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Home My WebLink About0048 ROSARY LANE - Health 48 ROSARY LANE, HYANNIS A= EJ JAXTIMER TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH Q satisfactory 2.Printers 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY ) J�k� (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS YX r-liZo Class: � 7.Miscellaneous s¢� QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Ca I se I ot I s Drums, Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) " Diesel,Kerosene, #2 (B) Heavy Oils: waste motor oil(C) l C', new motor oil(C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: AmA tl r�72— Zs--i5 A u DISPOSAURECI AMATION REMARKS: 1. Sanitary Sewage 2.Water Supply ��6y Yk C4 vv O Town Sewer Public "I Ak,* a.iAdSf _ On-site O Private / 3.Indoor Floor Drains YES NO //� r O Holding tank:MDC_ ��' Pj �d ' a O Catch basin/Dry well S `elt,� w��'�cr ��/� �� O On-site system 4. Outdoor Surface drains:YESZ_ NO O ERS: O Holding tank:MDC eL a i )+ IN O Catch basin/Dry well �_Qn-site system (� g � "1 �--�(,�'.1� �� // c/d�.� f 9[l.�Pr,t CIYs-d1• C.Y e.��T'`j/Jl1 �i':S 5.Waste Transporter Name of Hauler Destinatio'n- , ,Waste od • � YES NO 2. terviewe Inspect at TOWN OF BARNSTABLE OMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops ,� unsatisfactory- 4.Manufacturers COMPANY J�� (see"Orders") 5.Retail Stores �y 6.Fuel Suppliers ADDRESS Class: 7 7.Miscellaneous 01 it/48 � ,v,�•i� QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case I ots Drums Above Tanks Underground IN OUT IN OUT IN OUT #&gallons 777 Test Fuels: /A�01 Gasoline Je�el 117 Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydr.aulic Synthetic Organics: degreasers Miscellaneous: DISPOSAL/RECLAMATION REMARKS:/ 1. Sanitary Sewage 2. ter Supply Town Sewer ublic ,S' 1 On-site OPrivate 69-1 f f 3. Indoor Floor Drains YES N0A O Holding tank: MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product 1. s�/✓h,4 D YES/INO 2. Person W Interviewed Inspector Date 1 p th {Rpry !f II7 l 6 Z 1 I( 171 7'0- 1 ' - yARM.OU TFI 1 -7� �' ' I:�/-1�S�.tA•� ,: � I — �I 3�h r` c} �07'1'�ji ��\ �� (�- � I , 0 s g. Z]� �b ao•a r %r i 1 iQ x z S (n, a o r - �' eta � :4 i I ! I 77 -- ., ..—•- ,I. I I � !.�. ,�:�_ ExtS eSpusLT ✓ L— I 'coo oa _.. I I `�s� 1�• + i �� '�� TO 0e B'eMOV CD. I�YIS�is<YVP'6T I I' •.- I + AV OE I III III � � I<------------ ------1., I s=oxc: j I 4 7 a ; I ! ice I I I I I ��I N �•�� I\t I �'� I III ---- � :_ � � I P —-- — z3 I _117 0 3 n '711 s r i ll ��I IIIfI II 11 I II I .� .y uy�'i __�. ilii'II§Ifl II tlll�i,w I I III il,l�,AI III 1111 I — �, �I ICI�I II 11 1 it II III II II I i i IIII i � ° I � I'It�TIIIIIIjIf Ill;ij I �' II I NIIIui � � I.Gq I ZI � — II ,Itfl� L �: {� .lira�1111'll ICI t iL i IIilu��I�h lf'lill h ' I Ilhj lll�jl ih`11 it i lj 19 I,flf I G 4 III B&Y s i �--gym•---�-m�� - II � II' 7II NliI IIh IF. .. I a f . 7 p M O a p z �< DF � z I � TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUvSINESS:�&C kl ��✓�% �� Mail Tor BUSINESS LOCATION: 4/ o SAIZ f �� /-�y.Ar✓ is Board of Health ��"'<.� Town of Barnstable MAILING ADDRESS: P.O. Box 534 TELEPHONE NUMBER: l 3 Hyannis, MA 02601 CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: Does your.firm store any of the toxic or hazardous materials listed below, either for sale or for - 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 v 5'GA/Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants AO6-,*, 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 ,ZZ 74/ Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) r�19/ 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 I Household cleansers, oven cleaners White Copy- Health Department/ Canary Copy-Business TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops 0 unsatisfactory- 4.Manufacturers COMPANY N (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS Class' 7.Miscellaneous QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATED S Case lots