24
.1(" , .,7 ""- 9<.> l:O !Ji I ',d'i 1 ",. , .., ... ,. ... . I L" . ,\'''-- , _ . ,"\\.1\\ OF 1.'/'" ," ... ""IJ' " ... BOARD OF HEALTH /' _ .. Toxvn ...... .... .. ... oF .... Amh . e.csi: ....... :: '" ' IJT[r'd.. 1 . -< : . :: I;...:t I I .. -4 _ . i\ppliruHou for Bi.5pOmll mork.5 C!!on.5trurtwll :<. S. . S' )-I].. - - " THE COMMONWEALTH OF MASSACHUSETTS Application is hereby made for a Permit to Construct 0<,) or Repair ( ) an Disposal . System at: q &. IJ) e, JJ.* "'" -;; -:; . .. ;:. , ••• , ..t b t: - '" " ", _______ ..!j_CCL ._fD_ ..... _W QCPS ________ . ..J3-7._.... o I -t !,t;<)I';o ('ddT'" . . Del. J' t-ot No. , i" II __ .. .Lt .. o..:.JJ.f?JJ .. & . ..;-. .1:.a.Y..r.t .ELJ.u.I. :J.f.t.JIJ.Lt_. . ti. c Own., +- .J." ()d Add,,/; _ . .i3 .. eJCI.JQ..S!.. . __ ._9.n.:5.fc£J.c..J . .LQJCL._ _ .. L . t_\U. ek:J.d9 .. !.I"I_/Y.J.tL_ .. __ .. Iustallcr . Addre:u Type of Building Size Lot. .. 2::!".H.GL ... s q .- fe;!: ... :f:: DweIling- No. of Bedrooms.. ____ ..... __ .. _.. Expansion Attic ( -) Garbage I{II() ') Other - Type of Building ..............._._..._... No. of persons .. __ ...... __ .... ....... Showers ( ) - Cafeteri;l--(- )- Other fixtures .............................._......._............. _ .................. _................................. _....._..... _ ..._ ................. Design Flow ... _._ ...... . .;L: ... .... _ ... _ .. gallons per person per day. Total dal!r. flow .. ......... .3.:3.0 ............. _ .... gallons. capacityl.ClM.c:allonsz .. ':I'" .... .. ... .............. Dlsposal - No . ....... 1.... ___ W ldth ...... .,j':_ .. _. Total Length ........ Q .......... Total leaching area..9J:tEL._sq. -:-: (J! Seepage Pit No ..................... Diameter.................... Depth below inlet ............_...... Total leaching area. .. _ ....... _ ... sq. It : ('i/i) Other Distribution box Dosing tank () .' . Percolation Test Results Performed by ........ .. F.'-._A ..... F..J . ........................ ... 7 Test Pit ",,0. 1.... 1£: ..... minutes per inch Depth of Test Pit ..... .1.Q.!. ..... Depth to ground water ...................... .. Test Pit No. 2.... __ .. __ 111inutes per inch ' Depth of Test Pit .................... Depth to ground water ........................ Nature of Rep:urs or Alterations - Answer when applicable ........... _............... _................. _.. _............. _................. __ ._... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of ':'ITLE 5 of the State Code - The undersigned further agrees not to place the system in operation until a Certilicate of Compliance has been issued by the board of health. L .. .. -·--·- .. ·--.. 4! .. ';-- . Application Approved By_. __ .... -.--- .. L: St:._'_ .. . Date Application Disapproved for the following r.asons:...._ ... _.._ ..... __ ._._ ...... _........_.. __ .._.... __ . ____ .. _.. ____ _ . _---_._._._--_ .. _ ........................... __ ._ .. _._._._ ... _---- ?] 7 I J. <... ,)- . &. - 'i' 7 D ... Permit No •. _..L::._______ Issued. ____ .. _._._"--!..-_ D ... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH __ /.O'.L:I1/1... .. .... .... OF ....... A. r.:n.h .. -e..r.:.s.t::. .. ..... ......... __ ...... _ .. _ of <!rOmpHttllU THIS IS TO CERTIFY, That the Individual Sewtlge Disposal SJstem constructed o() or Repaired ( ) by_B.e.J.-:i.£l.e..t:Z:t.._C.ai.J..S.1..r.:.l.i..C.t:..I.CU.':) ... __ ................... ..... __ .. __ .... _. ___ ._ ..... _. __ ____ . __ . _____ _ aL . ..L...Q.f;;.. .. L?;..7...-J . .Ar;x:J.11.£r.:.:::t:t ..... .. .. .. ......... _._ ....... _ ........ ............. _._ ............. _ ... _._ ..... ___ _ has heen inst:llled in accordence with the proyisions of rITlE 5 of The State Sanitary Code as· described in the application for Disposal \Yorks Const.ruction Permit 1\0......................................... dntccl .... .......................................... .. .. ..

