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HomeMy WebLinkAbout0171 ROUTE 149 - Health 171 ROUTE 149 , MARSTONS MILLS A -- 078018002 - -- - - - - - -- , , - - --- - � r �I �I YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR 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, 1st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: Ia /SP Fill in please: APPLICANT'S YOUR NAME/S: ��/'a �► , .; BUSINESS YOUR HOME ADDRESS: V TELEPHONE # Home Telephone Number r 3 n �a Ja NAME OF CORPORATION: NAME OF NEW BUSINESS Glfr�2 Sb�e� TYPE OF BUSINESS 6U7 I'v�1�'-t/ IS THIS A HOME OCCUPATION? YES N ,/�S ADDRESS OF BUSINES ej� 12J MAP/PARCEL NUMBER — d _4&s.-,essing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended 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 this town. 1. BUILDING CO ISSIO E 'S OFFI This in I e - form a p rmit q irements that pertain to this type of business. Au orized Sig�tur -- � COMMENT S 2. BOARD OF HEALT This individual s b On fo ned of e pe ments that pertain to this type of business.- . . � Authorized Signature** COMMENTS: 3. CONSUMER AFFAIR LICENSING A HORITY] This individual ha 17ji fo'Toed he i sing requirements that pertain to this type of business.a I Au oriz d gnature* COMMENTS: YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR 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, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: Fill in please: u APPLICANT'S. YOUR NAME/S: 5 BUSINES YOUR HOME ADDRESS: TELEPHONE # Home Telephone Number 72V :2 3f 6, .2 NAME OF CORPORATION: NAME OF NEW BUSINESS S d TYPE OF BUSIN SS D o Y' IS THIS A HOME OCCUP ON? YES- Nr"'V //``�7,� `` ADDRESS OF BUSINES Or » i �y9 � s MAP/PARCEL NUMBER V (U V 1� Z [Assessing] When starting a new business there are several things you must do in order to be in with the rules and regulations of the Town of Barnstable. This form is intended 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 this town. 1. BUILDING COM ISSIO ER'S OFFIC This individu I e infirm o a rmi e uiremerits that pertain to this.type of business. ut orized Sig pat COMMENTS: l•C 2. BOARD OF HEALTH This individual as be in d o the pe. it requi ents that pertain to this type of business. Authorized Signature* COMMENTS: 3. CONSUMER AFFAI (LICENSIN THORITY) This individual h infor of the licensing requirements that pertain to this type of business. Auth iz .Signat e* COMMENTS: YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR 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, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: Fill in please: �; APPLICANT'S YOUR NAME/S: C�SC�^ BUSINESS YOUR HOME ADDRESS: Ada 93 7/ f V► D l03�- -' TELEPHONE # Home Telephone Number '7 rr.,.. NAME OF CORPORATION: NAME OF NEW BUSINESS R QP-7 14 S TYPE OF BUSINESS SGG/() IS THIS A HOME OCCUPATION? YES NO //�� fi ADDRESS OF BUSINESS /7 �� 1 24d 1 7Ay9SM/! C MAP/PARCEL NUMBEd) ( r U I b -O —(-Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended 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 this town. 1. BUILDING COM ISSI ER'S OFFICE I ' This individu I ha n inform d f y erm' requirements that pertain to this type of business. ut rized-Sig at r COMMENT n �A 2. BOARD OF HEALTH This individual h infor ftbp nprmit requirements that pertain to this type of business. Auth r d S` ture COMMENTS: 3. CONSUMER AFFAIR LICENSING THORITY) This individual ha n mj.9f the licensing requirements that pertain to this type of business. ze Sig 't COMMENTS: r YOU WISH TO OPEN A BUSINESS? :For Your Information: Business Certificates cost $30.00 for 4 years. A Business Certificate ONLY REGISTERS YOURNAME in wn (which you must do by M.G.L. - it does not give you permission to operate.) Business Certificates are available at the Town erk's Office, 1" FL., 367 Main Street, Hyannis, MA 02601 (Town )iall),and 200 Main Street Offices at the Licensing counter. DATE: i10 a% O Fill in please: APPLICANT'S YOUR NAME: BUSINESS YOUR HOME ADDRESS: 377 TELEPHONE # Home Telephone Number: NAME OF NEW BUSINESS /vki Ih e %/S TYPE OF BUSINESS 'y Suja� S THIS A HOME OCCUPATION? YES NO _ Have you been given approval frow the building division? YES NO ADDRESS OF BUSINESS 1 J yq � -4 - � MAP/PARCEL NUMBER 'mil e — _a When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended 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 this town. Qs- BUILDING.CO" NER'S O ICE This individual a en ino.r�\./ fay p rmit re uirements that pertain to this type of business. ut orized Signature'" COMMENTS: 2. BOARD OF_HEALT�H This indivi as1 forme oft permit requirements that pertain to this type of business. Authorized Signature" COMMENTS: lo�.,a-T�t� ►S1�CL�Q ��' i<4� 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature'" COMMENTS: Massachusetts Department of Environmental Protection `..., Industrial Wastewater Holding Tank p. DEP Assigned Facility ID X Compliance Certification Form (DEP01 ) or Facility Name Important: A. FacilityInformation When filling out forms on theJ ��j,A, /J �/ computer,use Q J � Ail i l///� / V.3 only the tab key a.Facility Na7md b.Facility SIC Code c.DEP Assigned Facility ID to move your l / 1,/n �r / n cursor-do not J - 7% T �1 use the return d:Facility Site Address(Street No.,Street Name,Street Suffix e.g.St,Ave,etc.) e.Secondary Unit(e.g.Building-C,Ah Floor) key. I` acSI-onS /?/II NU�(o 1-4f.City g.State h.Zip Code i.Facility Mailing Address(If different from the facility site address above) j.Secondary Unit k.City I.State m.Zip Code �� n.Phone Number o.Fax Number p.Federal Employer Identification Number(FEIN or EIN) A-I. Certification Information rJ6di1 e� �7y a3k 62k? a.Co act Person First Name b.co tact Person Last Name c.Title d.Telephone Number a s 1)6>n e-1- �� y aa,� ��� e.Owner Firs Name f.Owner Last Name g.Title h.Telephone Number i.General business description B. Industrial Wastewater and Holding Tank Information Answer all questions, unless you are directed to skip a question. Do not answer questions that you . are directed to skip. 1. Major sources of industrial wastewater a. ❑ Process wastewater (Check all that apply) b ❑ Equipment cleaning wastewater c. ❑ Spent concentrated solution d. ❑ Floor spills or floor drainage e. W Other(5)(Please describe below) Describe major sources 2. Major'pollutants in the industrial wastewater a. ❑ BOD/COD (Check all that apply) b. ❑ Oil&Grease c. ❑ Low/High pH d. ❑ Cyanide e. ❑ Cadmium f. ❑ Chromium g. ❑ Copper h. ❑ Lead i. ❑ Nickel j. ❑ Silver k. Zinc I. [ Other(s) (Please describe below) Describe major pollutants ®dep0l.doc 12/02 Page 1 of 6 Massachusetts Department of Environmental Protection Industrial Wastewater Holding Tank . DEP Assigned Facility ID D Compliance Certification Form.