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HomeMy WebLinkAbout0700 YARMOUTH ROAD - Health 700 Yarmouth Rd. ,Hyannis MAP - 345, 'PAR=010. 003 j� I i� I i TOWN OF BARNSTABLE LOCATION '7 0Q�o ycdmao - SEWAGE# 9-0 t 4 - 2 C, VILLAGE �1c��i a>a> ASSESSOR'S MAP&PARCEL $ INSTALLER'S NAME&PHONE NO� � SEPTIC TANK CAPACITY �Y(:%lrt�� ,Toles LEACHING FACILITY. (type) (size) NO. OF BEDROOMS_ � qjc� OWNER �r PERMIT DATE: A-16- i COMPLIANCE DATE: Separation Distance Between the: A)DA�e— 12 Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY I '� � � � N � � � � � � _ ! � .� ., � �'} � ,� ,. �� �� �� � � � � � I�c) t --- �. o e Od ��.� p J I No. — a(o3 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ftPhration for his osar �&pstem Construction Permit Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 7-® Y u r^�G����` Q e� Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 3 y g•' ty 1 p p p E J.v 0,f c) V'O.;o,.r 1 d Installer's Name,Address,and el.No. Designer's Name,Address,and Tel.No. �es�llis A `�fow,J 3.�c Sob�L(Go- 7/5-5 c,�.��p� Svdar.� Type of Building: Dwelling No.of Bedrooms 4FR5 Lot Size 3 3 1 04 sq.ft. Garbage Grinder( ) Other Type of Building foot' ) 7_ e VcM No.of Persons, Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 40d gpd Design flow provided gpd Plan Date Tv\'f -Lb) `I Number of sheets Revision Date Title Size of Septic Tank -Type of S.A.S. Description of Soil c Nature of Repairs or Alterations(Answer when applicable) 1,�gic.�.l` G,�Je t.0 �y,0 f�!�zj k to"J '0 ox G,-- A S-VoNr 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 Certificate of Compliance has been issued by this Board of Health. Signed Date C V Application Approved by Date Application Disapproved by Date for the following reasons Permit No. j) 14-' Date Issued 'Tl �� f 4 ; 4.M w .L J ` Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: 3 — �� Yes —. PUBLIC HE H�DIVISION TOWN'OF BARNSTABLE, MASSACHUSETTS 40riration for his o,taf-bpstrm' Construction Permit Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 7 ve Y v �^x * c7 Owner's Name,Address,and Tel.No. Hya.�,.e:S Assessor's Map/Parcel 3 H 5" v 1 C 00-3 M Installer's Name,Address,and Tel.No.. Designer's Name,Address,and Tel.No. �o�las A ow,,,j -3 NC S0Qj,L-1C10- + , kpC- swo r, Type of Building: Dwelling No.of Bedrooms Lot Size 33 109 sq.ft. 'Garbage Grinder( ) Other Type of Building fuo o ) 'V t 1 4 %\ No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 414 gpd Design flow provided � �� gpd Plan Date I Ll Number of sheets Revision Date i Title ~ Size of Septic Tank Type of S.A.S. y Description of Soil r\�) Nature of Repairs or Alterations(Answer when applicable) C)k C. •t N.b V k lo"i b CJX GSM 2,o 5.o.'b �\\�� �ti.�r-tb�r� w ifi �-, y£r 0� C ior ,r Date last in spected: . 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 Certificate of Compliance has been issued by this Board of Health. Signed Date - "Application Aflr'oved by j9K - Date Application Disapproved by Date for the following reasons Permit No. /_R 6 i q —C�k 3 Date Issued - �W 1 THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS k Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired Upgraded( ) Abarlogned( ) at ' has been coNted in ac oKijnce with the pro4'ions of Title 5 and the for Disposal System Construction Permit N ted � 6• Installe y t� �f0 Wi.) NC Designer of Su I oP #bedrooms` Approved des-ign flow gpd - The issuance of this permit shaii of be chnstilhed as a guarantee that the system 11 fun\tio � d i' d: Date Inspector No. U I f IG3 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE, MASSACHUSETTS ' misposal *pstrm Construction 3pPrmit Permission is1ereby granted to Construct( ) Repair( Upgrade( ) Abandon( ) System located at -700 D f M C1 v �� � � � � �0,,J S and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with = Title 5 and the following local provisions or special conditions. -Provided:Construction must be completed within three years of the date of this permit. Date+ �f�� Approved by j )4-C e F lI s..r. Town of Barnstable P# Department of Regulatory Services .BARIMAEM. Public Health Division Date MAM 1674 200 Main Street,Hy nis Wee MA 02601 Date Scheduled2 TimeFPd. a ; -1. m Soil Suita ility Assessment for Sew s: Y Performed By: Witnessed By: / LOCATION&GENERAL INFORMATION•M1 /�J Location Address �� Owner's Name �LyGN!/�` �d--S ,, h Address Assessor'sMap/Parcel: 3Yr//C) 01)3 Engineer's Name?AWc /1ytG�v1-� NEW CONSTRUCTION I REPAIR >/ Telephone# C� Land Use ��f L.ct� Slopes(%) Surface Stones Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Well ft Drainage Way ft Property Line ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) 1 � CD Parent material(geologic) Depth to Bedrock Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used Depth Observed standing in obs.hole: in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwater Level_ PERCOLATION TEST Date Time Observation Hole# _. Time at 9" Depth ofPerc lh' Time at 6" Start Pre-soak Time @ I Time(9"-6") End Pre-soak Nv Rate Min./Inch Site Suitability Assessment: Site Passed - Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- °- - ***If percolation test is to be conducted within 100'of wetland,you must first notify the Barnstable Conservation Division at least one(1)week prior to beginning. Q:\SEPTIC\PERCFORM.DOC DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil er Surface(in.) 1/ (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency-%Gravel ® ' , DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) Flood Insurance Rate May: Above 500 year flood boundary No,/Yes z Within 500 year boundary No✓ Yes Within 100 year flood boundary No VYes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pery o aerial exist in all areas observed throughout the area proposed for the soil a sorption system? If not,what is the depth f attually occurring pery pus m terial? Certification �} I certify that on (o q (date)I have passed the soil evaluator examination approved by the Department of Enviro ental Protecti n d that the above analysis was performed by me consistent with the required training, ise ex eri ce described in 310 CMR 15.017. Signature Date VVV Q:\SEPTIC\PERCFORM.DOC -a Town ofBarnstable Regulatory Services ti Thomas F. Geiler, Director CAB Public Health Division i639. 61 Thomas McKean,Director Ep Mp`l 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Date: L Sewage Permit# L L ;Assessor's Map/Parcel 3g5] OPc de.? Installer & Designer Certification Form Designer: 1C iNk-eI 5V.CV iNX_1V-e evd Installer: bc)uc 3You%t'1 Address: i q of Address: . o t7�t I q 6 M(11 s 09 rr c/ cevc F�rva'II� M)f 04,32- On a as issued a permit to install a (date) (installer septic system at 700 YC;rmcuoi PJ (J-� pniS based on a design drawn by (address) 1&11I ee Sufi we OW04 dated tL l (desi er) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank_. Stripout (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Stripout (if required)-was inspected and the soils were found satisfactory. -�N OFF, DAVID �' o s B. S m er e) MASON No.1066 0 �� a/srEI AM �`` Sq esi ignature) (Affix amp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. gAoffice forms\designercertification form.doc f TOWN OF BARNSTABLE A7,.'s Wings & Sus`"R aurant LOCATION @696 Yarmouth- Road:,,. _ a 94-251 SEWAGE # VILLAGE HYANNIS, MA. �'�•�'� bt��,a43 ASSESSOR'S MAP G LOT ign S.INSTALLER'S NAME & PHONE NO. Ens 508-362-3221h d/b/a Cas Truc sing H-20 1,500 gallon holding tank SEPTIC TANK CAPACITY also, cast iron ring & cover LEACHING FACILITY:(type) (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER NA)"HWOR O WNER John Rosario DATE PERMIT ISSUED: 05-16-94 DATE COMPLIANCE ISSUED• 05-19-94 VARIANCE GRANTED: Yes No 12 f t s f S.dW-.7a"►/V/V/Y=? -7/^/.7 � Isl o��,1rMo,�, 6c.