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0081 PLANT ROAD - Health
/ 204-0167002 I I Town of Barnstable Barnstable ��rr �oyti Re ry latory Services Department Public Health Division BARNSfABM MASS �' ('�112' S�00 Main Street H annis MA 02601 V Y 2007 Office: 508-8624644 �✓�ty Thomas F.Geiler,Director FAX: 508-790-6S64 Thomas A.McKean,CHO Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO.)�y &4-68,. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT �J y ia, &1/g 3 NAME OF ESTABLISHMENT ao(n„t,5 Cno Gl is;row ADDRESS OF ESTABLISHMENT TELEPHONE NUMBER S0 9- 2?s- SOLE OWNER: o'-YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. 04- a$3Il®A STATE OF INCORPORATION A A FULL NAME AND HOME ADDRESS OF: PRESIDENT Q'oHv► A E114 S-qa Cr,&-e is/. '�+J� ish S4 M✓f p.)-L[9- TREASURER 5-6q nn c CLERK S✓�✓v�C y/ SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS SYd 6-c&-c 6A u% HOME TELEPHONE# Q:\Hazmat\Haz Mat Application2008.DOC JOHNS COLLISON 81 PLANT RD HYANNIS, MA 02601 508-775-8281 CONTINGENCY PLAN TO HANDLE HAZARDOUS WASTE SPILLS To prevent spills: No container larger than 5 gallons allowed Most hazardous materials in gallon and quart containers (paint) All containers in secondary containment areas All containers checked daily for spills All paint liquids recycled on site If spill occurs: Use spill containment emergency kit Package all contaminated items in 55 gallon drum Contact disposal and clean-up Company ONYX ENVIROMENTAL SERVICES LLC 398 Cedar Hill St. Marlboro, MA 01752 Phone #: 800-354-2382 �a !1 Number Fee 1045 THE COMMONWEALTH OF MASSACHUSETTS $loo.00 Town of Barnstable Board of Health This is to Certify that John's Collision Restoration 81 Plant Rd., MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ------------------------------------------------------------------------------------------------------------------------------------------------------- ------------- ---------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires June 31, 2008 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN SUMNER KAUFMAN,M.S.P.H. 5/31/2007 PAULJ. CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director.of Public Health Town of Barnstable Regulatory Services p� 6 �0 Thomas F. Geiler,Director NAS& ' Public Health Division Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. -?P/ 04 .ODa DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT J �►✓i ��/. s NAME OF ESTABLISHMENT �J 0 h✓► S �� I �. �i �t 0, ADDRESS OF ESTABLISHMENT ?S ( 4i-�c,�) ZJ t/y 4•� 1 /✓/'�y��v� TELEPHONE NUMBER 0�w- SOLE OWNER: 4/BE�YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: w c C IF APPLICANT IS A CORPORATI.ON: FEDERAL IDENTIFICATION NO. o r- STATE OF INCORPORATION o M FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER 54u�'I CLERK Sc i� SIGNATURE OF APPLICANT RESTRICTIONS: . HOME ADDRESS 3L/d HOME TELEPHONE Number Fee 1045 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that John's Collision Restoration 81 Plant Rd., MA 02601 Is Hereby Grantied a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ---------------------- -------------------------------------------- ---- -.-------------.--------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires June 30, 2007 unless sooner'suspended or revoked. -------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN SUMNER KAUFMAN,M.S.P.H. May 8, 2006 PAUL J. CANNIFF,D.M.D. THOMAS A. MCKEAN,R.S.,CHO Director of Public Health A w Town of Barnstable (�of 13�' Regulatory 4Services �(� Thomas F. Ge e it r, Director �yq 1. MAS&LE, ' Public Health Division '°lEnl,,p�A Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE 6 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT yI1vi s V1,C,, NAME OF ESTABLISHMENT ZZrDh,�,) �`l� S a✓� ADDRESS OF ESTABLISHMENT gl &rS - —0/ TELEPHONE NUMBER 50 E- 7 7 -- SOLE OWNER: YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL- PARTNERS: co c IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. cq J,3 3 1 i o STATE OF INCORPORATION M A- FULL NAME AND HOME ADDRESS OF: PRESIDENT CTahnll�'s TREASURER &vile CLERK 54.►,e // SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS -yd Cep n, .51-, c /&,zns 4.� � 4-14- HOME TELEPHONE# 36F-36a-��f— Q:\Application Forms\HAZAPP.DOC MAIL-IN REQUESTS Please mail the completed application form to the address below. Also include a copy of your contingency plan (to handle hazardous waste spills, etc). In addition, please include the required fee of$100. Make-check payable to: Town of Barnstable. Allow five to seven (7) working days for in-house processing. Our mailing address is: Town of Barnstable Public Health Division 200 Main Street Hyannis, MA 02601 FOR FAXED REQUESTS Our fax number is (508) 790-6304. Please fax a completed application form. Also, please fax us a copy of your contingency plan (to handle hazardous waste spills, etc). In addition, please mail the required fee amount of$100.00. Please make the check payable to: Town of Barnstable. The check must be mailed to the address listed above. Allow up to four days for in-house processing. For further assistance on any item above call 508 862-4644 Back to Main Public Health Division Page Q:\Application Forms\HAZAPP.DOC F• Co vwrk.GY'G).y2 L 0 C A ION l SFWAGE PERMIT NO. La VILLAGE 1NSTA LLER'S NAIVE & AD ® aESS J: CRAI40 MED RIPS le, 142 Corporation Street 00 f Yannis, Mam 775-0323 �710ER G-0H- DATE PERMIT ISSUED D A T E C0MPLIAMCE ISSUED �I va . IZ Q c6 Q, 6 o UT. � � 1 ear �s Pt.Is ou abiP 9Oad ,. to F aim th F l°vatm0Uth,P Route 132 t.2a O CAPE COD MALL K-MART PLAZA D p�P.POB, O JOHN'S ® 0 0 w Plant Road n t John's Collision Jghn Ellis EXPERT AUTOBODY REPAIRING O O REFINISHING UNIBODY SPECIALIST INSURANCE ESTIMATES 775-8281 81 Plant Road, Hyannis Fax 778-2377 Reg.