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HomeMy WebLinkAbout0171 CAP'N CROSBY ROAD - Health 171 Capt. Crosby Road, Centerville 1 r I A= 193-167 I M No. 42101/3 ORA ESSELTE 10% 0 0 0 0 03--1'f-_:7w0 11;36AM CENT OST FIREDEPT 5t3B7902385 P.02 snawe d1JHrwai1vi1 w ivcat rue uepartmQnL 1 Fire Department retains original ap pl ication and issues dup carte as Permit. ,. � ��rimeo2CriL��r-e �xvicea — ✓�acr�xc�t��o�• .✓;ueueirru�rt� �:f'7�.�t--'-�'' APPLICATION and PERMIT Fee:�n `or storage tank remcveJ and transportation to approveC tank disposal yard in accordance with the previsions of M.G.L. Chapter 146. Section 38A, 527 CMR 9,00, application is hereby nude by: i Tank Owner Name(pkmse print) William Corbett X agrtuuro aw imp rpsim•r Address___ 171 Capt. Crosby Lane. Centerville, MA 02632 _ uf°N "'�►' Su» Zm Removal . • • i i Company ;Name Advanced Environmental Cu or Individual Advanced Environmental i � ( . i m „n i Address P.O. Box 472, S. Dennis, MA Address _ } I t I Print rint -- f SiV-1atur it piyi rhr=e �) ' Sign"it;aQpP,"C;cc 1 IFGI CertNec !/Other � IFCI CeK:fied Other i • • 171 Capt, Crosby Lane, Centerville Tank Locafion 3te•r.4fer•xs �n - Tank Capacity allcns 11000 Substance n2 Fuel Oil Substance Last Stcra: i i l Tank Dirrens:ors(dia m-x Ieng;h) 1 Remarks: Il i I I — — i I I j Firm trar3pQrting,aas.,e Advanced Environmental State Lic.# MV5083856100 I i iHazardous waste mar. = _ E.P.A # Approved tank disposai.:Eri J.G. Grant Tank yard03501 i 1 Type of inert gas Tank yard address Readville, MA i Centerville 01920 City or Town _ FCID Pertr.it# March 15, 2000 Harch 29, 2000 Date of ssue -Date of expiration i Di sales royalrumbs_ 20001103672 y, 9 pp Dig Safe 701! . Tel.Number-F.00•.22 4aaa i $ioratury!Titfe of Chose zranting permit l I I After removal(s)sand Form=�)_29OR signed by Local Fire Dept. to LST Regulatory Compi anc* ;nit,Cre Ashburton Pace, Room 1310, Boston.1 :2';8-1518. F�-'�2(coursed 9V961 TOTAL P.02 11:36AM CENT 05T FIREDEPT 5087902385 P.02 ,nave apPncauvr+ w ,ucat rue uepartmenL Fire Department retains original application and issues dupGrate as permit. Q v t l�%✓i�7/jY��Q�l2GG�GL�,,�f2 C'�����C�sklGZC/Zll.1��� a•�,.L��-.-;y __..��77••�� t� T;�vv r fair, �� �e x•(imP�r2���i�r-e ' exuiCea — ✓�acr�xc� �rrxe �y.P„�ru,`i�n� r� i' ,APPLICATION and PERMIT Fee:_,. 25.OQr_ for storage tank remcvat and transportation to approved tank disposal yard in accordance with the provisions of M.G.L. Chapter 148. Section 38A, 527 CMR 9.00, application is hereby trade by: Tank Owner Name(per print) �Wiliam Corbett l X i - J�r11wro d ourJir'J fo,yHms Address 171 Capt. Crosby Lane, Centerville, MA 02632 _ $(1QN City $atv tD . . - I Advanced Environmental Advanced Environmental Company Name Co. or Individual ?•inr Print �— t iddress F.O. Box 472, S. Dennis MA Address ' Pet arrn� Sigr atur R piyt r=e •) Signa�ue�fit ao� e r'cc I IFC1 Ca Sec Other L11-1 IFCI Certcfied = LS= 4 Cther � i Tank • • 171 Capt, Crosby Lane, Centerville f I Tank Location i - - 5!0WAddnxt w? j Tank Capacity(gallons 1,000 Substance last Storms #2 Fuel 0i' I 1 Tank 0imenslcrs(die. -s x length) l Remarks: --.RL�gQ I (t=M&M 1 j Firm transporting waste Advanced Environmental State Lic. MV5083856100 i i Hazardous waste mari-, zF _ E.P.A. _ Approved tank disposai-jud J.G. Grant Tank yard } 03501 Type of inert gas Tank yard address Readvi lle, MA l Centerville 01920 I City or Town _ FGID#_ Penrit# Date of issue March 15, 2000 Date of expiration March 29, 2000 j Dig safe approval rumcv 20001103672 �ig Sate Toll Fme Tel.Number-800.32_2-4844p I Stanature/Title of O scar_ranting permit After removal(s)sand Fors=?