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Home My WebLink About0032 FURLONG WAY - Health 32 Furlong Wayl,,- Cotuit A = 022 081 l I 2c) 0_01 No.- F> ........... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 4 TOWN - - -- ..OF........... ABLE r Apphration -for 31-4posal 'lVarkii Totuitrurtton Vrrmft Application is hereby made for a Permit to Construct (X ) or Repair ( } an Individual Sewage Disposal System at: "Hillcrest"-Furlong Way - Cotuit Lot #20 ----......-•------------------------•-•----•--------....---...-----------•----•-----•--•------.... .......----------------------------•--------------------•-------•----•-------•-•-•-•---••.------ Location•Address or Lot No. SEA=LAIC C012PORATI�T Box 264= Rte. 6A Sandwich,. Mass.--02563.... ---•--------•---------•---------- Owner Address a ------Norman A• ?�y+ -tte.....---•-----------------------------•-----•----- 176-Main.St...--Sandwich.-Mass-•---025Q......:.. � Installer Address Q Type of Building. Size Lot...4,i 2-_.-_.--_-Sq. feet `u Dwelling—No. of Bedrooms..-__T�?r .................._-._..Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ---------------------------- No. •of persons..._..---_----_.-_..------- Showers ( ) — Cafeteria ( ) G, Other fixtures ------------•---•----------------- W Design Flow--------------------------------------------gallons per person per day. Total daily flow--------------------------------------------gallons. R. Septic Tank—Liquid capacity------------gallons Length--------_------ Width................ Diameter---------------- Depth................ W Disposal Trench—No--------------- ---- Width.................... Total Length-------------------- Total leaching area--------------------sq. ft. x Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area.....------..-__-.sq. It. z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by------ -1an Jones & NOrman-----ATotte Date.9-8.-75-----------------.------ W Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water.......-----------. --- G14 Test Pit No. 2....._----------minutes per inch Depth of Test Pit.......__.-.._..___. Depth to ground water------------------------ -----------------------------------------------•---•-•••-----•-----------------------•--------------......................................................... Description of Soil..............See attached perwlation test report ------------------•--- -------------------------------------------- x W U Nature of Repairs or Alterations—Answer when applicable................................................................................................ ----....•---------------------------------------------------------------------------•----------•------------------------------------------------------------------------------------------------------.. Agreement: - The undersigned agrees to install the aforedescr' Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Co e— he ders' ed fur e agrees not to place the system in operation until a Certificate of Compliance has been ssu y boa d f h Signed...-----_ _._ 9-11-7-- --- -------------- ---- --- ------------------------------- ------------------------------ Date J. Lyn , es t Date ApplicationApproved By...... ---------------------------- --------------------------------------- ---------------------------------------- Date Application Disapproved for the following reasons:................................................................................................................. ..-•------------------•••----------------------------------------------••----•-------------------•------•....._..------ ---------------------------------------------------------------------------- Date Permit No---------J;�,-�----------------------•-------•-•- Issued.. "2`' ��.................. Date Date - �_ - - ----------------------------------------------------- ------------- lb .No..__.. pt.. Fizz...7--r................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH I'C7tn1N. ..-..............O F_..........STABLE.... Appliratiou "for Ui�ipoiial lVarkfi Tottitrurtiou Punfit Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal System at: °I�ZC'�@Stn-1t'L�10 -��- C�t�t------------------------ --------------- IAt-- 20.---•.•---------------------•--------------••---............•-- Location.-Address or Lot No. SEA_T.AM_COORATI(�T Box-264 Rte.--6A,--Sandwich,-Mass. 02563---- Owner Address W Dlotman.A._-Ayoitte---- ______________ Installer Address 26 512 UType of Building Size Lot...-__-_1___ ----------Sq. feet Dwelling—No. of Bedrooms------��ee-------------------------Expansion Attic ( ) Garbage Grinder ( ) `1 p.., Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures W Design Flow............................................gallons per person per day. Total daily flow.......................---------------------gallons. Ix Septic Tank—Liquid capacity------------gallons Length_______-___--- Width---------------- Diameter-------------_ Depth..-.--.