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HomeMy WebLinkAbout0990 MAIN ST./RTE 6A(W.BARN.) BLDG 1 UNIT 1 - Health 990 Main Street/Route 6A, West Barnstable i ;4 } i 4 d� ,' o i n No. 4210 1/3 BLU i Ps n(f(siq 0 G ESS E LTE 1 0a/o y © 0 0 0 79' - ov � (J TOWN OF BAR.NSTABLE 17, LOCATION SEWAGE, # VILLAGE ��-� �y ASSESSOR'S` MAP rm LOT _ INSTALLER'S NAME PHONE NO. SEPTIC TANK CAPACITY d LEACHING NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER AM9 BUILDER OR OWNER-- DATE PERMIT ISSUED: DATE COI<IPLIANCE ISSUED: VARIANCE GRANTED: Yes No Cs' v 60 No. 7' �® j76 Voo.4 Fee$50 .00 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01ppYication for Migooar *p6tem Construction permit Application for a Pemvt to Construct( )Repair(xx1 Upgrade( )Abandon( ) ❑Complete System E Individual Components Location Address or Lot No. 990 Route 6 A Owner's Name,Address and Tel.No. 4 7 7—8 8 01 Assessor'sMap/Parcel W Barnstable, MA John Mikutowicz/Two Block Realty 30 Echo Rd, Mash pee, MA 02649 Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No. Wm E Robinson Sr Septic Sry PO Box 1089, Centerville MA 02632 Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder(no) Other Type of Building Qz f i sue—No.of Persons Showers( ) Cafeteria( ) Other Fixtures = %- 44 Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank rS> j' A Type of S.A.S. Description of Soil sand Nature of Repairs or Alterations(Answer when applicable) Title 5 Leaching system consisting of 10 H-20 stonepacked infiltrators. it) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Bo d of Healt Signed eii e I Date l0;'-F 01 Application Approved by Date P7 Application Disapproved for the following reasons Permit No. 4f 7 7©9- Date Issued - C Z 7 — ————— THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -.TOWN OF BARNSTA'BLE., MASSACHUSETTS Zlpprtcatton for Mt!5pogaf Op.5tem Congtructton termit . Application for a Permit to Construct( )Repair(X$Upgrade( )Abandon( ) ❑Complete System ❑;Individual Components Location Address or Lot No. 990 Route 6 A Owner's Name,Address and Tel.No. 4 7 7_8 8 01 W Barnstable, MA John Mikutowicz/T®o Block Realty" Assessor's Map/Parcel3 0 Echo Rd, Ma shpee, MA 02449 Installer's Name,Address,and Tel.No. 7 7 5_8 7 7 6 Designer's Name,Address and Tel.No. P 1 Wm E Robinson Sr Septic Sry PO Box 1089, Centerville, MA 0263 Type of Building: �A Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder(no) Other Type of Building o:E f j Ce 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 K70 a E l�h�4 Type of S.A.S. Description of Soil sand s i f Nature of Repairs or Alterations(Answer when applicable) Title 5 Leaching system consisting of 10 H-20 stonepacked infiltrators. !G " 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 Bo d of Health Signed i Date /?- Application Approved by Date / Z .e- S 7 Application Disapproved for the following`reasons fit' Permit No! / 7 70 Z_ Date Issued l Z g -- ———————— — --- ———— I or ,,THE CO`MMONWE L H OF MASSACHUSETTS / I RNSTABLE,MASSACHUSETTS �/ Yr Mikutowicz/Two Block , Certtftcate of Comphance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired ( X)Upgraded( ) Abandoned( )by at 990 Route 6A, W Barnstable has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 9 7— 70 Z dated Z_�' 7 Installer Wm E Robinson Sr Sent Sry Designer _ The issuance of this permit shall not be construed as a guarantee that the syst i+ll fun io s�esigned &U Date Z — 7 7 Inspector / --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Mikutowicz/ Tw6-B ock Realt Qtgozar YbpOtem Con.5tructton Permit ; Permission is hereby granted to Construct( )Repair( X)Upgrade( )Abandon System located at 990 Route 6 A Barnstable f Installer: Wm E Robinson Sit S Septic Sry /� � F 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. i Provided:Construction must be completed within three years of the date of this permit. Date: l Z /' Approved by - J -O JDF BARNSTABLE 4 IZ L0 ATION � �t�U0K a�f(+ SEWAGE # VILLAGE 12 r,.,CAS hr+ l C ASSESSOR'S MAP & )<OT 17°l —cv/-O INSTALLER'S NAME&PHONE NO. 7oS�a� ' SEPTIC TANK CAPACITY( CQr9� f LEACHING FACILrrY: (type) S4 (size) NO.OF BEDROOMS Y RV I BUILDER OR OWNER PERMIT DATE:" 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 --- �- r • a " i I f•'/�B /ate f I y_ 1-t�l-ST.AOL, B.UIL--D-E-R S ZW- 4 i� �_ _. -{� . l�.�ill, ��G—�G� ,l,rJ/��c✓ U � rill' li�/ �-�- �y --� :..: �� � �� , f .. 6. 1 � ` .. `. Q � � �„� � � a i NOTICE-, This Finawls-TaHe-Used Fo Repair Of Faded S@-p do Systems Only_ CERTIFICATION F O O SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT ENGINEERED.PLANS) L--William E_RnhincnnTSr_ rher&y cer*that-the-applicafi for-dispo- a1 l�orks construction permit signed by me dated 4,2 _7. g — concerning the property located at- 290L o_utP W l a_m9ahje NLA__ meets_all_gf the following criteria: * There re no wetlands within 100 feet of the proposed leaching-facility. * The are no private wells within 150 feet of the proposed septic system, * ere is no increasefI in ow and/or d/or change in use proposed. * here are no variances requested or needed. * If the.proposed leaching facility.will be located with 250 feet of any wetlands,the bottom of the proposed leaching facility will not 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) //0 B)Observed Groundwater Table Evaluation(according to Health Division well map) LICENSED.SEPTIC.SYSTEMINS_TALLER IN TT -T-OWN QE BARNSTABLE NUh4RRR�0 (Attach a sketch plan of the proposed system_ Also if the licensed installer posesses a certified plot plan, this plan should be submitted), R, 1; Y � - -- - 11-5 ob 1 TOWN.OF BARNSTAB4E s: . > ocATioN 0 taua SEWAGE # 7v : .'1�IILAGE �:� 1. ce ASSESSOR'S MAP & LOT�7 ' `<INSTALLER'S NAME:&:PHONE NO. 7 5o4 > S>:PTIC:TANK CAPACITY �llt`7 LoAI :. �s <LEACHIIVG FACILITY: (type) (size) ::.::::::.'NO.OF BEDROOMS ;:.:BUILDER OR OWNER ;':;PERMIT DATE:� '7 COMPLIANCE DATE: /� ::':�:Sep`aration Distance Between the': . aximum 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 age of Wetland and Leaching Facility(If any wetlands exist :: :within 300 feet of leaching facility) Feet :::.furnished'by �• _. ... ... ------------------ _._ / >' 1 YOU WISH TO OPEN A BUSINESS? For Your information: Business certificates (cost$140.