-290R signed by Local Fire Dept.to LS T Regulatory Complfar ;Jnit,Cre Ashburton Pace, Poom 1310, Boston,1WA CZ:;8-1618. FP•292 fromsed 9/961 TOTAL P.02 Ir No. h4o" w� " /Fee A�a THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Application for Migozal *pgtem Con6truction i3ermit Application is hereby made for a Permit to Construct( )or Repair(-`5'_an On-site Sewage Disposal System at: )Location Ad�ss or Lot leq�w/l. Owner's Nam ArdldL7r&1 and Tel.No. [/, �o l& Installer's Name,Add*&ffeaN00 Designer's Name,Address and'Lel.No. 350 Main Street W. Yarmouth, MA 02673 Type of Building: Dwelling No.of Bedrooms 15 Garbage Grinder(� Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Description of Soil 44d Nature of Repairs or Alterations(Answer whe applicable) d l^ r by D I"tS4rl'tc 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 ode and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board eal Signed Date Application Approved by - Application Disapproved for the following reasons Permit No. % , ---Q Date Issued ''1 No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS Application for. Migpogar *pgtent Congtruction Permit Application is hereby made for a Permit to Construct( )or Repair(--Ian On-site Sewage Disposal System at: I/L7ocation Adoss Lot s N9,Ad�ress d Tel.No. � / O�/ Pj6vi )Q a 7 Installer's Name,Address,I tbo-CANCO Designer's Name,Address and el.No. 350 Main Street X � W. Yarmouth- MA 02973 Type of Building: Dwelling ' No.of Bedrooms '3 Garbage Grinder(_11� Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Description of Soil A01/, i� Nature of Repairs or Alterations(Answer whetl applicable) /I.Si* P l" f l0e)6 W 3 / J)ter?e— m� q- 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 ode and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board eal _ Signed Date Application Approved by C I ffF Application Disapproved for the following reasons Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System installed( )or repaired/replaced( -'Iron b Ad/C a for a✓// ellr7/'6e l7_ as has been constructe4 in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No7 2 '' dated Use of this system is conditioned on compliance with the provisions set forth below: i - C t No. q,01"R a.so Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Miq gal *poem Congtrurtton Permit Permission is hereby granted to L D to construg( )rep ( 4�iffOn-site Sewage System located at / 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. All construction must be completed within two years of the date below. _ s Date: '�� ! Approved i y •_f �+ Mr "" '« �r ii j' 4t ...r ,.Y• 4 },..• ,. . ; 1 y. t�i- r" ,y �;+�.'!" •. ;3 j IJ ,:tyf� �` y !�~•%' t`��.. ,`l . •�', C�Q^♦ '��'1 k{'[„`a# r,�.r.�1'" yT`Gy.•','`ty ^`Y•/` L ) �,a•} 1.1• 4.ytr �� Y ,1 { y:f. aT! M r{ rJ. 1 •7{'{t� Z,t.+Fd j, j.-5 ".i,�!=i.� .,'t .�.•il►Q���J�.� � ,•4 i' t! ��.� t 'j�� k {�••` 1 't t�;,; �' r ,�1i•�v;-. �� �•1�•�W t !�o � of ' . w� .,, q.t�D { i 13 ,� .•,0, Y '�iL.. " w. S t , - tit ;.•�N {. '.ly2i� 1 F �. •�_..r++.�"•'.• . uSE }1 OoXo GAL_: r';, •�; �r •� .Y t d ..,+. � �•�p��,�y���� f� ., yam+. j.y)) ��' •� /�,� ''y y,=.,.�CJV },t�.)l;�� .J��.f; � .�/ I�i•P 1r.• � '�F r�' .{` +�` '~ 1� ., y' 1 � 1 � �)- TA Lj teal ll�t .��'�/�.�✓� ��:�{.�`1J}.!CQf�• ram•. N.' -•i• - , � � _.�y,1 � � r ��'n�•IV�.�,'�10{V •tT l tG ' .`~,N �.. )�•�Q • .P•. <. i l K�. it t .,+a`. t4.A� •� ` r i. ,' 1` y• L•r• ' `, ',•^ .�•'•�. ,or:'3 .` .C•.,1 r ..� , 41 d .SAXTER' •, j � ' ��� '4''•t '� • - .t it ,,�a iol _ TeT 97 S .M' •i 11, �' los}o� - • .�I Fwr•�; 11S form 4000 CERTIFIED PLC),r 1 tCiZTip�/ TI••tA-r TNG. •rno1DAllcvj 543owU PLAw SZEt=EtZl_�.1GS N1eQ GDr.J 4001 PL.YS W 1 TN -rwia -51 DE.w wE AWM Se'rl3AC14 QEgUI¢EMewTS OP THE+ Tow' 'gArZ F3LA T�r?.EE Po+JDS Vi BQ ATM R- NEE Re6l TMUZQD L-AWG SUZVEYOMG. THIS FLAW IS LJOT BASEV Ord AW OSTEfZV%t-Lr= o MlASS. 