306 Well Permit & Application 2021City of Northampton
Board of Health
Well Permit Numberl?)yp- 2C)2j -0I5} Fee $ 5L)• 00
APPLICATION FOR A WELL CONSTRUCTION PERMIT
This application must be accompanied by a scaled plot plan, produced by a civil
engineer or registered sanitarian showing the minimum distances required in Title 5
of the State Environmental Code. For new construction, requiring a septic system,
the septic system plan submitted for the property in compliance with Title 5
requirements will be acceptable if the proposed well Location is included.
Application is hereby made to construct ()g or repair ( } a private well.
:g�-.okCo+r a� v i C (-o 1 l..-7 �� �
Owner's Name Date
Street Address Telephone Number
S -)C AV) am �>- n
City, State, Zip Code
Locatio of Proposed Well
(if different from address)
For repair or location with city sewer:
_J 011�0--.001
Tax Map # Parcel #
Scaled well construction plan has been submitted: yes q,,fno ( ) n/a ( )
For new construction:
Septicsystem plan complies with Title S:
Septicsystem plan shows location of well:
Si n e of Applicant.
Permit issued (date)
U OcUatan u).kv
Yes (r) no ( ) n/a ( )
yes (11 no ( ) nla ( )
� I � -7 ate- -
Date
Permit expires one year from
date of issuance
70AS
DEPARTMEW W O1' ENVIRONNIEN rAL, PROTECTION
-- s
F n
i
OSSXCIJUSETTS WELL DPjj
CERTIFICATE
46W
Pursuant to the provisions of
Massachusetts General Laws Chapter 2IG Section. 20
Joseph Diik #295
is authodvecl to clig or chill all types of wells
in the Commonwealth of Massachusetts chu•ing the period
01/01/2021 to 12/31/2021
C
Commissioner I 1jesrgrree
........ ......
_ .. ._ .....
DETACH CERTIFICATE ABOVE ALONG PERFORATION
COMMONWEALTH OF MASSACHUSETTS
DEPARTMENT OF ENVIRONMENTAL PROTECTION
WELL DRILLERS CCI< TIFKATION PRIIGRW
�v
I65iflf lhi s Ilmnsle!to
Jos°eph Dilk
CERT. N0. �FFCTIVE.EXPIRES
295 01/01/2021 1 12/31/2021
SIGNEQ;
ParQF
�
PROPOBEDOem WElL PROPOS4
ED
WELL I
-ONTN
T0.CTCOYBTEMOS9p NER AND HEALTHAO¢f-p TO STARTING THC INSTALLAMON 90 YVATIN9pcc PION ARRANGEMBNTB NNY HE -11 FOR TH¢DDEDRApE AND
FIMN;SMED
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ASSIHKDEIE,MHQHA 110A0 . .�.
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AYMNEML VM SETBACK Of ICC FT -9E1 WEEN INH NELLAND ALL FLSRVO Al. PROPOSED SOIL AB90RPltdlt EYeTEMS ISAO� A MINIM IE W FT. SETOACN IS REOWE1D
TRE NO
S. IFA WAYNR..-IN'D SEPS H TANK.
GE ES0%F % WITHIN
M eFEET
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61ARG[ TO TNESEPTp QYSICM.
1Ru0.0[NO EAiTPIPETO e¢P'DI0.9CII.I9 PVC OK a¢s MRTx AUINIMVM9LOPHOF YAANO WIT IND eENtl9dREa sR ax gyCFOREF9.
1 WTD TO
PEFROMSEPTICTANK VZCXRE q^DIN•IEIEFl gGH 4SPVCWIMAMNMUI%SLOP.ANOAMINIMV l"OFCOVERM"ECROM.Nd DRMn IALSORECOMMENO
INSULATIMOPIPEWHERECROS9HOORNMAYE.
