Lot 8, Title 5 Application/Permits 1988 —t,
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CHECK OR FILL IN WHERE APPLICABLE
THE COMMONWEALTH OF MASSACH USETTS
BOARD OF HEALTH
City... OF NPrthamptnn
liratian far 3inpnsttl
Faf -2, es
arks (nnnntrnrtian Prrmif
hereby made for a Permit to Construct (xx) or Repair ( ) an Individual Sewage Disposal
aple Ridge Subdivision Lot #8
Lo nnLocation 6 Carol Owen, 73 Woodlawn Aver Northamptgf...jja,.__01060
�3t a a•Ge�
Address
Installer Address
Type of Building Size Lot 2. 96 Ac. gtpztaiN
Dwelling—No. of Bedrooms 3 Expansion Attic ( ) Garbage Grinder (xx)
Other—Type of Building No of persons Showers ( ) — Cafeteria ( )
OtheSr fixtures
Design Flow 5 1500 gallons per person per day. Total daily flow 495 gallons
Septic Tank—Liquid capacity gallons Length 1.0' Width....5 ' Diameter Depth 4
Disposal Trench—No. Width Total Length Total leaching area sq. ft.
Seepage Pit No 1 Diameter Depth below inlet....3.6" Total leaching area 420 sq. ft.
Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by Pha r mar...Enai.Aeerirlg Date 5/2"3/8.7
Test Pit No. 1 3 minutes per inch Depth of Test Pit 9.4" Depth to ground water..-7.'_6"
Test Pit No. 2 minutes per inch Depth of Test Pit Depth to ground water
Description of Soil
compact grey sandy till
Nature of Repairs or Alterations—Answer when applicable
Agreement:
The undersigned agrees to install the aforedescribe lndivici
the provisions of TITLE 5 of the State Sanitary Code z>ndersig
operation until a Certificate of Compliance has been i ed he oar. of 1 si
=— rSaue _
age Dtssrdal SystWn in accordance with
rQUrees`not to place the system in
Application Approved By 1
Application Disapproved for the following reasons•
Permit No
Da
Date
Issued
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH V"-�
OF ntiftratt of ain'mppliiancr
THIS IS TO 6$ (FY rhat h . nd9 idual Sewage Disposal System constructed ( () or Repaired ( )
at
at
has been installed in accordance with the p isions of TITLE C) offph�e State Sanitary Codexas; ibtbed in the
application for Disposal Works Construction Permit No / — Q dated Ytii//s).' Q-Y
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS AGUARANTEE THAT THE
SYSTEM WILL FUNCTION ,SATISFACTORY. `t/�
I/°mod(/ XJ
DATE H.
No �Vv
Inspector
THE COMMONWEALTH OF MASSACHUSETTS
;,gin e3/4 f! d 6
( BOARD Q� HE/1L tH
OF //y/tT' (..�( -�ivt/i7t'1 iy
Fae_ a
eattelatkAkrittiVitAir
Utspnsal-r�rku
Permission is hereby granted 1
to Construct ( of Re4air� 1.an lndifiluil5 aggi�tspo6al System
at No f>...G!.Z F �z` /".{1/.(`..,j Li'1 d 6,-.
sulet
as shown on the application for Disposal Works Construction Permit .yDated
DATE "t"""
V
FORM 1255 A. M. SULKIN. BOSTON
LiWarcl. of Health