gis.amherstma.govgis.amherstma.gov/images/scans/septic/files/WOODLOT RD... · 2014-03-07 · SEWAGE DISPOSAL SYSTEM BY: F.A.Filios (.T.LJ f,9 Pe Ihom Roo.d Amherst) MA. FOR: Robert

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Page 1: gis.amherstma.govgis.amherstma.gov/images/scans/septic/files/WOODLOT RD... · 2014-03-07 · SEWAGE DISPOSAL SYSTEM BY: F.A.Filios (.T.LJ f,9 Pe Ihom Roo.d Amherst) MA. FOR: Robert

df~~c .1(" , .,7 ~ ' I ""- 9<.> l:O !Ji I ',d'i

1 ",. , .., ... ,. ~ ... ~ . I L" . ,\'''--~ , _ . ,"\\.1\\ OF 1.'/'"

~_-- ," ~'"1' ... ""IJ' " ...

BOARD OF HEALTH /).~\ /' )v4rJ4it~ _ .. Toxvn ............... oF .... Amh.e.csi:....... :: '" ' IJT[r'd..1 . -< :

. :: I;...:t I ~A. I .. -4 _

. i\ppliruHou for Bi.5pOmll mork.5 C!!on.5trurtwll ll~m~. "-~';3 :<.S. )~j

. S' ) -I]..

-- "

THE COMMONWEALTH OF MASSACHUSETTS

Application is hereby made for a Permit to Construct 0<,) or Repair ( ) an Individua1:.,Sewag~ Disposal ,,~ . System at: q &. IJ)e,JJ.* "'" -;; -:; ... ;:. , ••• ,

..t b t: - .~ '" " ", _______ ..!j_CCL ._fD_ ..... _WQCPS ________ . ..J3-7._.... '::~!!.~. o I -t !,t;<)I';o • • ('ddT'" . . Del. J' t-ot No. , i" ,~, II

__ ~.Qa.::e.C .. _.lLt.u-'.Ll(J.~2..._____ .Lt .. o..:.JJ.f?JJ .. & . ..;-. .1:.a.Y..r.t.ELJ.u.I. :J.f.t.JIJ.Lt_. . ti. c Own., +- .J." ()d Add,,/; _ . .i3 .. eJCI.JQ..S!.. . __ ._9.n.:5.fc£J.c..J . .LQJCL._ _ .el1.nl~(.\ .. L .t_\U.ek:J.d9 .. !.I"I_/Y.J.tL_ .. __ .. Iustallcr . Addre:u

Type of Building Size Lot. .. 2::!".H.GL ... sq.-fe;!: ... :f:: DweIling- No. of Bedrooms .. _._.~ ____ ..... __ .. _ .. Expansion Attic ( -) Garbage Grind~; I{II() ') Other - Type of Building ............... _._ ... _ ... No. of persons .. __ ...... __ .... ~ ....... Showers ( ) - Cafeteri;l--(- ) -

Other fixtures .............................. _ ....... _ ............. _ .................. _ ................................. _ ..... _ ..... _ ... _ ............... .. Design Flow ... _._ ...... ~~ . .;L: ... ~ .... _ ... _ .. gallons per person per day. Total dal!r. flow ........... .3.:3.0 ............. _ .... gallons.

S~ptic T~l'i<J:iqui,d capacityl.ClM.c:allonsz ~ength .. ':I'" • .r.:~ .... \\'idt~ .. ~, ... :7.~. Di~meteL .............. ~ePth;:.33.~.~ Dlsposal - No . ....... 1.... ___ W ldth ...... .,j':_ .. _. Total Length ........ Q .......... Total leaching area..9J:tEL._sq. ~ /(~ -:-:(J! Seepage Pit No ..................... Diameter .................... Depth below inlet ............ _ ...... Total leaching area. .. _ ....... _ ... sq. It: ('i/i) Other Distribution box (~) Dosing tank () .' . ~ Percolation Test Results Performed by .......... F.'-._A ..... F..J . .II.D.~ ........................ Date. f.:1.t:~r.:.c.I:. ... G;~.j9.e 7

Test Pit ",,0. 1.. .. 1£: ..... minutes per inch Depth of Test Pit ..... .1.Q.!. ..... Depth to ground water ...................... .. Test Pit No. 2 .... __ .. __ 111inutes per inch ' Depth of Test Pit .................... Depth to ground water ...................... ..

Nature of Rep:urs or Alterations - Answer when applicable ........... _ ............... _ ................. _ .. _ ............. _ ................. __ ._ ...

Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with

the provisions of ':'ITLE 5 of the State Sanit~ry Code - The undersigned further agrees not to place the system in operation until a Certilicate of Compliance has been issued by the board of health. L

/O'::~;Pn~-~d±9.~£·~ .. (JJ~~~ .. -·--·-.. ·--.. 4! .. L1?~--.. ';--. Application Approved By_. __ L~di.i..\~--------.----.... -.--- _~_ .. L:St:._'_ ..

. Date Application Disapproved for the following r.asons: .... _ ... _ .. _ ..... __ ._._ ...... _ ........ _ .. __ .. _ .... __ . ____ .. _ .. ____ _

._---_._._._--_ .. _ ........................... __ ._ .. _._._._ ... _----?] 7 I J. <...,)- . &. - 'i' 7 D ... Permit No •. _..L::._______ Issued. ____ .. _._._"--!..-_

D ...

THE COMMONWEALTH OF MASSACHUSETTS

BOARD OF HEALTH

__ /.O'.L:I1/1... .......... OF ....... A .r.:n.h .. -e..r.:.s.t::. ................ __ ...... _ .. _ ar~rtifirutL> of <!rOmpHttllU

THIS IS TO CERTIFY, That the Individual Sewtlge Disposal SJstem constructed o() or Repaired ( ) by_B.e.J.-:i.£l.e..t:Z:t.._C.ai.J..S.1..r.:.l.i..C.t:..I.CU.':) ... __ ...................•..... __ .. __ .... _. ___ ._ ..... _. __ • ____ . __ . _____ _

aL . ..L...Q.f;;.. .. L?;..7...-J . .Ar;x:J.11.£r.:.:::t:t ....... u..!..Q.o~;;t; ............. _._ ....... _ ..................... _._ ............. _ ... _._ ..... ___ _ has heen inst:llled in accordence with the proyisions of rITlE 5 of The State Sanitary Code as · described in the application for Disposal \Yorks Const.ruction Permit 1\0......................................... dntccl .... .......................................... ..

~:~~~.~:~~~~f.~~~~i~~~~.~~~:~.~:~~ .. ~~ALL I::::~T.~~ .. A.~~~Ai.~P

Page 2: gis.amherstma.govgis.amherstma.gov/images/scans/septic/files/WOODLOT RD... · 2014-03-07 · SEWAGE DISPOSAL SYSTEM BY: F.A.Filios (.T.LJ f,9 Pe Ihom Roo.d Amherst) MA. FOR: Robert

'.

Page 3: gis.amherstma.govgis.amherstma.gov/images/scans/septic/files/WOODLOT RD... · 2014-03-07 · SEWAGE DISPOSAL SYSTEM BY: F.A.Filios (.T.LJ f,9 Pe Ihom Roo.d Amherst) MA. FOR: Robert

"

, . "

"

DEEP SOIL LOGS

OWNER Se£±rey.1rJ Flower

LOCATION Lot \3J Amber.;,± Vl!oa,{s

ArnbeN JMB

Soil - r-----'::;00-:_:::,,,;;,,:...----I To p .0; I

G.-20" Su.bso·,1 •

:lo" _, I

" '_ /D I

GROUND WATER oxides G,frea.k G:,')

GROUND WATER _______ __

.. PERCOLATION RATE AT 40 I

,

\5 min./inch

DATE r'I)ar:~h fa, IQ<K("

t- A ~'( " OBSERVER r, h I oS

B of H _~C",",.----,J)!..!.Lrj<Q,\.tk~e~_-

GROUND WATER ________ _

Page 4: gis.amherstma.govgis.amherstma.gov/images/scans/septic/files/WOODLOT RD... · 2014-03-07 · SEWAGE DISPOSAL SYSTEM BY: F.A.Filios (.T.LJ f,9 Pe Ihom Roo.d Amherst) MA. FOR: Robert

' .

Page 5: gis.amherstma.govgis.amherstma.gov/images/scans/septic/files/WOODLOT RD... · 2014-03-07 · SEWAGE DISPOSAL SYSTEM BY: F.A.Filios (.T.LJ f,9 Pe Ihom Roo.d Amherst) MA. FOR: Robert

SEWAGE DISPOSAL SYSTEM BY: F.A.Filios (.T.LJ

f,9 Pe Ihom Roo.d Amherst) MA.

FOR: Robert Malikin 12, O'Ne.i I Roo.d

Haydenvdle} MA. SITE'. Lot 131

'Wood lot Dr,'ve A....., J, e,..~ 1:.) MA,

Nole: Lot i' on town W<J:.~r Sench Mark is nC\i I in 20· vJhi l:e 00. k .