H SEPRa TANK AND D-ROX ARE TO RR PLACEDON A B114NGH BSD OFSTONETO iA¢v¢xT RenMHO, 9ERTIC lANK Ig TO HAVE 9CH 10 PVC YILETnxD OunETTsesnNO AN EFFLUENT
FLTER(POLYInK PLdB ORSIMUIR}AH eNOWNINPROFIIP D£fa1L.
�. TO PnMNTSIKIRT CiRCOkiO ROWx NOF THEA XA4• TEE IS TO BE 0-10) TD P1.1 -ST AND THE FIRST TWO FEST OF EACH OUTLET PIPE 13 TO OE LEVEL IDR
9PE[D LBYBLHRS LaY os uAE01,
a. T LRAGH FIELD EV
ATELATIONNOTEDINPROFILE,OACKFSL TO PROVIDEA MINIINJ ALIT OF CCVETI ANDCREATE AxA,,,-,,,DIVERT SORFA.-RU WFFAND PRVENT
POasNDINO.
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SEPRO ,ANN I All
MSVENTPPE ISRECOI,VfEIiSEOTD OXYGENATE LEACH MELD RUT MAV RE LEFT OFF ATHOMEOWNER'S REQUEST.
10. A4"DIAMETERPSni,D TuOIN6PHDndx PDxT WITH TIREAGEDGAP IS TOOE SETIN THE LEACH MELDnS axpwxlx eROSBSECTON DETAIL.
ALL 9YOTEMCOMPOHsNTS TO BE MANKEDWIM MAONETIC TAPE OR RFPAN PRIDR TO BACKFILLING.
IL.ALL DISTURBED AREAS INCLUOINO THE SOIL ASSOIPTH511 SYSTEM TO SE LOAMEDANO SEEDEDSIIAYMVLCHMAYRE111-0OHAtOPESPNOOVRINONT S1ME90pVEARI.
IJ.SYSTEM IS NOT DES ISEES TO-NINICATS A OARBAGE CISPOSAL.
IR. AVO[DDRINNOOVER MESOILABSCRPTIQN SYSTEM ONCE IHaTAILED.
16. FIELD VERIFY ..TAKES PQ PROPHRW LINES PRIOR IO ALL CONSTRUCTION AND OBBERVE LOCAL SETBACK Esol.ehI A.
11. NOMFYSY4TEUDESIGHFR IABYIEDIAMLY OF ANY SITE CONDITIONS NAT AR¢ NOT NOTEC OR INCOMM7ENT WITH THOSESHOWN ON PLAN,
tP.[p NOR IS 90POHSIBLE FCRALL HORIZONTAL AND VERTICALCONTROL.
1S. ATORSW ACCOROANCH WIM OAESOf tHE9TATE ENVRONM¢nTnLcoosaxo NPRMM1MPTON WETIANDREOVlAT10N4.
- - - - - ^_- - - - - - r X10°
r^ I
LEACH FIELD PLAN VIEW(NOT TO SCALES
DESIGN CALCULATIONS jI
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-
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DESIGN DARNFLOWRATE1113
DEBIOH PERC
OPOMEDROOM AB DEDROOM.MGPO I
RATE: SIDNUTIEWNCH ITSIN ED Q42 iA MINUIF.BANCH)
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or - "- - - - - - -�SUEVVEY4
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621 -.' OPTIONAL
.....4•DUL BOHiu--� �.�. 2' N -'. -S0"TALL
PYC PIPS FROM - ... a - 4• BUM.