#250 TOWN OF BA.?v,NSTABLE OMPLIANCE: CLASS: 1. Marine,Gas Stations,Repair satisfactory 2. Printers BOARD OF HEALTH 3.Auto Body Shops �1 t Q unsatisfactory- 4. Manufacturers COMPANY (see"Orders") 5. Retail Stores 3�Q 6.Fuel Suppliers ADDRESS anA 1�_M. Class: 7. Miscellaneous Wmm-iS1 "(-\ QUANTITIES AND STORAGE (IN= indoors; OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil(C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: �tiT X GI L-111d I-Y\ X DISPOSALIRECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply < u DA ~ LIUe Town Sewer Public Jr—) i (O-6 O On-site OPrivate PAIN`� t 3. Indoor Floor Drains YES N0� 0 Holding tank:MDC T O Catch basin/Dry well O On-site system / " 4. Outdoor Surface drains:YES NO O Holding tank:MDC l S' O Catch basin/Dry well O On-site system 5.Waste Transporter fl� Name of Hauler Destination Waste Product Licensed? � ��/' 1. l N NO G! _�7E� 2. — (1 G. — i YE�. _k JS __S/ P rson (s)Ifitbrviewed Inspector Date TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY 5d� iS ��1 r 0 (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS Glass. 7.Miscellaneous 'i a 4jUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MA ERIALS Underground ve Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel(A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil(C) transmission/hydraulic Synthetic Organics: degreasers # p � Miscellaneous: i �• mow -� �G-1 C'cp. r. ve4- aced..e- 4�� DISPOSAURECLAMATION REMARKS:°,, _f 1. S 'nitary Sewage 2.Water Supply S d '✓ "/ �" �1 Town Sewer Pfublic ` 0 On-site OPrivate — ' hs s- D�► 3. Indoor Floor Drains YES NO, O Holding tank:MDC o 0 0 Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES_,�NO O ' �RS: / 0 Holding tank:MDC / Catch basin/Dry well 0 On-site system ; 5.Waste Transporter 77 Name of Hauler 1 • ' � �uct YES NO 2. 47 Person (s) Interviewed Inspector Date TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: �ti 's Mail To: BUSINESS LOCATION: 71 �1�� 2� ��1,����t.s �,� Board of Health Town of Barnstable MAILING ADDRESS: P.O. Box 534 TELEPHONE NUMBER: -775 Hyannis, MA 02601' CONTACT PERSON: I�Z71>k0 614 s � EMERGENCY CONTACT TELEPHONE NUMBER: ),34 J-- Ffas Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store: Quantity/Case Quantity/Case Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool-cleaners'---- __�WHydraulic fluid (including brake fluid) Disinfectants /Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel eO 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 eCar waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) 5� 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 l John's -Collision John Ellis EXPERT AUTOBODY REPAIRING REFINISHING O O UNIBODY SPECIALIST INSURANCE ESTIMATES 775-828♦1 81 Plant Road, Hyannis* Fax 778-2377 Reg.#250 6a'I)Srabie 9oa 6 to Fa\moUt� vatmo J`h R�•2a O CAPE COD MALL R..t.132 10 K•MART PLAZA D A�gPOq� o JOHN'S 4 ® o Plant Road o V v TOWN OF BARNSTABLE OMPLIANCE: CLASS: 1.Marine,Gas Stations,Rep it satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY /% s���d���/ O (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS Class: 7.Miscellaneous r UANTITIES AND STORAGE (IN=indoors;OUT outdoors) MAJOR MATER S , IN OUT IN OUT IN OUT #&gallons Age Test Fuels: tee uel (A e , e , w yw�si<v. ` �� r Synthetic Organics: degreasers Miscellaneous: 4 W e DISPOSAURECLAMATION REMARKS: 1. 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P } +§,,_; r4 a 4-d. ,,,, a t,, a-I � r a 7 i !�„•>s y g ` ••,, , 4,ip ,,,' f".".r 4 y�x.r q:!'. Y, 'S Si° ,v, fI.. il'e:t* ! ' U'vk r3 a ° p�hv � iI�r ` F.n 4{.^t x'�t , ., , �, rt t>3, a 4 t• �y, r. r ti+ 4, .`. tt fr .r. ! +,x.,, 'kK t�':";• T Ati•t" • . { F F' fi* 'x.TJear lbir. Ellis• e I.. - a3 },.t:� < ..��$,%.4 Y._X, f {e j' , F$ ,r. s i t � .s t r R i�'a)d .�n A rY�?r i. r 1'x: ,5 v� ,fir ? � 9 4L pY �'t 1' .4r a .' f. y4D- ^•'r r a•"�,1 v,r S` ez'� 7.y, i k D.w.' .`1,kt! �"'� rr"t.•i-•;3,r fir., E �j fir ;.tt i"# "1�" Art:..:c .`;t 5r ... A `G t X S I ' fit -$ �{.S� b `i -llc%.A� r4,. *' R,'� 2..Kw of -,., ,1t . ..I. �•.:4,'• -:i.. rM t ;_ k 3,,._ 'r 5-:'� '.t'�F y a',^I':V,_ N,,:.e'sL F+�.', .y. Y`r + tw_St # ..•'l ft'r••.r �, You '.are granted • -variance. from the Board ,cif}rlIealth regulaiion,�xequirinQ , # r'~ 1 *',4,� r ♦ d's: '.rk w.,.e s .'- E r,-•1k S f ,+, ,• ,�y, t.ro, +.. ,, '.. ti.' r ~ ro - T,• at "� u *'r p:,F: t x.a °,. ' �.- connection :to Townr1sewer-for' allrcommercial bu ldingsrwithin� E�00"feet` Tke `� 1. ,` :;� i ) r a+.,i f,. r• ^ •: `..i:'r ^,:. rib .'.,, >y. St J d' ..N`• . k� i ••.},k` t: ::rs ;.1 �.:, "I property`granted this;,variance is 'located r at L6i 10,t Plants Road,�Hyar�n e h The,,�1''� •_,.' ' r �. . .^.t,.'t- P_ . 1.. a s 1; l0_ " s x '1 4 '.;Sy -z' i foliowin conditions m'ust be`met" '` M ,` f Y�` , • ,r r . - ,' '' , L 3r �3 tr f' g . , �, ;.�qr R., ,t r;,yy,.r"t,s w r x �,t ,' 11 r ¢ r r: c > r ' _*, * lR� L S 1'^x a 5' r[ )"L +: t y»' rr �, •-% r .w,tt `r Lr Gs x. L .':;r+14, .. P ..v'l!", z+.t h. 4 ><. 'a J'^>h3Y'.k'" F s `,,, ".�:F-r,^ r�,; F },�+ ,.' Q "" ,rj° ..r ,;_{ t 1.. iyi,, S)r = (,�.,�/!r.~;. ' ' ,� •i 2 t ` n i 1 ''rSX 7 k iw i 'CF"Y•+, A c' , ,, ,!- .1''(1} The:,designing engineer niust be =on'aite' andasupetvise ytiie�co istruction,of,,},. , rY , } ,. Y s. 'e.„t�h}. -1 i{ •;i %+ '.:e .,r 4 ...1,x, a '+» c n-',g;;r.r- •e " +i ,, .s 1 ', `x-1, � • ► the .Septic- syst,bip and :certify ik1W,riting .to the' Board thatYh's desfgn�has +t; '' r *�,ti;;. ;. ,� '` been`stiictlr radher1.ed to47 it on.'to t'Yietissuanceoaf �Ce tific�atte`rof oni lianee r , r hh""w3 I,t, r i 'S ;it, II,ti: '..{ 4 sr R {0. 1 . .P T` .2r iaa e t �'. Y tFr t 1 ^k. ,�C..r�+'rt d, Sift 1j+'?'