N

Leach B

SCALE: l" - 'to'

DAT£": Mo..rch 1",/<1S7

• e-. -,.--'--'V'r' \-.J

lJoodlol: , SS.55

.?J 1..

Jod

@ I D/ eo.: 31//11#' s.F.l I I

I I ~ 'i2. 25

flous4/. ""iI'""" G .. r . -u:

'~ "JS3' F- z,

., 100 ....--

/' ..-101

'" V ../' I

_102.

.d ,~ /,,' t / o (¥PVC] \ ns'

<;1pit tA,"r f ----, ~ ~OI~2ffJ --. - - -- --A' 0. ,r- - .. ") 1/&"/ -]

e.:!erVe. I I I I I

- _ -1:" ~ :

®B.M. " _-..

Page 6: gis.amherstma.govgis.amherstma.gov/images/scans/septic/files/WOODLOT RD... · 2014-03-07 · SEWAGE DISPOSAL SYSTEM BY: F.A.Filios (.T.LJ f,9 Pe Ihom Roo.d Amherst) MA. FOR: Robert

Page 7: gis.amherstma.govgis.amherstma.gov/images/scans/septic/files/WOODLOT RD... · 2014-03-07 · SEWAGE DISPOSAL SYSTEM BY: F.A.Filios (.T.LJ f,9 Pe Ihom Roo.d Amherst) MA. FOR: Robert

uR' Rober!:. MaJikin ' 11. O'Neil Roo.d . l-Ic.ydenvilk, MA. .

SITE:. Lot 131 Amherst. Woods Q 0 0 C) - . ('If • ~ + o - 0

Ltj

10'1' L- _ (f) ,

102. .:J '--~~ -/.

~ -

PROFI LE OF SEPT\C' S'Y STEM

G:27..

o CT of" o

h /I Ie.vf.! -

Q .. ~ o

-

o -s .. o

o ... + o

Q .. + o

S,{: F RE.DE.R let--. A. FIUos :r: L . M",r-ch I~J 1'187

SCA.I..E. ' \-\ol'-I"Z.ONTI\L: '" '" 10'

o • -I' a

VERTICAL' '" '" 3'

Note.: Bench MClr k is oClii In 20" whik ook

Jm II ~q .. '''9 \I

0 :J:

I1.Bo~ IGround I' 1--1"=-"1 ' • . 1<: ' _'/' W"slt~cl sb> --- -_T_--- - --rr- ~'''''· 9 It.

11 1000'1")'

Sepb'" tank

" 101.1>5

91,'

SPECIF\CMrONS ALL MA TER/A lS AND CoN­

SrRUc.TION WILL BE. \N

ACCORDANCE WITH COMM.

OF MASS. D.E.. Q.E. STATE

E"''iIRONMENTAL CODE

TITLE S.

/

il)O

;-i.I

" r ... C

_!iP~ _ t- --~._ I:{- _ . 5' I 1100' flev. Io.ssumed at I3 .M.

""'''' ~h

100.0' I ~t-CI I II 91 CROSS-SECTION AT A-I< Lea~h Bed III ~ ~I ~I ~I 40X2.( 8'

~ it

<.:

~ Botto ..... of 10'

rill level . ------- -j: < -:.:,: --- -~~~---~ -...

.f.--~' ~,,--o 0 0 1 AI T .. ~t Po"!:.

CALCULAT ION S

:3 be.drooms ~ 110 ~o.l each ,. 3:30 ~o.l/dC\y pt.rc rG\~e.· (5 min/inch I boHom - . l\3

Area of beel a "10' -J. zf 1-/ .30 CQ\c'""o.tions - (40)(24':(·43):=. ~ ~l/cllt1

-1../.2.:: DernQl'\d - 330

wo.sk.d · .

'5/'1"-/ 'Iz. • // --·~ashe.J

Leach Becl(~ 40~2(" ·~"e. ~~~

t

Page 8: gis.amherstma.govgis.amherstma.gov/images/scans/septic/files/WOODLOT RD... · 2014-03-07 · SEWAGE DISPOSAL SYSTEM BY: F.A.Filios (.T.LJ f,9 Pe Ihom Roo.d Amherst) MA. FOR: Robert

Page 9: gis.amherstma.govgis.amherstma.gov/images/scans/septic/files/WOODLOT RD... · 2014-03-07 · SEWAGE DISPOSAL SYSTEM BY: F.A.Filios (.T.LJ f,9 Pe Ihom Roo.d Amherst) MA. FOR: Robert

• , ....... JD.GD Qp BW.m ...... , Wi a'mII ,., IQIlrWOC8 W .... "u Z. lU8MQRSCftI'!'ISZ"'J5'" IAOCII

Pursuant to M.G . L. Ch. 62C, sec. 49A, I certify under the

penalties of perjury that I, to my best knowledge and b~lief,

have filed all state tax returns and paid all state taxes

required under law.