(DEP01). Dor FacilityName B. Industrial Wastewater and Holding Tank Information (Cont.) 3. Holding Tank ID(If any): 4. Holding Tank Installation Date: J It 0 (MM/DD/YYYY) 5. Tank Type(Check one box only): a. ❑ Above-ground b. V In-ground 6. Tank Construction Material a. Steel (Check appropriate box(es)or specify): b. Concrete C. Fiberglass d. ❑ Plastic e. ❑ Other(s) (Please describe below) Describe construction material 7. Tank Capacity a. Less than 3,000 gallons (Check one box only): b. 3,000 gallons or more B-l. Compliance Information Section-1 General 101 Do you discharge industrial wastewater to ❑ yes-you must cease discharging and a septic system, leaching field, or complete a Return to Compliance Plan ' cesspool? no 102 Do you discharge industrial wastewater to ❑ yes-you must cease discharging and a storm drain or to the ground without a complete a Return to Compliance Plan surface water or groundwater discharge permit? no 103. Is the discharge of your industrial ❑ yes—I have checked with DEP and I am wastewater to a municipal sewer system aware of the restrictions that may apply to feasible? my facility (if your answer is yes to this question, you need to check with DEP for restrictions no that may apply to your facility before completing this certification) ®dep0l.doc 12/02 Page 2 of 6 t Massachusetts Department of Environmental Protection Industrial Wastewater Holding Tank Compliance Certification Form (DEP01) or Facility Na DEPAlityNadFacilitylD me B-I. Compliance Information (Cont.) 104 Is your facility located in the Zone I or ❑ yes- I have checked with DE and l am Zone A of a drinking water supply area? aware of the restrictions that may apply to (if your answer is yes to this question, you my facility need to check with DEP for restrictions that may apply to your facility before no completing this certification) 105 Is this certification for an above-ground ❑ yes holding tank? no-skip to question 301 Section-2 Above-Ground Holding Tank 201 Is this above-ground holding tank yes constructed or lined with material compatible with your industrial ❑ no-submit a Retum to Compliance Plan wastewater? 202 Is this above-ground holding tank ❑ yes remotely filled or automatically filled? ❑ no-skip to question 203 202a Have you provided an appropriate ❑ yes audio and light alarm system for this above-ground holding tank? ❑ no-submit a Return to Compliance Plan 203 Have you provided appropriate spill ❑ yes containment for this above-ground holding tank? ❑ no-submit a Return to Compliance Plan 204 Have you provided"Non-Hazardous ❑ yes Industrial Wastewater"labels for this above-ground holding tank? ❑ no-submit a Return to Compliance Plan 205 Was this above-ground holding tank both ❑ yes installed after November 15, 2002 and fabricated on site? ❑ no skip to question 401 ®dep0l.doc 12l02 Page 3 of 6 Massachusetts Department of Environmental Protection Industrial Wastewater Holding Tank DEP Assigned Facility ID Compliance Certification Form (DEP01 ) or Facility Name B-I. Compliance Information (Cont.) 205a Was this above-ground holding ❑ yes —skip to question 401 tank constructed in accordance c dan ce with engineering plans that were ❑ no—submit a Return to Compliance Plan stamped and signed by a and skip to question 401 Massachusetts Registered Professional Engineer?. Section-3 In-Ground Holdinq Tank 301 Is this in-ground holding tank constructed °� yes or lined with material compatible with your industrial wastewater? ❑ no-submit a Return to Compliance Plan 302 Is the capacity of this in-ground holding yes tank greater than 500% of the average daily flow? ❑ no-submit a Return to Compliance Plan 303 Have you provided an appropriate audio. . yes and light alarm system for this in-ground holding tank? ❑ no-submit a Return to Compliance Plan 304 Have you provided"Non-Hazardous ] yes Industrial Wastewater"labels or signs for this in-ground holding tank? ❑ no=submit a Return to Compliance Plan 305: Was this in-ground holding tank installed ❑ yes before November 15, 2002? ' no skip to question 306 305a Was this in-ground holding tank ] yes-skip to question 401 constructed in accordance with engineering plans that were ❑ no stamped and signed by a Massachusetts Registered Professional Engineer? ®depOl.doc 12/02 Page 4 of 6 Massachusetts Department of Environmental Protection Industrial Wastewater Holding Tank s DEP Assigned Facility ID Compliance Certification Form (DEP01 ) or Facility Name B-I. Compliance Information (Cont.) 305b Will you (or did you) obtain an N6 yes-skip to question 401 integrity assessment by November 15, 2003, which will be ❑ no-submit a Return to Compliance Plan prepared by a Massachusetts , and skip to question 401 Registered Professional Engineer, for this in-ground holding tank? 306 Was this in-ground holding tank lA yes constructed in accordance with engineering plans that were stamped and ❑ no-submit a Return to Compliance Plan signed by a Massachusetts Registered Professional Engineer? 