HomeMy WebLinkAboutApproved Plastics Waiver - Oliver's & Planck's TavernTOWN OF YARMOUTH HEALTH DEPARTMENT
ll46 Route 28, South Yarmouth, MA02664
508-398-2231 extension 1240
DISPOSABLE PLASTIC FOODWARE DECISION FORM
6t5t2026 rssuance Date: (, I telh\L(o
Wanderson Coelhho
:I
Business/Organ ization: Oliver's & Planck's Tavern
Application Date:
Applicant Name:
Property Address:960 Main Street, Yarmouth Port, MA 02675
WAryER REQUEST DECISION (per the Di.sposable Plastic Foodware Rules and Regulations for Food Establishments)
J
R APPROVED - Waiver is granted. Applicant has demonstrated grounds for a Waiver from these regulations.
tr DENIED - Waiver is denied. Applicant has not demonstrated grounds for a Waiver from these regulations.
Reason:
tr NOTAPPLICABLE
Conditions of Approval (if applicable):Duration of Waiver (if approved)
o\QrftS t'tlulrceu
VARIANCE REQUEST DECISION (per the Disposable Plastic Foodwcv'e Rules and RegulationsJbr Food Establishments)
tr APPROVED - Variance is granted. Applicant has demonstrated that the enforcement of these regulations would create an undue
hardship and that due diligence has been exercised in seeking compliance with these regulations.
tl DENIED - Variance is denied. Applicant has not demonstrated that the enforcement of these regulations would create an undue
hardship and/or that due diligence has been exercised in seeking compliance with these regulations.
Reason
N NOTAPPLICABLE
Conditions of Approval (if applicable):Duration of Variance (if approved):
HEALTH AGENT OR DESIGNEE ONLY
NOTICE TO APPLICANT: Any Food Establishment or Takeout Food Delivery Service aggrieved by a decision of the Health Agent,
or designee, on its request for a variance or waiver, may appeal that decision to the Board of Health within 30 days for a public
hearing-to amend, ori.trrn, or otherwise modifu the decision. The hearing before the Board of Health shall be a de novo review.
Title:
Assistant Health DirectorBarry Lewis MBA CHO
Printed Name:
{-rc 9fDate
t:
TOWN OFYARMOUTH
HEALTH DEPARTMENT
PLASTIC PRODUCT WAIVER REQUEST FORM
Please complete thefollowing-form lo request relieffrom the Tbwn of Yarmouth Disposable Plastic Foodware Rules
and Regttlations. Plastic ntaterials classified under Resin ldentification Code #1, #2, and #5 are subject to waivers. If
you are seeking relieffor plastic products classified under Resin identification Code #i, #4, #6, or #7 you must apply
for a Board of Health variance.
BUSINESS INFORI\IATION
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BUSINESS NAME
BUSINESS ADDRESS
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CONTACT PERSONlr.,Dn)ner&J Co€t.uo l "'"^'q+o- g3G qaos l sos -36a b6ffi"^1" -ii^ro p-r,soNj C ol.,u prso N,C. PopN cvr.q . C o rn
PLASTIC PRODUCT DETAILS
MONTHLY QUANTITY USED PLASTIC TYPE
(BYNUMBER)
COST PER UNITPRODUCTNAME
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I r>mo .3o? 5CaJfid( c\./Ps f t,tOS
lcAsp,o ff(-oros /s;gs'r(ffutr
o WHAI IS EACH PRODUCT USED FOR?
o WHY IS THIS PRODUCT ESSENTIAL TO YOUR OPERATIONS?
o ARE THERE HEALIH/SAFETY REASONS FOR ITS USE?
S:aPRODUCT ABOVE PLEASE ANS\YER
1. -lhosg oo^l.rstuors erc used ro QpcY(p6e 6stJPodfessinjE; nNJd 60uC?S @(
born or-,,.;o /N qND lqyxo O\)r Oders ProPo(cf Saauob ?o<tiont bUfs heuP ftetenxs
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Reason
I h dt il)
n Supply chain issuessuitable a E Alternatir e creates undue financial hardship
health cl best
I
requestingEf"
' doLiuqted sq6o L..| 10 cusyomars rNhlLe ma;r\,rrAi
Q,fO LiT.-l r SPtr ifFTiOtU I S1'ftrJCtf d S tAJ0 Cocn p
PrnlP ftod,.rcr
u.ioOc€ kVrrh' Fbo$
SpPo-rJ besr P(nDrtc 8S. Ar.h Yime po t
Reasott for rcqtrcsting rclief:
ffi" suirable alternative E Alternative creates undue financial hardship tr Supply chain issues
blic health best
3' OroO..tcf has bee,..) r&rJritrieO rhnr ftgur,',JeS -rhs Sprne Levgt
ctr ?a(?cffoP,oCe *{e1L',abiUirl r a^/d Tood So0or.r ProTecrior).
Reason for requepting
R("
relief:
suitable altcmative E Alternativc creatcs undue financial hardship E Supply chain issues
fi?ublic health protection/food safety best practices
4.
Reason for requesting relief:
n No suitable alternative E Alternative creates undue financial hardship
tr Public health protection/food safety best practices
n Supply chain issues
PLEASE LISTANYAI,TERNATIVES YOU HA\/E TRIEDAND \\'HYTHEYARE NOT FEASIBLE:
vo NrLu ouflroA{ed FafuC b}sed, cocnPosrs b9 ,a"c A'ber.b*sec
Qure(ntQ'rives For PocriorJ oJPs, urcs 0 ryd Deuor't6e ftccgsIcri€s.
PLEASE LIST OTHER STEPS YOUR BUSINESS IS TAKING TO REDUCE PLASTIC USAGE:
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Ao c^)I (\J C8CoN/e 55p^USe frr-\C 0 VI a gIePrLA,O\,reY,;ht,D(gref
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InnnJ \.)toJq (B(-rn B YTrrpoIJPt)s C 0sON){(L 0N)rr Nr.loCoNJfiQpPorrt
-J vl t,DURATION OF \\AIVER REQUESTED:
(EX.6 N,IONTHS, I YEAR. SL]NINIER/SEASONAL)
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SIGNATURE DATE
#l Polyeth-vlene Terephthalate (PET) (rvaiver)
#2 High-Density Polyethl'lene (HDPE) (rvaiver)
#3 Polyvinyl Chloride (PVC) (NO u'aiver)
#4 Lorv-Density Polyethylene (LDPE) (NO u'aiver)
#5 Polypropylene (PP) (rvaiver)
#6 polystyrene (PS) (prohibited in the Tou'n of \hrmouth already) (I.tro waiver)
#7 Olher Plastics, including bioplastics and polycarbonate (NO rvaiver)
Board of llealth Variance Application can be fotmd on the Town of Yarmouth 'website under the Health Department,
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