# a .t., �•+3 fF°4 n ,! k. 1✓ -rS G x' ` b 4 ro y v" e �1 +` =•'at 5•{' ice, a'r „s s tx f} �. �'vir, r� 'ks3 4'�-.i i dr`;r �,u,t+'N'� t ..,A , _, t � � .'... (2) ;;�TheC,systemrcan only be;.used forv.humas,twastes` ,,.o1.products,used;�,for;`the , t-'� �``- t xj^ yr `:P ' r ^..}✓ +: - _..r i, )p �!. .y, r,, ki f!_ k,�•,�LE �,�k� .'.r'°'{r 5"'t '�t1w. N�`c^'{ rt'4'l,Pr, ,• w:restoYation'of automobiles are allowed in..thebsystem '.rG . i ' �, kE x YL ♦, .:ra 3+,rT i. c < ;raz, " v R. r a ..�.c` ':A r rt "+"t F g:•t, t,.. ;t C r #'i '. ,%x T :p.t1 3 �, r,. hr / +°' `r a +.* Y 't b :.r; ` r' .Y. i. rt. ..[ ,Pr rG tt r •K r '!• -6 It :t k r.-• , f L- �1 fir:.,. '1 i•l '"'A� T,-, 4 „i7,(.ji- ,row.. r` '+..wc nl 'F .� .- lAV tia se r a I c .i'?PF." .L 111 'A� • (3) B- t,`dr'ai`h6 are^prio�hibited,i'n the'`'buildingr`or`on the outside;'prem ses.,* t�, `",t, }� 4- `_,' L 41. f !lY 'Y•i,,N�,� t •* ; 1 r, a f 'k' d •.V,, �. �Mt'3J'' fV at !CS ,,,, } Lt^ .r! ,d• 5* Y`'! ,,Gsi c �t" , +C� h' a' '\: i; '- tt� -s •' - ,✓ L' X?'e y� h' kr �' r c:fiy r°F" ',7L�yGa14 .' .: r' 't'°. 1 �-,",,` .t 7X°f}� •J M' �i'r : L ?:," k. 4 ti,;,a.',J t 'i'l-W,' ',`4. •.k'��?"' + -t" `,4' , .•fis'YY' U":r ;t l 14;f t rug"tg' «-'_" ;{, i a„� , "s =-ter ,;< ,• .y Y �. (4) 'The applicant must comply',w;ith tl�e Town's'l�iazard'ous.F,StpFage�B.y,la` .I -Copy, � .J, �,z Y lj� u ; a ! r a y "x x.a x `' )f> r`.t o i ;t a . �• , }. r r 4,; ''enclosed) �, f ', t;-4 pp 3 -x „r .." ,i r - #rx� ; ti` t ''i, •+ t. ,. F r� y .i v ..'' +rri.+d `rr r.YaY- ,.tr��, t .V' ' �,r re'} - h y+ �' c t i r,f`t `, :n •7" 4 f. ..'.y, !. `^r' it `� + #s 43 s .i:y,r4t 4#,r,'+'n ,7 nti ja,rE ,qC ^` „'`4e, mot"• . 0, 4, c FFr, � s ,�, ;', fir;-- FH i ' `' ' • a r,•. t M 1. .y4.,*r �,,, t Ay. , .',. �, .' �,,x r ,1 r,. 1� �° = ,*, j�� `.4 N k" (5)."'No•�ha`zardous or.noxious €umes=can be emitted froth:fhe building 4 �, k:x} $ ,'�3�;r `fi r x, r- DWI"* /t 'n a F'�.{.+'� ..i ',.�.: C Ai •C.+C i... r,, ':I rY. ;. Y .. ,,y er z y , i.- [ •.*'�. '[.c ,� ` :� � c, r � .P'(6)}'*K- plan detailtn ,"the ape�at on along W thi a contingen'cy,•Spill:-Contalnm. "_ 0 1 ; -, P'Nfa " .�}Y".e `SA.ri s 4-ja'-,^ r r b• G i _ .. k .♦ ayv s,h.'4+.r •r+s�,. P ^ pP ro a t� l�. I ;; �` tan must 'be a roved'" byre.t.heftHealth'kEtepartrrient prig 't to rapproval of::a 4 � � k ,r.,. •,,7,✓ ,r i. .S - i X .s P :`�. .i i i s*' r > s 5, f rf Y n<y., t.F.,,�r s tt.4 fA "�" ,c,, t�., Z t ZAF t ro ' 'N= i k r t fi�F w.l s�'^ j fi efi r i • Sgr Y w i� i. f r s 3°i r -•a!a• -rri, t,.� j,y .� •,•building)Permit 'rt pi`?�,..� ° +•3 G.r Y''R r =. 4P t� `- a' } ) a ✓4y, 'J X , t' ✓tr rY�s.54 ` ? J 'ifi ?k't,.,� t 'G a.t. ': a .1^_' � _`' .t ,:, . � s�{u si. rr t t,x 't+3' + l�T� t i'�•:._ r .�r*r 'r .. �,+-rPW,,rr�''''�}}�xyy., 4� 4"f t y•t},�'. 0 ..,* ,,ip ,�,,, FLat*��-5' � .xt<" �..�'S+g g e'!y e <^: " t *.. r• i° *. Z*o•" is ^.... r'r.a,F , !i, ,Y• , j,r'..»�4 .r t'..!•, y f ,. ia,�'• `� r,r'.F d"` e p 1 a i.,Fr h •3E t•, # 7, '[ r:., }- .r`_, ;,K;;,fro; jr•{,yf9'v.S'* +4 °r «9., ,,r. s F.)r a^�`. „t's i 1"d :a Phts variance ex free June 1 '1986 ., + r �. . ; tt* , ,� ..�� H 1-'i ;.Y= f.^ p :i* t .,s„ ~ .,y{,r 4 - + rrv+r8 .. 't i 'L t' y' r t': 't'`.r .+ r y.:... 2 .$wy "') r r._r. ••p t)T a .+x..- a r r. r "Jr j S, 1?r i '-�. `#., J .ro rii,:� 'r r`';. .nr{ a,.Fx� 3% ,yt t r4`t a .V .G y. 's. R v ✓'- � a... r r •b -,� f'1, IY ', .t {{i d ( +; a .-,. t`-`'" w , erry, +s .t .#1 r "� - i <y L 'j iy,.., r r.•r * ::r.,: z., .4#* "'ri kt:^ t,• l' .z `.}, i. ntx rr r _ .. {rt+. r;; 1 ,6 ,� ^"r�;" r h.VP^ trulyi ours!"yL •t Ff , y 't a, 3,,.S,ie X, r,`Y"iya Yr�lE Rtt .: t rt } -� it4' ! ;y 4 r r .. .r tw t r.s i:r i .rr'� ' a A, u n fad, 'f i�d .�, .r ," $ri .`x :• si 'S xv x .0, :'f, s°5 r.,., � T, 4 is nr.,:+rY apt � ♦t b.�':',�, 4 a,xi.?t}.` .:....r�<�t'-i 4 r rrt 'i t,7'. ", d ,r�,�a ��'Y� w .A �, ! " tn� SR .. % } q� ¢� x i .fir t r1 +r� { p ++ �r x itt;'N t rS i.M p q 'c4 i i •r r L, + t,, r `*. Y ,r, + v� .tr, i,, .'-- n `a : 7 .+{ r i -i'' r ;t,4 to3r ,� r a.,. "'L, ', ;r;.x 7 t;1�' t... ! ,� .>_ �,. : .k..''i°y a: Cr '3 t.kr►)^+r'+s� .. � .h .:., ty, Aeti g.. r'r .t •z t::.:. ,I, 4 T,� rA:� �� '� 't r 'x' x^ t�: i r�'- J k �)r t. . !v. •sr k �' sad ^; a,�", Ys r,, .r S. r yc •r. sti a r -R i r �:.� G E ; ,,t._L 'ir t• "4 -4'co,,'' i+i, ,�' , ' _S *.'�. �, obert L Childs ," ! , , x �' G t •< , Vr «� F� 4 ,�, t k .. *t + `. . r , .>i r r fV s�<;'. J, r is >,+ y S. t, ., y t 3 �!�, F ;a . a l iyM1 t 4,n 'k s y' '.i, r Y'. . .r YFt + { ,s. ga t + s+ 4 Ir �, r. t Y. r ;� e # n `� ..% � � 4 hairman 5 :Yr t. .! +'ti''sn',1 ,yrk: • 4 y 5f #'� '�° 4r,:p ..iF '"e �� R 5,'S�r 4 ,.;. r a o:� x«,c;,w;';. i' n"£$s r ;t y t.,y7,i*•! ti.r ; ;t - -, + t rt. y i4�A r` i1 t j.;,>t+S' ,+ . #per ti-tt a- '".* 0. � -�, w� �,. . 'BOARD C)F.�HLA'I THw. , ,=, k �,, s r r h, ERR,✓ Y �� ,- x,w. �` ✓ s '.i Fr �,. t ti -. krG n *.. F L` i i tr + iY + F 5^-. r+' Y 'e �* .�, r rY,M'+et s�1 r ?4i 3 r�fti-``" ;TOWN�OP BARN3TAHL.E -, r. ` ; �15, �L."� �, _ �h t �. Y• " , 1,,, 11 r .•r . r ?,,,4 s't x`' ` " _ F; 3 t ;r h ,'i4 P, )y ,, '};s. t i.,r^+ tr.=`.� ts..C- i.•! `t-'` 1 :. i9 tr''Z ir'_ w y..-' r " xt;^�rtlF l ` ,� c fir•. �' ,r t r' i }rh ..yNr : yj , L j .i ..,,., R r , 4 .. [J •,9 'i *' '� :t t J " s .4,� r Q-Tii^ + ty F' ;+•� r*�r f'` i Sr :s!'• a ..,tt 5„ - a t+4,4Wf. s,.tdr `. iirk��y�r•./ rr '-I'r4' ( F:'�{u`'� �"`F =.rl )x"•F,* ,_. y ! �'`T"+.i 'yw 7 ?.:„.f r ., , i,= W n r2 o 'P . }...yk .Y±, 3 •'a , '-'J M A m m � v�' ' •C t r -3>r;'.. x Y a. .,,e" r F 'k r G'v1f'",' i, t+ M , )Z, <' • r fl i { C r V, a aN' ✓it'. r� lw j{t f-.. r -.,�k ,s t�" y j r t iia t�a w` T s;`' k G,.: 'r•' }'C^ ` # `f:' 4 !