307 Have you provided an appropriate yes secondary containment for this in-ground holding tank? ❑ no-submit a Return to Compliance Plan Section-4 Record Keeping 401 Do you maintain all holding tank yes construction and installation records (including all applicable permits)at the ❑ no-submit a Return to Compliance Plan facility? I 402 Do you keep and maintain the appropriate yes operating records, including wastewater shipment, ultimate destination, and hauler ❑ no submit a Return to Compliance Plan information at the facility? ®depOl.doc 12/02 Page 5 of 6 f Massachusetts Department of Environmental Protection Industrial Wastewater Holding Tank Compliance Certification Form (DEPO1 ) DEP Assigned Facility lD or Facility Name C. Certification Statement - (Note: Complete all required Return to Compliance Plan forms before signing this statement) (game of responsible official) attest under the pains and penalties of perjury: (i) that I have personally examined and am familiar with the information contained in this submittal, including any and all documents accompanying this certification statement; (ii) that, based on my inquiry of those individuals responsible for obtaining the information, the information contained in this submittal is to the best of my knowledge, true, accurate, and complete; (iii) that systems to maintain compliance are in place at the facility and will be maintained even if processes or operating procedures are changed; and (iv) that I am fully authorized to make this attestation on behalf of this facility. I am aware that there are significant penalties including, but not limited to, possible fines and imprisonment for willfully submitting false, inaccurate, or incomplete information." Sig Date(MM YY4. /&Ao � Printed N me Title Source of Signatory Authority(Check appropriate box): 1. If a Corporation: a. ❑ President b. ❑ Secretary c. ❑ Treasurer d. ❑ Vice President(if authorized by corporate vote) e. ❑ Representative of the above (if authorized by corporate vote and if,responsible for overall operation of the facility) 2. If a Partnership: ❑ General Partner 3. If a Sole Proprietorship: Proprietor 4. If an Institution: ❑ Principal Executive Officer 5. If a Municipality or a Public Agency: a. ❑ Principal Executive Officer b. ❑ Ranking Elected Official (Empowered to enter into contracts on behalf of the municipality or public agency) Mdep0l.doc 12/02 Page 6 of 6 Town of Barnstable �OFTHE 1p�y 200 Main Street,Hyannis, Massachusetts 02601 * BA MASS. • Growth Management Department JoAnne Bunticlh,Interim Director 9�prFnMa+,��� 367 Main Street,Hyannis, Massachusetts 02601 Phone(508)862-4785 Fax(508)862-4725 www.town.barnstable.ma.us September 14,2009 Ms. Kathy Aspden Salon in the Mills 01 Route 149, Unit A Marstons Mills, MA 02648 Reference: Site Plan Review#028-09 Salon in the Mills 171 Route 149, Unit A Map 78, Parcel 18-2 Proposal: Relocation of existing salon located at 50 River Road,Marstons Mills to above-referenced location. Installation of a 2000 gallon tight tank is proposed. Dear Ms. Aspden: Please be advised that the above proposal has received an administrative approval subject to the following: • Approval is based'upon site plan review submittal received 09/10/09 depicting 6 parking spaces, l handicap accessible space and three chairs. • Installation of 2,00.0 gallon tight tank and any other.BOH requirements regarding flows for this use, and hazardous materials lists as necessary will need to be provided. •. All other licenses,permits and approvals must be obtained. Sincerely, Ellen M. Swiniarski, PR Coordinator CC: Tom Perry,Building Commissioner SPR File Health Department The Commonwealth of Massachusetts Division of Professional Licensure 239 Causeway Street, Boston, MA 02114 Board of Cosmetology www.mass.gov/dpl 617-727-9940 Plumbing Inspection Form INSTRUCTIONS: This form should be completed only if plumbing work has been done in the salon after purchase. Date: This is to certify that.I am a.Plumbing Inspector in the State of Massachusetts,and that the plumbing alterations or installations for f� � J� Name of Salon Applicant �, l No. 7�—Street ail.( � City �c&hf m is in accordance with the specifications of the plumbing ordinances of the city or town of 1P Name of City or Town Where Shop is Located and the Commonwealth of Massachusetts. Name of Plumbing Contractorbb m o o License# 20 S 3 Exp.Date Address S' 57-19y SJ4.'I C ,r No. Street City/Town Signed: Plumbing Inspector License' # xp.Date l The Commonwealth of Massachusetts . Division of Professional Licensure 4 239 Causeway Street, Boston, MA 02114 Board of Cosmetology www.mass.gov/dpi 617-727-9940 Electrical Inspection Form INSTRUCTIONS: This form should be completed.only if electrical work has been done in the salon after purchase. Date: This is to certify that I made such additions and corrections to the electrical wiring and electrical fixtures used for lights, heat,and power in the premises located at: 4-101 Street Number Street Name City state and occupies \ f,� �l1Yt ('//JfryV Name of Salon Applicant as were necessary to make the same comply with the Rules&.Regulations of the Board of Fire Prevention Regulations of the Department of Public Safety as adapted pursuant to the Provisions of Sections 3.L of Chapter 143 of the General Laws (inserted St. 1950,_c617)Name of Electrical Contractor DA P�'�'L I�S 4 ot e- !r C. Address 3 S' C i-oW y. Cr+-a•.V De02vs Holder of Master Electrician License# " * Signature Holder of Journeyman Electrician License# 15SOV?y 1J t Signature Signed: Electricallnspector License# Exp. Date 1 YOU WISH TO OPEN A BUSINESS? For lYour Information: Business Certificates cost $30.00 for 4 years. A Business Certificate ONLY REGISTERS YOUR NAME in the Town (WHICH ICH 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 2i00 Main St.; Hyannis. Take the completed form to,the Town Clerk's Office, 151 FI., 367 Main St., Hyannis, MA 02601(Town Hall) and get the Business Certificate that is required by law. Fill in please: DATE: /�-/D-U ;r APPLICANT'S YOUR NAME: ; N r/f'i1 i'IG BUSINESS YOUR HOME ADDRESS: C15 � jv,��V , U Z�3 112-c 93P'7 ('b l v ; -j- TELEPHONE # Home Telephone Number: ;-o0- Ya o-537 NAME OF NEW BUSINESS 6,4 TYPE OF B.USLNfSS IS THIS A HOME OCCUPATION? YES Have you.been given approval from the building division? YES N0. ADDRESS'OF BUSINESS f/.'7% /2fP'--/y9� �tisfvnsirll/ �11� dZ61f/,?,n MAP/PARCEL NUMBER When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Tow n of Barnstable. This form is intended 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 this 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 has informed the per *,requirements that pertain to this type of business. Aut 6h-± d`Signatu e** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has e n info d the licensing requirements that pertain to this type of..business. . a Authori ed Si ature** -CON MENTS: _ s , No. (�J 1 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS Apphratton for &.spool *pgtem Construction Verna Application for a Permit to Construct(K)Repair( )Upgrade( )Abandon( ) XComplete System ❑Individual Components Location Address or Lot No.Lt-r 2 la(,tt HI &� Owner's Name,Address and Tel.No. 1 Assessor's Map/Parcel "7 p, � {'� ' ,'/ �d OAK Z ����� �1 1���,�.