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HomeMy WebLinkAbout0075 FERNDOC STREET - Health L 7589 ST., HYANNIS A= 344.081 1 r ` i I 44 i 1 VIWN OF BARNSTABLE COMPLIANCE: CLASS: I.Marine,Gas Stations,Repair satisfactory 3.Auto Body Shops BOARD OF HEALTH \_ Ounsatisfactory- 4.Manufacturers (see"Orders") 5.Retail Stores COMPANY 1D� S( �� 6.Fuel Suppliers ADDRESS `7 nP S glass: 7.Miscellaneous L` nr1iS QUANTITIES AND STORAGE (IN= indoors; OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks IN OUT IN OUT IN OUT' #&gallons Age Test Fuels: Gasoline Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: S waste motor oil (C) y new motor oil(C) transmis ' Synthetic Organics: degreasers - Miscellaneous: r,01 P DISPOSAURECLAMATION REMARKS: 1 Sanitary Sewage 2.Water Supply - 4 ,d 10 own Sewer .:Public ,. }�� On-site 'Private 3.Indoor Floor Drains YES N0� t C O Holding tank:MDCrc_ kd O Catch basin/Dry well O On-site system 1 4. Outdoor Surface drains:YES NO Q Holding tank:MDC O Catch basin/Dry well �� O On-site system 5.Waste Transporter Narne of Hauler Destination Waste Product Licensed? YES NO 1. 2. erson (s) Interviewed Inspector Date LO A7 ION 1Y--SEWAGE PE R`MILl/NO� VILLAGE ' INS A LLER'S NAME & ADDRESS IUILDEIII OR OWNER DATE PERMIT ISSUED ® �? DATE COMPLIANCE ISSUED �� c,�. O�� �\ .,�, ��� �, =�� ��a �� �� 0 No. / P Fee (�V✓ THE COMMONWEALTH O ASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF ARNSTABLE, MASSACHUSETTS 2pplication for Miopoaf 6pgtem Con!5tructiott permit Application for a Permit to Construct( )Repair(✓f Upgrade( )Abandon( ) ❑Complete System O Individual Components Location Address or Lot No.� /NdpC (r Y Owper's Name,Address and Tel.No. 7 :S' W y. I-;h etAssessor's Map/Parcel �r Installer's Name,AddresAaal'yl.eANCO Designer's Name,Address and Tel.No. 350 Main Street W. Yarmouth, MA 02673 Type of Building: Dwelling No.of Bedrooms O Lot Size sq.ft. Garbage Grinder( ) Other Type of Building 4A"t No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank 1006 Type of S.A.S. Description of Soil c Nature of Repairs or Alterations(Answer when applicable) !2{n�g[t Cd M&EP'i Z gZA04"L `(-?w v G C cSfiil Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board of He h. Signed J 1 Date Application Approved by Date 7-- fz-l�`T-9. Application Disapproved for the following reasons Permit No. r Date Issued o "� No,. Fee ✓ THE COMMONWEALTH 0 ASSACHUSETTS Entered in computer: PUBLIC HEALTI! DIVISION -TOWN OF ARNSTABLE, MASSACHUSETTS Yes Application for Ofi6pont *pg;tem Construction Virmit Application for a Permit to Construct( )Repair(w-fUpgrade )Abandon( ) El Complete System El Individual Components Location Address or Lot No. � Fe I A)cloc P 9,V Owner's Namp,Address and Tel.No. -c) 4,9 q Assessor's Map/Parcel 7. & IDS . (V Installer's-Name,Address,aA,&.Bo.CA Designer's Name,Address and Tel.No. 359 Main S!r.-tt W. Yarmout;; Mn (),.6 Type of Bu/ilding: i Dwelling ' No..of Bedrooms 0 Lot Size sq.ft. Garbage Grinder Other Type-of Building 54 fqj L No. of Persons IT Showers( Cafeteria( Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank /006 -----:Fype of S.A.S. leeec 11 _N1 Description of Soil Nature of'Repairs or Alterations(Answer when applicable) n c c r p �A s Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system,. in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board of He I Signed—4� Date Application Approved by Date ^7, Application Disapproved for the following reasons Permit No. Date Issued ------—— - ————— - -THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of (Eo.mpliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed Repaired (W-<Upgraded Abandoned _�41 at has been constructed in accordance oF with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer Designer The issuance of this permit shall not be construed as a,guarantee that the system will function as designed. Date —7 P­5 Inspector ———---—---————————— - No. Fee .50 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS lwiopoal *proem Con.5truction Permit Permission is hereby granted to Construct Repair -ol Upgrade bandon System located at 3 lop?1--_-JCAVC_ 12& and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of this it. Date: —_71, ?_416 Approved by JosEPH D. DALUZ TELEPHONE: 77S.1120 Building Commissioner EXT. 107 TOWN OF BARNS'T'ABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 October 29, 1987 t Grover C. M. Farrish, M. D. , Chairman Town of Barnstable Board of Health 367 Main Street ` Hyannis, MA 02601 RE: Buckler - Corner Ferndoc Street and Joaquim Road, Hyannis A=344-38, 39 & 57 Dear Dr. Farrish: Please be advised that if floor drains and gasoline traps are not to be installed at the above location, as required by the State Plumbing Code, a variance must be obtained from the State Plumbing Board. Very truly yours, JZ -� Edward L. Jenkins Plumbing Inspector ELJ/gr a d F BAXTER & NYE INC. Registered Land Surveyors and Civil Engineers 7 Parker Road / Osterville, Massachusetts 02655 / Tel. (617) 428-9131 WILLIAM C.NYE,R.L.S. -;President RICHARD A.BAXTER,R.L.S.=Vice President PETER SULLIVAN,P.E. - Vice President-Engineering February 8, 1988 Town of Barnstable Site Plan Review Board 367 Main Street Hyannis, MA 02601 RE: Site Plan for Charles Buckler Ferndoc and Joaquim, Hyannis Dear Board: Please find attached a revised Site Plan for Mr. Buckler 's property on Ferndoc Street. In revising the drawing, I have attempted to address the Board's initial questions. In brief, I would like to summarize the following: I . The building is to be used as a warehouse. The first floor and outside parking will be used for temporary storage of vehicles. The second floor is to be used for dead storage. 2 . Ferndoc Street has no curbing. We propose a bituminous apron flaired to meet the existing pavement . To delineate the entrance and exit ,we propose an asphalt curb with loaming and seeding as required. 