45'MUAAEW-r -SUZA.Alle It T14e o9rC,5r--rf, SNcwLa APP LI CAN-r .br IBM usco rG omreeMtN� t`.az- l_il.l`� SvFFoUC. �L.T'`I (,rZ„ BARNSTABLE COUNTY DEPARTMENT OF HEALTH AND THE ENVIRONMENT SUPERIOR COURT HOUSE O POST OFFICE BOX 427 J • BARNSTABLE, MASSACHUSETTS 02630 Phone: (506)362-2511 Ext.330 ASS UNDERGROUND TANK TEST RESULTS Public EnvHeaironth mental Health 83 Water Quality Analysis 337 TDD 362.5665 NAME: WILLIAM CORBETT TEST DATE: 11/23/94 TANK LOCATION: 171 CAPT. CROSBY ROAD - CENTERVILLE TAG #: 757 YEAR INSTALLED: 1977 CAPACITY: 1000 MAP: 193 PARCEL: 167 The recent check of the vapor monitoring well(s) near your underground storage tank (UST) did not detect any significant contamination. Because the use of soil vapor monitoring for UST leak detection is a recent and limited technology we cannot, however, guarantee that your tank has not '.eaked. You should also realize that a "good"result from our test is no indication of how long the tank will remain sound. Due to fiscal constraints, the Barnstable County Health and Environmental Department has instituted a nominal test fee of$30 for one well and $10 for each additional well at a site. Accordingly, would you please send a check for $ 30 , made payable to BARNSTABLE COUNTY to: Barnstable County Health & Environmental Department P.O. BOX 427 Barnstable, MA 02630 Attn. Eric Hesse The following items, if checked, also apply to your UST: We encourage the removal of older tanks before the expected leak(s) develop. We encourage the removal of tanks under 300 gallons as they were not designed for placement underground. Your UST doesn't appear to be registered and tagged as required by your Board of Health. It would be advisable to mark your monitoring well to prevent accidental usage. The soil conditions surrounding your tank are not ideal and may accelerate tank leakage. A copy of this letter has been sent to your Board of Health and the records reflect the results of this tank test. If you have any questions please contact Eric Hesse at (508)-362-2511 extension 344. cc: Board of Health: BARNSTABLE Whereas,the escape of fuel from an underground storage tank may result in civil and/or criminal liability of the owner,lessee,licensee, licensor, and/or other persons in control of the premises; Whereas, the use of vapor monitoring procedures is only one of several procedures that may be used to detect leaking or escaping fuel; Whereas, the reliability and experience of the testing procedure is limited; and Whereas, from location to location and soil to soil test results may vary due to a number of factors; The County of Barnstable and the Barnstable County Health &Environmental Department represent that while the test results give a fairly accurate reading of the vapor content in the well sites at the place and time of the testing,the soil conditions and condition of the tank and connections may be such that leaks could occur at the time of testing or shortly thereafter without detection. Similarly,the equipment is sufficiently sensitive as to detect fumes when,in fact,no actual tank or piping leaks have occurred at all. Therefore, no party shall rely exclusively on the results of the vapor monitoring test. Neither the County of Barnstable nor the Barnstabl. County Health & Environmental Department shall be liable to any person either for the failure of the test to detect a leak when such a leak has, in fact, occurred or for the detection of readings which may indicate that vapors are present in the soil when,in fact,no leak has occurred. Neither 'the County nor any department thereof shall he liable for any faulty or overly sensitive readings resulting from the taking of such test. g g g Of p><� , \ ©AIINSTABLE COUIJ 1 Y I IEAL'111 AND ENVIRONMEN IAL UEI)AR I MEN r Sl1F'EFIIOFt COURT HOUSE 'Z Alk� y 13ARFISTA131 E, F.IASSACFIUSETIS 02630 D N .►0 r1.t•..n fool xa ayll E.131t �i Fm,,(,mmr,mf I.Iwillh 30 UNDERGROUND 7_111t1e; MsrRESULIS rmn„,ungyllmlthldursing 31 JI wit",r).ctlsr AnOtr.h 33 f A S r'n•.•a.