����� �/ l� I P ! z� 14YAN s 3919 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.(5-jQ5)S4,0~ f3 805 C-11 '►IBC �55 7aeS i5rt Inn Z 54 f5X1?RJt4MtkKrA 1(4 Kjc4-h4r;,n< b" ikko Ooavfl� Type of Building: r g No.of Bedrooms Lot Size ( �� sq. ft. Garbage Grinder(Alt) er Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 330 gallons per day. Calculated daily flow 3• gallons. Plan Date a`' C Number of sheets _5 Revision Date Title O Size of Septic Tank 1S'00 641-S . Type of S.A.S. AL = CMAMACTS Description of Soil O 6/1 S- C-0A4-A - Z 4- /3$ m- Sem& Nature of Repairs or Alterations(Answer when applicable) 0>J S-IV- ')C T1 06 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 t em in operation until a Certifi- cate of Compliance has been i d y this Board of Healt . Signed Date i Application Approved by Date Application Disapproved for the following reasons Permit No. Z Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( Repaired ( ) Upgraded( ) Abandoned( )by at Ld Z �� has been constructed in acrordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Z Installer Designer The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector Fee z. ' EI C Entered in computer. THg ,,�O_,MONWE'Y�C'L�TFF`OF�MASSACHUSETTS Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 2pplication for migpogal *pgtem Construction permit A lication for a Permit to Construct Repair Upgrade )Abandon pp (x p ( ) pg ( ( ) XComplete System ❑Individual Components Location Address or Lot No.LOT Owner's Name,Address and Tel.No. v Assessor'&Map/Parcel � t Q�AL'NY � x— '78 l� I 11 PO box lZZ4 14YANNIS -771 3919 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.(5(3) S'� . g$Q s �� l+A7l ��-0� ��3`t-10 I�` !�a�"hG r��C 4.��'C uQ�Go �(• ��N'�o v`�'�. Type of Building: we mg No.of Bedrooms Lot Size sq.ft. Garbage Grinder(/Jt) �Omer Type of Building No. of Persons Showers( ) Cafeteria( ) ' Other Fixtures Design Flow 3�3 gallons per day. Calculated daily flow 4 T gallons. Plan Date Number of sheets Revision Date Title Of- Size of Septic Tank C 41-S , Type of S.A.S. SZr3 (�A L C ALrS Description of Soil 0-6 Q/j S- L DA-M i— Z. 4 �� B L. S4-7vD , Nature of Repairs or Alterations`(Answer when applicable) A45V C 4)J S-T9 �C T1 OA) 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 th em in operation until a Certifi- cate of Compliance has been i d by this Board of_He_a t . Signed / Date Application Approved by" y - Date � Z` Application Disapproved for th>s following reasons Permit No. 'r Z Date Issued y `1 THE,:COMMONWEALTH OF MASSACHUSETTS /BARNSTABLE, MASSACHUSETTS Certificate of Compliance 1 THIS IS TO CERTIFY, that the n-site Sewage Disposal System Constructed ( 41 Repaired ( )Upgraded( ) Abandoned( )by �" { at L�?"� �— """' i'� /4,1 has been construne4 in ac rdance with the provisions of Title 5 and the for Disposal System Construction Permit No. Z dated Z Installer Designer : The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector —— I—— --———————-————————————————— No. Fee _ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS migpogaf *pgtem Construction permit Permission is hereby granted to Construct( epair( )Upgrade( )Abandon( ) System located at Z and as described in the above Application for Disposal System Construction Permit. The applicant recognizes 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 th\is.pe�rmit. ' Date: Approved by 1 � i -- -ll_ � .II.... 10 1 11, U 1 LO O I I --^4 Y T.V.PZXY-1 'C BS D ROCO-i L AIR .. i.J/ LAV1'6� _ '{ LF `I 6EDRDOM U xAAlTrt.` 6EDROOM 9.qw 1MK.NU.C1. SECOND FLOOR RAN I i _. N-. Io.uDECK G:O- . IS.9' _ ._ 9.3 j S.o.. i z:o'• /z:o' A I IL O OI O D BREAKFAST KITCHEN I a{ a.,;- sa si I ° 508.428.61V1 �y VA c b c. ;NCETWXK evi i n ` • I �n r - 1T wAUS I u4- II- r z• [^ - I @Ustom q}/ tom. L•Ip 3C.SI oce o tesigns Io9r N 6 3'CA• ----N} ARA E N V-nIK, Cow— YA6 w I .O /r. .1p QA,WM. 3 I1'1 V 1r[N la of D v �I SI _ LIVIN DINING( d' i 1 + _ Wtk CAC dJ VI WA-L .I i FIRST FLOUR PLAN .b -� a e A r fSled' ,b.o Q f � N 1 U a 0 of r. � s I " ` U a Y ° 4 � I a Q 9 z .r..���.,•p. I 1 a, d 4 g Lrw+acwt 4 .E px e ^'f le w C; o __--. ___ ! F•. 7 e Q J w a,l l F I R S T F L O O R PLAN S E G O N D F L O O R F L P. N Z Yro f FA-1 L 1 TOWN OF B STABLED !� LOCATION � Z SEWAGE # VILLAGE /�lQ/P�P®dl ������ ASSESSOR'S MAP & LOT61-q--/`0-00Z- INSTALLER'S NAME&PHONE NO. 0 6/ ! fir✓` '17/" '35 /f SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO.OF BEDROOMS BUILDER OR WNfER PERMITDATE: l�/Zl�©� COMPLIANCE DATE: Separation Distance Between the: 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 LF rn shed by o� s �� � r��� � b "' � 1 .� . : _�: . � � _ .- --- .� � = � �� �� (� , TOWN OF B STABLE LOCATION T SEWAGE Z� # VILLAGE_ I'a'1�/�'SjG'�� �1i'��� ASSESSOR'S MAP & LOT0?S,-_G`1/-g'' IINSTALLER'S NAME&PHONE NO. '/�7D �`P17 �` -7 71-7"3�� I SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO. OF BEDROOMS U•� �YL BUILDER OR WNER PERMTTDATE: G�ZCOMPLIANCE DATE: i Separation Distance Between the: 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 c . I f i r No. _/ 17 Fee lad, THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes d BLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 01pprication for Migogar 6potem �lCongtruction Vertu el Application for a Permit to Construct( Repair( )Upgrade( )Abandon( ) [Zl Complete System ❑Individual Components Location Address or Lot No. L 0'�`%�" fLOU'� (49 Owner's Name,Address and Tel.No. _ - /rrHR.S'faP-�5 Mlc.c,5, !