3. The tight tank is at the direction of the Board of Health. I trust this meets your present needs. If you have any further questions or comments please. do not hesitate to contact me. Very truly yours, Peter Sullivan, P.E. Baxter & Nye, Inc. Attachments PS/,.p MEMBERS OF CAPE COD SOCIETY OF PROFESSIONAL ENGINEERS AND LAND SURVEYORS/AMERICAN CONGRESS ON SURVEYING AND,MAPPING MASSACHUSEITS ASSOCIATION OF LAND SURVEYORS AND CIVIL ENGINEERS =* of 1H E roe SITE FSLAN REVIEW � °^ FOR OFFICE USE ONLY DARNSTABLE, DATE RECE I VED. APPL I CATION MASS. a ACTION DUE BY iG39• a`0� SITE PLAN # SP z - V, - TEo rnP� ACT I ON DATE OF. ACTION LOCATION __ n Legal Description - Sit . J1T5- % �a.wt -. A 1., i € - Planning Board Subdivision Number: Assessors Map and Parcel Number:. 6- 1-69 39 415 7 � Property Address: tE2K�, [ OWNER`. APPLICANT' ` Name: S .� U GK I�G Name: CA Address: \ 1 - A Address: 5 Arm C ; Phone::. 7 iz - ?4 3 Phone DEVELOPER \, + CONTRACTOR Name: G•`�! c,k L.E Name: Y .CQ�lD � ae� C_.C�P,T_ Address: .5Ar i p-: A d d r e s: ` 235 �V-eXC"V, GfS '(,A `Fbbo 243 -5 0>EN<v k5 Phone: ENGINEER AGENT Name: �kkc Name: Oti1t, Address: o Address 0&\T 2�4/(LIL G Phone: 4 -9131 Phone: :. 7 ZONING CLASSIFICATION(S) STORAGE TANKS UTILITIES District: XISTINGs �Ao�,Ar=- PROPOSED: Sewer: Flood Hazard: ice' Number: Number: Public: Groundwater Over 1 ay: LAY. o v\.o'T Cs) Size: Size: icop Private:. x ,M�P -64� Above Ground:_ Above Ground:-- Water: LOT AREA: ZZMQ.lpr Underground:_ Underground: A Public: X,_ Contents: Contents: -L0 Private: NUMBER OF BUILDINGS Q• Electrical : Existing: PARKING SPACES CURB CUTS Aerial : Proposed: 1. Required: 19 Existing: E 'Underground:_ Demolition: ------ Provided: Proposed: Gas: On Site: lg To Glose: Natural : TOTAL FLOOR AREA ( in sq.ft. ) Off Site: Total : . Propane: Residential : .Other: l Office: IN HISTORICAL DISTRICT:'(yes)_(no).1K.,,.r Phone: Medical Office: r: -Aerial : Commercial': BUILDINGS OVER 50 YRS. OLD:(#) Underground:_ Wholesale: Cable TV: { Institutional : IN AREA OF CRITICAL ENVIRONMENTAL` Aerial : Industrial : CONCERN (E.O.E.A.) :- (yes)_(no)_ Underground:_ s CONTENTS OF SITE PLAN •Tlie Site Plan shall include one or more appropriately scaled maps or drawings of the. property, drawn to an engineer's scale, clearly and accurately Indicating such elements .oF the following information as are pertinent to the development activity Proposed: 1) Legal description, Planning Board Subdivision Number (IF applicable), Assessors' Map and Parcel number and address (IF applicable) of the property. 2) Name, address and phone number of the property owner, and applicant if different than the property owner. 3)' Name, address, and phone number of the developer, contractor, engineer, other design professlonal and agent or legal representltive. 4) Complete property dimensions, area and zoning classification of property. W5) Existing and proposed topographical contours of the property taken at two-foot (2') contour Inte.rvals .by a registered engineer or registered land surveyor. 93 6) The nature, locatlortiand size of ail significant existing natural land Features, including, but not Ilmitbd to, tree, shrub, or brush masses, all individual trees over ten inches (10") fn caliper, grassed areas, large surface, rock In excess of six. Feet (6')*in diameter and .soli Features. 7) Location of all wetlands or waterbodles on the property.and:wl.thln one hundred feet (100') of the perimeter_ of the development activity. 8) The location, grade and dimensions of all present and/or proposed streets, ways and easements and any other paved surfaces. ❑ 9) Engineering cross-sections of proposed new curbs and pavements, and vision triangles measured In feet from any proposed curb cut along the street on which access Is proposed. 10) Location, height, elevation, Interior and exterior dimensions and uses or all buildings or structures, both proposed and existing= location, number and area of t -floors; number and type of dwelling units; location oF, emergency exits, retaining walls, existing and proposed signs. ❑ 11) Location of all existing and proposed utilities and storage Facilities including sewer connections, septic systems and any storage tanks, noting applicable approvals If received. 12) Proposed surface treatment of paved areas and the location and design of drainage systems with drainage calculations prepared by a registered cl.vil engineer. [� 13) Complete parking and traffic cYculation plan, IF applicable, showing location and dimensions of parking stalls, 5I vlders, bumper stops, required buffer areas and planting beds. [� 14) Lighting plan show►r#, the location, direction and intensity of existing and proposed external light fixtures. .15) A landscaping plan showing the location, name, number and size of plant types, and the locations and elevation and/or helght W planting beds, fences, walls, steps and paths. Q 16) A location map or other drawing at appropriate scale showing the general location and relation of the property to surrounding. are as including, where . relevant, the zoning and land U60 pattern or adJacent PI`011 'tleeo the exi6tina 5tre?t eyotmm in tl�e area and location of nearby public facilities. 17) Location within an Historical District and any other designation as an Historically Significant property, and the age and type of each existing building and structure on the site which Is more than fifty (50) years old. 18) Location of site with regard to Zones of Contribution for public supply wells ajs determined In a report entitled "Groundwater and Water Resource Protection Plan, Barnstable, Massachusetts" prepared by SEA Inc., Boston, MA, dated September, 1985, ,which Is on File with the Town Clerk. "Alf �. 19) Location of site with regard to Flood Areas regulated by Section 3-5. 1 herein. ❑ 20) Location of, site with; regard to Areas .oF Critical' Environmental Concern. ae�D �r designated by tihe Corrmonxealth'of" Massachusetts, Executive 0FFIce of Environmental Affairs. � ' fI ,' _ . BAXTER & NYE, INC. Professional Land Surveyors and Civil Engineers 812 Main Street • Osterville, Massachusetts 02655 . Tel. (508) 428-9131 WILLIAM C.NYE, P.L.S. President RICHARD A. BAXTER,.P.L.S.-Vice President PETER SULLIVAN; P.E.