Drums Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) 1 e motor oil new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers t t Miscellaneous: R. kht) 16"I�ffllw T /V DISPOSAIJRECLAMATION REMARKS: 1. Sanitary Sewage 2...Nyater Supply t'J•® V L�(J (� O Town Sewer Mpublic r.,v-)e<� Tlea On-site O • - ate •' 3. Indoor Floor Drains S NO O Holding tank: MDC O Catch basin/Dry weI O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank: MDC O Catch basin/Dry well O On-site system 5.Waste Transporter MName of Hauler Destination Waste Product YES N0 1. r� 2. ` A f j'Person (s) Interviewed v V Inspe or W, Ayd,6 A��1 �� TOWN OF BARNSTABLE LOCATIONZ,;)r /L/9 3 /?tl.5f9R v GIt' SEWAGE # 97- a3g- a3 'y C�.z VILLAGE 1-71yAAv, 1- ASSESSOR'S MAP Si LOT 34)' o-S e INSTALLER'S NAME & PHONE NO. /92 e A/ `SEPTIC TANK CAPACITYi ,Z.� / 0 6 ,9 � r LEACHING FACILITY:(type) �i T (size),,2� ENO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER �PI, ,14 t: _ _ r BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No r �— s �� —� _ � 4 C,.s � � �. '� ,:._> ,,� TOWN OF BARNSTABLE t _. LOCATION In, SEWAGE # 97 VILLAGE ASSESSOR'S MAP & LOT y 9 i- INSTALLER'S NAME PHONE NO. 4� C , SEPTIC TANK CAPACITY 2 /06 o Cosy LEACHING FACILITY:(ty.pe) (size) NO. OF BEDROOMS PRIVATE WELL OR,PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: L/ /7- 67 DATE COLIPLIANCE ISSUED: VARIANCE GRANTED: Yes No (� --� � ' � � � �.. � � r .� � �` �l -� � t_W ,. . ,i� ., . c '� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . oF...:...BA2vSTBLG 3�y Applutttion for Disposal Works Tonstrurtion ramit Application is hereby made for a Permit to Construct (&,. 'or Repair ( ) an Individual Sewage. Disposal System at, ... _......--• w./off---f. °B. ......_......._......... .... Location•Address or Lot No. tom.......- .: ......4' W.25 �ic;L -.._... Owner ^- --- ... ... 'Address .._.._....._.. _ .................. W .vST ...........................••--............. Installer Address 3/ e/ Type of Building- Size Lot.-_.,,....................Sq. feet - ►.� Dwelling—No. of Bedrooms............................................Expansion Attic .( ) Garbage Grinder ( ) Other—T e of Building ............ No. of persons.:..................... Showers . — Cafeteria Pa Other fixtures ........................•-------•-•-----....... WWDesign Flow..........:...............................Olons per person per day. Total daily flow..=...._...t Z,X...............gallons. WSeptic Tank—Liquid capacity.lf�ft..g�llons Length.A. ~_.. Width_1!4.".. Diameter................Depth.s"8'.. x Disposal Trench—No--------------------- Width.................... Total Length.................... Total leaching area...................sq. ft. 3 Seepage Pit No._� ..�i� Diameter......../�...._. Depth below inlet....`............ Total leaching area. s.�.:3 C%. . ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test R1SC mi Results Performed inch Depthf�Test Pit.� .D...th to Daound L-� .. 04 t Pi Test Pit No. 2.L..7-....minutes per inch Depth of Test Pit---i� ..... Depth to ground water........................ -------------•-••::--•:-•---•:--........ .............. ..__............----- .............--...... O Description of Soil...-Q�i.'_.3e IV..!!4!�A4Pf_t_"2....�S.!�y3. L 3o p"--J L...................................i.?�D.......... ... 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 iITL U 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b..pn issued by the b d of h 1 . Application Approved BY �'!.• • . .-----•• ----- .-- - -- - �2=7. .......... Date Application Disapproved for the f oll reasons:---•---•-•----•-----•--•-••..................................................•=----............-----•...:_.._ •.............................•-•--•-••--••-•-•-----.....-•-•-----......---•--•---------...----•----..._..........•..--•--•-------•----......---.....---......--•-•---•--...........--••--•••--......... Date Permit No....... ..................... Issued..- = ....... Date 2-3r THE COMMONWEALTH OF MASSACHUSETTS - - BOARD OF HEALTH Al" ..............! .Ind n..