58 Applications & Permits 05 02 02: 58p Northampton Bd of Health 413-587-1221
System at:
THE COMMONWEALTH OF MASSACHUSETTS
/I
BOARD OF HEALTH
1(y OF NORTHAingrOW
pliratian tar Dispersal ' mks Cttmstruttinn rental
p. 1
is hereby made for a Permit <Constr ue?(✓S or Repair ( ) an Individual Sewage Disposal
meaner
Type of Building
Dwelling—No, of Bedrooms
Other—Type of Building -/I`46. MNl:
Other fixtures
Address
Address
Size Lot��..S.O.q._..Sq. feet
Expansion Attic ( ) Garbage Grinder ( )
No, of persons Ea' Showers ( ) — Cafeteria ( )
Design Flow 55. ` gallons per person per day. Total daily flow
6G -5 (to 3.)
b(J._..._._ .gallons.
MAY 51997
THE Ou Me Ni ALTH OF ASSACHUSETTS
Aft �L✓fd//I ASSACHUSETTS
Certificate f Compliance
T 1 OCEICIFY, tha t e a n-s_, ewage Disposal System installed r fepa red/Feplacf�dO on
for d LG
at , air, . harC benstrueted in
accordance sr provisions of Title 5`4 d the for Disposal System Construction Permit No / dated
Use of this system is conditioned on compliance with the provisions set forth below:
- 57
The issuance of this _i ific
Certificate expires On
DATE
be construed as a guarantee that the system will function as designed. This
Aliemar
Inspector
6$ Sauereij& w
THE COMMONWEALTH OF MASSACHUSETTS V //
oy
G/ , MASSACHUSETTS Fee—CD
Pisposul pVgStnM &onstruction Permit
CO O
0 a
"bijnkt4in is hereby granted to
o 'pct repair( )an On-site Sewage System located at Cc
tkitlgapzed in the above Application for Disposal System Construction Permit. Thl 1 6199( !,
applicant recognizes htst,b4
LH L
_t n ii
tu
�i S& 1I1 s =SSs WI--
t On(ily with Title 5 and the following local provisions or special conditions. i F -U_D"C F e C
t6etio must be completed within three years of the date below.
M' /1 ` / 7 Approved by
ssAava�es co eosrox.MA