-Vice President Engineering 'I October 14 , 1988 Board of Health Town Hall .367 Main Street . Hyannis , Ma 02601 - RE: Septic System Inspection C. Buckler ,. Ferndoc Street & aoaquim Road Members of the ,Board; 1 This letter is to inform you that the septic system has been installed at the above noted site and is in substantial —compliance with the plan dated February 19 , 1987 and revised to .March 21 , 1988 . The only item remaining to be done is to bring manhole frame and covers to grade. If you have any questions or comments please do not hesitate to contact this office. Very truly yours , t hers A. Wilson P. E. Baxter & Nye, Inc . cc : C. Buckler LWoodside Park Corp. j y st 0 MrVs c �0 STEPHEN �e_ ALLYN 1 o %-4"LSON y 30216�Q `sS'CNAL���' � MEMBERS OF CAPE COD SOCIETY OF PROFESSIONAL ENGINEERS AND LAND SURVEYORS I AMERICAN CONGRESS ON SURVEYING AND MAPPING MASSACHUSETTS ASSOCIATION OF LAND SURVEYORS AND CIVIL ENGINEERS MYCOCK, KILROY, GREEN & McLAUGHLIN, P.C. ATTORNEYS AT LAW 171 MAIN STREET BERNARD T. KILROY HYANNIS, MASSACHUSETTS 02601 OF COUNSEL ALAN A. GREEN AREA CODE 617 EDWIN S. MYCOCK CHARLES S. MCLAUGHLIN, JR. 771-5070 MICHAEL D. FORD ADDRESS ALL MAIL P.O. BOX 960 MARK D. CARCHIDI HYANNIS, MASS. 02601 LAURIE A.WARREN MARIBETH KING REFER TO FILE # August 10 , 1987 John Kelley, Superintendent Board of Health Town Hall Hyannis, MA. 02601 Re: Request for permit - Charles Buckler Dear Mr . Kelley: I am writing to you as a follow-up to your grant of the permit to allow Mr. Buckler to proceed with the development of his property located off- of Ferndock Street, Hyannis . In keeping with the continuancy of the Board 's vote to allow, I am putting you on notice as agent for Mr . Buckler that there will be no washing or maintenance of any vehicles stored on the premises, that the second floor will be used for dead storage space and that Mr . Buckler understands that the permit would have to be reviewed upon any change of use of the premises by either the present owners or by any new purchaser of the premises . In the event that any portion of the building was submitted to a condominium form of ownership, this restriction with respect to continuing Board of Health approval would be make part of the Master Deed and By-laws. -� It is my understanding that this permit is ready to issue provided that you receive the letter from the engineer , Peter Sullivan, from Baxter & Nye that in his opinion that the construction of the site as planned will not in anyway have a significant adverse effect on surface or subsurface public or - ` private water resources. Assuming that you received the letter from Baxter & Nye, please advise if there is anything further from` Mr.: Buckler to do prior to obtaining his permit . Ve ru y rs, i Michael Ford MDF/dj w 3335d BAXTER & NYE, INC. Registered Land Surveyors and Civil Engineers 7 Parker Road / Osterville, Massachusetts 02655 / Tel. (617) 428-9131 WILLIAM C.NYE,R.L.S.- President RICHARD A.BAXTER,R.L.S.-Vice President PETER SULLIVAN,P.E.-Vice President-Engineering October 15, 1987 Town of Barnstable Board of Health 367 Main Street Hyannis, MA 02601 RE: Charles Buckler-Variance Request Ferndock Street/Joaquim Road Dear Board: This letter shall supplement my letters to the Board dated September 24 & 28, 1987 . It is my understanding that Mr. Buckler 's proposed facility will be used to store non-damaged vehicles only. There-will be no washing or maintenance on any vehicle on site. The second floor of the building is to be used as dead storage. There will be no storage or use of hazardous materials on site. Given strict adherence to this usage, it is my opinion that this facility will not have an adverse effect on the water resources. If you have any questions, please feel free to contact this office. Very truly yours, - Peter Sullivan, P.E. Baxter & Nye, Inc. \�y OF PS/fmj . (S SULL1 t v cc: Charles Buckler rJo Michael Ford,. Esq. `AC k� e r MEMBERS OF CAPE COD SOCIETY OF PROFESSIONAL ENGINEERS AND LAND SURVEYORS/AMERICAN CONGRESS ON SURVEYING AND MAPPING MASSACHUSETT S ASSOCIATION OF LAND SURVEYORS AND CIVIL ENGINEERS BAXTER & NYE, INC. Registered Land Surveyors and Civil Engineers 7 Parker Road / Osterville, Massachusetts 02655 /Tel. (617) 428-9131 WILLIAM C.NYE,R.L.S.-President RICHARD A.BAXTER,R.L.S.-Vice President PETER SULLIVAN,P.E.-Vice President-Engineering i ` September 28, 1987 Town of Barnstable_ Board of Health 367 Main Street Hyannis, Ma. 02601 ARE: Charles Buckler-Variance Request Ferndo.ck Street/Joaquim Road, Dear Board: This letter shall supplement my letter to the Board dated September 24, 1987 . It is my understanding that Mr. Buckler 's proposed facility will be used to store non-damaged vehicles only. There will be no washing or maintenance on any vehicle on site. The second floor of the building is to be used as dead storage. There will be no storage or use of hazardous materials on site. Given this usage it is my opinion that this facility will have no more of an adverse effect on the water resources than any other business where vehicles are parked. If you have any questions please feel free , to contact this office. OF Very Very truly yours, 9 g° PLLIVA v SULLIVAN - - N°• 29733 Peter Sullivan, P.E. OOA, �,sT�a ��Q Baxter & Nye, Inc. FS�E00 L PS/1p MEMBERS OF CAPE COD SOCIETY OF PROFESSIONAL ENGINEERS AND LAND SURVEYORS/AMERICAN CONGRESS ON SURVEYING AND MAPPING 'v' ` MASSACHUSMS ASSOCIATION OF LAND SURVEYORS AND CIVIL ENGINEERS BAXTER & NYE, INC. Registered Land Surveyors and Civil Engineers 7 Parker Road / Osterville, Massachusetts 02655 / Tel. (617) 428-9131 WILLIAM C.NYE,R.L.S.-President RICHARD A.BAXTER,R.L.S.-Vice President PETER SULLIVAN,P.E.