BEPgD TANK �1' --4_INSP THE y VENT PIPE
iB'- 29•
arBTEM LFi4CHIHQ
LTJLR4CLADO
AREA: 67N1e .ea2$D HT.
t.YON-):SUM PT.K 0.74 QPD1SR FV. -415 Oro) J
NOES A (F7..EYAiTON:1i2.Te)
DeTf11 HORIZON TON:1AER .73) ReD$NPUTueee
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- PIPE
CERTIFIE071T{'.�ti BAN4 6'
EeRWTEOeEAB01/ALHIdH WATo1TAaLC QTr RAEYATNIN•IMAOI
PERCOLATION RATE4YIN[TfEeANCH
HOLED ( 30N:11020
2ESUI L W ICXON MMI 4PS98
814"701.8^DOUBLE•WASHBO STONE
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EEIWATED1EAe0NALINMFE WATs, TARES OT4'OSCVATIa,.iRRTAl
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+NUMOEROF DISTRIBUTION LINER: FOUR
+DISTRIBUTION LINER TO BE SET4 FEET APART ON CENTER
AND 2 FEET FROM EDGE OF FIELD
HOLE: 2A (ELEVATION: 9278}
PEMN iB4iM Mf..>7 �
G•r A BL 10YR.Ni NONE
*ENDO Of DISTRIBUTION LINES TO OE CONNECTED USING
e•fr " LS T00,104 NONE
4•BOL1O80R 86 PIPEANDVENTEO
u.w R, s Imm NORR
to-f2r 02 BL UYN 6Y AH A10RN Ya 6Tf"
M'.I'
ESTILLAT®e4AAdNµ HqH WATRRTARLR QTS' PL AlW4-APE
PPAQCLATTIORRATM42MINUTEBMWI
LEACH FIELD CROSS SECTION DETAIL
HOLE: (ELEVATION! 92,96)
MM TERURE CGS BR
D.r A eL tOYNYt "HE
9•tr By L$ T.SYNBM NONE
Cl M Y I"- HONE
h-,1/• CS % E.6YLF EY ANAs WA4MQTF•
ESIIWTES KNICNAL NOR WATER TASLE Q irfFlE11A110N. BSSTj
..; 1arweTLAND
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( Y DIA. INDPECTION
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.............. L -MG. CAPTO WTRNH 4.OF
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r WASHE GBTOME B.
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HOLE: 20 (ELEVATION: 94.12)
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A SL RON!
PERF.PIPE
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ornw ePASDxALHI wATmTASLB Qsf EEI$NAIpN.rMI
f
ELEVATION • 410.75
HOLE: m (ELEVATION: 136.08)
r
+FFFEOTIVE9ITEOF LEACH flEl0:18'N Ir -SU BO.FT.
ARM MRMON TM VRE COAX* REININ FEATURES
+MINDMM S"OF BM- f.6• DORILZOIASH® STONE UNDER PIPES
O•r A at 1-1d NONE
I
• 'AHNTMOMSLOPEOFI• PERROMTEDPIPETODEAW(1NSI)
HDITON OF LEACH PIHL.OIO BD1.f.YFL
f.1r e. LS 1DYRBN NOxe
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• INSPEOTMNPORTTOOONNSTOFSOTH PERFOMTeOAND80UD4"DIA.SDR88MFEWITH
".114' OR eL ILa" ""AeIB"aw
THREADED CAP SET EVI'N WITH 80170111 OF DTDIC
ESIIMATCDBEA40NAL11lW WATERTABLS QeT'(ELEYAI'NNf.rM]
SAY
DIRE CH FIELDAND
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PERCOULTIORRAM» 2MIN17TESRICH
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•BURDRADETORE
SOIL EVALUATOR: MARKTHOMPSCN
�I
BGARIFNEJ ARD INSPEOTEO OYHYSTEM DESIGNER PRIOR TO PLACEQENF
KANEE-0HI)
_ES'SMAKOVTFILLTO
:E20,2
WEND IT RNALL DIRWT1ONS MGM EDGE OF STONE
10, 2021)RM
DATE:J 7( MARCHHIEU