�i..ia�ui6ua ao�e� ur»o� 9LM g' N � yJ. ,,�y�/ /'ro�aai'-,� /YiHON� sty arrnoa aH1 /YO Q�1b707 S/ rd7d S/l/1 /YO / 'MOH �r�Q-Yins �Cf.L -4&"-Z Z 9,+jt �-t71 �nn�- cs3-�-"v'Cy- Sa3rvotl.t.L'�d_ v4t nbbo(' 2lv ttib"7cL �7 I �SdG t1►H©� SS oZ ii 'SSt/W 3"l2d'1Si`1�db�1 Str+rrtr�.y-t� '�'O/1d�O al of V=3 a►Hd Vd /V2:71 Y 10 7d 47 / 1 N � s o Py � 0 0 n �/n No.....!.. .:. j FIcs....3..p........... APPROVED THE COMMONWEALTH OF MASSACHUSETTS B. t,sta le Conservati. Oepa BOARD O F Fi E A LT F-� .... S �' OWN OF BARNSTABLE igned DetO Appliratiu,t for Biripnnul-Wi nrkn Tnnntrnr#inn Permit Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: dba/dj's Wings N Subs Restaurant A.UQ..XarmouJh..l Q,-jdj...Hyannis---------------------------------- -------------------------------------------------------------------------------------------------- Locltinn-Address or Lot No. Tan9�.ewQQ�..R�a�t�r/..Js�hn..RQaax_.Q-.......................... --------------------------------•----•-•----------••--•-----------•--------•---•----------------•-- Owner Address a Ensi n S. Cash d b a Cash's Truckin •--------. ---------------------••••----..9--•-••----•• ...............................---•-•----•-••.....--•-•---•-•-••.......---•--.........--------•-- Itlsfaller Address UType of Building Size Lot............................Sq. feet ►., Dwelling— No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons_------------.------------ Showers ( ) — Cafeteria ( ) a' Other fixtures ............................... . . d -------------------------------------------- ------- -- W Design Flow--------------------------------------------gallons per person per day. Total daily flow.............................---............gallons. C4 Septic Tank—Liquid capacity........---.gallons Length................ Width---------------- Diameter---------------- Depth................ Disposal.Trench--No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area---...............sq. ft. z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ a Test Pit No. I................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........................ p; .................. ........-....................................................... -----------.-•--------------- -.......... ...••--••-...--------- *.......... 0 Description of Soil..........................................••-•-----•--•----•-•-----------••--------------- ------------...-----------...------------------------------........----•-•-- W v �; --•�,--------------- -----•. . x -----------------------------------•...----•-............---------•----•---•--•-------------...---•------------......------------.......-� ...... `ijO.•-•---......... U Nature of Repairs or Alterations—Answer when applicable....install.-H20 i_.-�986'gallon holding tank. -Install..a..cast...iron-ring...&.•cover.•................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the boa of health. -��/-.L...,/�„Q�l Signed&19TO4. ....._....................... 05-13-94Cash) Daw p Application Approved BY - e «•�,- . ............................... 7 Due Application Disapproved for the following reasons: ............ . . ......................... ......................................................---.............. . ............. . . ............................... ................ ............................ .... ........................ . .................................-- . . ........................................ Mw Permit No. .........1..-44 1- --------�-� ----- ---------- Issued ................................................................... fi Due 9 No....-1. ._. >5 Fps.... ?...e2........... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH s 6V/ TOWN OF BARNSTABLE G Appliration for Diripooul Works Towitrnrt-ton Permit I' Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: dba/dj's Wings N Subs Restaurant 696...Xarm�tarh-R� ` l .................................. -•------------------------....._..--------............................................=-........ Location-Address or Lot No. ana l e4rood.Red 1_tv/,7�hn..R�2sat' ......................................... Owner Address aEnsign• S. Cash d/b/a_ Cash!s_ Trucking------ j .__ ________ _________ rt Installer Address d Type of Building Size Lot............................Sq. feet .t Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) pk Other—Type of Building ---------------------------- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) a' Other fixtures --------------------------------- ----------------- - W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. i W Septic Tank—Liquid capacity............gallons Length................ Width--------..-.---- Diameter..---.......--.. Depth................ x Disposal Trench—No. .................... Width....................'Total Length.................... Total leaching area....................sq. ft.- Seepage Pit No-----------_------- Diameter.................... Depth.below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ fX4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ �+ --------------------------------------------------------------••-----------•---•-------------•---------------------- _------------------- _-....... ..._.. 0 Description of Soil........................................................................................................................................................................ x ------------------------------------------------------------------------ - ' r G-�- E'er- -_ .......--------- U Nature of Repairs or Alterations—Answer when applicable..- install H2O� aQQ@-gallon holding tank.,, -Install- a•-cast--•iron-ring-_-&-_cover. ________-___• ,4 Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental 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. Signed ....e ..........-4 1.,. ? /.......................... ...... .05--13-94.......:- . (Ensig� Cash) °afe Application Approved By ..:............ .. .�_�.:,wst.-� - ...... ............-.-... ........ .t .. - _ 9� . ._ Due Application Disapproved for the following reasons- --------------` - ........................ .- .....--..................................................-............... ................................................................................................................................................................................................................ ........................................ LYate PermitNo. 7. 57)................... Issued ............................-.................--....--....--........ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( X ) by Fxa:s.igra...S Ca:S11t.-..c/h/a--.CaSl1.I.S...t1'ruCkip�y {/nQ-..13C? -..7. r la .,,O)_tl�pOrt 1ic�a .(1?..F7�i.) ................... —Insult lcr at --#696...Yarmouth.