit No Diameter Depth below inlet Total leachin g q'area s ft.
Other Distribution box (xx) Dosing tank ( )
Percolation Test Results Performed by PHARMER ENGINEERING CORP .Date 5/1786
Test Pit No. 1 2 minutes per inch Depth of Test Pit 96 Depth to ground water 62"
Test Pit No. 2 minutes per inch Depth of Test Pit F-.r h to ground water
TEST PIT #15
0-12" TOPSOIL g
Description of Soi
06 M4
..47>t-e.
04 %KUM/
a.
12-30" SILTY SUBSOIL
30-96" SILTY TILL
Nature of Repairs or Alterations—Answer when applicable
Agreement:
The undersigned agrees to install the aforedescribed Individual ' +•mo .s sfr" .System in accordance with
the provisions of Article XI of the State Sanitary Code— The under•ignec grees not to place 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-
by
at
has been installed in accordance with the provisions of Article XI of The State Sanitary Code as described in the
applicu ion for Disposal Works Construction Permit No dated
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT RE CnNCTRncrn AC A no." . .. �.. .
Permit No
Date
Date
Date
Issued
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
Tertifirattr of f antplianrr
THIS TS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
Installer
CHECK OR FILL IN WHERE APPLICABLE
37
No...3 7— 0
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Appliratinu for Dispasttl Marks CIanstrurtian jrrmit
Application is hereby made for a Permit to Construct LX) or Repair ( ) an Individual Sewage Disposal
System at: ,t
—JIt
a_ 'yP-naar s
Wiled
._. 9..t
Address
Type of Building 3 Size Lot Sq. feet
Dwelling—No. of Bedrooms Expansion Attic ( ) Garbage Grinder (,X)
Other—Type of Building No. of persons Showers ( ) — Cafeteria ( )
Other fixture
Design Flow ,3.,S—
x
gallons per person per day. Total daily flow '5:5 ' gallons.
Septic Tank—Liquid capa�tty1SC0gallons Length____..__ Width Diameter Depth
Disposal Trench—No, d� Width a-- Total Length 'y, .. Total leaching area..34.O.sq. ft.
Seepage Pit No Diameter Depth below inlet Total leaching area. sq. ft.
Other Distribution box ( ) Dosing tank ( pit __
Percolation Test Results Performed by C..�'lti Date `3/f Yg
Test Pit No. I ?— minutes per inch Depth of Test Pit AG epth to ground water w�' n
Test Pit No. 2 minutes per inch Depth of Test Pit Depth to ground water
.... / 777,,, . ..._.. _.�•- ■ .. .. ... . ... .
Description of Soil 31.L../ S SO ,i St / i te
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 ued by the .• . health.
'_ /{{ F— /
) -- . .. � �_- - ., a
Sig ...
Application Approved By ..... . "� ._ ..rL r 5G
Application Disapproved for the following reasons'
Permit No
Date
Issued
CHECK OR FILL IN WHERE APPLICABLE
No
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
.Appliration for Elisposttl
a= -
Fsa_r_„! _
arks Cnanstrnrtian Permit
Application is hereby made for a Permit to Construct or or Repair ( ) an Individual Sewage Disposal
System at:
I
Installer
Type of Building
Dwelling—No. of Bedrooms
Other—Type of Building
Other fixturey ._.
s
Design Flow....,y..3 '°l.'°1.`..2• gallons per person per day. Total daily flow 7 �1 gallons.
Septic Tank—Liquid capaccjy./.StalIons Length Width Diameter Dga5h..
Disposal Trench—No. Width a-- Total Length .j.... Total leaching area... . sq. ft.
Seepage Pit No Diameter Depth below inlet Total leaching area. sq. ft.
Other Distribution box ( ) Dosing tank ( )1,i) 1 y'
Percolation Test Results Performed by �,l% 1'°�� ' ,....; ! Date S /
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
3
Lot N '1
Address
Expansion Attic
Address
Size Lot. Sq. feet
e
Garbage Grinder (N
No. of persons Showers ( ) — Cafeteria ( )
Description of Soil az t
iy-
St °
c
t
Nature of Repairs or Alterations—Answer when applicable
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System
the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to
operation until a Certificate of Compliance has been issped by the bpfd offlteafth.
)(Signet
Application Approved By
Application Disapproved for the following reasons'
in accordance with
place the system in
/l-/n a
/Pate ....
pc
DCte
Permit No Issued_
by
at.
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
CITY oFNORTHAMFTO.N
Olrrtifiratr of Tamplianrr
THIS IS TO CERT Y, That the ndividual Se w.G- I isposal System constructed (X) or Repaired
talk 4(
has been installed in accordance ovisions . TIT tF of ,State Sanitary Code s "bed in the
application for Disposal Works Construction Permit No aJ.-f'�Q..i dated /qr.
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
DATE
SYSTEM WILL !UNCTION yin SATISFACTORY.
�.. y Inspector
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
ti u t.12v.oF.N.OR.TJiAM.H7f).t
No
]inpnaal r.0 fanns#rutrtiun remit
Permission is hereby granted �C/=.!'r < l e ■ ^ '- --�-
to Construct ( ( ort Repair ( )fat, In9fvidlalt-Sewftge DispoSi System
at No z Y 4. ,'. ..c[:, k �sl-Gi •CC
Street v
as shown on the application for Disposal Works Construction Permit No - Dated ' =
-c
Fes
r
DATE
y / ,
FORM 1255 A. M. SULKIN, INC., BOSTON
Hard of Health
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Crn or NORTHAMPTON,
flispn1 1flnrfui TpRtstrur}?ft
Permission is hereby granted lEr
at No
to Construct ( orter ( an IndijeklualeScwagc Disponstem
fa& 4111.4p_i
acre,
as shown on the application for Disposal Works Construction Per No
DATE P/1/CC
FORM 1255 A M SULKIN. INC.. BOSTON
tiFutit
-L
— -
FEE c)S