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Home My WebLink About0430 OLD OYSTER ROAD - Health 11,30 Old Oyster Road A=022-032 - Cotuit �sHE rqs, Town of Barnstable , Barnstable Regulatory Services Department cac IARNSPAHM 9 �� Public Health Division m b 200 Main Street, Hyannis MA 02601 2007 OFFICE: 508-8624644 Wayne Miller,M.D. FAX: 508-790-6304 Junichi Sawayanagi Paul Canniff,D.M.D. September 29, 2014 Re: 430 Old Oyster Road, Cotuit, MA To Whom It May Concern: Town of Barnstable records indicate that the Sewage Disposal.System located at 430 Old Oyster Road, Cotuit MA was constructed in accordance with the provisions of Title 5 on April 19, 1987. Since' ely, Thomas McKean, R.S. CHO v- •rf Fxs No......................... _..........._ THE F Ts BOARD OF HEALTH .......... Vv.L.h........oF.......... ..®y.V... ........................... 1 1 • ,�30" Appfiration for Uhipati al rk�nnitrurttnn ramit Application is hereby made for a Permit to Construct (X or Repair ( ) an Individual Sewage Disposal System at: p Loc ' n eddres or Lot No. �j ' Owner -•.-----Address `� eii?��!.�. ....---------•.......................................... .... Installer Address 9® Type of Building Size Lot.....------).----__-3--....Sq. feet Dwelling—No. of Bedrooms........... ..............................Expansion Attic ( VI Garbage Grinder (V'5 Other—T e of Building No. of persons__........V................ Showers ( ) — Cafeteria ( ) 114 Other fixtures --------------------------------- W Design Flow............................... gallons per person per day. Total daily flow.............................................gallons. P4 Septic Tank—Liquid capacitylJr�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. 1----------------minutes per inch Depth of Test Pit.....................Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ------------------------------------------------ •--•----•-•- ---------------•---------------------------------•-------- --------------------------- 0 Description of Soil..................................................................................................................................... ---------------------------------- ----------------------------------------------------------------------------------------------------- ----------- ---------- -- U ature Repairs o Alterations—Answer when a pl' ble._-- '� 7 Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of i i y g g p y� 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. Signed-----' = .. ----------------- ApplicationApproved By... .. ..Q.... ... . ... ... ........ ..... ..•-•----•-------............------------ --------- ._ 1( 7 Date Application Disapproved for the following reasons:................................................................................. -------------------------------------•--...-•-------------------------------------------------------......_..--------------------------- ------...-------------------------------------------------•-•- Q`�j -•— Date . Permit No.--_"..--[--� ------------------------- Issued.-----•---•-----------------.......----•--- ate...--- Date 2 1`70� F.Ri3 THE COMMONWEALTH OF MASSACHUSETTS f �� )BOARD Off` HH EAcLT�}H /,,�....... .. wk...... OF........... .� .51. ?- (./ L.,�................_ Appliratiun for Diupuuttl Works Tonutrnrtiun Errant Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: O .................................................CO.)rU I.r........................ --•-'-----------'-"'--•"-_......_.............--'------------------------...._................. Location-Address or Lot No. ......................—.......................................................................... --•'---'-'-----------"'•---•----..........'--•'•'••"----........_........-"-----------...------ Owner Address W InstaLer Address Type of Building Size Lot............................Sq. feet U U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures ................................. Design Flow.........................................gallons per person per day. Total daily flow..............____._._._.__._................gallons. 1:4 Septic Tank—Liquid capacity/100gallons Length................ Width................ Diameter................ Depth................ Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area______-.._____-_....sq. ft. I' Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area.......