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 'I"FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) ON O la \ / Fill in please: APPLICANT'S YOUR NAME/S: .I BUSINESS YOU `I ' 1 # L• R HOME ADDRESS: �S'1 S n r� .�c��, `Zc1 1 1 ; V«�0 fI° "«iJrz TELEPHONE # Home Telephone Number Sob Sad 7,,l(o i� Y:tF.4?d'F.?:$:1RR,'o.Fr•ri'�kc 5?;•: -- _ . NAME OF CORPORATION: NAME OF NEW BUSINESS TYPE OF BUSINESS ' i i) IS THIS A HOME OCCUPATION? YES NO v1W?S ADDRESS OF BUSINESS 9v C 'aC.G MAP/PARCEL NUMBER -7`l�(�' — (Assessing) Whenstarting 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 COM ISION R'S OF E This individual jhalSsb n inf`i' ed o any er it requirements thatpertain to this type of business. th zed Signat * COMMENTS: 2. BOARD OF HEALTH This individual haUbeea-info ed of the permit requirements that pertain to this type of business. ' Auth riz d Sig',r�at e COMMENTS: tx 1S�� VS Y I �t 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) . This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: No.... THE COMMONWEALTH OF MASSACHUSETTS W13 OF CARD.... .. .....I -------- .. .... ....... Appliratilin for Dispaiial lVarkii Tomitrurtion Prrmit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System, ............ • Location-Addres;--- ............... .................................................• ..... .—.014-------------------------------- ------ • Address Ow r ... ....JV....r......... ...... '4Z ' ... ........... .................................................................................................. In ler Address T of Building Size Lot............................Sq. feet Dwelling—No. of Bedroom .... .............Expansion Attic Garbage Grinder a eria Other—Type of Building .................... No of Wrsons Sho%*Fs C f enftl -------- ... ... --- per person per day. Total '"-ow...........................................gallons. a Design Flow............................................gallons Other er fixt ures ........ '�daily Wdaily' ow. 9 Septic 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........................................ 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-.____.._____-_--_-____. f�i .----••---•--"------------------------------------------------------------------ 0 Description of Soil x U .......................................................................................................................................................................................................... W Nature of Repairs or Alterations—Answer when applicable ------------ --------------------------------------------------------------------------------------*--------------------------------------- ....-------------------------------. U ................................................................ ........................................................................................................................................................... ............................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'1111,LE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has 4bee ssu�e 4byt e board ofWalth. Signed.... .......... ..... .......... ................. ... ..... ... .. ....... ......... ........ ........... te Application Approved By....... .. ... ........... .. . . . ........... ..... .. . . ..... .............. .... .. e re.sons. .... Application Disapproved for the following so s............................................................................................. .................................... ........—.-- 0.Permit No...........e............ - Dae • D-"t No......... THE COMMONWEALTH OF MASSACHUSETTS BOARD H ....OF. ......t ..... ..... . ... .. ........ Apptiratilin for Uhipmal Works Tomitrurtion Vamit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System e, 'stem "51, ........... Location-Address ............. ....................................... ..................... --- ------0.&----�.&. -------- r Address .......... .....I................ ....... ........... .................................................................................................. In le'r, Address T of Building Size Lot............................Sq. feet Dwelling—No. of Bedroom 4W;0_vW------ .......Expansion Attic Garbage Grinder Other—Type of Building ....................... No of Sho Ca persons............. V*S 1.t 147 k4eria Other fixtures ......../--—---- ............ ....... .... .. ....&& . ........... 4U.1------ Design Flow............................................gallons per person per day. Total daily flow_._....................................................gallons. 04 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 1­4 Percolation Test Results Performed by.......................................................................... Date........................................ 0.4 Test Pit No. I................minutes per inch Depth of Test Pit._.._........._____. Depth to ground water----------------------_ 44 Test Pit No. 2................minutes per inch Depth of Test Pit..______....__._._.. Depth to ground water..._._..........._..___. C4 ............................................................................................................................................................. 0 Description of Soil.....................................................................................................----------...................................................... 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'T'LE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in J­ operation until a Certificate of Compliance has bee Tu by te board o�f/ ealth. Signed.. ... ... ................... .... ... ........................ ..... V, I Application Approved By__.__ .....1.4......... \.. .......................... ............ ....... Application Disapproved for the following reasons-................................................................................................................. ..................................... . ........ .... ............................................................................................................................ �e Date Perm-it No......................................................... Issued....................................................... THE COMMONWEALTH OF MASSACHUSETTS . ......... OAF�, OF HE6LT ....... ........OF ..... . ......... ......... ........ .......... Qxrfifiratr of Iff-fampliatta ,.0-CE TIFY t be tndividual Sewage Disposal System constructed or Repaired by............ ..... A�Ej.v y * -------------------- ------------------- ------------------- ...­...............................................--------------------------------------------------- /2,71 ........ 41 has been installed in accordance with the provisions of TI WO-1 5.of The S to Sanitary Code as described in the application for Disposal Works Construction Permit No.__&__0____7 . ..... dated-............................................... S,� .t THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. —) DATE...................... .................................... Inspector_._..----._..._....----- ................................... —------------ THE COMMONWEALTH OF MASSACHUSETTS OARD OF HEALJ7� OF . . ............... .....�37 N o3e. 0 ..............10 .. ........ FEE. .................... U. 1 0 , I . "=it Wor 4� ��/ n pt n._7 EE) Permission is hereby granted... .................�f .... ... ... .......................................................................------- to Const pr,4.Repair,W a? i�*ftal Sewage Dis o g at Pet _fe 1406-:----- ---------- ..... No..... -- -- --- S,Street as shown on the application for Disposal Works Constructionrre t'rvi� No a ed,.,.,v........ .... ........... - -- ---------------*---- ......... DATE......... -------------------------------------- Board of H Ith FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS JAN 26 '99 03:53PN A G M MARINE CONTRACTORS INC P.2 Sullivan Engineering Inc. 7 Parker Road �c Box 659 Osterville MA 02655 Peter Sullivan P.E . Mass. Registration No. 29733 phone 426,3344 a-mai PSUIPE(Paol.corn fax 428-3115 January 22, 1999 Site Plan Review Town of Barnstable 367 Main Street Hyannis, MA 02601 RE: 990 Main Street, Route GA, West Barnstable Mass State Ballet SP#102-98 Dear Site Plan Review, I have reviewed the available septic information and I have had discussions with the Health Agent regarding the above referenced property. I would like to summarize my findings. 1. The existing septic system was upgraded December 10, 1997 under permit 97- 702 and based on the as-built upgrade information, the present septic system has a capacity for 612 gallons per day. 2. The proposed use in Unit 2 represents an anticipated daily flow of 69 gallons which consists of 10 students per class, 2 instructors, and a small office of 120SF. 3. The total anticipated daily flow for the building is 508 gallons per day (see attachment 1). 4. In conclusion, based on the analysis as shown on attachment 1, the existing system has excess capacity for the proposed daily flow. If you have any questions, please feel free to contact me. Very truly yours, OF PMR SULUVM NOCMLL s Peter Sullivan PE Sullivan Engineering Inc. pLOfo ?� cc: Sam Geofirion Members of American Society of Civil Engineers, Boston Society of Civil Engineers RECEIVED Sullivan Engineering Inc. 7 Parker Road BAN 2 1999 Box 659 Osterville MA 02655 TOWN OF sARNSTABLt Peter Sullivan P.E . Mass. Registration No. 29733 BlUILDING DIV. phone 428-3344 e-mail:PSullPE@aol.com fax 428-3115 January 22, 1999 Site Plan Review Town of Barnstable 367 Main Street Hyannis, MA 02601 RE: 990 Main Street, Route 6A, West Barnstable Mass State Ballet SP#102-98 Dear Site Plan Review, I have reviewed the available septic information and I have had discussions with the Health Agent regarding the above referenced property. I would like to summarize my findings. 1. The existing septic system was upgraded December 10, 1997 under permit 97- 702 and based on the as-built upgrade information, the present septic system has a capacity for 612 gallons per day. 2. The proposed use in Unit 2 represents an anticipated daily flow of 69 gallons which consists of 10 students per class, 2 instructors, and a small office of 120SF. 3. The total anticipated daily flow for the building is 508 gallons per day (see attachment 1). 4. In conclusion, based on the analysis as shown on attachment 1, the existing system has excess capacity for the proposed daily flow. If you have any questions, please feel free to contact me. Very truly yours, �HOF `� PETER - ZL. Sj i ! SULLIV ,1 g' � N0.29733 731 CIVIL Peter Sullivan PE '�� FCI �►�G�� Sullivan Engineering Inc.. ipUAL cc: Sam Geoffrion Members of American Society of Civil Engineers, Boston Society of Civil Engineers F,-q S V-4cZa 1�2hdc;VLL.\VMZ DSTMUILLE AT SITS Q� lErCY►Fs, %9, 1999 990 M A%kl ST ZT (,.A, Q6 Y: A LI U h 2Z,1999 102-ga LA KL IT� v ErT-P,► L 1,(oZbSF 2 \►-i sc�cTo�Z s LI&I ►T o I� cS 1p STUOE�►TS STuD .►b t Z C�, sG►/ sTuozcv7 _ 6Q tea s� L a u IT Q m EAU TlY 3 m 5A lOopsF 506 TZN l F�L mn.:a-rces sEr u s l�3 t. 8s� t 6X�Q I X 1 .S cv►PCVJALL t41)Z x \.5 = ?►. Sr N iT co amAa LC AO l .G-r LC>7 e-SA 5 77 C-XALW' .'� m�op-TITLE AD, 000- F- A-C— 5Qa, CIALL.O 5 _ -3S8 G A C.CA'�--1, 52 42 is AcItc (T%TLES Acme=A%cm) '40, OCC S F n PETER SUWVAN NO. CIVI7 "' _ JAN 26 '99 03:53PM A G M MARINE CONTRACTORS INC P.2 Sullivan Engineering Inc. n9 9 7 Parker Road Box 6519 Osterville MA 02655 Peter Sullivan P.E. Mass. Registration No. 29733 phone 428-3344 e•mail:PSullPE(9aol.com fax 428-3115 January 22, 1999 Site Plan Review Town of Barnstable 367 Main Street Hyannis, MA 02601 RE: 990 Main Street, Route GA, West Barnstable Mass State Ballet SP#102-98 Dear Site Plan Review, I have reviewed the available septic information and I have had discussions with the Health Agent regarding the above referenced property. I would like to summarize my findings. 