-Vice President-Engineering September 24, 1987 Town of Barnstable Board of Health 367 Main Street Hyannis, Ma. 02601 RE: Charles Buckler-Variance Request Ferndock Street/Joaquim Road Dear Board: I have just been informed that the Board is awaiting a letter from the engineer before acting on Mr. Buckler's variance request . It is my understanding that Mr. Buckler 's proposed facility will be used to store vehicles. There will be no washing or maintenance done on any vechiles on site. The second floor of the building is to be used as dead storage. Based upon this usage the estimated daily flow is less than 330 gallons a day per acre. . This estimated flow is less than the Board's threshold limit considered to have an adverse effect (nitrate-nitrogen) on water resources. It is my opinion that since the design flow is below the threshold, that an on site sewage disposal system will have no more of a significant adverse effect on the water resources than any other Title 5 system with these estimated flows. If you have any questions please feel free to contact this office. Very truly yours, OF �yjq�s o SULLIVAN Peter Sullivan, P.E. ' Baxter & Nye, Inc. No. 29733 `y o A�or ,sT&� cc : Charles Buckler _ Fss�oroAL EN��� Michael Ford, Esq."­.' PS/lp MEMBERS OF CAPE COD SOCIETY OF PROFESSIONAL ENGINEERS AND LAND SURVEYORS/AMERICAN CONGRESS ON SURVEYING AND MAPPING MASSACHUSETTS ASSOCIATION OF LAND SURVEYORS AND CIVIL ENGINEERS BAXTER & NYE, INC. Registered Land Surveyors and Civil Engineers 7 Parker Road / Osterville, Massachusetts 02655 / Tel. (617) 428-9131 'WILLIAM C.NYE,R.L.S. - President RICHARD A.BAXTER,R.L.S.-Vice President PETER SULLIVAN,P.E.-Vice President-Engineering September 24 , 1987 Town of Barnstable Board of Health 367 Main Street Hyannis; Ma. 02601 RE: Charles Buckler-Variance Request Ferndock Street/Joaquim Road r Dear Board: I have just been informed that the Board is awaiting a letter from the engineer before acting on Mr. Buckler 's variance request . It is my understanding that Mr. Buckler 's proposed facility will be used to store vehicles. There will be no washing or maintenance done on any vechiles on site. The second floor of the building is to be used as dead , storage. Based upon this usage the estimated daily flow is less than 330 gallons a day per acre. This estimated flow .is less than the Board's threshold limit considered to have an adverse effect (nitrate-nitrogen) on water resources. It is my opinion that since the design flow is below the threshold, that an on site sewage disposal system. will have no more of a significant adverse effect on the water resources than any other Title 5 sl.:t-m with these estimated flows. If you have any questions please feel free to contact this office. Very truly yours, I"OF PETER U :� Peter Sullivan, P.E. SULLIVAN , Baxter & Nye, Inc. No. 29733 H " .o�o� �CIsTEa4� cc: Charles Buckler �sS10NAI Michael Ford, Esq. PS/lp MEMBERS OF CAPE COD SOCIETY OF PROFESSIONAL ENGINEERS AND LAND SURVEYORS/AMERICAN CONGRESS ON SURVEYING AND MAPPING MASSACHUSETTS ASSOCIATION OF LAND SURVEYORS AND CIVIL ENGINEERS f BAXTER & NYE, INC. Registered Land Surveyors and Civil Engineers 7 Parker Road / Osterville, Massachusetts 02655 / Tel. (617) 428-9131 WILLIAM C.NYE,R.L.S.- President RICHARD A.BAXTER,R.L.S.- Vice President PETER SULLIVAN,P.E. - Vice President-Engineering September 24, 1987 Town of Barnstable Board of Health 367 Main Street Hyannis, Ma. 02601 RE: Charles Buckler-Variance Request Ferndock Street/Joaquim Road Dear. Board: I have just been informed that the Board is awaiting a letter from the engineer before acting on Mr. Buckler 's . variance request . It is my understanding that Mr. Buckler 's proposed facility will be used to store vehicles. There will be no washing or maintenance done on any vechiles on site. The second floor of the building is to be used as dead . storage. Based upon this usage the estimated daily flow is less than 330 gallons a day per acre. This estimated flow is less than the Board's threshold limit considered to have an adverse effect (nitrate-nitrogen) on water resources. It is my opinion that since the design flow is below the threshold, that an on site sewage disposal system will have no more of a significant adverse effect on the water resources than any other Title 5 system with these estimated flows. If you have any questions please feel free to contact this office. Very truly yours, �,,,�• OFeooMASS . PETER v Peter Sullivan, P.E. o SULLIVAN Baxter & Nye, Inc. No. 29733 � a �CIST0 tc�� cc: Charles Buckler ONAL ENG�� Michael Ford, Esq. PS/lp MEMBERS OF CAPE COD SOCIETY OF PROFESSIONAL ENGINEERS AND LAND SURVEYORS/AMERICAN CONGRESS ON SURVEYING AND MAPPING MASSACHUSETTS ASSOCIATION OF LAND SURVEYORS AND CIVIL ENGINEERS CF TWE s V&aw (tom tJC/eowd I GGtG > rAaa Oy+639• ` 'E�M!1'!�' ssr.i..tii, rasao�ivaa 02601 COMP(ISSIOHERS: (617) 775-1120 Ext. 123 KEVIN O'NEIL. CHAIRMAN JOHN J. ROSARIO. vIct CHAIRMAN ROBERT L. O'BRIEN aU KRI W ENC IEwr T110MAB J. MULLEN PHILIP C. MCCARM F. SHELDON BUCKINGHAM February 24, 1987 To: Board of Health From: Superintendent, DPW Subject: Sewering Ferndock and Joaquim Road This is in response to a request received indirectly from Charles Buckler for information relative to sewering of Ferndock and Joaquim Road, Hyannis. The recently completed Sewer Master Plan makes no provision for sewering the above area. _Since the areas planned for sewering use up virtually all of the present capacity of the plant, it would not be possible to include this area without eliminating some other area which has been judged as being more sensitive under the criteria set forth in the overall plan. Therefore, any request for sewering of this area would have to be denied unless an exceptionally strong case could be made for altering the plan. ROBERT 'BRIEN Superintendent RLO/bw cc: Charles Buckler CHARLES BUCKLER LOT SIZE - l. 11 acres -- allowed discharge per Board of Health Regulations ( 330 Rule) 365 gal . per day FIRST FLOOR 6400 sq. ft . Proposed use - Parking for six ( 6) tow trucks Property restrictions on use - no washing of vehicles or maintenance of any kind on site Four ( 4 ) employees Suggested classification per 3 . 10 CMR , 15 .02 - factory or industrial plant without cafeteria - 15 gal . per employee No Bathrooms Small office - one (1 ) employee SECOND FLOOR 6400 sq. f t . Proposed use - storage or warehouse Suggested classification per 3 . 