101 Certification of Compliance 2006 ENVIRONMENTAL DESIGN, INC.
101 OLD FERRY ROAD
NORTHAMPTON, MA 01060
1-413-585-5020
December 21, 2006
Board of Health
Town Offices
Northampton, MA 01060
re: Inspection of Septic System, Duda, Oxbow Ski & Rowing Club, Old Springfield Road
Dear Board:
On September 1, 2006, a representative from our office performed an inspection of the
septic system repair installation referenced above. The system was installed by LaValley
Construction of Florence, MA.
Our representative found that the system appears to have been installed properly and in
general accordance with our system plan dated 11-07-03. The as-built locations of relevant
system components have been documented on the attached drawing.
If there are any questions, please contact our office.
Sincerely yours,
2
Nic
gne
I hereby certify that the above referenced system was installed in accordance with Title V
and the approved system design prepared by Environmental Design, Inc.
/1/2121-7,727
LaValley Construction, Florence, MA
CONNECTICUT RIVER OXBOW Bottom of
Embanlunent
AS-BUILT (n.t.$)
Mick Duda TBM: Bottom of House
Oxbow Ski & Rowing Club 14"Diameter Elevation To of Deck.
Old Springfield Road Birch Tice
Northampton, MA Existing • 96
09-01-06 Well _ Existing 97 \
1 BR H
1 BR Home 1 $ \ 1500 Gallon
4 Septic Tank
Paved Area 701 \ - 12"b.g.
za
Existing v' / S.
Water Skiing ~� 1
and Rowing .e a 1
Club Facilities >q Parking N
(See Notes) > Czo egl
N. / ,C Shrub 9I
y�_ — / a)
OLD SPRINGFIELD ROAD
0j7lentaaa, 7
212 ?& ,Saws
Zneia frpoto . 712,4 0/060
7d. 413-58?-1214
2az 413-587-1221
Title V Certification of Compliance
TO BE FILLED OUT BY THE SYSTEM DESIGNER
DESIGNER SIGN-OFF
Pursuant to 310.CMR 15.00 of the State Environmental Code:Title V.Minimum Requirements for the
Subsurface Disposal of Sanitary Sewage, Section 15.021 (3), the Designer ofa system is required to sign
this form as a condition for issuance of a Board of Health Certificate of Compliance for the onsite septic
system.
This is to certify that the onsite sewage disposal system that I desioned as:
at
//),4 7/0-c"
D e5.
new construction
pair(existing system)
.D W CP number
has been constructed in compliance with 510 CMR 1 5.00, and all local requirements.Any changes to the
original approved plans have been reflected - __ .lan that has been submitted to the Board of Health
iSF1-
NOTE:This certification represents no warranty,expressed or implied as to the functioning or longevity of the on-sae
subsurface disposal system. Rather,the plan and installation are in compliance with all applicable rules and regulations as are
in effect at the time of plan submittal_