1. The existing septic system was upgraded December 10, 1997 under permit 97- 702 and based on the as-built upgrade information, the present septic system has a capacity for 012 gallons per day. 2. The proposed use in Unit 2 represents an anticipated daily flow of 69 gallons which consists of 10 students per class, 2 instructors, and a small office of 1208F. 3. The total anticipated daily flow for the building is 508 gallons per day (see attachment 1), 4. In conclusion, based on the analysis as shown on attachment 1, the existing system has excess capacity for the proposed daily flow. It you have any questions, please feel free to contact me. Very truly yours. OF PEiFR suwvm O 29M<Sj s Peter Sullivan PE Sullivan Engineering Inc. WAILF cc: Sam Geottrion Members of American'society of Civil Engineers, Boston Society of Civil Engineers JAN 26 '99 03:54PM A G M MARINE CONTRACTORS INC /� P.L3-.', kr%yQI � •a�v V 41.\V Ar.l rmci4 mm&u'T -z?AZ%:Lse An- SIT£ Q �0'na-ii 0aw 9 990 MA i AA ST Zr !m A '5AlZr45T ?EY.- J A&A UK" s t0 _ � I t60D S F � t 2 ,►�s�toeg I LIM )TOa 10 Srjole"TS y a. �. /STuCe77 � (00 .SyuD 1zo 5p cl 16 - 9 QFRaGGLcro Oki tT&v ZCA U t Y 3 Gib t 1?-,S �, 10D C�f G+b�c.� � 's m 5A L-DU Ll Ai SOB p� • CK�sT t�..iGy► �?mac. O+���T� -ram owr t N As 6'mn1 a Imp yWX.4% 7C 1.5 'lP9CVJ +Lt,a ()16tA1)Z- x %.S V ill. gr, 'Tb m t. Lcrr AR- = SZ 2 4Z 1 sF 111 A C.Q 440 '*I �Z 6 40, coo zg Ilk. PEW ...,.. TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: �; �c�\ Mail To: BUSINESS LOCATION: 9c% o e_4 L. r-�4, � . rN e rk Board of Health MAILING ADDRESS: Town of Barnstable P.O. Box 534 TELEPHONE NUMBER: Hyannis, MA 02601 CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: 5 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO -L0r' This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store: Quantity/Case Quantity/Case Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners T — r (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business �W d-7 Ll 8- r(7 I The•Town of Barnstable ' Department of Health Safety and Environmental Services ar'STAI= ' HAS& . Building Division 059. Eb MA�� 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner January 27, 1999 Sabrina Vaz 1431 Iyanough Road, #14 . Centerville, MA 02632 Re: SPR-102-98 Massachusetts State Ballet,990 Main Street Route 6A Unit 2,W.B. (179/001) Proposal: Dance studio for children to learn ballet and other forms of dance such as modern and jazz. Applicant hopes to have 10 students per class. Dear Ms.Vaz, a The above referenced proposal was reviewed at the Site Plan Review Meeting ofJanuary 21, 1999 and approved under Section 4-7.4 (2) of the Barnstable Zoning Ordinance.with the following conditions: • Revised septic calculations must be submitted to.Health Division by a qualified Engineer. • No more than 10 children per class shall be allowed at one time. This site is a 4-unit plaza with a full basement and located within the VB-B District and therefore the proposed use is permitted. Health had concerns over the adequacy of die septic system. The way in which to calculate the flow was discussed. West Barnstable Fire Department requested each unit be marked with a letter to distinguish units. Please note a building Permit is necessary prior to any construction. Upon completion of all work, a letter of certification is required by Section 4-7.8 (7) of the Town of Barnstable Zoning Ordinance must be submitted. Also, all signage must be discussed with Gloria Urenas of this Division. Respectfully, Ralph Crossen Building Commissioner JAN 26 '99 03:53PM A 6 M MARINE CONTRACTORS INC P.2 Sullivan Engineering Inc. 7 Parker Road Box 659 Osterville MA 02655 Peter Sullivan P.E. Mass. Registration No. 29733 phone 428-3344 s•mail:PSullPEGDaol.com fax 428-3115 January 22, 1990 Site Plan Review Town of Barnstable 367 Main Street - Hyannis, MA 02601 RE: 990 Main,Street, Route GA, West Barnstable Mass State Ballet SP#102-98 Dear Site Plan Review, 1 have reviewed the available septic,information and I have had discussions with the Health Agent regarding the above referenced property. I would like'to summarize my findings. 1. The existing septic system was upgraded December 10, 1997 under permit 97- 702 and based on.the as-built upgrade information, the present septic system has a capacity for 612 gallons per day. 2. The proposed use in Unit 2 represents an anticipated daily flow of 69 gallons which consists of 10 stUdents per class, 2 instructors, and a small office of 120SF. 3. The total anticipated daily flow for the building is 508 gallons per day (see attachment 1). 4. In conclusion, based on the analysis as shown on attachment 1, the existing system has excess capacity for the proposed daily flow. It you have any questions, please feel free to contact me. OF Very truly yours, IER AN �� s Peter Sullivan PE Sullivan Engineering Inc. pHAL - cc: Sam Geoftrion Members of American Society of Civil Engineers, Boston Society of Civil Engineers JAN 26 199 03:54PM A 6 M MARINE CONTRACTORS INC P.3— TTAGt-1 Sr ZZ-r &iZM51iN�- Y! J AQ U N" ZZ 19�e 1600 8 F . '� 11.1 S`'R►JC.j'O Q g Ll,s IT� 1�Pa.�c� �o Sn.)oeu-rs t %sTvpvu7 (o0 '6n''D ,p �' a 076 _ 9 u tObOsF' G 9 LV i • �x\�T t t✓iG� ��A.c. O���C �vIPCVJALL tA1)Z- x 1.'S '6►' lbz 0.77-A GlSf- j� ,T ZoLo ap tu6r L67 ��� - 5Z ),4Z 1 1,3.t A C.Q 44a 6g/ = S 77 C A(L0L SZ•421 g Aef-45 t!TtTLi~S Ac(te=AO,= OF 4c. 000 a R • PETER SUUNM NO.29TS8 CML . P Town of Barnstable Building Depamnent Complaintdnquuy Report Date: l J -'Z G — / Rec'd by: Assessor's No.: Complaint Name• P Q Location Address: 9� `i cu�t� .t� 1/ �p 2 Originator Narne: ' Street: Village: State: Zip: Telephone: D/E Complaint ` Description: quirY Description: For Office Use Only Inspector's . Action/Comments Date: 07 `� — Inspector. follow-up f p 1 Action rQ�� le ,emsS3-J— In Ors L .. y/� �f�f�1.L�.