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HomeMy WebLinkAbout2885 MAIN ST./RTE 6A(BARN.) - Health (2) .• 1 _ YOU WISH TO OPEN A BUSINESS? 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: , 4 >' 2 GD Fill in please: . APPLICANT'S YOUR NAME/S 'n BUSINESS YOUR HOME ADDRESS: cJ '0 Lc lin 4 02 30 x ' TELEPHONE # Home Telephone Number D 0171 Y {e..A�uG i 1'IC� !.♦-'.+Jiyit _ NAME OF CORPORATION- A NAME OF NEW BUSINESS b. 2\� TYPE OF BUSINESS IS THIS A HOME OCCUPATION? YE N r? 3 2� — S ADDRESS OF BUSINESS 2Z d h MAP/PARCEL NUMBER (Assessing) 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 COMMISSIONER'S OFFICE 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 been infor the per it requir ments that pertain to this type of business. Authorized Skinature COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORIPi TY This individual ha n infor d df the licg quirgnents that pertain to this type of business. Authorized Signature COMMENTS: d (� 1 u►►a ul 11aullstuuic -- ��� Department of Health,Safety;and Environmental Services Public Health Division Date I "I 367 Main Street,Hyannis MA 02601 , r 41 :. _ Time Fee Pd 1© Date Scheduled NJ�:1•� )o w... t oil Suitabilit Assessment for Sew,age;Dcsposal . . y i T ..` Witnessed 6y:' Performed By:kg:L��� LOCATION & GENERAL INFORMATION �eNs Location Address V- f Owner's Name �an� �'�S sy� Address PO ip¢' J Engineer's Name Assessor's Map/Parcel: �,1 Ct NEW CONSTRUCTION REPAIR -Telephoned Q,,,,, ,Q Slopes(e�,) -- $ Surface Stones Land Use n�� Distances from: Open Water Body-G�' -ft Possible Wet Are e-r-f�,---ft Drinking Water Well ��ft Drainage Way 11 qq�� ft Property Line �_ ft Other ft .�— of lot,exact locations of test holes dt pero tests,locate wetlands in proximity to Well) SKETCI I:(Street name,dimensions A Parent material(geologic) 4A1 Depth to Bedrock Depth to Groundwater: Standing Water in Hole:/ o n/,X- Weeping Prom Pit Face Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL MGH WATER TABLE Method Used: N In, Depth to soil mottles: In. Depth Observed standing in obs.hole: In. Groundwater Adjustment �• Depth to weeping from side of obs.hole: Index Well N_ •grading Date:,_ Index Well level...---: Adj.factor Adj.Groundwater Level - PERCOLATION TEST bite Observation r 5 Time at 9", ...� Hole q ��1 —.: (y0—7G" m lime at 6" ' Depth of Pere � Ad,�M Slant Pre-soak Time® 1 Time.(9"«6'7 * �• o j:t µH •. _ End Pre-soak Rate Min./inch Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(YRJ) Original: Public Ilealth Division Observation Hole Data To Be Completed on Back—� Copy: Applicant LOG Iltiic# ur,I�r Oil�Sr,Itv1 111011111 IIOLr Soil Other Soll'I exlure Soil Color Atoltling (Structure,Stones,Douldetes. Ikpllr from Soll Ilorizun (USDA) (Munsell) 2— G 4 Z•?y LCI� �..... other pI,Et P OBSIZOA'X'ION IInLCn color soil Soil I lorizon Si;ll'rexlure.: I (Munsell) Mottling (Strueia re,Stor.�s,Dmdderes. Depth from (USDA) Surface(in.) G- d i ,S1y o'I a� Son Other DEEP O"SC11 soil oil 7exlura IO1V 110LLiL'�O Mottling (structure,Stones,Doulderos. S Dcpgr from Soil Ilorizon (USDA) (Munsell) Surface(in.) I)LI;1' OBSERVATION HOU LUG Soil other' soil'rexture Soil Color Mottling (Structure,Stones,Daulderes. 