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Home My WebLink About0015 PLANT ROAD - Health 15 PLANT RD., " MID-CAPE SHEE T r i 'I �f I i (IM ls�— LOCATION SEWAG ERMIT NO. VILLAGE :." W INSTA LLER'S NAME & ADDRES 9 U I'l D E R OR <I WNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED "-2ol 71 O e _-ly I _ TEL.775-5923 MID CAPE SHEET METAL, INC. •PRODUCTS OF SHEET METAL •VENTILATING-HEATING-AIR CONDITIONING •WOOD STOVE ACCESSORIES .. PAUL STEPNIK 15 PLANT ROAD (BEHIND K MART) President HYANNIS,MA 02601 — �v �!. FEB.....if. THE COMMONWEALTH OF MASSACHUSETTS `BOAe.RD O HEALTH.. ® �L 2✓J'?-.......0 F...........- ------------_................... Appliration for DispoiiFal Workii Totutrurtion Prrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: L-0.% l.z....... ��:......._��......�..y '" ---------------------------------------------------------------------- - _ .... -- Location-Address O ( or Lot No AUL irP �� ..................._.........- ------------j.........------...........-----•.. ------------------........ ti...._.... - -----'-- ^ Owner a —►----- Address'ti`��..................................... -------•---------------------------------•- •-•--------•-----•---------................ Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building .............. Showers — Cafeteria w YF g C.�?M.!�/1.�.....------ No. of persons-------------- ( ) ( ) Q' Other fixtures .----------.•-• --•--•-----.... . . 17.0 ----•----------------•--------- .------------ W Design Flow....3._E�...........................gallons per person per day. Total daily flow........J_.0..............--.............gallons. WSeptic Tank—Liquid capacityldpq.gallons Length................ Width.-..--.----.--- Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.......I......-•---. Diameter....fOQQ--- Depth below inlet........-.h�c...... o le_ach' g area..................sq. ft. Z Other Distribution_box ( ) Dosing t ( ) �N' N—Y 9,_ 7� '—' Percolation Test Result Performed by..-- yl... OX14.4.......................... Date--- �'2 cf ------ ,`�j Test Pit No. 1.. ... ...minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.--..................... •----------------------------/--------� -------•......•-----•----•........................... .•---- / O Description of Soi; -Q'-- /•....•. ez - ... x •-- ---------•----••••--•-•••------•---•-•--•---•-•••---•-••--••......� l�.--•------------------------------------------------------------------------ W ••-----------------------------------•--•---•-----------------------------------------•--••••-----•-------------......-------------•••-.....---------•-----------------------------------------------•- UNature of Repairs or Alterations—Answer when applicable............................................................................................... -------------------------------------------------------------------------------•----•---•-•--•---------------•----------.....--------------------------------------------------------------------.---••. Agreement: The undersigned agrees, to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of L IME 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. Signe .:.- ... ---------------•-••. ............D.................. at ' Application Approved BY �' ---- ------- - - -G �. ... ��'7 ---•------ Date Application Disapproved for the following reasons:-------•----••---•--------- ......................•=-•----••-•-•--•.............................................. .....................................................---•--•--•-----•----....---•------•--•--------------------------------...._--- Date Permit Nc......................................................... Issued.. �a.... ------------- .... Date ' ........................ - No.._-___............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OFF HEALTH l• ..............................- .......OF.......... "... Appfiratiou for Disposal Works (foustrurtiou Prrmit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: . LOT12 .................................................................................. .................j...... ............................................................ _.4.......... Location-Address or Lot No Ll u L_ S 7/-- ............................. .........112 L-V------ .......................................... ............. ..... .................... .............. Owner Address 5��. ................................. .................................................................................................. Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic Garbage Grinder Cafeteria Other—TQI ype of Building ............ No. of persons............................ Showers A4Other fixtures ..................................................................................................... <� - 76 • ............... -------------------- W Design Flow.....LS .............................gallons per person per day. Total daily flow----.......................................gallons. 04 Septic Tank—Liq-.iid-capacity)v99.-gallons Length................ Width__---__-_______- Diameter___-_________-_- Depth......_...__._.. Disposal Trench—No..................... Width_............___.... Total Length.._........._.....__ Total leaching area....................sq. ft. Seepage Pit No.......I............ Diameter....j.Q9jQ... Depth below inlet........ Total leaching area..... ..........sq. ft. Z Other Distribution box Dosing tank A ....... Percolation Test Result Performed by....A...I.... .......................... Date.... Test Pit No. 1 -_-_minutes per inch 'Depth' of Test Pit.................... Depth to ground water..__...________.._...... Test Pit No. 2................minutes per inch Depth of Test Pit._-___..._...._..... Depth to ground water_-___.___...._......._.. Ri ..................................................................................................................................... 0 Description of Soil......... <1 ....../ /,,, ....&i� Z 7 .... ................................ -9.... ------------................ ................................................ U ................................................................................................ ........................................................................................................................................................................................................ U Nature of Repairs or Alterations—Answer when applicable..........---------------------................................................................ ........................................................................................................................................................................................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT iE 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. Signe�. Date, ................ Application Approved By....... .... --------------------- .... 7. . Date Application Disapproved for the following reasons:............................ .................................... .............................................. ................................................................................................I........................................................................................................ Date PermitNo......................................................... IssuedL....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH <2 ..........t(✓ ?...........OF........ e .4 ............................ (9rdifiratr of Toutpliattrr k! ........ . 7 THJS�.c S TO CERTLP)Y, That the Individual Sewage Disposal System constructed (Z--)-•--..��..�... .. or Repaired ... ......................................... ........ .. li ...................................................................................... Instiller ................................. at ...... _t-------------------------------------------7.... Y;..... has been installer in accordance with the provisions of T r;��P 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit NoA.�---4s7,5............... dated---7------- ✓ 7�- - ..................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.......................I/ ? Inspector__.._..................... Insp tor..... ...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH f ......OF............. ....... ................................................... No......................... ............ Disposal Norks Tonotrurtion rmit to at as Construct (N PermiPe 0_�_r' ssion is hereby granted-:....... ....... ............................................................................................ to or Repair an Indivizdal,Sewage Disyosal System . . ........ at No..