_.r . Orr $3a'-1. •e - k�'l i ,gam';.{}� , -enc1-,:'1 ,r ,C ts. '.•'t •Y",yi?` ;V,,t. »; z. )' " `S`.r ., # ".r, 2:,,� r L Y:.CY _+:<. * a-` . �,;.r t I . ,R `;t cc `y Down Cape Engineering a;x" -,K�r 4 ; tt. s �,,a:' ") T=` . fi . - %Kt 1 + i#4 i °P.,e,i,f, ,t`, f' '6Y :h M Cy 'y�' Erb. .5. '• k ?� i2 �'`{' Y�.; G; I „ - �t r 4 a 5 .; a r i R '� L3 r x,+, .�x f-t, S,}a t;x. n,s a.G)F..,, ^,i- .'^. yt t' f£x �rr�,t .ti Y`. •r t 1. r , r' k ;, ceS' i,,• �7;.`. +a r S + t - a a a r e* f j,,},44 I $ i ry A ,�3.�,j":.�t3 r ,.t' , ' r' -. �' 1 1x 0 .' _-t:r ' ' 4 t F.v v �yr}�", ,+ (» a v,sY �� n 'tr ',Yv o! ril� ti. t t yrr . r S t., j'`.t t. 7 - Y '' y.,f ', ` t t`a y 2 `a. „), 1 ,I.,-i ,,*it3 rt ;.i xe��"^} F r a'` k:'S, .-a x,s 4. .)} • t L§y#� ? 4.t T r r� jrHxix r �grfi"wh � t + i is F ag J w�, t+, i't.'� G a J r+. 1 •^'T. 4. S 'S•` ir` y.ta• !- tr4 r i t i r t� t',O w. . ., t i'. S �1-1� c r) y, s t t, i�,i r I' fi 4, x c 7 ,4t-4 . Y:'� A rrr rok�.. u w h ,t. L�1 r t ` ,t •..i y �+fY•fd,* } 'L'h.S`+ Jf rr x .i4 s" •s rNa S,< 4, G," t' 4: r fk +'.. -Y;j t r. a. r ` 7 .k.'' tr'!' ','. t ,x15°' h4 �l ri t r' » vis '+ t.:• fit r r a ..C Y'z ;,+ :? t .�r.y>i(r>,4a;,• , � �'i'ti .* x ' r, :s a r. r r , ,r a �r r:. 4 II- I;-, `,fry t~{"'r' rrr' S r` }rk�t 4,y tk :4•.r* ,Yl 11Y -,- + L--•_� rF..$rL t ` a." x c g , is r w"1 d 's t t- s r•s 4� i i ;;,r •� < r l r. y,,�,i r i.',* a*C _ r� f r i$t �,„,, *; '� { t' x {r x Y t ti� t z. r t Yt}, y y q Y.. . { ✓. y.-. .+ a. ..v I _.i^ ,lr K ,"�{!,r , } 'Cur", §.C, `'. `... ).'.}.,. ,r: � '4, f ."i! ; ,Y ° i`' ! .Y'..« .r May 15, 1985 Board of Health Town of Barnstable 367 Main Street Hyannis, MA 02601 Dear Board of Health: In accordance with the sixth contingency to the variance granted to John Ellis for lot .10 Plant Road, Hyannis, this . letter will detail the operations of John' s Restoration Inc. and a spill containment plan. John' s Restoration Inc. is a autobody repair shop privately held by John Ellis and John Notemyer. Business conducted is the repairing of automobiles damaged by accidents or aging. Normal operations consist of the following procedure for most cars brought into the shop. First cars are either towed or driven to the shop for repairs. These cars are then brought into the shop for the repairing to begin. Cars are then dismantled removing damaged parts. All non-repairable parts are later hauled away from the shop. Fourth, new or repaired parts are sanded with various grits of sandpaper causing dust particles of paint and plastic_ to be emitted .into the air within the shop area. These particles are recirculated through filters also inside the shop. These filters are routinely cleaned into the trash containers. Other. particles that come to rest on the floor are swept up and also put into the containers. Fifth, the cars are tapgd and readied for painting. The painting is done in a paint booth designed to handle the toxins and waste painting emits. The paint booth is set-up with an exhaust fan that takes the air from inside the booth, dragged through filters eliminating the noxious and hazardous fumes before leaving the building. Finally, the cars are cleaned and delivered. Before explaining the spill containment plan, all hazardous waste is disposed of according to town and state regulations 1 :. "-r - 2 under EPA number MAD9810.65378 through HAZCO Inc. Spill containment will concern hazardous waste, mainly paint thinners, stored on site in 55 gallon steel drums between each six month pick-up. Containment will consist of storing drums on a concrete slab with a curb to keep any spillage within the slab and easily moped up and returned to another 55 gallon .drum. Sincerely yours, Jo n Ellis John Notemyer JPE/lje 362.4541 926 main street yarmouth mass. 02675 down cape enti�reering civil engineers& land surveyors structural design Arne H.Ojala P.E.,R.L.S. _ land court Richard R.Fairbank P.E. surveys site planning sewage system designs August 8, 1985 Barnstable Board of Health inspections Barnstable Town Hall South Street Hyannis, MA 02601 permits This is to certify that on August 6, 1985, Down Cape Engineering inspected the sewage system on lot 10 Plant Road and find that it conforms to the intent of our plan # 85-041 dated April 8, 1985-- Sincerely, Arne H. a a cc: 'John Ellis 362-4541 926 main street yarmouth mass. 02675 down cape enfi'oeeriag civil engineers&land surveyors structural design Arne H.Ojala P.E.,R.L.S. land court Richard R.Fairbank P.E. surveys site planning sewage system designs August 8, 1985 Barnstable Board of Health - inspections Barnstable Toxin Hall South Street. Hyannis, MA 02601 permits This is to certify that on August 6, 1985, Down Cape Engineering inspected the sewage system on lot 10 Plant Road and find that it conforms to the intent of our plan # 85-041 dated April 8, 1985. Sincerely, Arne H. a a cc: John Ellis t No'fc:R�`?.._::'y&5fi Fps... ..�. �..�'..•_ - l THE MMONWEALTH OF _ASSACHUSETTS BOARD Ors HEALTH I.AlAl1ti1...................OF....�f...!2.IDv....7 a, 1 ,.. .-.... Appliratiun for Disposal Morks Tonutrudiun jhrini# Application is hereby made for a Permit to Construct (V or Repair ( ) an Individual Sewage Disposal System at: H YA�1V 0<.........:...... t-••-••------...__.....--------...----------. ---•-•-•- Location•A ess .. ...'1�2� �.r. ....J0 ! _ 4 - ---= �r �� 1v�✓n� ✓ �6 � .... : .. Owner Address ....................... ••••...............•_••••-••......•••-.......... .-•-••....•---•-•••_..........................-.................................................. Installer Address Type of Building Size Lot_ '�..