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Home My WebLink About0061 OLD STRAWBERRY HILL ROAD - Health 61 Old Strawberry Hill Rd 249-118 Hyannis i TOWN OF BARNSTABLE LOCATION Z�'/ -sZ;; SEWAGE# VILLAGE ASSESSOR'S MAP& LOTS f-11 • INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY AM LEACHING FACILITY: (type) Lf l (size) NO.OF BEDROOMS ✓,` r BUILDER OR OWNER Ak 1-44dV PERMITDATE: ''Z�L 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 . 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 face ) Feet Furnished by o- c �� N . i-- � .�t �� -.�- C �� . . C-0 1 No. P� Fee ` THE COMMONWEAL H OF MASSACHUSETTS PUBLIC HEALTH DIVISION " TOWN OF BARNSTABLE, MASSACHUSETTS RvipYication for Mizpozaf *pztem Cow9truction 3permit Application is hereby made for a Permit to Construct( )or Repair( )an On-site Sewage Disposal System at: Location Address or Lot No. / !T�// ^ /,n Owner's Name,Add Tel.No. (s( 00 Siff etr /(�(�C /q ,Il�M( Installer's Name,Address and T(No. Designer's Name,Address and Tel.No. A A B EANCO 9,4y$+er 4-A)ys 350 Main Street l al- M Yh , MA 02673 Type.of By Dwelling No.of Bed'roomg 3 Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow 330 gallons. Plan Date !.. — 1,7 Number of sheets P Revision Date N/A Title Description of Soil /10! � �'► Nature of Repairs or Alterations(Answer when applicable) T17S f f O l c54 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 f alth i Signed CDate L Application Approved by f �' Application Disapproved for the following reasons Permit No. 9-- fs Date Issued 'S,h�r t jv�.:'�i�.":.. t� .. •o r�,�. i .v-„t,s' �A.+�yC.r...malt r. -+.�-+..- _�.. �., �.y-+..,�.�� w-��.l, �-.+w e�. � r- �.:.... � , No Fee THE COMMONWEAL H OF MASSACHUSETTS , . PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 2(ppYicatiou for ;D gpogoY *raem Cougtructiou Vermit Application is hereby made for a Permit to Construct( )'or Repair( )an On-site Sewage Disposal System at: Location Address or Lot No. Owner's Name Add and Tel.No. ( 0(61 Sjl�&Aetr `X� 2c Al R� Rh �. Installer's Name,AddreAA .tCANC Designer's Name,Address and Tel.No. 350 Main Street g,4y+ef + l ye W.Yarmouth, MA 02673 Type,of Building: Dwelling No.of Bedrooms Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow tic) gallons per day. Calculated daily flow 330 -gallons. Plan Date /a - 77 Number of sheets I Revision Date W/A Title I v-f Qf 4tl:c(e ��./y. • Description of Soil �eI 441-7 Nature of Repairs or Alterations(Answer when applicable) .Z/i IQoo 1.4 l l 00/* d✓/ j t SiQIt.le i2f r_ 064AJ rC5trU1 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 f alt Signed Date T L. Application Approved by Application Disapproved for the following reasons Permit No. Date Issued ——————————— — — ———— ——— =— — THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS { Certifirate of Compliance - THIS IS TO CERTIFY,that the On-site Sewage Disposal System installed( )or repair d/replaced(�n ' by f'i�AJZ o for 41 .�st AdeA) a fo( /c0 iltu/ 0/ //.' / _'. has constr uc4p d icord ce with the provisions of Title 5 and the for Disposal System Construction Permit No.9W Y45 dated Use of this system is conditioned on compliance with the provisions set forth below: "� . No. Fee t '� V 47 d THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE. MASSACHUSETTS i &z poar *proem Cou.5truction permit I Permission is hereby granted to to construct( repair( -o�'an On-site Sewage System located at ...Jewd and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to 1 comply with Title 5 and the following local provisions or special conditions. All construction must be completed within two years of the date below. Date: '�' �� Approved b w N (A re P ri i L a�• —~ '^ �ry�M as !