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HomeMy WebLinkAbout0591 MAIN ST./RTE 6A(W.BARN.) - Health 4!Vq I main 9. , W. TOWN OF BARNSTABLE L62ATION �`�i'( �� � SEWAGE # VTi.LAGE pry�z N ASSESSOR'S MAP Cz LOT (33,:5„ INSTALLER'S NAME & PHONE NO. t SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) NO. OF BEDROOMS_ PRIVATE WELL OR PUBLIC WATER 1/ BUILDER OR OWNER �on-tl�a I DATE COMPLIANCE ISSUED: ' VARIANCE GRANTED: Yes No ti yy 6 " �' %jv TOWN OF BARNSTABLE i 's'"ION y GLl /� S SEWAGE #© -2 7" VELZAGE &,o 0- �� ��-j f .Q lW - ASSESSOR'S MAP & LOT60.; �7 INSTALLER'S NAME&PHONE NO.?4J '70rzi CX SEPTIC TANK CAPACITY �OFaD Gn tr LEACHING FACILITY: (type) 7—Ze 5aoif (size)�D�/� NO. OF BEDROOMS 3 BUILDER OR OWNER lL 1 e, PERMITDATE: 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 Furnished by ' � y� �b � _L �� D.. � .33 t. ,� ,.a r .A �' TOWN OF BARNSTABLE SEWAGE # V'BI.AGE o t?" ��h w�I'Q We, ASSESSOR'S MAP&LOT!Q3 7 / INSTALLER'S NAME&PHONE N02437aaf LX SEPTIC TANK CAPACITY L- LEACHING FACILITY: (type) NO.OF BEDROOMS 3 BUILDER OR OWNER PERMTTDATE: 7' Y-O 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 Furnished by 0� 2 33 S�TOWN OF BARNSTABLE , I<O ATION EWAGE # VILLAGE k�, j� �s ASSESSORS MAP & LOT/,?5 - ,5-, INSTALLER'S NAME & PHONE NO.,J /?�f��J(' � � Sacs SEPTIC TANK CAPACITY %DC � LEACHING FACILITY:(type) Pf (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER M DATE PERMIT ISSUED: `'f4 DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No __ ��. t,,,...-��- _ .. � �.�:: \\ ^� 1� ��/r ' II ` � �, �^a c A � �� � �S � � � I i � i ��/� � � � . ,. ��� TOWN OF BARNSTABLE hnG;Ov mod'' LOCATION SEWAGE !� VILLAGE LJ. i3arn.sla6��. ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. ,� 4Gohi��i 7rr�► Ll�� SEPTIC TANK CAPACITY LEACHING FACILITY:(type) -r (size) IOIJ�JC NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER —ZIIttSER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No 1 / ti fOCATIQN SEWAGE P RMIT NO. VILLAGE A & B CESSPOOL SERVICE 128 BISHOPS TERRACE, HYANNIS, MA 02601 BUILDER OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED i L 10,9 0 . _ _ _..r ��►N STTOWN OF BARNSTABLE '1 • LOCATION P SEW ,9 � ` AGE VILLAGE �/ J'Y-�,t��;J<�,�. ASSESSOR',S MAP & LOTAS; INSTALLER'S NAME PHONE NO. C Sacg SEPTIC TANK CAPACITY LEACHING FACILITY:(type) L �44 NO. OF BEDROOMS--..� _PRIVATE WELL OR PUBLIC WAT R E BUILDER OR OWNER ? ,,� DATE PERMIT ISSUED: lip DATE COMPLIANCE ISSUED• VARIANCE GRANTED: Yes No a4 '�� _ O TOWN OF BARNSTABLE 9 LOCATIONSEWAGE #f� VILLAGE �/, ► �„3%G6/� ASSESSOR'S MAP & LOT f INSTALLER'S NAME & PHONE NO. 4Go �.� rf� 1-hZ_ SEPTIC TANK CAPACITY LEACHING FACILITY:(type) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER "B'OttDBR OR OWNERot�,vd L. i DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED;_ d VARIANCE GRANTED: Yes No i TOWN OF BARNSTABLE LOCATION S7?/ ,4,x0�.4 I'YID�NSY`'��SEWAGE # I VILLAGE �/, ► ar 6S/G6/� ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. T-ra-7 LhG SEPTIC TANK CAPACITY /„ BUG �� I LEACHING FACILITY:(type) (size) l.IX�C�c NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER I —BUM-DM OR OWNER 'fitof ,�► � DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: ZS VARIANCE GRANTED: Yes No , 1 A = 3 3 L-OCATION SEWAGE PERMIT NO. VILLAGE A &.B CESSPOOL SERVICE 128 BISHOPS TERRACE, HYANNIS, MA 02601 BUILDER OR OWNER 9 kwigx ►NAB DATE PERMIT ISSUED r� DATE COMPLIANCE ISSUED ZY I 111f 1 ta8o . THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliration for DispooFai Works Tonitrnrtion Errant Application is hereby made for a Permit to Construct ( ) or Repair�XX) an Individual Sewage Disposal System at: 591 Route Ga West Barnstable,Mass . -•-• _........ ..........................•...•..........._........................... _.......---••---------•••-••---•-••••••-•--•••......_......•••--•...............--•--•......-•-•-• Rosenthal Location-Address or Lot No. ................_....- --- ................................................. -----------•..................................................................................... Owner Address a J,.P.Macomber_._Jr..••••••--•-------•••............................................. •-----••••----------------•....._...••-•-••........................----------.................---- Installer Address Type of Building Size Lot............................Sq. feet U Dwelling X-No. of Bedrooms................................ .....Expansion Attic ( ) Garbage Grinder ( ) U Other—T e of Building No. of persons......