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Home My WebLink About0247 MAIN STREET (HYANNIS) - Health 247 MAIN STREET, HYANNIS A=327-246-OOA-F f s Ell W - - 1 I TOWN OF BARNST-ABLE LOCATION, �- 7 / "a "° 14f Mv' SEWAGE # VILLAGE O -3 7 ..'�-�`' 6 ASSESSOR'S MAP & LOTJ 7 INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY '' S 1�' ° ' Moe.cp LEACHING FACILITY:(type) :;L-5-0 (size) NO. OF BEDROOMS PRIVATE WELL O/RR PUBLIC WATER BUILDER OR OWNER E DATE PERMIT ISSUED: / j DATE COMPLIANCE ISSUED: gvz/ VARIANCE GRANTED: Yes No, i i ``� R i �' �' _ � �i , ; l ,� �� ' �n �-- e o �; � -� ,, s -�� s . , , ._ �� _ ,� �;� r � ,� � � .. ... �� -,-�°t � � � �`�- � ems`,. - `a.�. _ PY TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: . Mail To: BUSINESS LOCATION: X) Board of Health Town of Barnstable MAILING ADDRESS: ?` ,0/Z P.O. Box 534 TELEPHONE NUMBER: :2 0 ;2 �7�' Hyannis, MA 02601 CONTACT PERSON: /3 013 :?2�^es EMERGENCY CONTACT TELEPHONE NUMBER: Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities o alling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NQ� 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 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 6F;(k Bug and tar removers IA%W r Household cleansers, oven cleaners d' 40* 40-11 Aeeel at 7,y� 9k White Copy- Health Department/ Canary Copy-Business 07 r tl �, McKenzie, Marybeth To: Wadlington, Ellen Subject: Persy's Place Morning Ellen, I am granting Persy's Place a variance to keep pancake mix, liquid eggs, shredded hashbrowns, and whole eggs to be left at room temperature for 2 hrs and then they will discard the unused portion. All products will be labeled with a discard time. Thanks you, Marybeth McKenzie 1 A My name is Joshua Fazio and I am the acting manager at Persy's Place Hyannis. This letter is to request a food variance for four food items. These items are used so frequently that storing them in a refrigerator would be bad for the other foods. Constantly opening the fridge would affect the temperature inside protecting our other items. Pancake Mix Two Gallon bucket marked with 2 hour sticker submerged in ice bath. Anything not used discarded after 2 hour time frame as represented on sticker. Liquid Eggs Two Gallon bucket marked with 2 hour sticker submerged in ice bath. Anything not used discarded after 2 hour time frame as represented on sticker. Shredded Hashbrowns One Gallon bucket marked with 2 hour sticker submerged in ice bath. Anything not used discarded after 2 hour time frame as represented on sticker. Whole Eggs No more than one flat containing 32 whole eggs marked with 2 hour sticker, stored at room temperature at a time. _ Anything not used discarded after 2 hour time frame as represented on sticker. - ~ BARNSTABLE BAR-W �'�&TOWN -OF dinance or .Regulatione, .M2- WARNING NOTICE It Name of Offender/Manager , Cam.. . r ;«., Address of Offender a�. �" MV/MB Reg.# Village/State/Zip .,�--A Y\ � f� Business Name (' t,, r� c ? �/• ! t�/pm,. on 6/ '3 2006 Business Address 2 9 w .. � i � , a ' a Signature of Enforcing Officer Village/State/Zip k1ACN' V%'A1 c rn A o.2 6 o / Location of Offense ,�^� n /Enfor'cing-Dept,/Di�vision, .c OffenseC� p ,22 - � t 1t&t (koo - A ; N1z�rah A 1 �� .1..1Oocs k.'se , ,_ I y- oe Facts kk �-O fa S'Z r U , C.C.. P U SQ h K.e..t n wq C. '5C C.h e (", 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. 322-5. ibutdoor dining. k. No person, corporation, or firm shall providq�tdoor dining or an outdoor cafe at a foodblishment until after all of the following requirements are met: 41 (1) The applicant shall file a written request for outside dining or for an outside cafe on a form prescribed by the Town and shall submit plans of the proposed dining area. The seating capacity shall be determined by the Board of Health after a determination is made whether requirements of Subsection A(2)through (14) below will be met and after a visual inspection is conducted by an agent of the Board of Health. A replacement food establishment permit shall be issued by the Board of Health indicating outside dining is permitted and listing the overall seating capacity, only after it is determined by an agent of the Board of Health that all of the requirements Subsection A(2)through (14)of this section are met. (2) A menu shall be submitted to the Board at the time of application. (3) The dining area must be appurtenant and contiguous to the restaurant property.The dining area must be mentioned on the described premises as in the case of a common victualler's license. (4) Sufficient restrooms, both for customers and employees, must be furnished counting the additional outside seating as required by the State Plumbing Code and Town of Barnstable Health regulations. (5) A grease trap shall be of sufficient capacity, based upon 15 gallons per seat, as required by the State Environmental Code, Title V, and Town of Barnstable Health regulations. A grease recovery device may be installed to supplement an existing in-ground grease trap, after receiving the approval of the Board of Health. (6) All entrance and exit doors used by food service personnel and customers must be screened and provided with air / curtains meeting National Sanitation Foundation standards. All windows or openings used for the transfer of food will be screened and provided with air curtains. Food cannot be stored or kept outside. All food must be prepared inside the facility's kitchen and kept inside until served. (7) A drainage system designed to eliminate odors will be required for all outdoor dining areas. Hose bibs with vacuum breakers must be available for washing down the dining area. (8) Trash dumpsters shall be situated no closer than 50 feet from an outdoor dining area. If such a dumpster is in the line of sight from the dining area, it must be hidden from view. The area around the dumpster and stockade must be kept clean and free of litter. Dumpsters'must be closed with adequate covers designed to prevent entrance of rodents and birds and sealed to control odors. (9) The patio or other ground surface must be of constructed of material readily cleanable and not.susceptible to dust, mud, or debris. (Brick, tile, and concrete are examples of acceptable materials.) (10) Table tops must be smooth, nonporous, easily cleanable and durable, and readily maintained in a.clean and sanitary condition. (11) Food-service personnel must constantly police the dining area for wastepaper, garbage and other trash. Placement clips, cup holders and other such devices must be utilized to prevent blowing paper. Covered trash receptacles must be provided in close proximity to the dining area and must be emptied as needed to prevent overflowing. (12) Strict cleanup practices must be adhered to. Waitstaff and buspersons must clean up after each patron as in indoor dining. Each establishment must abide by all regulations contained in Article X, Minimum Sanitation Standards for Food Service Establishments, of the Commonwealth of Massachusetts, Department of Health Sanitary Code. (13) Outside food handlers must have easy access to handwash sinks and cleaning cloths. Facilities for preparation and disposal of sanitizing solutions must be accessible. (14) Hair nets or other effective hair restraints, such as hats covering exposed hair, shall be worn by all outside food or drink handlers. Beards and mustaches must be neatly trimmed. t. Exemption from doorway air curtain requirement in Subsection A(6)above: The Board of Health may waive the requirement to provide air curtains at the doorways only if no waitstaff services will be provided to the outside dining area (self-service only). o3I y�P�Op1HE Tpy,O Town of Barnstable Tobacco Control Program Regulatory Services ♦ Bnxrtsrnsr.c, w 9�A MASS.: ,�� Public Health Division rfD MA't A 367 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Samuel H. White E-mail: Samuel.white@town.barnstab le.ma.us Tobacco Compliance/Coordinator ETS INSPECTION REPORT Board of Health: Village of Barnstable: Date: Hyannis ❑Centerville ❑Osterville ❑Cotuit ❑Marstons Mills ❑West Barnstable ❑Barnstable Establishment Name: s tq'.q L'Q Purpose of Check: / Address: ZK7 /�(a.;„ aE. Routine ✓ Telephone: 7`?D— morn Follow-up Owner's Name: Complaint Person in Charge: Other TYPE OF ❑ Cigar club/bar ❑ Office ❑ Bar ❑ Retail store Restaurant ❑ Public place ❑ Bar area of restaurant ❑ Indoor sports arena ❑ Retail food establishment ❑ Public transportation vehicle ❑ School Based on an inspection