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0011 ENTERPRISE ROAD UNIT BLDG 1 UNIT 1 - Health
1-1 Enterprise Road 293-004-10 Hyannis I t Health De .� THE COMMONWEALTH OF MASSACHUSE D Town of Barnstable BOARD OF 'HEALTH [MGWIE Appliration for Uiopatiai Works Tonstrurtion Whifit :i; A5� Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Indivi u ewage---Disposa System at: - l .a' .:� ��.-..---.....K-.:��.._.-•--------------------- - - .....X. �. .,t.`7" ....._........__ Location-Address or Lot No. •= i6', ............. h.«i ...Ilk'.eat...!'",�r... ..........---------------•---------••-----•--••-•----•----•--•----•-------------•---•--•--------.. Owner Address W Installer Address UType of Building Size Lot').Z.341.......Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder (IJO Other—Type T e of Building Q_ ,!.a;- yp g ����.�•�_ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures .........6_1 ---tom-Q-------F--•--------F----------------------------------------------- 100 W Design Flow....._15.6.4..L...............gallons per i per day. Total daily flow_____ _ .J�._._..gallons. j e d s1 W Septic Tank—Liquid capacity __.__ allons Length...��__._____ Width___..._.____ Diameter________________ Depth,."`.�._- x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area.....................sq. ft. Seepage Pit No.....S----------- Diameter_14........... Depth below inlet.C-7...... Total leaching area.fZd�--sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed -- .'�1 PCrDate....•........................................ Test Pit No. 1................minutes per inch Depth of Test Pit----1_r3..�........ Depth to ground water__ -.40NI f=, Test Pit No. 2.___�.._._._minutes per inch Depth of Test Pit...IZP....... Depth to ground water..u qq 1-- ................................. :::............. ' ----......O Description of Soil: P--�- � � it ' c--- • • ••......t tO ' •- ROGER' - . pit � y.lE �Y3�. �N � ��LR1►F�� "1 � �� la. �'-��!..................... ... PAUL t V - - - - - - '- - ---- -• �i - .mot• -- - -- - -- - - -- i�AaGa-1Fi�€1fdiCZ �l � ..®-.•• © �0.... . 9" � y. m �� r -M 1� N � � Na.3 20 ---- ------- U Nature of Repairs or Alterations—Answer when applicable______________________................................................ --- -•••---••••••-••••-------•••----------------•---••---------•-------•----•----•-••--•-•-•-----•••••••------------. .......... Agreement: O f The undersigned agrees to install the aforedescribed Individual Sewage Disposal System i cor an e ith�,/�� the provisions of iITL E 5 of the State Sanitary Code— The undersigned further a ees not ace the syst n operation until a Certificate of Compliance has been issued by the board of h lth. Sined_. . •• •--• ----. ..-----••- ......... --- .... .. ... ....... ate Application Approved By.......... ---•• ................................................ �� ` Date Application Disapproved for the following reasons---------------------------------------------------------------•-------------------------------------------••-_.. --------------------•-----------------------------••---------•------------------------.......--------...--•••••--••-----•--••-------•-•-••-•-•-••--------••---•---------•----••-----•-=•--•---•-----•-- Date PermitNo......................................................... Issued....................................................... Date 6�1AvC D'��r•S�/97 No.....I..t`'--�a 1 FEs........... :......... THE COMMONWEALTH OF MASSACHUSETTS BARD OF HEALTH ------- ---OF..... t"� ----�LIE� ....,:_.. Applir�ativu for Uiipa ii al Workii Towitratrfilatt ranfit Application is hereby made for a Permit to Construct ) or Repair ( ) an Individual Sewage Disposal System at: 1 T .� '1 � 1S`• .......... ............................... _ Location-Address or Lot No. Owner l Address -- (� a --------------------------------- Installer Address of . feet U TypeDwellin Building Size Lot No. of Bedrooms................................. : ....__.._.Expansion Attic ( ) Garbage Grinder q(fJIO'. Other—Type of Building 0 C.E.... No. of persons............................ Showers ( ) — Cafeteria ( ) QI Other fixtures ...._2 ta��'?__ ........................ '4 W Design Flow........ .J 6A.1........._. ___gallons per lWf err day. Total daily flow......l.C)A o •___gallons. Gr' Septic Tank—Liquid capac>ty ? allons Length... .... Width---a---.---- Diameter................. Deptha..�tc)_+ W Disposal Trench—No. .................... Width-------------------- Total Length.....................Total leaching area....................sq. ft. x Seepage Pit No------ Diameter.:.�_ _�______. Depth below inlet __t_. Total leaching area__{ p:�__sq. ft. Z Other Distribution box ( ) Dosing tank ,( ) aPercolation Test Results Performed by 1:61>-.� �� lad, Date.......:..:................ ,� Test Pit No. 1................minutes per inch Depth of Test Pit__._� �,....... Depth to ground water---MOOXE.._. Test Pit No. 2-----Z....._minutes per inch Depth of Test Pit----IT ...... Depth to ground water _1. .0 rr 5....._... 1w OF O Description of Soil T�' 2 t 10Q& .. •_ X. �► V�af i _.t-- -- - Rt?GER �G h ► �s ti e� MICHNEEVlIICZ x_ r_ a�eQ.Y ry�jtil}tY Q_S.! t+�1:6v1 --•------------ No.-34420 UNature of Repairs or Alterations—Answer when applicable....................................................................... .an _ IV. O Agreement: ` The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in a rdance the provisions of T I�lr I a "*. 5 of the State Sanitary Code— The undersigned further a ees not e the system operation until a Certificate of Compliance has been issued by the board of health. " S Signed =, g��� __' __ x77„2 f � / _ te ..................................................APPlication APProved By.._..--- ----•- ----'-t-'-------------------- Date Application Disapproved for the following reasons---------------------------------------------------------------------------------•-------•----•••----•:........_ ---------•----------------------------------------••-----------------------------............---------------•-•--••••-•••••....-••-••---•---••••-•-------•---••---•••-••-•------•-----•---••--•---•----. Date PermitNo......................................................... Issued....................................................... ' C _ Date 114 1 `,�. Y s COMMO WEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................O F..................................................................................... r,. (10.1rdifiratr of Toutph aatrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by.............................................................................................------------------------------------------------------------------------------------------------------- —]Lrnstaller i has been installed in accordance with the provisions of rl .17 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 WIL F NCTION SATISFACTORY. DATE...... .•--•-••-----•.....................••----------. Inspector•-----I-1 .................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........ .................................... ......••--..................... Is iay�talr �atrztriat praati Permission is hereby granted................ ... . to..Construct ( ) or Repair ( ) an Individu Sewage Disposal System at 'No........../_4}=-.---rF=a*�` C`_��7?��:_��..------k�...---- -----------------------------------------------------------------•-•--••--•-•- % Street _.t C, 'Z./as tr- as shown on the application for Disposal Works Construction Permit No �.__!.q... Dated.......................................... K health Board of' DATE...........5.�/-•-- --• ----- ---------------- FORM 1255 HobBs &•WARREN. INC., PUBLISHERS - �:�-70 /NCT/2 lulu �`"r—C 1"' : v12 1X j�. YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates(cost;$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town(which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office; 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall)and get the Business Certificate that is required by law. �p DATE: y Fill in lease; sq ;E APPLICANT'S YOUR NAME/S: ( - BUSINESS YOUR HOME ADDRESS: I r 5,oc' i90 cAo3 TELEPHONE # Home Telephone Number L NAME OF CORPORATION, NAME,OF NEW BUSINESS ) TYPE OF BUSINESS IS THIS A;HOME OCCUPATION? 