�'►al. G�� '" G�->�JCc� ��ll, Assessor's Map/Parcel p /18 Insta/llleer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. ,/A.►J K-0._Su 1Z VC1 P o, 90)Z z&Z ®©SSNs `MtLA.s; c•,aa. Type of Building: Dwelling No.of Bedrooms ��r Lot Size 31, S4 g sq.ft. Garbage Grinder(IJ4 Other Type of Building O F E1G,E, AND No.of Persons Showers(w'� Cafeteria(pjA) Other Fixtures __r^J L Design Flow zvb, ±k5- gallons per day. Calculated daily flow 4(�5 gallons. Plan Date Fr TSB i 7-000 Number of sheets 2,_ Revision Date Title S i7 la PL-i&w G'O 2 t2o t3E-2-T C L-oy z,i?— Size of Septic Tank /4;-667 Type of S.A.S. F012MAT►olJ Description of Soil 0" 12. S A N uy t-o Aim) 12" Z q+'Z-°,4vn y 54#40 +Z"- 14*' M 504,N D Nature of Repairs or Alterations(Answer when applicable) 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 Certifi- cate of Compliance has been issued y this ard, ,of Health. Signed Date Application Approved by Date 3 .0 3 zev- Application Disapproved for the following reasons Permit No. '"Z43r1-1 77 Date Issued vii�i;-7-e) No __ '/ 7 / ee /i ce a �— �'^� THE COMMONS OF MASSACHUSETTS Entered in computer: Yes ff - 0 UBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 01pprication for 30i5pogal *p6tem Con!truction Permit Application for a Permit to Construct(t/SRepair( )'Upgrade( )Abandon( ) L9'Complete System ❑Individual Components Location Address or Lot No. /-d r -A- 2OU i r r 49 Owner's Name,Address and Tel.No. -�.... .» /»AtLSi'UNS Ml<-�-5, V►'►wl. �6�� G�c�- /cs�/0/'li Assessor'sMap/Parcel -78 /6 00�� Instal is Name,Address,and Tel.No. 1 w /J Designer's Name,Address and Tel.No. UGZ%U rr/ C �7/ - �/l.��jti/t1/11.5 n o, 'go/ Z,(015 rfY1 Y�f�STO N S (n t u.s, t,-,u►. 9-z F3-0055 Type of Building: Dwelling No.of Bedrooms W/A Lot Size 31, Sri"8 sq. ft. Garbage Grinder(04 Other Type of Building c F I or. A ND No.of Persons Showers(N JA) Cafeteria(N(A) Other Fixtures i &�pi Design Flow A- `}'�o S gallons per day. Calculated daily flow 4(,5 gallons. Plan Date 1%j , t000 Number of sheets Revision Date Title S i—i L Pc-,N°t t r'O K Cal3f— -T C,t_oy� — x Size of Septic Tank , Type of S.A.S. T2 E A-)c Al F-09 MA Ttonl Description of Soil D-I 511 NW`l LoAm, 1 Z-"- 4"c of�v�y 5Ati4 .}Z 144' MC-n 5AND tyj��1/sue : y , 1 1 , Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure'tbe'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 Certifi- cate of Compliance has been issued by this xard pf Health. Signed Date s Application Approved by Date Application Disapproved for the following reasons Permit No. —Z-6eU" 7 7 Date Issued -------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS (�7 BAR NSTABLE,`MASSACHUSETTS grtif ate;rof �ompttance ,. THIS IS TO CERJIFY,that th On-s'te�ewfige Disposal System Constructed( Repaired( )Upgraded(` ) Abandoned( )by C-�� at v�P / /f��i7 has been constructed in accordance with the provisions of Title 5-`and the for Disposal System Construction.Permit No. 061 0 `/7 7 dated ^ )z 3Z Z.Fl Installer Designer /v C The issuance of this pe t s aplh not a nstrued as a guarantee that the tio 'w 1 fu} ti n a�d signed. Date ../ Inspector U f --------------------------------------- No. ZewU 77 Fee ma r THE COMMONWEALTH OF MASSACHUSETTS PUBLIC,HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Mopoof b tem Con.5truction Permit Permission is hereby granted to C.nstruc ( Rep ' ( )Upgrade( )Abandon( ) System located at /yro and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Con 4ructio mus�b completed within three years of the date ofYMMVII Date: 7 A roved b PP y ti r Town of Barnstable 'THE 1p 200 Main Street,Hyannis, Massachusetts 02601 NP 0� 9 BARN STABLE, Growth Management Department JoAnne Buntich,Interim Director 1639 ,�• 367 Main Street,Hyannis, Massachusetts 02601 EO Mai Phone(508)862-4785 Fax(508)862-4725 www.town.barnstable.ma.us September 14, 2009 Ms. Kathy Aspden Salon in the Mills 171 Route 149, Unit A . Marstons Mills, MA 02648 Reference: Site Plan Review # 028-09 Salon�inthe 171 Route 1 99, Unit A MTpp 78,Parce118-2 Proposal: Relocation of existing salon located at 50 River Road, Marstons Mills to above-referenced location. Installation of a 2000 gallon tight tank is proposed. Dear Ms. Aspden: Please be advised that the above proposal has received an administrative approval subject to the following: • Approval is based upon site plan review submittal received 09/10/09 depicting 6 parking spaces, 1 handicap accessible space and three chairs. P � p P • Installation of 2,000 gallon tight tank and any other BOH requirements regarding flows for this use, and hazardous materials lists as necessary will need to be provided. • All other licenses, permits and approvals must be obtained. Sincerely, Ellen M. Swiniarski, SPR Coordinator CC: Tom Perry,Building Commissioner SPR File � Health Dep artment�i I � YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1"FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) DATE: 7' a Fill in please: APPLICANT'S YOUR NAME/S " _� G �y f .r y,`$` _BUSINESS YOUR HOME ADDRESS: TELEPHONE # Home Telephone Number NAME OF CORPORATION: NAME OF NEW BUSINESS V i (_`/?A-F TYPE OF BUSINESS PK'7'5 IS THIS A HOME OCCUPATION? YES NO ADDRESS OF BUSINESS M 4d S tiS - S�l�l/jMAP/PARCEL NUMBER [Assessing) When starting'a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended 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 this town. 1. 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 h s,"b n inforVV he r it�'equir nts that pertain to this type of business. Authorized Sig ature* COMMENTS: 3. CONSUMER AFFAIRS [LICENSING AUTHORITY) This individual has been informed of the li sing requirements that pertain to this type of business. uth rized, ignat rQ** COMMENTS: ` Date: I'(A a TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS: l3� BUSINESS LOCATION: Z-7l 97F.