HomeMy WebLinkAbout0587 IYANNOUGH ROAD/RTE 28 - Health FA
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TOWN OF BARNSTABLE
LOCATION g? Y,4AnVOU(H 1Zb SEWAGE# ZOI$ —)SL
VILLAGE }{LIAwof ASSESSOR'S MAP&PARCEL 311 -0 V-00 1
INSTALLER'S NAME&PHONE NO. S� /`'►�lV L �wfl-7i� LC�
SEPTIC TANK CAPACITY /S
LEACHING FACILITY: (type) P(xa Di F%,Sty (size) Z
NO. OF BEDROOMS
OWNER V 0AIE f 4l) CIT
PERMIT DATE: S I ZZ�� COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and.Leaching Facility(If any wells exist on
site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist within
300 feet of leaching facility) Feet
FURNISHED BY
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No. Fee �aU ��
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THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Ye�J
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
4phration for Misposal bpetrm Construttion permit
Application for a Permit to Construct( ) Repair grade( ) Abandon( ) ❑Complete System ❑Individual Component
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Location Address or Lot No. 6$7 1-/AVM.)LY7 90 Owner's Name,Address,and Tel.No.
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a,I.rtn3 M p i?L-i �_(U/vwv",u
Assessor'sMap/Parcel '��1 4-� �
Installer's Name,Address,and Tel.No. 32 S>615 Designer's Name,Address,and Tel.No.
SptpWI-1,W syc4v"'Ivr Ct'c
Type of Building:
Dwelling No.of Bedrooms N Lot Size i 7,199, sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) J✓/, gpd Design flow provided gpd
Plan Date .4zJ,/4 Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil /,j
Nature of Repairs or Alterations(Answer when applicable) 2 6*!l C r5Z_ 4-1-1 D S UU SS 7 to P—20
Date last inspected:
Agreement: l
The undersigned agrees to ensure the construd&n and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Titl vironmental Co not to place the system in operation until a Certificate of
I
Compliance has been issued by this Boa f He It.
Signed Date
Application Approved by Date
Application Disapproved by Date
for the following reasons
Permit No. Date Issued
�.,:,.,;.'�_ � ....r a • I .. � r . ,. c,,�', ��,i +j�'� ..ry�,�*"'v"4t ,,,y,bi,� ,:"..`•t�K�'t-.. Y,;"ti
No. ao L.' �� f Fee L / t -�
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
es
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Y.
application for 30ispoBar 6pStrift Construction permit
Application for a Permit to Construct Re air. rade Abandon pp ( ) p ( pg ( ) ( ) ❑Complete System Individual Component
--•�� ,Location Address or Lot No.S S'7 I 1,AA/,'-,0t•y:" f?u Owner's Name,Address,and Tel.No. )
Assessor's!Map/Parcel 3 ± 645
Installer's Name,Address,and Tel.No. 37 55 G Designer's Name,Address,and Tel.No.
Type of Building:
Dwelling No.of Bedrooms r//n Lot Size i �.'� . sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures -'
Design Flow(min.required) IV gpd Design flow provided- gpd
Plan Date q//1 Number of sheets Revision Date
Title
1
Size of Septic Tank Type'of.S.A.
Description of Soil n/In
Nature of Repairs or Alterations(Answer when applicable) E� J S V U ;S 7 �✓/%1 �-/-7c�
I S� ss t
Date last inspected:
Agreement: }fL.
a The undersigned agrees to ensure the consriucrtion and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 55 of-the.Environmental Code-and not to place the system in operation until a Certificate of
Compliance has been issued by this B Z of Huth.
Signed Date t ;/c-'.'. Z-
Application Approved by 11 ll1(l�-'��� ��r.�/ - -A Date
Application Disapproved by Date ,
f x
for the following reasons W11" "
9'
Permit No. Date Issued
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS ,
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( Upgraded( )
Abandoned( )by
7 iiat has been constructed in accordance J=
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with the,provisions of Title'45 and the for Disposal System Construction Permit No. dated
Installer �y�t��� &(�'(e t-1+-•v/ L L t Designer /IV� 'tt
#bedrooms /V� Approved design flow r gpd
The issuance of this permit shall?not be Construed as a guarantee that the system willlfunction designed.
•� � r
Date / .� Inspector,,
------------------ ---------------------- -� � ------------------- ------------------------------------------�-------------
Fee -----------
No.