'YES ADDRESS OF .SINE 1 U MAP/PARCEL NUMBER ` O Z ng) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING CO MISSIO R'S O E This indivi al h s n LFife a fay er it re uire ents th t pertain to this type of business. horized S' COMMENTS: 'I 2. BOARD OF HEALTH This individual hal be in �1f the permit requirements that pertain to this type of business. . - Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: 1 - 1 1 Date: 7 / 0 / /� TOWN OF BARNSTABLE R6-6a&-tW,dn FjWW TOXIC AND HAZARDOUS MATERIALS ON-SIT NAME OF BUSINESS: aoo t- P0�0. Fifr1PSc) BUSINESS LOCATION: 1 I En�fl � Q� R HUQQ(Ai)i 5 INVENTORY MAILING ADDRESS: -< O LC- TOTAL AMOUNT: TELEPHONE NUMBER: c�()� ()q(,3 CONTACT PERSON: 50 EMERGENCY CONTACT TELEPHONE NUMBER: `�jU$ ��0 O U,--� MSDS ON SITE? TYPE OF BUSINESS: iCl(�5� INFORMATION/RECOMMENDATIONS: Fire District: Waste Transportation: Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The board of health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive ❑ NEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides ❑ NEW ❑ USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform, formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes ` i LASnI Laundry soil & stain removers T— (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash / WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSIN pplicant's Signature staff's Initials MATERIAL SAFETY DATA SHEET ITAC2 Pty Ltd itac2Tm Extra Strength Sports Grip Unit 6 76 Township Drive Page 1 of 5 West Burleigh Date of Issue: 18 October 2012 QLD 4219 ABN: 51 240 648 154 Telephone (07) 5525 5994 No Emergency Fax No. (07) 5576 2470 Please contact Poisons Information on 1311 26 Date of Issue: 18 October 2012 IDENTIFICATION Product Name: itac2 extra strength sports grip Other Names: itac2 Product Code: None UN Number: N / R Dangerous Goods Class and Sub-risk: N / R Packaging Group: N / R Hazchem Code: N / R Poisons Schedule: 5 Product Use: Grip compound Use: Compound used to grip equipment Physical Description/Properties: Appearance: Amber, opaque Melting Point: 560C Boiling Point: 142-1490C Flashpoint (°C): >65°C pH 6.5 Flammability Limit(%): Lei 0.6 Uel 7.0 Vapour Pressure: 0.5kPa mm Hg at 380C Specific Gravity: 0.85 Other Properties: Volatile: 40 —50% Form: Solid - Liquid Solubility: Not Soluble in water Vapour Density: 5.9 (Air= 1) Ingredients: Chemical Entity CAS No: Proportion Refined Yellow Beeswax 8012-89-3 55 to 65% r Isoparaffins 64742-48-9 25 to 30% L Esterified Gum SL 68152-64-7 3 to 5% L MATERIAL SAFETY DATA SHEET itac2Tm Extra Strength Sports Grip Page 2 of 5 Date of Issue: 18 October 2012 HEALTH HAZARD INFORMATION Health Effects Acute -Swallowed: May cause nausea and vomiting. Acute - Eye: May be an eye irritant. Acute -Skin: Repeated and prolong use may result in skin irritation. Acute -inhaled: May cause lung damage if swallowed. Chronic: None Known. First Aid: Swallowed: If swallowed do not induce vomiting. Seek medical attention immediately and show this container or label. Eye/s: Hold eyelids open and flush eyes with large amounts of water until irritation subsides. Seek medical attention. Skin: If skin becomes irritated flush with copious amounts of and wash affected area with soap. Inhaled: Remove to fresh air. Keep warm and seek medical advice if required. First Aid Facilities: Emergency eyewash station and shower. Advice to Doctor: Treat Symptomatically. PRECAUTIONS FOR USE Exposure Standards: Exposure standard—TLV, No exposure limits set by National Health and Medical Research. Up to 300pm recommended per 8hr/day/5days. Engineering Controls: Use adequate ventilation when using product. Personal Protection Avoid contact with eyes and prolonged skin contact, if any irritation occurs discontinue using the product. Flammability: Extinguishing Media: Use foam, dry chemical, carbon dioxide or water fog. Keep product out of sewer and water courses. Hazards from Combustion: CO', Carbon Monoxide Precautions for Fire Fighters: Full protective clothing and self-contained breathing apparatus. MATERIAL SAFETY DATA SHEET itac2T"" Extra Strength Sports Grip Page 3 of 5 Date of Issue: 18 October 2012 TOXICOLOGICAL INFORMATION Acute Effects Ingestion Small amounts of liquid aspirated into the lungs during ingestion, or from vomiting, may cause chemical pneumonitis, or pulmonary oedema. Ingesting large amounts of this product will result in headaches, nausea, dizziness, and discomfort on swallowing. Eye Contact This product is irritating to eyes, but will not permanently damage the eye tissue Skin Contact This product is irritating to the skin with prolonged exposure. It may result in dryness and cracking. Inhalation Inhalation of this.product will yield mild discomfort in large quantities. Vapour concentrations are irritating to nose and throat. Overexposure may be evident through dizziness, nausea, headaches and other central nervous system effects. Chronic Effects No chronic health data is available for this product. Other Health Effects Information None Toxicological Information Oral LD50: Not available Skin and Inhalation LD50: Not available ECOLOGICAL INFORMATION Ecotoxicity Aquatic Toxicity Fish Toxicity (rainbow trout,goldfish, bluegill): LC50(96hr): Based on data for a similar component or preparation, this product is expected to be toxic to aquatic organisms Daphnia Magna EC50 (24 hr): Not available Blue-green algae (Toxicity threshold 7-8 days): Not available Green algae (Toxicity threshold 7-8 days): Not available Persistence/ degradability This product can degrade rapidly in air. This substance is expected to be removed in wastewater treatment. Based upon data for a similar components or estimated data, this product is expected to biodegrade rapidly and be 'readily' biodegradable according to OECD guidelines. MATERIAL SAFETY DATA SHE ET itac2Tm Extra Strength Sports Grip Page 4of5 Date of Issue: 18 October 2012 TRANSPORT INFORMATION Road and Rail Transport Marine Trans ort Air Trans ort UN'No_ N/R UN No. N/R UN No. N/R Proper Shipping Sports Grip Proper Shipping Sports Grip Proper Shipping Sports Grip Name Name Name - DG Glass N/R DG!Class.,. N/R DG Class N/R sub.`Risk None Sub.Risk None Sub. Risk None Packi.Grou N/R Pack Group" N/R Pack Group N/R Hazchem N/R 'Hazchem: I N/R Hazchem N/R Dangerous Goods Segregation This product is classed as Dangerous Goods Class N/R, packing group N/R. Please consult the Australian Dangerous Goods Code for Transport by Road and Rail for information, SAFE HANDLING INFORMATION Storage & Transport: Store materials in a cool place away from naked flames and heat. Precautions: Goods are Non-regulated. Keep containers securely sealed and protected against damage. Spills & Disposals: Wear gloves and goggles for protection from splashes and vapours; dam product and recover. Prevent entry into drainage systems, rivers, creeks and waterways. Collect with absorbent material, such as sand or commercial absorbents. Trowel up product with non- metallic implements and place in suitable containers for disposal as per state/federal regulations and place in an approved container for disposal_ Consult local authority on disposal. Fire/Explosion Hazard: Chemical Stability: This product is chemically stable. Conditions to avoid: Sources of heat, ignition and open flames. Hazardous Reactions: Oxidizing agents, mineral acids and halogenated organic compounds. ` All safety equipment should comply with Australian Standards or an equivalent, approved by a State or Territory Authority. MATERIAL SAFETY DATA SHEET itac2Tm Extra Strength Sports Grip Page 5 of 5 Date of Issue: 18 October 2012 OTHER INFORMATION Before being marketed, itac2 products are carefully screened for potential hazards to the user, and where necessary a warning or advice for use is on the label. However, as with all chemicals if improperly used, the products can be harmful, hence guidelines and recommendations to first aid treatment are provided. CONTACT POINT Itac2 Pty Ltd, Technical Manager (business hours) (07) 5525 5994 Or THE POISONS INFORMATION CENTRE - 13 11 26 24 hours THE DATA CONTAINED HEREIN IS NOT TO BETAKEN AS A WARRANTY OR REPRESENTATION FOR WHICH ITAC2 PTY LTD ASSUMES LEGAL RESPONSIBILITY. THEY ARE OFFERED SOLELY FOR YOUR CONSIDERATION AND VERIFICATION. Date Reviewed: 18 October 2012 Authorised BY: ....