'1;)- 7 No ................ _ ...... . l

THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONS(jZRUE A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. ./ /

DAn . c: - (J - rc ~ '0,,,,,00, &.-/ ,~:.,-. ~ ~ \ £I \'.\121'0 THE COMMONWEALTH OF MASSACHUSETTS j~

,-;- BOARD OF I1EA~

1C.) - co ... j &!IN OF /J/K.k.t........ .... ~................ ..

No .............. L ..... .

/Z~t~~1 mwpu.aul lJurk.a--QT.ott.!itrnrtWtt :rrmit Permission is hereby granted .............. a~··'l······~·,.,·~·!£.················ ...................................................... __ ..

!~ ~~~.t~.u.~ .. ~ ... ~~T~.A.1..~~ .. ~tt.~:i~.2:r~~~rza' .s2!!l.fJ ...... .... ~2sf ... ~ .................... Z ..... ~ . Stmt l' K. 17J.

as shown on the application for Disposal Works constr~~~:¢:~~:~ .. Di?f:.·~~:.!jZ-.·~l DA TE. ...... ...o.-!-:.i.2?/'.J.s==............................... "7 Boo,d of

· .

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-

Bakery

Bed & Breakfast

BuriaJ Permit

Car Seat Rental

Catering

Food Handler

Housing Inspection

M ..... ge

Motel lice_

MiBcellaneoua

Treasurer/Collector

White: Applicant

TOWN OF AMHERST Health Department

Ol'()"SOl-4433'()()

Ol'()"SOl-4474-01

Ol'()"SOl-447S'()()

~25S7'()()

Ol'()"SOl-4429'()()

Ol'()"SOl-4474-00

Ol'()"SOl-4348-00

Ol'()"SOl-4425'()()

Ol'()"SOl-4428.()() Ol.()..SOl _____ _

TOTAL FEE 3(\ r-

Offal/Garbage

Perc Test

Retail Permit

Sanitary Code Booklet

Septic Installers Permit

~Septic Private Applications

Septic - Reinspection

Sub-Division Rev.

T.B.Oinic

lWenty-

PHOi IE t lO. : ~l ? 7310 Jar""! . 11 1996 10 : -J_::H!'j PI

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f I A I ~!'?:'d0.:.~,;E~oratory l 413-323-7134

Name: J o hn Hon~d~r~o~g~e~n~ __________ _ Sample Dale: --.!J..-6-22 __ ___ ____ _ Address: 14 Ca dwell Stretl-___ _ Report Dale: 11-7-95 - --'--"--'-----"-"--- - - - ----

? e J bam. M A _ -'ll.QD",2~ __ _ Collected By: Mt. spri nlJ-6--____ _ Sample Location: Type Supply; _~W~eul~lL-____ _ _ ___ _

134 Flat Hills Road Sample No_: #~AL i9·D'----__ _____ _ Amherst. MA 0100 2 Mas,. Lab. # 02454

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=--=--=="'=------= ===1 I -------'-"=="'-'--=-'----"--'-'''-''-''~---

TESTED FOR I RESULT~~~~~~~~~E-NDED LEVELS F:T==O=la=I =C=O=I=if=o=r=m==B=a~C=le=r=ia==============9===N=e~g~~~

Pos or Neg ~------------------------------ --------r------------------------------I Nitrile o 1.0 mg/l ~-------------------I--.. - .~- r---------- - - . - - -- - - - - - .. .

Nitrate o 10.0 mg/l

S.27 6.5-3.5 ------------- --- - -- ----t---.- --- --.. ---- ---- --- --'

67.0 No L.m i t ~-----------------+---- -- - 1------- ---------------1 Iron *1.U6 .30 mg / l ~--------------_t_-----!--------- .. -- - -- ---- ----

,., la ngancse • • J 3 .05 rng / l ~----------------t__--- --- -1-------- --- -- - - - ---- -- - -

.0 1 1.3mg/ l Copper f------- --- --- ---+---.- - - ----- -- -- -- - - --------- 1 Sulfate 32.0 250 mg / l f---- ----- ------- -j-- ----f--------- - -------~--I-C __ hl_o_ri_d_e ___________ ____ -t-._2_0_._0 ___ + __ _____ 25~_.:"g _/ _1 ______ . _ _ 1

48.0 No Limit I Hardness ConductivilY

--- -+--1-9-0- . --,- --;- - ------;~-:zimi t --- --1 1------------- ----- 1--- - - -_+_- - ------ -- ------ ---- - --Tot~1 Dissolved Solids 9 5 .5 500 rng/ l I------------ ---.-+-----l-------~- --- ------1 Turbidity 4.5 S NTU 1-------- --- --- ---1--- - ---- -- - ---------- - -- - - -Chlorine o No Limit ~----------------- r----- -----_+_--------- ---------

8.0 28.0 mg/l I --i---- ---.--+---------~ -- - -------1 Sodium

~----------~__:_--~------ --- --- _1 ReslI!!' Jre on ly for Ih ose items lilted abo ve and on lhe abo '- , colieN ed date_ Except for the following I • See Bel o w ,the sample ",as found to be wil hln acceplnble levels for D.E.P . Drinking Wat .. Scandord$ . I If (her e- nrc 3n ), Ques l io r'l S Oil thi s re po rt , pti!s'se do twt hesitate" to ('all (his offir~. I • Iron & Hanga_r. e s e __ __ ____ ___ __ __ Da vid Fr

Tal-I N OF M 1HERS'l' c If 1d'T3.;;J.d . . c.. l-r~ Jr F .. rt. .2.c;. "!!. . ; PEllC T8 s'r DATA SII EET c) ~"'C I"t:'SI-~.J,,;.

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