379 Applications & Permits THE COMMONWEALTH OF MASSACHUSETTS
OARD OF HE LTH
OF
FE �y _../.�
Appliratiun fur Jipt ua1 !Marko Oiunutrurtinn hermit
Application is hereby made for a Permit to Construct ( ) or Repair ( Individual Sewage Disposal
System at:
Lo dres
ddress
Installer Address
Type of Building Size Lot Sq. feet
Dwelling—No. of Bedrooms Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building No. of persons Showers ( ) — Cafeteria ( )
Other fixtures
Design Flow gallons per person per day. Total daily flow gallons.
SepiiL T'Snlc—Liquid capacity gallons Length Width Diameter Depth
Disposal Trench—No Width Total Length Total leaching area `q. f�
Seepage Pit No ?— Diameter Depth below inlet Total.k..J i!5 o..e��
Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by Date
Test Pit No. 1 minutes per inch Depth of Test Pit Depth to ground water
Test Pit No. 2 minutes per inch Depth of Test Pit Depth to ground water
Description of Soil ei
Nature of Repairs or Alterations—Answer whey applica
a ble
j2%7.2
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 Compliant as been issued by e board of h W. (y��_
• d
Application Approved By
Application Disapproved for the following reasons
Permit No —p
Date
Issued
THIS IS TO C
y
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF FtiEALTH
OF
ertifiratr of Tympana,
TIF����That e Inu:vt a ewage Disposal System constructed (
iz
In alley
) or Repaired
smE
as been installed in accordance with the provisions of TITa�$ o T e Stat Sanitary e as described in the
pplication for Disposal Works Construction Permit No dated �
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUFhD A, A GU RANT T THE
iYSTEM WILL TIOy,SATISFACTORY.
)ATE ii //�f i--- Inspector
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
flisposal
Permission is hereby granted
o Construct ( ) or Repair (man Ind9c,,1 Sewa is System
d No
P,E
arks (dons turtion 4e�it
V-a..
I 411-
2 l
/Jr r )j
1 • '
Fa
Street yt 4 �,: r
is shown on the application for Disposal Works orks Construction Per oral fe
)ATE "1/.
ORM 1255 A. M. SULKIN. INC.. BOSTON
card of Health
No
THE COMMONWEALTH Of MASSACHUSETTS
Poi
BOARD OF HEALTH
Ciry OF _ Na2r49 ¢?ma
Application for Jfiu}luiiul Hindu' Qlulik rurtiun Permit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Mksidicd Setvagr 1)isposa1
System at:
SUN GGT
�""S
7eD �x6Uil.EST . t
Owner
Installer
Type of Building
Dwelling—No. of Bedrooms
Other--Type of Building
Other fixtures
Design Flow 3 -d gallons per
Septic 'yank—Liquid capacityWJ0 gallons Le
Disposal Trench—No. Width
Seepage Pit No Diameter
Other Distribution box ( ) Dosin tank
Percolation Test Results Performed by
Test Pit No. 1 ' l°7 minutes per inch De
Pit No. 2 minutes per inch De
Address
Address
Size Lot Cr, feet
Expansion Attic ( ) Garbage Grinder PC
S0 No. of persons Showers ( ) —- Cafeteria ( )
person per day. Total daily flow Et e C gallon•.
ngth Width Diameter...._ - Depth
Total Length Total leaching are; sq. ft.
Depth below inlet Total leaching area sq. f:.
Z.G4a A) iltg 4Zf (NCz_'R... Date / /Q2/..7
epth of Test Pit..+?��4 J Depth to ground tv.ter NONE
ptlt of Test Pit 7-7" Depth to ground water. /Jdeo
Description of Soil 7"24� t.G/.*_.Z '-O a Casete.SE o 'v7.ePa'E4 C C cge3ca.,
•-0" Catem- soma "'/..Cb. ...(ES ,...2 r_a'• ileACC7 rs.1
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 Article X1 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 following reasons'
Permit No Issued
Date
VT•T ■rf.IVIort,WV••••••■I'VT.•■••••••110111,•••••
is]° s
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF (HEALTH
Cie.ti, OF :1i.N[SJ
Pppiiratian fur l3iapaat I If nr/klu Tuttatrurtinn tirrmit
Application is hereby made for a Permit to Construct (Y) or Repair ( ) an Individual Sewage Disposal
1
ystem at:
,er f
Installer
type of Building
Dwelling—No. of Bedrooms
Other—Type of Building
Other fixtures
Design Flow gallons
Septic Tank—Liquid capacity l._Lgallons
Jisposal Trench--No. Width
Seepage Pit No Diameter
ether Distribution box ( ) Dosin
Percolation Test Results Performed by
Test Pit No. 1 minutes per inch
Test Pit No. 2 minutes per inch
or Lot No.
Expansion Attic (
No. of persons
Address
Address
Size Lot Sq. feet
Garbage Grinder ( )
Showers ( ) — Cafeteria ( )
Description of Soil
per person per day. Total daily flow
Length Width Diameter
Total Length Total leaching area
Depth below inlet Total leaching are
g tank ( )
gallons.