today, the items checked below indicate the violated provisions of Board of Health REGULATIONS AFFECTING SMOKING IN CERTAIN PLACES: ❑ Smoking in public places ❑ Negatively ressurized if applicable) ❑ Improper ventilation if applicable) ❑ Bar area not enclosed if applicable) ❑ No si na e ❑ Entrance ways ❑ Seating capacity 20% max/enclosed area ❑ Improper si na e ❑ Restrooms ❑ Self closing doors if applicable) ❑ No ventilation if applicable) ❑ Waiting areas XOn this day,the above listed establishment, business, or public place is in compliance with BOH tobacco regulations. Comments: Inspected by: Q:\HEALTH\TOBACCOMP Files\Tobacco Fonns\ETS INSPECTION.doc DATE AN OF BARNSTABLE FEE e OFFICE OF ITA 1 RECEIVED BY { )ADfkla j E30AF�C7 OF HEALTH r f619 367 MAIN STREET � � ��I `ho war HYANNIS, MASS. oxeol ' . VARIANCE REQUEST FORM Ill variances must be submitted FIFTEEN (15)_ days Prior to the scheduled .Board of Ilealth teeting. • , IAME OF ,APPLICANT GRAYMORE NOMINEE TRUST, TEL. NO. 771-5070 Green,Sixe.L.Ly if. Trus ,ee ►)DRESS OF APPLICANT c/o Alan A Green, 171 Main St R Hyanni c, MA n96 TAME OF OWNER OF PROPERTY Same :UBDIVISION NAME N/A DATE APPROVED ASSESSORS MAP AND PARCEL NUMBER '•327 p 'rrPl 946 ,OCATLON OF REQUEST 247 Main St., Hyannis, MA. 02601 :IZE~OF. LUT 15,180 SQ. FT. WETLANDS WITIIIN. 200 FT. OF PROPERTYI Yee No X ARIANCE FROM REGULATION(List Regulation) Regulation 10-Grease Trap Size to allow 1 .000 oral. capacity grease trap for restaurant having 132 feet reason for yar?am Tb test-aurant has been operated on the premises successfully since 1981 without. greacP traz n�__ems.. .EASON FUR VARIANCE(May attach letter if more space is needed) }iavina a 1,000 gal _ Pace trap. Menu has been considerably more extensive than that conteMl ated by-PmRpect-;ue n owner ar..d operator East End Grill, Inc. 'LAN - TWO COPIES OF PLAN MUST BE SUBMITTED CLEARLY OUTLINING VARIANCE REQUEST. ARIANCE APPROVED 10T APPROVED EASON FOR DISAPROVAL Robert L. Childs, Chairman Ann Jane Eshbaugh Grover C.M. Farrish, M.D. BOARD OF 11EALT11 TOWN-OF BARNSTABLE •' `TME T� i BAHN5TA11LZ. : MARS. 952 MAY h" 367 Main Street, Ayunnis, Ma». 02601 May 18, 1982 NOTICE OF HEARING CHANGE OF DESCRIPTION OF PREMISES: In accordance with Chapter 138 of the General Laws as amended, EAST END STATION INC. , d/b/a EAST END PUB, Charles W. Leonard, Mgr. 247 Main Street, Hyannis, Ma. has petitioned the local licensing authority for a change of description of premises by adding to the existing description " and seating for 40 persons and an exposed, exterior deck on the second level of the premises". Said change of description is for the same premises as currently licensed. A public hearing on this application will be held in the Town Office Building, 367 Main Street, Hyannis , Ma. on Tuesday, June 1 , 1982 at 10:15 a.m. John C. Klimm Martin J. Flynn Board of Selectmen &ck,Th Legal Ad - BP 5/20/82 T / .. I NOTICE OF APPLICATION FOR ALCOHOLIC BEVERAGES LICENSE In accordance with Chapter 138 of the General Ln%i-s as Amended. Name of Applicant --ESLEMMLIUE_IN" El iz,aheth Anne Allen, Mqr. Kind of.Lieense ,__Newj_Common Victualer, All alcoholic Period Covered by License date of issue until 12/31/88 Location and Description of Premises 247--.25.1._.Ma_i-m-SIreet, Hyannis, Ma. Fir st floor consisting of the dining room, open bar, lounge are a mens and_ladies restrooms. Entrance/exit to Main Street, exit to rear. Second llevel ; dininq area:-"TFi F—T* vPT; dininq area: Exterior deck: dining area. A public hearing on this application w HI--hr--hei -in-ttre•--Town~Offi-et-&t+}-f•i.ng-36 7--Main Street, Hyannis, Ma. on Tuesday, January 26, 1988 at 10:00 a.m. Martin J. Flynn Licensing Board William T. Friel for the Town of Barnstable Francis I. Broadhurst e Legal AD - BArnstable Patriot for 1/14/88 PLEASE BILL LEGAL AD TO: j Jack Furman, Esq. 255 Main Street Hyannis, Ma. 02601 DOES NOT MEET REGULATION 10 - PLUMBING, MINIMUM 2,000 GALLON EASE INTERCEPTOR REQUIRED FOR 132 SEATS. G, 0, Thomas A. McKean — TEC 3639 M10 k 36 i Mi. Slreel, _J'd// y-0, Hasa. 02601 November 24 , 1986 Mr . Edward Benoit East End Pub, Inc . 