The URL can be used to link to this page

Home My WebLink About0412 MAIN STREET (HYANNIS) - Health 412 Main Street, Hy tr D earth& ettle es"tau ant I1 II 0 No..UZ7/p � Fr a..... �.... ........... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF.......................................................................................... Appliration for Uiopo,ial Workii Tonotrurtion Vrrutit Application is hereby made for a Permit to Construct ( ) or Repair (Z-�r an Individual Sewage Disposal System_at: Location-Address or Lot No. ... •-- ..... ... -----•--------•--•--•--------------- �.�'...S .......................•-•-------••--••--..... Owne Address Type Of Building Install Address Q yp ilding Size Lot.................... .....Sq. feet U Dwelling—No. of Bedroom .........................Expansion Attic ( ) Garbage Grinder ( ) aOther Other—Type of Building 1'""' of persons............................ Showers ( ) — Cafeteria fixtures --------------------------------------------------------------•-----------------------------------•-------------------.............._----._.......-•-- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 04 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--------------------- L eter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (. Dosing tank ( ) Percolation Test Resul Pe or by.......................................................................... Date........................................ �-1 Test Pit No. 1-.__.::..........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........................ 9 ----•-••-----•----------•---•.......----••.............•-••........._............••-•-........---•-•......................................................... O Description of Soil................................. M _... _.....- 4 U W ;r:r U Nature of Repairs or Altegations—Answer when applicable._.,4z.o..,J/api....oe... Z�p ................ ; �._..... - ---------------------------------------------------- Agreeme . The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be by th and of Health. gn .-- . ---. .. �::y.............................................. -•---.. --• ........... Da Application APPr ------. •---- __ ............... _.... -•----�1.... •-- ate Application Disapproved f th ollowing reasons:.................................•---.....-----------------------------------------------.........._...---••-... ........................................................................................•---•-----..............---•-----•--------•--------------------------...---•----- ••••--._..... Date PermitNo......................................................... Issued....................................................... Date ........................................................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......................I..................OF. .......................................................................... C�rr#ifirtttp of f�unt�littnrr T I 0 IFY, Th the Individual Sewage Disposal System constructed ( or Repaired ( ) by... .............•---• --.--- ----...-•••----••- .........--------------------- .....----- -•--•--------- Installer at...... ,�f�cf ...... .. ... .. .......-••-••......-•---•--•-•-...has been installed in accordance with the provisions of TITLE of a State Sanitary ZCod as gibed in the p l 5 y application for Disposal Works Construction Permit Iv'o :f ..r- ................... dated_ . ..__....._...______..THE ISSUANCE OF THIS`CERTIFICATE SHALL NOT BE CONSTRUE® AS AANTEE THAT THE LSYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Ins ector,.....--.......-----.........-----•----------.........-..........-••-••---•-••.....-- p - .............--------------------------------------------- 7_7 /0 Fmc..................0............ NO.. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...................OF............................................. ....................................... Appliration for Uhipoiial Workii Tomitrurtion ramit Application is hereby made for a Permit to Construct or Repair (A-)r,an Individual Sewage Disposal /Syststemal: If v-& .............................I. ................. .................................................................................................. Location-Address or Lot No. -------------------------------------- .................................................................. Address ..... .................... ............ ..... ..................................................................... - ---------------- - ................. Install ........ Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedroom,5........................................Expansion Attic Garbage Grinder Other—Type of Building of persons............................ Showers Cafeteria Otherfixtures ...................................................................................................................................................... Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 1:4 Septic Tank—Liquid capacity------------gallons Length................ Width__............._ Diameter__._____.._..... Depth...._........_._ Disposal Trench—No..................... Width_._................. Total Length....._.............. Total leaching area....................sq. f t. > 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..__.._.............___. Test Pit No. 2................minutes per inch Depth of Test Pit............__._.... Depth to ground water........................ P4 .............................................................................................................................................................. 0 Description of Soil............................................................................................................................................................... X .................................................................................................................................................................................................. U ..................................................................................................................................*I----------------------------------------------------------------I U Nature of Repairs or Altekations—Answer when applicable-AZ0.0770pi---0,F...GRIA Katy . ---Alar�x.40.1.1e........................................................................................M=............................................... greemerf* The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T I T 1E 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be by th and of health. gne .... ..................................................... ......... ... ........... Da ApplicationAppr e ....... .. . .... ... ........................................................... ................. ..... ........... Date Application Disapproved . th ollowing reasons:.............................................................................................0................. ....................................................................................................................................................................................................... Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..............................................................I...................... Trrfifiratr of Tompliatta *I.F.Y..T7 1 0 IFY, Th the Individual Sewage Disposal System constructed 05 or Repaired .................................................................................................................................... by---------- ZInstaller at...... _74,16 - ... .... .. ................................................................................................................................ ....................... / 7 has been installed in accordance with the provisions of TITLE 5 of e,State Sanitary Cod a,. scribed in the dated..e�. S1 application for Disposal Works Construction Permit No.. ..W. ... ............. . .................... 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 d,I Z16... ..........................................OF..................................................................................... No.0.1..........K.1.. FEE.4/40............... �iu 'Permission is,1keer<-5y' gr nted ... . . .................................................................... to Construct r aar an Individual Sewage Disposal System atNo............. . . ..... .... ..... . ................................................ ..................................................................................... Street as shown on the ap, icati 6 i s -,orks Construction- Permit N ... Dated.............................. ............. ............... ........ .7.... ........................................................... Board of Health DATE.. .. ..... .. ... .. ..... ................................................ FORM 1255 A. M. SULKIN, INC.. BOSTON INTER-OFFICE CORRESPONDENCE MF28H* (Office) Subject MASASCHi ENG NEERW COW Date -� Navy C � 8 En�iwllr� To (617) 8W2211 Attention of 8Re "Pra4w-Sewer- Utilities SAPIASS. H SINCE Ik0 MASS. 14 .-6 k ReSTMv&ANT GiiRmasce. Taap— y-00 O I I p to c.a l i Y•i a-' � X 9�''`,r • - •r. � d� r� w:} r >rt: t -. ,fiy. t v Cl �' PvT d°' �• s +r ',. r• $ R h ' f� !K°ye 4 xr1. •v It �e: - .. .�SY r '1 A x �Y �` 9' +4 • f i� ~.S ,i,, .. ,�.* . • to Y �: '..g a. ( r � t :,}fi f .';Y •y`''� { n � '4� i'F< i," f ..R '�• .. �' � _ ,= r Y''� ., r�� t 'r ". s +r , ter iApri .,.23., i1979 r" "t`S{ .✓. '+:+�,. `iy x r '� `� s�. rx` 9*�. e. 73� t * 4 r.°� i fa:-. Y �:+� �• :Y. 3� � x - �) 4 Y � i � i ^. , ,4,iyMe K',nN �r� n '! a .`xr.i"�` tm ` 9p- s p� '•' � ;.., % v yk. r 6 t F ., ''a ' d yr ,;1,p"'..6 4��F ' r«i r tx. "�` a�'�.�s..� !'� • �Vincer�t �'i t�ratan.L,a i�.: y; ` � � "" ^ d HeSthC :.Kettl'e4 Restaurant c '�� +�i'aa�n'•.�tJ.Ret da q S 1 ) Y y t f• H annis .FA. + . ,k S�F 4 , `Dear wM+r.