�6-7 Sq. feet U DwellingNo. of Bedrooms......................... Expansion Attic •••---- p ( ) Garbage Grinder ( ) aOther—Type of Building AVI -_5R0�e_.... No. of persons_.5_.Ll9_A:X_i..... Showers ( ) — Cafeteria ( ) Otherfixtures .-•.............•---...:.••-•-.._..•••••-••-••--•••.._.............-•---._....._.._.. W Design Flow............. ;.....1.J�...............gallons per person per day. Total daily flow_-_....9&..._..__.......-_......_..._ lons. WSeptic Tank—Liquid*capacity 82a_.gallons Length_8��.... Width:.`',yz>___ Diameter________________ Depth. EF x Disposal Trench—No..................... Width...................... P__........___.. Total Length....................._ Total leaching area.................. sq. ft. 3 Seepage Pit No............... ..... Depth below inlet....._ --.......... Total leaching area.ad!°.�P s9Xt.6t/D P� ------ Diameter----... .-- .._. Z Other Distribution box ( ) Dosing tank Percolation Test Results Performed b ..__ --------------------------------- Date..... ------�--__.____-_______--. Test Pit No. 1....�_ ___.minutes per inch Depth of Test Pit... �:....-_. Depth to ground water.J_Uf71/�--... fs. Test Pit No. 2................minutes per inch Depth of Test'Pit...................... Depth to ground water........................ a -------------.................................................................................................................- Description of Soil..... .l. ...... ...ac ..........................nn W ".......................:........•-•----•--__._...---••--........_--....____.......... ....._..._....... .......---•-••---_.-_.-::.• ........................................................ .......................... -----•----------•--•-----•----------------.._..._-_.-._..........__----••---.........--------------:.._..__.......................___.....___...-___._...._.................. V 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 TITLZ 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation Iltil a Certificate of Compliance has been issue by t board of healt Signed............... P... .............._.. /(� Application A roved By.._..... :... .. ..... ....... ......................:. �5�!y _......._. Date. Application Disapproved for the following reasons:.:.......*...................................................................................................... ...... Date ••.....---••--•--•----••.....•-•••.................................. . --•-•.---_- PermitNo........................................................ Issued............�....+t.......:............................... 'Date �� LNG�n��'2 M�IFar �� �j �s�r< �O(?11Uo �-6�s�2�c-Ai�bn�r-C� �S�SrY3v, 15J4s�7Fu-��►' Y, •�/� .i..�. /f J`_� �-°'�''�.rt 'mac.-✓1-�- 5, � FEE... THE COMMONWEALTH OF MASSACHUSETTS BOARD. OF HEALTH OWulw. ................OF....13f�21uS7A 1 :...:...= ...... Appliratiuir for.Uispuual Works Tonutrurtiun rrmi#. Application ins hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: G,4h�7 �?o L m.# -JF............... -N Y,a, ly i s..---.....•••--- ............... - ..... ................• �i Location-Address " .........................t I)0�ev���r.✓� 6. ...xA2m��rr.�r.r ..... .............. 4 Owner a Address` .- •-• `r -------•_.... ..•_•-••......................... ..... •---..... •----•-•••-•--- .....................................__.... Installer Address Type of Building Size Lot. ......Sq. feet .... �-, Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T eBuilding .D.5 a Other—Type of �51�... .._:-RvIF...... No. of persons...'r....A14TC.,...,. Showers ( ) — Cafeteria ( ) Q Other fixtures .............................................-....................... ........•.........................._.................... .......... W Design Flow........... ....1.5.............gallons per person per day. Total daily flow.........9.9............................gallons. Gd Septic Tank—Liquid capacity.Wa.gallons Length.B.Y&:..... Width:.'yZ_.... Diameter................ Depth+ -EFF Disposal Trench—No..................... Width...4................ Total Length...........,....... Total leaching area....................sq. ft. Seepage Pit -No..................... Diameter.......8......... Depth below inlet.....'......... Total leaching.area.13)4...s5A.4 ,r z Other Distribution box ( ) Dosing tank Percolation Test Results Performed b .. N Y •�.�---��..-• ` -•-- ........................... .... Date--i-... ....5.-�........--•--•--- , Test Pit No. 1....� ....minutes per inch Depth of Test Pit...144..._..... Depth to ground water..L/Q/.�..... G� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ..........------------------------...................................••--•••................--•••--••......................................................... 0. Description of Soil.....12`.-f_ 4....--- .r�?.1. -T ...<5.A -......................................•--••-......•••--••------•-•••----•...------•---- ...............................................................................;......................................................................................................................... x ....---•---•--------------------=-------------------------•---•-••------------•---•------ ------•--- . . U Nature of-Repairs or Alterations-Answer,when applicable............................................................................................... ...........a,....................... ................................................ ............................................. ......................................................... 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 issue by t board of health. �1 �� ��A 2� Signed ............ = ... .... ,.4............... ••.. --..�,......_ Dt APp cation A roved By..-- � '.: .. ..... .... •_ __........---....-�...... 