DATE: JURE 20, 2607 (MARCH 18, 2621)
I zf
MIN. WATEITT GHT NIl1EAD 2%CRDWN FAUX0KANfMYENT
Wtl
naD,I BCY TOTHINB•OF SYSTEM PROFILE HED PIPE WABOVE GRADE
•114413 QRADEIPBUAIE'DW WITFTFINISDRAOE.1HIED
I
r
r
�_ �� _
INS OTION
T4"PVC
�� INVERTFOUNDATIONI
r
r
-
ELEVATIONS
WAIL ..-c' A 118,60
trACUw MINIMUMIrGFWVER B 112.80
rvOTEe (INCLUDF84•TOPDOIL) D 112.26
f
I r
A 111.80
A B ta•eaLLwTeeA O,o=po118�envAllneliBITONE E 111.08
I I
SCALE
�„� PDLYLaNIN-rPILiBI F 111.62
EBT PIPE m OF STOREF 62' LONG LEACH FIELD Q G 111.2E
tUBYATION DIOTRIRUTIONPRIOR 1 0.7E
SEMKOTANK 1600 GALLON SP.PRG TANK BOX NEUOTTOM OF RTONE
IV 19'
an.NPATmnD.R
HILLTOwN ENVIRONMENTAL CONSULTING
P.O. BOX 314
CHESTERFIELD, MA 01012
(413) 296 -4499
HILLTOWNENVIRONMENTA tOOMAIL.00M
�D
.n.1 D1• P e8
DEMMMAML(EBM)o
1wLTFwmurnN
AA4IALBB LY$VAnUN.1m80'
PROPOSEOP211OCNTOUR U-
BIOSBERVATHOLE W
DEIOII
PTBIQORAMONTBaTIMIE la
BunuEnAMARC 27,20x0
a MARCH 27, 2021
DRAWN: JANUARY 1012021
REWDDlMARCH8012021
CLIENT
ANDREW BURUNI
676 817100E ROAD UNIT 98S
FLORENCE, MA 01082
418 985 4986
JOB TITLES LOCATION
SEWAGE OISPOSAL
SYSTEM DESIGN
SYLVESTER ROAD
FLORENCE, MA
(TAX MAP 28, LOT 80)
( \ l
y i
No City n tan
Well 306 Sylvester Rd (Lot 2)
Sarah LaValley <slavalley@northamptonma.gov>
To: Kelly Constantine <kconstantine@northamptonma.gov>
No concerns, thanks Kelly.
Sarah I. LaValley, AICP
Conservation and Preservation Planner
Northampton Office of Planning and Sustainability
City Hall, 210 Main Street, 2nd Floor
Northampton MA, oxo6o
413-587-1263
[Quoted text hidden]
Kelly Constantine<kconstantiine@northamptonma.gov>
Fri, Jun 25, 2021 at 10:51 AM
BOARD OF HEALTH
4.13-587-1214
JOANNE LEVIN, M.D„ CHAIR
LAURENT LEVY
SUZANNE SMITH, M.D.
CYNTHIA A. SUPOIS, PhD
MERRID11,11 0%FARY, RS, DIRECTOR
Permit No. BHP -2021-0157
Issue Date: 07/02/2021
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
MASSACHUSETTS 01060
OFFICE OF THE
BOARD, OF HEALTH
212 MAIN STREET
Weiff Conaruch.."On
License Fee: $50.00
Pursuant to 3.13 CMR3, 00 In accordance with Massachusetts Registered Well (Drillers
relating thereto, installation for weft construction types for both pota6Ce and non pota6Ce
purposes, no person in the 6usiness of digging or drilling shall construct a well unless registered
with the Department of Environmenta(Management/Office of Water Resources. This is to
cert that the Board of Mealth has this day permitted you for the 6elow listed address for a
weffinstaffation.
Connecticut Valle Artesian Well Co.
Whose place of 6usiness is
Type of 6usiness:
Well.Address:
58 Bond Avenue
In East Longmeadow, WA
Well Construction
Sylvester Road Lot 2 (28-080-001)
Expires: N.
0702/2022 Director of Public Health
LICENSE MUST BE POSTED IN A CONSPICUOUS PLACE ON PREMISES