-----..0F............A1Z�1.S.�,�3LL-.---.........--•--------- -1__ Appliration for Diupusttl Works Tonstrurtion Errant Application is hereby made for a Permit to Construct (L...)a'or Repair ( ) an Individual Sewage Disposal System at: t ; ...........------....-......_.......... C^ _ Location-Address � or Lot No. ... sgX775/ '? i,!/G C ...._......^...._........»..............^ Owner ......Address W /.�azc a ... - .. .......... ......•....- .............. .- e.....-3/ of .................... Installer Address Type of Building Size Lot......:.....................Sq. feet _ .4 Dwelling—No. of Bedrooms...........................................Expansion Attic ( ) ` Garbage Grinder r a0.4 Other—Type YPe of Building No: of persons: .. Showers ( > Cafeteria ( ) Other fixtures ............................. WW Design Flow..............................:......gallons per person per day. Total daily flow..... �:.:5......_..........gallons. WSeptic Tank—Liquid capacity.fa-c-_ gallons Length_.!�?t..G...._.. Width..!5t 4....... Diameter................ Depth. �_f!L... x Disposal Trench—No..................... Width....................Total Length.................... Total leaching area...................sq. ft. 3 Diameter ..`.... Depth below inlet.....G..0......... Total leaching area.�:fKf�,iq. ft. Seepage Pit No..%any... z Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.... ' <¢q,Pl-?.......::.. u�'..'............... Date. ?!?f.� �98� 14 Test Pit No. 1.K.gt.....minutes per inch Depth of Test Pit.. $'" . Depth to ground water......--............... Test Pit No. 2.4...z:....minutes per inch Depth of Test Pit...r�'l Depth to ground water........................ 04 ...........................................................-............................ .......................... ...................... O Description of Soil....4'•.:._3e?" t�v�n��...t7`5..�-Ski� 30 5L `" �/r+?Ser---S r> �^�'- •-- ..............................•--•-----•-••. v -••••••••••........-••-........--•.......... .-••-......-•••-•-••.......•-•••••---------•--•---••...............••••-•-•............. x •••••-•••-•-•••-------•------•••••--•••-••.........•••----•--•-•---••••-••-•----••-•••••...........•----••••••-•--------••••....-•-•-•-•--••................................••-•••....................•. U Nature of Repair's or Alterations-Answer when applicable............................................................................................... -•--•-....------•----••-•--•--•------•-------...--•--•---...---•-----------------------------------•------•-•••-...........•••--............ ...•••••---••-................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by thhe board of health: Signed. - :..� 1... - ^� 1 .._.... /� / .................................... D Application Approved BY .... . . ..... . .::...` -----•--..................-•••••••--- -• =17 "- Date •..... Application Disapproved for the f ollo reasons:--------------------------------------•-•--------------•---•-----.......--•----:------......._............___ ...............:........•----...................-----..................::...:.........---•-------...._......:......__......... ...... Date PermitNo.-----�- �...a ..............._.... Issued-..........--------............ ............. Date ........•-- L----=--------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ' OF...... C'T fUrtifiratr of TontphFturr THIS I CERTIFY, Th the In ividual Sewage Disposal System constructed (v-)'or Repaired ( ) by...............:. �,Q .... . .. Y-•--••-•••.....-•••-•---•------..................... ....................................................... Installer at....-•-•-��....----- �� t.Q _... ° ... .�. :C� ..........:... -- . . ------....---•------..... has been installed in accordance with the provisions of TIT 5 of T State Sa ' ry Code as descri in the application for Disposal Works Construction Permit No....... .. ..... ....... dated.............. 