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
]Disposal-*pstem Construction permit
Permission is hereby granted to Construct( ).,.. Repair(;X, ) Upgrade( ) Abandon( )
System located at
J
and as described in the above Application for Disposal System Construction Permit. The applicant recognized 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 permit.
�
Date �) / _ l_1 Approved by ) �"K '!l ,1r.•a'I ti_ �(�
lW,
C•C,
TOWN OF 9ARNSTABLE
LOCATION ?TYann� Z SEWAGE g �17So2
ASSESSOR'S MAP&LOT A•3/!_6 ys-oo i
INSTALLER'S NAME&PHONE NO. 6,o/tD4i1 nJ/J �p''S6 yC
SEP'IIC TANK CAPACITY /SO 0 6A/
LEACHING FACILrfY:(type) &"' a—
NO.OFBEDROOMS 19
BURDER OR OWNER
pERDATE; 0CT3, COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet
Private Water SupPly Well and Leaching Facility (If any wells exist Feet
on site or within 2W feet of leaching facility)
Edge of Wetland and Leaching Facility(If any wetlands exist Feet
within 300 feet of leaching facility)
Furnished by
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TOWN OF BARNSTABLE e c,
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i` LOCATION r //nov Jr�/3c;"SEWAGE# /71-5;Z
VILLAGE AI All /S ASSESSOR'S MAP&LOT A-11
INSTALLER'S NAME&PHONE NO. Co/ta-an •�/.t��"� y "�E�f�
SEPTIC TANK CAPACITY D
LEACHING FACILITY: (type) (size)(size) o;—
NO.OF BEDROOMS Zr12I
BUILDER OR OWNER W4` C c
PERMITDATE: OC 54 COMPLIANCE DATE:
Separation Distance Between the: t I
Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
k Furnished by —
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$10 c
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THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
ZIpplication for Migogal *pztem Cototruction Permit
Application is hereby made for a Permit to Construct( )or Repair(e")an On-site Sewage Disposal System at:
Location Add r s o of No. Owner's Name,Address and Tel.No.
d\ e?A4DoOJT
Installer's Name,Address,and Tel.No. 40
Designer's Name,Address and Tel.No.
Type of Building:
Dwelling No.of Bedrooms Garbage Grinder( )
Other Type of BuildinzMEMM No. of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow 00 gallons.
Plan Date Number of sheets Revision Date
Title
Description of Soil
Nature of Repairs or Alterations(Answer when applicable)
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 issW by this Bo d of
Signe Date f• J'/
Application Approved by v
Application Disapproved for the following reason
Permit No. Date Issued
---------------------------------------
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Plo. / O `K .r Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
01ppfication for: Migpogal *pgtem Congtruction Permit
k Application is hereby made for a Permit io Construct or Repair an On-site Sewage Dis osal S stem at:
Location Add r s o of No. Owner's Name,Address and Tel.No.
06W 4
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2
Installer's Name,Address,and Tel.No. �� 4« Designer's Name,Address and Tel.No. a8m r
i a 8-- F,e•7,�-_ 03
Type of.Building:
!Dwelling No.of Bedrooms Garbage Grinder( )
Other Type of BuildinzW��No. of Persons Showers( ) Cafeteria( )'
Other Fixturesj �rr p�
Design Flow e5Y/ . gallons per day. Calculated daily flow �(/ gallons.
Plan Date Number of sheets A Revision°Date
Title
Description of Soil
' Nature oUgepairs or Alterations(Answer when applicable)
Date last inspected:
Agreement: Y;
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 iss by this Bo d of r3
I . �, -
* Signe ° Date /� /
Application Approved by v
Application Disapproved for the following reason t
Permit No. , Date Issued
• `✓ ...E ..r.•...., v Y,:e�.+-, 3.'W �iru+r .
.�..—. .��..—.iv _ �<—._r - .�va��.��.t� .�V.•--�_- z.-a..r�ti.�...•cra�-.a�.fa�.-�—_��—.Tam—�_.—�—..—_—..—.— —THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS
Certificate of Compliance -
THIS IS TO CERTIFY,that the On-site Sewage Disposal System installed( )or repaired/replaced(/,�on
by (;OeOoA '3v M AV for
as has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. #7 5-')— dated
Use of this system is conditioned on compliance with the provisions set forth below:
No. Fee AC` ......