_--------------------- Showers — Cafeteria P4 Other fixtures --------------------------------------- - W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter---------------- Depth................ x 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-----------­----------- P4 ----------•------------•-------------------•---•---------------......------------------------•----......................................................... 0 Description of Soil...............................................................................---------------------------------------------------------------------------------------- v -------------------- ------- --.------•--------•-••--.-----sand-----ravel.----------------------------------------------------------- ------------•------------------- ---------------- W ••-•-------------------------------------------•-------------•-•--•-----------------•-----------------------•----------.....-----------------------...----------- ft............................ UNature of Repairs or Alterations—Answer when a pli ble_____ _--------- `'f....__ .........................1-1500-_gallon-- tank 8c__1-�OJ�O gallo.n.....eac.....pit. ......�. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Complian e has b n i ued by the bo rd health. Signed ..... . . ----- ................ -9/..24/..9..0.............. �� Due Application Approved By ............................ -- --- ----- - ------------------------- Application Disapproved for the following reasons- .................................. -------------------------- -------------...................................................------------------------- --------------..........- I ^ aDate Permit No. .:. ti,f .... Issued ------------------------------------------------------------------- Date Fss...$....20.00 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE App iration for Disposal Works Tontrution ramit Application is hereby made for a Permit to Construct ( ) or Repair �XX an Individual Sewage Disposal System at: 591 Route 6a West Barnstable,Mass. ................_-- --•-•--..................-----.....-------•--........................... ........--••••-•---------...........----------...........................................------... Rosenthal Location-Address or Lot No. - __ - - - ................................. ----....-.......................................... Owner Address a ........... z xMa:s nrKAb x...sr r' .......................................... --------•--•-•-----------------•....------------.......--..........----------..._.........-•••---- Installer Address Type of Building Size Lot............................Sq. feet U Dwelling X No. of Bedrooms................................ .....Expansion Attic ( ) Garbage Grinder ( ) ►-t '4 Other—Type of Building No. of persons............................ Showers — Cafeteria G" Other fixtures -------------------------------• . W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter------------------Depth................ x 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. 1________________minutes per inch Depth of Test Pit.................... Depth to ground water...................... G%t Test Pit No. 2................minutes per inch Depth of Test Pit...................... Depth to ground water........................ 1:4 ..............................................................=............................................................................................... 0 Description of Soil.....................................:................................•.•-•-•-:........................................................................................ x1 sand gravel v -------------------------------------------- --------------------------------- �l ........................................................................................................j_.._.........------...__..._...............___.._._._._........._......._._...__....._......... V Nature of Repairs or Alterations—Answer when ap licable.................................. .. ............ ...`........ ----- --- - -- - 1-1500 gallon tank & 1-:000 gallon .leach pit. 7 t722f"------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Complian•e has been issued by the board of health. �.p Signed ----- .................... _9/24/9 ............ Application Approved By ..................................... -- ........................... --- ---- ------------- -_...... Dare Application Disapproved for the following reasons: -----------------------------------------------------------------------••------------ .......................----------------------- Permit NofP # �j'—�� pGate ------- ---------------------------------- Issued .......................Date.."