(

\3e no e±\:CQDs-h--u.dl()~ ~ ~N Signature or Individual or ~ Social Security Number

or Federal Identification Numb.er

Corporate Name .....LOc.

Page 10: gis.amherstma.govgis.amherstma.gov/images/scans/septic/files/WOODLOT RD... · 2014-03-07 · SEWAGE DISPOSAL SYSTEM BY: F.A.Filios (.T.LJ f,9 Pe Ihom Roo.d Amherst) MA. FOR: Robert

· .

Page 11: gis.amherstma.govgis.amherstma.gov/images/scans/septic/files/WOODLOT RD... · 2014-03-07 · SEWAGE DISPOSAL SYSTEM BY: F.A.Filios (.T.LJ f,9 Pe Ihom Roo.d Amherst) MA. FOR: Robert

L

" -- ..... ,

, .

tt Htfl /; /:;4"" L,,/-- /.3"7 uhd ~LI-'*-~ J 4V1'l lIe/A. t-- 0(./(76 cr!s

l"'-pecbl_L~'I- ~7 S75f~ WA-~ /'4sf,J./---/ .b7 r- ---+- ~ ,!;.a-<k- ,rucn"/.~/&-~~ ~~ /~5

~-<:v'-< dL.i ':-,~CL= ~La,.,_~~ J ~b_L fr.-,k ~ /e.rcL£~/.L_ k :;,S ~ p:;-/ -

4- - r40v? frv~d. h~ . _z...) ev,d'-d#~~,1- .ht5t-. fY-d10.J I-v~ .I1Ak/ -"""'-

~~51n..a l 10.1- j2LIs . L-h/5 /vAS ~~ """fte£ ~- #fl".L '?l.. ./~~~1 "b.sevv~~ ~ 1..­S~~ _?V~ tl4 ~6kJ-~1 rC- ~-h!ch~5 /,",\ ' -p-nt-l eLI- k ~ _

+ ---- -,,3) tAYlhvJd_~

t ---

-

- - --- -- [ - -~---------------- ------ - .-

- -:t--

c'·

- "-- --"---------

11

~-----------------------~I ----I

----- -

Page 12: gis.amherstma.govgis.amherstma.gov/images/scans/septic/files/WOODLOT RD... · 2014-03-07 · SEWAGE DISPOSAL SYSTEM BY: F.A.Filios (.T.LJ f,9 Pe Ihom Roo.d Amherst) MA. FOR: Robert

. ,

11

Page 13: gis.amherstma.govgis.amherstma.gov/images/scans/septic/files/WOODLOT RD... · 2014-03-07 · SEWAGE DISPOSAL SYSTEM BY: F.A.Filios (.T.LJ f,9 Pe Ihom Roo.d Amherst) MA. FOR: Robert

, . (1)Z-f I-

No ..... LL .... _ ...... . Q( sillY;?

C- t' FEB .... ,.Jo.Q.IJ~\;L ~ THE COMMONWEALTH OF MASSACHUSETTS J U~ " "~~~"\\\ O! ~;~'"''

BOARD OF HEALTH ,J-0 " •••• '~~ / ~( '/; ;rn<l'-?;\ :: ~ VAl6v' 't -. Town ...... ... oF. Arnhe.at. .. ................................ [~ · jJil K ,'6\

.. c.:II • .... _

i\pplituttnn fnr ilinpnnul IInrkn Q!nnntructwn J.er I~ R.S. ..., J - . Application is hereby made for a Permit to Construct ()() o~ Repair ( ) an Individu1!:. Se e DisP.2 ,l

0 1( 1) ', ~ ..... System at: (}J Df) (,, 1' "" ~ .. * \"" ........................ A.CQ . .b .. ft::?~ ...... ~.Q.9 .. l).S .. :: ....... _... . ..................... _ ....... ..1.3.7. ........................... ~~~:~:.~~~~!!.~~.~~:~.' ··········t:.·Q·b.:f:·c.ti·t.·_·~'{f;dJ(L4.f:.................... ...... ./J..t. .. O.:JJe.a··£.d·d#···.1fiiY·e.r:ul.dit:.tJllA ... . .... 13 .. eJf.l.n..e.. . ......... 9.Y.l . .:slc.c.l.c..d.Qy.L................. .. .e.tlni~CLR .j-••• M)..eJf.l.d.fI..I.LI .. tY.J.a... ............... .