�C. .......................... Date: km TOXIC AND HAZARDOUS MATERIALS REGIS R TION FORM NAMEOFBUSINESS: 4—® se i �^I BUSINESS LOCATION: �r f� OF " '/� MAILINGADDRESS: Mail To: TELEPHONE NUMBER: Z25413,37 Board of Health �• Town of Barnstable CONTACTPERSON: f. f�r� L .� P.O. Box 534 EMERGENCY CONTACT T EPHONE NUMB Hyannis, MA 02601 TYPEOFBUSINESS: Does your firm store y of the toxic or hazardous materials listed below, either for sale or for you own use? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Quantity rt.a Antifreeze(for gasoline or coolant systems)_ Drain cleaners NEW USED K— Cesspool cleaners VZZ Automatic transmission fluid L•PS Disinfectants i Engine and radiator flushes I" Road Salt (Halite) K_� Hydraulic fluid (including brake fluid) VL� Refrigerants Motor oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel �1 Z) Photochemicals (Fixers) DO Diesel fuel, kerosene, #2 heating oil NEW USED JW Other petroleum products: grease, (3 Photochemicals (Developer) lubricants, gear oil NEW USED 1� Degreasers for engines and metal VZ Printing ink Degreasers for driveways & garages a_ Q Wood preservatives (creosote) V a Battery acid (electrolyte) _K6 Swimming pool chlorine V Rustproofers be) Lye or caustic soda No Car wash detergents Y 1b Jewelry cleaners Car waxes and polishes _ po Leather dyes No Asphalt & roofing tar -6 Fertilizers Paints, varnishes, stains, dyes UFO PCB's Lacquer thinners ;*1'0 Other chlorinated hydrocarbons, NEW USED (inc. carbon tetrachloride) Paint & varnish removers, deglossers -� Any other products with "poison" labels Paint brush cleaners (including chloroform, formaldehyde, Floor & furniture strippers ' i hydrochloric acid, other acids) Metal polishes Laundry soil & stain removers Other products not listed which you feel ' (including bleach) may be toxic or hazardous (please list): IF/&_ Spot removers & cleaning fluids (dry cleaners) (� > 65 Other cleaning solvents WO Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS A Date: -TOXIC AND HAZARDOUS MATERIALS REGISWR TION FORM NAME OF BUSINESS: kgc opo - . BUSINESS LOCATION: IY+ FOE dGA U 4 MAILINGADDRESS: 1= Mail To: TELEPHONE NUMBER: ? '�, Board of Health Town of Barnstable CONTACT PERSON:Aka r D AnA-v, C_ I h'� P.O. Box 534 _ EMERGENCY CONTACT T EPHONE NUMB fit: Hyannis, MA 02601 TYPEOFBUSINESS: A "kDoes your firm store any of the toxic or hazardous materials listed below, either for sale or for you own use. YES; �� NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity'beside the product that you store. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Quantity I h 0 Antifreeze(for gasoline or coolant systems) lr� _ Drain cleaners NEW USED bz� Cesspool cleaners fn3 Automatic transmission fluid -PS Disinfectants 10 Engine and radiator flushes k-6 Road Salt (Halite) 14 Hydraulic fluid (including brake fluid) A _ Refrigerants t4l Motor oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel VA�D Photochemicals (Fixers) ;t4 Diesel fuel, kerosene, #2 heating oil NEW USED Va Other petroleum products: grease, Y1 0 Photochemicals (Developer)_: J } lubricants, gear oil NEW USED �d Degreasers for engines and metal tea Printing ink ` NO Degreasers for driveways & garages knD Wood preservatives (creosote) 06 Battery acid (electrolyte) Ito Swimming pool chlorine y E Rustproofers � Lye or caustic soda Nb Car wash detergents Yt) Jewelry cleaners NO Car waxes and polishes po Leather dyes NJ Asphalt & roofing tar P1.0 Fertilizers Paints, varnishes, stains, dyes k O PCB's Lacquer thinners Other chlorinated hydrocarbons, NEW USED _ (inc. carbon tetrachloride) Paint & varnish removers, deglossers )_n Any other products with,"poison" labels Paint brush cleaners I � (including chloroform, formaldehyde,Floor & furniture strippers hydrochloric acid, other acids) �— Metal polishes (� u�5 Laundry soil & stain removers Other products not listed which you feel f (including bleach)' may be toxic or hazardous (please list): ;t6 Spot removers & cleaning fluids axM (dry cleaners) e> Other cleaning solvents hQ Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required bylaw. DATE: `1� / /.3 Fill in please: APPLICANT'S YOUR NAME/S: SL�/) BUSINESS YOUR HOME ADDRESS: S6 S cv /A)n;/ I;,a A 62Z �/ TELEPHONE # Home Telephone Number NAME OF CORPORATION: '2a nt -4V Agun 1/ : NAME OF NEW BUSINESS_'19ain Al TYPE OF BUSINESS ArY Sn.S foul ion IS THIS A HOME OCCUPATION? YES NO �2 ADDRESS OF BUSINESS MAP/PARCEL NUMBER 2 O D I - I D (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFICE This individual has been informed of any permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 2. BOARD OF HEALTH This individual ha bee"forrned of the permit requirements that pertain to this type of business. MUST XIVIPLY WITH ALL • I Gt w I V1 A7ARDOUS MATERIALS , 7 , 11 Au orized ig `tqr ** I" I COMMENTS: A � i �Z MfQp�ISVIIM�V1+ YW11 J T 3. CONSUMER AFFAIRS (LICENSING AU. HORITY) This individual ha i for d f h I'censi g requirements that pertain to this a business. �;�GtaC a wG �Ili. I�e�(.0 e Authori d Signature** ' COMMENTS: c f. / TOWN OF BARNSTABLE Date: �I / 1� 3 TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: 2Z j0-/- Al Aavr, CZ C BUSINESS LOCATION: ___// ,�nJ�e ��, t�a �S' INVENTORY MAILING ADDRESS: �,56 LSD /%N 62- VC 3 TOTAL AMOUNT: TELEPHONE NUMBER: 97��56 CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: 17�-.56 Z-6 `7J Z- MSDS ON SITE? TYPE OF BUSINESS: 1/25Ar C—A/- e/'1 INFORMATION / RECOMMENDATIONS: Fire District: Waste Transportation: Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive ❑ NEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts(Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides ❑ NEW ❑ USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene,#2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives(creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt&roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform;formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes AL r L� (2 /_ Laundry soil &stain removers ! `i' (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applica 's Signature Staffs Initials i TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1. Marine,Gas Stations,Repair satisfactory 2. Printers BOARD OF HEALTH 3.Auto Body Shops O unsatisfactory- 4.Manufacturers �.1C, ` "Ord " 5. Retail Stores COMPANY �� S (see"Orders") 6. Fuel Suppliers ADDRESS Class: 7. Miscellaneous k1Z)1___)nt5 QUANTITIES AND STORAGE (IN= indoors; OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: 1<: �� PJ DISPOSALIRECLAMATION REMARKS: S nitary Sewage 2.Water Supply l�,1_k own Sewer (Public O On-site OPrivate c � � 3. Indoor Floor Drains YES NO^ O Holding tank:MDC O Catch basin/Dry well O On-site system 'PIVC_ 4. Outdoor Surface drains:YES NO ^ ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter Narne of Hauler Destination Waste Product 1. YES 11TU-1 2. Person(s) Interviewed Inspector Date TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair 2.Printers BOARD OF HEALTH O satisfactory 1 3.Auto Body Shops \ O unsatisfactory- 4.Manufacturers COMPANY i:At,W Q IV"I l S (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS Class: 7.Miscellaneous �171fi� 1 QUANTITIES AND STORAGE (IN= indoors;OUT=outdoors) MAJOR MATERIALS ,: IN OUTI IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil(C) transmission/hydraulic Synthetic Organics: degreasers r S_ C ilsyllaneous: 0C ted i CIA 0) Z I al-h W o- � a DISPOSALIR.ECLAMATION REMARKS: 1 XSntary i Sewage 2.Water Supply Town Sewer Public 'p O On-site OPrivate S 3. Indoor Floor Drains YES N0- O Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES--LNO—Y, ORDERS- 0 Holding tank:MDC V,0 w O Catch basin/Dry well CMILL K T S �, O On-site system 5.Waste Transporter YES NO 1. 