414 Certificate of Compliance 2019 Commonwealth of Massachusetts
a ' City/Town of Northampton
I!1i Certificate of Compliance
Form 3
DEP has provided this form for use by local Boards of Health. Other forms may be used, but the
information must be substantially the same as that provided here. Before using this form,check with
the local Board of Health to determine the form they use.
This is to Certify that the following work on an On-Site Sewage Disposal System
Important:when
coling out forms 0 Construction of a new system
on the computer. ® Repair or replacement of an existing system
use only the lab ❑ Repair or replacement of an existing system component
key to move your
cursor-do not
use the return Has been done in accordance with Title 5 and the Disposal S tem onstruction Permit(DSCP):
key- 10/7- / / 7/)0 /
l� DSCP Number DSCP ate
Mark Rejniak
con Facility Owner
414 Coles Meadow ROad
•
Street Address or Lot i
Northampton MA 01060
Citylrown State Zip Code
Designer Information:
Alan E Weiss, RS Cold Spring Environmental Consultants, Inc.
NaName of Company
9.21.2017
Signature Date
I9s aller Inform ation:
N Hh. Giy�LGynrr� Karls Site
omparr}w
Name / Name of
pa0 .2Q/
!3 7
Signature Dale
Use of this system is conditioned on compliance with the provisions set forth below:
NORTHAMPTON BOARD OF HEALTH
212 MAIN STREET
NUB PIAMPION, MA 01060
The issuance of this certificate shall not be construed as a guarantee that the system will function as
dealpned / /��)
„yes
ez
Approving Auth lty ,454/242// �D42
Signal - Date
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15ronn3.doc•08/09 certificate of Compliance•Page 1ofi
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LINES DRAWN FOR SEPTIC 9.21.2017
LOCATION PUROPSES ONLY' Nap 08,B1k.001,Lot W1
SCALE'. 1"=30'
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NO PROPERTY LINES WITHIN 50 2.70 AC.-
SCALE IN FEET
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GRAVITY SLOPE SEPTIC SYSTEM OPERATION AND LEiaa
MAINTENANCE NOTES FOR HOMEOWNER. —
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I.)HAVE TANK PUMPED EVERY 2 YEARS,PUMP&CFW.9ER CHECKED ANNUALLY. T Har LOO
2.)MAINTAIN AREA OVER SEPTIC SYSTEM AS GRASSY _ Tse WATER UNE P
OR SIMILAR GROUND COVER. 6 picnic dna P
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3)DC NOT PUNT ANY TREES OR DEEP ROOTING —6 Donmlc I1OLR —_
SHRUBS WITHIN tO FEET 66Y6hM. —ems PROPOSED m^OUR esewxouTE rxVIM,.wain
5.)USE ONLYOIL AND DETERGGREASE FROM
LOWFLOW WASHERS. 3ID. •USE xcLTiH Or AIMMLMd L m,IL FILE COPY
5.)WIPE ALL OIL ANDGREASE FROM LOWFLOW AND DISPOSE IN TRASH SE �'^a USE r.oET.Erxxuwne maw
NOT SEPTIC.
6)Alx TPNH and FlsM6 Mustem inONE
confirmed to not be leaking because one leaking GRAVITY SLOPE SE
Its sere can Nile septic system in ONEWY NOTE TO HOMEOWNER AND CONTRACTOR. 1.)HAVE TANK PUMPED
HEATING SYSTEM.AIRCOUNITS HEAHS,
SUMP PUMPS WATER WELL FILTRATION UNITS AND HEAT PUMPS 3.)DO NOT PLANT ANY
ARE NOT ALLOWED SANITARY WATER CONNECTIONS ONLY PERMUTED. LOW FLOW WASHERS.
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LINES DRAWN FOR SEPTIC 0.21.2017
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I.00ATION PUROPSES ONLY' Aap 08,BW.WI,Lot 001
SCALE, 1"=30'
NO PROPERTY LINES WITHIN 50' 2.70 AC+/-
SCALE IN FEET
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TYPICAL D.BOX(N
ref GRAVITY SLOPE SEPTIC SYSTEM OPERATION AND I '
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MAINTENANCE NOTES FOR HOMEOWNER. PERO HOU Locmicx.Nunes 1
I.)HAVE TANK PUMPED EVERY 2 YEARS.PUMP&CHAMBER CHECKED ANNUALLY. TP-:�TESTo '
I)MAINTAIN AREA OVER SEPTIC SYSTEM AS GRASSY = _N[Cmc WATER
UNE P RV
ns
OR SIMILAR GROUND COVER. -. .� 3
3.)DO NOT PUNT ANY TREES OR DEEP ROOTMG -wxnw COITOR -_
SHRUBSSEWITHIN 10 FEET OF TSTEM. --BY' CONTOUR dip \Q
A)USE ONLY LICUID DETERGENTS&LOW FLOW WASHERS. (T ma ape
Y AIM WATERM
5.)WIPE ALL OIL AND GREASE FROM COOKWARE AND DISPOSE EI TRASH LOCM ssE m o.RFl UVNJFINAL
T m tin CTI
NOTSEanIC. - FILE COPY
NMI TOMS andFauceIS TUSI acOnrrIM Mho bo Inking,because OM wkbq GRAVITY SLOPE SE
grin can(Ill seplic system hi ONE DAY NOTE EOHOMEOWNER AND TIN CMMEMLAI 1.)HAVE TANK PUMPED
CONNECTIONS.FROM WELL FILTRATION
UINISANDH ATP
SUMPPUMPSWATER NILLYLWATEIR CUNITS NETIOSONLYP3 3.) O LOT FLASHERY I
S.
nxE NOT ALL SANITARY WATER coxrvealorvsomvaErbnme0' LOW FLOW WASHERS.