HomeMy WebLinkAbout0051 GRISTMILL PATH - Health Sl GiAHll`Path :
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Marstons Mills
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YOU WISH TO OPEN A BUSINESS? "/�( w &tp.
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: .
Fill in please:
APPLICANT'S YOUR NAME: 22 Q�
BUSINESS YOUR HOM ADD'nR�SS: � C Sl C•�tri���wi I( M:4
v2�
a L? I AA macs-ekn -onS Mills
.. TELEPHONE # Home Telephone Number q'/3 ^�7.-f 376 � 3�Y-�YS
NAME OF NEW BUSINESS: %, Tyruil OF BUSINESS Lc
IS'THIS A.HOME OCCUP...._ION?. YES N
given approval fro.:
ADDRESS OF..BUSINESS r)( l g MAP/PARCEL NUMBER i� e�
When starting anew 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
o 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 ha en info ed of per it �quir ments_that pertain to this type of business.
uthor'zed i ature.**
COMM TS: V
3. CONSUMER AFFAIRS(LICENSING AUTHORITY)
This individual has been informed of the licensing requirements that pertain to this type of business.
Authorized Signature*
COMMENTS:
Date: 4 /27/ Ury
TOWN OF BARNSTABLE
TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY
NAME OF BUSINESS:
BUSINESS LOCATION: 6 e INVENTORY
MAILING ADDRESS: /l _ AAA , TOTAL AMOUNT:
TELEPHONE NUMBE :
CONTACT PERSON:
EMERGENCY CONTACT TELEPHONE NUMBERAi MSDS ON SITE?
TYPE OF BUSINESS: Lu'rjdS n - CLA1f OrNa Y_ain ra y 0,1 hG y,
INFORMATION/RECOM ATI�Ng v
: Fire District:
o-
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 materials 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) __ Misc. Corrosive
NEW USED Cesspool cleaners
UAutomatic transmission fluid Disinfectants
Engine and radiator flushes 0 Road Salts (Halite)
fJ Hydraulic fluid (including brake fluid) Refrigerants
Motor Oils Pesticides
NEW USED (insecticides, herbicides, rodenticides)
Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers)
0 Diesel Fuel, kerosene, #2 heating oil NEW USED
Misc. 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 ® Misc. Combustible ,
0 Car wash detergents Leather dyes
Car waxes and polishes Fertilizers
+— Asphalt & roofing tar PCB's
Paints, varnishes, stains, dyes Other chlorinated hydrocarbons,
d Lacquer thinners (inc. carbon tetrachloride)
NEW USED Any other products with "poison" labels
0 Paint &varnish removers, deglossers (including chloroform, formaldehyde,
0 Misc. Flammables rr\\ hydrochloric acid, other acids)
Floor & furniture strippers V Other products not listed which you feel
Metal polishes may be toxic o hazardous (please list):
Laundry soil & stain removers
(including bleach)
0 Spot removers & cleaning fluids
4 (dry cleaners)
0Other cleaning solvents
0. Bug and tar removers
Windshield wash
WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS
&511 TOWN OF BARNSTABLE
w LOCATION /_ �ZOJ GRJSTti i l SEWAGE
VILLAGE ASSESSOR'S MAP & LOT yd Z
'r
INSTALLER'S NAME & PHONE NO.-�?- 0 02 5-36
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) (size) y'i o►fH
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNERf22/Ct.'f
DATE PERMIT ISSUED:
DATE .COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
4-4
Act<
316
r
ASSESSORS MAP NO: _ 6- C
No..... ... .LDZ PARCEL NO.:
THE COMMONWEALTH OF MASSACHUSETTS
)BOARD.. '.f�F HEA TH
.................OF..... � ------••---.._---.--.--.---_--------
Allp iration for Dwvoiial 10orkti Tnntrurtion ramit
Application is hereby made for a Permit to Construct ( ) or air ( ) an Individual Sewage Disposal
Syst ,at
u..!_......�10.3. a�.�. ...... . ....
Locatio -Ad ss or t off,
............ OL_ !.!1... .hl �.1�ZD --• --•- --. �r.Z. _ [ ..F1Ctl./�llG?,�!... ............. a�
wner Address
Installer Address
Type of Building Size Lot_..... G_AZAIP.Sq. feet
V Dwelling—No. of Bedrooms.._.....Z......._._ _....Expansion Attic ( ) Garbage Grinder ( )
Other—T e of Building �A----------- No. of persons.... Showers — Cafeteria
dOther fixtures ---�v -----------------------------------•----•--------•---------------•••--......----------.-----
W Design Flow........ ki&.......................gallons per person per day. Total daily flow--------------
.........................gallons.