2. 411 Person(s) Interviewed Inspector at TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Sta ons,Repair nters BOARD OF HEALTH satisfactory 3.2.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY t" N�LFLf (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS Class: 7.Miscellaneous QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS / Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) w new motor oil(C) transmission/hydraulic Synthetic Organics: , degreasers Miscc la eous: I 3 ove DISPOSAURECLAMATION REN[AR.KS: 1. Sanitary Sewage 2.Water Supply Town Sewer �Oublic t! O On-site OPrivate 3. Indoor Floor Drains YES N0� 1 O Holding tank:MDC 7T1t�c-� O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORD RS: O Holding tank:MDC M S 92,J ej p Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler 1 • od , YES N0 2. C Person (s) Interviewed Inspector Date TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: NMLS 5aton Mail To: BUSINESS LOCATION: 11 €ht4CMise Rd 11 tt�anini� MA- 62601 Board of Health Town of Barnstable MAILING ADDRESS: 5' Sf. E,0 - PI-14ypoa� to 0 ,2 36 ® P.O. Box 534 TELEPHONE NUMBER: SOS- -T47- 779 5 Hyannis, MA 02601 CONTACT PERSON: KttC)A rt K-W N" PI-w EMERGENCY CONTACT TELEPHONE NUMBER: 503--74-1-11 SS Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO _ This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store: Quantity/Case Quantity/Case 0 Antifreeze (for gasoline or coolant systems) O Drain cleaners 0 Automatic transmission fluid a Toilet cleaners 0 Engine and radiator flushes _j Cesspool cleaners 0 Hydraulic fluid (including brake fluid) ® Disinfectants 0 Motor oils/waste oils 6 Road Salt (Halite) 0 Gasoline, Jet fuel 0 - Refrigerants ® Diesel fuel, kerosene, #2 heating oil d Pesticides (insecticides, herbicides, ® Other petroleum products: grease, lubricants rodenticides) 0 Degreasers for engines and metal Photochemicals (fixers and developers) 1 Degreasers for driveways & garages 0 Printing ink 0 Battery acid (electrolyte) 4 Wood preservatives (creosote) 0 Rustproofers _ 0 Swimming pool chlorine 0 Car wash detergents C� Lye or caustic soda Z2 Car waxes and polishes d Jewelry cleaners 0 Asphalt & roofing tar �9 Leather dyes _0 Paints, varnishes, stains, dyes © Fertilizers (if stored outdoors) 0 Paint & lacquer thinners O PCB's 0 Paint & varnish removers, deglossers 0 Other chlorinated hydrocarbons, e) Paint brush cleaners (inc. carbon tetrachloride) ® Floor & furniture strippers p Any other products with "Poison" labels O Metal polishes (including chloroform, formaldehyde, O Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) 0 Other products not listed which you feel may _0 Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) '� allon I etc ToN . POOR+{ Mnnotpr. Other cleaning solvents Bug and tar removers O Household cleansers, oven cleaners White Copy- Health Department/ Canary Copy-Business � rb1;+'-ct^.....a..+Fs,4J'r+"•A.J',w.T..»^.5..-,..fc�^"•.:,V r;.,y�b'..,,9►^+''c... .9F"+"'+.r-,.t'oxry,,r..�.^t+�n:s'"rS^ww�a.!'^13P�`�+n.s�:..''Y4"'y''-.anh"Mw�s,,,'+r skid'*-�''f``4`iMlb.,`yti-�"�` ""'' ywyrq.;a.y�"'"'«¢.+..t&.i`r+'F'�C.^'u TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM t j NAME OF BUSINESS: Mail To: BUSINESS LOCATION: it n kP4c6e # fd tfa011ni•? A;A . 61,2601 Board of Health Town of Barnstable K MAILING ADDRESS: 5' Sf. ExT• PLjdt,Voa4A ;p?14 d 36 P.O. Box 534 TELEPHONE NUMBER: 5G6- -T*7- 776 57 Hyannis, MA 02601 CONTACT PERSON: KticA 1 k£Vi M'.' �H Ik ,EMERGENCY CONTACT TELEPHONE NUMBER: 57 j Does your firm store any of the toxic or hazardous 'materials listed below, either.for sale or for ! your own use,. in quantities totalling,..at any time, more than 50 gallons liquid volume or 25 pounds dry j weight? YES NO { This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: j ADDRESS: .,.. x4 k i `r TELEPHONE: �1.. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume, Please estimate the quantity beside the product that you store: Quantity/Case Quantity/Case U Antifreeze (for gasoline or coolant systems) O Drain cleaners 0 Automatic transmission fluid c Toilet cleaners - 0 Engine and radiator flushes Cesspool cleaners (� Hydraulic fluid (including.brake fluid)" C: Disinfectants Q Motor oils/waste oils e--) Road'Salt (Halite) ® Gasoline, Jet fuel L Refrigerants 0 Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, U Other petroleum products: grease, lubricants rodenticides) � 2 Degreasers for engines and metal Photochemicals (fixers and developers) _ 2 Degreasers for driveways & garages Printing ink 0 Battery acid (electrolyte) Q Wood preservatives (creosote) U Rustproofers - 2 Swimming pool chlorine a Car wash detergents G Lye or caustic soda 2 Car waxes and polishes e:�, Jewelry cleaners n Asphalt & roofing tar 9 Leather dyes d Paints, varnishes, stains, dyes �? Fertilizers (if stored outdoors) 0 Paint & lacquer thinners G' PCB's 'r 0 Paint & varnish removers, deglossers 0 Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) !` 0 Floor & furniture strippers p Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde; r ., D Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) 0 Other products not listed which you feel may _0 Spot removers & cleaning fluids be toxic or hazardous (please list). (drycleaners) � ran MbjxJ1r_ ALC-rGAyj5 FC1L1/,tt trr\y r. Other cleaning solvents i C> Bug and tar removers 0 Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business Date: Pi 2-) 2=oQ 2— TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS: C� iV1d*U BUSINESS LOCATION: 6 MAILINGADDRESS: 0� 3Mail To: TELEPHONE NUMBER: Board of Health Town of Barnstable CONTACT PERSON: P.O. Box 534 EMERGENCY CONTAC TEL HONE NUMBER: Hyannis, MA 02601 TYPEOFBUSINESS: ,C Does your firm store any of the toxic or hazardous materials listed below, either for sale or for you own use? YES V- NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: l rtsk no i. TELEPHONE: o� 1- LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Quantity Antifreeze(for gasoline or coolant systems) Drain cleaners NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salt (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil NEW USED Other petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Battery acid (electrolyte) Swimming pool chlorine Rustproofers Lye or caustic soda Car wash detergents Jewelry cleaners Car waxes and polishes Leather dyes Asphalt & roofing tar Fertilizers Paints, varnishes, stains, dyes PCB's Lacquer thinners Other chlorinated hydrocarbons, NEW USED (inc. carbon tetrachloride) Paint & varnish removers, deglossers Any other products with "poison" labels Paint brush cleaners (including chloroform, formaldehyde, Floor & furniture strippers hydrochloric acid, other acids) Metal polishes Laundry soil & stain removers Other products not listed which you feel (including bleach) may be toxic or hazardous (please list): Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS �:;�i:y, w _ n c, r ,`rt/ b.,n�-�l a _...., ;__ - v �w JJ w✓L FV $. }- > .. .ra v i. .,.s•. .. �':Rf'<'"r`,'w^,. '�1.. K.: her•. , Date: 2) wo 2- TOXIC AND HAZARDOUS .MATERIALS REGISTRATION FORM NAMEOFBUSINESS: ( �QWIP_-j Lo7,.-61', BUSINESS LOCATION: I Vsp - MAILINGADDRESS: 2 ` `�(,� j, '� vZ 3Mail To: TELEPHONE NUMBER: Board of Health Town of Barnstable CONTACT PERSON:__. Il P.O. Box 534 _ EMERGENCY CONTACT.TELEPHOnN-E NUMBER: ��� . ` Hyannis, MA 02601 TYPEOFBUSINESS: 4,,O&fl C�r�1lO-Y� Does your firm store any of the toxic or hazardous materials listed below, either for sale or for you own use? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your.convenience. If you answered YES above, please indicate if the materials are stored at a site otherthan your mailing address: i ADDRESS: )Pr(��� I� 1�-V�i i7n S TELEPHONE: 0501 I ( tangy LG •, LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless.of volume. Please estimate the quantity beside the product that you store. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS Quantity Quantity Antifreeze(for gasoline or coolant systems) Drain cleaners NEW USED Cesspool cleaners Automatic transmission.fluid Disinfectants Engine and radiator flushes Road Salt (Halite) Jx- Hydraulic fluid (including brake fluid) . Refrigerants ' Motor oils r Pesticides NEW USED . , ,; (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil.�f: NEW USED Other petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Battery acid (electrolyte) Swimming pool chlorine Rustproofers Lye or caustic soda Car wash detergents Jewelry cleaners Car waxes and polishes Leather dyes Asphalt & roofing tar Fertilizers Paints, varnishes, stains, dyes PCB's Lacquer thinners Other chlorinated hydrocarbons, a NEW USED (inc. carbon tetrachloride) Paint & varnish removers, deglossers Any other products with "poison" labels Paint brush cleaners (including chloroform, formaldehyde, Floor & furniture strippers hydrochloric acid, other acids) Metal polishes Laundry soil& stain removers Other products not listed which you feel (including bleach) may be toxic or hazardous (please list): Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers I ' WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS `` /7e� DQ--/60 TOWN OF BARNSTABLE OMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops f ? �, I unsatisfactory- 4.Manufacturers COMPANY e,` �� � (� j (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS / c Class: 7 7.Miscellaneous igl4- i.-L � l� ��QUANTITIES AND STORAGE (IN=indoors;OUT-outdoors) MAJOR MATERIALS IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel(A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil(C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: DISPOSAURECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply Town Sewer Public O On-site OPrivate v 3. Indoor Floor Drains YES NO l� O Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES--,L('NO ORDERS: O Holding tank:MDC 0"'Catch basin/Dry well O On-site system 5. Waste Transporter .g . YES NO 2. 1 � 6i�y Person (s) Interviewed Inspec or Date Date: TOXIC AND HAZARDOUS MATERIALS R GISTRATION FORM NAMEOFBUSINESS: E BUSINESS LOCATION: MAILINGADDRESS: Mail To: TELEPHONE NUMBER: _ Board of Health Town of Barnstable CONTACT PERSON: >VA P.O. Box 534 EMERGENCY CONTACT TELE HONE NUM ER: Hyannis, MA 02601 TYPEOFBUSINESS: Does your firm stor ny of the toxic or hazardous materials listed below, either for sale or for you own use? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Quantity Antifreeze(for gasoline or coolant systems) Drain cleaners NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salt (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil NEW USED Other petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Battery acid (electrolyte) Swimming pool chlorine Rust roof r p e s Lye or caustic soda Car wash detergents Jewelry cleaners Car waxes and polishes-_.._- Leather dyes Asphalt & roofing tar Fertilizers Paints, varnishes, stains, dyes PCB's Lacquer thinners Other chlorinated hydrocarbons, NEW USED (inc. carbon tetrachloride) Paint & varnish removers, deglossers Any other products with "poison" labels Paint brush cleaners (including chloroform, formaldehyde, Floor & furniture strippers ydrochloric acid, other acids) Metal polishes Laundry soil & stain removers Other products not listed which you feel (including bleach) may be toxic or hazardous (please list): Spot removers & cleaning fluids Azeal el- a46 GU (dry cleaners) Other cleaning solvents Bug and tar removers �v �� �'�� WHITE COPY-HEALTH DEPARTMEN /CANARY OPINESS V cLi TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: S k"or 1 Mail To: BUSINESS LOCATION: c S Board of Health Town of Barnstable MAILING ADDRESS: �� nirrts� �-c�r ����s P.O. Box 534 TELEPHONE NUMBER: Hyannis, MA 02601 CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totall g, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO V This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store: Quantity/Case Quantity/Case Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) ®`v-m Other cleaning solvents �� Bug and tar removers Household cleansers, oven cleaners White Copy- Health Department/ Canary Copy-Business TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: 5 �w t Mail To: k} , tf ,, rS� a 41�5 cc Board of Health BUSINESS;LOCATION t}" Co'� r Town of Barnstable MAILING A DRESS �1i 'fin--Zr� � �LA v t , ��Grn�tr.S' p 0. Box 534 TELEPHONE'N'UMBER: Hyannis, MA 02601 CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER': y Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totalli g, at anytime, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: + a TELEPHONE: • E LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please,estimate the quantity beside the product that you store:` Quantity/Case Quantity/Case Ar'flfiVeze (for gasoline or coolant systems) Drain clean-ers r Automatic transmission fluid Toilet cleaners Engine and radiator flushes a°` p Cesspool cleaners f ',Hydraulic fluid (Including brake fluid) , : Dismfectants� Motor oils/waste oils .,` Road Salt(Halite) £' Gasoline, Jet`fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides insecticides, herbicides, �'_ �� Other petroleum p`roducts.'grease:;lubricants,_. rodenticides) Deg.re-asers for engines and°metal. Photochernicals (fixers and developers) Degreasers for driveways &"garages Printing ink ` Battery acid (electrolyte) Wood preservatives (creosote) ' Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar sLeather dyes . : ° 1� Paints, varnishesstains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners $; FCB's " U, Paint & varnish removers, d'j 4 sers f Other.chlorinated'hydroca"rbons; 3 42 Paint brush cleaners r 5 (inc 'carbon tetrachloride) Floor & furniture strippers Any oth.er..prdducts with ';Parson" Iabels,P r t Metal polishes # (including chloroform, formaldehyde, Laundry soil & stain removers " { hydrochloric acid, other acids)r ' (including bleach) 0� Other products not I st d�which;1yousf�ee.l may Spot removers & cleaning fluids ;- r be toxic or"'hazardous (please"list}. (dry cleaners) ' tiy ® rw� s Other cleaning solvents1� Bug and tarrremovers '! -Household cleansers, oven cleaners White Copy-Health Dpartment/ Canary Copy-Business.` � Y TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: ZA Mail To: - BUSINESS LOCATION: �'�����, - , �����` `� Board of Health Town of Barnstable MAILING ADDRESS: ��_ P.O. Box 534 TELEPHONE NUMBER- VA, _ Hyannis, MA 02601 CONTACT EMERGENCY CONTACT TELEPHONE NUMBER: rri r©rwo1 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use , ? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be.registered regardless of volume. Please estimate the quantity beside the product that you store: I Quantity/Case Quantity/Case Antifreeze (for gasoline or coolant systems) /"� Drain cleaners _ Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) _ Disinfectants Motor oils/waste oils Road Salt (Halite) 1 Gasoline, Jet fuel Refrigerants \y� Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Y�) Other petroleum products: grease, lubricants \ , rodenticides) Degreasers for engines and metal �9� Photochemicals (fixers and developers) \vim Degreasers for driveways & garages " Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers . Swimming pool chlorine \w Car wash detergents Lye or caustic soda Car waxes and polishes _ Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes V,) Fertilizers (if stored outdoors) \� Paint & lacquer thinners PCB's Paint & varnish removers, deglossers �`� Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) i Floor & furniture strippers Any other products with "Poison" labels NV M al polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may 0Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) Q Other cleaning solvents �vv Bug and tar removers Household cleansers, oven cleaners White Copy- Health Department/ Canary Copy-Business k � � 1 e Y + t Day Date Time f i I i 1 m r. rD 1 n SALON o M o M O m N 00 o 00 ��• \v � rl V\ O N P O TOWN OF BARNSTABL OMPLIANCE: CLASS: 1. Marine,Gas Stations,Repair satisfactory 2. Printers BOARD OF HEALTH 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANYP"� kjtAQJ� O (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS Ii CS �t LC`J.J�� SS: 7.Miscellaneous 4qc, oo c°S QUANTITIES AND STORAGE (IN= indoors; OUT-outdoors) MAJOR MATERIALS Case lots L)rums Above Tanks Under ound Tanks IN OUT IN OUT IN OUT #&gallons 777 Test Fuels: Gasoline Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: �. Cat S DISPOSAURECLAMATION REMARKS: I 1. Sanitary Sewage 2.Water Supply LE Town Sewer Public O On-site OPrivate 3. Indoor Floor Drains YES NO l O Holding tank:MDC i O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES N0 ORDERS: O Holding tank:MDC S`tJs G O Catch basin/Dry well or, r O On-site system 5.Waste T sporter zp Name of Hauler Destination Waste Product YES NO 1. 