� •J�/ f�� q 1�115 WWP � oMM�ss,0 eAd(h6onal Info. Attached � � 1� Copy Distribution: White-Department File I'ellorv-Inspector Pink-Inspector(Return to Office Manager) TOWN OF BARNSTABLE SITE PLAN REVIEW DATE: December 29, 1998 TO: TomMcKean FROM: Anna Brigham, Site Plan Review Coordinator RE: SPR-102-98 Massachusetts State Ballet 990 Main Street Route 6A Unit 2,West Barnstable Proposal: Dance studio for children to learn ballet and other forms of dance such as modern and jazz. Applicant hopes to have 10 students per class. *ON THE AGENDA FOR 1/7/99 Please submit this form with any comments or additional requirements you may have regarding the above referenced application, to the Building Commissioners office by January 6, 1999. —I have the following/attached comments/requirements regarding this application for Site Plan Review. __I do not have any comments/requirements regarding this application for Site Plan Review at this time. 5 1 _(�9� (Signature) �a' ofe 9 199,9 c� A s � JAN 26 '99 03:54PM A 6 M MARINE CONTRACTORS INC C P.�3�— 1�W `f O�w � ✓V LL\V�� f�Ai��13�Z�1QLY S iT'w Q Q Ia%. / OaNUA." 19, 1999 990 MA,t& S-r ELT (-A ZAXM-57:A6G ?EY: J AI.(U h�.Y 22,1999 s l0 C�t Ll u rr I- 1,(o zasr @ 5° G. - a k � ,wsca,,x..toeg Llt,I 'T® a t�awiC� to SZUOeLT5 2. 0, sa/STVDgN7 60 iee 5F C, Is - 9 4 QFaGG kc u aT(&v ZL=AU t( 3 Ufa CS IM 6x f G+0.c.1c 3 m �.1 u ITO) C>Ff=tcc ?70 6 r tioao / f f �BIJ l t►a��a,tt'+'a-aTo2S 6a5� �w a. 6��t�. �>� I!o}C�41 7C 1 .5 '�vaD��c/ALt,o L6t�I�Z x 1.5 � a71. fir . . ITeO Loa �u `t"'o rp c. L crr f�Z.GA - 52 A Z l sF IS l A Q 440 St& GAU.v Ns 388 A LL.0SLA ".�.5 L s ikcca (-r►-zs Acae?ao cm) -oz, coo .57 OF PETER SUUNAN No.297 8 CML P Town of Barnstable 1� Application for Site Plan Review IE ---= -.- j 102, 98 Location Business Name: - Assessor s Ma and Parcel Number: Q l P 1 � Property Address: C{�(� (Y1 { �� 6.A ul ,j:!!;�. Owner of Property Applicant Name: M�n rA-i CW Name: Address: SA Address: tom` T. sr�nc�.lUh lZ L (1 ca� sZ t'f\C'— t1q �F �u� 1I� f1F1C�. Phone: Ci�)�{�q 1 Phone: S o�> q o Engineer Attorney T o4:'3'j C)� bFN' TBL Name Name BUILDING DSPT. Address: Address: ^, Phone: Phone: FAX: Storage Tanks Existing Proposed Zoning Classification Number: 4&y' Number: District: V ' L Size: Size: Groundwater Overlay: 1� Above Ground: Above Ground: Lot Area: Underground: Underground: Fire District W-RcArvn�OQQ Contents: Contents: Number of Buildings Utilities Existing- Sewer-Public riv t Proposed: '— Water- Pub ' nva Demolition: Electrical-Aeri nderground Gas - Natu ropane Total Floor Area by Use Residential: Parking Spaces Curb Cuts Office: 0o 5/-- Required: Exis�ng: 1 di al Office: r— Provided: _-3 S Proposed: On-Site To Close: �- Off-Site: Totals: Institutional: HP: c`� Industrial: (Specify Use) i,, 4 cyw e uch �� Are sb.fi r Old King's Highway Regional Historic District: APO1_16.417U 1U /T6`4) Approved? Yes/No Hyannis Main S ront Historic District: Approved? Yes o;• Previous Zoning Board of Appeals action? 7 In Area of Critical Environmental Concern? NO Project within 100' of Wetland Resource Area? W 0 Note that all signage must be discussed with Ms. Urenas at the Building Department Listed in National and/or State Register of Historic Places?:- Perimeter setbacks: _ Front: Side: Rear: 96Lot Coverage (buildings &pavement):_ aLi 01D Number of Floors: i I T(;ncooroy� Floor Area: rr-)_:z 4-Q!E,i cam First: Second: Other (Specify): &�_CQ_ yrrt �- Are there Accessory Buildings? 1n Accessory Building Floor Area: 1c, Please provide a brief narrative description of your proposed project. n �. Q n c 1 ano I assert that I have completed(or caused to be completed) this page and the Site Plan Review Application and that to the best ofmyknowledge, the information submitted here is true. �r, !2� , c1c18 Signj� Date • 5 JAPi 26 '99 03 54PM A 6 M MARINE CONTRACTORS INC P." A1 M ~ ' �U 1 A?.S-3'5,4,� S1T€ Q Qbl,a.,Ni OA.#4"A. ( t9, 1999 990 MA 1 µ ST ZZT AW U It Flo �. Ll ki IT L 2 ,►�sc�ctoe S l lna 1T® a 1�awic6 10 g1uvfe"175 12. /s-mvcVT t'sQ to 1Z0 5F 16 - 9 4 Qsralcrm tcro - L�u IT(&e Z ea U i Y 1 IN.'S 7-T C'm tipBpsF L l G 9' 14,K.At SIG Is 7 �viDtc�,c/sLt,o Lbt�1�2 x %.S $ 171. fir , �Z -6 I 0,77A GIST tT LoAgz iu To T L„er AZ.GA t,31 l�►c C� 4�4a = 5`77 z 6 OF �CE trT�'Nc5ACREs�,�� 40, ooa sF PETER SUUNM NO.nn3 CMl P i JAN 26 199 03:53PM A G M MARINE CONTRACTORS INC P.2 Sullivan Engineering Inc. 7 Parker Road Box 659 Osterville MA 02655 Peter Sullivan P.E. Mass. Registration No. 29733 phone 428-3344 e-mail:PSullPE(Paol.com fax 428-3115 January 22, 1990 Site Plan Review Town of Barnstable 3e7 Main Street Hyannis, MA 02601 RE: 990 Main Street, Route GA, West Barnstable Mass State Ballet SP#102-98 Dear Site Plan Review, I have reviewed the available septic information and I have had discussions with the Health Agent regarding the above referenced property. I would like to summarize my findings. 1. The existing septic system was upgraded December 10, 1997 under permit 97- 702 and based on.the as-built upgrade information, the present septic system has a capacity for 012 gallons per day. 2. The proposed use in Unit 2 represents an anticipated daily flow of 69 gallons which consists of 10 students per class, 2 instructors, and a small office of 120SF. 3. The total anticipated daily flow for the building is 508 gallons per day (see attachment 1), 4. In conclusion, based on the analysis as shown on attachment 1, the existing system has excess capacity for the proposed daily flow. It you have any questions, please feel free to contact me. Very truly yours, OF r METER SULLIVAN N0 ML?33 s Peter Sullivan PE Sullivan Engineering Inc. p� cc: Sam Geottrion Members of American Society of Civil Engineers, Boston Society of Civil Engineers TOWN OF BARNSTABLE SITE PLAN REVIEW 61A> e O� DATE: December 29 1998 � of TO: StevenPisch FROM: Anna Brigham, Site Plan Review Coordinator RE: SPR-102-98 Massachusetts State Ballet 990 Main Street Route 6A Unit 2,West Barnstable Proposal: Dance studio for children to learn ballet and other forms of X�' dance such as modern and jazz. Applicant hopes to have 10 students Per class. � '`� , ;y!'J *ON THE AGENDA FOR 1/7/99 3 5fcc0--'- Please submit this form with any comments or additional requirements you may have regarding the above referenced application, to the Building Commissioners office by January 6, 1999. CX(,V'j �3v __I have the following/attached comments/requirements regarding this application for Site Plan Review. 