- Jq q_j//1117' h' , 1( 7A9S7VAJ S kW6a a MAILING ADDRESS:IT 19OX IJ13 ;Zi L(1/7%VS allla M,4 d.q, 6ZR' Mail To: TELEPHONE NUMBER: .�U9- L12 �.��4C� Board of Health ��� �C Town of Barnstable CONTACT PERSON: P.O. Box 534 EMERGENCY CONTACT TELEPHONE NUMBER: - a D°-3 Hyannis, MA 02601 TYPEOFBUSINESS: /Z- /L Z6aC_% /A& 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: 1`7/ R.7 7_ %Yj TELEPHONE: —0 0 —� 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 v Antifreeze(for gasoline or coolant systems) Drain cleaners NEW USED Cesspool cleaners � �" Automatic transmission fluid Disinfectants C�psrrg4c 5Trt4 dares'' -)�r Engine and radiator flushes Road Salt (Halite) �e3 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 Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS L. i Date: ��i- ;�9'"0_45� -TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS: 1,VA7V4q& BUSINESS LOCATION: 171 ,"% /4/9 1,1A)17 q , i" �S 77J/V S I/GCS 0 26 yT MAILINGADDRESS:PD iSOa' ID-7 3 J2Aiz MA15 kW/1/S ,�'ZA4 406'2 Mail To: TELEPHONE NUMBER: SZ3k� y� ?-S T0(� Board of Health Town of Barnstable CONTACT PERSON: r!'a27-1l 0 s' P.O. Box 534 EMERGENCY CONTACT TELEPHONE NUMBER: e7)k- `/a d—3//K Hyannis, MA 02601 TYPEOFBUSINESS: /2�7-7q-l& � fir C We-9XIAI& 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.-I / 7/ Z-7T !�lG 4/Ztl i 7- 1X71972 MAI Jar/1/ s ijllf- TELEPHONE: '37) y - 'O U 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 or coolant systems) Drain cleaners ' NEW USED Cesspool cleaners Automatic transmission fluid +/Disinfectants C053AKCCh'( Engine and radiator flushes Road Salt (Halite) -f twPF� '_S Hydraulic fluid (including brake fluid Refrigerants Y ( 9 ) 9 F"Motor oils Pesticides NEW USED (insecticides, herbicides,-rodenticides) Gasoline, Jet Fuel Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil NEW USED . Photochemicals (Developer)��..- Other petroleum products: grease, I 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, degiossers - Any other products with 'poison'! labels Paint brush cleaners. (including chloroform, formaldehyde, Floor & furniture strippers Metal polishes hydrochloric acid, other acids) 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 WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS YOU WISH TO OPEN A BUSINESS? a For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR 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, 1 st FI., 367 Main St., Hyannis, MA 02601. (Town Hall) and get the Business Certificate that is required by law. DATE: �' Z Fill in please: ;i s �+j u'��^L+�z' l ' APPLICANT'S YOUR NAME/S: 1 SY� r=!"'-' "'''r""%�'" "'' `' BU INESS YOUR HOME ADDRESS: ✓ � ;S;a.:r' ^ ,;. L_ 3•'<4 'Jib 9u:`.Y fti�!' .1 i:ri'L'L"-;'�:i2� `. TELEPHONE # Home Telephone Numb w' r 1�'i�"IESJt� uj� NAME OF CORPORATION: ' NAME OF-NEW BUSINESS V• }�ii TYPE OF BUSINESS i/1 IS THIS A HOME OCCUPATION? YES O , ADDRESS OF BUSINESS. - N�1" Q kj . MAP/PARCEL NUMBER [Assessing) When starting a new business there are several things you m.ust do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended 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 this town. 1. BUILDING COM SSIO ER'S OFFICE This individu I h s e imfor e oaanpe it requiremeri s that pertain to this type of business. Aut orized S'gna *_* COMMENT 2. BOARD OF HEALTH This individual ha een informed-of the rmi requirements that pertain to this type of business.. `' "Ll JLATIONS. Authorized Signature * MUSMODIVIPLYWOHAtAt COMMENTS: I �,ZARD`'OU:MATERIALS RGUkTIV�" 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: Dater /9-0/ 2DR- TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: y, y � Asp( Af-h-*r�A BUSINESS LOCATION: III J&e-- A'i1 A ()1 U48 INVENTORY MAILING ADDRESS: 55 '�i(\Ch .y YYY1 V4\ ,IAA 0-zlo-�'3 TOTAL AMOUNT- TELEPHONE NUMBER: (DO? '�J2q ?W3(0 CONTACT PERSON: '�fXa S S50Y) EMERGENCY CONTACT TELEPHONE NUMBER: 50t- �ny- 1592 MSDS ON SITE? TYPE OF BUSINESS: ky 5910n - CoAv\_ f INFORMATION / RECOMMENDATIONS: Fire District: Waste Transportation: Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive ❑ NEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides ❑ NEW ❑ USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene,#2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform, formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes (MkY &nn CAl(rl.F s Laundry soil &stain removers (including bleach) QQ 2`�1� Coto'( ► 2)0 Spot removers &cleaning fluids ==A - (dry cleaners) of d- I^mat ions Other cleaning solvents Bug and tar removers Windshield wash &AA VL-�LML WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initials BSS GRAPHIC SCALE D E S I G N 80 0 30 so 120 240 C 1N FEET , � LAND SURVEYING CIVIL ENGINEERING 1 inch = 80 ft. LANDSCAPE ARCHITECTURE BSS Design, Incorporated 164 Katharine Lee Bates Rd ,: :... Falmouth c usetta 02540 � 508.540.8805 FAX 508.548.8313 s. \ W Sao•��j � . $S• Ste, W 1 4 I In �/f ET UX } Ln DIMARDBARRY E ~ � s 52 DEED aK 48C Pc 40 /O° . _ o � oa O Q Zia• • � � \ \ n/r 1lItLAY a t y5•p91a a_ (n w►nry A. AsP p G N �V//� DEW sK 11116 PC 63 ' s SEE SITE PLAN 0 Q 5 •�, SHEET 2 OF 03• n! (►, � 0 \ -\ LOT 17F . o a. w W �. ro N \ w S 2 8.18" E o�eK soz4 Pfs as W o J Ljj _� \ �`. 'S� u>r 1a cn V.\ S 60•Z'L R=7 .28' ( \ �°ra° Pc� Z w F— ;. 0 gZ O �96'L,y1 ,6''yti9.,�. d' 1t• Z ;r^ g9.6p• I�•�� • gQQzcn .28' LOT 1 rn _0-U wYz6.28 o. O ( _y mo _ t, m ''- J 0 o ;c y9' g 6 o 46ro�.36" W ?s 'r�• / ..s��I�E 1—�w § F-• N � � CV Ln 0 9ti�• �5 N w w N �ti 'rv' 0 0 w Q ~ Q c�6 p, ��,• w v cr, ZZ3 8�a~ W �g03 "/r susAN IM MACE LOT 4 Vic. WED etc 30os Pc eo sc 1 e 6 0 �` I'ROAOS oO1i H ROpOS �°` o� 26,553 SF HOVE OVSF p ���A°' dote i LOT 2 to a �G �� LOT a`° \ 2$ 19,134 SF Z T 3 w`� pp '�'o 'sg AUG. 6, 1999 20 71 SF sy 9?• drown � � cmo aK 22�acA.