2. I Person(s) Interviewed Inspector ate TOWN OF BARNSTABLE, COMPLIANCE CLASS: 1. Marine,Gas Stations,Repair BOARD OF HEALTH N< satisfactory 2. Printers 3.Auto Body Shops AA ,, O unsatisfactory- 4.Manufacturers COMPANY Ivl ` t (see"Orders") 5.6.Fuel Suppliers ADDRESS Class: 7. Miscellaneous o, QUANTITIES AND STORAGE (IN= indoors; OUT=outdoors) MAJOR MATE MLS Case lots Drums Above Tanks Underground Tanks I IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil(C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: V � x S�QR�C�-1rnrrot��c.. DISPOSALIRECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply 'Town Sewer Public O On-site OPrivate 3. Indoor Floor Drains YES NOY O Holding tank:MDC O Catch basin/Dry well O On-site system \/ 4. Outdoor Surface drains:YES NO" ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter Licensed?Name of Hauler Destination Waste Product YES NO 1. 2. Person(s) Interviewed Inspector Date S, 4&ue TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Rep 'r satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops unsatisfactory- 4.Manufacturers (' COMPANY C (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS 11 f jtjt 1? ,'lass: 7.Miscellaneous v�L 34 V Arotiy^QUANTITIES AND STORAGE (IN= indoors;OUT=outdoors) MAJOR MATEf.IALS P -va 1 IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) 4cl GT �� � new.motor oil (C) �kW �&V— , AV biz c/ re l(ey 1�7— h t s oz msion/hydraulic .� Synthetic Organics: 3' degreasers b a 1107 foilluk /a00 Uhf Miscellaneous: y ,��� oC ow- /u5vccof w /�bz vim . i C ...e v DISPOSAURECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply ) ' 0-Town Sewer Public S O On-site OPrivate 3. Indoor Floor Drains YES NO O Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES kNO ORDERS: O Holding tank:MDC Catch basin/Dry well O On-site system 5.Waste Transporter kAA rjjeAA ��� YES NO 1. 2. Person(s) Interviewed Inspector Date 1. TOWN OF BARNSTABLE ypi THE Taw OFFICE OF HAB39TAEL BOARD OF HEALTH spoA 1639. o, 367 MAIN STREET �lpMp(Ir• HYANNIS, MASS. 02601 November 28, 1988 Mr. Peter J. Lawson Cape Cod School of Bartending 7 Heather Hill Road Sandwich, Ma 02563 Dear Mr. Lawson: You are granted permission from the Board of Health to utilize a 1,200 square feet office unit with a bartending school at the Enterprise Corners Condominium Complex located at 11 Enterprise Road, Hyannis, Ma. The following conditions must be met: (1) You must receive approval from the Zoning Enforcement Officer and Building Commissioner, prior to occupancy of the building unit. (2) Automatic dishwashing machines are not authorized. (3) No more than 14 persons, including instructors and students, are authorized j at this school each day. (4) You must install a water meter to service this unit alone. I (5) The building must be connected to a gravity Town sewer line when the Board determines its availability. The permission to utilize a 1,200 square feet unit of the office building with a bartending school is granted because several retail stores in this building . are occupied by only one or two employees. Also, one 6,000 square feet retail store has only three (3) full time employees, total. It is the opinion of the Board that the inclusion of a bartending school limited to 14 persons daily, in this building complex, will not significantly alter the poor quality of the groundwater in the area. Sincerely, over arr-1 , .D. " Chairman Board of Health Town of Barnstable GF/bs Copy: Joseph Daluz Zoning Enforcement Officer Z - f 6 SOL, 11A Stf-a� Ao � ( C FPT TO A TEE CUSTOM GOLF T AUTHORIZED BOB TOSKI FITTING CENTER • CUSTOM CLUBS BUILT • REPAIRS & ALTERATIONS • REFINISHING 1 1 ENTERPRISE RD. • SWING ANALYSIS HYANNIS. MA 02601 • ANTIQUE & COLLECTIBLE CLUBS 771-8333 S 11 Enterprise Road Hyannis, Massachusetts 02601 Telephone (617) 771-8484 i � n 5 n I-s 0 6PO , a he �cp� l C\Y ��Y1�- CD- �.Y�p 1�'e YI r C.t Cn ray-e -)-0 re) c� -e ►cam � I— `l (o00 :59 UCH vf- - �c sq�A a to �-e O� l�ca re , SpDUe � 1 BS C Cape Cod Survey Consultants 3261 Main Street/Route 6A Barnstable Village, Massachusetts 02630 (617)362-8133 June 12, 1985 Barnstable Board of Health Town Hall Hyannis, MA 02601 RE: Subsurface Sewage Disposal System Enterprise Corners Bearses Way & Enterprise Rd. Hyannis, MA (Our File No. 03-1463. 01) Members of the Board: This letter is to inform you that the subsurface sewage disposal system at the above referenced location has been constructed in substantial compliance with the plans. The septic tank, distribu- tion box and leach pits will all have manhole covers to grade so no ties to the building have been taken. If there are any questions or comments , please do not hesitate to contact me. Very truly yours , BSC/CAPE COD SURVEY CONSULTANTS S ep n A. Wilson, P.E. Project Engineer cc: R. Shields , Jr. J. 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MASS. 02601 VARIANCE REQUEST FORM All variance requests must be submitted. five (5) days prior to the scheduled Board of Health meeting. NAME OF APPLICANT Shields Management Corporation TELEPHONE NO. 771-7200 ADDRESS OF APPLICANT 124 Airport Road, Hyannis, MA 02601 NAME OF OWNER OF PROPERTY N/F Ernest Henderson III LOCATION OF REQUEST Lot 4, Corner of Enterprise Rd & Bearses Way VARIANCE FROM REGULATION (List regulation) Groundwater-Protection^ Effeefiive 9/8/83 VARIANCE REQUESTED (Specific request) Please refer to attached letter REASON FOR VARIANCE (May attach letter if more space needed) Please refer to attached. .letter PLANS - Two, copies of plan must be submitted clearly outlining variance requested. VARIANCE APPROVED NOT APPROVED REASON FOR DISAPPROVAL Robert L. Childs, Chairma'h Ann Jane Eshbaugh H. F. Inge, M. D. , BOARD OF HEALTH TOWN OF BARNSTABLE r SC Cape Cod Survey Consultants (617) 775-7155 P.O. Box 56 76 Enterprise Road Hyannis, Massachusetts 02601 November 14 , 1984 Board of Health Town of Barnstable 367 Main Street Hyannis, MA 02601 RE: Request for Variance Lot 4 `Enterprise Road & 'Bearse' s Way Members of the Board: On behalf of our client, Shields Management Corporation, we are requesting a variance from the Board ' s Groundwater Protection Regulation that all new commercial structures within a Zone of Contribution to a public supply well within 3 ,000 feet of a muni- cipal sewer shall connect to the public sewer. Our request to connect to the existing force main in Bearses Way has been denied by the Department of Public Works. (Copies of correspondence attached) . Therefore , we are requesting permission to construct an on-site subsurface sewage disposal system which will conform to Title V and the Town of Barnstable regulations. We have scheduled soils exploration and percolation testing for November 19 , 1984 and will forward the results to the Board when this testing is completed. If you have any questions or comments please do not hesitate to contact me. Very truly yours, CAPE COD SURVEY CONSULTANTS Stephen. A. Wilson, P.E. Project`%Engineer } Enclosure', cc: R. Shields, Jr. 03-1463 .00 A division of Boston Survey Consultants, Inc. Branch offices throughout Southeastern New England Planning Surveying Design Engineering THr'TO�y BAHa9TSBLS • �' . � rasa �O 039. dJ o Q MAY�� aaty� .