..................----'------------ T THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE �er#tftrate of Compliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (XXX) by........J.,_P,-Macombe.r.___Jr... Installer at --------5.9.1....ROUte....Ea-...We-at.--Barnstable---------------------------------------------=---------------------------------------------------------------------------- has been installed in accordance with the provisions of TITLE Hof The State F vironmental de as escrib-1 in the application for Disposal Works Construction Permit No. .......0...""�....G�......��. dated ...�..r. ��......--".. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. r.DATE_.... ... 1.... '�� Inspect 2 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No�n..la....'..•..� �i� TOWN OF BARNSTABLE FOE 30.40 Disposal Works Ton#rudion "pami# Permission is hereby granted....J-.•P.Ma e omb e r J r. _._........ _._.. --------------• ...... . to Construct ( ) or Repair (Xjj, an Individual Sewage Disposal System at No........591... faute...�a_.West...Barnstable,.- ----------------•-......•---•-----------•.................................. ...... Street as shown on the application for Disposal Works Construction Permit, . d....... Dated...____ `__ _�t .......... ` _ Board of Health l c DATE........-•-• -......................... ----------------------- FORM 36508 HOBBS&WARREN.INC..PUBLISHERS _.......a....psi.». ...-_ �.....-.---- No..8�:-.. 5,? •.. Finc $...15.00...... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ...................... ...TOW??......OF...............Barnstable - - - ------------•---.............................•- ApplirFatiun for Uispwi al Workii Tom ratrtiun "rxanit Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System at: 591 Main St. , West Barnstable, MA 02668. ................---.............................................................................. -••--•.........----•...-•---......•-••----•..........•--....•-••-•--•-•••••--...............--•--- Location-Address r t Richard Burling 591 Main Street, ides instable, MA 02668 ......................_... ....................•--............-••--••--••------•_.... -----•-•------•-----......-•--------•••-•-•••••-••............••-•••-•--........................-- W A & B Cesspool Servicceei 128 Bishops Terrace;dr yannis, MA 02601 Installer Address dType of Building Size Lot---------------------------Sq. feet Dwelling—No. of Bedrooms......................6 ...................... Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) 04 Other fixtures ............................... . . Design Flow............................................gallons per person per day. Total daily flow............................................gallons. Septic Tank—Liquid capacity............gallons Length................ Width--.............. Diameter.-.--.----.--.-- Depth................ x Disposal Trench—No. .................... Width....-----...-----... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No..................... Diameter.--......--......... Depth below inlet..--................ Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ a Test Pit No. 1................minutes per inch Depth of Test Pit--.---.............. Depth to ground water........................ (X4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water..--...............--... 0 ......••.............•---..... ..................••••-••••-----------•r°'-----------•----------------------------•---------•---•------------•----- Description of Soil Ste.............. .............. la d. ,' x U .................................. -••-_,..fir ^-.. - - ----- --- --------------------------------------------------------------------------------------------- W ----•••••••••-------------------•-------------------•-••••------------------------------•-••-••-••-•--•-•-••-••••-----•-•-•••-......•••-••--•--------•-•-••--•-••--••---•-••••--•-••......--•--•-•...... UNature of Repairs or Alterations—Answer when applicableinstallation_.of__a__1,000--gallon••septic tank, d i*tr jbjkt�.gju ° . a...1_�.Q4Q..ga �on-st°fie picked••leach--fit Agreement\ The un rsigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of I�TLL 5 of the State Sanitary Code— The undersigned furth grees not to lace the system in operation until a Certificate of Compliance has a 's ued by-the bar 4 09/84- ine ........ �L.... .... ................... ----• •. ........ ......I............... Date Application Approved By__.__._..__ ,_-.__..... -------------------------------------- ........