Depth
64.. !sq. ft.
sq. ft.
Date
Depth of Test Pit Depth to ground water
Depth of Test Pit Depth to ground water
Nature of Repairs or Alterations—Answer when applicable
Agreement:
The undersigned agrees to install the aforedeseribed 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 ho d of health.
Application Approved By
Application Disapproved for the toile reasons
_ 11
c E,.2 _117)
Permit No.._1-5 /
Date
Issued.,..e 42L ti? 1 a yat J -/
Date
'y
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF .. . . ... . ..._ . ..
Olrrtifirate of alontpliatur
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (
)
Installer
t
as been installed in accordance with the provisions of Article XI of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
)ATE Inspector
No
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
ij OF
7 w
Disposal arks ftonstrurtton 3ertnit
Permission is ereby granted
to Construct ( or Repair ( ,)
at No
as shown on the application for Disp
DATE
FORM 1255 HOBBS B WARREN. INC
l'14-
an Individual ewnwe Disposal Syst
trot
f _� _.
osal Works Construction Prrgtit No gated -
IL % 121/.
4.4#.:111"J IA l�. �.
warn I Hewt
FEEL. ....2.ti)
PUBLISHERS
THE COMMONWEALTH OF MASSALnUSCL Le
BOARD
�`OF H ALTH
p
Tatifirate of (Ttompi ante
y3 '7 � 3fI
hat the Individual Sewage Disposal System constructed ( ) or Repaired ( )
1 Hll�tys 'yFj'
a.
with the provisions of TITLE of Th State Sanitary C.de s dew;
is been installed to accordance wrt p 35 Th dated �_!_�4
Dplieation for Disposal Works Construction Permit No
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS AGUARANTEE T AT THE
IYSTEM WILL FUNCTION SAT SF TORY.
)ATE I3/4a �
e
n
the
Inspector
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
CITY OF NORTHAMPTQ.N_..
Ph3iy055tt1 nu grurtivn Permit
Permission is hereby granted_..
s) an f ntiei lual Sewage gi posal S st
to onsrnic or xep.,S �{�F C�.Y�..,� _ —I-_ 511
at No
C' T� ? u�
/� street
as shown on the app tion for Disposal \\orks Construction Permit ➢I p..C/-:..-f.Ciff":"Da ..
¢¢'/°.//tar `_
DATF
FORM 1255 A. M. su' LICIN. INC.. BOSTON
Board of Heath
z(3% 30-') `" 5/-
OF
FasS
THE COMMONWEALTH OF MASSACHUSETTS
MER '% n BOARD OF HEALTH
.9y18 R. IYEM� City OF Northampton
NEW tliiratian far Dismal marks Qlanstrnrtian 'hermit
VIL
pplication is hereby made for a Permit to Construct ( X) or Repair ( ) an Individual Sewage Disposal
ystem at:
Lot next to 379 Spring St.
Ra11i
Location.Address
licAttc4.1
er
379 Spring St.
or Lot No.
Address
Installer 2p•Qp0
'ype of Building 3 Size Lot sq. feet
Dwelling—No. of Bedrooms Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building No. of persons Showers ( ) — Cafeteria ( )
Other fixtures
)esign Flow 55 gallons per person per day. Total daily flow_. . -495 gallons.
;optic Tai—,jjiquid capacity 1500 gallons Length Width Diameter Depth
)isposal IFIBgdfr—No. Width 18' xTxota&Length 4.01 Total leaching area 720 sq. ft.
seepage Pit No Diameter Depth below inlet Total leaching area sq. ft.
)ther Distribution box (X) Dosing tank ( )
'ercolation Test Results Performed by A.B. Sr, Hunley...Assoc Date 1=18-86
Test Pit No. 1 2.0 minutes per inch Depth of Test Pit 8'01 Depth to ground water__4.''.6"
Test Pit No. 2 minutes per inch Depth of Test Pit Depth to ground water
)escription of Soil
See attached plan
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 b issued by the bo,d of health.
p e
Application Approved By
Application Disapproved for the following reasons-
to
Permit No
Date
Issued
Date
THE COMMONWEALTH OF MASSACHUSETTS
OARD OF HEALTH
OF
ertificeir of Oomph re
CEOs T r t dividual Sewage Disposal System constructed ( or Repaired (
54-- q
by taller /�l„ \ _ .x /14
'� rr` "
ras been inst, led in a. dance with the provisions of TITLE 5 he State Sanitary Code as desci- edn the
application for Dispo 'orks Construction Permit No 6r dated �pf/ f�(
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
)
SYSTEM WILL FUN TIO SATISFACTAIJ'¢./
DATE o2 3 �d7� Inspector
-
No ='
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
—' � --. . of • z., - .c:.�. r^*-.—_.
3inpnnat--r�,nrks hinnstrortinn Permit
Permission is hereby granted
to Construct ( 1 )"or Repair ( )
at No
FEE i
an Insli t al Sewage 9islposal Syster ._
as shown on the application for Dis
l
DATE
Street
Works Construction Permit No • G Dated
FORM 1255 HOBBS IN WARREN. INC.. PUBLISHERS
Hard of Health