4 iy� Date Application Disapproved for the following reasons:j..................................................................•-------•--••------.... .....-------- .........-•••--..........•-•----••-•-••..........:...•---•-••-•-•..............-••---••-••-••-•---•----••........--•......-•--••-••••-••-----•-•-•............--...---............................:....- Date PermitNo.....................'.................................._ Issued........................................................ C-��6Daft `- 1�:•�+'i�u%��'�f�R'.� THE COMMONWEALTH OF MASSACHUSETTS {-t C iL' BOARD OF HEALTH L'1 pri if trttis'y..1af ICY lj nr� w TH S, IS TO,CERTIFY, That the Ind vidual Sew age Disposal- System,constructed ( ) or Repair �... ....... .......:.. ........ .... ..----- ---...........•--....................................•--_--............ .... ....... _.. f . Installer has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code`as described in the application for Disposal Works Construction Permit No......................................... dated......-- r-:................_....:........... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED,AS A GUARANTEE.THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.................`I L.L.- S Inspector.......................... Y THE.COMMONWEALTH +OF MASSACHUSETTS BOARD OF HEALTH l� , ......................................OF... ............................. No :. 1a, � .. _. Fes. S� MaP00 l urW(gunutrurtiunl rlerrA t Permission is hereby granted .tr.0 '...'...............'----.....---••............................................\. to Construct ( or Re air ( an Individual Sewage Disposal System Street J as shown on the application for Disposal Works.Construction Permit -..�-•�.�� Dated.. . .yl............... •-•......... ..................................�� ..... ` Board of Health DATE...------ ............................... e 41 DATE --lula�;?QL985 _ ❑ URGENT TOWN OF BARNSTABLE ❑ SOON AS POSSIBLE BOARD Of HEALTH FILE NO. ElNO REPLY NEEDED 367 Main Street P. 0. Box 534 HYANNIS, MASSACHUSETTS 02601 ATTENTION TO SUBJECT _ Mr. John Ellis 460A Yarmouth Road Hyannis, MA. 02601 MESSAGE. Dear Mr. Ellis: _____..........___.--__..-----"___.__._.-________-_-_"._____".____._-----____--_.__"....------------ .._._"_._._ > We have been trying to reach you by telephone wit'ro ,t success to inform you that according to our recoras�-y our...sewage"-permit No-.- 8-5-455-,-talon--Mt--nay-_-l._4_,_._19$5;_faT"f;.ot--1-0-;-t'lant--R-oa&;-i-lganms; has not been paid. We would appreciate you mailing or bringing in your check immediately for $50.00. Please make --- —- -----___----------.--"_"____""_...___..____.__" _-____.__---.._....._...-_____._.__.____ chec�payabTe to-flownarnsfa " e.""""" "-"�T" - Very truly yours, SIGNED o Par/ REPLY ..______-..__....._..-_..__-_..-----..---_--------_____»__-- --------------_---------_ DATE OF REPLY_.__--._-------- ---------- .._..__.."-_-....-.._-----_--------------------------------..-..-----_--.._.-...--_____-....._ _ SIGNED ___-_____ ------------------" DATE May 29, 1985 ❑ URGENT TOWN Of BARNSTABLE ❑SOON AS POSSIBLE ~ BOARD of HEALTH H FILE NO. ❑ NO REPLY NEEDED 367 Main Street P. 0. Box 534 HYANNIS, MASSACHUSE17S 02601 ATTENTION TO SUBJECT Mr. John Ellis 460A Yarmouth Road Hyannis, MA. 02601 MESSAGE Fear Mr. Ellis: > We have been trying to reach you by telephone without success to inform you_that according to our records, your sewage permit No. 85-465 taken out May 14, 1985, for Lot 10, Plant Road, Hyannis, has not been paid. We would appreciate you mailing or bringing in your check immediately for $50.00. Please make check payable to down of Barnstable. Very truly yours, SIGNEDJop It. Kelly REPLY 1 DATE OF REPLY J SIGNED SENDER., DETACH THIS YELLOW COPY FOR YOUR FILE. MAIL WHITE AND PINK COPIES WITH CARBONS ATTACHED. ;!. . .. DATE -f d �'✓�'� FEE oFtNFTo� TOWN OF BARNSTABLE OFFICE OF Basa�Tam: r �••� BOARD OF HEALTH 0o s63q. `dm 367 MAIN STREET ''Fc yi►Y"'- HYANNIS, MASS. o26ot VARIANCE REQUEST FORM All variance requests must be submitted five (5) days prior to the scheduled Board of Health meeting. NAME OF APPLICANT JOHN EI.LIS TELEPHONE NO. 771-8281 ADDRESS OF APPLICANT 460A YAFJ,,IOUTH ROAD, HYANNIS MA 02601 NAME OF OWNER OF PROPERTY SAME LOCATION OF REQUEST. LOT # 10 PLANT ROAD, HYANNIS (FORMERLY LOT #2) VARIANCE TROM REGULATION (List regulation) VARIANCE REQUESTED (Specific request) COMMERCIAL STRUCTURE IN ZONE OF CONTRIBUTION AND LESS THAN 3000 FEET FROM TOWN SEWER REASON FOR VARIANCE (May attach letter if more space needed) SEE ATTACHED MEMO PLANS - Two copies of plan must be submitted clearly outlining variance requested. VARIANCE APPROVED � � ° NOT APPROVED REASON FOR DISAPPROVAL Robert L. Childs, Chairman Ann Jane Eshbaugh H. F. Inge, M. D. BOARD OF HEALTH TOWN OF BARNSTABLE j �a ' l i 926 main street 362.4541 yarmouth mass. 02675 down cape en�i�eeiin� structural design civil engineers& land surveyors Arne H.Ojala P.E.,R.L.S. land court Richard R.Fairbank P.E. surveys April 9, 1985 site planning Barnstable Board of Health Barnstable Town Hall sewage system South Street . designs Hyannis, MA 02601 RE: Request Variance for John Ellis inspections Commercial structure in "Zone of Contribution" and less than 3000 feet°7from town sewer. permits REASONS: 1) Flow rate is less than three-bedroom house; nitrate loading is low. Although in zone of contribution, nearest wells are 4000 'feet to the west, and ground water flow is to the south away from wells. 