10 CMR; 15 . 02 - dry goods, 5 gals . per day per 100 sq. ft . Two Bathrooms - mens and womens - outs-ide with entrance and ex-ist- from _outside_ °�H Sve y`e� ��pp �pV VV � �• V �� .w6m't �ev�� Ja �a�Gz ai crr�, ave�nmP.n� 7oen�ex M IC H AE L S. D U K AK I S mo row,4+ Awe e/YJ4G(/%G S 0,0,90 Governor PAULA W. GOLD Secretary JAMES F. FRENCH Director • November 24 , 1987 Grover C. M. Farrish, M.D. Chairman, Board of Health Town of Barnstable 367 Main Street Hyannis , MA 02601 Dear Dr. Farrish, Mr. Louis Viseo, Executive Secretary of the Board of Plumbing Examiners , , has referred your letter of October 22 , 1987 to the Investigative Unit. If the plumbing inspector". , determines that the plumbing installation in question does not meet the requirements or coda: as designated, or if there are any extenuating circumstances regarding plumbing that may require interpretation please feel free to contact this office at 727-7406. Very truly yours , ,�. Je •y C. DeCris faro Chief Investigator The Boards of Registration within the Division of Registration: ALLIED HEALTH•ARCHITECTS•BARBERS•CHIROPRACTORS•DENTISTRY•DISPENSING OPTICIANS•EMBALMING AND FUNERAL DIRECTING•PROFESSIONAL ENGINEERS AND PROFESSIONAL LAND SURVEYORS•ELECTRICIANS•ELECTROLOGISTS•HAIRDRESSERS•HEALTH OFFICERS•LANDSCAPE ARCHITECTS- NURSING•NURSING HOME ADMINISTRATORS•OPERATORS OF DRINKING WATER SUPPLY FACILITIES•OPTOMETRY•PHARMACY•PLUMBERS AND GASFITTERS •PODIATRY•PSYCHOLOGISTS•PUBLIC ACCOUNTANCY•RADIO AND TELEVISION TECHNICIANS•REAL ESTATE BROKERS AND SALESMEN•SANITARIANS•SOCIAL WORKERS•SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY•VETERINARY MEDICINE. TOXIC :k-ND J1k-';t:ARDOI S I',A < J�IALJ 1-EGIS?'RATION F•OPM c *SAME OF FIRM: Board of Health MAILING ADDRESS: ? ��"�+ �� l�{�f��� .S Town of Barnstable TELEPHONE NUMBER: r212 5-- P.O. BOX 534 f Hyannis, Massachusetts 02601 CONTACT PERSON: 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 V This form must be returned to the Board of Health regardless of a YES or NO j answer., If you answered YES above, please indicate if the materials are stored at a site other than your mailing address : ADDRESS: { TELEPHONE: E LIST OF TOXIC AND HAZARDOUS MATERIALS The .Board of.Health has determined that the following products exhibit toxic or hazardous characteristics ana" must be registered when stored in quantities totalling more than 50 gallons liquid volume or 25 -pounds dry weight. - Please put a check beside each product that you store: Antifreeze (for gasline or coolant systems) Refrigerants Automatic transmission fluid Pesticides (insecticides, Engine and Radiator -flushes ., her.bicides,rodenticides) Hydraulic fluid (including brake fluid) Photochemicals a Motor oils/waste oils Printing Ink ? Gasoline, Jet fuel Wood preservatives j Diesel fuel, Kerosene, #2 heating oil (creosote) 3 Other petroleum products: grease, Swimming Pool chlorine lubricants Lye or caustic soda Degreasers for engines and metal Jewelry cleaners Degreasers for... driveways & garages Leather dyes Battery acid (electrolyte) Fertilizers (if stored Rustproofers outdoors) Car wash detergents PCB, s Car waxes and polishes Other chlorinated hydro` Asphalt & roofing tar carbons, '(inc.carbon Paints, varnishes, stains , _dyes tetrachloride) ' Paint and lacquer thinners Any other products wiJth , Paint & Varnish removers, deglossers "poison" labels (including.,' Paint brush cleaners chloroform, formaldehyde Floor & Furniture strippers s , hydrochloric acid other'• ' Metal polishes i x r, r acids) ". -.• -- Laundry soil & stain removers - a � Other products not listed' (including bleach) .. which you feel may be Spot removers & :cleaning fluids. ` - toxic or hazardous (please (dry cleaners ) . . k. -list) • k Other cleaning solvents" :. Bug and tar removers Household cleansers, oven cleaners Drain cleaners , � r Toilet cleaners ' ' a Cesspool cleaners w, l _ Disinfectants ' Road Salt (Halite)' w S .. i tt • ..' - - ..r.a 'r x,.:-sW s .. ..... r • .T. . w e � • `f' Y e• Z ....v .. k Z TOWN OF -BhRNS`i+r BLE iri.;i�r+Vc .__ , . �..,,��: y ` sat Z. Printers O ry 3-. Auto Body Shops BOARD OF H EA = H� 4.' Manufacturers unsatisfactory- ,$ 3 (see"Orders") S. Retail Stores COMPANY , �,u�•, JL° Q',,A +i i t Fc � .- 6. Fuel Suppliers v > �T Class• 7. Miscellaneous ADDRESS � �tl :. , - m ��,� . 7T7 QUANTITIES AND STORAGE (IN=indoors; OUT=outdoor Case lots Drums AboveTanks U�ndetEtouad TaekC ' MAJOR MATERIALS IN UT ns Fuels: Gasoline, Jet -Fuel (A) Diesel, Kerosene, AZ (B) ; Heavy Oils: waste motor oil (C), U new motor oil transmission/hydraulic,/ Synthetic Organics M_ l Miscellaneous: ` . f _ / t DISPOSAL RECLAMATION REME.RKS: 1. Sanitary Sewage Z. Water Supply n .-. A A} Town Sewer ��� �ublic �. ' On441-te Private ' 3. Ind or Floor Drains: YES NO 4 ` Holding tank MDC' O O Catch bas.in/Dry well �__._..._. _____......_-•-- •-.----- - aORD iFS• _ f ) On-site sy tem . ---•,mow . __- ,�>-„- 1 4, Outdoor Surface drains:•YES NC: ' I--_ - f O Holding tankMUC 0 Catch basin/Dry well 1A OOn-site system \` -- — � S. Waste Transporter Kn ,Clime of Hauler_ n etinatinn 41 . h(I • r a lk e vie Inspector Date F BAR'N,S E COMPL`IANCE: CLASS';: 1: Marine,Gas Stations,RFpa .r_. TL � 5atisfacto7.ry- ARD 2. " Printers OF H EALTI3. Auto P.ody Shops unsatisfac4. Manufacturers c �_'� " �� Retai.'1 Stores COMPANY {,rr=` (see Orders ) 5 - 6; Fuel Suppliers. s AD -�� �... .. s -...,:�,�• _.._. - ,� 7'. Miscellaneous DRESS � I _ Class. QUANTITIES AND STORAGE QIN=indocrs;. OUT=:outdoors) MAJOR"MATERIALS Case lots Drums AboveTanks. Undergrouad. Tanks IN UT IN O. INIOUT # a l e., s Fuels: Gasoline, Jet Fuel (A) Diesel, Kerosene, #2' (B) Heavy Oils: waste motor oil, (C) new motor oilT . (C) transmission/.hydraulic Syntheti:c: Organics: ` .degreasers -` �-�`�•-- i • 'Miscellaneous: ' DIS.POSAL CL TION — ' REWLRKS: , • 1. .Sanitary Sewage 2. Water Supply 0 Town' Sewer is to . Private 3:. Indoor. Floor Drains: YES NO C Holding tank: ,MDC O Catch-basin/Dry well i On-site system 4. Outdoor Surface drains:•YE A ' O Holding tank: MDC J1 y Q' � m� -z ✓b Catch..bas n/Dry well �- On-site system !