-.. "..OLZ/...IJ�Zz_ �Z....... �412 ......... ..................................... -- ---------- Street 7,C a s w s shown on the application for Disposal Works Construction Permit-No Dated..... ------------*shown ��_ _j -------- .. 1� - fl' .......... .../.. Board of Health .................................. DATE---------------- ................................................................ "m I FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS i c � .y i '_ �..J=. I: E.r �Via•:. _ u1 � ` 7 25Ps uw vnN6 SN��lt� to U � - � �'1"��W tom• M,�6s CA �i` J i J�Y•OYY�� , •O 'wrm-► Wei.S!J rl♦•'�`%••� �� y '� ,►► s(c�N I7,r�T� 15 mac.• �./I-,��C� t Rai L"i' �'-I,�Nv - C� .i �.•R tom• 9 ' ti�C�L• �- 1 �'T1G 7AN� VGL• i�Q217 `�!? � I,S IS5 G,►L :;.T. .._ _ �� ZD'� DSPvs/`C- P'iT• - l.K� !o' �K t�i 'D�f' of STorir- H'-JA X ID#�•� h 7.2 y �'r3,�Pv :.> M 'f b � COfd s�t�--T�� I� .� �" �'�-� W E•croArz�•At� w/ r..ou�•�u.c� nJ,�� •I. ,- �_ R �NVI, N�ct�NT�•L rtr-.--r" '�'t�{C 5 If�7.OQ AIM. • j(.• °I`t.ry i r iN�!• IH�/• °t6.�7 1� ��o �Z�.OL9 IHV• 5�'� INS• � °I(0 7Gj ro+4 W- iY/�/./ �! (V �1i'ti.TYl[i fNl. f I�i �• ��•�Q , IL t� Y AA 20 w Lfisrp lj> V f b = � ✓� 2 �li�r i m ¢l��l IV It�'rr V��lirl� �7oh f OU,Y{ .1Nv 2" t37•� Lt= ^4- t1��P• �- I/',/��t✓r% I. ,"�� •✓tiGL�'� s��1'� ��i�7 ti��t ✓�"� �•W+4i'b'�.. TOXIC AND HAZARDOUS MATERIALS REGISTRA FORM NAME OF BUSINESS: /Y) I P C )PFL .Sll- iZ j /�?%z�—,Q�. I�J C Mail To: BUSINESS LOCATION: I S P C-A Al i a-�2 14-1144yIy /_J' Board of Health MAILING ADDRESS: / 6 Town of Barnstable P.O. Box 534 TELEPHONE NUMBER: — ��q oZ3 Hyannis, MA 02601 CONTACT PERSON: ,. C_ EMERGENCY CONTACT TELEPHONENUMBER: l77 c 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 Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and adiator 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) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy- Health Department/ Canary Copy-Business PAUL STEPNIK 15 PLANT ROAD(BEHIND K-MART) President HYANNIS,MA 02601 775-5923 MID CAPE SHEET METAL, INC. •PRODUCTS OF SHEET METAL •VENTILATING-HEATING-AIR CONDITIONING •WOOD STOVE ACCESSORIES •CUSTOM RESTAURANT WORK •HOODS AND EXHAUST SYSTEMS FAX 508-775-7078 CALL FIRST I TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers �S � BOARD OF HEALTH 3.Auto Body Shops /, - / unsatisfactory- 4.Manufacturers J COMPANYM` - a w� .4Y (see"Orders") 5.Retail Stores /�� 6.Fuel Suppliers ADDRESS /S- P I�4— V—G(TA ,Class: 7.Miscellaneous 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) i s� ➢c � Diesel, erose 2 (B 3 C rw�iv Heavy Oils: waste motor oil (C) new motor oil(C) R transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: G .eac6i. , E , r DISPOSAURECLAMATION REMARKS: 1. Sanitary Sewage 2. Water Supply Town Sewer PlPublic O On-site OPrivate c-9 3. Indoor Floor Drains YES NO r_ O Holding tank:MDC_ O Catch basin/Dry well w��y A-7 -►-c-it p t ��r O On-site system C�d- o cap. vied S'G v- p.-ev/u t. 3Z7v. ,,_. L,>S 4. Outdoor Surface drains:YES N0- ORDERS: �"'f 0" " O Holding tank:MDC O Catch basin/Dry well elr roy c'C� �c C-1 dM.V- S-c- O On-site system 3-0-0 y o I • ' W c.o- (j ST c%5 ,,� d 5.Waste Transporter (, ea 1.4d L"E4A rS, l,Sl`q� eSa-► = 7 d Name of Hauler Destination Waste Product . , YES NO 1. 2. 12 Person(0 I tervie ed Inspector Date J PAUL STEPNIK ^ 5 PLANT ROAD(BEHIND K-MART) I President HYANNIS,MA 02601 .775-5.923 MID CAPE SHEET METAL, INC. •PRODUCTS OF SHEET METAL •VENTILATING-HEATING-AIR CONDITIONING •WOOD STOVE ACCESSORIES •CUSTOM RESTAURANT WORK •HOODS AND EXHAUST SYSTEMS FAX 508-775-7078 CALL FIRST TOWN OF BARNSTABLE OWMANCE: CLASS: \ 1.Marine,Gas Station ,Repair k.f satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops 3 unsatisfactory- 4.Manufacturers COMPANY .6 (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS Class: 7.Miscellaneous QUANTITIES AND STORAGE (IN= indoors;OUT=outdoors) MAJOR MATT IALS , d Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: oline A1` DiZsd,- #2 (B) Heavy Oils: waste motor oil (C) �� 4l( )r) - n motor oi transmission/hydraulic. Synthetic Organics: degreasers Miscellaneous: _i Lit J DISPOSAL/RECI AMATION REMARKS: 1. a itary Sewage 2.Vfiter Supply JwTown Sewer OP blic O On-site OPrivate av+ . 3. Indoor Floor Drains YES NO O Holding tank MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO 01�1) S: ' O Holding tank:MDC O Catch basin/Dry well O On-site system - 5.Waste Transporter Na'me of Hauler Destination Vastz Prodext Licensed?' YES NO 1. 2. Person(s) Intenfi6wed Inspector Date