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Home My WebLink About3985 MAIN ST./RTE 6A(BARN.) - Health e8 - Bar'n's' table' .. _- -- 033 e LOCATION SEWAGE . PERMIT NO. - 34,93' 3 s-� PILLAGE � INSTA LLER'S NAME i ADDRESS S U I L D E R OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED -��.,g�, J3 yl 6' d Ali 0 r3 -3S_ ® j3 No.. ................ Fxs..... .... � THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH f/ a o01 ........ o '"'.................OF... e� � .s>4 Z .- Appliration for Dig wi al Workii Tnnitrurtiun flamit Application is hereby made for a Permit to Construct ( ) or Repair (k'j"'an Individual Sewage Disposal System at: 9$ �tH s� C��«,�•� if ..................................................... Loca ion- ress/ oror%Lot No ........................ /A9A /��Owne��jj /!L/Z-t.'.�..�------------------------ ----------_.•_---. �--'��J /7c._/7FP./L6 ! S(7 a$f s�/ S/� //'/l�� Oh c /,113 .. ....................•••--•.... .................-- Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............ .............................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures ...................................................... W Design Flow............................................gallons per person per day. Total daily flow-------.....................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ 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_-___---.-_---------_--. w Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water------_................. 1:4 -------- - --- ......... ••••-------------- -•--•------•----•----------------------•-------------- -------------------------- O Description of Soil--------------(c� ' �''" wa s 4 f 1�.......----------------------------•--------------- x U --•---••--------•-----•---•---••...............••--.....-•---•-•-------•------•----•-----••••---•---•--•-----------•---••-••----••-••------•--••••-----•-••••--•---•---••----•--••----•--•------••--•••- W -------------------------------------------------------•-----•----•------------•••-----•-•--------------------------.---... _ UNature of Repairs or Alterations—Answer when applicable--------L_y_g V-____:� Q.a_._ �. _. _�% �4N yid " 1�?f�lf 'N3A�' ��`tk r ?K -- 1`�7 - =fit t� -!�'� 1�✓,l � Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T t IL 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beeRisby the boarddof health. Signed....... -----•-------rd�• o -------�-----------•--- Application Approved By.... ..... 7 Date Application Disapproved for the following reasons-------------=---•----------•--------•---•------.............................................................. ........................................................................... ........................................................................................................................ QQ ------•----•--Date..---- Permit No... +.... ---------.. Issued_ Date 1 • an r- No.... ................... Fss...............lJ,............ MONWEALTH THE H BO!- RD Of F MASSACHUSETTS M�/'•'lLTH Y --------/ ..........................`" OF......... ' " ...3`a /_.• Apptiration for BwvoiiFai Works Tongtrurtinn Pumit Application is hereby made for a Permit to Construct ( ) or Repair (l._�an Individual Sewage Disposal System at �^ y�� --- - --------- � �Z�on- l� - or�L/ot,tio:�C CL<`• --------------------- --•------..._.......----------------------•--• •--....----- ...- 4`? �wnez;, Sv lA✓Oils7.9.� S/press /v/eii.ffOei s �//S Installer Address--------------------------------------- d Type of Building Size Lot---------------•--_...._._._Sq. feet aDwelling—No. of Bedrooms............!...........................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther 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 ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water_------__-_--__---._---. LT, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a -••--•... -----••-•...... ...........•------ O Description of Soil________________�G_�` - S4-^ 4 c��Ye. G�..<,✓� �,� x ....-------•--•--••.............•-------- / .................................................. W ................ ....................................................................................................= U Nature of Repairs or Alterations—Answer when applicable_......_Z_`_y s :�_�._..� 1 ' .. 4.•f_rf'7, 74-...................................... _�`!20 ....................................... ��J i_ 7 ..So't Gftc t.v,-r*�v� C j4� 4� /,/r�J�t�f�-. St. -1� 1r• .... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T I T Lip 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been iss by the board of health. Signed _ -r..... Application Approved By..... 1/ .------. v �•---•--...... --.----d,. ._ C� Date--•••-........ Application Disapproved for the following reasons:------•-------------------------------------------------------•-----------------•------------------------.....-- ....•••.........