HomeMy WebLinkAbout0366 MAIN STREET (HYANNIS) - Health 366 MAIMSTREE
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Town of Barnstable
,oFVaE'ati Regulatory Services
% Richard V. Scali,Director aL�
BARNSTABLE
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1639-2014
�fD 1AP�' Thomas McKean, Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
December 3, 2015
RE: 366 Main Street, Pup Cakes, Dog WashingF acility, Hyannis, MA
To Whom It May Concern:
The Health Department of the Town of Barnstable has no objections to the applicants'
proposal to install PVC piping instead of cast iron piping at 366 Main Street, Hyannis.
Hair traps shall be installed at each dog washing station.
Regards,
I'Fo-mas McKean, R.S. CHO
Agent of the Board of Health
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q:Wariances\state plumbing variance applications\366.main.st.hya.dog.washing.facility.doc
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TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM
NAMEOFBUSINESS: G*pe Ce)p
BUSINESS LOCATION:
T� �lt �—
MAILING ADDRESS:
Mail To:
Board of Health
TELEPHONE NUMBER: Town of Barnstable
-
CONTACTPERSON: ,4 P.O. Box 534
EMERGENCY CONTACT TELEPHONE NUMBER: Hyannis, MA 02601
TYPE OF BUSINESS: ,
Does your firm store any of the toxic o h ardous 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(for gasoline or coolant 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 Any other products with "poison" labels
Paint brush cleaners (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 I
Bug and tar removers
WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS
(508)771-7190
CAPE COD JEWELERS
&
ARTISANS
PHIL BALBONI 366 MAIN STREET
LAURA BALBONI HYANNIS,MA 02601
t
TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations, Repair
BOARD OF HEALTH O satisfactory s: Printers to Body Shops
Q unsatisfactory- 4.Manufacturers
5.COMPANY- (see"Orders") 6. Fueell Su pl Stores
ADDRESS 12 r% S Class: 7. Miscellaneous
f-Ft.l S ,10Q ti...
O,.n�lt UANTITIES AND STORAGE (IN- indoors; OUT-outdoors)
MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks i
IN OUT IN OUT IN OUT #&gallons Age Test
i
Fuels:
Gasoline,Jet Fuel (A)
i
Diesel, Kerosene, #2 (B)
Heavy Oils:
waste motor oil (C)
new motor oil (C)
transmission/hydraulic
Synthetic Organics:
degreasers
Miscellaneous:
,t
I
DISPOSALIRECLAMATION REMARKS:
1. Sanitary Sewage 2.Water Supply QC-,
— Town Sewer Public
O On-site OPrivate
`/ S c - r
3. Indoor Floor Drains YES NO'
O Holding tank:MDC
O Catch basin/Dry well
O On-site system
4. Outdoor Surface drains:YES NO✓\ ORDERS:
O Holding tank:MDC r
O Catch basin/Dry well
O On-site system
5.Waste Transporter
Narne of 11auler Destination Waste Product
YES NO
1.
2.
Person(s) Interviewed Inspector �Da Pe
No...._...._ APPROVES Fss..............................
earnsteblo
— THE COMMONWEALTH OF MASSACHUSETTS
—� 18YA BOARD OF HEALTH
TOWN OF BARNSTABLE
Appliration for Diripuial Wurk,i Tomitrnrtiun 1hrmit
Application is hereby made for a Permit to Construct ( ) or Repair an Individual Sewage Disposal
System at:
....------ r`� t ..............
Location t � t No.
--- = ._..
ym/fit. . C ..�cO � ........ ` - x
Installer Address
Type of Building Size Lot............................Sq. feet
., Dwelling— No. of Bedrooms______________`-...........................Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building ... No. of persons____________________________ Showers ( ) — Cafeteria ( )
a' Other fixtures ------------------------------- - -
d ------------------------
•--------•-•---------------------
W Design Flow............................................gallons per person per day. Total daily flow_.____._....._.___._...._........__.........gallons.
GG 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...................................
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........................
P+ -----------------------------------------------------------•------.......------ ............ ............
.-.---------------
0 Description of Soil-----•-----•...................•-------•----------------.................------------------------------•-------------------------------••-----...........-----••---•-...
W
U ---•---------------------------------------------------------------•-------------•----........_...----------------------..............................................................................
W
--------------------------------------------------------------------------------------------- -------------;::--------------:------------------------- ------------------•---•-•---------------......