-••---V 084 97 Date Application Disapproved for the following real ------------------••--------------------...------------------------------------------•-••---••---•-•--••-•------ --------------------------------------•-----------------------------------------------------.----------------------------------------------------------------------------------------------- / /Date Permit No.....8��-----------------------------------------•--- Issued.............................�"/02/�:._... Date No--- .............-••--- Fss.............._............ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town OF..................Barnstable ------------------ ...................................................................... Appliration for Uiapwi al Workii Tnnitrnrtinn amit x Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: 591 lain St., West 'Carnstable, Iv;:A 02.668 ......... -.................. .......•-- -------- ..... ._..._..... ._..... -...---•- Richard Burling Location•Address 591 Main Street, Wa edt %rnstable, NA 02668 ..--•---------•----- __............... .................................................... -•-...--••-.......-----•-•---.......-----...........••------•----•---- .... W A & B Cesspool Servi�' 1ei 128 Bishops Terracedd annis, M 02b01" •.............................•-----•-------•-----------•---••---•---.....---••-•-•...--••----•--- -----•-•--•--•-•-•••...................__................ ••---..........---••--•---•-----•...... Installer Address d Type of Building 6 Size Lot----------------------------Sq. feet aDwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) 04 Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) w Other fixtures W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter----------_..... Depth................ x 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........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ G%, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ -----------------:-------------•------•--------- ------------------- •-----•--------- •-------------------------------- •---------- ..... O Description of Soil---•••--------•--•-----•-------------•---••-•--•---••••-•------------•---•--••-•---••-•----....•-----.....--••--......---•------•-•••...-•--••-•---••--•-•---•--•.._......._.......-- ---------•---•---------------------------•--------•--•----•------•--------------------------------------------------------------••-------•--........------ U W x Ins_'tU1at3ori o f a I';'000--g&7.1M--septtc'-tank, U Nature of Repairs or Altera io s—p,nsw when a licable ___. __ ___.. distribution box, and �,000 ga�on stone packed leach-pit--------------------------------------•-------------_ 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 e issued by the b r ,he l 4/09/81P one •.. ----- .-f.--•-......•-•--.==°=xr........... Application Approved By.......................................... Date Application Disapproved for the following reasons:---------•---------------------•----------------------------------------------------------......---------••---- ----•---...•••.......----•-••----•------•--••-•-....-•-----••---•--•---•••-••-•-•-•-••••------•••••--•-...•-•---••----•-•---••---•----------•-----•-•-----•--•--•-••••-----•----••---•---••-----••---•--- 84/ 4/09/ftu PermitNo......................................................... Issued-------------------•--------------•-----------.._.._.. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH T own Barnstable ..........................................O F......................................................................:.............. Tatif irFatr of f amplianrr Tff1#�SC;gs$ghT eYry ;tl c{yi i e' ��',°s § ,ec tru0t 0 or Repaired (x) by--•-•----•---•-•------------------ - --•••------••---••--=--=--••••------------ - - -------•----------------•---...-------------------•----------------..----- -------------------- 591 Main St., West Barnstable, I�.A 0266Rr- Richard Burling at............................................................................................................... has been installed in accordance with the provisions of T LF. The State Sanitaryty(�pW 4 described in the application for Disposal Works Construction Permit No......................................... dated................................................ THE ISSUANCE OF THIS',"CERTIFICATE SHALL NOT BE CONSTRU D AS A GUARANTEE THAT THE " SYSTEM VWILL4F81gON SATISFACTORY. DATE.................•-•-••-••---•-•......---......-••--............----------...._. Inspector..• -•••=•-•----•---•---••--••-•---•--•..._............•-••-----..........