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Home My WebLink About0074 STARLIGHT DRIVE - Health 74 STARLIGHT DR. MARSTONS MILLS A = 100 047 �J L� �I 'TOWN OF BARNSTABLE �/�L LOCATION .� l JTIaI U SEWAGE #-21-M 3 VILLAGE, TOTS �.�11 ASSESSOR'S MAP & LOT LOP:� INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY d / 1 1 LEACHING FACILrrY: (type) �� X 06 x ' NO. OF BEDROOMS BUILDER OR UWINRAA i f I PERMITDATE: OCR COMPLIANCE DATE: Separation Distance Between the: - r 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 t /-1,j 1 2� 33 5 53 7r � so 3 si �I _ 1 ec. e ' e No. 00'Z/U-360 Fee THE COMMONWEALTH OF,,'JIASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01ppYtcation for Mtzpooal *pgtem Con6truction Vermtt Application for a Permit to Construct LFRepair O Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. l~ �t . Owner's Name,Address an Tel.No. Assess p/P l `�1��' � LD+ tom) ml (�� (� Iq Installer1's Name,Address,and Tel.No,. LA) Designer's N e,Address and +Tel.No. Type of Bu ding: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow t� 'D gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank I D ( Type of S.A.S. t Description of Soil 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 the Environmental Code and not to place the system in operatio unti a Certifi- cate of Compliance has bee i \` of Health. t� Signe Date Application Approved by > Date 6 Z4-V0 Application Disapproved for the following reasons Permit No. Date Issued TOWN OF BARNSTABLE LOCATION �1 �T�P �i�I� I SEWAGE #� VILLAGE ASSESSOR'S MAP & LOT I bU� INSTALLER'S NAME&PHONE NO. l m, rn ` Fe� r SEPTIC TANK CAPACITY I D O 1 LEACHING FACILITY: (type) o x LF��XZ NO. OF BEDROOMS 3 BUILDER OR OWNFR PERMITDATE: �QOCOMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet j Private Water Supply Well and LeachingFacility ty (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 j Furnished by A 3c 2 33 C' . U 5 JJ 7 i. W/- 2 so Con ; j _ No: Div"" —36V Fee . 41, Entered in computer: THE COMMONWE H O,, ASSACHUSETTS Yes AL PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 0[pphration for Mtzpool *p5tem Construction Permit Application for a Permit to Construct(Repair Upgrade( )Abandon( ) El Complete System El Individual Components Location Address or Lot No. l qqh . Owner's Name,Address an fYva � �cr��A Lr ' CC� Y�i ��dr�� Assessor's Map/Parcel /6-0/.O '/� ✓ j �Tt_r(', PA 1 ') t m 0� Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 1 LA ,Wirw R, a l�15 W `FCL)r 5 t e.� yl 14 Dr 9!- -3 Type of Building: 1 Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder,,( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank TRW U Type of S.A.S. � W Z Description of Soil m Q�� p a. 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 the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has bee i of Health. / �7 Signe 7�tDate Application Approved 6y Date Application Disapproved for the following reasons " Permit No. E Date Issued --------------------------------------- s THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS ; Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( ) Repaired(V Upgraded( ) Abando ed( )by w C-CN 5 t� �- L)Q ' \ at 't of ::> ) _5 (1r1 1+ has been constructed in accordance with the provisions o Title and the for Di(posal System Construction Permit No:" " dated Installer I )1, be Designer The issuance of Ps p rmit sh 1 not be construed as'a guazantee that the sys e, ill function as deli ed� Date Inspector 11 ; �{ - j `` ��. No. ��'...3 J � Fee �. THE COMMONWEALTH OF MASSACHUSETTS -0 7 PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS )0i!6Po!6a1 6potem Construction Permit Permission is hereby anted to onstruct( )Re airNil pgrade(" )Abandon( ) 1 System located at �" M& rn i 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 ermit.� 7/ Date: �/ s�?i4Ot7 Approved b` ~��' 1i6i99 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PER.Mrr (WITHOUT DESIGNED PLANS) hereby cermv hat the application for disposal work . P ris construction permit sizied by me dated concerZinQ the property located 0� meets all of the following criteria: Ir ' / i OW7 • The failed system is conne^ed to a residential dwelling only. There are no commercial or business uses associated with the dwellins. • The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. • There are no wetlands within 100 fee:of the proposed septic system • There are no private wets within 1:0 fe-,of die proposed septic system • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. • The bottom of the proposed leaching facility will not be located less than five feet above the ma.cimu:n adjusted—oundwaEer table elevation. (Adjust the s.-oundwater table using the Frimptor method when applicable] • Y the S.A.S. will be located with 2-50 `ee;of anv vegetated wetlands. the bottom of the proposed leaching facility will net be located less than fcuneen(1-,) feet above the rnacimum adiusted groundwater table elevation, Please complete the following: .� 05 A) Tao of Ground Sus ace Eieiation(using GiS information) 3) G.W. Elevation Yam.» -the ,igh G.bV. Adjtu'tmeat . tj_ •� D�EREN C.E 3 E i7N-E---:N a.and 3 SIGNS, D a.i: (Sk.tch proposed plan of s.s<ern on bac:c]. q:hcakh;alder. / l �, �. . ,�. ` , , ' . � � ,,. ,'Z_ � � 1 � ., � � `: �' \ _ � 1 i� �-�L� � � j I Oj,E�� o� Z .�;. � �' �--- i 7�f YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates cost $40.00 for 4 years: A Business Certificate ONLY REYGISTERS YOUR NAME in the Town (WHICH YOU MUST DO according to M.G.L. - it does not give you permission to operate). You must first obtain the nec essary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, Vt Fl., 367 Main St., Hyannis, MA 02601(Town Hall) and get the Business Certificate that is required by law. DATER - 2 . Fill in please: APPLICANT'S YOUR NAME/CORPORATE NA E SIN S TYPE: BUSINESS YOUR HOME ADDRESS: oll TELEPHONE # Home Telephone Number - NAME OF NEW BUSINESS Have you been given approval from the building division? YES NO ADDRESS OF BUSINESS 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 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.has been info of the permit ement th pertain to this type of business. Auth-o-rii-eff-Signature** MUST ,OMPLY WITH ALL COMMENTS: HA OUS MATERIALS REGULATIONS 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: 1 TOWN OF BARNSTABLE Date: TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: Li BUSINESS LOCATION: / �° �5 INVENTORY MAILING ADDRESS: � �'j �'�° TOTAL AMOUNT' TELEPHONE NUMBER: -- ,41 - CONTACT PERSON: o EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: PJa Pi (LA INFORMATION/RECOM Ate:- -�_ � Fire District: Waste Transportation: Last shipment of ha us 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 Laundry soil &stain removers (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash A I A 9_6 A_ WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initi I