-Road,....Hyannis.r....Ma.,-.---(d/b a.-Dj'.s..Wj,ngs...N...Subs...Re—atataran-t).................................... has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ----C/(-/.......1ZL. _j........ dated .......... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.....................- .....1....L..^... .. .............: -.... _. Inspector .....__ .- ........_.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF 'HEALTH TOWN OF BARNSTABLE No.- .y: �._ FEE... .......... Rio oottl orko Tonotrurtion Permit Permission is hereby granted_.Ensign S. Cash/Cas�h's Trucking Box 71 Yar'Port,Ma...02675) to Construct ( ) or Repair ( X an Individual Sewage Disposal System ! to96 Yarmouth Roaa� yannis (d/b/a D] s livings 1i Subs Restaurant) atNo. -•---- --_------••-- - - street q as shown on the application for Disposal Works Construction Permit No.l--y� - �_- Dated_.-_.. �.� .--. f...... ....................................... \e—------------------------------------------------ Board of Health DATE.............. �---�--•-•=------------------------------------------ l J FORM 36508 HOBBS&WARREN.INC.,PUBLISHERS - f Ali TOWN OF BARNSTABLE DJ's Wings & Subs Re `.aurant LOCATION @696 Yarmouth Road' SEWAGE # 94-251 VILLAGE HYANNIS, MA. ASSESSOR'S MAP & LOT Ensign S. Cash d/b/a Cash Trucking INSTALLER'S NAME & PHONE NO. 508-362-3221 H-20 1,500 gallon holding tank SEPTIC TANK CAPACITY also, cast iron ring & cover LEACHING FACILITY:(type) (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER R MOR OWNERJohn Rosario DATE PERMIT ISSUED: 05-16-94 DATE COMPLIANCE ISSUED: 05-19-94 VARIANCE GRANTED: Yes No " L r t i Tile p0�y TOWN OF BARNSTABLE OFFICE OF t B6BASS. E, : M BOARD OF HEALTH y A98. 0 1639'pI ���0 367 MAIN STREET AY HYANNIS, MASS. 02601 . November 1, 1989 John Rosario 396 Mitchells Way Hyannis MA 02601 Dear Mr. Rosario: The "DJ'S Wings & Things" food establishment located at your property at 696 Yarmouth Road, Hyannis was visited on October 31, 1989, by Thomas McKean, Director of the Barnstable Health Department, who observed four ( 4 ) picnic tables of sixteen ( 16) or more seats. You are reminded of the variance granted to you April 5, 1989 from the Interim Regulation for the Protection of Groundwater Quality within Zones of Contribution to Public Water Supply Wells condition #1 states . . . to reduce the seating in the restaurant from twenty-five ( 25) to seven (7) . " The maximum seating capacity of seven ( 7) is also printed onto the food service permit. You were told of the exceeding seating limit verbally during September. Your are directed to reduce the seating capacity to seven (7) seats upon receipt of this notice. You may request a hearing if written petition requesting same is received by the Board within seven (7) days. Non-compliance may result in the invalidation of the variance granted to you April 5, 1989. Sincerely yours, G{�, /}'✓fit. Thomas A. McKean Director of Public Health TM:cst cc: Manager DJ'S Wing & Things - . r oFTHE To *OWN OF BARNSTABLE OFFICE OF BAaNAN& BOARD OF HEALTH 1639. s� a MAY k� S67 MAIN STREET HYANNIS, MASS. 02601 March 30, 1989 Mr. John Rosario 396 Mitchells Way Hyannis, MA 02601 Dear Mr. Rosario: Your request for a variance from the Interim Regulation for the Protection of the Groundwater Quality Within Zones of Contribution to Public Water Supply Wells, to install a 1,500 gallon septic tank and 1,000 gallon grease interceptor at Yarmouth Road, Hyannis, listed as parcel 4 on Assessors map 345, is not granted. The proposed onsite sewage disposal system was designed to handle a flow of 1,095 gallons on this 0.76 acre lot. A flow of such volume, greater than three hundred eighty (380) gallons per acre per day, at this lot which is located within a zone of contribution to public water supply wells, would not meet the Town of Barnstable General Bylaw - Regulation of Wastewater .Discharge, passed at November 1987 Town Meeting. The Board of Health cannot grant variances from a General Bylaw. Sincerely yours, ro er C. M. Farrish, M.D. Ann Jane Eshbaugh �? L•d� W James H. Crockei, Sr BOARD OF HEALTH TOWN OF BARNSTABLE TM/bs pyo�t ro`r TOWN OF BARNSTABLE O� � �'t •- OFFICE OF NAnIST► IE O PAM BOARD OF HEALTH °o i63o• 3e7 MAIN STREET ��rAY k• HYANNIS, MASS.02601 VARIANCE REQUEST FORM All variance requests must be submitted fifteen (15) days prior to t}ie scheduled Board of Health Meeting. NAME OF APPLICANT John Rosario TEL. NO. 779 71 ADDRESS OF APPLICANT 396 Mitchell's Way. Hyannis MA 09,601 - NAME OF OWNER OF, PROPERTY Same SUBDIVISION NAME DATE APPROVED ASSESSORS MAP AND PARCEL NUMBER MAP 345 LOT 4 LOT SIZE 76 &Crgs LOCATION OF REQUEST Yarmouth Road, Hyannis VARIANCE FRUM REGULATION (List Regulation) • r Interim regulation for the protection of the groundwater quality within zones of conrrihuti n to public wells (Feb. 21, 1985) REASON FOR VARIANCE (May attach letter if more space is needed) PLAN '— TWO COPIES OF PLAN MUST BE SUBMITTED CLEARLY OUTLINING VARIANCE REQUEST. VARIANdE APPROVED NOT APPROVED REASON FOR DISAPROVAL Grover C.M. Farrish, M.D. Chairman ~ Ann Jane Eshbaugh James H. Crocker, Sr. BOARD OF HEALTH TOWN OF BARNSTABLE ,MAR. 17, 1989 O*THE p� DOWN OF BARNSTABLE t � OFFICE ,OF i Bana9 a BOARD OF HEALTH � i6gq. '0�r0 HAV k� .487 MAIN STREET HYANNIS, MASS. 02601 March 30, 1989 Mr. John Rosario 396 Mitchells Way Hyannis, MA 02601 Dear Mr. Rosario: Your request for a variance from the Interim Regulation for the Protection of the Groundwater Quality Within Zones of Contribution to Public Water Supply Wells, to install a 1,500 gallon "septic tank and 1,000 gallon grease interceptor at Yarmouth Road, Hyannis, listed as parcel 4 on Assessors map 345, is not granted. The proposed onsite sewage disposal system was designed to handle a flow of 1,095 gallons on this 0.76 acre lot. A flow of such volume, greater than three hundred eighty (380) gallons per acre per day, at this lot which is located within a zone of contribution to public water supply wells, would not meet the Town of Barnstable General Bylaw - Regulation of Wastewater Discharge, passed at November 1987 Town Meeting. The Board of Health cannot grant variances from a General Bylaw. Sincerely yours, - ro er C. M. Farrish, M.D. OAAA4AA-9- Annja�ne Eshbaugh ,, James H. Crocleer, Sr BOARD OF HEALTH TOWN OF BARNSTABLE TM/bs i 77/ No....................... Fim............72;--� THE COMMONWEALTH OF MASSACHUSE77S BOARD OF HEALTH ' , 0F7.&. ..A,..YW.5T�d04-Q.............................. Appliration for 11ispasal lUork'ii'(Eitnstrurtivit .tlrrmit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: IDZZL�4......C.:.ZJZ............ ....... J.-041V....hecs A V21 0 .......... Location-Address or Lot o. a3................ -_l.c-a................................ .....................5........... ............................................... Owner Address .......... '04411- 5__- -- ..............D..........T—P-1-13—----------------- ......... ..qk.�Q........V. ........ Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms.......:....................................Expansion Attic .Garbage Grinder ( ) Other—Type of Building ...(Z ....... No. of persons............................ Showers Cafeteria ( ) Otherfixtures ............................. .................................................................................................................. Design Flow.................. ........................gallons per person per day. Total daily flow............................................gallons. �71:'4 Taa—Liquid'capacity.1-Mgallons Length....._.. Width......tZt..... Diameter................ Depth.............._. Disposal Trench—No. ....:............... Width..._....__.......... Total Length._............._.... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter....._...___.__..... Depth below inlet.................... Total leaching area..................sq. f t. Z Other Distribution box Dosing tank Percolation Test Results Performed by.......................................................................... Date_...:.. ---------------------------- Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water..__..........:......._. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water_._.._.............._... ..........................................I...................................................................................................................... 0 Description of Soil......................................................................................................................................................................... W ......................................................................................................................................................................................................... U ....................................................................................................................:.............................................................................. C.. U Nature of Repairs or Alterations—Answer when applicable------:=.v-_,5m ......0.r. .......... .........O.W-ec...... ...... ................................................... Agreement: I The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of i L 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 liealth. SiVe ............ ................. .. ........................................................ ---- ate ----------- ----- .. Application Approved BYr -- ........_.. Date Application Disapproved for the following reasons:................................................................................................................ .................................................................................................................................................................................................6------- < . . .D..a.t.e Permit No... ...1 ..-4.9. .............. Issued_. IIoz .......Date No............... ..Fxs.... . � "< }. �- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ,c.....:! ......OF...............A.. .............•,1--= -............................. Appliration for 11isposal Works Tonstrur#iun Frrmtt Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: n ..........k. q l- (.J i,���.r rA t ?;Atha?r� 1 --•�1 ..... ...... .......�°a✓wi�= C"R L;���J _.7 lJf, l�;/,___k(nc 4 A,Q •Location-Address or Lot tNo. . ................................. ...•..............•. ....._.V.......... ... ------......----................•.... Owner Address . t ......... .....(� .... ..t I�VL/n .... .�'= .......................... ?�(.......��L.�1..I......�_•..:•V�/�..�\ ...... Installer Address Type of Building Size Lot............................Sq. feet �. Dwelling—No. of Bedrooms............................................Expansion Attic ( ; ) Garbage Grinder ( ) Other—Type T e of Building �'�t....... No. of persons...................... Showers - - W YP g --------•-------- P ----- ( ) Cafeteria ( ) Other fixtures ........•------•------------------------------- WW Design Flow............................................gallons per person per day. Total daily flow............................................gallons. W �'�t!Septic Tank—Liquid capacity-1_ gallons Length.....-FF...... Width.....jt;� Diameter-..---•--•----_-Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) h�l :3- a Percolation Test Results Performed by...........................................�'..._.____.....__...__......•. Date........................................ 4 Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Gz, Test Pit No. 2................minutes per inch Depth of Test Pit.............---.... Depth to ground water........................ a -----------------------------------------------••--•------------------••-............ ................................................................. O Description of Soil.................................................................... V .....................••••------•.....••--•-•••••-•••-••--•••-•••••-••••••••-••-••-•••--•-••--•••••••••••--••-•-----••-•-••-•••-••••••••••••-••--••...•••-•••--•••-••••-•-••-•-•••.................••. . W x .......................... .•----•-•-••-•••••-•••------•-•---••••-•••••••••--•-•---••-.....-••••••••----••••••••--------•-------•--•••••-----•••••••••-••••....--••••......-••-...............-•-••- U Nature of Repairs or Alterations—Answer when applicable......` =�a? ...-.. .c!� ._:_._... �"trrt.• c-c v .......Z;.......... ... ------ .... -i---------------- ------•-----••---- -- --` ------•--------------------------- ..._......._. Agreement: The undersigned.agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITL i; 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. •••....•-- Date Application Approved B, ?. ._��� ��:....------•---------------- �� Z 1� �.. ------------------- ------•••• •--• j Date Application Disapproved for the following reasons:.... ----------••---•----....:_..._...__._.--..................._:-=--c'.......---......................... ....................... -•••--....--•••......•••--••••-•...........-•••-•........................--•••••........•--•- '� ..---.---------------.....•••..... ......•-•--...--- _ — ( ale Permit No........ _ Issued.- � 1 ` ----------------------- _ C Date 1 , THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH '_1'.'r'�......................OF........ ................. (Irdifiratr of Tontpliaurr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( bY- +... n.... i .cQ=R.._.�•..:�- ....; ___ ............................. 1 4- Installer at. �,!!. .�.._.... -f")•1- ) ,f? 1/1k•<x ert .. < .. 1.. .. . ........ ?.............. has been installed in accordance with the provisions of TITIZ j of The State Sanitary'Code s des¢•ribed in the application for Disposal Works Construction Permit No.- r__-_._ .. �__.._.. dated___..__..Z%-� ............. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.................................................................... -------•---- Inspector...------......-•----�-•-�!..................................................... ----------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH r�G o.N FEE........................ 14sposal lVarkli Tatistrution ranfit Permission is hereby granted........%.K,0-0.--t-wa-K-✓A..___ `':""1 (C..._ --••-•--••••---•- •--••------•--•...............................•---•-....... to Construct ( ) or Repair ( `).an Individual Sewage Disposal System at No.----------- ....... , ? .,.A .o .rc e-1- 5D. c/ ( �w eq to _)< Street / as shown on the application for Disposal Works Construction Permit Now ____c��r:._ D'ated..tr. _.