�0 'rc� ,s � �' — `s?6, LM P a ! �. •00• 0.3 5 _ i — F checked w �p _ �922 A n 0 11 .00' EASEMENT job number = N 26 59'12" • Z \< ASSESS T110NAS&THX*" 98070 24-1 C S 33'22'28" E CD ` \ t LOT 23 n/f P. FOAM LOT °� 94as Pc 13a title SOW IL HAIM KEY MAP _' P �s N drowing number P5-49 i • LEGEND: Y BSS NOTES. DESIGN X 64.1 EXISTING SPOT GRADE 1. LOT No. 2 ROUTE 149 GRAPHIC SCALE PROPERTY LINE 20 0 10 20 4o so CB■ CONCRETE BOUND 2• ASSESSORS No. 78-18 (to become Lot 2) 7P 3. ZONING DISTRICT: VB—A Milo LAND SURVEYING 0 TEST PIT CIVIL ENGINEERING 4. FLOOD ZONE: ZONE C LANDSCAPE ARCHITECTURE oHw EXISTING OVERHEAD WIRES 5. SPOT GRADE ELEVATIONS ARE BASED ON � IN FEET c EXISTING GAS SERVICE AN ASSIGNED ELEVATION, BENCHMARK; i inch = 20 TE BENCHMARK: TOP OF CONCRETE BOUND. EL 63.8 ` w EXISTING WATER MAIN TOP OF CONCRETE BOUND, ELEVATION 63.8 BS.S Design. Incorporated EXISTING UTILITY POLE r _ ACCESS EASEMENT ._ _ : . .._ S 540.8805 FAX 508.54a831 � Katharine a Bates Rd LOT t 7 Falmouth Massachusetts 02540 / / 508. 3 —66— EXISTING CONTOUR � — —ss— PROPOSED CONTOUR / O LLJ OF EDVA pJ1' / (O�/ / 'a- 0 THREE 500—GAL LEACHING 'L`L CHAMBERS W/3 OF WASHED F , P STAKE ALL—AROUND & BETWEEN / / / / �Cp 0 IW_ W BOT. AREA = 10.8 X 37.5 / 'L LOT 1 6 �/ / / V) N =P / ) x 55.66 / / / / C7/ O Q U \ oNO Cf) 00, QZax58. p V) Q. x 56.18 1500—ga/. (p6 w W .�. _ x f w 0 t .SEP17C TANK C9 `. i r� 56.1 'O / LOT 3 ¢ 3 CD x 56.54 0•: OB3 16 'ORgoO / 6 N = .LL.I J 59.0 x BEp 1t/iQ 1 Cz Ep j so• � V yol/ Z U T.� . ERVE // / x �.,, / ,� 66t c, 3 Q' ¢ z 24.49 x57.29 / L0�/ / / . m C _ a, —x so.0�—�60 V o m �— 0 J 50.2 , �-�� 13 / 66 � �s - L OT �0 .� � - N �TP F-1 ¢ —� 0 —N 5-" W �62 E-1 ��. / 2 O O �.. ¢ a = 40 x 58.10 — / 9 6 O an 215.38 `r ' scale TAP MAIN (3� 1�� 61.23 _ C° 1"=20' `� /�r • 20p PSI CIE T 208.81' — _ _ I dote T 1�, LOT 3 AUGUST 6, 999 < W I drown J N 31*13'16" W N 2 �" OIA. 200 PSI CIE \ LMP / COMMON DRIVEWAY 2W 'w (n 283.38' checked o LOT 4 v / S 1 I Q x 62.33 1 \ job number 26-59#12" E _ z 18 00 � S 33'22'28" E title SITE PLAN 3 2 OF 3 LOT 23 oI()T 94—Q drawing number J P5-49 PROFILE IS-NOT T® SCALE BSS FF ELEV. 68.00 SEE SITE PLAN FOR ACTUAL ORIENTATION INSTALL CONCRETE RISER AS REQUIRED TO BRING COVERS SLAB ELEV. 59.50 THIN 12" OF FINISH GRADE D E S 1 G N CELLAR FLOOR 1 . 59.0 58.5 58.1 FINISH GRADE 58.0 minimum 2% slope FINISH GRADE LAND SURVEYING 6 CIVIL ENGINEERING PVC PIPE 57.3 FIRST 2' SHALL LANDSCAPE ARCHITECTURE & FITTINGS 1/4" oat BE SET LEVEL 2 0,± CLEAN BACKFILL Per f min. 1 L 1/4" 55.17ri 11 per ft. min. 1/4" per ft. min, 56.0 BSS Design, Incorporated CONCRETE T� LIQUID LEVEL e' - 56.51 FOUNDATION t0" 14" 0 $0.;'„0••, 4„ 2 - / p sto a 164 Katharine Lee Bates Rd 56.19 O O ,, } _ r 55.5 T � O • . . ,... ..._.: ,_ 3" _ �• • �+ ��; O O O O t!':���_:•r!';.:� _. • Falmouth Massachusetts 02540 1 1 eo n 4' T•• J' •l. •. • 508.540.8805 FAX 508.548.8313 G.B. 55.94 55.37 •,r,}�, .•_• �.» o 0 0 0 ..c;. •o».•�;.�• 2' 4'-10" 3'-J WASHED STONE. ,� SEE NOTE 3. W 16' 10'6" 20' 16" 2 ® 12 CONNECT CHAMBERS TOGETHER w/4" SCH.40 PVC PIPE (1 ® 4') LLJ THREE 500 GALLON LEACHING CHAMBERS �OF SEPTIC TANK DISTRIBUTION BOX SOIL ABSORPTION SYSTEM USE 1.500 GALLON AASHTO - H10 3 HOLE AASHTO - HID PRECAST LEACHING CHAMBER - H10 _ to EDwI PRECAST SEPTIC TANK (DB3) Q Q IV v, w (� H �cr SUBSURFACE SEWAGE DISPOSAL SYSTEM DESIGN CRITERIA V) 0 N NUMBER OF BEDROOMS 3 bedrooms NOT TO SCALE 11 d �" � DESIGN ELOW 0 brm gp / U TOTAL DAILY FLOW 330 gpd w Q }. � < M V)GENERAL NOTES CALCULATIONS TEST HOLE DATA N o M: ro 1. All system components shall be installed in accordance SEPTIC TANK: PERC. RATE: <5 min./inch I - U J cu with the State Environmental Code Title V: Minimum DESIGN FOR USE WITHOUT GARBAGE GRINDER TAKEN BY: Bruce G. Murphy, R.S. Z Q Z ��I J Requirements for the Subsurface Disposal of Sanitary 330 gal/doy x 200% = 660 gal/day WITNESSED BY: Jerry Dunning Q 0 CD Sewage, and any local rules which may be applicable. 1,500 al TANK MINIMUM REQUIRED DATE: March 24. 1998 I- ® N CD 2. The Barnstable Health Department & BSS Design Engineer g �.. V) o j X Z 1,500 gal H10 SEPTIC TANK PROVIDED No groundwater was encountered m 'i must be notified when the system is installed, and prior 9 D o - O �- to backfilling for inspection. , ~ V) Uj M N m 3. The stone around the leaching chambers shall consist of washed SOIL LOGS a Q C~ Ilk stone ranging from 3/4 to 1-1/2 inches in size and be free J Z Uj O Q LO of iron, fines, and dust in place. The stone shall be covered SOIL ABSORPTION SYSTEM: TP E-1 TP E-2 CL Q CL `D with at least a 2 inch layer of washed stone ranging from 3-500 GALLON LEACHING CHAMBERS 62.2 0 62.0 0 scale cn 1/8 to 1/2 inch in size, and be free of iron, fines, and dust. END TO END, 3' APART, WITH CONNECTOR O/A S. LOAM O/A S. LOAM NOT TO SCALE in place. PIPES BETWEEN & 3' STONE ALL-AROUND. 61.7 6" 61.5 6" date 4. The grade above and adjacent to the leaching facility shall slope g L. SAND B L. SAND AUGUST 6, 1999 at least 2% to prevent, accumulation of surface water. LEACHING AREA PROVIDED: STATE TITLE V " " 5. Sewer pipe shall be 4 diameter schedule 40 PVC or equal 24 24 drown o P p q SIDEWALL=(2(10.83')+2(37.5'))x2.O'x(0.74) so.2 ° so.o O M. SAND LMP a at 1/4 per foot (2%) slope min. M. SAND ,Uj 6. Flow equalizers shall be installed on the ends of oil outlet = 143.1 gal/day checkedh o pipes inside the distribution box. BOTTOM AREA = 10.83%, x 37.5' x (0.74) 7. Contractor shall notify the Engineer if he/she encounters soil = 300.5 gol/doy job number conditions other than those shown on the soil log. 98070 Cn L TOTAL LEACHING CAPACITY = 443.6 gol/doy title a SSDS DETAILS 50.7 138" 50.01 1 144" 3 OF 3 o drawing number J P5-49 t t EL. TOP OF FOUNDATION 20' MIN. — 5' STIPOUT DOWN 719 Cl LAYER REPLACE H7TH CLEAN SAND 10' MIN. CONCRETE COVERS 4" SCHEDULE 40 P. V.C. PER TITLE V MIN. PITCH 1/8 PER FT 2"LA YER OF 101.5 EL=101.3' � CONCRETE COVER 1/8 2" WASHED STONE ! " MAX / / ♦ / / ♦ / / EL=101 4" CAST IRON PIPE (OR EQVALj MINIMUM PI7CH 1/4 PER FT. CLEAN SAND 12„ MIN. FLOW LINE EL=100 INVERT 1MIN. 14" 5 GAS INVERT �6 SUM LEVEL 10, c°o° o o o O O ° °° INVERT BAFFLE EL.= 99.85' INVERT INVERT o ° o 0 0 0 0 0 0 °°°o EL.= 100.1, EL.= 99. 7 _ EL.= 99_45' °EL.