Installer Address

Type of Building Size Lot ... 2.'I. .. ':I~L ... ~_ +-Dwelling - No. of Bedrooms ........... ~ ............................ Expansion Attic ( ) Garbage Grind !{II (J Other - Type of Building ..................... ....... No. of persons ............................ Showers ( ) - Cafeteria

Other fixtures .. __ ... ................... ... ... .... ... .. __ .... __ ... __ ......... . ______________ .......... ______ ................................................... _. ___ _ Design Flow .............. "f' . .;L: .................. gallons per person per day. Total da~ flow ........... .3.3.0 ................... gallons. ow, Septic T~"c~Jiquid capacityJ.oo.o .. gaI10ns J.,ength.·ir.,£' .... Width .. :'t, .. . :7L Diameter ........ mm .. Depth'£.a3..' .. 1Q:x) /j) Disposal '" - No .. m ... 1.. ......... Width ... :?!j.~ ........ Total Length .... j,~.~ ........ Total leaching area.~msq. ft. /'" Seepage Pit No ..................... Diameter.. .................. Depth below inlet... ................. Total leaching area .................. sq. ft. flo_"l ' Other Distribution box ()<,.) Dosing tank () . ' Percolation Test Results Performed by .......... t=.L ... A.. .... FL..iIO':i ........................ Date.H.{;lc.c.I:.. .. ~ ... L9.e 7

Test Pit No. l....15.: ..... minutes per inch Depth of Test Pit... .. .J.Q.'. ..... Depth to ground water ................... .. .. . Test Pit No. 2 ................ minutes per inch Depth of Test Pi!.. .................. Depth to ground water ..................... ..

Description of SoiL .. 6;;::c:2:c;s:~d::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ............ ::: .... : .... : .. :: ............ :: .. :: .... ::: ...... : .. ::: .. :: .. :::::::::::

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 7ITLE 5 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.

C'£. Signedi1·~·~ .. 8..!JJ~: ...... · ................ · 0:!/1"?/~·7..-.. .. Application Approved By ......... ....... 'B:~... . ._ .................................................. _ .......... ::: ....... ~ .. 4>..z ...... .

Date

Application Disapproved for the following reasons: .......................................................................................................... _ .. _

~ - D><e ....................................................................................................... -................................................. ~ ... .. /t .. .................................. .

Permit No ........... 15. .. 7:: .... 9::: __ ............... _ Issued. .......... ~ ... . G. .. 'f..7.. .................... _ Date

THE COMMONWEALTH OF MASSACHUSETTS

BOARD OF HEALTH

...... r-o.w.n ......... ... OF ....... AYT.'lh~.C.5.t; ......... ............ . <!!rrtifttutr of <!!nmpliunfr

THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed o() or Repaired ( ) by .. B.e.f4.Ll.e."C--:t .... C.aY.l.S.i.r::.v..c.t:::;.t.O.'O ................................................................................................ _ .............. -

at ... L.Q.f;;; . .l.?;.7..-) . .Ar:Yl.h.er.::.:2.:t. .... w..Q.OId~:; ............................................................................................. _ has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit N 0.__________ __ ___ __ ___ __ __ __ __ ____________ dated ______ _____ ___ __________ _________ __________ ____ _

THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY.

DATE ............................................................................. _. Inspector .................................................................. _ ............... .

!7-G No ....................... ..

THE COMMONWEALTH OF MASSACHUSETTS

BOARD OF HEAL T~ ole J&~ .J.aw.Y.) .... .. ... OF ......... Ana.h .. e.v.::.s.c............................ . 90

FEE ...................... ..

minpnnul IInrkn Q!nnstructwn Jrrmit Permission is hereby granted ... f"Q..b.:f!.c:.t:. ... LV1.a.h.tL~ ................................................................................. _ .. ..

~~ ~M/u;t.~A.~'1;).r::.b.~t~~v~~l1l~:~ .. ~i~:."~ ... S.~s.tell1 ....... .. ........................................................... ..

as shown on the application for Disposal Works constr~.~~i.~: .. ~.~~=~·:.~.:~~ ........ = .. ~ ..... ~~:~:~.-............. ~. DATE ............. ;£::: .. (;..: ...... ?.7....................................... Boo,d of H .. ,

FORM 1255 HOBBS & WARREN, INC .. PUBLISHERS

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,

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" . NO_~rl.-:.! d- s/l l rJ-oK F"'L.~ ... q.£:-~t ,'" 0 " ,,\' ,\" F l.( "" ...... ,'~<t.,~'-.. .. . ~ .... ~-~.'1J'J'. ""

BOARD OF HEALTH c..-:--/c::;':>,/ 4'·' 1I)'O'?c;;.:--:-.. ~ , ~v ... c::. ...