- S. Waste' Transporter .,rr ,tip, �- ( .� G � ,;, c� Licensed? Name of Hauler, D i'na i• �nNa t_ Prod't �, 1 ; Irs4n s e iewe tor, 12 23 81 \ 1 40 '9 �O,*'THEr TOWN OF BARNSTABLE OFFICE OF BaaasTsans,MMB. BOARD OF HEALTH Epp 039. MA 367 MAIN STREET �0 'S k\ HYANNIS, MASS. 02601 August 14, 1987 � VJ After-Market Services �(�f�lv 116 Ridgewood Avenue to ,�,4� Hyannis, MA 02601 SUV V c- Dear Mr. Comell : pp���" � You are reminded that State regulations require periodic pumping and or cleaning of all MDC traps (Metropolitan District Commission,, gas and oil separator tanks) . You are directed to contract with a licensed hazardous waste transporter\contractor to perform the required pumping and or cleaning of your MDC. trap by September 11 , 1987 , or provide proof of such maintenance performed within the past three months . You are further directed to have your MDC trap inspected and cleaned if necessary, by a licensed hazardous waste contractor every three months , Written proof from a licensed contractor will be- required . Inspections will follow by the Health Department to verify compliance . You are reminded that failure to comply could result in a fine of $200 . 00 daily under the Town of Barnstable Toxic and Hazardous Waste By-law. Very Tru�llyp Yours , ohn M. Kelly _ Director Barnstable Health Department r _ +7n. E'wfY!ca't`- 4Fe.'t.• F`L +�p�•r_.'�! ..,...,.....c*.�.rswr., .... VOWN O F BA R N STA B L ECOMPLIANCE: CLAS5: 1. Printe,Gas Stations,Repair factory 2. Printers BOARD OF HEALTH 3. Auto Body Shops sfactor - 4. Manufacturers COMPANY L=`� ee"Orders") 5. Retail Stores 6. Fuel Suppliers. ADDRESS J Class: 7. Miscellaneous QUANTITIES AND STORAGE (IN=indoors; OUT=outdoors) MAJOR MATERIALS Case lots Drums AboveTanks Underground Tanks IN 10LIT 11N OUT INIOUT z2llons A2erest? Fuels: Gasoline, Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: e„ Y waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: }� degreasers Miscellaneous: v ;�rprcoG��- AP DISPOSAL RECLAMATION REMARKS:C UJAJ 1. Sanitary Sewage 2. Water Supply Town Sewer PQo1 �� Y 0y u lic 1 OOn-site O Private .3. Indoor Floor Drains: YES ` 1NO — C _:� —7 0 Holding tank: MDC 0 Catch basin/Dry well 0 On-site system 4. Outdoor Surface drains:YES _ f r �/ a • Holdin • tank: MDC � ` �i � �-- �" � ` O Catch basin/Dry well "CC Oib OOn-site system S. Waste��r�anr, Licensed? me of Hauler. Dgstinatijan Wastp, Produrt ,aL 1. ► a _ M lc%§e !� 12 23 81 Person(s) Interviewed —�- Inspector Date dc r' r N - {�\ FIRA _ A 40 l9� f�l C r l IM N « N � C v v ® v N FIM N ISO O� a , 1 a §\ �� � '� T.�. P ___. .._ — � I � � � i, �. a � � d l 1 �� I r. `� A � Q .� r �. !� � �. c� ��� � � THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...-----..... . ....................O F.............................-.........----......._...........---------------•---•-•-•--•• ppliratiou for UWposal Works Tomitrurfinrt Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at:73 -•-----•----..... K.. .. ......1-�®I-�b------------------------- . ...................................... �..................---- Location-Address or Lot No. ............... 4 .�1t !1..-:►�4`�1�.!�..._f��� -=----...--•----- ................-....S'..,G d�,tCal�_,[�. .@4�¢.l`�yi4 .e? ... Owner Address a ..............mc iv .�... W.cU!-vCc.,Chet4�-........... ...................... Installer Address Q Type of Building Size Lot.......tA,;4...........Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) pP4 Other—Type of Building .-CA&Aa1a_.... No. of persons---------fin.............. Showers ( ,) — Cafeteria ( ) P4 Other fixtures ............................................1 o--.�ac4� ........................ .........------------------ --•------------------------- W Design Flow........... _t_%........................gallons per person per day. Total daily flow..................10.4................gallons. WSeptic Tank—Liquid capacity............gallons Length---------------- Width................ Diameter---------------- Depth................. x Disposal 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...._..__C..F-.....?.ea..&tT.tali........................... Date.... ......... �4 Test Pit No. 1..._------------minutes per inch Depth of Test Pit.................... Depth to ground water........................ Gz, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-_________--____--_____. •-•-----------------------------------------------••------------.......................--------.....-----...-•----•------------------------------.----------- Q Description of Soil......................tCSr---- C. ,t.ac�t.��-- AFcZ2r__�S�4 ! i Ae- ;3... -------- v ------•----------------•--•------------•------------------- --------------y .t. .._. e4 ,a_._.. /` �� ` L.- --.:.. W ---------------------- --------------------------------------------------------•---••••••••--•--•-•-----•-•-••------------...--•••------••-------•-••......•. --------------------- UNature of Repairs or Alterations—Answer when applicable.......c --4. ./lV ------------- -�-�r- - -e - �`�'X-' Agreement: The undersigned agrees to' install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed..........7001VIA..�1l�L l { ----•- ------� - Date Application Approved By--...-�.,,4� ,e a<._ 0 ----------------•------------------ -------�.. Date ---_--- Application Disapproved for the following reasons: ............................................................. ..----•-------------•-•--••----•-------------•--•----••-------------......------------.........._...------•---•-------------•••-•---------•-----••----•--••...•-•-•-•-----••--------••------•--•----•--- Date PermitNo. � .��D .----.....••-•--------•.. Issued-....................................................... Date No.............Zfj....... ............ ......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -------------------OF...........Rarn.tat�le---------------------......................... Appliration for Uiiipoiial 10ork, i Toutitrurtion thrmit A h b pp icaon is errz made for a Permit to Construct ( X) or Repair an Individual Sewage Disposal System at:ff 77d-06 S-P'Mc�­ .................i3*�.