•..a C1i,dc Snry ces St' NMI` Edward Arnold 1»I1': 10/28/91 TANK LOCATION: 171 Captain Crosby Road, Centerville 'TAG #: 757 )'FAR INSI'AI.I.F.U: 1977 C,1PA I11 : 1000 7'he recenl check of [Ile vapor mo ni(oting we•ll(s) near )our Miller 91OUnd slolage lank (I IS I ) did nut detect any significant contamination. Because the use of soil %apor munilming for US7• Icak dcleclion is a recent and limited technology we cannot, hoHever, guarantee that )'our Tank has not icakcd. You should also realize that a "good" result from our test is no indication of how long the lank will remain sound. Due to fiscal constraints, the Barnstable C•ounly Ilcalth and I--nlironnlcnlal Ucparflnenl hat instituted a nominal test fee of$30 for one well and S20 for each additional %sell at a site. Accordingiv, would )vu please send a check for $fig_, made payable to BARW;FAA13L1: COI IN IY to: � 1 Barnstable County Ilcalth & Fmironlncntal UcpalUnent Supctior Court I louse, Roule (;A Barnstable, NIA 02610 Alin. Charlotte Stiefcl The following dents, if checked, al"o apply to your I IS I: We encourage (he removal of older tanks before the expected Icak(s) develop. We encourage the removal of tanks under :31MI gallons as they were not designed for placement underground. We could not lind a rcl!i,iltation tag on )out Imik as fc(luiied Its. %mil lioald of I Icallh. It would he advisable to Inark )our monitming %%cll to prevent accidental usalte. The soil conditions surrounding)our tank arc not ideal and may ac•cclerate lank Icakage. A copy of this letter has been sent to your Board of 1 Ieahli and the records felled Ihe results of Ihis lank Icst. If you have any questions please contact Charlotte Slicfcl it (508).62-2511 extension 3.11. cc: Board of 1 lealth - Barnstabl e; Mr. b i 11 Corbett, potent al buyer Whe•rcas,the cscrll,c of 1110 front an undclgownd%imigr tank 111a.% 1c.1111 in chit and'or 11inlina)lial,ilily(it fill-o%tncl,it,%ce,li,.mee, licensor, and/or olhcr (x•ts o1. in cotmol of the pemi.c.; Whereat, the use of valxtt nlouitoling latxcdulc%it only one of sc%oral I'1lxcdule1 That may tic used ill dote(11crll.ing or escaping fuel; Whcleas, Ihe tchahilily and c.ilx•Iicnec of the It-Sling I'r(Kcdurc is limilcd; and Whereas, from fixation to location and soil to soil Icm trills m Iv %.-ov due In a numlx•r of I.x Iof�; 71te Counly of n.nntilahle and Ihe• Ilalnstahlc•I'omil) I Ic.11111 X. I n.ir.'tuncnl;tl I)cp;nlntrnl it plu.en1 I11:11 o.hih. Ihr It 0 Icsulls I!ive a fairly accurate reading of tile v.tlnr conlcnl in Ihr u!11 •itr..i1 11,,• 1 I r' u• 1 lien,•I.1 Ow it,ling• fin 'I•il(I-11thh'.11, unl I..n1lilion of Ihe lank and mtmn c Ivai% ro+, 1,� t„•It 11,,1 I• .t t r,. ,I 1 ,r• .r .t II• t,r. • ,r t• r , r L• r11. IL,It .11•r r.tll.,"nl 11•it,to, r, '.110.0 to IV, the equil,mcnl is su111c ic'nll,eon•ow.e a,I"do ttct 1,n,, .1 • r.1 1 r , t .•I 1•r 1 r I I C I .l 1,, , ,.,-111„1 ,.I .11 11.,t,I,,tt,tv,11 my shall rely e)tctu.i.ely on Ihe rosins of file t.-l■ r nwnw,nrg ►t-I r:c111•t r It c r I ur•1) I,1 It un,1;11,lc Ill Ihr• It 11 it,1,41 1, 1 ,•only I If;title k Environmental I)cpartmc•n( shall I c liable In any Ix'I•,,m(',,fire It,r Ihr I:111u1r 0 the it•1 10(it It(1 a It when !m It ;( It.1Y, fia•., In Im1, occurred or for the defection of readings%tIm if rn:1y indicalc 111.11 sal"1rs a1c fin•cot in the soil t.hcn,in lac I.no Icak has(a(mica. Neither the County nor any dcltaltnlcnt Ihelcof s11;111 tic 1614c• for any f:n111v of o•.c'Ih wmili%v readings rc"uhing honl I111. 1:11.illp of such tcsl. c,7-/3 -r- i.1 A G TOWN OF BARNSTABLE LOCATION 171 "x-,) cwzez SEWAGE # &, o.6 .� VILLAGE ASSESSOR'S MAP Cz LOT INSTALLER'S NAME & PHONE NO. A & B CANCO 775-6264 SEPTIC TANK CAPACITY / /�0/7J LEACHING FACILITYAtype) o? le.4 S (size) 6 X 6 NO. OF BEDROOMS,_PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: �'�- l 7 '/G DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No � d 1740` �c