::ul ~: ' ~ -1:

THE COMMONWEALTH OF MASSACHUSETTS

...... Town ................ OF ..... Ar.:n.h.e.at. ............. _ ...................... - f i , /ifff . .. CK , '6 ~ !\ppltrnttolt for IDi!ipo!ial liork!i (llOlt!itrurtWlt Jirm I li~3 R.S.'''' j

. Application is hereby made for a Permit to Construct ()() or Repair ( ) an Individu1.,S~age DiSPQsal "I ... , ..t.r --"40'- ' J .. '

System at: "'" '" 1._:" :.~ \\\' ... ____ ...... ___ A .. m . .h .. f.n .. t.. ..................... _._._.___ _ .... _ .... ____ .. __ ...... ./.3..z ... _ ... __ .. ___ :~~:::.:,,:~.~~~:~~~ o I -t I,qeA'ioo 'f\dd1'" . . Dc) Of ].0' No. I i' J JA II

_ ........ &.Q.a:£.c ... __ .lLt.rJ..I.LlC.l.f}. .............. ___ ........ _ .1.(" .. C!.:.N.e.l.i .. & .. j .•. .I.T..Q..:o/.Q.e.n.ul . .I..e+.J!I.u.t •... . ti c Own" +-- I · ()d Add"l~ I .... .i3. .. e.JQ.n .. e.. .._ ... --"~.I~3.1c.().c..J .. !.QJCl. .••••• _ •••• _.... _.u.e.tlnl~() .. l:- .t ... W.e..ca.d.9...1. .. ) .. tY.J.a •.......... _ .... I nstaller Address

Type of Building Size Lot ... ~.% .. ¥~L ..... s~ Dwelling - No. of Bedrooms ........... ~ ............................ Expansion Attic . ( ) Garbage Grinder~ Other - Type of Building ............................ No. of persons ............................ Showers ( ) - Cafeteria ( )

Other fixtures ..................................................................................................................................................... . Design F1ow .............. ,>.~ . .;L: ... ~ .............. gallons per person per day. Total daiJ.y flow ........... 3.:3..0 ................... gaIlons. Septic T~it<f.iquid · capacity1.00.0 .. gallons ..J:ength .. 'r,,.r.:~ ... Width .. '{.!;l.l.~ .. Diameter ................ Depths.;33..~ .. / t!!J Disposal : '" - No ........ 1... ........ Width ... ~~ ........ Total Length .... 'i.Q.~ ........ Total leaching area..~~ ...... sq. ft. I CI~ 11 Seepage Pit No ........ ............. Diameter .................... Depth below inlet .................... Total leaching area .................. sq. ft. L~

Other Distribution box (?\) Dosing tank () .. Percolation Test Results Performed by .......... E •... A_ .... F.~ . .!lO'::l ........................ Date.f.:i.I<Lc.c.A. .. G? ... .L9.97

Test Pit No. L . .1.l.: ..... minutes per inch Depth of Test PiL .. -'-Q.:. ..... Depth to ground water ....................... . Test Pit No. 2 ................ minutes per inch Depth of T .. t Pit .................... Depth to ground water ....................... .

Description of Soil ..... ~;;::c:ZOs.:~:d:::::::::=:::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ........................................... ~ .. = ................................... ~ .............. ~ ..... ..

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 7lTLE 5 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.

OdiP1d ...... ~.~ .. (fl~:........................ :!./af4..7.. ..... . Application Approved By ................... ~ . .\~ ............................................... _ ... _ .. -.h---:::: .. t.~.'.~ .r..7... .. ..

Date Application Disapproved for the following reasons: ............................•....................... _ ......................•....•••.•..........•.••...•. __ _

THE COMMONWEALTH OF MASSACHUSETTS

BOARD OF HEALTH

........ /.o.WY1 ............ OF ..... .. A.n:'1 .. h .. -e..c.st: .................................. . <!lrrtlfiratr uf <!lumplialtrr

THIS IS TO CERTIFY, That the Individual Scw~ge Disposal System constructed r;() or Repaired ( ) by .. 13.e./C}.F.l.e..t::;I. .... CaKJ.:5.Lr.:.v..C.t:..l.O.l':) ................................. _ ...................................... _ .... __ ....... _ ... _ ...... __ .... ..

at ... L.Q.P . ..l.3.7..1 . .Ar:Y.:l.h.e.C'5.:t. .... W..Q.c/d~';. ............................................................................................. .. has been installed in accordance with the provisions of TITIE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No............... .......................... dated ........... .................................... .

THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY.

