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THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
S -.._._..._........... ...............................OF.....-...-.-.......-
AVVI!ration for UtipusFal Works Tnnitrnrtion rumit .
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
--Ys1--r...f..t........./le_C�,2-Ohhr...................................... --•--• ---•-•-•-----•---------•------- ..........................................
oeation-Addr s
l. Q.i••._.. _ ........ aura...._...!L........ .......... or Lot•No.•---......._•------_.........._...._.....
O ner Address
W .....� . of _ �-Y -- -----------------•-.--..--.---...--... ____.--......__ -.-..-.--.-..--.--...----...•.--
Installer �� Address
Type of Building Size Lot........:...................Sq. feet
V Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
'4 Other—Type of Building No. of persons____________________________ Showers — Cafeteria
Q' Other fixtures ---•-•-••-------•........................................................
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................
Disposal Trench=No. .................... Width.................... Total Length.................... Total leaching area.....................sq. ft.
Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( )' Dosing tank ( )
Percolation Test Results Performed by.......................................................................... Date........................................
aTest 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........................
------------------------------------------------ ----------•-•--• .........
•-••.....
•----•--- ........................
_..............
0 Description of Soil---------------------------••---....---•=---•-----------•--•----•------•-----•-••---------------•---•-•--------------.........-•---------- ••-...._....._..--_-----
x
W -•-------------------------------•---•-•--•---------------•--•-•-•----•-----------•----•---•--•••-•------•••--•----- --------------------------------------
UNatur of Repairs or AlterationAnsweit when a�plicable..._� _ , ..._._�t � _� v.r._ ._.__.__4� __.
.�s_c _-------Vb.----- ------ ' NrL ,&e_.------4 r- ---------
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITILL" 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has bee issued by th o;aO of health.
Sign edIt.................................. •••..�r__,/_/_K,/ '�....
f "e
Application Approved BY ..:_ f L� ._._._...__�7ar1'/7
--•------•----•-•------- ate
Application Disapproved for the following reasons------------------•---------••---------------------------------•-------------•--•---------------•----------•----
------------------•------....----------••----•--...----------•-----------------•-•----•-••••••--•--•------•---------------------•--•------•--••-•-=-------•---------•---------•-•-----•---•-------------
Date
PermitNo........................................................ Issued_.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS W
BOARD OF HEALTH
T rtifirttte of ToutpliFanre
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
bY.................... ......---------------......�............-•------••--•------•----•••-•--•----••••----------------------•-----------
Installer
-------•--------------
has been installed in accordance with the provisions of TI I " 5 of The State Sanitary Code as described-in the
application for Disposal Works Construction Permit No:___ - _ ..�____.______ dated_______________________________________________
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE...................................•----...........•-••••-•---•--...----•--•--_. Inspector...........................................................................
FEE...........................
THE COMMONWEALTH OF MASSACHUSETTS
V
BOARD OF HEALTH
..............................OF.........................................................................................
Apptiration for Uhipasal Worka Tumitrurtion "pamit
Application.is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal
System at:
..... .....11'�ed�lckx..044.................................... ..................................................................................................
lipcation-Addre;n 7 or Lot No.
..........
ner Address
P. ......................................
............;��,C4� ... ............................................................
!49 Address
Installer /� y..... .
Type of Building Size Lot............................Sq. feet
U
Dwelling—No. of Bedrooms_________________________ _________________Expansion Attic Garbage Grinder (
'_l
Other—Type of Building ............................ No. of persons............................ Showers Cafeteria (
Otherfixtures ........................o................... ....................................................... ..........................................
Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
9 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....__.________._____._.
Ri
............
--------------------I-..--------------------* ..................*.......... --------------------- ................................
0 Description of Soil------------- ................................................................................00...............................................
........................................................................................................................................................................................................
U
.................................................................................................... ......
Nature of Repairs or Alterations—Answer when applicable .....
U h" ,Iical
a'.1c..................................................... .. ..............
........... ....... Aco ...... e�i
...... .................... .
S-1c.4-------%�
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of T I T U, 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been i d by the b rd health.
Signe .. . .... ... .. ........................................ .......111,101-P
............ ......................
Application Approved By.............................;W./..............I................ ....................Da-t.e..............
Application Disapproved for the following reasons:!...............................................................................................................
................0......................................................................................................................................................................................
Date
Permit No... ... IssuedL.......................................................
Date
THE COMMONWEALTH Of MASSACHUSETTS
BOARD OF HEALTH
..........................................0 F.................................................................
...................
Trrtffiratr of Tompliand
THIS IS TO: IFY That the Individual Sewage Disposal System constructed or Repaired
!R T�F Y
by........................... ------ ---------------------------------------
V",7;77 Installer
at............................ ...... -------------------------------------------------------------------------------------------0-----------------------------------------------
has been installed in accorda:hce with the provisions of TLITL19 3of<ThVtate Sanitary Code as described in the
application for Disposal WorN.Construction Permit No_________________________________________ dated------------------------------------------------
THE ISSUANCE OF THIS. CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
,DATF............................................................................... Inspector....................................................................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
A343f ...................... ..................0 F.....................................................................................
No........ ........... FEE..........................
� nndrudiott "prrutit
.Permission is h reby granted-.--;7.......................................................................................................1Z...................... J"
to Construct
0*air V8�n�Cdual !�tewagyrl&posal 9?4;02-
atNo........ .......................................................... ...........................................................................................................................
Street -Ile
as shown on the application for Disposal Works Construction F'emt No-4 .... Dated------------------------------------------
%
-------------------------------------- -------------------------
Board of Health
DATE................................................................................
FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS
TOWN OF BARNSTABLE
�Of TH E raw
��Q ♦� OFFICE OF
Hsaa9TSB7. s BOARD OF HEALTH
MAM p�
co o 39* 367 MAIN STREET
HYANNIS, MASS.02601
May 18, 1995
Colby W. Woodard
EPW Corporation
Woody's
525 South Street
Hyannis, MA 02601
Dear Mr. Woodard:
You are granted a variance from Regulation 14, of the Town of Barnstable Health
Regulations for outside dining with the following conditions:
(1) You are restricted to nineteen(19)tables with a seating capacity not to
exceed sixty(60) patrons outdoors. The total seating capacity, indoors and
outdoors, shall not exceed 192 seats.
(2) Only six tables can be located facing Newton Street. This dining area must
strictly conform to Paragraph A, of the Board of Health minimum criteria
for consideration of variances for outside dining. Paragraph A designates a
ten foot setback from a property line, sidewalk, or public access way.
(3) Electronic air curtains shall be provided at the bar service window and at
the front doorway used by waiters and waitresses.
(4) All doors and windows shall be screened to prevent the entrance of flies
and other insects.
(5) All other criteria set forth in Paragraphs A through 0, of the minimum
criteria for the approval of variances for outside dining must be complied
with.
(6) This variance is subject to revocation in the event violations affecting
health or safety are observed.
woody's
(7) This variance expires May 1, 1996, and must be renewed annually.
(8) This variance is not transferable and will be voided if the establishment has
a change in use, change of ownership or leased to a party other than the
applicant.
(9) This variance decision letter shall be posted on the wall adjacent to the
food service permit in an easily accessible location for viewing by an agent
of the Board of Health anytime inspections are conducted.
Sincerely yours,
Susan G. Ra'sk R.S.
Chairman
Board of Health
Town of Barnstable
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