•-- 4 �. THE COMMONWEALTH'10F MASSACHUSETTS 2SS BOARIOF HEALTH �,own "" Barnstable 844- -. . ............................OF...........................---••---................... $ 15.00 ..........:.... No.................•---•-• FEE......... ............. ir�a �ar� natr#uan rrutit o ery Permissionis hereby grante -•-•----------•------ess---------------------•--I-----------•-----------------••----•-----------------------••••••--- .................... to Const5" �Iai)n°tAW#, (We�-enB %' hlhl A;wKe -iy hard Burling Street L /09/8 -fir as shown on the application for Disposal Works Construct pit aced.. ................................ 4/09/84 ....................... --•---------------......................................... of Health 1 DATE................................................................................ FORM 1255 A. M. SULKIN, INC., BOSTON 1 TOWN OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL'STORAGE REGISTRATION Z�rtD n/1: , 'G f � OWNER AND INSTALLER INFORMATION ADDRESS: .5 �� /Al � ' . MAP NO. G�/ PARCEL NO. '!VS 6 OWNER NAME: 1� U /L' --3,�1i?r� lrli S iV! �4lILLAGE: A"4 'e!5� d'yj_s j INSTALLATION DATE: BY: AD-R�aS: ' _ - - a_. _ _ _ ��. _ _ � ,kCERT NO.,- 'a r. TANK, INFORMATION g LOCATION OF TANK: c-, CAPACITY � .`� TYPE r7 �6 AGE . Co FUEL/CHEMICAL /� �L- �49/4) TESTING CERTIFICATION C I PASS C ] FAIL , DATE I !lo LEAK DETECTION EXI CHECK IMF N/A TYPE/BRAND ZONE OF CONTRIBUTION C ] YES C I NO DATE TO. BE REMOVED FIRE DEPT. PERMIT ISSUED C I YES , C J NO- DATE 7 CONSERVATION -! CHECK IF N/A DATE / BOARD OF HEALTH TAG NO. ]C ]C It -]C, ] DATE r( �,rl/l/f- PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD 4. f`♦ .' °.., .3... r1 _-Tra.r. ! .',.•:, a .�:.'.1� .3:� ,_.._.o,. .;....,,,._d.r�, ,.., ,. _ _.,°...'xi. ..... l ...R�:� .. .... . i _ ' (r /� ���� �I ti •' r ^ �t.. • r < r ��/ / /•:/�--�7J��Y�I'`1.J4:..r� • r Alf 4, s 4 March 21; �1984 'Mr. William,.Robinson ' A & B Cesspool Service t e- F` `128'Bishop's Terrace4 Hyannis, Ma. -02601 ,Dear Mr. Robinson: a •�'' �w, ' • You are ranted av• - -` g ariance `on behalf, of your client;, .Richard .Burling; to':insiail'•a septic •,leaching pit •120, feet from the well at 591 Main' Street,,,West 'Barnstable,':and 120 feet from an; abutCer's 'well, in -lieu-o the requir(id,'150 fee[ Sihi .following .conditions<. ' apply: .N * Y i .i , r , •i ' 1(1) The leaching,�pat .must4 be installed .in' s'trict''accordance r ♦ , a y 'with Tit1e`5, of. the State;Bnvironme.ntal`'Code,r and Elie.' r *'Town. of,Barnstable Health Regulations. _ .. .. 1 r ;•� �� '. •�. °. a '}:f, ' This':var ance expires Aprii 1, 1985. Very trulq' yours;¢ t V 1. .r k? '4'}S Ad r o�-� v h y' ,'P%.t _7•. 4"f ` ?� ` e Ro ert L. Childs' Ch ,rman sr a. " .. 4�.�� i?.•J� -0i# t4f'' ,5,, a "�}.."h..'� �` 4• "�^ •'� n,,, y S' Ann` Jane baugh ,+ *�} t �; ' t��:, f• ` • J � 9 r��'S3 9" ;•.,�, i`r�ry; '" � 1�, f � .. v t .,, „r * . �.j. .. c« t.•.. •';' � �t � i�,i. fir` fir"fir:}� ,�• r{' 4 t '!• _•�,;{� �i• -:v. y , •�f4 .. '+•^' r .. ,•,e. 4h lfa_ w, {° +r.� •i £{ %+ero... � ri�� ,t t �. s t� rrr. _ r. - r Inge', M+ D. 'BOARD:'OF HEALTH TOWN W BARNSTABLE ,• t > JMK/tam ✓ �''" 3 r. �_ $�q' F tail . g �t.,$�^#° a '.� " r r ; t«!.t r 4 3 to` •:Y s .' z r ti; .� .r > r s y - ;�: •' , a,4{'. a �• '' 4 c' . fit, �''•i >t• `c� t= •r` T s. • • „ •' 1 ,. � 7 , y.. °•.'• • rS S.r v,•�4 L ,. � 'a. �•'K"+ nb `•Z- 5ti_ ` r . i`'r [• C; �. •. a -.. .• '` `e ., `. ,� '� � d' . e•` .��'-'+'." ` `` •t • }' �� �. .: r - ., r� - . •_ L •r. ' •• � '.`�`, '` • ti it ' �j� t'�` ,%r; �'`' .'pe }t. .• .�. '}j- _k trr ,;. • ' ,.'1 � � •.-' c ,S • �+,' r ` - ''y y. -• FEE ---�..._----- oFiHeTc TOWN OF BARNSTABLE •� e`` �•�, '� OFFICE OF 13ARISTAIL AOR Y BOARD OF HEALTH � Opp 1639 eQp,0 rEQ Mar k` 367 MAIN STREET HYANNIS, MASS. o2eoi VARIANCE REQUEST FORM All variance requests must be submitted five (5) days prior to the scheduled Board of Health meeting. NAME OF APPLICANTA4-.e CES-SPOOL S� ERtl/ - TELEPHONE NO. T ADDRESS OF APPLICANT /19,A/41/S ' NAME OF OWNER OF PROPERTY LOCATION OF REQUEST SW f) )411V VARIANCE`FROM REGULATION (List regulation) ®F TByyn/ 642/ysjwi—C VARIANCE REQUESTED (Specific request) T P(J9C-& REASON FOR VARIANCE (May attach letter if more space needed) Poc-,3 /tio T PLANS - Two copies of plan must be .submitted clearly outlining variance requested. VARIANCE APPROVED NOT APPROVED REASON FOR DISAPPROVAL Robert L. Childs, Chairman Ann Jane Eshbaugh H. F. Inge, M. D. BOARD OF HEALTH TOWN OF BARNSTABLE �0 O �i C \ )ZT Ho s1. p • ,SHaO RICH,19D 8UP,LlI/G e t � n �yo � - I i I -� 10 Notes. SHaO ,I RICHl LIN6:- / _ �yo