DA TE ........................................................................ _ ..• _. Inspector ... nnuun ....... _. __ ....... nn __ • .. •••• .. ,,::!n"S1

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DEEP SOIL LOGS

OWNER Se£-£rey .vJ Flower

LOCATION Lot 13] Amber:s.t Yl ioais Arobee:s± JMA

" - -20"

- .

F; 1\ e 5 CI.I'\O. 0-r'Ict :;, iI {.

,,'-10'

GROUND WATER oxides G..fr«t4< ~ ,)

-- I-

GROUND WATER __ --' __

/

/ ,. PERCOLATION RATE AT 40 I

\5 min./inch

08 SERVER.--J£=......A~, -JFL..I...; .u(,L...!:' o.::..s~_

B of H _C~, ---LJ)'-!~wa.""'-Dok,>;::e'--__

GROUND WATER ____ _

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--- -------------------------------------------------------------------------------, , "

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PLAN' 5HO\.JIN~ SEWAGE · DIS PO SA L SYS T E M . FOR: Robert Malikin

\2. O'Neil Roo.d Haydenville J MA.

SITE'. Lot 131 h/oodfot Dr,'ve Am J,ersC) 11.4.

. Noh: L of: j, on town WQtt.r

Bench Ma,.k is no.i I in 20· whi~e oak

BY: F.A. FilioS (.:r.L~ €'9 Pe IhM) Roo.d Amherst, MA.

SCALE'· \" '" "ld

[)AT E': Mo.rch I", 1'187

e-. ~---- \:>y\'1

lJood/ot , 88.SS

I I I

I ~

I ~ I L

/00'

I 'Q I I I

/' ./

®S.M .........................

I

100 I

.-- [01 I

_ 102

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..

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-, FOR' Robert Mo./ikin ' 11.. O'Neil Road ~ydenvi lIe.., MA

PROFI LE OF SEPT\C· S'Y STEM B'<: fF.E..OER lei-<. A_ FIUos

SITE:. Lot 131 Amhersl:. Woods Q 0 0 o - N . ... ... Q 0 0

10'1'

ltJ ~- --VI 102.' • .:J <:::2'7.

~ ~ ... o

I 0 0

'" .. ... .. 0 0

AI

- I ~= 27. {ill 1 P.So)/. I ~I _

0 0 0 ..,g .... eo .. ... .. 0 0 0

I I

:r: l. Mqrch It •• Iq 87 SCFlLE.'

0 ... .. 0

t\Of'. \ 'I. 0 NT A.L ; VERi/CAV,

\" '" 10' \" =- 3'

Note.: Bench MClr k is nClii In 20" ""hilt. oc>k

0 " .. t.

;t: , /00

liT II

o.ssu~d at 6.M.

If II ~+==j c..-o"mel

J II ---- I'

10

e.... S.' to~,.. C ---' - - I ... 1/11 ,/: , ,1 , OO'}Ql ____ ~".. ,pL ;,-11 "" .... ,/\1- L w"sJ,~cJ sf;tJ ....

Sepb'" -,- - ---J .5' I tank 100.8/ . ~'_/i;r-

LlO_O' Elev.

101.05

'II:.'

q,/'

SPECIFICI\T IONS ALL MATERIAlS AND CoN­

sTRucT�oN WILL Si. IN

ACCORDANCE WITH COMM.

OF MASS. D.E..~.E. STATE

EN'iIRONMENTAL CoDE

TITLE S.

IOD.l~S' I 'W<>sheicl 100.0' stone

~ ~

~ E ~

, "'0.(';

AI

Leach Bed 40'x~

Bot±o,.,... of 10'

T .. ~t Pol

"" CAlCUUl.TIONS ·

3 b~drooms @ 110 '10.1. each = 330 ~a.l/d",y pe.rc t-G\I:e... IS min/inch I boHom - . .113

Area of bed" LJo/){ 21' LtJG

8'

Co.ICLlICl.t;ons - (40)(25'(·43):: ~ <j'\l/d~i .,.12" -:. q' J..~1>.1 ey30

De:mll.'ld - 330 1o.\.jdG.l A"o.i!ab \~::- ~12.8 ~QI/da)

!I CROSS-SECTION AT A-I< ~I ~I ~I ()

~ t!(

f'ill level --- - - '- - -:¥ -- -:.: --- -~~~---~ ---

1s,'-~. ~"--O 0 0 1 I/V,'IE I e.v, '\NC.>h~d 'tM~l3' :t.5' I

./ 3h"-/'1z," 100.0 -washid

LeQch Bed - 4C>~~ sc<>,.,e.

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• • •

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d.. ~ . en \ r r,Jw~ uy;~ tv./L

uYtkJrA-~ f!-.

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'.' . ..