247 Main Street Hyannis , MA ,02601 Dear Mr . Benoit : It has been reported to us by the Health Department that you have failed to correct the problem of kitchen fumes venting into abutting offices . Your license was issued with the restriction that this problem be corrected . Prior to any renewal action on your license for 1987 , this condition must be rectified . Please contact the Board of Health when this correction is completed so that they may inspect and report their finding to the Board of Selectmen. Very truly yours , Thomas F. Geiler Licensing Agent TFG : cm HYANNIS FIRE DEPARTMENT 95 HIGH SCHOOL ROAD EXTENSION HYANNIS, MASS. 02601 RICHARD R. FARRENKOPF - _ BUSINESS: 775-1300 CHIEF Simohe Oetectvzd Save .eived EMERGENCY: 775-2323 December 31 , 1986 Town of Barnstable Selectmen' s Office Hyannis , Ma 02601 Dear Board Members : This Department reinspected the East End Pub, 251 Main Street , Hyannis on December 30, 1986 . The following violations were found to have been corrected from our December 10 , 1986 inspection: - The improperly wired light in the basement stairwell has been removed . - The lst floor, rear dining area, exit light has been repaired . - The 2nd floor, exit light has been repaired . The existing hood system and the exterior of the restaurant have been degreased . At this time the following still remains to be completed : The extinguisher for the main bar area must be recharged . (Note) : This unit has been sent out for this purpose and should be returned soon. The required changes to the hood system ductwork still need to be done. Sincerely, DEAN L. MELANSON, Lieutenant Fire Prevention Officer Hyannis Fire Department For : RICHARD R. FARRENKOPF, Chief Hyannis Fire Department DLM/md cc : Paul Brophy, East. End Pub, John Kelly, Board of Health r W � January 15, 1987 Mr. Martin Flynn, Chairman Board of Selectmen Town of Barnstable Hyannis, Ma. Dear Mr. Flynn: The East End Pub, 251 Main Street, Hyannis, was inspected by Nancy Leitner, Health Inspector for the Town of Barnstable on January 14, 1987. A venting system has been installed which extends to the roof line of the highest building. It would appear this new system will not present a Health nuisance to Mr. Furman or any personnel utilizing the adjacent building. Very truly yours, John M. Kelly Director BOARD OF HEALTH TOWN OF BARNSTABLE Jb1K/bs THE COMMONWEALTH OF MASSACHUSETTS < BOAR® OF HEALTH Ar ............. .......•--•-------------------------------•------. Appliratilan for Uhipoii al Workii Tnntrnrtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair ( C./an Individual Sewage Disposal System at: ` Loc ion dre r Lot N _�` . - s .. ��: v .................... . - �, ,.... ... . - L ..- wner ldd 1,4Lb b) r a Installer Address dType of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms................................ .Expansion Attic ( ) Garbage Grinder ( ) '4 Other—T e 'of Building No. of persons____________________________ Showers — Cafeteria P4 Other fixtures ................................. ---------------------------------------------------------------------------------------------•--------•-----...... WDesign Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width---------------- Diameter_............. Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. f 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--____---____.__-_..._.. 1� Test Pit No. 2...............;,inu.,.s per inch Depth of Test Pit..._............... Depth to ground water..._____.__........._... ....... 0Description of Soil-----••----•---•- _ ...�j - - - -- - - - - x V Nature of Repairs or Alterations—A wer when a licable.__= _____________ '___..____ ...................... .............. ---erpiolq....... -- - ---------------•••------------•----------------------------------- Agreemen The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of i1'x 1E 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance hasjbDeei.ssued.by the boal-d of health.Signed -•-------_... -��% "�.............•--•Application Approved By-- U-------- ---------•----. .._.._....._...------•-•------- ••.. Date Application Disapproved for the following reasons:.............................--.....---------------------------------------•-------•---•--...........•----••••- ....................••---.---•-•.....-------•----------------•-•-•---•---.....