�. ozu.....Hyanniz........................ .............................Lot...4.4...........................................Z........ o tio.-te4,,sr�4 or Lot No. C L..) '�'l"i .. .......�ja .................... ................... .................................................... ..... Own r -- . ............................... inInstaller er Addres- s UP Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic Garbage Grinder Other—Type of Building Ganage----------- No. of persons..........2--------------- Showers (nO) — Cafeteria TLO P4Other fixtures ------------------------------------------------------------------------------------------------------- ..................................... Design Flow........._.5.0...........................gallons per person per day. Total daily flow........... (Y.........................gallons. WSeptic Tank—Liquid capacity!QQQgallons Lengthl'.6"... Width.- ___IQ.__" Diameter________________ Depth..5.1.4 11... Disposal Trench—No. .......1.......... Width......1A Total Length--23.t.......... Total leaching area4.14...........sq. ft. Seepage Pit No--------------------- Diameter-___-_-_-_____------ Depth below inlet....._........_..... Total leaching area..................sq. ft. Z Other Distribution box (X ) Dosing tank ( ) M a D.C. Trap X Percolation Test Results Performed byQARe--CQd..j5lArVe-v----C.Qns.ult.ant 9Date.....1Q/22/79............ aTest Pit No. I.....Z--------minutesperinch Depth of Test Pit.....6.e.4.1..... Depth to ground water----5-.7......... Test Pit No. 2.........6nu er inc cpth of Pst Pit Depth to grg ................... ------- -Vd water......____......__...__. 0 .... ... ..� . ..................... 0 Description of Soii.Qtp-0 2 pave ent.,.._Q,.a-2 _Q... `4 sand----------pave__ ........ ...... --- - - - .............................................. 5.tg-�.t.5...ROA...Y-9119W...sand, ...dam -...mad U ... - sand.-------w---a--ter---a-t---5!_7'---------------------------------------------------------- ............. - -- ------ -Answer when applicable. U Nature of Repairs or Alterations ----------- ____REU IM... --------AZ -V B. ....... .. .................................................................................................... ......21---- ------ ------------------- -------6kAPWAjq------ Agreement: No. 27654,011. The undersigned agrees to install the aforedescribed Individual Sewage Disposal System danc the provisions o - , 5 of the State Sanitary Code—The undersigned further agrees not to p f'TTLE: /ST N operation until a Certificate of Compliance has been issued by the board of health. -74 igne ................. _110.;VC,�6 te Application Approved BY---`------ .... ..... .. ..... ..................... ---- Date Application Disapproved for the following reasons:.................... ---------------------------------------------------------------------------- .............................................................................................I...........I............................................................................................... Date PermitNo.......................................................... Issued-...1211-_-A.-..Z..,-�.................. Date _77— THE COW,MONWEAL•AH'OF"MASSACHU SETTS ' a BOARD OF HEALTH T© . . .....................OF.':;.;.....Barnstable.......--...................................... A'ptirativit for Displa�a1 Marks Tonstrurtinn Frrutit Application is hereby made for a Permit to Construct (X) or'I"Repair ( ) an Individual Sewage Disposal System at: ................. ed. Gk ... .......•-•--. R - 4A Location-Address or Lot No. .................................................•----------------------- -------------------- ---------------------------------••----....................................................... Owner ------- b Installer . Address=-------- } Ai�. ' Type of Building Size Lot____ _________ _________Sq. feet ., Dwelling—No. of Bedrooms................................._----------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building Garage........... No. of persons.........2................ Showers PO) = Cafeteria 1P ) Other fixtures ................................................ .r Design Flow...._ ..5 _ ::_gallons per person per day. Total daily flow.........................................•..gallons. 04 11 Septic Tank—Liquid capacity.1QQQ_gallons Length..8.6r►1_ Width-�t1Qt1; Diameter ______________ Depth. ..�...... Disposal Trench—No.......IL.......... Width.....It'...... Total Length__23•........_..Total leaching area414............sq. ft. Seepage,Pit No---_---------------- Diameter.................... Depth below inlet......:............. Total leaching area----- ..._.. so. ft. z Other Distribution box (X ) Dosing tank ( ) ,M.D.C. Trap 1, Percolation Test Results Performed by-.�BP.G_ C.0-( 25ux:31e 0013AUltAnt s)ate.....10/22/­,79:......:.... - Test Pit No. 1----2---------min tes per inch. De th ts`f` Test Pit._-__- Depth to ound-water--_ est Pit No. 2.... s r c De h o Test Pit Depth to und.water........................ Q+' •r• :y• St�' " � h---------------_ O Description of Soil.q_�t�-Q...� �?�YBIRSr_thy;._4_.2-.�,<o_..�Qars__ �'lll; �,9- _�9 d ze ....................sands 0 . .YA11.0sand:-..5.,56.4dme �...�. -•--- . Mas w ----- ----.eand,---- watOr...a!---5.91 t -------- -- ------ ---------- -------- - o�. •-•--•. -s9�, UNature of Repairs or Alterations—Answer when applicable.......................... _._.. ---------- - REN�WICK m r Cn Agreement: L 7 r'� .o p No. 27654 0 The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in the provisions of'TT E 5 of the State Sanitary Code— The undersigned further agrees not to placer operation until a Certificate of Compliance has been issued by the board of health. igne � rX- s-N — -- ................................ Application Approved By..�»__._.. �- ....................... • 2t` s Application Disapproved for the following reasons---------------------7•---•------------•---••••---.....