2) I have spoken with Bill Maravel of the Barnstable D.P.W. He has informed me that there is presently no sewer which could receive effluent from the site. The closest sewer is apparently on Rte. 132 near "Dennys". It is however, upgradient form our site and it is not permissible to use a private forced main in a public way. 3) In conclusion, it therefore would be a great hardship ondour client in that it is impossible to connect to the town sewer at this time. The impact on public water supply is in all probability non-existant due to the great distance involved. I believe that public water supplies will be adequately protected by the p ovi,sions of Title V. Sincerely, Arne,,H.. Ojala, P.E. , R.L.S.. P1. AHO/kmk f LOCATION f SEWAGE PERMIT NO. ,�( 709/)/- 9 & VILLAGE I N S T A �ER'S NA E i ADORES C��I�IC'C' 6 U I L D E . OR OW.� -o m `�S DATE PERMIT ISSUED DATE COMPLIANCE ISSUED �� �/ c� C V7 �n .� No. ........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 74060.1'J..................OF.................... .. .................................................... Appliration for Bhiposal Vorkg Tomitrurtion Prrutit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at:. ..................... .................................................................................................. ................................ ... or Lot No. ........... ................. ....................................... .................................................................................................. ................................. .......... owq,,,r,,13------------------------------ .............................................Address........................................... Installer Address Type of Building Size Lot....4. 9..........Sq. feet U Dwelling—No. of Bedrooms...........................................Expansion Attic Garbage Grinder Other-h?'T'ype of Building ............................. No. of persons.__________..__.._...__.___. Showers Cafeteria Otherfixtures ...................................................................................................................................................... Design Flow......... .......I�T.......gallons per person per day. Total daily flow.............35.7 ...................gallons. .......... 1:4 -Septic Tank-!!-Liquid capacity'.ZeG�_.gallons Length________________ Width___._______._.._ Diameter_--_--__________ Depth._.._______.._.. Disposal Trench—No_ ____________________,Width___....._,..____._.. Total Length_.__________._..___. Total leaching area....................sq. ft. Seepage Pit No........t---------- Diameter.__._.__._.'__..._ Depth below inlet_____.__________ Total leaching area...?o0......sq. f t. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.....................................................W--------------_-- Date....................... .... Test Pit No. 1-----?—-------minutes per inch Depth of Test Pit_.../!� ...... Depth to ground water---AWIt. GT,, Test Pit No. 2................minutes per inch Depth of Test Pit_._.._.__._._____... Depth to ground water....___.._..___________. P4 .................# rY -----------------V.................... 0 D scriptio;l of Soil Off#, -6 -FO 78 wece ------------------ 849 <:;2kq ---------------------------------------------- _W........... U jPZ1;r11 ... .................. - - -------- .......................................................................................................................... or Alterations—Answer when applicable............................................................................................... U E - --- ------------ ....................................................................................................................... 7............ ................ si ed agrees to install the aforedescribed Individual Sewage Disposal System in accordance with T:T.�: 5 of the State Sanitary Code— The undersigned further agrees not to place the system in Certificate of Compliance has been issued by the board of health. Signf..................................................................................... ........ ------- ............................... . . . Application Approved B Y.................................... ...........D e Application Disappr e r e following reasons:................................................................................................................ ------------- . . g .................................. ...... .......................................................................................................................................................... Date PermitNo......................................................... Issued-....................................................... Date . ... ...:......... . THE COMMONWEALTH OF MASSACHUSETTS- BOARD OF HEALTH G4vN...............0 F...9Aoe,N..�e484�-�.._....................................... Apptiration for Disposal Works Tonstrnrtion Vrrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: / ... --•-•....................................... ................................................... I�motion Address or Lot No. /S�i/rG !?aryl¢ S ................................................................. .......-•---._...............------•...........__....------.................................------ Owner Address W Installer Address Type of Building Size Lot..Z5579 .... feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) PL4Other—"t e of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures .........-•----•--•--••-•-•••••• . W Design Flow.................11r...................gallons per person per day. Total daily flow................3 .2`..................-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.........8...... Depth below inlet...... ......... Total leaching area... .....