��u ----•------------------•......--- -• ....--............. .... •----- .�`/ / " Board of Health DATE. {i f/ c r Lb Vb J t,AA )l ��� : �o. to • rn O w Me 6'" w �R `c i G s 3 WDr1�n , 4 f. xx � � .one �• �tC. A' $' IV f 2ewi S • d� 7y i 4 � ct as e r. ol 2.. Sot f ei x 1q � IV\ ,r TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF FIRM: 11-41E L,4UA/D2.Y �a•. /�/G g/`� AA141 'T OSlE2dit�� MAILING ADDRESS: fleittF DfF/GE TELEPHONE NUMBER: Z c)2-0 CONTACT PERSON:. Does- your-fiam store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totalling, at any time, ,lore 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 characteristics and must be registered when stored in quantities totalling more than 50 gallons liquid volume or 25 pounds dry weight. Please put . a check beside each product that you store: Antifreeze (for gasline or coolant systems) Refrigerants Automatic transmission fluid Pesticides (insecticides, Engine and Radiator flushes herbicides,rodenticides) Hydraulic fluid (including brake fluid) Photochemicals I Motor oils/waste oils Printing Ink Gasoline, Jet fuel Wood preservatives Diesel fuel, Kerosene, #2 heating oil (creosote) Other petroleum products: grease, Swimming Pool chlorine lubricants Lye or caustic soda Degreasers for engines and metal Jewelry cleaners Degreasers for driveways & garages Leather dyes Battery acid (electrolyte) Fertilizers (if stored Rustproofers outdoors) Car wash detergents PCB' s Car waxes and polishes Other chlorinated hydro_____ Asphalt & roofing tar Paints, varnishes, stains, dyes carbons, (inc.carbon tetrachloride) Paint and lacquer thinners Any other products with Paint & Varnish removers, deglossers "Poison" labels (including Paint brush cleaners chloroform, formaldehyde, Floor & Furniture strippers hydrochloric acid, other Metal polishes acids) Laundry soil & stain removers Other products not listed (including bleach)' which you feel may be Spot removers & cleaning kei EIV E D toxic or hazardous (please . (dry cleaners) 1CC HEALTH DEPT. list):• Other cleaning solvents TOWN OF BARNSTABLE Bug and tar removers Household cleansers, oven cleaners Drain cleaners Toilet cleaners Cesspool cleaners MAY 2 2 1981 Disinfectants Road Salt (Halite) TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF FIRM: ACME REFRIGERATION EN(L MAILING ADDRESS: 700 ,YARMOUTH ROAD HYANNIS, MASS. 026011 TELEPHONE NUMBER: �, =41IX63 CONTACT PERSON: Does--your firm stor any=of-the =t-oxi-c-:or-hazardous­mat eri.als listed-b-el.ow,__ either for sale or for your own use, in quantities totalling, at anytime, more than 50 gallons liquid volume or 25 pounds dry weight? YES V/ 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: ACME REFRIGERATION ENG. TELEPHONE: 700 YARMOUTH RCAD ., �u LIST OF TOXIC AND HAYW&§� N`(ATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous characteristics and must be registered when stored in quantities j totalling more than 50 gallons liquid volume or 25 pounds dry weight. Please put a check beside each product that you store: Antifreeze (for gasline or coolant systems) Aefrigerants Automatic transmission fluid Pesticides (insecticides, Engine and Radiator flushes herbicides,rodenticides) Hydraulic fluid (including brake fluid) Photo-chemicals i Motor oils/waste oils Printing Ink Gasoline, Jet fuel Wood preservatives Diesel fuel, Kerosene, #2 heating oil (creosote) Other petroleum products: grease, Swimming Pool chlorine lubricants Lye or caustic soda I Degreasers for engines and metal Jewelry cleaners Degreasers for driveways & garages Leather dyes Battery acid (electrolyte) Fertilizers (if stored Rustproofers outdoors) Car wash detergents PCBs Car waxes and polishes Other chlorinated hydro- Asphalt & roofing tar carbons, (inc.carbon Paints, varnishes, stains, dyes tetrachloride) Paint and lacquer thinners Any other products with Paint & Varnish removers, deglossers "Poison" labels (including Paint brush cleaners chloroform, formaldehyde, Floor & Furniture strippers hydrochloric acid, other Metal polishes acids) Laundry soil & stain removers Other products not listed (including bleach) which you feel may be Spot removers & cleaning fluids toxic or hazardous please (dry cleaners) Other cleaning solvents list.: R E C E IV E ® Bug and tar removers - Household cleansers, oven cleaner'-ALTH DEPT. Drain cleaners TOWN OF BARNSTABLE Toilet cleaners Cesspool cleaners Disinfectants Road Salt (Halite) MAY i 3 1981 s.� 1 TOWN OF BARNSTABLE BOAR ® OF HEALTH CONTROL OF TOXIC AND HAZARDOUS MATERIALS - INSPECTION SHEET FIRM ADDRESS Major types of materials: 1) 12� !(_6 1-"" 2) 3) 4) 5) 6) I. Description of material(s) use: ,�� 4Q"4- , II. Storage (denote product by number listed above) A. Containers metal glass pap jr. plastic cans,bottles,jars drums,barrels aboveground tanks underground tanks bags,boxes open,loose,uncovered inadequate labelling B. Storage Facility v/or # Remarks/RecommeriL :�.i.ons 1. /Indoor ✓ a) separatt, contained room b) stored in general work area i) inadequate ventilation ii) floor drains iii) inadequate fire protection 2. Outdoor a) uncovered, exposed to weather b) pervious surface/catch basins III. Disposal A. Reclamation/Recycling unit B. On-site disposal 1. Town sewer 2. Regular septic system 3. Separate holding tank C. Off-site ,disposal 1. hauled by own firm 2. hired hauler a) name of hauler b) address or disposal site 4 Person(s) Interviewed CLt,&.4 Inspector Date - -�P�' - - - — — — — — — 6 30 81 THE TOWN OF BARNSTABLE �PrO 0,1,y OFFICE OF Brags Ma6& ' BOARD OF HEALTH y 6. 00'0>1c�IAI 39.�` 367 MAIN STREET HYANNIS, MASS. 02601 April 5, 1989 Mr. John Rosario 396 Mitchells Way Hyannis, MA 02601 Dear Mr. Rosario: You are granted a variance from the Interim Regulation for the Protection of Groundwater Quality within zones of contribution to public water supply wells, to install a 1,000 gallon grease interceptor to accommodate the flow from a seven (7) seat restaurant at Yarmouth Road, Hyannis, listed as parcel 4 on Assessor's map 345, with the following conditions: 1) The "septic upgrade plan" dated December 20, 1989 revised April 3, 1989, must be revised to reduce the seating in the restaurant from 25 to 7. 2) The grease trap must be installed by a licensed Disposal Works Installer after s/he receives a permit to install the interceptor. 3) The applicant shall submit floor plans of the food service establishment. The floor plans must be approved by the Health Department prior to construction of the food service establishment. 4) The grease interceptor shall be pumped at least every three (3) months by a licensed septage hauler. 