�[addaolusJed 02601 COMMISSIONERS: " - (617) 775-1120 Est. 123 KEVIN O'NEIL, CHAIRMAN JOSEPH J. CAMPO, P. E. JOHN J. ROSARIO, YIcE cHAIRMAN SUPERINTENDENT THOMAS J. MULLEN MILNER D. MELODY PHILIP C. McCARTIN - November 6, 1984 BSC Cape Cod Survey Consultants PO Box 56 76 Enterprise Road Hyannis, Mass 02601 Dear Sir: A review of the existing sewer system reveals that no gravity system exists in Bearses Way at Enterprise Road. The Commission has voted that connections to force mains shall be prohibited; con- sequently, there are no sewers in Bearses Way to which a connection may be made. Sincerely, JOSEPH J CAMPO, P.E. Superintendent JJC/bw .. ' 4 0 �`� c y • ry - r Cape Cod Survey Consultants (617) 775-7155 P.O. Box 56 76 Enterprise Road Hyannis; Massachusetts 02601 November 1, 1984 Mr. Joseph J. Campo, P.E., Superintendent Department of Public Works Barnstable Town Hall Barnstable, Mass. 02601 RE: Proposed Office Building Enterprise Road and Bearses Way Hyannis (Our File No. 73-0247) Dear Mr. Campo: On behalf of our client, Shields Management Corporation, we are requesting permission to connect to the existing sewer line in Bearses Way. The purpose of this request is to comply with the Barnstable Board of Health Regulation requiring that commercial structures within a Zone of Contribution to a public supply well within 3,000 feet of a municipal sewer line shall connect to the public sewer. Enclosed please find the design criteria for this proposed project. We would appreciate your review and approval of the enclosed criteria so that we may proceed with the final design. We are available any time at your convenience to discuss this project. Very truly yours, CAPE COD SURVEY CONSULTANTS Ste A. Wilson, P.E. Enclosure A division of Boston Survey Consultants, Inc. Branch offices throughout Southeastern New England Planning Surveying Design Engineering BASIC DESIGN DATA 1. Average Daily Flow Office/Retail Building 25,000 sq. ft-. GFA 25,OOO sq. ft. x 75 GPD 1,875 GPD 1000 sf 2. Pump Station Number of pis (submersible) 2 Size of wet well (Assume pumping 6-8 times per day) 234-312 gallons Pump Rate 3 inch force main @ 2.0 fps 44 gpm Length of force main (approximate) 400 feet i I Cape Cod Survey Consultants 76 Enterprise Road Hyannis, Massachusetts 02601 A division of Boston Survey Consultants, Inc. Branch offices throughout Southeastern New England BSU.Cape Cod SurveyConsultants 617 _ ( ) 775 7155 P.O. Box 56 76 Enterprise Road Hyannis, Massachusetts 02601 November 14 , 1984 Board of Health Town of Barnstable 367 Main Street Hyannis, MA 02601 RE: Request for Variance Lot 4 Enterprise Road & Bearse ' s Way Members of the Board : On behalf of our client , Shields Management Corporation, we are requesting a variance from the Board ' s-Groundwater Protection Regulation that all new commercial structures within a Zone of Contribution to a public supply well within 3 ,000 feet of a muni- cipal sewer shall connect to the public sewer. Our request to connect to the existing force main in Bearses Way has been denied by the Department of Public Works . (Copies of correspondence attached) . Therefore , we are requesting permission to construct an on-site subsurface sewage disposal system which will conform to Title V and the Town of Barnstable regulations. We have scheduled soils exploration and percolation testing for November 19 , 1984 and will forward the results to the Board when this testing is completed. If you have any questions or comments please do not hesitate to contact me. Very truly yours, CAPE COD SURVEY CONSULTANTS 1 U V Stephen A. Wilson, P.E . Project Engineer Enclosure cc: R. Shields , Jr. 03-1463 .00 A division of Boston Survey Consultants, Inc. Branch offices throughout Southeastern New England Planning Surveying Design Engineering • LA1t. FEE METOb TOWN OF BARNSTABLE p 6 OFFICE OF IDS„$ITs rya BOARD OF HEALTH '���o r►r k`�� 367 MAIN STREET HYANNIS, MASS. 02601 VARIANCE REQUEST FORM All variance requests must be submitted five (S) days prior to the scheduled Board of. Health meeting. NAME OF APPLICANT Shields Managembent Corporation TELEPHONE NO. 771-7200 ADDRESS OF APPLICANT 124 Airport Road, Hyannis, MA 02601 NAME OF OWNER OF PROPERTY N/F Ernest Henderson III LOCATION OF REQUEST Lot 4, Corner of Enterprise Rd & Bearses Way VARIANCE FROM REGULATION (List regullation) Groundwater Protection; Effective 9/8/83 VARIANCE REQUESTED (Specific request) Please f r to attached letter REASON FOR VARIANCE (May attach letter if more space needed) Please refer to attached letter PLANS - Two copies of plan must be submitted clearly outlining variance requested. VARIANCE APPROVED NOT APPROVED �n O�J REASON FOR DISAPPROVAL Robert L. Childs, Chairman Ann Jane Eshbaugh H. F. Inge, M. D. BOARD OF HEALTH TOWN OF BARNSTABLE (tio F l Cape Cod Survey Consultants (617) 775-7155 P.O. Box 56 76 Enterprise Road Hyannis. Massachusetts 02601 November 1, 198.4 Mr. Joseph J. Campo, P.E. , Superintendent Department of Public Works Barnstable Town Hall Barnstable, Mass. 02601 RE: Proposed Office Building Enterprise Road and Bearses Way Hyannis (Our File No. 73-0247) Dear Mr. Campo: On behalf of our- client, Shields Management Corporation, we are requesting permission to connect to the existing sewer line in Bearses Way. The purpose of this request is to comply with the Barnstable Board of Health Regulation requiring that commercial structures within a Zone of Contribution to a public supply well within 3,000 feet of a municipal sewer line shall connect to the public sewer. Enclosed please find the design criteria for this proposed project. We would appreciate your review and approval of the enclosed criteria so that we may proceed with the final design. We are available any time at your convenience to discuss this project. Very truly yours, CAPE COD SURVEY CONSULTANTS Ste A. Wilson, P.E. 0 " Enclosure A division of Boston Survey Consultants. Inc. Branch offices throughout Southeastern New England Planning Surveying Design Engineering BASIC DESIGN DATA 1. Average Daily Flow Office/Retail Building 25,000 sq. ft. GFA 25,000 sq. ft. x 75 .GPD _ 1000 sf 1,875 GPD 2. Pump Station Number of pumps (submersible) 2 Size of wet well (Assume ping 6-8 times per day) 234-312 gallons PuTp Rate 3 inch force main @ 2.0 fps 44 ggn Length of force main (approximate) 400 feet 0 Cape Cod Survey Consultants 76 Enterprise Road Hyannis, Massachusetts 02601 A division of Boston Survey Consultants, Inc. Branch offices throughout Southeastern New England Z BARNSTABLE i 9�0"Im"Zlrl�tMA 0 i.�A 7 BM4 1639. A F0HAY►r\ ��+ �� .//dlaadao�iufe 6 02601 COMMISSIONERS: (617) 775-1120 Est. 123 KEVIN O'NEIL, CHAIRMAN JOSEPH J. CAMPO. P. E. JOHN J. ROSARIO. VICE CHAIRMAN SUPERINTENDENT THOMAS J. MULLEN MILNER D. MELODY PHILIP C. MCCARTIN November 6, 1984 BSC Cape Cod Survey Consultants PO Box 56 76 Enterprise Road Hyannis, Mass 02601 Dear Sir: A review of the existing sewer system reveals that no gravity system-exists in Bearses Way at Enterprise Road. The Commission has voted that connections to force mains shall be prohibited; con- sequently, there are no sewers in Bearses Way to which a connection may be made. Sincerely, �JOSEPH J CAMPO, P.E. Superintendent JJC/bw 0 1.• I`• , y V ` �-�3 ,v Z - y � • p `o� e o 0 8 0 \ \ \/.o . a _ Tmc o� Alow �m�n O O I i i ( I I i I I /o y,C � I � I i j I i v � Cape Cod Survey Consultants Box 56 76 Enterprise Road Hyannis, Massachusetts 02601 BSC CALCULATION SUMMARY JOB NO. REVISIONS PAGE I OF CLIENT / PROJECT 90BV_6Z•1 S415-LDS TR /LO"T4 ��1 TE6ZPR1�� 9��j SUBJECT / TITLE -Dp,A) R'4 V_ CA LC-U t,ATlOg Cj OBJECTIVE OF CALCULATION 51.L� 11.E�F ►L`TR�c`�"111� �f2 A 1�J L�6,iz � YS�r,�.rn �r C�2 CALCULATION METHOD / ASSUMPTIONS O R Ate°!®Q k .- AAV-'T Lk G:A S L3 TS >b 1 V 1 S e OQ KOLE.S AQ'n RSC.ULA► C�tJ S O PERC PATE- SOURCES OF DATA / EQUATIONS. crjj' ROGER O TOWW Or- SUM:) W1 S10W PAUL �nfa MlCHCu:-tP,'!CZ g R V L.E S ,dubciv �° � 20 CONCLUSIONS U5 CALC. 