2 S . --_-1 do not have any comments/requirements regarding this application for Site Plan ( O Review at this time. -� -------------------------------------------- (Signature) Z��21 �a o � 30 3 2 voo� 11 -7 3 () f YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates cost $40.00 for 4 years. A Business Certificate ONLY REGISTERS 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 necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1st FI., 367 Main St., Hyannis, MA 02601(Town Hall) and get the Business Certificate that is required by law. Fill in please: DATE APPLICANT'S YOUR NAME/CORPORATE NAME 2 (J BUSINESS TYPE: /L B INE SS YOUR HOME ADDRESS: O G �� S A)� C /.�-V E DZ k� / L�/ 7T6 , s oP w ►� C"dvrl TELEPHONE # Home Telephone Number -a�D- 7 mail Address NAME OF NEW BUSINESS d Have you been given app ADDRESS OF BUSINESS Si UZ�v MAP/PARCEL NUMBER —66 -bb 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 CO ISSI NER'S O lFI This indivi ual e n ittfo m�e of any a mit re irements that pertain to this type of business. Au rized Signa re** COMMEN 2. BOARD OF HEALTH This individual has been inf r ed f the p it requirements that pertain to this type of business. Author" a Signature** COMMENTS: 11 Gl 3. CONSUMER AFFAI (LICENSING THORITY) This individual h orme f tcrjing requirements that pertain to this type of business. r" i * �� COMMENTS. s� �4tii1 s � yAe.Lly 5, s a t1 I ZONING �1 t �'c 110. 0, r. 110.40 o- VR B VILLAGE BUSINESS B DISTRICT UNIT 1 UNIT 2 UNIIT 31��-� 1"� k a a4 RF RESIDENTIAL F DISTRICT LLJ UNIT 4 � UNIT 1 UNIT 5 ASSESSORS MAP NO. 179 LOT N 0. 1 _ - V C r 0 z �OT AREA 52,421 S.F. i c5 cs 4r V AREA 33,750 S.F -i RF AREA -- 18,671 S.F. t I 1 ' 11®.39 _ 110.39, a _ GROUND LEVEL . I BASE�''��,�T V.�E __ KEY MAP KEY PLAN SCALE: 1" 2083.3' -- SCALE: 1 " = 20' - CERTIFY THAT THIS PLAN SH0`%S I.P. PROPERTY LINES THAT ARE THE LINE= co;l� pG ZI OF EXISTING OWNERSHIPS AND THE e 990 ma-t, � /ter STREETS AND WAYS SHOWN ARE THOSE OF PUBLIC OR PRIVATE SIRE-:.` OR WAYS ALREADY ESTABLISHED A!" THAT NO NEW LINES OF DIVISION OF EXISTING OWNERSHIP OR NEW WAY7 ARE SHOWN." 1 S` -' DATE: awG� 22, l g 9 U hr--i; -;IS cERTIFICA710N 1S � PURSUANT TO THE PROVISION",° OF G.L. 41, SEC 81X. I' CERTIFY THAT THIS PLAN FULL' ��•, AND ACCURATELY DEPICTS THE LOUj N i C.B. ', gyp, AND DIMENSIONS OF THE BUILDING A BUILT AND FULLY LISTS THE . UNITS ?OS. x C.B. THEREIN." 7. C.B. PHASE aI DATE: �a.✓c�(n Z . Ig90 F FARCES o r� / CERTIFY THAT THIS PLAN WAS PREPARED IN ACCORDANCE WITH T u.., _ C An•-3' PROCEDURAL AND TECHNICAL STAN . 2.00 - FOR THE PRACTICE OF LAND SUR\/ LOT 1 ... - ;� tN THE C^MMOY°'i_ALTH OF a �w yyP TOTAL LOT _,,., ;`rr MASS.ACHUSETTS." ° I AREA = 52,4 S.F. � 04 "'�-- EXISTING SfiONE WALL lb \� IN " p. .�o � I CERTIFY THAT THIS PLAN HAS r , OjA PREPARED IN CONFORMANCE VVr1TH RULES AND REGULATIONS OF THE PHASE I ,Z, REGISTERS OF DEEDS, I � PARCEL o�� ,�`�. UNIT 4 � AREA — 23,7 S.F. 1 UNIT 3 \ I UNIT 2 '� '' FO lSSRY USE ONLY �/� UNIT 1 F N OTE : I 6�0 PARCEL A AND PARCEL 3 Did NOT CONSTITUTE co ti A SUBDIVISION 01` LOT 1 , AND HAVE SEEN INDICATE.') O SOLELY FOR THE PURPOSES OF CONDOMINIUM PHAS�\N �'.�'?®Ii G [?APT. S.B. AS SET 'FORTH IN THE MASTER DEED, !Fi : DEC 2 9 1998 PUILDING LOCATION TIES ARE TO THE FOUNDATION. S 0 �j O s . � � THE BUILDING IS OI' WQtOD CONSTRUCTION AND THE " Lill z GRIVE �� �, - �u�K �AD o ho UNITS ARE NUMBERED 1 -- 5. ,9 SITE PLAN- �FT,�� PREPARED FOR Ni TWO BLOCK REALTY TRUST 40 6o NORTI--R SIDE VILLAGE CONDOMINIUM C.B. -�-��------ - rw � .', .:�,r ! PHASE I & I I �- _ ..�,I.. . .�.����� ROUTE 6 A 4- ,� E KCAL+_, = 20 WEST BARNSTABLE. MA. PHASE I i SCALE: 1 = 20 W.O. NO. 0033 DATE: —� FEBRUARY 26 19 — k , 8 FOLIO NO. F 878 I " ROafRT `y,'t DRAWN BY: DPA CADD FILE: 00335 n+zAMAN BRAMAN ENGINEERING COMPANY LTD No. 8942 / CIVIL ENGINEERS & SURVEYORS r �� FcIsrEE°'�` ----_- 258 MAIN ST. BUZZARDS BAY, MA. �i� ,� _A PLAN N0. • No..--- --••-• FE$............................. THE COMMONWEALTH OF MASSACHUSETTS • BOARD OF HEALTH ........................OF...f1.,!,n„►. ','?.ff.�. .-.-..... ......_.. Applirntion for Disposal Works Tontrur#ion rumit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: , i A t--1 to (` t t�1 r'r�lZc�•t_ / ...............__..................-•---•-----------.....---.................................. .................................................................................................. . 0 1-y, G 7-,_^r G I-ation-Abre s✓ or Lot No. -----•---•-------•-...'....... // I .................... ....., ---...........----...............................--••-----............................. I tl r 7 1Ow er !, Address f' 1.1, �.�U t-� - �. Installer Address .` UType of Building Size Lot............................Sq. feet I—. Dwelling—No. of Bedrooms.._.,....,..------„------------------------Expansion Attic ( ) Garbage Grinder ( ) Other—' Type of Building ...___v_._,}_.T---__..... No. of persons............................ Showers ( ) — Cafeteria ( ) d `p O�th,E� fYtures .---••-..----- ..---• ----- f........................................................ - ---------------------••--•--------- W Design Flow..................._........__._.........-gal oris.pe - erson per day. Total daily flow.__-----``_•-- ......................gallons. WSeptic Tank—Liquid capacity... ......gallons Length................ Width................ Diameter................ Depth................ p M P g .. ...___..____ Total leaching area....................sq. ft. --- ------• Di J___d c.U,-.,a a c i g .- Seepage Pit No.___..� _ Diameterf._.,.. e th below inlet.................... Total leaching area.'_.1._—.._.s t. Disposal Trench—� o. _. � Width_...._.._._. Total Length 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._,;.4/..I............ fs, Test Pit No. 2-•-r_ ........minutes per inch Depth of Test Pit./- ......... Depth to ground water.._,_-:-�................ D Description of Soil.!__cfn--.� . _�__-----`-_.�:.l ........-c :_�:�;.---•---•--i-J.....',---l---------•-------�---_------ .../__�---------------•---------•-- C { U ---••---------------------------------••-•---------•---------------------------------•---------------•-•-------------------•-------------•-- W ------------------------------------------------------------------------------------------------------------------------------------------ U ---•-- Nature of Repairs or Alterations—Answer when a licable_L P PP / ------- � = f------------------ ...............................••--•--•...........••----••-------••-----•----•---•-•._.........-•-------------.........---•-•----•-•---••-----•....----•------•---------•--..............--•••-......•-- 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 a ees t to place the system in operatiorit;:ikntil a,/r.Certificate of Compliance"has been issued by the board of healt P 11 °- / ned..�.'L-, ................... -'`=� :.'+�`: '/.�!... -f.fate Application Approved By......_.._. . __ { r9 �Application Disapproved for the f llowing reasons:------------------------------•-----•---------------------------------------------•--•-•- ; --------•----. ...............•-•---•-••-•--••------••-••--•------------•---...........•-----........---...-•---•----------•-•-•------•--•----•----------••-•---•---•------•-•-••---•--••------••-••-•................ Date PermitNo......................................................... Issued....................................................... Date t ' THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .. ......................OF.. ................................. f9rdifirn#r of Toutplinnrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by--------------------------------------------t\IL...Me A W......f:s?yv,t'-------•-------••--•-•-•----•-•-••-•......-----------•-----........................................... Installer at..................................... ... = ...... —a f A �t r� �. - I -------••--•--•----••-••-- --- - - has been installed in accordance with the provisions of TITLE 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.................................................................................... c f-1Z- `(:i t OpoT,HE COMMONWEALTH OF MASSACHUSETTS \ V11F_ F_1 BOARD OF HEALTH "cam C ...........................................OF...................................................................................... o C FEE....j�-.......... Disposal Works TrIonstr ion Viernfit Permission is hereby granted------. f A.L /...... ``'=Tt-----•----------•------•-------------------------•--....------. to Construct Y ) or Repair ( ) an Individual Sewage Disposal System at No............................1-Q?4,-.4...... -=-------------14J----t� �'1 It'd 1 �.. -------•--- Street S as shown on the application for Disposal Works Construction{Permit NHS__'_.%-_': .... Dated.._ .. `l-�"<i......... ...... N ................ -- ..... ....................... t �. 3 0 DATE . =.......................................... o`f--Health FORM 1255 A. )1111,.N, INC., BOSTON i WILLIAM LIEBERMAN REGISTERED PROFESSIONAL ENGINEER LICENSED REAL ESTATE BROKER 235 TIMBER LANE IMARSTONS MILLS) W. BARNSTABLE, MA 0266B (617)428-2592 February 10, 1986 Board of Health Town of Barnstable Town Hall Hyannis, Ma. 02601 Attn: Mr. James Conlon Re: Old Stage Parcel 9, Tax Map 179 Rt . 6A W. Barnstable, Ma. Dear Mr. Conlon: This is to certify that I inspected and supervised the installation of the referenced septic system in accordance with the variance granted on June 19, 1985 and that the system has been installed in accordance with the approved drawings. Very truly yours, `` Vdilliam Lieberman PE �w h.,, cc . Stage Builders No. DATE fd- o`TNE To TOWN OF BARNSTABLE FEE , - r/iv OFFICE OF DJHIl L 1111 M BOARD OF HEALTH ° 1639.�\� 367 MAIN STREET EDY�f k. HYANNIS, MASS. 02601 VARIANCE REQUEST FORM All variance requests must be submitted five (5) days prior to the scheduled Board of Health meeting. NAME OF APPLICANT OLIO %I�C E �tiC. TEL. NO. ADDRESS OF APPLICANT �y an/ NAME OF OWNER OF PROPERTY sue-- ,- y� l � SUBDIVISION NAME l�¢c���. DATE APPROVED - LOCATION .OF REQUEST -=_.- I7J VARIANCE FROM REGULATION (List regulation) &P/ f VARIANCE. REQUESTED ;(Specific request) - �i s 1n4.)E fD zz��Lz- d�a4'i /D Al- ��`Q 0c-5 rED l 10 rjgZ 7�CAE To Gyc G c: �.tiJ REASON FOR VARIANCE (May attach letter if more space needed) T. �r7 fi�5 � �r� os� �s ,'Eo i� k e G o4 e;'".vo 4ro,00 /id /e"', PLANS - Two copies of plan must be submitted -clearly outlining variance requested. VARIANCE APPROVED NOT APPROVED REASON FOR DISAPPROVAL Robert L.. Childs, Chairman i Ann Jane Eshbaugh i - Grover C.M.. Farrish, M. D. BOARD OF HEALTH ' l, .y♦ I t= Rr4r y Y "# 0 �. 1 y r f ♦ [-€ 1)• a k. p.. j R �,' y -'l -� '� t. 4f 14 h• r it)^ Z. r� S X. *��^ _ t' 9 •�iF �N�T�•�i�y e f tr 'Y f\ i.� ••} -i a t r -a r �' y* ,f' '}a♦ ,:fi �?a�d `4 , e�' 8.} k �i �� ;y � i r ♦ t r •, , 7 ::;F .r +t} �. *i,a� v }: i + k §{ '�.'7F p s*S .fi i ,.rr.' .r. i, ♦ r akn F . s '-1 a ):r` J - s " + 4 r r :R ♦ A- ;+ ,ri 6 ,F R.+ k .S''+9 �,, k � r' }V +r'�R ••tr �K+ _ ,D r� ,•' 6 f ♦, 't b a t +.. R + •. � ,1 r � �Y 4 � il9 n ':,,•rFr'k "M' 4��,: f i t �:! .n ;r r 1 t �,{c i `y Dv Y _ r �r' oaf {,: t, "f LH ^r' yso,Sn c 'y. rRfa ✓~I f r 6.°F" lr'�o. X ' rr }� , hs"' k+' 3 r' t��, :d't` ist' t1.F- Ss #4"� t +�€`! a*''(> �At » �,.r { a.'7 f.; '§ �2y R �. n f•y, c J- 6 ,. *. - a f, -�? ? v} �J.. !•^ 'ee a•!. 