5) All other regulations contained in 105' CMR 590.000: State Sanitary Code Chapter X - Minimum Sanitation Standards for Food Establishments and Town of Barnstable Board of Health sanitation regulations shall be strickly adhered to. 6) Only paper and plastic plates and utensils are authorized for customer use at the food service establishment. This variance is granted because you were granted approval on or about May 1983 to construct this office building consisting of 30 employees with a sewage flow of. 600;gallons. Your designing engineer calculates the total sewage flow from the porposed use will be approximately the same. Also, no more than a total of eight (8) persons will be employed within the building each day. Since y yours, Grov r C. M. Farrish, M.D. Chairman BOARD OF HEALTH TOWN OF BARNSTABLE GF/bs TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM 1 Mail To: NAME OF BUSINESS: 4f �7 i `� _��'� Board of Health MAILING ADDRESS: 7 0 e `1A rP_ /ri, Del Town of Barnstable TELEPHONE NUMBER: h 1 — 21 6 3 P.O. Box 534 CONTACT PERSON: Hyannis, MA 02601 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totalli g, 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 characteristics and must be registered 'd Please put a check beside each product that you store: 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 Motor oils/waste oils j 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 TOWN 6i.'BAR�N"'S6T�A' BLE 757777777: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH )6 3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY s` `f (see"Orders") 5.Retail Stores �_ 6.Fuel Suppliers ADDRESS 15,,* Class: 7•Miscellaneous QUANTITIES AND STORAGE (IN=indoors;OUT_outdoors) MAJOR MATERIALS Case lots Drums -inks Above T. 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) kr&� ► d- transmission/hydraulic Synthetic Organics: degreasers iscellaneous: e7i—e — 50,/ �2_ we _Ae6 war� v j4-vn,t ase �s lc� ! oz a x DISPOSAIJRECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply O Town Sewer Public "%On-site OPrivate 3. Indoor Floor Drains , YES._ NO O Holding tank: MDC 'iP 0 Catch basin/Dry well 0 On-site system ' 4. Outdoor Surface drains:YES NO ORDERS: _ 0 Holding tank:MDC S Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product 1. YES INO 2. at cwl � Pers n (s) Interviewed Insp6ctor Date ill..1G-0 -24�0 14.05 BARNS COUNTY HEALTH 15033756880 P.04/05 'Tobacco Compliance Checkform wuo-6uv� Surrey Participants — ID of Purchas 4A, - I Age: ❑ 15 ❑ 17 Addr, .1i Sex: ❑MaleVFenalc �•— Name of Adult Supervisor. _ Zip Code: ® (�� P Time of Check: O.J -7,am'4?" MQ i i i Date of Check-- of E5cal,lishment: kthain ❑ Independent ❑ Not Known D f the Week:❑ Mon ❑Tues®VV::d 9FThurs ❑Fri ❑ Sat ❑ Sun 1 Y One):(Check only . ,...nrle,a.Eeytab}ishs C ) C3 Grocn Store ®Bar -- �'K�itteY ie sce Store ® Li nor Store ®Private Club(VFW.Le ion.ea__)� :J C)�;�arr:n?fit Store O Restaurant ::1 G� ttauon Orly ®Pharmacy/DrugStore - - � 1vf:ni-Matt ❑Other(bowlin alley, olf club etc_) El Tobacconist LTG continue on to the next question, if No please slip this section and go to section 3. tollsv:co marketed? 1 Over.-the counter:youth asks the clerk for the product. wrom a ee;xclirsg machine with a lockout device. 'al orb r Describe: Wlsts th.a l r haser asked for ID? Yes ❑ No Was this an ID-based check' Yes ® No L vdas the ':'u.rcmiser asked his/her age? Yes® No Sf-;E o:;C Vrl:: i°vlale❑ Female Approximate age of clerk ❑Teen oung Adult ❑Adult ❑0 ider Adu.t asked for: Cigarettes Brand of cigarettes asked for: ❑ Marlboro 914C .rt J Other.__ �13 Chew/Dip ❑ Cigars 0 Other Brand: I yas the:sae made? Yes O No L� �✓ if- hart much did the product cost: S�i® Was a receipt given?Yes❑ vv T�arc,ha,;.er:,nnde payment using. ❑S1 bills C2 $5 bill(s) ❑ S5 bill and S1 bills/or chanoesl0 biIl(s) El $20 bill [: c:hange yr,,utlt dsd not enter the premises or did not attempt to purchase tobacco-products phase indicate whY: 1 Oit.t�f° usisiess C1 Tetn .lott term closure ❑ o erauon,closed at timeof visit ❑ Drive thru c nly�� ® Me.to access ❑ Tobacco ouicif s-1-1 IDc)e�not sell tobacco ® Unlocamble ® Permit Sus ..:nisi ,b� youth 12 Wholesale onl (cartons D e of olicc F . 1: r't„v;jte el bttlpexsonal ® Machine broken ❑ Other ® "Don't sell"but tobacco seer in stordlbs vermit c, , ti sj1°tJVL: YOU WISH TO OPEN A BUSINESS? .For Your Information: Business Certificates cost $30.00 for 4 years. A Business Certificate ONLY REGISTERS THE BUSINESS NAME in town (which you must do by M.G.L.- it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 15t FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. ' ' Fill in please: Date: V18 0 x APPLICANT'S NAME: TGn�eS F+ SW% (er YOUR HOME ADDRESS: 9,2 dl� � Gar __ SOD$ 7 qS- �W g9 BUSINESS TELEPHONE # HOME TELELPHONE #: NAME OF CORPORATION: 'TLlk) SEvw RuNba-at IN NAME OF NEW BUSINESS_ NA, Tc&sciG i %S 4 14 TYPE OF BUSINESS CD�yelniywc8 � '2 IS THIS A HOME OCCUPATION? YES ✓ NO ADDRESS OF.BUSINESS (09(a ` CVVA0L)+41 1A4 621,n1 MAP/PARCEL NUMBER' (Assessing) When starting a new business there are several things you must do to be in compliance with the rules and regulations of the Town of Barnstable. This form is to.assist you in obtaining the information you may need. You MUST GO TO 200 Main St. (corner of Yarmouth Rd. Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in town. I. BUILDING COMMISSIONER'S OFFICE This individual has been informed of any permit requirements that pertain to this type of business. Authorized Signature" COMMENTS: 2.. BOARD OF HEALTH This individual en inf r ed of t e p r t req ents that pertain to this type of business. Authorized nat e** COMMENTS: Uyr 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of,the licensing requirements that pertain to this type of business. Authorized Signature" COMMENTS: TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH satisfactory 2.Printers 3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY (' C? (see"Orders") 5.Retail Stores �7 6.Fuel Suppliers ADDRESS �Pa- �� Class' / 7•Miscellaneous �(f QUANTITIES AND STORAGE (IN=indoors; OUT=outdoors) MAJOR MATER S ,• . ound 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 /nn Miscellaneous�_ DISPOSALfRECLAMATION REMARKS: �d'�1. Sanitary Sewage 2.Water Supply O Town Sewer Oublic "PCOn-site O Private [�(/1 3. Indoor Floor Drains YES—No 1 �! O Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES-Y —NO ORD RS: O Holding tank:MDC ?Wpatch basin/Dry well On-site system 5.Waste Transporter Name of Hauler Destination YES NO 07 2. L�k� Person (s) Interviewed Inspector Date P `- Oro 003 �- -- TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: If= Mail To: BUSINESS LOCATION: 7d / n v Gt Board of Health �S p r� �.� Town of Barnstable MAILING ADDRESS: P.O. Box 534 TELEPHONE NUMBER: 2 / 5 Hyannis, MA 02601 CONTACT PERSON: /�'C v s i� EMERGENCY CONTACT TELEPHONE NUMBER: V -215 _ 21 2;-3 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, YES NO ry a o/ 3 a 43 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 Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel _ Refrigerants /O 0 57 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 TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANYA _ M (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS 0 Class' 7.Miscellaneous �' QUANTITIES AND TORAGE (IN= indoors; OUT=outdoors) MAJOR MA4V%1SS'(U" Case lots Drums 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:o Oo rWAJ t DISPOSAIJRECI AMATION REMARKS 1. Sanitary Sewage 2: -)A[ ater Supply 8 Town Sewer Public On-site ivate - -� 3. Indoor Floor Drains YES NO )c 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 WDate 2. / ePerson (s) Interviewed Inspector TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPAIVY�CA'M.2 / ,� r (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS ass: 7.Miscellaneous QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MA RIALL d- an s IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline Jet Fuel(A) #2 (B) J� Heavy Oils: waste motor oil (C) new motor oil(C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: .4G DISPOSALIRECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply O Town Sewer Public Yon-site OPrivate 3. Indoor Floor Drains YES NO G' O Holding tank:MDC_ O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YESZNO ORDERS: O Holding tank:MDC Catch basin/Dry well O On-site system 5.Waste Transporter YES N0 1. 