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TOWN OF BARNSTABLE
LOCATIONSEWAGE # L
n VILLAGE-_�,>,��r�-U ASSESSOR'S MAP & LOT 2V-/P `I
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M IN&TALLER'S NAME & PHONE NO.
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SEj?nC TANK CAPACITY /o on
LEACHING FACILITY:(type) (size) x�
Q NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER /�/;� ,�•� �- c /�a�-, _r
DATE PERMIT ISSUED:
DATE .COLIPLIANCE ISSUED: 1 3 is 7
VARIANCE GRANTED: Yes No
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L 0 CATION -�)S W A C)E PERMIT NO.
VILLAGE
INSTT�/A'J� LLER'S �) NAME i ADDRESS
d! 1�
D5-- 6d. QS Ae
l UIlDE R OR OWNER
�Zia
DA T E PERMIT ISSUED
DATE COMPLIANCE . ISSUED
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TOWN OF BARNSTABLE
LOCATION SEWAGE #
VILLAGE C'-L ASSESSOR'S MAP r&LOT A28-/A7
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY 2 /000
LEACHING FACIL=: (type) rr1:-- eX-F - (size) . O N .YX 2
NO.OF BEDROOMS 3
BUILDER OR OWNER Av,10y
PERMIT DATE: /. - 3 — 9 COMPLIANCE DATE: G -3 —
Separation Distance Between the:
Maximum Adjusted Groundwater Table and 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 �� �2e-off
So v T� ��41 h �S'T
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THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
2pplication for 30t.5pool *proem Cottelructton Vermtt
Application for a Permit to Construct(4-IRepair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. (j SGdTLI �Y/y„9 Owner's Name,Address and Tel.N . 41149- Od ov
Assessor's Map/Parcel1),aha
Instaler's Name,Address,and Tel.No. [/711- 03 y4 Designer's Name,Address and Tel.No.
✓os,�°4 D--e- t3 ,•Nas
w,'froti.s
Type of Building:
Dwelling No.of Bedrooms 3 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 / Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) �r�ss,w// 2 - L/r�cLi,tad T i=�cGi
�d'X yAI
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 by this Board of Health.
Signed�� '�� �y ti2 Date_�-2 98
Application Approved by )D Date 6 a� -`P c
Application Disapproved for the rofrowing reasons
Permit No. Y - 3 3 Date Issued
No. Fee �
THE COMMONWEALTH OF.MASSACHUSETTS Entered-in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BAR, NSTABLE,MASSACHUSETTS
0[ppYicatiori::for dig oga[ *pgtem Congtruction Permit
Application for a Permit to Construct(z.-'Repair( )Upgrade(•-')Abandon( ) El Complete System El Individual Components
Location Address or Lot No. $ ®Ur� JyJy�r� Owner's Name,Address and Tel.No.
y,Zgg, Oar yy
�iFsN1iSI'✓i/bor �01r1,f Ha_f rid lee
Assessor's Map/Parcely
r' f
Installer's Name,Address,and Tel.No. 4-1r!- 05 d✓4 Designer's Name,Address and Tel.No.
,163eP4 0- /.3Mprns
Type of Building:
c Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No. of Persons Showers ) Cafeteria
Other Fixtures °1
Design Flow, gallons per day. Calculated daily flow gallons.
Plan Date Number of sheets Revision Date x
Title
Size Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) T 1!tiAfe 5
Date last inspected: T
Agreement: f '
The undersigned agrees to ensure the construction and maintenance of'the'afore described on-site sewage disposal system
ram,
in accordance with the provisions of Title 5 of the Environmental Code and not to place the systejq m operation`tntil a Certifi-
cate of Compliance has been issued by this Board of Health. '
1 Signed�� Date G- I.- FS
Application Approved by ..„ Date
Application Disapproved for the fo wing reasons
�t Permit No. - Date Issued
THE COMMONWEALTH OF MASSACHUSETTS r
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed ( e-+Repaired( )Upgraded
Abandoned( )by
at �06,ti 4", ,6 has been constructed in accordance t
with the provisions of Title 5 and the for Disposal System Construction Permit No. dated .�
Installer JesT_� /2„orv,o� Designer /71
The issuance of this permit shall not be construed as a guarantee that the system will function as designed. !
Of q Inspector
Date_ p r
r
s �
Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS
Mwi5po5al *pgtem Construction permit
Permission is hereby granted to Construct( 4-Mepair( )Upgrade( )Abandon( )
System located at Z!j� jS .rA- J?il ,;, 57- //-/,O//ace' Fnr., ~,w,,, '
��E14 ark I/.,'/4
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 this permit.
