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HomeMy WebLinkAbout0080 AIRPORT ROAD - Health ,�-- - - - p rt Ro Had . - -- _ 0 Air o r- . .. - yannis (Multiple Tenets') A = 294-068 g a r tlll l ` l 1 i a �1; y i i I I 0 i i I ° I ° I i li �I i. i l I I I No. J''�Z( — 1 r Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: t• PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01pplicatlon for BI8posal *pstcm Construction 3pennit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon)4 ❑Complete System ❑Individual Components Location Address or Lot No. 2 U A 12 P©&1- Qo44 Owner's Name,Address,and Tel.No. t'1 I Lecieea2,R1 C Assessor's Map/Parcel ZCk L{ O (o$ &-r`n• ( �` Insta(llerr's Name,Address,and Tel.No. L, Designer's Name,Address,and Tel.No. OJ ct Co, &,, `VI 7-" Type of Building: 4 Dwelling No.of Bedrooms q Lot Size L OI 0 sq.ft. Garbage Grinder( ) Other Type of Building COV+'l.n'1 e.lC..lp 1. No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title r Size of Septic Tank• Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) ��ay.&jn al S—W" S'P D�+L_ Date last inspected: y 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 Certificate of Compliance has been issued by this Board of Heal S1gt}e11A Date_ Application Approved by, !( Date.T_7— z/ Application Disapproved by T Date for the following reasons Permit No. 2° I' ' 0 Date Issued f _.x, .-.r:..r '-.,y„:, �..!� .;'"t,.,,w'u+rss.r:.ty..Tw:=...�..q.,..,..+--•ti. �,• �..r...;t::eN'�,-• ,,,�,i sr�r...:r�� _-•....'T'1T w,.•w.1-..s'S:-7a-•.v.�,�7a xtir�:-w"r:.;.i-^' `7` +>""e`."+'�, �x f; No. . 62 .1.� Enteredre compute THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS a 01ppYication for Misposar 6pstem Construction Permit _ W Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon ❑Complete System ❑Individual Components Location Address or Lot NCR U A f tZ Po&T- A-,q c4 Owner's Name,Address,and Tel.No. t"j ' ��� /)2i VC � Assessor's Map/Parcel Zq Lj f -4 Installer's Name,Address,and Tel.No. •3(03 tAXA.}(�5 Qv4.-(L, Designer's Name,Address,and Tel.No. Type of Building: Q + J Dwelling No.of Bedrooms Lot Size -`000 O - sq.ft. Garbage Grinder( ) Other ; Type of Building 6 c)y✓1 m t r&,-y 'L- No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided_ gpd Plan Date Number of sheets Revision Date K Title ' Size of Septic Tank Type of S.A.S. r Description of Soil Nature of Repairs or Alterations(Answer when applicable) �tt� �Qrnn ( �SA'1t�, p++Z_. Date last inspected: r Agreement: -The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in YS , accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Heal / Signed Date q-h -Zd Z Application Approved by f/C Date rN `Application Disapproved by - Date 1 for the following reasons - Permit No. 2-° ( Z Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned(IlA by O Jtlf C-0 . L .n has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.20"I- 7 v dated `//7 4 f _ Installer �o�40,fRjC" �. �� cc) Designer #bedrooms Approved design flow ' A gpd The issuance of this permit shall not be construed as a guarantee that the system will'fii c� n as desi ed. Date��11,/1 1 Inspector !��� „� y No. 2 a 2 U Fee- THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Misposal 6pstem Construction Permit Permission is hereby granted to Construct( ) Repair ta ( ) Upgrade( ) Abandon( System located at IN"In_Pop r 's[T-,cA I Aj f/ia„ eel '• " and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date �� f Approved by 1 2 McKean, Thomas From: McKean, Thomas Sent: Tuesday, February 04, 2003 9:27 AM To: Schlegel, Frank Cc: Childs, Barbara; Anderson, Dave Subject: RE: 294-068 AIRPORTLOC(14 KB) Attached is a copy of the variance letter. -----Original Message----- From: Schlegel, Frank