•-----•---•----------....._'--------•----•••----------•-------------------------------------------••--- -------•------ Date Permit No.............. 9_ Issued--_....---•---------`��l �ctS •------- --..... Date . -------------------. No.._.... ...»_....» Fim............................. THE COMMONWEALTH OF MASSACHUSETTS Y-/ BOARD OF HEALTH ...................OF........?......`.... Applirution for Disposal Works Cfnnstrurtiun Vrrutit Application is hereby made for a Permit to Construct ( ) or Repair ( j,)/an Individual Sewage Disposal System at: .........!.... ».................... ...... ----•----------------- -- ------- t;No.----- I•• _ Location-:Address° _ or Lo ,! ............»......» »........................................................................ .`............ �.................... -12 ---.--�.-.---------.....»• - . 1 ( f pawner _ r J ea ...........r_________________s......_......._...._....._._........._......_.._...._.............. .................. ............................. _ ___....-. Installer Address d Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures ------------------------------------------------•-•------•••---------•---•---•-•-•-•--------•--•----•---------••--------------.......---•------------ �W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 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........................ fT4 Test Pit No. 2................minutes per inch Depth of Test Pit-. g__......._.... Depth to ground water........................ I... D Description of Soil--------------------� '1.....- -...................` x � •.� U -••----•------------------•-----------•--•----------...------------•-•---•••-----•-•-.........-•---....--------•--- W -------------------------------------------------- -----------------------------------------------------------------= .$a.I.....A... x Nature of Repairs or Alterations—An wer when applicable_-{:- .......... '_. _j__.__......I...r�:':j........ .. a ; - { -•. PPS U .............. ----------• �- � V-`--t �' ` = ...... "--------- = - `V � Agreement: r The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITIE 5 of the State Sanitary Code—The undersigned further-agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed...z =' ✓ ,�1 .... t _ , .......• sue Application Approved By........ .��°._ .. `� Date Application Disapproved for the following reasons--------------------------------•----•-------------- ............................................................ + :"......,.._- ..... Date Permit No. ..�» r .. Issued.................... -•--•- Y/ _ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH (9rdifirate of TompliFanrr THIS IS TO.CERTIFY, That the dndividual Sewage Disposal System constructed ( ) or Repaired ( ✓)� - . , M•-� by------------ f _ ---------------------------------------".......--------------------- �+ „c �C_ nfstdller ` . at.......... M -- ....................................7= '<'• `fit r�-f_. has been installed in accordance with the provisions of TITLE r of The "eta e Sanitary Cod e-,$ d scribed in the application for Disposal Works Construction Permit No..__..... da.ted_._..__._..._` !. PP P �---- ��' ................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION+SATISFACTORY. DATE..... ............................Q. ...... Inspector........ THE COMMONWEALTH OF MASSACHUSETTS 1 v �_.�--- BOARD OF HEALTH T w J No -• FEE........................ . Disposal Works Tanotnution Prrutit r Permission is hereby granted.-=�:--... . `......•................................ ., Ito Construct(f ) oar Repair jIndi dual,SswageDisposal,Sys�ttem,' 4 r atNo......... .............................. =, Street as shown on he application for Disposal Wor Construction Permit No.__b a..J_._(_. Dated.._._.._......................`+.._. -... Board of Health » p_ DATE-- < l C FORM',1255,_HOeBS & WARREN. INC., PUBLISHERS is cu.u-t G,c c. TOWN OF BARNSTABLE z3�j LOCATION- iylv" SEWAGE # VILLAGE ASSESSOR'S MAP & LOTo? INSTALLER'S NAME & PHONE NO. C'��r 5 i' eal � �t a`�L T SEPTIC TANK CAPACITY ell C-a 2�4f Al pie LEACHING FACILITY:(type) (size) NO. OF BEDROOMS PRIVATE WELL ORR PUBLIC WATER BUILDER OR OWNER � S'� ;E� - DATE PERMIT ISSUED: vj 1. 0 vy DATE COMPLIANCE ISSUED: �/ J VARIANCE GRANTED: Yes No � 0 ,z t - ___