�Cat+c' h1ia'v , f � �,. t ... a,. ,P+' n,�c, � t' a ,', r•. "x ,+'. � _,, € " Y s� ,� Yr t. ','YY lT + y, ank you; for.,.... appearing-`,before the Board in 'regards w.to ,an addition to"-.your, restaurant. ,� - , a _ '`G 'You,'will be trequi.red `~to, install an}'"outssde`'grease ,i.nterceptor. 'commensurate:t-with your seating papaCa.t, ` Please have yours plunnber contact :.the,Town Plumbing ;Inspector' for,'details on t r dnstallatiori° ' s ,r w .•You wild 'also "be -rciquiredi jor,have <des igaated;1separate male f and fen emsle empioyee4,:# toilks,; no't;.,aciia3,Xab]:e, to 'the ,general publiC..a S� e^ a�e iJ yM �h c Nt Very,.trulyyalt 4 rS % J }Vt �I,i ♦ i4 °. r tl�" i C,•,e, - .. ° -, � F:.!';P '<.. ^fie. '- .. s Kgh,:. .Chairman, J - Ro ert L ,t Childs 7 ` Mandeltam, :M,' D W,` tM BOARD OFF iHEALTH+& TOWN, OF BARNSTABLE t� rtu�# ��'�a r'a �.a� t ';i�I" Y4 �' �'�� A✓ � e e ^�. �� xy M1 ° , 1, y..Fes' '4'.q � ; � t..X t g� �-.cl� y,. h rY � � pr Fe ; f•` �� W� * ` ' r �.,° rw✓a �• .':F. dp r .ti'"' � _ .t-Y�i.. r tj. ',�a#Fa t� p . .. s b •� r F � t r - s ry '�' 1 � �' p � ,s''aa q• 'j-d '� ! 5•�� '' `:'!',t. � � a` Fy � 5F � - f F ;s.. a � ,� �i ,�. �{/a3/7 9 I TOXIC AND HAZARDOUS TERIALS REGISTRATION FORM NAME OF BUSINESS: �<'��°� �' �� Mail To: BUSINESS LOCATION: y\ �• S� ti�M�� s � Board of Health MAILINGADDRESS: �� '�� Town of Barnstable �� - �� .��,'4 MA Q'�-�°C� I P.O. Box 534 TELEPHONE iNUMBER: __j c1® -IAOR\ Hyannis, MA 02601 CONTACT PERSON:Q�6 b EMERGENCY CONTACT TELEPHONE NUMBER:�1 � Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totalling, 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: /V b ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Boarclof 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) l CS 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 , e S 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, 1 C S Laundry,soil stain removers hydrochloric acid, other acids) (includ [bleach) Other products not listed which you feel may Spot removers & cleaning fluids � �e toxic or hazardous (please list): (dry cleaners) 5 C.5 X.)4,wo. <Z� j Other cleaning solvents �;•� �•t, .4-eAk S Bug and tar removers Ze rs Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business ,�,�...r.,,.�.Y �,.��7-..,,x¢y }.p•� �✓.Y.°"e�'+'r Y,...+�7►'K •. 'Y .'.., I . - i y t�y .- t... i r.. rysL s . }*� al -TOXIC AND HAZARDOUS TERIALS REGISTRATION FORM NAME OF BUSINESS: ,.,C k-e AlzW(- 4 Mail To: BUSINESS LOCATION:LANAA Board of Health Town of Barnstable MAILING ADDRESS: q rX P.O. Box 534 TELEPHONEAUMBER: 0_ —L\ \ Hyannis, MA 02601 CONTACT PERSON:gds 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 totalling, at anytime, more than 50 gallons liquid volume or 25 pounds dry weight? YES _ NO } s Thls fio"rm rnustbe`'fetttrred to'sfhe Board"'o.f Health regardlessof'ayes'or no -answer. xtlse the enclosed Y envelope for our convenience. ` . . If you answered YES above, please indicate if the materials are stored at a site other than your mailing address:i✓(-) t ,- ADDRESS: r TELEPHONE: ' LIST OF TOXIC AND HAZARDOUS MATERIALS The Boardof Health has determined that the following`,products exhibit toxic or hazardous character; istics and must be registered regardless of volume. Please`estimatet he quantity beside the product ghat you store: Quantity/Case Quantity/Case 3 Antifreeze (for gasoline or coolant systems) \ 5 Drain cleaners Automatic transmission fluid `S W, Toilet cleaners Engine and radiator flushes CesspooLcleaners Hydraulic fluid (including brake fluid) Disinfectants MotoYjolls/waste oils 1' r Road Salt (Halite) Gasoline, Jet fuelJ- g Refri erants € Diesel fuel, kerosene, #2 heating oil , ei$' Pesticides (insecticides, herbicides,_ t Other petroleum products: grease, lubricants• rodenticides) r t Degreasers for engines and metal PiotoEhemlcals (fixers and developers) Degreasers for driveways & garages Printing Ik 1 . h N,+Npfir, ,g4+, . Uru�,,.✓F+�t�Y4-�^wbi:.�'+w•a�•.';it Battery acid (electrolyte) ' ' y' Wood preservative's ('creosote) - Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda2_ Car waxes and polishes Jewelry cleaners f, Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes �, ; ' Fertilizers (if stored outdoors) H Paint & lacquer thinners PCB's -� Paint & varnish removers, deglossers Other chlorinated hydrocarbons,» � - ==Paint brush'cleaners T_-'` b:`;carbon--tetrach10Tide�)`. Floor & furniture strippers Any other products with,-"Poison" labels F Metal polishes ,(including chloroform,formaldehyde, 1 C S LaunZnc,,;�b�"eacfhh) soil & stain removers hydrochloric acid, other acids) (inclu Other products not listed hlc ybtu feel may Spot rem�Vers & leanin fluids be toxic or hazardous (pie sehl st g 3-�, S hti� i (dry cleaners) 5 C S J:s` a, . ml 5 Other cleaning solvents Bugand tar removers `� � 'r ` ( Sc, ', z . S` 1 Household cleansers, oven cleaners _ ~ a i. ' ;t •.«„+ ` s T j a White Copy- Health Department/ Canary Copy-Business . 9 r 71 . \ _ 0i 3 z \ Fjj �' 0. s a ''�� - t. �9.� ^� �� a \ �.�yt 4� 't0. ;;�:. b ��Cthr•`5. t"`>1� �.,`s-,alyr�i - >4, O � ,,0- 1 � I , i 0 + , r b r ' f ; --I, . �s T TITM - 9 � � � � �v • O d � O O O p p p _ �V 1 1 f