414 Application for Disposal w/planning approval 2017 Commonwealth of Massachusetts aoi7_17
1. . .z.-in City/Town of Northampton Number ---_—
II- 4 Application for Disposal System $ i 50
:,t; Construction Permit Fee
Form 1A
B. Agreement
The undersigned agrees to ensure the construction and maintenance of the aforedescribed on-site
sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and
not to place the system Ino ration until a Certificate of Compliance has been issued by this Board of
Health. /
Signature Date
Application Approved By:
7/ROA7
Na,. Date •
^
Application Disapproved for the following reaso s: //4
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Conditions:
1).System Designer must inspect and verify in writing
That the sewage disposal system was installed
In accordance with the approved plans and Title 5.
2).If this is a system with the S.A.S.constructed in
Title 5 fill the System Designer mass conduct a bottom
inspection of the excavated area prior to the placement
of the fill.
3).No changes can be made during construction by the
Installer without prior approval by both the Systam
Designer and the Board of I health Agent.
Q.Other conditions:
t5formla.doe•06/03 Application for Disposal System Construction Permit•Page 3 of 3
City of Northampton Mail-Coles Meadow Road Septic Plan https://mail.google.com/mail/u/0/Tui=2&ik=6523cdbe9e&jsver-92Ie...
0
l3NorthaDaniel Wasiuk<dwasiuk@northamptonma.gov>
mpton
Coles Meadow Road Septic Plan
2 messages
Sarah LaValley<slavalley@northamptonma.gov> Mon, Aug 7, 2017 at 4:09 PM
To: Daniel Wasiuk<dwasiuk@northamptonma.gov>
Hi Daniel-
I left a question on the septic plan for 414 Coles Meadow Road due to the potential presence of wetlands. The
pond on the property is fed by City water,so no wetlands permitting needed.
Thanks!
Sarah
Sarah I. LaValley
Conservation,Preservation and Land Use Planner
Northampton Office of Planning and Sustainability
City Hall,210 Main Street,znd Floor
Northampton MA,oiobo
413587-1263
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Daniel Wasiuk<dwasiuk@northamptonma.gov> Mon, Aug 7, 2017 at 4:17 PM
To: Sarah LaValley<slavalley@northamptonma.gov>
OK, thanks for the info!!
Daniel Wasiuk
Health Inspector
Northampton Health Department
413-587-1217 office
dwasiuk@northamptonma.gov
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