Lot 10, Title 5 Application/Permits 1988 CHECK OR FILL IN WHERE APPLICABLE
4 t q�s
No...7O1 j '
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
CITY OF NORTHAMPTON
Applira llin fur Elispnnat
F
LAWREN
R.EMIT
CIVILI
N. '92611'
/STE0
arks Cnnnuirnttinn berm
Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Se
System at:
MAPLE RIDGE ROAD LOT #10
ROBERT GOODMAN AND ABRAMS MANAGEMENT GO. tot No.13..ALIl..SIIUTH..ST,NOddress .T9N._SfA.
Address
I staIter
Type of Building
Dwelling—No. of Bedrooms
Other—Type of Building
Other fixtures
Design Flow 660 gallons
Septic Tank—Liquid capacitgl50O gallons
Disposal Trench—No. .TWEL Width
Seepage Pit No Diameter
Other Distribution box ( X) Dosing tank ( )
FOUR
Address
Size Lot 74,960 Sq. feet
Expansion Attic ( ) Garbage Grinder (x )
Showers ( ) — Cafeteria ( )
No. of persons
per person per day. Total daily flow 440 gallons.
Length.10' Width 5' Diameter Depth..4'
21___-_ Total Length....fi0 Total leaching area_Z2a sq. ft.
Depth below inlet Total leaching area sq. ft.
Percolation Test Results Performed by..2HARMFR..ENGINEERLNG Date..5 22.-.8b.
Test Pit No. 1..Z.0 minutes per inch Depth of Test Pit .S1 Depth to ground water_NONE.@..8.'.
Test Pit No. 2 minutes per inch Depth of Test Pit Depth to ground water
Description of Soil 0" - 1.0" TOPSOIL; 10" - 32 ...SILTY_SUBSOIL; 32" - 9.6"
COMPACT...GRAY...TILL...WISOME_.CORBLES
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
Application Disapproved for the following reasons
Permit No
Date
Issued
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD O� HEA TH
OF
frertifirate pf t amplianre ti
THIS jSLTO 2TIFy, That�ke Individt ewage Disposal System constructed ( Y) or Repaired ( )
by
at
has been installed in accordance with the provisions 1T_'I�I.h 5 of RT�he State Sanitary Code as es¢ibed in the
application for Disposal Works Construction Permit No . H — dated /J.,/ a'—cif
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL NCT ON SA IS,F*TORY.
DATE YFI jj Inspector
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
e OF /y-nor , yr'��-
Bi5poo tl IIElarks f gnutrurttnn Permit
No
Permission is hereby granted
to Construct f,) 9r,Repair ( ✓) an iIndividual Sewage Disposal System
at No....f'-t ' l .:. : 1c r.
F
Street
as shown on the application for Disposal Works Construction Permit No
DATE
FORM 1255 A. M. SULK IN. BOSTON
Dated
Board of Health