2. Person(s) Interviewed Inspector Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF............................................ No. 2 .._._ FEE......lr.D............ . Permissiois eby ranted----- --- .............................................................-•-•----- ..................................................... to Const ( ai an ;nAjv al Sewage Disposal System op ----- •_- _ Street s own on;the application for Disposal Works Construction Permit No................. dted .Vi ..... •-------------•--•----•- ------------------n......................••--- ard of ealth DATE..............................................-................................. FORM 1255 HOBBS &. WARREN, INC.. PUBLISHERS -- OF BARNSTABLE / 5 `10 LOCATION�3_ %ill r' 7 e;�c d7 SEWAGE # 3- r o VILLAGEAso ASSESSOR'S MAP & LOT ' INS.TALLER'S NAME PHONE NO. SE PTIC C TANK CAPACI TY LEACHING FACILITY:(type) (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER -9hl BUILDER OR'OWNER ` .4 DATE PERMIT ISSUED: Jp - DATE COMPLIANCE ISSUED: VARIANCE GRANTED -Yes No. J LOCATION SEWAGE ,�IT N0. �3 ti VILLA E } o C'Z�i I N S T A LLER'S NAME i ADDRESS i— A/o Lvh-cS 1<6 // co. D U I l D E R Olt OWNER DATE PERMIT ISSUED / 4 DAT E COMPLIANCE ISSUED why J9?� it Oy C 1 r� i r° l :'-_"'"!`^',�„—,v.-,..r•,.,.r;�,.y^vh�r r^+:tom`r �• �a-..•..e.ra'4^^r : > ,,tr«..,t��,..r�-r-'-.7a�'r:r..=•�'4f` .-..rv4^^„rr... �:'D'",-c. ..r �..-+^.':-:�.n.,,.�.}wr,.�.�—� .--� TOWN OF BARNSTABLE BAR-W 5787 Ordinance or Regulation WARNING NOTICE Name of Offender/Manager tn rl q ( Address of Offender ;4fmAgjL A . "AAA, MV/MB Reg.# Village/State/Zip IAA,;�t)nl �s A D.26.5r) 1 Business Name T S +t o ;hWS 1)57 ,am�,/pm, on ��20�� Business Address (DO kh:41(Mt)A' I Srg'rrdt°u=e o"f Enforcing Officer Village/State/Zip 02670) Location of Offense vw ' . ►� ^- ' t t �++�t7��°h ( � nt+•S. Enforcing Dept/Division Offense " ' , j'".` 7 -T ,.,^ Facts %A)Pre �t'1 �c+ "" 'A MAof— This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town .agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by"!.the Town. WHITE-OFFENDER CANARY-ORD:/REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. TOWN OF BARNSTABLE BAR-W 1( !_7 Ordinance or Regulation WARNING NOTICE f Name of Offender/Manage r j (3 a Address of Offender -Inn V-4-tmd-a� Q'd - 0 A-V==AA- -- MV/MB Reg.# Village/State/Zip _ 42jpm, on 2*0 Business Name Business Address ­700 kll_ff nOvtkh (1-.114 9�gffa(Effd-bf Enforcing` Officer Village/State/Zip 02601 Location of Offense 00 y I I K'vl r"M Enforcing Dept/Division ,&tnsj6b� Offensec. 4,2" 8 Facts f 0, or This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regul4tions. Education efforts and warning notices are attempts to gain voluntary ^qompliance. Subsequent violations, will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-04D./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. t _ — - �AUNiEHA�f r y el R&JOU t h6 .a ° •f to yj. Ilk . — — — — — — — — •A , d ., der f' „ t p �666d r Y j —_-TEE — - - - - 4F OD NSF d a ,/ — — — �2400 SOPS=_= a - a a e4 b'i /) a d ROBERT JONES , G a. 5 ET. AL a, — — — — — — — — — — — 4 ° a ° Qa � a. _ d <A' 1 4 44. a' 4 — — — — — — — — — — #700 t, a. :' a a. ° a•'d. a ya b'> . 4a. — .. a " — — — — — — 345/010/003 ° #714 a .. a 4. l --_W/L Lo—w — ---- d L.C. PLAN 345/010/002 Q % — _ QUpRST.___— 42371 A d d, a L.C. PLAN 7(,3 3600 S.F LOT 1° , . . 4 42371 A 4 ° A •''° ,.e 'a' A} g� #724 o o --— -- — --T --- b ° °• a s LOT 2 d:: II a ��a ' 345/010/001 a A < ------_-- —_--- 1 a °,. L.C. PLAN C 6 a — --— _ -- -- 4 G „ a A 42371 A LOT 3 44 . C — — — — — — — — — — — — —ST I' ° d ° CQ h — —/ 0R G ° a A- . .a a ' a 4 4 C , Q. 60p S — — — — — — — - II•' S7- .a " - - - - - - - - -SeACE - - - — — — — - - a — — — - - - - ° a ,a — — — — — — — — —ASURq^ T II' — — - - - a — — — — — — — S. ° d �. i < a' BARNSTABLE — — °. g - _ — — YARMOUTH a k °' a a — - — — - OF NSF SITE PLAN PHILIP CASTLEMAN O DAVIDB. S MASON rt; LOCATED; AT: o 700, 714, & 724 1,ARMOUTH ROAD ��n�o•1oss � HYANNIS, MA GrSt YANKEE LAND SURVEY � CO, INC. GRAPHIC SCALE PREPARED � FOR: MA 119 ROUTE 149 .30 0 15 30 60 EDWARD ROSARIO MILLS, MA JU LY 8, 12014 TEL: (508)428-0055 FAX: (508)420-5553 yankeesurvey®com cast.net www.yankeesurvey.net 1 inch = 30 ft. I - r` SHEET 1 OF 3 JOB#; 55015 JM 1 AD 4F, OUTH o o ; . - a a♦.. +.,.. ti P, y —• e 4 } , N 29` E u — I it 164.0 d ,4 Q n 4 d - 1 n , a y " L01 3 ° a '.I® ------ a d a 14849t 'A. . 4 ACRE n S , n LOTS 3 n y s:F. n ° LOCUS MAP d 3104f' ES n , °. a /y // '/ '/ '/ '/ �\76. a e " , k � z PLAN REF: 42371—A / / a . n ACRE � , , • ° -TEDESCHI� k d Q a. CERT REF: 182164 rn ° I FOOD SHOPS . . a 'd 4.. a.. n . NOTES: a . I ° "' o ASSESSORS MAP: 345/010/003 S.F.)' PAVED a." CO 2400 d\ n ° 4 ° LOT =a . a o ZONING: B *ELEVATION DATUM ASSIGNED. �_ 1 ( — d PARKING _ A- a a ® CP �, SETBACKS: BUISNESS - •EXISTING STRUCURES ARE H-20 n n `Joy\ � —, �/ —, �/ '/ '/ '/ ' 04 el � � A ._ .. a 6 .�. . `9 o FLOOD ZONE: C WITH METAL COVERS TO GRADE. I °° n. . I 4a % d d ° •A, . . ° � ° . o a ®.' do, a 4 1 PANEL NUMBER: 250015 0003 .C a n I // /, / 4 e d Q..� , ,fo CA . a d o DATED: 6/17/1986 o • I ��—���'�'�'�'�' `. ° o�. � d" n _6.° a OVERLAY DISTRICTS: ,wP WELLHEAD PROTECTION EXISTING / / // / i / / °ffi,d a o n ` n. Q' P ` d d a.' n dam. STATE APPROVED ZONE 'II 'LEACH PITS TO EXISTINGp, ST•/ BE ABANDED & 1000 GAL ILLO REMOVED K Q . . :TO REMAIN H ' LIQUOR °4. a ° PLOT PLAN 0 E LAN DnI (3600 S,F•)�/E R n d .W s LOCATED AT: S 2 ` 700 YARMOUTH ROAD DS S x PROPO TRFkH a ° HYANNIS, MA VENT f0.. a' ' / / / / / / a n _" - et .• ". r' - O - E,20.26ft.e. /�i/�/VIDEO- '/ /' .° ° •�0 5V f /�/ —-STORE '� �/ e a n �• ` :: = a. C° B =� (1200 S.F.) • e- \•= ,a. A' (k' PREPARED FOR: a CJ DAB EDWARD ROSARIO `x / / / d rn n ° ° co . R�STAURANSH;,' a: d.' . �. ° JU LY 10, 2014 7 SEATLEGEND o (120 d CONCRETE BOUND (FND) REV: OCTOBER 31 , 2014 EXISTING J. n °� p a NAIL (FND) REV: 1500 GAL TANK d a" na ° TO REMAIN I Ha �� da ; MONITORING WELL _ AL a a A P EXISTING CONTOUR — 100 REV: DRAIN $8�'�' DRAIN/ CATCH BASIN ® ❑® YANKEE LAND SURVEY CO, INC. EXISTING H I n w n. �/ GRAPHIC SCALE SPOT ELEVATION x=99.5 1000 GAL #2 L. . " E 30 0 15 3o 60 WATER SERVICE LINE w 119 ROUTE 149 GREASE TRAP ; _ 1 �$5� M ARSTON S MILLS, M A •� — = TO REMAIN / # ._— BURIED GAS LINE G N BURIED TELEPHONE LINE T— NOTE: • 1 .inch = 30`, ft.' TELEPHONE POLE TEL: (508)428-0055 FAX: (508)420-5553 •SEE PHASE 1 ENVIRONMENTAL SITE ASSESSMENT TEST .PIT. yankeesurvey®comcast.net www.yankeesu'rvey.net oo� PES PROJECT #14-9877.1 PREPARED FOR ENDEAVOR CAPITAL CLEAN OUT CO SHEET 2 OF 3 JOB#: . 