� [r }t-,1aF<5.. 41U GA[Z7�AG-� ry�I ti1D�1�C. r a :�0` , z? G•Pv at Y r ��F'T-IG TL�t-1K. _ ��:�d Ir7G % � L19ri cs.f?G. � :�. ,, ;•�, U SE. 1�5f✓ r't7�6(/Q1l 1_ AV-EA = (50 S F. .. 441 z 7S BcsT'T•C.��/l AQUA= � ST=. �- '�; 1 •��; �.O fry. f l .� = SO �.f?D. � � I Z •4 t o� ExP• � • ;�: =� ToTA L -f-?ESIG►J = •425 G.t?tom. 4 ( M,M" PRO P DWELLING 1`0. QQ t �SrC!'_L�LL�(1("It l S1A�_E I� i►J 2 MIu 0lz Ix:!�Sj� Ti1rvK m � fo• Q{ P%T V Ftn�zF: V•� I N 114." ',itt{A t r Top [-uo t lc cb.e t-Jr,�;r � � .;,,�• •�:-:ems>�: ;.rt�' °, ..,r, .• 73�',1 - r',. XaM7 )1 711rZ-`— :Y IWv` 57,00 �oAM fjpe J Inao i9 y 'a ` z, see 4'OvP W. GAL. f '8oic. 9c.4 S�r►c t a ; T:_::v- I,jv94,.LT"ONKb B f►N. , INv =' GA L- Lf=Ac H cLFAN FT \OV 1 T-0 •i lad'I IZ SAND WASMHD Ll StoN� 891� C. fZT1F1b ' fl�l.b7 `t,�hl1' { A -- LbCATIC)t-J 'Ha° - fZ' S,¢ �.�� ,�a.�� cntJ[ : i ►w .-3�� n.Yr=_ Iz/z.-7/77. 1'l0 WAS ER 12/f'j 17 7 -- I ukiC: -1v t:'c_:r,i_j c \.:,�lt'►._�rS �ti/ 1TI-A 'rf-1'�� i117) t_I► aC— L U T t ` .: l.Jl:� '.f.�'1"1` i1C1•! 1:C:lv:Jti.'.i=.�nic-.u�'y 64N 1"►-l(;: t.: f,,,N►_: ca P,/°. R.N `�T $l F L .C . 3 Z 6 4 3 / -F tZf`G1 TLi:i=ll L.AWU- :5ue:\/'�:-YVj'":fie`=r y4A' (J1 /'•►J CJ i?E{Zt/ll lL_ U /y A5-5j, bra t� EJI_E7 '+ /! t•.4 /t �.lt . (1... •I...I l (1.1 IJ� t 1.\.-�i�t��f.. �..�.J t t.�I f'!4. ,..! . .. �. h.�•K_ YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates [cyst$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME In town (which you, must ao by M.G.L.-it does not give you permission'to operate.) .You must-first obtain the necessary signatures on this form'af. 00 Main St., Hyannis, - Take the completed form to the Town Clerk's Offiite-,*Jst FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get'the Business Certificate that is " required by law. „ A DATE: Fill in'please APPLICANT'S YOUR NAME%S: YY1 \-L i Ja A-1 I7' I M �� u S 1 •��-`U ��«^D��•�ia -r°�1 , •'" �F'`':qq BUSINESS YOUR HOME'ADDRESS: .' . •' . ... ttill `��1` TELEPHONE # Home Telephone Number - N ME OF CORPORA. :" :. 4_.::t.. .,.:.;.•.... : ..•:..•. . �.. �xTYPE;�F..;BUSINESS::` NAM BUSINESS, A _ ;O CG PATI �YE .CEL,NUIVIB i� a I7RESS�.OE�BI':751NE ':;:.. �:�"'- .PAR - .I.•.9).�h AA.. _ Nit _ 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 informetion,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 tovun. 1. BUILDING COMM SION R'5 OFFIPE This individual a b n inform of a p r it q irement�that pertairi to this type of business: . ' :. WiUST COMPLY WI T H HOME..000UPA►iON uth ize g at�re**' RULES AND REGULATIONS. .FAILIfRE TO. OMMENTS 0 i T IN.FINES. 2. BOARD F4ALTH) This individual has been infor ed o he per it equirem nts that pertain to this type of business. ' A orized Sign re** MUS.t COMPLY 1 VITH ALL COMMENTS: un�nnnnuc ��nTcc�RS (� . cvvvv-rv.r. zr . . P. : 3. CONSUMER AFFAIRS [LICENSING AUTHORITY 1 L E •..• .•::'. ( This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** ' COMMENTS: TOWN OF BARNSTABLE Date:Z/ b TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF'BUSINESS: - M I (A t BUSINESS LOCATION: -6 V - \a F, 2�I -kl L L INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: �� S CiJ CONTACT PERSON: �M 1 C� _M -� A (M EMERGENCY CONTACT TELEPHONE NUMBER: S;08 MSDS ON SITE? TYPE OF BUSINESS: 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 lean ir g solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initials :1