WSeptic Tank—Liquid'capac'ty�l !gallons Length________________ Width----- _-_----. Diameter._`_..._......... Depth................
x Disposal Trench—No. ... ....... Width....._/,0...... Total Length.......... ...... Total leaching area.z�., �... q. ft.
Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area__...._.... q. ft.
Z Other Distribution box ( ) Dos )
~' Percolation Test Results Performed b .....a.N.4^�...... ... ...................... Date./vv.z...1- ..d7r
1 Depth to ground water. _
Test Pit No. l._..�..Z....minutespermc Depth of Test Pit..__-_: _�_. _ p gr � �..__.
Test Pit No. 2................minutes per inch Depth of Test Pit..........
Depth to ground water........................
x .. ........ --------------•--- 7
Description of Soil..... t� �? .. lS_o' fi --- ..... - =----- --------
v --------------
W •-----•-----------•--------------------•-•-•---•---•---•-------•--•---------••---•----------------------•------------•-----------•---•----•-•---...----------•-•-----. .................................
U Nature of Repairs or Alterations—Answer when applicable...............................................................................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System.in accordance with
the provisions of TITLE 5 of the State Sanitary Code The undersigned further agrees not to place the system in
o eration until a Certificate oToliance has beeYedthe board of I h�
S>gned ---- +_ !-r. s t . �L.. l.�... J��
Date
Application Approved BY ----.- 1. .-1 -°'
Date
Application Disapproved for the following a ons:-•----•-•..........................••-•---------------------•--••------••--•••------•------- -----
................................................._..................... ----------------------------•-•--•--------•------------------------------•--------------------•-----.......................
Date
PermitNo. - ..........3 .................... Issued.........................................................
Date
ASSESSORS MAP NO:
�� v Fss -
No................_..r... Z PAR _.. .�_
CEL NO.:
THE COMMONWEALT
BOARD 9F HEAL
�G.r✓.�/...........OF........ •4.c.r/v
Appliration for Disposal Works Ton#rurtion Verutit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
syst at
Location. ess or • y
.. _ ..
. .,l!vi!!....•-- •- ........ ....... _.2 !�'Y._...
weer ddress
a 0.1rG,C`. ......v�4 J�! �........ ..14.�+�C..-�.../.vim ✓-----.... �1............................
Installer Address
?yyppe"'of Building Size Lot...Z..5L.AASq. feet
U Dwelling—No. of Bedrooms........... ..........Expansion Attic ( ) Garbage Grinder ( )
`4 Other—Type Type of Building &_�' ----------. No. of persons......`-;
p ................ Showers ( ) — Cafeteria ( )
04 Other fixtures A1Q-- ..•eS..•---•.................••-......•-•-•---........._............---...............-----...........-•--••------..........••---....
Design Flow------, 3_A.....:...................gallons per person per day. Total daily floes............ 7.......................gallons.
Septic Tank—Liquid capacity gallons Length................ Width ......... Diameter................ Depth................
x Disposal Trench—No............... .. Width........./ZZ-.. Total Length......... Total leaching area.,G,ct�,i.. _sq. ft.....
3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area.................sq. ft.
Other Distribution box ( ) Dosi
Percolation Test Results Performed by...... _.�...(._1�. ✓.L.Q.�"�............................. Dat .1/-..�...
nn //�� ..-
,aa Test Pit No. 1.�.._�,..minutes per inc Depth of Test Pit.d1!.-..}.. Depth to ground water,.�l?r. . C'..
f= Test Pit No. 2................minutes per inch Depth of Test Pit............/.... Depth to ground water........................
a . . ..................... ••-•--......•..................................................
D Description of Soil u N�i1 Q. .,t... ¢._..._A c.. .• .........................................................
...................... ... .0...4 ...giQ_4�F.�! ......4.�G� .�1 �......E�Lt..-r... �j.y......................................."'-
W
UNature of Repairs or Alterations—Answer when applicable...............................................................................................
..............'------•--------.....---•-------••-----.....-•-----••-•-•-•----------••-•-•---.........---•---•-••---•----••------...........................................--'--•-••---••...............
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE. 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has be is the board of health.
Signed........ .... ..la. se�!� ...I.r /f r.lo. J�
Date
Application Approved B ..........7 .......
Date
Application Disapproved for the following a ons:............................................................................................................__
..............................•------............••----..._._..'--........ ................................._...--•-------•--'•--•..........................••-'•-.....•---•--•--••D�••--'---'-••—
PermitNo.----- ---_-----`--- —L—-------------_._.. Issued........................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD F HEALTH
w ...........OF.... I...........................