Sent: Tuesday, February 04, 2003 9:22 AM To: McKean,Thomas Cc: Childs, Barbara Subject: FW: 294-068 Hi Tom, I spoke to Dave Anderson about this one and he seems to remember that you said Health granted a variance for this property about a year ago. The address is#80 Airport Road, Hyannis. This is the front building of the old Packaging Industries. If your department granted a variance for this property, could you fax(508-862-4711) a copy to me for Engineering files?Thanx -----Original Message----- From: Childs, Barbara Sent: Monday,February.03,2003 1:51 PM To: Schlegel,Frank Subject: 294-068 Me again, is 294-068 connected to sewer I have nothing here to indicate that it is. 1 1 V VV 11 V1 "41 113L4I VIV Regulatory Services °Ft„E rq� Thomas F. Geiler,Director Public Health Division BAMSrABM HAM Thomas McKean,Director �Ar 1639. e,`0 200 Main Street Hyannis, MA 02601 FD MA'S Office: 5087862-4644 Fax: 508-790-6304 April 12, 2002 Bornbam Assoc. Limited Prtnship 297 North Street Hyannis, MA 02601 RE: Map & Parcel 294-068. Dear Sir: You are directed to connect your building located at 80 Airport Road, Hyannis, MA., to . public sewer on or before October 12, 2002. The Superintendent -of the Department of Public Works has notified us that your property abutts town sewer lines. The lines were extended because'of the density, and the size of the lots in the area, and the potential for serious health problems. Failure to comply with this order will result in a court complaint against you for�failure to comply with a Board of Health Order. If you should have any questions, please telephone me at 862-4644. PER ORDER F THE BOARD OF HEALTH Thomas A. McKean, R.S. CHO Health Agent for TOWN OF BARNSTABLE BOARD OF HEALTH Susan G. Rask, RS., Chairperson copy: Peter Doyle Sumner Kaufman, M.S.P.H. Return receipt requested. Wayne Miller, M.D. sewe=2 i September 27, 2001 Mr. Stuart Bornstein 297 North Street Hyannis, MA 02601. l Re: 80 Airport Road.Hyannis Dear Mr. Bornstein, You are granted permission to continue to utilize the existing septic system located at 80 Airport Road Hyannis. This permission is granted with the following conditions: (1) The building is restricted to the existing use. No additional office spaces are authorized.within the building. (2) No additions to the building will be authorized in the future. (3) The building must be connected to public sewer when the existing septic system malfunctions or fails in the future. The applicant testified that a majority of this building is being used for storage. Written estimates were received from contractors ranging from $35,000 to.$55,000 to connect this building to town sewer. At this high cost,the Board members believe it would be unreasonable to require the applicant to connect this building which is mostly used for storage, to town sewer. Sincerely yours i Susan G. Rask,R.S. Heal tha-'pliles:Airporufs I � I s I - • Service- CERTIFIED (DomesticOnly; cO 0 Article Sent To: TQ). ru I_n --D Postage $ ru O Certified Fee CO ' Postmark Return Receipt Fee Here ff- (Endorsement Required) 1 0 C3 Q Restricted Delivery Fee I 0 (Endorsement Required) (� C3 Total Postage&Fees $ 3 •9/ 0 S Name(//P��,,a��s,e Pri��ff__Cle�arly)(to a completed by m filer. m �1", !l�i ............ Street,1Apt.No.,Q PO Ncr O City,Stat,ZIP+4r'yl'��rl/a ./ 0' l�� Q/i�/vL� !�/Q !� Certified Mail Provides: ■ A mailing receipt y, ■ A unique identifier for your mailpece ■ A signature upon delivery ' ■ A record of delivery kept by the Postal Service for two years 'Important Reminders: ■ Certified Mail may ONLY be combined with First-Class Mail or Priority Mail. ■ Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. ■ For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece 'Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS postmark on your Certified Mail receipt is required. ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". ■ If a postmark on the Certified Mail receipt is desired,please present the artk cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,July 1999(Reverse) 102595-99-M-2087 I 'SENDER: COWL ETE THIS SECTION COMPLETE THIS SECTION ON DE LIVERY ■ Complete items 1,2,and 3.Also complete natur item 4 if Restricted Delivery is desired. ❑Agent o Print your name and address on the reverse X ' ❑Addressee so that we can return the card to you. . Received by(Printed ame) C. Date f Delivery ■ Attach this card to the back of the mailpiece, V�1 or orilthe front if space permits. 1. Article Addressed to: D. Is delivery address different from m 1? Yes :t If YES,enter delivery address below: ❑ No 3. Se ice Type ertified Mail ❑press Mail j �� G L��� r:Registered Its Return Receipt for Merchandise "a pro ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number (Transfer from service label) PS Form 3811,August 2001 i } f Domestic Return Receipt''' 102595-01-M-2509 ,, , < ,,: r lit4 it ifi _1, i UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • - a Board of Health Town of e _ 200 VAM St HyetWe.Aetb 02601 AV W 11 V1 LQl U3L4U1G Regulatory Services �{ Thomas F. Geiler, Director Public Health Division ,', ' Thomas McKean, Director 039. 39�a`0 200 Main Street, Hyannis, MA 02601 Office: 5087862-4644 r Fax: 508-790-6304 April 12, 2002 Bornbam Assoc. Limited Prtnship 297 North Street Hyannis, MA 02601 RE: Map & Parcel 294-068. Dear Sir: You are directed to connect your building located at 80 Airport Road, Hyannis,MA., to public sewer on or before October 12, 2002. The Superintendent of the Department of Public Works has notified us that your property abutts town sewer lines. The lines were extended because of the density, and the size of the lots in the area, and the potential for serious health problems. Failure to comply with this order will result in a court complaint against you for failure to comply with a Board of Health Order. If you should have any questions, please telephone me at 862-4644. PER ORDER F THE BOARD OF -HEALTH Thomas A. McKean, R.S. CHO Health Agent for TOWN OF BARNSTABLE BOARD OF HEALTH Susan G. Rask, RS., Chairperson copy: Peter Doyle Sumner Kaufman, M.S.P.H. Return receipt requested Wayne Miller, M.D. sewe=2 i i TOWN OF BARNSTABLE y F7NEr�� OFFICE OF BARNSTAIM 's BOARD OF HEALTH 00e,1639. \0m 367 MAIN STREET p M HYANNIS, MASS.02601 September 27, 2001 Mr. Stuart Bornstein 297 North Street Hyannis, MA 02601 Re: 80 Airport Road Hyannis Dear Mr. Bornstein, You are granted permission to continue to utilize the existing septic system located at 80 Airport Road Hyannis. This permission is granted with the following conditions: (1) The building is restricted to the existing use. No additional office spaces.are authorized within the building.. (2) No additions to the building will be authorized in the future. (3) The building must be connected to public sewer when the existing septic system malfunctions or fails in the future. The applicant testified that a majority of this building is being used for storage. Written estimates were received from contractors ranging from $35,000 to.