1)cptll from Soil Iloriron (USDA) (Munsell) Surface(in.) . . _.._ ..,.p nAte Mart: Above soo year hood boundary No_ Yes — Within 50o year boundary Yes — Wllhin.l0oyear flood boundary NO Yes 1 th'o( aturnl V. CCU , ervious material exist in all areas observed throughout the, ; f naturally occurring p area proposed for the soil absorption system? � Does at least four feet o — If no(,What is tine depth of naturally occurring pervious material? ertlric�tllZri ' (date)I have passed the soil evaluator ex ination approved by the 1 certify that on I)c,ertnlent of Envirotlnlen al Protection and that the above.analysir was p 7formed by me consistent with I ,,;v_dcscribcd in 310 Ct L l wl a ul Wl ►►St�tU►t l ,, _ -(_tv_.-._ - �d' Department of Health,Safely,and Environmental Services ds n+o Public Health Division Date l. L — 1 -C1 V ���� , •„ 367 Mein Street,}lyennb MA 02601 ...0 M .. toyMAW Time_l1-A Fee Pd. Date Scheduled -r,r_/ 1 _. `_. 3. 'w i+ age.Dis osal M ►Soil SuttaGcicty Assess►nent for sew p .�. IS ; �Qp Le Performed By: •D Witnessed By: LOCATION & GENERAL INFORMATIO Location Address a, 87 Rk�- d 79 Owner's Name l Address / Engineer's Nome Assessor's Map/Parcel: NEW CONSTRUCTION °N,RERAIRM1; t Telephone A Land Use Slopes(%) 3 ^8 Surface Stones Distances from: Open Water Body R Possible Wet Area R Drinking Water Well �✓ R Drainage gy4L(4� Property Llne4_ftoth� R SKETCI I:(Street name,dimensions of lot,exact locations of test holes dt pero tests,locate wetlands In proximity to holes) L J�, ® Sod 4— Parent material(geologic) ;p /Y/e't� Depth to Bedroe!, �✓� Depth to Groundwater: Standing Water In Ifole:/T D(V4q:-- Weeping from Pit Face(V o y , Estimeted`Seasonal'high Groundwater - DETERMINATION P'OR SEASONAL HIGH WATE>E TABLE Method Used: Depth Observed standing in obs.hole: in, Depth to soil mottles: In. Depth to weeping from side of obs.hole: in. Groundwater Adjustment_ n• Index Well N___•.._ •grading Date:_r Index Well level...___ Adj.rector Adj.Groundwater Level PERCOLATION TEST ' brie �"MOL . 4e all Observationt s• Hole A "" Time at 9" l Z, O L (its�. „ , Depth ofPerc: ) Jry—� '� L�� p `Time at " .........`` Z Start Pre-soak Time Q 2%�Z,. ; "' Time(4"w6, End Pre-soak. Rate Min./Inch Site Suitability Assessment: Site Passed Site Felled: Additional Testing Needed(Y/,J) Original: Public health Division Observation Hole Data To Be Completed on Back-� Copy: Applicant LUG ► Uij5r,ItvA•r1U11111dLS soil Ulhcr Soil'texture Soil Color ' Mottling (Structure,Stones,nrnrlderes. Ikplh from Soil Ilorizon (USDA) (Munsell) Surfece(in.) jnrp��Y -- 2" -'e AlU .:...i10lt # 11OLt ,�� Uther Urml 013srItVA•1'101 So Soil �Iones,poulderes. Soil Texture Mottling (SttictuM a -- Ueplh from Soli Ilorizon (USDA) (Munsell) Surfece(In.) U YP';1 0-6 cam• 2.,'Y� ' go,6o G (a(7-4 qq CZ UIF.1;1' OIISCIWATION 11011 LOWsoil stones,noulderes. Soil'rexuue il color Mottling (Structure, I)cpth from I Soil Ilorizon (USDA) (Munsell) Surfnce(1nJ I[U.LC LUG 110le#o :` I)L.1�,1' UUSCItVAT.UN Solt Color Soil Stones.Ilooldcres. Soll'fextute Mottling (Slntclul I)cpth from soil Ilorizon (USDA)- (Munsell) .. Surfnce(In.) ur Above Soo year flood boundary No Yes Y 4 . No Yes Within S00 veer boundery • Yes d boundary No,_.._ Within,,00 yerN ar flood - +L '. ,.. . �.....,_ u Y E bout the b pervious material exist in atl areas observed throng t Does at least four feet-of naturally occurring p area proposed for Cite soil absorption'system? _ -- If not,what is the depth of naturally occurring pervious material? (date)1 have passed the soil evaluator exarninatitin approved by.lhe 1 certify tltnt on ' onmental I'rolection and that the above nnalysis wns ne�fvrmed by me consistent with ,tent of Lnvit ! R CMR I s.017. ,.. o�n�►t� tr1 exi�erirncc..described in