'E:' a, 't.Y.`}* ; .tyC4 t.' �'• y StrR�,�? # R` >`:� i,d ��-. t. _ �. ,tr � rJ_ y .. t ..? •. h DYv .:.k ,1 f t. 47. `d` .f 4` '?xk,r, kp€a ') _♦ !"'fi•'.';A. d .1 '• ",,� s -y'.^« l nrs r _. i�; ,' d ♦ r t; •,• "June>19; 1985 w,z` ri x r� r r ,;e R :c. •J.` C` .t .; .,•'fYyr f ..•'C' r;fy $ - t t .iCS �."¢ +.i X { fi + R' ,' r r 4+- R`ttl 'T� R r,C,�, r,,'C 'r fy •�, a + >g w �Pti'.) {� t�h�1.W" _ ,_� ��.� ♦#fi ��s`X a�,, at' . N= atr � � .�t �R j'1? J � �� ,),n1k. D,�,� r d� to r��`.,�.'n r•f>.{�r '!.n y�'D' y 1+. ,� , � 1 � ,a't ' +C �' 9 ;"4. .rR'�� #-+' 1 y '.x#i •:'�i 4" � ry s y .t; �i' F .y t � ++ t ,r 1!� 3 *it €+f •' .w r) �3 s �� I y ��235'�Timber Lane;; t�7 .F�.. r e } ". ..t •- -:a r ;} s rIT Jd r t.Y}�`a1 *eat'.. �,� ,i�X .u; l= •�,A � -y 'r .`. ;West Hatnstable '•MA 402668 .J*, -'.`✓ fir.;,t d f< } .. -r 'T '' "`i. n i r sh e, j R w ,,,,'`. r DearfMr. Lieberman: T� 1t d .t , • r ♦ y . > .a :1� + cd a��+' �I•.:X ♦ J f. r Ctu FW` •• . * +; , i r @ t ;'You,`are, r nted'a ;variance;==on behaUr`of your clfent, fold Stage,',Inc.,,to install 4°a`se"tic.leachiri it,.105 Pe t `from{" our proposed, well and 120=:feet from 'an q + K 1; f P g P , e q P P ,', g 'abutter's sewage leaching.spit;ron Parcel ;`-;Tax Map 179► ' Route". A, ,West, ,,, N t. . X 'Barnstable;"in lieu ofthe iegnired:l5U'feet;:wfth the Following-conditions. `G .+r.*4'$ d' +' ,+c q - a t,.,•t } + d .v•. .i ,r � �'•y+f E ait{ ,'+d"'t„a>r�::,#J r f.5,,, �. 4 a t 1.`� ..�. �i *. :R.'t f. �.,' Y ° �� grFa�`� �'X�•,, �gi�rr � -�i. designing engineer ,must be ,on site and supervise•"the removal of, all ' `'unsuitable r"vt vial as stated one plan. He`must°also•supervise construction x $* orf the system and certifyf in writ," to thet,Boats that' his design has been strictl adhered to prior to.the issuance-oft a Certtificate of Compliance. {.r ,,. X+ .-'ii fa+r•; � "' ) 'yy � 1a�'�� ..,(CFar '4 d ,71 YN �# c � ;,'+lX ..t.`'-:F r• {f + dr q `',k'^. ,''+. 4,. •4r , - }' 4 d�;, ! '° f"•� N.. Q)�`1The "well must be installed anii`� thev'water tested bacteriolo icall and t �� g Y,: � eta h� chenii lih prior tto i ie issuance,of a;Certif icate of r Compliance: The water, � s {*+v r r '�;: Yw � -�musst;'meet all cif the stanch ds established byithe"Safe Dr nkfng Act of 1974 k "fi�t X t}:j p.:'Zr",1`Nf � �. ,,,;ne.� �"," a I � d r i C _, t ••.i ,f. �r ,, } p �i; a. ,,,.. rk � ,. •R i R ,e.; 'MThe installat#on of a well servicing 25 persons.'or with 15'service connections "�r 4 f r .k!. R • - � r"`- a 1 is classified as aR, publicwater,.system (non-community) •andL'requires ,'the df_ y 4 w ""I"* • 4 n vapproval ,of the': Department of 'Environmental 'Qualfty Bngineering 'priori .to :construction. u d r '.iw''(- ` { ~ d �. *f f`. `.} _ a r• kt'r•,1 •'C �, ` r, i "4' `t 4-wt� s •f= } "+ e T*'X 1�'t f td j•' R�•' t. •_ .. {"/. , f • ;I' } • . +, "r v 4 > rh L t (4y The Aoff ces c �� ,r � i ) annot�be•�occupied�until they well.and septic systems are approved<r � �,,�• k byrttie Hoard of,.Health. kr1 �r ,r. z j R k a7i S �. tir d 5 �2 '.aw{•,.-f s ,.. 4,X*': ' t � R _ � �• �F.,:� � 5r, y;' # •,, 't �+�i r. a'a.. "° ra. q 'r y - i ,� ': ar .,, �x,k i-`� X, '� �f�,, * .. •`t- , DtD r<, 4 1t should be noted'that the designing engineer stated=that he''has located-ill wells a .. ,�k• S' ,within204 feet of the,leaching pits.,on`hie cerCified'glan.f ; `"'Y'' Ji d, f r c�=C't "r j jX -"+t at°C+axt:' a ;.k..+..wt +�.:6.-:.,a r r )r p - ' tlF 4_ 6�`. +• ,, r. D y. a 1."` -' yX tr ✓'' � F•j' '4 W r' zi �f1 t��' ,• - �j+ � r,>' r � r.. . r.R. '� it+ -^S f 'G t 'f 4,:. � �a�r`'v rt+=, ; ',Vet 'truly=,yours;'`• fr ht' � � �� ,.. r �.f y ''� L••.; di v��;r X ��; +t ;r �•a `` a t 1� Z'T p Ll iR ..{.. rb i -e^' rr'l1 4 r° Y f d :h r _ y � i4# '• / `'�.a, 3';.` nt` Ur... �• - wy ,.: t . ' a' ♦ •_ A X ,D'y of Y da�a. - .Y'F r F+ r 4 rt 'A, t 5 � � � �k.' r •t i �<,-� t' +'f�•a i,,�r 6 .r * ` ..� i =*�.� � 'R�. obert d Chairman.' fr ' 'l. P X ,• BOARD OF.HEALTH Yi9 _��,�f § >t•t ,1.:' a ', ft • }., 1:.:3 r d . ,' r t ,'fi""` �;'.''• ` ' T xTOW2`T ©FBAItNSTABLE '"�`r,, ;:" rnl r b' r, ,yi r j '1 '� ✓,p,{r t yrF ♦ .r, ! , x 4` k f f x`11 '� •t '4 r .tF 4s*'^ 'L +,t'f'�,Y s`...k' R -, 'W' t 7 f '*' :# 'Y r •'7 �. t x s- " s J ,i 777X��� .? f 'hr R; r .. .. "h - i;. r •, 0 r, R.�R a'=y„' For `� Ca '�,. :.,. ," rri '"' �, a D'r fi,•r r,^ ,.f A .F: i v', �+. ) ,`i'.5 r.:c ++'�a '�,r'. x f t r, D"}•a x Sr rY(V" JK Inm }t` �ktf a` k t,k.' '.,x •�t, R ..r {�, r�w' 5 Ai, R ra a .., 4 .:) a.. # .• ^ y. t .7 r0`6` -, k,-s• ! * r � . f } r ' r r cY .. •, i a•' k r_ t t r S a �rD k a) `� +wt :`tx"dJ lu,+t '� 't`° � X �k'`.x t "' * r rR r 'tT3 ai' t" "J • s•h t} 4.# D.q z-. a Y k ♦��x��x�ti} .t 175-- '.z*7P '.�,.a°r°i*k r, "a D-�cF !' y : -r'• i.'� .�rY{ s ,� S h 'y 'f " .�l:rY y n �:, ly �tr, � 7 a ,rwr[ #')n1'� 'av + 4 R �'� p 't ► �' . .. } 7. '> r., f 4 ...'� j t �- a �t _ .t n,?C ¢ •.-";.' ?r 'r 4 T fy { ± p.,`.€„t:i y x 5, u * '{•`+ _ .. t, rj +•R a r~' rY tar `$ d t ', .. R t 'k��a.R.�r' ��An +"y °` s ,t � ••i!•":.. f r,is 3 C ,;) r . r �.. ,�ti � � a ^, s r.i _'�'� T r�s �a e,�,. i .: r s. �r. ;Ht°!� ,{-.. �+�. "' :t � - r w � o��; •'; rr"R• ) �• +r •" f es fi'' q 'i , „ . + l.as is s •.• e.,R r 4y -y ts� a a. t ;' .w i L. �a S F ly r li, it°If £Ir+ ,yr Md ♦ ry f'r fe +> f,.• •f p , t t.. c � 1'7 4-Z, oLD STAB E Iac._ — STEP 1 Measure depth to water. table to nearest 1/10 ft. . . . . . . . . . . .. . . .. . . . 8 /6 /¢ 13,E date STEP 2 Using Water-Level Range Zone and Index Well Map locate site and determine: A) Appropriate ro riate index well SW�2S2 B) Water-level range zone STEP 3 Using monthly report"Current Water Resources Conditions" determine current depth to water level for index well . . . . . .g mo yr STEP 4 Using Table of Water-level Adjustments for index well STEP 2A , current d&pth to water level for index well (STEP 3) , and water-level zone (STEP 28) determined water-level adjustment . . . . . . . . . . . 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