$55,000 to connect this building to town sewer. At this high cost, the Board members believe it would be unreasonable to require the applicant to connect this building which is mostly used for storage, to town sewer. Sincerely yours Susan G. Rask, R.S. I FILE No.146 09/18 '01 PM 03:20 ID:BORNSTEIN COMPANIES FAX:5087756526 P GE 2 SOP-10-01 14:06 BARNSTABLE HEALTH DEPT 5087906304 ��P /P.02 a+ DATE: 9/12/01 tt FEE: BAANRTABti. D � - "SL s4JP '�� RFC. BY _ Town.of Barnstable 942111913. DATEt Board of.Health 367 Main Street, Hyannis MA 02601 Office: 509-962.4644 Susan(31•Rtuk,RS. FAX. 508-790-6304 Sumner Kaultttatt,M.S•P.N Ralph A.Murphy,M.D. VARIAN(:E REQUEST FORM Property Address:`S 0 A il:p o r t R d . = H y a n n i s•,. Assessor's Map and Pamai Number: 2.9 4-0 6 A Size of Loc_ Wetlands Within 300 Ft. Yes _ Business Name: Cape Cod Potato C h 1 S No Subdivision Name. APPLICANT'S DAME: Phone _ Did the owner of the property authorize you to represent him or her? Yes No PROPERTY OWNER'S NAME. CONTACT PERSON. Name: Thornton Drive 1- - P. Name: .-Sjij,a,rt A. Borj.gjgin Address: 297 North St. , Hydnnis Address: 2.1L- North Street Phone: (5 0 8t 7 ..: .. ....�_ _ Phone:_... 5 0 8) 7 7 5 9 316 VARIANCE FROM RE.GUI.ATION p.iu des.) REASQN FOR VARIANCE(may attach ifmote space needed) h�D.t A r' .A r S e c t ion u_..._ I t w o u l d i- in n r a-1,t-]4­t4L =n-tb e 1 r1Q-- L0.9L-.f1L-b1111ding t.n the street. NATURE OF WORK: House Addition 0 House Ronovation 0 Repair of Failed Septic System O 2$jM(to be completed by gd9ee stag--person recoving variance�equoit oppliealian) Four(4)copies of the completed varlaacc request form 1-vur(4)copies ofongineered plan submitted(e.g septic system.plerts) Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) Signed truer stating that the pmperty owner authorized you io represent him/her for this raQucst _ Applicant understanda that the abutters moat he ncuified by txrtitied mail at least ten days prior to meeting date at applicant's erpcnse (for Title V and/or local sewage rcoulailon variances only) Full menu submitted(for grease trap variance requests Only) Vurlartee request application roe colicsxed(no fee fur lifeguard modification renewals,grease trap variance renewals.(same ownwieasee only(,outside dining varia w renewals(same ownerlicasee only],and variances to,repair 1'3ilcd sewage disposal systems (only if no cxpanniun in the building proposedl) _ Variance request submitted at least 15 days pracw to meeting date VARIANCE APPROVED _ Susan O.RaA,R S.,Gllainnati NOT APPROVED Sumner Kaufman,M.S.P.H• RL•ASoN liOft DMAPPROVAL___._._- _•—._ Ralph A.Murphy,M.D. Q•/wv/VARIxeO FILE No.153 09/19 '01 AM 08:39 ID:BORNSTEIN COMPANIES FAX:5087756526 PAGE 2 09/19/2001 10:56 5087789628' AB CANCO PAGE 01/01 I 350 MAIN STREET TEL:(508)775.2800 WEST YARMOUTH MA 02673 (800)898.39m FAx:(508)778-9925 septic service Mechanical Services Pumping& Heating m Plumbing installation Fire sprinklers Shea 1930 September 18, 2001 Stuart Bornstein Holly Management 297 North Street Hyannis, MA 02601 RE- Cape Cod Potato Chip Warehouse As requested by you, A & B Canco has reviewed the requirements to connect the referenced building on Airport Road to town sewer: The existing septic system consists of a septic tank connecting to a pump chamber with effluent.pumps. The water is pumped up the road between the two buildings. This pressure line goes over the top of tunnel, less than a foot below grade of the driveway. We've repaired this line twice. Once from freezing and once when It collapsed from truck traffic. At the top of'the driveway, the pressure line goes Into a distribution box which then flows by gravity to galley chambers along the side of the building for leaching of the effluent. We expect engineered plans to be required by Barnstable D.P.W. for the sewer connection. The Installation will require that grinder duplex pumps be installed on the exit end of the existing septic tank, if found to be sound. If not, an H- 20 pump chamber will replace the existing septic tank. Access doors will be required on the structure being used as,a pump chamber. The pumps will be mounted on a stainless steel rail system for