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S B ECT: CAL . BY DATE: LOCATION :_ C ECKED BY: D TE f ) . I -6#E� S- I T"ACULTy Ex t T 6 WIAc _ OFFICE Rest Rums 6„ I j ------91-'91,- ----I- i I rcc I M,40K/1VE 4 C � f �I Si I 32' TRAiAIING t I I STATION _ K I 2 silks BIAS ClassroorY7 Area ; �} �ram1/7� J. Sl0 � � - i I ` 1 I i I _ LFn STUDENT i LOUNGE I { (111NbDt�l \� o' 1' 2' 3' 12' EX cape cod 'SCa/e `"school of, bartending cape cod school o f, bartendingi +++ CATALOG of INFORMATION +++ The purpose of the CAPE COD SCHOOL OF BARTENDING Inc. . is to teach each student the fundamental skills required to become a competent professional bartender. The course that we teach is Mixoloxv / Bartendina which , includes; the correct methods of drink preparation. mixing. pouring. and serving. Also included is T.I.P.S. (Training for Intervention Procedures By Servers of Alcohol) an awareness class which instructs students in methods of handling the various and difficult situations that may occur while serving alcoholic beverages. +++ ENTRANCE REQUIREMENTS: +++ 18 years old or older. - personal interview +++ REQUIREMENTS TO OBTAIN A CERTIFICATE: +++ 30 Hours instruction. Successful completion of End of course examination. +++ THE COST OF THE COURSE TO EACH STUDENT: ++� t31 S_oo -- includes instruction, graduation certificate from Cape Cod School of Bartending Inc. , a T.I.P.S. certificate from Health Communications Inc. . Washington D.C. , books , supplies, equipment, and a personal wallet sized Photo I.D. +++ Provisions of 603 CMR 3.15(4) +++ The Cape Cod School of Bortending Inc. . Licensed by the Commonwealth of Massachusetts. Department of Education. �G//7 —8 eh ��ov ss VW •lti+uNJ,LX„9:� sMaNcYi�Yf paxi�,Sx,Z (l� rj a761�S :•� 1 J' away �o ,91 S ,6 ,Z 0 ' ��uva�u� aOirnO7 °q • }uaf'��S N011 D'7nSN1 03)AOV9 3N37V dOYd 70d'77dM„F 9 -YOOY,y OND' 1H 3AV3,91 /A19N107/n9 7d13W 03,Y33MV-SbU 2NOYJ•)1O1b18 .rvd suo Viso •301S HOV3 N608 r133HS 03000 3813 d0 SH3AVl "- Z ONV NOI1V-if1SNI 11V8 /M SNOI1118Vd onis •'1V13W,9 �19'el v Wo G X„B,4 U;w . voSU400y 7uay wa)y U;"m i 3S SS0890(KI 'girl la�.It7q ,jO ro0gDS;, -AS 13N b9ZI ., _ / ?ilddns 61-1IINn aGe��S poa ad vo woq 72 nir,Oi •av,.Cx,6�� � a S �c p ��% REVISIONS. NO DATE 1 !i ffpp unurY Aarr ALL UNDERGROUND UTILITIES SHOWN WERE COMPILED ACCORDING TO AVAILABLE f t"—'�.— J ll RECORD PLANS FROM THE VARIOUS UTILITY COMPANIES AND PUBLIC AGENCIES AND ARE APPROXIMATE ONLY. ACTUAL LOCATIONS MUST BE DETERMINED IN THE FIELD. ' BEFORE EXCAVATIAG, BLASTING, INSTALLING, BACXFIL L/NG, GRADING, PAVEMENT RESTORATION OR AEPAIR/NG ALL UTILITY COMPANIES, PUBLIC AND PRIVATE � ' • •� r= MUST 8E CONTACTED, INCLUDING THOSE /N CONTROL OF UT/L/TIES NOT SMC.aWN ON THIS R-AN. SEE CHAPTER 370, ACTS OF 1963, MASS. WE ASSUME NO �., RESPONSABIL I T Y FOR DAMAGES INCURRED AS A RESULT OF UTILITIES OMITTED OR /NACCURATEL Y SHOWN. BEFORE PLANNING FYJTURE CONNECTIONS, THE APPROPR/ATE UTJL I T Y COMPANY ENGINEERING DEPr MUST BE CONSUL TED. THE CONTRACTOR MUST NOTIFY UTILITY COMPANIES 72 HOURS /N ADVANCE ....o• t OF CONSTRUCTION. THIS MAYBE DONE BY CONTACTING THE DIG-- SAFE CENTER f — » - R C F E R E N C E S — 800 322—484 4) _....t-- - —`•_ // 9 Ali bf VA r ' ' � r lie G '�7rc sr!" 9 dy h X K i ' �Iiwv; r :` ,� ,i' 2..s + ... •r, �� A T ZZI _ �. /f.� .2 W�� r ~ /' ?f ,r✓"p'"."» "'_"`+. .,ry... ..»r~`�_• .- .�` ._,.. �Y" „�,_ (�" �` `'s� f�`'4 S .4, J 1 10 ..__` • •-r..- ^. :. ..,,,,,., ,� ' _ tit �dvfY'<• ' � 1 '�-Ace• - •cl f IN fz Z. to ``'. ) _ ` ) i _ , y O / / yv 4 7a OF CUn,fC, l►'S '� \ / ''.�, 00 t, d v 4 a 4,, 4 t 1 >f 1 ` y Op s �� I ,,, \�, ,, r --^ __ -_� 4 :, 1 _ CAPE COD SURVEY : 4 v �� ora� _.. '.�. •m ,` -. ._ . - 3261 MAIN S1 ROLITE 6A , f n __� r , , �2 �_ __�.� �,�� �,. r' -�� �. _.__ •� j' 4 I BARNSTABLE VILLAGE, MA (.2h3U �,..., ,r � ti �� h .,, - . ... . �, 5C �. \ _ _._ (61 /) 362-8133 i t Y, t r - A� T'> %,,ce DIVISION OF � s _ / ---' ► 3QSTON SURVEY CONSULTANTS INC � \ 1 3 ENG'NEEPING SURVEYING • Fa U - _ _ _ ✓ / 1 It r ( 1.O 4- _-Y-17E'�. r • PLANNING 1 S � ,6..'' �� ^ _.. _..;.� _. .� ' w;.., ,I so.o x `' ( �� � � r ♦ , R~--�{ �.! . y �-?�� � ,� — p , �}� _ __ .. 1 � TITLE: '..,s �„ �' 1 1 �•1i S» , y3• `�. Il _ ,/''�, /,/F�} ('"�' +� -¢'��y'i A \\/" s " \ ._ •.* "C' `� t,(' ' ` / �� ` a t t ` \ r ...r+ .� .- "' L:.++.. :'°r i �' 1 S l �, f,..' P R'V P4.....r( i._D I 1 E. i 5....) F Poll / 71i1• ^ 11 � � V '�l s �R�S fsz v� - , I '� ! \,,• � >'',i � ' -..__ . - -r._ + f`� } , .t L..�./ ! I _ r s G r j , All �.ttyT't' ,\© .. 1 . t t - t{ yr `� J i 35 P,1M 1 r r}T ✓l Gk (�Ta +kjre S '�• 9y4 a.�`"� 1 J ,� L! `� i'4 .a't t✓" f r J .._-._..._...._.._..w...,....s+._....,..._.+.u........«...,«...... "1 w T�..� r'1 L�w` ♦ 1 ,�4 "__ - t `• \ A' 4� � 4'* A �pc ice .. S - . . S p ---- Ex\�T t>JU CG...�-s�.��. �^~— Gu�w�tt -- •i2� 41 F x2 t3 All �Z + R G \ + 1 H Y t�RA�.,� PUMPH ` ',. G. { N EAsIll �►� ! • ; SCALE E_x V6 As ) METERS PQ L _ FEET s 4 DATE 2.f 48 / @ 5 M CHECK K�;� C�1tiJ ' DRAWN` R,pA�1 FIELD FILE NO DWG. NO: e JOB NO. 14, 3. ? SHEET: OF PERC TEST APPL/CAT/ON NO. F - 3SZ4 TEST PIT DA TA DATE cam TEST/NG I+ - I`)-34 PERC TEST DATA : SEPTIC TANK DETAIL : slzE- -3So Q GAL. D/ST. BOX DETAIL : LEACH/ REVISIONS: TEST By, � wi t~so>o ---- DATE OF TESTING, t - - TANK r LEACHING FA C/L /T Y DETAIL:� No. DATE O CONFORM TO TITLE 5 REOUIREMENTS. TO CONFORM TO TITLE 5 REOU/R£M£NTS: T P of-91% �L�� WITNESSED BY: R 140F -- -�����-------- - ---r NO. OF OUTLETS TP- y ofPsM P_ 2 � TEST BY _--- - l wZ A WITNESSED BY ;,�„ „a 4 W Q'>11 AAl►1 vJ 6 ota AA 7rh --- 12 .,�"vii / � 1'br-- - . ; ��� e T-���, � �' Yti REMOVL�ABL E COVER a�- S#,Ijv1 4 n 0 1—) - ''MANHOLE BRDUGHT TO 2©1� SU6 )L 5®• ZQ �' S�pN 1 t' 6 F/N/SH GRADE.3 CLEAR 3 CLEARPFL�ASTOl1 iLQ4M$F/LL /2��M/N. � �� DEPTH OF TEST J4q M/N. ,3""M/N. 6"'M/N ° 1OUTLET PIPES RA TE INLETrA1f iL --- -M{1.a �11s.1C� -- - - ""M/N' INLET TEE —OUTLET TEE �� i / i BOX v i • .. . ; INLET AND OUTLET 4-0"" MINIMUM OUTLET TEE DEPTH T � 4 C./, 3540_ GAL. �j AQv I Ct? flt f � vF 5 t a D _— /4 AT L/OUID DEPTH OF 4' PRECAST OR BLOCK TEES TO 8E CAST L IOU/D DEPTH :, 2 6" �, SEPTAC TANK �► I - _— -7a ,v VIA DEPTH OF TEST ---- - -------- P.Vc' oR CAST a 24 6 h� I, •'' /9 5" / CONCRETE I SEEpwiw PIT CONSTRUCI�ON PL ACE CONCRE TE 29 coI$ f.5 RATE — -- CONCRETE MIN UU �_ 4 34" 8 BOTTOM ON LEVEL STABLE BASE !I`I p , CONSTRUCTION i -- - -- W TO 10' D}Jq ► (WATERT/GHT) INLET TEE PROVIDED WHERE SLOPE • ., ... _ .. ; . . . .... . . ,.p FOUNDATION TANK TO BEABLE TO WITHSTAND OF INLET PIPE EXCEEDS 0.08 /, OR BOTTOM OF TANK ON LEVEL STABLE BASE N-/O LOADING UNLESS UNDER /N A PU.VPED SYSTEM 20 MIN.. tv I / � PAVEMENT OR/N DRIVE.H-20 "--^ I/V�WASHED STONE i LOAD I NG UNDER PAVEMENTOR DRIVE t hi0 "1'M NU TES : PLAN VIEW : INVERT ELEVA T/ONS� I. THIS PLAN IS FOR THE DESIGN AUD CONSTRUCTION OF THE SEWAGE DISPOSAL FACIL/T Y ONL Y. SCALE / _ INV. AT BUILDING 2. ALL CONSTRUCTION METHODS AND MA TER/AL S SHALL CONFORM TO IN AT SEPT/C TANK(/N) MASS. D.E.O.E. TITLE 5 AND THE B_JJ M6-r BOARD OF ---INV. AT SgFPT/C TANK(OUTI HEALTH REGULAT/DNS. _— .,� 3, AU 5 T je oc,rug_zs Sr�A 4 L. a f- �St x - o w i 7�`l s74iN,� R-zo Loo,4 ALI. P/Pr. �N,q 1--Z_ j3F_ 5C 0L Z>vt..0 40 PV G /NV. AT D/ST BDX(/Nl . Ali, MAIM044,5 StIAt-1, ,Bt. RIOL.,'C-117" TO G.Z A,fit X -- -- /NV. AT D/ST. BOX(DUT1 AT LEACHING FACILITY 44.91 AT BOTTOM OFF/T.- �c�, O BOSTON, MASS. WORCESTER, MASS. HALIFAX, MASS. NORWELL, MASS. BEDFORD, MASS. LEXINGTON, MASS. HYANNIS, MASS. MANSFIELD, MASS. CRANSTON, R.I. DERRY, N.H. B C S DESIGN DA A EHF_ E:7) DESIGN FLOW E31!Eill, REOU/RED SEPTIC TANK 196815 k '1 0'0/, = Z95 GAL. SEPTIC TANK PROVIDED = 350o GAL, CAPE COD SURVEY REOU/RED SIZE_ LEACHING FACILITY. CONSULTANTS 3261 Main Street Route 6A Barnstable Village, Massachusetts 02630 - - -- -- -- Number. (617)362-8133 DIVISION OF T BOSTON SURVEY CONSULTANTS INC. SIZE OF LEACHING FACIL/TYPROV/DED: .ENGINEERING • SURVEYING • PLANNING TYPE OF SYSTEM ST6}..?E TITLE: rb23 Gp to ---------_s:� ____ -----___---� �� SEWAGE DISPOSAL SYSTEM DESIGN LOCUS PLAN zo 63 = � FOR M t i SCALE: AS SHOWN a� e METERS FEET 0 �V c Q� DATE: z" COMP./DESIGN: KPN1\ CHECK: RPN</C F\A/ DA TUM` DRAWN: � M FIELD: FILE NO: DWG, NO: 94L JOB NO: 14 6 S,o SHEET: a, OF: �,,