Titrfif utt#e of Tontplianrr
THIS IS 0 CERT FY That the Individual Sewage Disposal System constructed ( or Repaired ( )
by.......... ........ ................... -... ..._.... --...._
at.... a3. ��� 1 .... nst ler J� �,�._..._.�.if
�... =r s,7�---.-•.------
has been install._d in accordance with the provisions of TITLE 5 of The State Sanitary Code as described 'n the
application for Disposal Works Construction Permit No....................................:... dated.......j.Z,r._...�._i�....... ..._......
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE----•-........-tf...... ........................... Inspector..� � •.......
.. ....................
THE COMMONWEALTH OF MASSACHUSETTS
g�'�° Z•` BOARD F HEALTH
V� _ 1 ' jZ ......1 fiwN...........oF........ ✓ G9kfS................................... N
No. ................. ... Fn........................
Disposal orko Sono ixr#ion �rruti#
�....Permission is hereby granted... - ---•••----•----•'- .................
to Construct ( X or Repair ( ) an Individual Sewage Disposal System
at No......L..04..---•-•. �Y 1 =4`^Z { tree (— -------
(n,�G < , �•= 1.)
. � Street /
as shown on the application for Disposal Works Construction P mit No..................... Dated......... �........ ,
............. . . . . '-'--.. .... ... Q,E :l..,t,.�...---•-------••---...
Boar of Health
DATE............. ..............................
FORM 1255 A. M. SULKIN, INC., BOSTON
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.\ 180.00. 99•I - \ 2 ,t u,
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20,029 5.F. + ,Q �
-rep PaFc�
HAS. Tows i •
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WAr-.e
5-8-/02.7 4
100
ID
I CERTIFY THAT THE PROPOSED BUILDING.;.
SHOWN ON THIS PLAN CONFORMS TO' THE y r
ZONING LAMS OF 23A�nisZd $x; 1
LE` MA.
DATE
EXISTING SPOT ELEVATION O i r ',
PROPOSED SPOT ELEVATION %zW p �
EXISTING CONTOUR ---0--- NOCMq`^ yK ,
PROPOSED CONTOUR 0 'Si DAVQ P.
`` ,t MARIANO uW�,� PAUL A.
NOTE: THE LOCATION OF ANY UNDERGROUND �; VY
LE
clvl�'
SEWERAGE WELLS, OR OTHER UTILITIES SHOWN ON No.31115 No. 10617,
THIS PLAN IS APPROXIMATE ONLY AS DETERMINED
FROM RECORDS AND/OR VERBAL INFORMATION, `'oc��'/ST���
THE CONTRACTOR IS RESPONSIBLE FOR THE
VERIFICATION OF THE EXISTING LOCATIONS IN �`
THE FIELD.
MINER—
.......
VY & ELDREDGE ASSOCIATES,INC. f9Ns oRs� L�D�T t P }
CLIEINT _
ENGINEERS — LANDSCAPE` ARCHITECTS
JOS NO. o ► M LL ATF
PLANNERS — LAND SURVEYORS ,
AU
DRBYs �y
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889 WEST MAIN STREET CHKD.BIV712Lht S. � �►n! S7';rW:13�:�; /`t�=�'�
CENTERVILLE. MA. 02632 ET..L.OI= 2. SCALE 90�.. .�. , DAT E
/F E/7"NER TNE.SEPTIC TANK OR
mnv.. LEACH/NG P/T ARE IJOR E THAN /2"BE40J4V -
D PT- M/Al 410119. GRAO�,�1 24'D/•�METEE C'ONG'RET.� C®s'ER
ScHEvc�LE�p SNALL BE a,$?OUGyT TO 4JTA,0,E.�AN ,6X7`RA
w pe
COIVGRPY'� pY� P/P/TcN IYEAYy CAST/RON CO//ER .Sf/i4LL A6 uSEO n
7 v COVERS MIN.
w pFR FT !F/N OR/VEyI/A y
A _ G AGE COVER CLEAN .SANO'
r BAG.�CF/L L
- ..
. ��•. 'LAYER
puc f'�P�' IDDO GAL. OF %B.*
:b M/N. /TtN ' o t.• ` • • & • a • • a •4 h/ASNFD S7?7JYE
V4,PER P?. S'EPT/C 7A- AlX D/ST. e s • • . • • • • • • e. 4
BOX y dp • • • • too e°° •
/ M
o, r • • FE cr/vE ' ' . , 3 4.-
• o r • e OEPTN • • • • • o o WA5N-FP STONE
=,a e o • • • e •• 1 p o 0
s + v
dab
.
377, f��i�' • vo , r • . • s • • • r p • p PRECAST SEE/'AGE•
O °o r • • •. • • • • • e o P/7 OR ,vi//V.
