Lot 29 Title 5 Application/Permits, 1977 AL:“ER
HUNTLEY,
Noo. 9419 9119 J I:,
PO:DisTEj�
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
CITY OF NORTHAMPTON
ppiiratiun for fiapuial Illurl.s Conn struriion lirriuit
Application is hereby made for:a Permit to Construct (x ) or Repair ( ) nn Indic idual Sewage Disposal
System at:
Morning Side Drive ' #29
Laauion•Address
Ken Fearn
12 Hensh4w Avenel, Northampton
Owner Address
Installer
Address
Type of Building Size Lot 211800 Sq. feet
Dwelling—No. of Bedrooms 4 Expansion Attic ( ) Garbage Grinder Cc )
Other—Type of Building No. of persons Showers ( ) — Cafeteria ( )
Other fixtures
Design Flow 50 gallons per person per day. Total daily flow 400 allons
Septic Turk—Liquid capacitv1500 gallons Length Width Diameter Dejnh
Disposal Bed —No.I................ Width 20' Total Length 40' Total leaching area 800 sq. ft.
Seepage Pit No Diameter Depth below inlet Total leaching area sq. fl.
Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by RPB-- Huntley Associates Date5728-5/29/74
Tea I'it No. I 2. 0 minutes per inch Depth of Test Pit 4 :—0 n Depth to ground water None
Test Pit No. 2 minutes per inch Depth of Test Pit 9'-0" Depth to ground water None
Description of Soil 2" OTS1 10" Silt and sand, 2' -0" sand and silt, 6 ' -0"
very fine sand
Name 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 Article XI 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.
Signed
Application Approved By
Application Disapproved for the folltwing reasons'
Date
Dam
Date
Permit No Issued
Date
CHECK OR FILL IN WHERE
'i-+ THE COMMONWEALTH Of MASSACHUSETTS
�
BOARD OF HEALTH
r of _. Nrt=iNAtvaoZ;t�
Pppliratinn for Disposal iftnrlts Cmutrurtinn rrmit
Application is hereby made for a Permit to Coa,truct (✓) or Repair ( ) an Individual Sewage Disposal
System at:
M ir.nd1Y..t a.I ltl. t-tv tta5(
[a • ndddrms
Ass
- or Lat,rya.
.talv:.i_+ TE isd. m.Y..._
AJdre.s
rooster em cS.
Type of Building Size Lot Zf It. Sq. feet
Dwelling— No. of Bedrooms Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building _. •` perr cps Showers ( ) — Cafeteria ( )
Other fixtures
Design Flow gallons per person per day. Total daily flow gallons.
Septic Tank—Liquid capacity galtar- Length.____..__ Width____.__- Dioneter Depth
Disposal Trench -- No. Width . . Total Length Total leaching area sq. ft.
Seepage Pit No Di-mete- Depth below infer Total leaching area sq. ft.
Other Percolation tTest Results ) PerformeDbying \tuk (Icbssl 11.r.•V Lev G'K Date 6-Pa 1,136 ]4;,,_
Test Pit No. I Z e minutcs per inch Depth of Test Pit 4-a' Depth to ground water._/CLi c'c
Test Pit No, 2 minutes per inch Depth of Test Pit J 'o- Depth to ground water /a e
Description of Soil
C'- u.:•,
Piece.
- 0'-!c•t . - c tn._., . r 2= .r Cm,a+
)
Nature of Repairs or Alterations—Answer when applicable
Agreement:
The undersigned agrees to install the aforedescrihed Individual Sewage Disposal System in accordance with
the provisions of Article NI 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 hoard of health.
Signed
Application Approved By
Application Disapproved for the following reasons'
Date
Date
Date
Permit No Issued
Date
f
No i
Ea / 3T "0
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
Application for fliopoiul 3I11trks
Application is hereby`made for a Permit to Construct (�' ) or Repair (
nuotrurtion lierucit
System at:
�f '44_.. tLt
tom,.
an Individual Je er Disposal
dar
Aad.et=
...........
Type of Building Size Lot Sq. fee
Dwelling—No. of Bedrooms__. __Expansion Attic ( ) Garbage Grinder ('
Other—Type of 1 uilding No of pr1 i. Showers ( ) — Cafeteria (
Other Futures_
Design Flow _Oa g:dlCts
Septic lmtk--Lmpu:l alwci$5 -t :dlons
Disposal Trench—No Width
5eepagc Pit N Diameter
Other Distribution box ( )
Percol:aion Test Results
Test Pit No. 1
Test Pit No. o
Description of Soil
per pc;son pc day. 'Coral d ly (low. Q el g:mllon-
Lena mm AV dth Usnnc - I I o:
Total I ength 'Fetal le eking arw,.�
Depth below inlet Total leaching arw
Dosing tank ( )
Performed by Date
minutes per inch Depth of est Pit D,p'h to ground water..
minutes per inch Depth of Test Pit Depth to ground o.iter
J J 0 0 tat -Csee
q. !t.
4W-4Y
Nature of Repairs or Al Ansver when applicable
Agreement .
The undersigned agrees to install the aforedescribed individual Sewage Disposal System to :c. dance witli
the provisions of Artiule NI of the State Sanitary Code—7 to undersigned fur lher agrees not to phcc the system in
operation until a Certificate of Con mpliancc 1as been issued by the board of health.
Application Approved By
Appliction Disapproved for (Ire following reasons
Permit No 77 e Issued
Lt /977
o:fr
36 /97/
Date
by
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
Ctlrrtifiratr of f lnnt}Tlittnrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired
at
been installed in accordance with the pros rion= of \rticle SI of The State Sanitary Code as rlescrfl cYI in the
application for Disposal Works Corrtruction Permit Nn dated
THE ISSUANCE OF THIS CERPF!CATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
1)ATF Inspector
THE COMMONWEALTH OF MASSACHUSETTS
��//^^ BOARD OF, /H7fEALT"���Ha"
No-.,�-/_i/ OF.. '� illien FEE-f .Qf.......
i,}ansttl inrltsf- Oat trurtinn Jrrntit
Permission i5_herebv granted 0,4%.4.,.2 tit
A�
to C s=tns (1 ),p R air ) individual age Disposal 5vstem
at No. .sdicrr 4ag1
st
77 7
as sown o vn on the application for Disposal A orks Construction r.�t No.-_/1 -. Dc t d �{,@'aJ o�t77_
it ?7,--
DATE
FORM 1255 Hoses B WARREN. INC PUBLISHERS