maintenance. The discharge line should be piped through the tunnel to eliminate freezing problems. This line will then connect to the stub on the town sewer. The estimated cost for this work will be between $2S,000.00 and $40,000.00 depending on the engineering requirements. Sincerely, Richard K. Cannon RKC:a kb FILE No.153 09/19 '01 AM 08:39 ID:BORNSTEIN COMPANIES FAX:5087756526 PAGE 1 HOLLY MANAGEMENT & SUPPLY CORPORATION 297 North Streot uyannis.Maysachwetf5916ol (508)775.9316 FAX(508)775-0526 FAC91MtLH TkA.NSMISSION COVER SHE)T DATE: 9/19/01 TO: Thomas McKean Fax No. (508)790-6304 FROM: Stuart Bornstein RE: 80 Airport Rd. NUMBER OF PAGES,INCLUDING COVER SHEET (2 ) If RECEIVER DOES NOT RECEIVE ALL PAGES TRANSMITTED,PLEASE CALL(508), 775-9316. MESSAGE: This is just the outside cost;the inside coat could be$10,000.00 to $15,000. There are only a fcw people working in the warehouse. •n,� m O N d � 00 To of Barnstable A . - 9BARNWABIZ ' Department of Health, Safety, and Environmental Services MA-Qa3.�A ]Public Health Division 367 Main Street, Hyannis MA 02601 Office: 508-790-6265 ` Thomas A.McKean FAX: 508-775-3344 Director of Public Health. May 6, 1997 INDEPENDENCE PARK INC , BOX 1776 HYANNIS, MA 02601 RE: Map & Parcel 294068 ORDER TO CONNECT TO TOWN SEWER . Dear Property Owner: You are directed to connect your building located at 80 AIRPORT RD HY, (listed as Assessor's Map and Parcel 294068) to public sewer'on or before November 6, 1997. The Superintendent of the Department of Public Works has notified us that your property abuts Town sewer lines. The lines were extended because of the density, and the size of the lots in the area, and the potential for serious health problems. Acting under the authority of Chapter 83-11, of the General Laws of Massachusetts, and Regulation 15.02, of 310 CMR State Environmental Code, you are hereby directed to connect to the town sewer system on or before November 6, 1997. Failure to comply with this-order will result in•a court complaint against you for failure to comply with a Board of Health Order. If you should have any questions, please telephone me at 790=6265.. PER ORDER OF THE BO RD OF HEALTH. . s A. McKean, RS, CHO Health Agent for TOWN OF BARNSTABLE BOARD OF HEALTH Susan G. Rask, R.S., Chairman Brian R. Grady, R.S. Ralph A. Murphy, M.D. copy: Peter Doyle Return receipt requested r Tighe&Bond Consulting Engineers Environmental Specialists H-709-1-29 August 24, 1995 Health Division Town of Barnstable Town Hall 367 Main Street Hyannis, MA 02061 Attn: Thomas McKean, Director Health Re: Notification of Downgradient Property Status Submittal Dear Mr. McKean: In accordance with the 310 CMR 40.1403(3)(g) of the Massachusetts Contingency Plan we are providing notification that a Downgradient Property Status has been submitted by Sentinel Corporation for property located at 70 Airport Road, Barnstable, pursuant to 310 CMR 40.0180. A copy of the submittal is available for public review at the Southeast Regional Office of the Massachusetts Department of Environmental Protection, 20 Riverside Drive, Lakeville, MA 02347. Very truly yours, TIGHE* BOND, IN V*IV Evan T. Johnson, P.E., LSP -Project Manager mms\H799\LTR\CVS.E Attachment cc: Town Manager Westfield Executive Park 53 Southampton Road Westfield,MA 01085-5308 Tel.413-562-1600 Fax. 413-562-5317 Original printed on recycled paper. 3 Commonwealth of Massachusetts Executive Office of Environmental Affairs Department of Environmental Protection ' Southeast Regional Office William F.Weld Governor Trudy Coxe Secretary,EOEA Thomas B. Powers AdingCommhsioner February 9, 1995 Sentinel Products Corp. RE: BARNSTABLE--WSC-4-1080 70 Airport Road Packaging Industries., Inc. Hyannis, Massachusetts 02601 80 Airport Road RESPONSE ACTION .OUTCOME APPROVAL FOR PLANT #1 M.G.L. Chapter 21E and 310 CMR 40. 