/a/YeKT &L EVA7740Ns /i3 x /,a /J 3,0
/NYZAT AT B!//LA/NG 9 6' Z X
IML ET W.PrIC Ti4NK 9 f.9 Fr, p 7- PaG fi`(� C(sSS T.�ut..�T/r�N� .
®tJTL.ET SZPT/C 7ANH SFr. iP
/INLET DISTR/B!/T/ON BOX `�S Y fT GROUND N,GATER'TABLE' �` !� ;►
011TLETD/STJ�!®1/T/®Jtl EClX FT. .S'EC770N of BO T7-P-1 o f T-J7,14
Z
INLET.LrAC//IaG PiT 9 9 Fr. S� /•�4CsE ®/.S�OSA L Si�.ST&M 7A,841LA'T1®/d
LEACHIlVa P/T y H -
SestLE OJMEN.S'/ON A S XT.
DES/GN' CIS/TEmm - DIJ•I.ENSI®N 40 ` FT.
N4#*Af&ER OF®EDRoo^fs 3 DIMENSION. C. . FT
c4RaA6.Fo/sP0sAL ZI N/r ND SOIL .L.OG T
TaT,�L ESTlM.4'TED FLOH/ 33p 6gL.�DAs' SOIL TEST / SOIL TEST2 ®/� ?EJ
AW148ER Wr 4rACRINO P/TS �._._ �^EZA=.vlO l Aw4 OAWE GF BoIL TF3T <.I�o✓'' �� %�8�a
S/DB LEACHING PE/t P/T �SO_� .S1Q, r;r ° hPESUdTS/t/ITNESSED dY `? Co�e c
4907-T0h1 LEs9CHING PER PIT_L�L_0 SQ. .&r ToP To P ?OL-MCOLAW0,1V RA70 j •/ _Js9J/1/,fHl&
TOTAL LE�ICN/NG .4FZEr4 '7C'3; SQ ,FT Sv/lsoi� Stj 17.501 L �iVCOLATION RATE 0-2 � Z AjjjV 1lNCH
R,ESERYELE.4CNJN� / �P?.a� 3 7 SQ FT 36 3c''
DAVID P. �S V.w ��D /Y14:I7f vwi
*J; MARIANO �OACC�cf a' C®A/a�Sc� s2 tT/•�ic e. 9T;19�ctvI ,✓V. ;1904
4 , No.31115 Y n/ STo•�
010
LEVY & ELDREDGE ASSOCIATES INC .
J4Yf 889 WEST MAIN STREET :CENTERVILIE,-MASSACHUSETTS 0263
NGG/�OLINO WATER ENCOlJ/1 - Ar-� CL/ENTc Boo�DEN` DATE'"// .;z
�] .GROLNO yti/<lTER AT.ELjE(/. JOB NO
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June 20 74
IAt-403', •G t• _ Re 3 • r3.S mill garb
Marstons .,kills
Mr.' Harry. T;.. Jones TTZ 4
_ Towns of Barnsab3.e
Dept .of h Peights and : easure,3
Hyannis. Massachusetts.
Dear Mr. Jones ..
Your,request for a variance' from lthe•. Board ,:of Health 150,
foot regulation between well and, sept3.c sysem ',has been
approv%d`by the Hoard- of Health., : .4-Thi system• must be instaXled
at 100.'feet in accordance with th4,.plan.-,on :f�.1e' in,.the Boards. '< <•
of Health-6ffice. r` r
`-This .system must conform to 'tl e ether regu r'_ , ts^ of
Article -XI' of,•the'. State Sanitar 'Cod wn off B 'n!3 e'
R er and To ,_ a tabl ,
egulations .' 4
• Robert s L. Chi Ids, :,Cha irrnan s f f
r Ann Jan a Eshba4qh
mm a
psi ..hl. �. tis . . C-r - ' '; s ` l•r-�z ..' h SI .. - . .. 'f_• .
• :r ti• x k s•..e E a � - r ' `iry ' a T a4 •+
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�a MAY a' �itrrn �� ��� emwec, . llema. r—ffe/
June 17, 1975
Board ofv Health
Town Bldg.
Hyannis, Mass.
Dear Sirs:
I wish to request a variance on the distance between my well and spptic
system on my land in Mistic Lake Hills in Marstons Mills. The land was
approved in 1967 and at that time the law was 100 feet distance. Now it is
200 feet. There is noway possible that I can get that distance due to the
facts that the lot is not large enough and also the location of my abutters
peptic system.
Following is a daigram of my plot plan:
10
� a
�. O-Z"O
Thank u,
Ha ones III