-..........sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ a Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ----------------------------........................................................................................................................... DDescription of Soil........................................................................................................................................................................ x U --••-•••------------••----•-----•--•----'---•----------'-••••••-'-•......-•-------'••'•-------••-••-"-'-'--••-••-------"---••---'---••-'-'---•'--------•'--'---•-•--•..................•-•-•"'------- W -------------------------------------------•-------------------•--••-----•----------•-•'••......... -.......... -•---- UTature Repairs o Alterations—Answer when alp ble.__..._ - ------ ----------- ------- - -- - --------Z-00.. � �._ - ()X-f-----1000._� �...._P�_.�__.f-......A Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal-System in accordance with the provisions of iT j.^ 4 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. Signed•-- ' '--•-'-'-• "-'-""--.......•-'....-"-'-'.............................. -'•-••......--•---..... . _.._ to !� Application Approved By---XA.- ,...`.N .......................................... ------------j Vo . Date Application Disapproved for the following reasons:.............................................................................................................. Date PermitNo... J- ------------------------- Issued----------------------................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD O' F HEALTH /V......OF.....J...l.AM..S14.6`6....................... CTrrfif iratr of f omplianrr 0G AZ<- THIS IS CERTIFY, T at the Individual Sewage Disposal System constructed ( ) or Repaired ( } by - Q. ...G .G.C.M.1...................................................................................................................... MAN lot alc has been installed in accordance with the provisions of i I i iE 5 of Th State Sanitary Code as de cribed in the application for Disposal Works Construction Permit NTo....-TIE .� --------- dated_..lall Xs_._ ___--------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT YHE SYSTEM WILL FUNCTION SATISFACTORY. DATE--------------------- {•----/... ..-$ ............................ Inspector.......................... t ......................................... THE COMMONWEALTH OF MASSACHUSETTS BOA D QF HEALTH N r QQ EE... .................... 04.2_......__.�O . t' �iu�ruual ur��A u#rnnr�uan rrttti# Permiss�i�gq shP r b granted--------..k0_ ..__ 1 ./ 1•----.......-'--------------------------------------------------------_.... to ConstructV �otpair ( ) an Individual Sewage D' posal Sy tem atNo................................�_021. �-lt..... .._ G�-1'?1_�T"........__..._._...•_._._.....-_..__.._._..._............_........... St:eet as shown on the application for Disposal Works Construction Permit Nc 2...�Q ated.......................................... .................................... ---e-- •-----••-----••-•-•--•••............---••"--'•--•••••- Board of Health FORM 1255 HOBBS & WARREN. INC., PUBLISHERS Date: TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS: (/ &, ar BUSINESS LOCATION: �S L) ou DUS,I� MAILINGADDRESS: d Mail To: TELEPHONE NUMBER: '7k Board of Health JJ CONTACTPERSON: � !�� s ,a�. Town of BarnstableP.O. Box 534 EMERGENCY CONTACT TELEPHONE NUMBER: _ 7.0 7d'l13 Hyannis, MA 02601 TYPEOFBUSINESS: d 1-67,In,SD Does your firm store any of the toxic or hazardous materials listed below, either for sale or for you 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. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Quantity Antifreeze(forgasoline orcoolant systems) Drain cleaners NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salt (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil NEW USED Other petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Battery acid (electrolyte) Swimming pool chlorine Rustproofers Lye or caustic soda Car wash detergents Jewelry cleaners Car waxes and polishes Leather dyes Asphalt & roofing tar Fertilizers Paints, varnishes, stains, dyes . PCB's Lacquer thinners Other chlorinated hydrocarbons, NEW USED (inc. carbon tetrachloride) Paint & varnish removers, deglossers Paint brush cleaners Any other products with "poison" labels (including chloroform, formaldehyde, Floor & furniture strippers hydrochloric acid, other acids) Metal polishes Laundry soil & stain removers Other products not listed which you feel (including bleach) may be toxic or hazardous (please list): Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers 1 WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS 1 r y i 1 I e • y I I ZX -gip jT ;..4 i� � �'`:ems/ . .. . •;f M 76 Ol I i i l 1 I H Eon,, o 9LP9cy MIAd1 �� Q � '• o USfTTS ` p , h III -�-1 y �•�� N