•.------------••-------•--- a.t.e.............. a u i ---•-•--•-_•---••----•--.......---•--------------•----•-•----......--•---•-•-------------.................--••----•••-• `-•-----•-------------------------•----------•------•--......---•--......------. / Da te Permit No.--•---••--•----•---••----= - Issued.--�..'`.' - 7 ._:......_..... Date THE COMMONWEALTH OF MASSACHUSETTS x BOARD 0,9 HEALTH OF Cwrrtifiratr of (to Mx' pliaurr T I„ TO CE Y, That the Individual Sewage Disposal ystem constructed ( <or Repaired ( ) by-------Idj _... s. _ w ./ stall 1 ate.. x.. y `' U u�t'L!'f'�'1.� has been installed in accordance with the provisions of T 5 of The State Sanitary Cede as described in the application for Disposal Works Construction Permit N 7.._.....711_.A........i... dated-_- z:_`_7f.!.....____... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. � DATE............. ...•• ....2 - 7 Inspector V. THE COMMONWEALTH OF MASSACHUSETTS BOARD ® HEALTH 7 ......... ...........OF........... 4......No.............. ..� FEE....._... ......... i �a �i nr, ��ntrnrtinn rrntit Permission ij hereby granted........ --------- ---------------------------------•----------- .................................................. ' to Constr ct �or pjl���ir� ( ) a 'vldual Sew e Dg"spo's S tree....._ ._ as shown on the application for Disposal Works,Construction Perm* o..... ........�L... ^ated.__ _Q_..�!. .�� ............ + , Board of Health DATE...............--• ---- .. ................... FORM 1255 HOBBS & WARREN. INC., PUBLISHERS r NO..::: Fis :................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -•------ --------.......................OF............................................ .._......... Aliptiration for Dispas al 10orka Tnnitrnrtinn ranfit Application is hereby made for a Permit to Construct ( ) or Repair ) an Individual Sewage Disposal System at: ....... - ...................... .........:..... Rr Location-Address or Lot No. --------------- ..f'•-Q..:............... ..........--.........S.F'..;l �dl_t�d. f ._+t� 1 �. _ !aSt!_: .....--- Owner Address a ------------ Lc_e E%4t.y C oar. ! €�(�! '1 L .0 t� :.C' ?- -- ............t�.Y '. e S;. A.&&&-..................... Installer Address UType of Building Size Lot...... ----_..______--Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) 04 Other—Type of Building ..*.4A,4ra tr__--. No. of persons.........Z�............... Showers ( ) — Cafeteria ( ) Q' Other fixtures ...........................................A.)ZA... " t.t, .`............................................................................... W Design Flow.........41-44........................gallons per person per day. Total daily flow--_--.------.._--140.Q.................gallons. WSeptic Tank—Liquid capacity............gallons Length................. Width................ Diameter------------,_.... Depth................ x Disposal 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 ( ) W Percolation Test Results Performed by.........C._P..... ,............................. Date....lt? - _7' .......... Test Pit No. 1................minutes per inch Depth of Test Pit................:.... Depth to ground water......................... f14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ O Description of Soil.....................44-> 3 4. .....,M'':r_._� .,, r._ r eat_r_T --- r4 .d----- �i fir_'---`..�'c�. tev-.S4ti,t1.......-- W VNature of Repairs or Alterations—Answer when applicable------ xt-,�.- -r` .................................................... - 1a �.. -t Cr ---•-••-•-� / ••-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT L L 5 of the State Sanitary Code—The undersigned further agrees not to place the system in ' p p. y health. operation until a Certificate of Compliance s been issued and of ..1"- ------- -----FV_ r. , 7}�} �(;'!� Date ArApplication Approved BY ==`:.. '....... ---� »���:_:: .................................... ------4/ Date Application Disapproved for the following reasons--------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------•••-•••••-••-••-•-•••••••••-••••-••••-•-••-------••••••••••••••••-......-•••••-•-•-••-••-•••... Date- PermitNo.... �s === =- ............................ Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... (9rdifirate of Tuntphnnrr THIS IS TO-CERTIFY, the Individual Sewage Disposal System constructed ( ) or Repaired ) by ........................... =-----------------------------------....-----------------...--------------........------------....--------------------- Install has been installed in accordance with the provisions of TIT LFj `" of The State Sanitary Code as described in the application for Disposal Works Construction Permit No....... dated................................................ THE ISSUANCE OF THIS CERTI ATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATiSFAG DATE................................................................................ Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH T �Y:1a ........................................ OF..................................................................................... t }•—• FEE........................ Permission is hereby granted.=�...... C " L-................................. -------------------------------------•----- j to Construct ( } or Repair (A) an Individual Sr4age Disposal System at No..............41%----Mn$j--D44-----42 -------------••' Street as shown on the application for Disposal Works Construction Permit No........... ?.... Dated... ?:`s,+......4................. /U j !j DATE.--••----------------------------•---------.....-- •._..... Board of Health r---l1--� FORM 1255 A. M. SULKIN, INC., BOSTON - i •.,r. i CTE+J LCi:gl- tilc3' 5 _ / - S T C / 1. ,n55�S�6Q.br4 Aga 1 O �0� L7C� , =6��7 \ h Qv. / ' LLOkA c�22oPEm-4 ieq c"AzLc,5 r a �Y` �I t'�-t w����S�C' 'ti►J6 A(aE,►.•R; *�-, ;_, ��E '3. E►�f�t+.►Eca� �' SVLL� vh,,� Q t��>F NYE-`n►C t"E G4s A �g I ZZ�lSF I \ Ds4'E2�1 i L�L- -rc �128-9 3 I cf o '°h c ►D� o �'t' — /cb. 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