__.._. xDisposal Trench—No-____________________ Width.................... Total Length-------------------- Total leaching area--------------------sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area.-_--.-.-----_-_--sq. ft. z Other Distribution box ( ) Dosing tank ( ) `-' Percolation Test Results Performed by.-._Allan.Jaales- &N0rlCIdll-AXO'ttW Date-9-----------8-75 W Test Pit No. 1----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water-.---------------------- ril Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water---------------------- ---------------------------------------------------- --------------------------------------------•--------------------------------•-------------------------------------------------- D Description of Soil_---___--__...See �� ]ercDlatieei_test ---------------------------------------------------------- " x V ---------------------"------------------------------------------------------------•--------------------------=---------------------------•-----•--••••-•------•------•---------------------"---------- W ---------------------- ------- ---------------------------------------------------•------------------------------------- ------------------ ------------------------------------------------------ U Nature of Repairs or Alterations—Answer when applicable.--------------------------------------------------------------------------_-----.--.-__------ ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Agreement: The undersigned agrees to install the aforedescr' ed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Co —The ndersigned rther agrees not to place the system in operation until a Certificate of Compliance has been,( een 'su by e b d o alth. Signed--------------••• 9-11-75 ---------------- ------- --- -------------------------------- Paul ► . 1dmt Date Application Approved BY-----✓'�'�.�._./ !..--=--•---••-•--•------------------------ Date Application Disapproved for the following reasons------------------••----••--••-•---••---...-•---...........---•--...._...------•---------......---••-•-----...... ............................................-•.......................................................................................--•-••------•-•--••---•-..._...---•---••------.......----------•-. Date PermitNo........... -'• 2....----•-•-•---------------------- Issued........................................................ T Date I THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............... .`.'..........OF........... � i h.bc %1ertif iratr of Tomplitture THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) f I I Cif Installer at.......... C!.T...= `1 --=-------='A- C - /' 1 fr C r.F� _ I.� I j t/ j U ll --- • ...................................•......................••.. has been installed in accordance with the provisions of Ar dcle XI of The State Sanitary Code as described in the application for Disposal Works Construction Permit No-------- _Gj----------------------- dated-----Z..2c...___Z,------4.?..'__�= THE ISSUANCE OF THIS CERTIFICATE SHALL. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE... �•-------•----- ---------- ............................... Inspector. --E -----------------------....---------------------•------ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..........................-----...........................................-----..... e No..-•-��-•G�-------- FEE- -----•----........ - �i��g�ttl �rk� �oo,�trurtioat ��frrntit Permission is ereb ranted z7 C-----r--....................( y ------�^'%, ------- t = G Y g -------I!: f, r;�.j,;, r r=.:.............. to Construct (�or Repair ( ) an Individual Sewage Disposal System at No.........--: r . //ii i ..q.=s r i=1 III e,- , -,./ v i T - �- _ ...................--- ------------•-- ------------------------------------------------------------•------ Street .3 ,/ as shown on the application for Disposal Works Construction Permit No..-:- ------- Dated.....- .................. ........ ;K DATE..........Z�....._..).._''._. / Board of He /- FORM 1255 H0813S & WARREN. INC.. PUBLISHERS 33 at N Al _ , 24 , 41 77 41 - r i ' Is . r I r t I T - - - — - - - � S - f Pao A,� j o �A1 f - - 1 i r� P� f Tt ._t I _ 1 _ i t .� , ! s 1.. ! ?- I .[,. 1 1 _)_ _ I _t -;' !--i--i___I t•4 _!� ;. t ' i t P { 1 r r i I` _=j,_I Itl ! I 3 t - - . 77 t ALe 1,N Vv.g L GUi0,4 "v.., a ' , F � c a�SSr �; sazcag r P €Y _s..- a - - ALAN W. JONE S &ASSOCIATES E co �P Rp CONSULTING ENGINEERS � oPS SO B j REOttv Carleton Drive 1 �1SJS cn East Sandwich, Mass. 02537 CEP O Telephone 888-3154 1 a Q TEST PIT AND PERCOLATION TEST G/` FRS 8 September 1975 I To: Sea-Lake Corporation Personnel Present: Paul Murray Route 6A & Tupper Road Norman Ayotte Sandwich, Mass. Alan W. Jones Res Lot #20 Lot Sizes 26,512 s.f. Furlong Way Cotuit, Mass. 010" Ground surface 016" To soil Sub-soil Average Percolation Rate: 1" drop in less than 2 min. 610" Loose, medium to coarse, yellow sand and gravel 121 Olt � YLtF1 OF rtq `, No water encountered AD 2 0 !sT��:, Water levels indicated, if any, are those observed when test pit was excavated and do not necessarily represent permanent ground water levels.