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by...................................................... Date_...................._.._.._. minutes per inch Depth of Test Pit___-_�A�.. Depth to ground water.. . f� Test Pit No. 1....._�.__.__ _ � ._._. Test Pit N�. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ - ' -------------- x / o � � � Xty,t° Descriptio Soil. o 2-_...78... / _� ----.. �343---of ...........................S ,Fl _. k -/-----2¢----Co4 SQ _ 5{�s--------------- ...............................................---------------------- U Na 0 irs or Alterations—Answer when applicable............................................................................................... A i s� •-•--•--••--•-•-----....•---•--••---•---•-•-•----••....................•---------..........-------•-•-•--••••--••...----•-•---•••..._.............•---•-------......---•- yG._ N eJ-t er I ed agrees to install the aforedescribed Individual Sewage Disposal System in accordance with p TIE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in po � i n u t tificate of Com fiance has been issued by the board of health. 4 ...---•-----------------------•------•. ........ .....-.... �F�SSIOEVAL� t_ Sign APP i PProved B _:..--.•• ...------•---------...••••----••-••-••------••-•--•---•-••--•••--•-•-•.... .......... ........ -------------- Date Application Disapprovp . Me following reasons:.................-------------•-------------------•----•-----------------------•----•-••-------•............. Date •---------------------•-------•--••--------------••-----------------••-----------------------------------------------------------D -•------------ ate PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF H A T .................. .................OF. ...................................... rr if iratr of (Compliattrr THIS IS TO CERTIFY,:That the Individual Zewe Disposal System constructed ( <or Repaired ( ) by..... �-----•-.-- •. ---•--•----- •--• : .... ..... .... -` `u ----------..--.................---•----------•-----.........-----.............------•------•-- ry 'p_ Installer at �,.. ... has been tilled in accordance with the provisions of TIT 5 of he State Sanitary d .¢��s - ribed in the application for Disposal Works Construction Permit No............... ........................ dated------- __------------------------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE "SYSTEM WILL FUNCTION SATIS A TORY. ++ I DATE............... b l-7` 21 Inspector.. ...lY............................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH a" ..........I.........OF....................... O No.. ...... FEE........................ "f w Disposal Works T-ondrudion vrrmit Per miss' n is hereby grantedX' to Const epair an I dlvx u Sev�age Disposal System at:No. .....................{� / -----•-------- -- t eet as shown `n he application for Disposal Works Constructio e it No. . ..�� Dated..��'?...��... /............. Board of Health DATE....................................................................-----••.... FORM 1255 HOBBS & WARREN. INC., PUBLISHERS s� 4 L k�—� /{/I LI) V (\ � 'UR HY Je n2" ^� OhA SUK� \� \ n � (ri ' I AV 102 1� ray D�, N9)4 L' l.�C:J��/`'�ff� ���"1,'.C,j"f���'Ir--'/mac' / i ,r�,i` .. L�J�I�G%t.','�"� /��Yi:��j ;`�/�y% ���`'�1:! <�'J�/C_G.�6'/+��J,/i`�d='� /.,�•%�', F f� /I LzE: AIr A -A 90 CIO 'YONAL 4 • SECTION - SEWAGE —SEPTIC TANK — S' —"D"BOX — 7 / — LEACH P I T TOP OF FDN 4�!�•_ (MSL)a -"2"Of'/8TO sh" E3:M, AT WASHED STONE � GE-INTER. OF s aF PgvE , CATCH I3A51� --CAST IRON COVER �� WAY ELEV=4 ` TO CaFZADE PLAN i^tom 46 - '1ROA -47 48 IN OUT - IN - P}&rlUl` + f. �OCIp G OUT IN- , `�+ s MIN. t SEPTIC 5.a 43.CO�P TANK �LkJ�K}1 + i ELEV. ELEV. ELEV. ELEV. 0 4 n i , . 3.3 ,i4 IocaoG I k ELEV. ELEV. b• 6 0 M yj EL.EYz•45.0 4 gT 11 15'_ 1 s l+'h OFF'IL.E OF iN •112 \ J�kP I�MIN. - �- Nf,ASHEDSTONEIL TEST HOLE .LOG ;� FACTORY/IraDt�ST(�1f\L-- :tom �/D�P�a�ralwJ �TEST BY R• FAIRBANK s' CO WITNESS 5 PEOPLrE K 15=-7E> C> TEST DATE OFFICE A0HO?6. RATI ?NDESIGN 7s C.AL/1000 Ft�T.H. 1 T.H. 2 3o0 s• IZ 2 3 v/[ TC�T�t..-98 G/.� O°—_ 1C ELEV. 9S•O ELEV. ---^_- j ' °' 1 i-�•t F. =1'7.0 �' f . No S�S'I�FAc.)�•I PERC RATE <Z MIN/IN. DISPOSER; DISPOSER BAS04 WITH rr F (GAL./DAY) R T , Low RATE 9F3 V 1 SEPTIC TANK 98 (1.5)= GO REO'D SEPTIC TANK SIZE 1000 r� S I L-Tf LEACH FACILITY ``�J� 1 LOT 1© 2\ GRATE EIrEV= .5 G qV L_ t. SIDE WALL (S + = loc,s (Z•5) �.SI.Z G/D. ,4 24,iG1-FtZ BOTTOM g CaZ�t) ( 1.0 ) 50' G/D. TOTAL x �Q I •5 Cz�p .`� �\ `_ \ 1 �` •1 / '� / 14�f� 33.0 USE: Ohl LEACHING PIT _ �t�t4 � """ 44 g, 74 � 96 log Nd a EFF PIAh1F_7T-_R x 9-' EFF: -rl+ -�- WATER ENCOUNTERED T RD- r LOGU,S a. NOTES: (UNLESS OTHERWISE NOTED) P�, 1. DATUM(MSL)+TAKEN FR M___-:_L !I.N.�t __._._QUADRANGLE MAP_.... 2.MUNICI PAL WATER------___-7*..........................AVAILABLE �,� o . F � 3.PIPE PITCH: 44 'PER FOOT Of 1 4. DESIGN LOADING FOR (�ALL PRE-CAST UNITS: AASHO- -20 .44 ��� S.MIN.GROUND COVER OVER ALL SEWAGE FACILITIES- (1) FT. Sys ARCNF H G ` *6 P E'D 6. PIPE JOINTS SHALL BE MADE WATER TIGHT V ARNE OJALA �-A \ ' 7.CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. F H. In,', t3 CIVIL �•� !TEPLAN STATE ENVIRONMENTAL CODE TITLE 5 QfA(/� an Mjl, \y; l+2G34p 1a7. 307132 ZS LOCUS: .. . 1p $. USE 1-i-ZO SEyiAGE AND DRAINAGrE GoMPONE.NTS. + t` ' Gl ylE-a 'lei ��' 7. u�IFY ICI s"<-, :5F-T BAc �E�u 1ICE I�I>~Jvrs ��t ��hn -- �� --- �o c u s MAP '���� �D.�d�a �#��s'.��1 /� ffEG.PR S:f. INEER cJ��; ) ��� PRIOR TO COty `fRUGTiON. REF: ;�D�'JII CdPO @ �'IIf�rL�IIII' PREPARED FOR: , _Qk �I F L 15 CIVIL -ENGINEERS — —————— — I ' BOARD OF HEALTH" LAND SURVEYORS . DREG.LAND SURVEYOR CONTOURS (EXISTING)... SCALE (PROPOSEO)-0� Q-'O- APPROVED OATS MA I iii DATE a Y t i a