55015 JM REGARDING MONITORING WELL ABATEMENT. a T.O.F. EL 101.3' FIN GRADE = 100't SEWAGE SYSTEM R 0 E I L E . VIEW N .T. S . , j EL 97.51' ALL RISERS TO BE H-20 LOADING EXISTIN8 MIN WITH METAL FRAMES COVERS SECURED AT GRADE 1/8" TO 1/2" DOUBLE WASHED STONE ® 3" THICK OR GEOTEXTIE FABRIC SEWER CHARCOAL SEWER LINES p� FIN GRADE = 99.5'f VENT TO REMAIN �_• INV EL. 10" MIN. 14" MIN. INV EL FIN GRADE 100'f ' 97.23' -� 96.98' �rirr�T �TT7T 1^ BELOW FLOW LINE . . . . . LIQUID LEVEL 48" INSPECTION GAS BAFFLE INV EL 8.5 oRr ONE) L. 97.28' .;:..::z, ....g S .., -.:3 96.83' :MIN. 6" EL 96.28' °° 0 O O o O o °EXISTING 1000 GALLON TANK INV EL H-20 LOADING INV EL. SUMP 96.68' ° °° EL 94.28'96.88' t: 6" STONE 48„ 3/4" - .1 1/2" °48"° DOUBLE WASHED STONE DISTRIBUTION BOX H-20 LOADING � 50.5, PROPOSED CHAMBER TRENCH Cp FIN GRADE = 100't H-20 LOADING I, FIN GRADE = 100't. PRECAST-REINFORCED CONCRETE DISTRIBUTION BOX I'll 1 DISTRIBUTION BOX SHALL HAVE WATERTIGHT COVER. BOTTOM OF SOIL PIT = EL 87.7' L. 97.93' MINIMUM WALL THICKNESS = 2" EL 97.58t' MINIMUM INSIDE DIMENSION = 12" NO GROUND WATER OR a MIN REDOXIMORPHIC FEATURES OBSERVED DIA. OUTLET INVERTS SHALL BE EQUAL TO EACH OTHER AND AT INV EL ;RE NV EL 2" MINIMUM BELOW INLET INVERT. 97.65' 7.4' INV EL 10" MIN. 14" MIN. INV EL THE DISTRIBUTION UNES FROM THE DISTRIBUTION BOX SHALL ALL HAVE FIN GRADE = 99.5't 97,3' - __\ /_ 97.05' EQUAL INVERTS AS DETERMINED BY FLOODING THE DISTRIBUTION BOX TO , �BELOW ROW LINE THE HEIGHT OF THE DISTRIBUTION UNE INVERT AFTER ALL UNES HAVE 12.83' LIQUID LEVEL 48" BEEN SEALED IN PLACE.INVERT •° °. °° °•• . a 6 ON ^T77- r.::`+ GAS BAFFLE NONDEFORMAB EEMATERIAL PERMANENTLY FASTENED NTS SHALL BE MADE BY FILLING I 0 THTH E LINEOR BLE D 36" • �° ° ° • ° °°..;,":. ....6 0 „_.sue ° °p •. EXISTING 1000 GALLON GREASE TRAP RECONSTRUCTING THE UNES UNTIL ALL INVERTS ARE OF EQUAL ELEVATION. • ° ° 24 EXISTING 1500 GALLON TANK DISTRIBUTION BOX SHALL BE INSTALLED LEVEL AND TRUE TO GRADE ON A LEVEL, • 48" °4H"• o STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON WHICH rj8" TEES SHALL BE CONSTRUCTED OF SCHEDULE 40 PVC AND SHALL EXTEND A 6" OF CRUSHED STONE HAS BEEN PLACED TO ENSURE STABILITY AND MINIMUM OF 6" ABOVE THE FLOW LINE OF THE SEPTIC TANK AND BE ON TO PREVENT SETTLING. NUMBER OF TRENCHES = ONE 1.`' THE CENTERUNE OF THE SEPTIC TANK LOCATED DIRECTLY UNDER THE I. NUMBER OF UNITS = FIVE + CLEAN-OUT MANHOLE. T.P. #1 PERC <2 M/INCH 'T.P. #2 PERC <2 M/INCH PROPOSED LEACH TRENCH - END VIEW THE INLET PIPE ELEVATION SHALL BE NO LESS THAN 2" NOR MORE THAN 3" I ABOVE THE INVERT ELEVATION OF THE OUTLET PIPE. 0 INSTALL FIVE 500 GALLON UNITS EL. 99.7 0" I EL. 99.7'. „ WITH FOUR FEET OF DOUBLE WASHED STONE SEPTIC TANK SHALL HAVE A MINIMUM COVER OF 9" f AT SIDES AND ENDS TWO 20" MANHOLES WITH READILY REMOVABLE IMPERMEABLE COVERS "A" -HARDING- LS "A" -HARDING- LS H-20 LOADING OF DURABLE MATERIAL SHALL BE PROVIDED WITH ACCESS PORTS. MIDDLE ACCESS PORT SHALL BE 8" DIA. MINIMUM. 6" 6" DESIGN DATA: THE OUTLET TEE SHALL BE EQUIPPED WITH GAS BAFFLE. "B" "LS" 10 YR 6/8 i "B" "LS" 10 YR 6/8 TEDESCHI FOOD SHOP: SEPTIC TANK SHALL BE INSTALLED LEVEL AND TRUE TO GRADE ON A LEVEL, 31" (EL 94.0') i 2,400 S.F X 5 GAL/DAY 100 = 120 G,�D STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON WHICH 31" (EL 94.0') / / 6" OF CRUSHED STONE HAS BEEN PLACED TO ENSURE STABILITY AND a PERC O 31" f I, TO PREVENT SETTLING. "Cl' "CS" 7.5 YR 5/6 "C1' "CS" 7.5 YR 5/6 LIQUOR STORE: ` . 6s" s8" 3,600 S.F X 5 GAL/DAY/100 = 180 G/D GENERAL NOTES: "CS" I CS" 1. ALL THE WORKMANSHIP AND MATERIALS SHALL CONFORM TO DEP "C2 MEDIUM 10 YR 7/2 "C2" MEDIUM 10 YR 7/2 VIDDEO STORE: TITLE V AND THE TOWN OF BARNSTABLE RULES AND REGULATIONS SAND SAND 1 ,200 S.F X 5 GAL/DAY/100 = 60 G/D . FOR THE SUBSURFACE DISPOSAL OF SEWAGE. EL. 87.7' 144" EL. 87.7' 144" 2. ACCESS PORTS OVER TANK TEES SHALL BE ACCESSIBLE WITHIN 6" RESTAURANT: OF FINISHED GRADE NO G\WATER OR NO G\WATER OR SEATS 7 X 35 GAL/DAY/100 = 245 G/D 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF REDOXIMORPHIC FEATURES REDOXIMORPHIC FEATURES WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN 10' OF DRIVES OR PARKING. H-20 LOADING SHALL BE USED UNDER OR WITHIN TOTAL FLOW REQUIRED = 605 G/D 10' OF DRIVES OR PARKING, UNLESS NOTED. 4. THE EXCAVATOR/CONTRACTOR SHALL CALL "DIG SAFE" AND VERIFY THE LOCATION SEPTIC TANK CAPATICY: USE: CHAMBER TRENCH 50.51 X 12.83'W X 2' EFF/DEPTH OF SITE UTILITIES PRIOR TO ANY EXCAVATION, AND SHALL BE RESPONSIBLE FOR REQUIRED 660 GALLONS AT 200% (50.5' + 50.5' + 12.83 + 12.83) X 2.0 = 253.3 S.F. ALL MATTERS RELATING TO ELECTRIC AND/OR GAS EASEMENTS. 1500• GALLONS TO REMAIN ` 5. SEWER PIPES SHALL BE SCHEDULE 40 PVC. (4" DIA. UNLESS OTHERWISE NOTED) 1000 GALLONS TO REMAIN 50.5' X 12.83 = 647.9 S.F. 6. ANY MASONRY UNITS USED TO BRINGT -COVERS 0 GRADE SHALL BE - 666.8 GPD TOTAL 1000 GALLONS TO REMAIN (GREASE TRAP) 901 .2 X .74 DESIGN FLOW MORTARED IN PLACE AND SECURED TO UNAUTHORIZED ACCESS. SOIL DATA: 7. FINISH GRADE SHALL HAVE A MINIMUM SLOPE OF 0.02 FT. PER FOOT. TEST DATE: 04 23 14 8. EXISTING SYSTEM COMPONENTS - IF ANY - SHALL BE ABANDONED PER , / / TITLE 5 REQUIREMENTS. SOIL EVALUATOR: DAVID MASON 9. THE EXCAVATOR/CONTRACTOR SHALL BE RESPONSIBLE TO CONTACT YANKEE APPROVAL DATE: SURVEY 24 HOURS PRIOR TO.ANY REQUIRED INSPECTIONS. HEALTH AGENT: DONNA MIORANDI, R.S 10. ALL COMPONENTS SHALL BE MARKED WITH MAGNETIC TAPE OR COMPARABLE MEANS IN ORDER TO LOCATE THEM ONCE BURIED. P# 14363 i SHEET 3 OF 3 JOB#: 55015 f , '5EFT IC -�5YATEM -FDO V,.L EST I M tNTs - A, TSia-E--:,,GH I Fs-OD St-bP 291:f70 SP x '::5 GAL I rAy 1 100 SF = I C.T/D -3&00 SF n 5 GALIPAY( Ico SF (St D G YJ 5Tdr-E 20C 5 ? 5 G-rA L.'LAY I Io--) 5 F l� r? P'�E-5,TAUP.ANT 7 'SEAr5 x 35 <SAL ' hAYI5EAT- 5E..PT I G TAW K�- TOTI AL-FL.-,:�,W -t�,STI MAT = 60:� TCT`A L 1✓LOW t70V- UN I`1"'5 Al 9 C, C Coda 05 ea D 1.5 bAY5 = R4 8 GA L bap USE EX ITT I ICI I c-,AL 5EPT IC, of, T x p sTA�tzA�17" LaW = Ts /T,' SEAT = I05 C 1095 cl/D k h:7) I��FS = I"e)z /D S USE (coc, C.rAL- GMASE TQ.Ap I..I ATE Z. ME TMz �'� S ! F', t' Tw1© ExI5rIwGr 1,EAC.Itf PITS C6EFT T- AM X6' DL=E'P) E , sIM /AEF-A, loiT c = OF,s Sr C - s) - '171 G/D I &OTT4r1 2TT = 7 8. - ( .!a) = 7�.5 is gvo ST TOT, '! D �4�c , s c / f7I r'ST rvly�- _E1.-V= =-vS,g y ( I s Li 7 � ��z� i EXIST ELEY I sT I W C-,r =WA ,`p p '�'9t- 5r ' E -4F.IZ UNES �}cI5TI Q6 Iboo 6AL + _ .J 1...._ , Pplot'ostX� sEtaTlc- TANY_ (I-i-2d) 31.97 KITu-IEN i-aN Lv , IE l EV=33.17' ?7OF ELEV &X15TI KJ& IOOo GAL 06Imo GAS . z EJ:yl-Ic- TANK H_Zo 34,75 --+.. Tee 5Iae5: „u „ 2 LEACH PITS INLET� 41 „(� p,23 �1.1� 1 O OFF. P1A1-1 K4' DF- E:P. C� (�,9'Z CAW N) ELeV 15Tf ti a � LEACH ICI T5 --- La o HAP-K ^T MA1J I-k� CVYr�P E( Y= 35.0 1 10' EFF t7l I fbNl " 6' DE-F_F' ncb' 34.z3 51 ZE. Ai-A b Le -- a T I O h� 05-FA► ►..l G b F1'0'r05E.D 1000 <a A L 'lz'r,OM coNrtZAcar0P-, LOCATIQI,4 5 caT J� TgAP CH-Zo) VLEZI R E.L-7.) M ETA L DETF-cIrcZ r 34.02115Fffk:� Upc-rv-At�� Fl—AQ t of LAND IN H Al �. U Srw. 5CI-�t>(A-& 40 Ri& P i Pt= T H(-,,--.. S H o c.T SF-p7'IC_. 'SYST'F-N(, A OH Pam! d 5AF-10 LL -t, FIFE F/Tc�Ff )/4,. a Z/ LA OJA H. 1" CtVit vf OJALA t�o. 307Q? H2,F,3411 Cy wr7 G" GI1<lt_. El./EaItiG�Ef<:.5 8� �>3 A IZI J E H . O J� LA r'E r-L.S (�`t e• A^'1`(�(rJ Ic'�v 4 �-v'AQ­',�,�i�,,�,, �l TERM`-"K,IWIT, �4p�7 AIM 'Vi­pg, 5�R �8, AM g R_ g4l, aW�� � �_1� I , "C' ,iy 1, zz 4, Z ll� A, ,I ZMl R vl,,,4, -,-�7-7 7 v 4 AL�f r w "At -t IT T TPTU IT el_E v KI To 7N% T AR' 0 <E4A L' F A 4 AT OV P r 14, 14 12. �A%NU,?4 --7'-777