— 97.3 (TO BE PLACED ON FIRM BASE) DISTRIBUTION EL.=99.3' 3�4" 70 1-1/2" 4 MECHANICALLY COMPACTED OR 6" OF STONE WASHED S7 5 � BOX H2O LOADING � w GALLONS 719 BE WATER TESTED 12.5' X 35.5' X 2' TRENCH FORMATIO q SEPTIC TANK IF MORE THAN ONE OUTLET Q (H-20 LOADING) PLACE ON 6" S719NE SOIL ABSORPTION w x H2O LOADING SYSTEM (SAS) if Q BOTTOM OF TEST HOLE #2 ELEV. =_B5___ PROFILE OF OBSERVED WATER (101,25199) EL=86.3 MAXIMUM ADJUSTED WATER 92.3 SEWAGE DISPOSAL SYSTEM WATER TABLE NOT TO SCALE ADJUSTMENT WELL SDW 253 ZONE C IN WELL EL = 50.3 (OCT. 1999) ADJUSTMENT = 6.0' OBSERVATION HOLE 1 PERCOLATION RATE -<-?-_ MIN./ INCH AT 4B :LO"INCHES OBSERVATION HOLE 2 ELEV. GENERAL NOTES DEPTH PORIZ TEXTURE COLOR MOTT OTHER DEPTH HORIZ TEXTURE COLOR M077 OTHER 0"-12" A SANDY LOAM 10YR3/1 NO O"-24" A SANDY LOAM 10YR9/1 NO 12"-42" R LOAMY SAND lOYR 5/8 24"-48 B LOAMY SAND IOYR 5/8 1) ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E P. c1 MED. SAND loYR s/s PERK 4e-144" Cl MEL2 SAND IOYR s/s M17H GRA V6Z wITH cRA vEL TITLE 5 AND THE TOWN OF _BARNST 4RLE____ RULES AND REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. BOSH OF HO 2) ONE COVER ON SEPTIC TANK SHALL BE BROUGHT TO , NO WATER ENCOUNTERED EL=88..3 WATER ENCOUNTERED AT 128' EL 863 WITHIN 6" OF FINISHED GRADE, OTHERS WITHIN 12" BOMM OF HOLE EL=85 3) ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF PERC # 9570 WITHSTANDING H-20 LOADING. BRUCE MURPHY RS. 4 ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL DATE OF SOIL TEST 10/25/99 SOIL TEST DONE BY WITNESSED BY- DONNA M10RAN0I B.B.O.H. BE MORTERED IN PLACE. 5) NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO k DESIGN CALCULATIONS: (OFFICE & RETAIL BUILDING) OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. SY 6) UTILITIES SHOWN ARE APPROXIMATE ONLY EXCAVATION CONTRACTOR BUILDING AREA= 2.616 GARBAGE DISPOSAL NO NO IS TO CALL "DIG- SAFE" AT 1-800-322-4844 AT LEAST 72 HOURS TOTAL ESTIMATED FLOW PRIOR TO COMMENCING WORK ON SITE. INSTALL THREE 11-20 ACME (75 G/D /1000 SF X 2,616 S.F.) 196 GAL/DAY 7) CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS 500 GALLON LEACHING REQUIRED SEPTIC TANK CAPACITY 1500 GAL SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. CHAMBERS WITH FOI:IR FEET SOIL CLASSIFICATION . . . . . . . . 1 8) PARCEL IS IN FLOOD ZONE___"C"_____. STONE SIDES AND ENDS DESIGN PERCOLATION RATE . . . . . < 2 M/N./IN. 9) LOT IS SHOWN ON ASSESSORS MAP _7B_ AS PARCEL _IB-_2__. SPACED ONE FOOT APART. EFFLUENT LOADING RATE . •74 GALIDAY/S.F 35.5' X 12.5' LEACHING CAPACITY (AREA X RATE) 465 CID (196 G/D RQD.) RESERVE LEACHING CAPACITY. . . 465 CAL/DAY (35.5 X 12.5 X.74)t(35.5t35.5t12.5t12.5 X.74 X 2) SHEET 2 OF 2 JOB NO. 52147 MARS BUMDING USE AND PARKING REQUIREMENTS: AlrIL -zo SITE PLAN OF LAND RETAIL SPACE 600 SF @ .I SPACE1,e00 SF + 1= 4 SPACES LOCA TED IN . LOC TO TA L OFFICE.SPACE 2,016 S F @ I SPA CE1300 S.F 7 SPA CES ITES = 3 SPA CES 'MA RS TONS MILLS, MA, 3 OFFICE S U ILDING A REA = 2,616 S F TOTAL BU PREPARED FOR (APPLICAN WNPR) r /0 I(T PPED) V TOTAL PARKING SPACES REQUIRED AND PROMED' 14 (1 HANDICA ROBERT CL 0 VER MILL 185 CURTIS RD. PO NOTES: MARSTONS MILLS, MA go -3 TEL. 428-3211 1) ALL RAINWATER RUN OFF Tf7LL BE RETAINED ON SITE A. M 78118 Ali; BARRY ET UX ED WARD DA TF- FEE. 16, 2000 LOT 4 �(40 RIVER ROAD LOCUS MA P R,E VISED MARCH 3, 2000 PLAN REP (MARSTONS MILLS POST OFFICE) 541118 40946 PET PLAN Ak P 0 . "V I? ZONING: B-A 40 "AP" 0 VERLA Y DISTRICT X 7(/ ASSESSORS HAP 78 FARCEL 18-2 FLOOD ZONE. MAX LOT COVERAGE BY EUILDINGS=057, MAX BUILDING HEIGHT ,? STORIES OR 30' LOT COVERAGE = 43%. LOT E ALIN LOT REQUIREMENTS, 0 A. M., 78118- FRONTA TH 3' AREA I GE I UD 10,000 SF 1 20' 1 100' SETBA CAS FRONT SIDES I REA R 10 1 30* 1 20 THE MINIMUM TOTAL SIDE YARDS SETBACK SHALL BE THIRTY (30) FEET PROVIDED THAT 113 NO ALLOCATION OF SUCH TOTAL RESULTS IN A SETBACK OF LESS THAN TEN (10) FELT, Ilk EXCEPT ABUTTINC A RE:SVDENTAIL DISTRICT, 01 WHERE A MINIMUM OF TWENTY (20) FEET IS REQUIRED PROPOSEDI 4� 2-STORY A. M 78118-1 LOT A E UILDING A.M. 78118-2 4 AREA=31,548 SQ. FT TO. F 10015 e ro X 4 T ro- V �ro �1) 0 e Z 0 v !��v O\J A'* x 30 . 00, AU PAD 7 5;>.,5,9, ki V.v 100"0y V BENCHmARK. TOP OF CATCH BASIN FENCED-'IN . . . . . . X\ v . . . . . . . . . . . . . ELE V 10 0'(A SS UMTD) AREA '.FOR . . . . . . . . . . . . 6_11 . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . GjjM JEL . . . . . . . . N, . . . . . . . . . . . . . . . . . . . . . . . . . . . . A . . TP#2''.�. . . . . . . . . . . . . . . '(EL=97..0)' . . . . . . . . 101 PA R- A7NG 6�.- - - - . . . . . . . . . . 1)6(0.0p '4 WALL . . . . . . . . . . . . 100.3 /* COD <1 v4)� . . . . . . .. . . .. . . . . . . . . . . . . . . . . . . . . 9p. PAILX�L . . . . . . . . . . . MEWMEW . . . . . . . . . . Ak X _-J . .. . . . . . . . . . . . . . . . . STE: . . . . . . ?PED , KILL - ... . .. . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . LEGEND b . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4�5 . . . . . . . . . . . . 0j C) OAK TREE V BEECH TREE . . . . . . .. . . . .100. op..- . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . LOCUST TREE . . . . . . . . . . . . . . . . . . . . . . . 101.5P PROPOSED ELEVATION A. Af 78119 . . . . . . r" I / / A, 'A OF 41 OHW OVERHEAD WRES . . . . . . . . . . . . . . . . LA WILLIAM PROPOSED LIGHT 'C LIEBERMAN . . . . . . . . . . . . . . . . . . . . . . No, 23971, . . . . . . . X100.4 011 / # 0 PROPOSED DRYWELL '�'. �' Y &; wel PROPOSED SIGN UTILITY POLE GRAPHIC SCALE PICAL CROSS $ECTION, 40 TY 10 0 5 10 20 FIRE HYDRANT GRASS OF CA HANDICAPPED PARKING SIGN I CERTIFY THAT THIS SURVEY AND PLAN #ERE MADE 3.0' IN ACCORDANCE WITH THE PROCEDURAL AND TECHNICAL GRASS IN FEET VEly Nr 1 inch 10 ft. JVG I STANDARDS FOR THE PRACTICE OF LAND SUR flM CA TCH BASIN 100.3 rALT THE COMMON#E H OF MASSACHUSETTS 4.0' 'OZ ENSTING CONTOUR 10.0 PAUL A. MERITHEW, PLS DA TE 100 1p YANKEE SURVEY CONSULTANTS ED CONTO UR PROPOS UNIT 1, 40 INDUSTRY ROAD MARSTONS MILLS, MASS 02648 TEL- 428-0055 FAX 420-5553 SUBSKETCH NOT TO SCALE P. 0. BOX 265 JOEI� 5214 7 DPG