7.._:.. . .......... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE....................by �.-_`./.._.�.�..._... .................-•-•--- Inspector -- % '�=........................................... -------------------------------------------------------------------- J THE COMMONWEALTH OF MASSACHUSETTS 3A - BOARD OF HEALTH -�,21y ..............?a.. /............OF..........f-��!'i' sl% / . ' ..................... ) � NotI ............. Faa. . ...... �tuo orku ott truttiottrrtttit Permission is herebygranted........... ' g A�i�ddual ..... . .. .............................................................__.. to Con trust (t.�) or Repair ( ) an Ind Sewa Disposal System► at No.i, .j.........W...../.D.A.....,�.J.ta( ... �,� ��........................ .......... ... ....-- ..........--•--...... ........ .......... S ce p as shown on the application for Disposal Works Construction P m No.j......,... Da ed....... .... 7..�...1....... Board of Health DATEf L� .......................•----•----------••--- - a s t _ . _1�.�vE �a �L-��L_(J(.Z-•l�t�Sj l�+L�2�te�()y S �.�_C'0.�.1C._—Wt_✓�_►Crti�4�..3...�i,5(?oS2c�—_,_. _ `_o?F vu �t-t�-E 5 - - ►�5� rtNE _ t-�� _-w�S�_ _ a ._ 0 (4�s�ar�a. 1-Q- t,� IR � i I � � i � � � I E i j � I i � � � [ � I I I s � � I � � 1 1 � i � I � 1 � - � � I � � � � � 1 , � � � � � �, � � { � � � � I ► i � � _. � � � � ' � � � � �- 1� 1 � � 1 � � � � I � , � � � � � 1 I � � � i ! � � �. � I 1 � ! ► I I a 1 � C'4 C 1 ► � � , �. � � � a � � 1 1 i 1 � � I t i � 1 � t � i � � � � � — i � � t � � � � � ,� , . �� I � � 1 � i - � � � Ij � 1 � � � � � � � I 1 }} ' j-� i i (� � � � 1 � � 1 � I I � (I( � t I ► ► � I ► , � 1 . �. I 1 i � i i f ' i f 1 � �� I � � � � . b . � � � � f . � � , I I I I � `` ( i 'i �` � 1 I ! I 7 i 2 r° 4 W Lvc.L.s H.�i SCALE /"- 2000' 0�,5/IV S.S Zv A6 "cGOv✓s Z 33. z \ / ` 7aTAfrEj79 0 ear Dc r PL•4 N Aee7` - 7,-17;� a Al i I r �► ,+e� 3 z 7. 5" r"-D. /��. BK, 4z.5 70 - � i34,%E•yam P"-r I or r GC 4a G J l ( j y i G tc✓ I MaC� i BRS i..i L ' CONCRETE COVER TOP OF FOUNDATION Q ' s /o /�ls'>,k' 6�bv - 4Z o,. , - a„ L/}sre� DC�L►aai�J6e<' CONCRETE COVERS W4rze s.snvs6 2'E .q • 'mrml�r \ 0/ •' 4' CAST IRON 12"MAX. �.or4 a n� ►s • Z..3 I Disc VI \ OR SCHEDULE 40 I-1- f�oX 1 O O 0FAcc ! '�/'oo -� PVC PIPE 4 SCHEDULE 40 PVC (ONLY) PIPE - MIN. LEACH PITCH 1/4"PER FT PIT �1 PITCH 1/4'PER.FT PRECAST J INVERT LEACHING EL. `� 48 INV RT INVERT e 0 d , PIT OR Ct4lJ 8 �,e 4�4- G f SEPTIC TANK 7 DIST. I 1 i , V. ELN 39 ¢7VERT I GAL . INVERT BOX INVERT G va ° 3/4"T011/2 EL. .y.z �880 ;: �o WASHED EL L. f / ►.r STONE �� y f j/ , ,. /o1 Er zap v /o' DIA. ;evcp�Nrriz71 o I ' Y PROFILE OF GROUND WATER TABLE I Get 4/,8 �k ,� _�`i G/¢ :54. r7 � � I \ � SEWAGE DISPOSAL SYSTEM NO SCALE SOIL LOG WITNESSED BY I �, .. I 7 ! $ y 1 /o I "�---•�..�„ / � 1 DATE �,� 7154 TIME ''1 +�5• N . BOARD OF H E A LT H TEST HOLE I TEST HOLE 2 �7iy✓ ,U !F, ACC LC � ENGINEER ,t I ELEV. '9-•-8 > ELEV. -F/.6.5. . . �l/ I �. ..'fit.¢!•4 / C�gt / 1 1\\ ' . . ^ t SE7o77 �n ` ?77 1 (�� \ ` `J \\\ Woo 0 Ga.t�•, T- -,5 � T l 9�' J uw _ I ArrAG � 1 � DESIGN DATA9V � 1 -.+JIB-.Sant. ue-5.0�O iIoz. J&3� 3�j.-'S NUMBER OF BEDROOMS ?P�° w!�ufbst ff,/02,2 TOTAL ESTIMATED FLOW ��Z, G . GALLONS/DAY �r / I WL>r�¢< „�s r; l / / ' �R f_t Gw/►✓e2 BOTTOM LEACHING AREA ?8.-�a SO.FT. /PIT/� P D, tz.ao d*I 3Y.45" SIDE LEACHING AREA 17Z 8 SO,FT/ PIT/4yZ r'i.�, GARBAGE DISPOSAL ^/°^/W. . (50 % AREA INCREASE) �� • ��r ( 4�' - i�.,,,��,tcc.�1u�.t.�tr�«�� r'.4'. f+•d G,e. 4r 6. �. Ce�ta�Sf" _;,/►*�D `"��'` -- - --- •gym TOTAL LEACHING AREA 3. SQ.FT r PERCOLATION RATE .Ze- .72vl MIN/INCH l� LEACHING AREA PER PERCOLATION RATE SQ.FT.�t; ' WATER ENCOUNTERED Gti P A^ NUMBER OF LEACHING PITS APPROVED BOARD OF HEALTH ! DATE AGENT OR INSPECTOR TG 'G"/ x_� OF �P�tN bigs�9 ��N QF EDV4AR0 `yG� ;7o ARrJE G• ��y T/ o KELLEY H a 0 ,. No. 26100rr- W<3/e.Y FC<, �FCISTERE� L 1A1105 fs5/OtrAl EW"� Cz. 41 z3 C V l.:77NG S/var Z Z-z. VA77•�l/ \�__ / uY j Cr..t.��1 i-!�9�tv r j►; M�5 S.