••••.................................•••---...._.. -.-------•---------------------------•--- -------------------------------------------------------------- Q� Date PermitNo.-- - - Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �a ............. �Wh..........OF.....T4 .s �.................. �rr�if irtt�le laf f�nnt�r�i�anre THIS IS TO CERTIFY, That the-I dividuaI Se e Disposal System constructed ( ) or Repaired by -------------------•---...._..... -` �1�`' 'qa (X -------- eller at ••.....•------------------------•-----••-..-----•---- -••- f� u has been installed in accordance with the provisions of T S o� to SanitaryCode a e in the application for Disposal Works Construction Permit No.. T _'..__.. dated.......___ --u- ------------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CON RUE® AS A GUA ANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...............7..-...1..�..." .................................... Inspector-------------- _, _....... THE COMMONWEALTH OF MASSACHUSETTS 'ry 35, — O3 3 . � �_ /BOARXX AE�ALTI`J- � ...........U..........0F.... �1/:�-.��... ... -.. L&.............. NO.._{,r-•v.....:�.. � FEE---- Bill 1111 n kii Tono#r ion antic Permission is hereby granted.-•------.4-/Q- Q..... to Constru� or, epai ( n Indiv�'`�ual Sew jat j/�> os S st T Street �. as shown on the application for Disposal Works Construction er it No..t�.''. ated.._..r�..�� .-.-_- !��' - •-------•--••-----••-- DATE. ........................................... Board of Health FORM 1255 HoeBS & WARREN. INC., PUBLISHERS #2 Fuel Oil Spill Location: 3985 Main Street, Barnstable, MA 02630 Owner: Mr. Richard Burling Map & Parcel: 335-033 On February 12, 1990 Mason Associates Inc. removed two underground tanks. One was a 110 gallon and the other was a 550 gallon. Both tanks were leaking and the tanks are also unregistered and of unknown age. Capt. Glenn Coffin of the Barnstable Fire Dept. was on site prior to my (DZM) arrival. Groundwater is estimated to be at 10 feet. The soils consisted of a great deal of clay. According to Mason Associates Inc. photoionization unit he was getting a reading of 70 ppm. This site is less than 100 feet from wetlands-there is a running brook in the rear of the house. Brett Moscatiello of Mason Associates Inc. was to call DEP to report the incident. Note: On July 15, 1988 this house upgraded their septic system, Permit# 88-359. John Aalto installed a 1000 gallon tank and five (5) flow diffusors. 4 -too a6AO am PIMPICArION OF ASBESTOS WORK (In accordance with the' provisions of M.G.L. C. 149, 96.6F and 453 CNR 6.12) All sections of this corm seust be oompleted in order to comply wits the notification requirements of 453 CNR 6.12 TEN DAY PRIOR Nor-racATtON is RLrgump Oh ARr APAT SZOr PRW80T . . MAWR rRAN.4'g ig (3) uhTAR OR SQUARE FEBr PU Me NU MBER Contractor Performing projectAirSafe International. Ltcenso•M AC 000011 Do prevailing rates of wages apply to this project as required under M.C.L c. 149, 925, 27 or 27F? (Circle one) YES No Address of Pro ect Building Name (if any). ` Street Address •3 Y rj ee� e, 5 o C' City A. Project type (circle one.): DBMOLSTION MMOYATtON REPAI OTHER IF 40ther" selected, please expiein Asbestos Activity: (circle one)i R CAPSULATION ASSOC,tArED PROJECT I 110supi indicate amount of: asbestos surface on pipes or ducts aZ.� LINEAR FEET OR asbestos surface on structures other than pipes or ducts to be removed, enclosed or encapsulated SOUARB FEET • Start date_ /l P,A weekends? - Completion. Date // Project Supervisor Name Kevin. q2rnelissen. Certificate- p SF05892 Asbestos Analytical Lab Name Certificate N Name 6 Address of disposal sitets) Ham $anitar Landfill SwF-2032-86-•Ml 8,.,. °: Radr P.o.. Box _576,. Peterstown, WV 24963 It asbestos mttract wrftteo or vesbel? Contractors Florkers, Coapensation tnsuter Po 1 i cy Ncvabet r.,.=Lj.1?s.4.� Facility Owner Address City State Sip Description% of work practices to be followed: Proper Glove Ba2 Removal ti Description of decontamination systemis) to be used Mini 1-2 Chamber, 6 mil poly decontamination facility (clean room and dirty/wash for two chambers) . Description of handling/disposal methods to comply with 453 CMR 6,14t2) (q) Keep A M Name and address of trarisporterrs) If other than the asbestos contractor: Blue rass Trans ortation Co. , -Inc. P.O. Box 351, -Catlett sbur .. KY 441 2 y The undersigned hereby states, under the penalties of perjury, that-;he/she has read and understood the- ommonwealtb of Massachusetts Regulations for the Removal, Containment or Encapsulation of Asbestos,, *453 CUR 6,00, and that the Information contained to this notification is true and correct to the best of his/her knowledge and belief. Date 1'� � Signed: Title: P_ .roi t Coordinat2Z Company:- -AirSa.fe International . Ltd Please return this form to:- Asbestos Control Technical Services Department of Labor and Industries Division of industrial Safety 100 Cambridge Street, Room 1101 Boston, MA 02202