UNature of Repairs or Alterations—Answer when applicable-_in Af.%�.I....__.._� �.0�®......®fit-14.1.........�.l�_�.�
.._?r�.. .....:�0._sec e�-------------------------------------------------------------------- -------- -------- --------- --------- --------- --------- -----•----.
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE S 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 tl}t board of health.
Signed .......................... [ ... ......1: "-" ........................ ..................
17 Date41
Application Approved B ......-.i r ............................._ ..-.-... ........'"
-..... ...f....----------------------------------- Date _
Application Disapproved for the following reasons: ........................ ..............................--......................................................... ...
......... ............ . ... ..........�............ ............................ .......................... ..---..........
�f oat
Permit No.
.._ 7..................... �...........--...... Issued .....--...-- -...-...... ..�..f...-. ...
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
r
TOWN OF\Y BARNSTABLE
Ertifi ate of �'J l!..��om lianre
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ✓)
Yb _........ ...........L .. ... _. fl 0t1C. ............................ ......... - . .... _.... _...... - - ..... -..... ............
at ...?�.ZP(----------hlal J1__..!--- --- -- ------------------...------.-----.----------...._.....-------------------------------------------- --------.----------------------------------------------------
has been installed in accordance with the provisions of TITI,E5 of The State Environmental Code as described in
the application for Disposal Works Construction Permit Nu. -":..., ..s�%'... dated _- �`.... .! '._,f�'�.�/
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
...fi e .
.........� Ins ecc _.....DATE ............ . ... .. ........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
rP� TOWN OF BARNSTABLE
No.. -�.-••. - FEE.............::.
Disjumal Tonotrutuan Wru it
Permissionis hereby granted-------Al-- ......../7Al2e:n..................................................................................................
to Construct ( ) or Repair (✓f an Individual Sewage Disposal System
at No...2&A.-•••-/-21 A s,a .Z/ri - _tree ---------------------------
St re
as shown on the application for Disposal Works Construction Permit"No�'��� Dated----_�����
`�� a w4l
------------------•---••--••------- Board of Health
' DATE-------•------------- ----•------7-
FORM 36508 HOBBS&WARREN.INC..PUBLISHERS
'9 3a�
No......................... Fxs..............................
THE COMMONWEALTH OF MASSACHUSETTS
o m-41 yB O A R D OF HEALTH
TOWN OF BARNSTABLE
Appliratiutt for Diripuiul Works Tomitrnrtiun 1rrmit
Application is hereby made for a Permit to Construct ( ) or Repair (N.,") an Individual Sewage Disposal
System at:
................................... -•--••••-•-•-•-----•-•--••-•--...-•---------•••---•----•-------------.............................
��C Location-Address � or,Lot No. lJ n ?� ..n G P------------ -------------•--••---------------- -- 7 - 1'�t��•.... �. ._........../'/-.-.....-----------•--•••----...
...................-
n /� �O�.ncr A`dd1ress / f
af i l• l /�F[�!f� --...... ,l rl rl :v� . 1 T ..{1 ... Yll'
Installer Address
Type of Building Size Lot........::..................Sq. feet
., Dwelling—No. of Bedrooms..............----------------------------Expansion.Attic ( ) Garbage Grinder ( )
134 Other—Type of Buildingz e keCgnr� ••- No. of pe
rsons............................ Showers ( ) — Cafeteria ( )
a' Other fixtures ................................
d ----------------------------------------------------- ---------•------------------------•.......
.
w Design Flow............................................galloiis 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.
Z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed by.................................•---..._..--------------------------•-••. Date........................................
Test Pit No. 1................Ininutes per inch Depth of Test Pit.................... Depth to ground water........................
�%4 Test Pit No. 2................minutes per inch Depth of Test Pit--------_........... Depth to ground water........................
R4 ..._•-•••-•......................••-•-••----------•--•-•------•--•----••----•-------.........................................................................
0 Description of Soil........................................................................................................................................................._..............
x
w
U Nature of Repairs or Alterations—Answer when applicable._. .......:�:�...............'.../. ......9_ .......
T .....•-•.............................................•--
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 ..... .... (t..
........................................... � ..
y. p" J y �?�O1)
Date ,.
ApplicationApproved By .... ..._... j.................................................................................................... .. .. ..` ....:.r.✓.`.....r7.....
Date
Application Disapproved for the following reasons: ...................... ............................................................................................ ................
............................................................................................... ......................................... .............................................................. .......... .. .......................
r Date
PermitNo. ---------- .................................................. Issued ............ ace . _..........Gf...