SCAN_20190513143121MUNICIPAL SEWER AVAILABILITY APPLICATION
Northampton Streets Department
125 Locust Street
Northampton, MA 01060
413-587-1570
A Department of Public Works Trench Permit and Sewer Entry Permit shall be required prior to any
construction or connection activity associated with this application.
Location:
51 BAKER HILL RD
Date of Inquiry:
04/25/19
Inquirer with contact info:
John Sackrey Construction 413-563-6639 sackrey@crocker.com
Reason for Request:
New Construction
Municipal Sewer Main in Front of Location: Yes No
Size of Sewer Main:
Material: PVC Age:
Depth of Sewer Main:
cr,`
Length of Sewer Main:
122-'
Size of Service Connection:
60
Type of Service Connection:
Sf v6
V
Domestic Tie In: ($1,250)
Subdivision Tie In: ($2,500)
Tie-in to Private Sanitary:
$ - N/A
Tie-in to Existing Sanitary Service: $ - N/A
Comments: Hoafl\ L -f Q_ e,c<`rlpCfe�, ami.
City Requires 6" cleanout installed at Citv Property Line
Note: If this availability is for new construction, this form must be hand delivered to Building Inspector.
A corresponding "sewer entrance fee" shall be paid prior to making any connection to the
municipal sewer system. Arrangements of such installation shall be made with the Northampton
Streets Department with a minimum of 5 working days notificaiton. All work shall conform to
Northampton Streets Department specifications.
Sewer Dept. Foreman
Date: S A&V
ov
*Sewer Entry $ 1 Q
*Fees will be charged based on current fee structure at the time of entry application