Date: - h- _� Approved by —�,
I
r
40 ,
10/9/97
NOTICE: This Form Is Too"--Be Used For the Repair Of Failed
Septic Systems Only.
CERTIFICATION OF SKETCH AND APPLICATION FOR A
DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT
ENGINEERED PLANS)
I, /0se44 D{ Cargos ,hereby certify that the application for disposal works
construction permit signed by me dated ( — 2 98 concerning the
n� w 4llo-�,s o W,0,0
property located at S Q' JovrA Alyzz Sr. 1/5h /ly meets all of the
following criteria:
There are no wetlands located within 100 feet of the proposed leaching facility
V There are no private wells within 150 feet of the proposed septic system
There is no increase in flow and/or change in use proposed
-(—�ere are no variances requested or needed.
• If the proposed leaching facility will be located within 250 feet of any wetlands,the bottom of the
proposed leaching facility will n2l be located less than fourteen(14)feet above the maximum adjusted
groundwater table elevation.
Please complete the following:
A)Top of Ground Elevation(according to the Engineering Division G.I.S.map) 5-?
B)Observed Groundwater Table Elevation(according to Health Division well map)A0
SIGNED: DATE:
LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER _
[Attach a sketch plan of the proposed system.Also if the licensed installer posesses a certified plot plan,
this plan should be submitted].
q:health folder:cert
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TOWN OF BARNSTABLE
LOCATION �6 9 S061r4 Sr SEWAGE# q2'- 35'3
VILLAGE ASSESSOR'S MAP & LOT�/1 7
INSTALLER'S NAME&PHONE NO. 41 77 g y9 �osc nti U��sy�ir�s
SEPTIC TANK CAPACITY —_2 Avo Gam/
LEACHING FACILITY: (type) (size) /_D X IYX 2
NO.OF BEDROOMS 3 //
BUILDER OR OWNER D.wa�r' f�OsT�d�ei^`
PERMUDATE: / — .2 — 9 S COMPLIANCE DATE: —
Separation Distance Between the:
Maximum Adjusted Groundwater Table and 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 � rrtvro-1/
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Curtis Compacts, Inc.
14 Howard Street, Rockland, Massachusetts 02370 617-878-8210
"Mot"
May 16, 1984
Mr. John Kelly
367 Main Street
Hyannis, 'M.A 02601
Dear Sir:
We are in the process of remodeling our
Curtis Compact at 89 South Main Street, Centerville.
Included in the remodeling is the addition
of a deli and bakery area. I have enclosed a
plan for your review, suggestion and approval.
I would appreciate hearing from you in
respect to the plan, prior to June lst. If
you have any questions, do not hesitate to call
me at 878-8210.
Yours truly,
S . Alan Curtis
Director of Health &
Quality Control
Enc.
cc: Bob Tedeschi, Jr. , Bill Cowing , John Seaberg, Richie Jasper
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Town of Barnstable
sARNWAUM " Board of Health
y MASS.
�A 1639. �m
Tfor,��a 200 Main Street, Hyannis MA 02601
Office: 508-862-4644 Wayne Miller,M.D.
FAX: 508-790-6304 Paul Canniff,D.M.D.
Junichi Sawayanagi
April 27, 2007
Linda Leonard
89 South Main Street
Centerville, MA 02632
RE: Murray's.Fa hily Market, 89tSouth�MaintStreet;°�CenterVille
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'Grease Recovery Device/Variance , "
Dear Ms. Leonard,
You are granted a conditional variance from Section 322-3 of the Town of Barnstable
Code, which requires minimum 1,000 gallon capacity grease traps at all food
establishments. This variance will allow you to operate a food establishment, utilizing a
grease recovery (GRD) device at Murray's Family Market, 89 South Main Street,
Centerville, with the following conditions:
(1) A grease recovery device (GRD) shall be installed and maintained in
accordance with the MA Plumbing Code.
(2) The menu is restricted to foods on the one-page menu dated March 30,
2007.
(3) This variance decision letter shall be posted on a wall adjacent to your food
service permit in an easily accessible location for viewing by a health
inspector during inspections.
(4) Only disposable utensils and paper plates are authorized.
(5) This variance is not transferable to another owner or lessee of this
establishment.
This variance is granted because it has been demonstrated that a grease recovery
device (G.R.D.) would be effective in removing grease, fats, and oils.
Sincerely yours,
Wayne Miller, M.D.
Chairman
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