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE. MASSACHUSETTS
x1i6poga[ *pgtem Congtruction Permit
Permission is hereby grante to (�n�bW aim lq)"-q
to construct( )repair O an On-site Sewage System located at m/ -
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.
All construction m st be Fornpleted within two years of the date below. e
Date: �O Approved by
'A
�P�oF?pETo�yo TOWN OF BARNSTABLE
OFFICE OF
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MAG& BOARD OF HEALTH
M6.
9�c 1639. ��� 367 MAIN STREET
HYANNIS, MASS. 02601
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August 14, 1987
Paul Coyne
Cape Cod Rustproofing �t
587 Iyanough Road uo
Hyannis, MA 02601 �CC�
Dear Mr. Coyne:
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 Truly Yours ,
99' ` A'
John M. Kelly
Director
Barnstable Health Department
ti
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 the
Town (WHICH YOU MUST DO according to 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, 15t Ft., 367 Main St., Hyannis,
MA 02601(Town Hall) and get the Business Certificate that is required by law.
Fill in please: DATE
APPLICANT'S YOUR NAME/CORPORATE NAME 65'0 $TOA/e fylQr�$ �,-C E SS T PE:YG 5•'�_ �✓�E��
BUSINESS YOUR HOME ADDRESS: BUSIN
73-7--7-wo
TELEPHONE # Home Tele hone Number p
NAME OF NEW BUSINES ,�D 1yt1O0 Sr4C3 !F;Qf GG s�ip/ACCyeSgSN OR EIN: Cl/
Have you been given approv I from the building div'sion?•YES NO _
ADDRESS OF BUSINESS S �A.(1AJ f+I fijj+gAIAJS MA -W6O MAP/PARCEL NUMBER
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 COMfyIfS�bi
R'S OFFICE _
This individual hinfor-m tof?:!y fermi req^uirements that pertain to this type of business.
A thorized Signat re CO[�MENTS
2. OARD OF HEALTH
This in ha$beefer_rni of the permit requirements that pertain to this type of business; MUST COMPLY VVI T ii ALL
L Y V( HAZARDOUS MATERIALS REGULATIONS
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:
-� I Date:1-0
TOWN OF BARNSTABLE
TOXIC AND HAZARDOUS MATERIALS ON-SITS INVENTORY
NAME OF BUSINESS: ��j ' ,ant ,IAarors fhz otv�- / 16
o
BUSINESS LOCATION: 5fil. rxp INVENTORY
MAILING ADDRESS: max_ TOTAL AMOUNT:
TELEPHONE NUMBER: 508- 737-732D
CONTACT PERSON: i5Oyo h,aL. c),,
EMERGENCY CONTACT TELEPHONE NUMBER: 509-36c. 2M7 MSDS ON SITE?
TYPE OF BUSINESS: dG.55 9 B)ecAxr—
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
Laundry soil &stain removers
(including bleach)
Spot removers &cleaning fluids
(dry cleaners)
Other cleaning solvents
Bug and tar removers
Windshield wash
WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS plicant's Signature Staff's Initials
'
2-;,9z'
TOP OF FOUNDATION
CONCRETE COVERS
H N K Y Pf � A D
4"CAST IRON 12"MAX.
LE 40
PV.C. PIPE MIN.
ell
S"E'P'TIC TANK EL 4� Ze
GAL. NVER INVERTY INVERT
PROR LE OF
L4,
GROUND WATER TABLE
SEWAGE DISPOSAL SYSTEM TYPICAL CROSS SECTION
SOIL LOG LEACH I NG TRENCH
TEST HOLE 1 , TEST HOLE 2
ELEV. ELEV. DESIGN DATA
12 MI N. WASHED
jE
f)()TToM LEACHING AREA SO.FT./TTIENCII
o GARBAGE DISPOSAL . .(50% AREA INCREASE) WASHED
MNE
TOTAL LEACHING AREA . . . SQ.FT.
/'7�r C LEACHING AREA PER PERCOLATION RATE SQ.FT.
GROUND WArER TABLE
APPROVED BOARD OF HEALTH
WITNESSED BY AGENT OR INSPECTOR EDWARD
E.
BOARD OF HEALTH
KELLEY
No. 26100
ENGINEER IsTit
PETITIONER
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