0000 ATTENTION: John Bambara & Richard Jones Gentlemen: The Department of Environmental Protection Bureau of Waste Site Cleanup '(the "Department") reviewed the March 22, 1994 Response Action Outcome (RAO) Statement and additional supporting documentation dated .April 12 , 1994 and February 2 & 6, 1995 for the property referenced above. The Department hereby approves the RAO for Plant #1. The RAO approval is limited to the boundary of the disposal site as depicted in the February 6, 1995 submittal.. A class A-2 RAO is now in effect for this property and no additional remediation effort is warranted based on the Department's review of the RAO submittals. The Department- expects that further remedial investigations will continue for Plants #2 and #3 which will include the Fresh Hole Pond. Thank you for your cooperation in the protection of human health and the environment. Please contact Lynne Doty at the letterhead address or 508-946- 2886. if you have' any questions regarding this matter. Very truly yours, �l na han E. Hobill, ' Acting Chief 'te Management & Permits Section JH/LD/KN CERTIFIED MAIL NO. Z 235 539 931 RETURN RECEIPT REQUESTED 20 Riverside Drive a Lakeville,Massachusetts 02347 a FAX(508)947-6557 a Telephone (508) 946-2700 i i r , -2- cc: Evan Johnson, P.E. , L.S.P. Tighe & Bond Inc 53 Southhampton Road Westfield, MA 01085 - L. Paul Lorusso, President Independence Park, Inc. Box 1776 Hyannis, MA 02601 Tom McKean, Hazardous Waste Coordinator Barnstable Board of Health P.O. Box 534 367 Main Street Hyannis, MA 02601 Warren Rutherford, Town Manager Town of Barnstable 367 Main Street Hyannis, MA 02601 George Wadsworth, President Barnstable Water Company . 47 Old Yarmouth Road Hyannis, MA 02601 DEP-SERO-BWSC ATTN: Andrea Papadopoulos, Deputy Regional Director John Handrahan, Data Entry Massachusetts Department of Environmental Protection BWSC-104 _ Bureau of Waste Site Cleanup RESPONSE ACTION OUTCOME (RAO) STATEMENT& Release Tracking Number 1080 DOWNGRADIENT PROPERTY STATUS TRANSMITTAL FORM a Pursuant to 310 CMR 40.0180(Subpart B),40.0580(Subpart E)&40.1056(Subpart J) 4 G. DOWNGRADIENT PROPERTY STATUS SUBMITTAL: 0 If a Downgradient Property Status Submittal Compliance Fee is required,check here to certify that the fee has been submitted. You MUST attach a photocopy of the payment. ® Check here if a Release(s)of Oil or Hazardous Material(s),other than that which is the subject of this submittal,has occurred at this property. Release Tracking Number(s): 4— /O80 Q Check here if the Releases identified above require further Response Actions pursuant to 310 CMR 40.0000. Required documentation for a Downgradient Property Status Submittal includes,but is not limited to,copies of notices provided to owners and operators of both upgradient and downgradient abutting properties and of any known or suspected source properties. H. LSP OPINION: I attest under the pains and penalties of perjury that I have personally examined and am familiar with this transmittal form,including any and all documents accompanying this submittal. In my professional opinion and judgment based upon application of n the standard of care in 309 CMR 4.02(1), 1 the applicable provisions of 309 CMR 4.02(2)and(3).and(iii)the provisions of 309 CMR 4.03(5),to the best of my knowledge,information and belief, > if Secfon B indicates that a Downgradient Property Status Submittal is being provided,the response action(s)that is(are)the subject of this subm'Rtal n has(have)been developed and implemented In accordance with the applicable provisions of M.G.L.c.21 E and 310 CMR 40.0000, 11 is(are)appropriate and reasonable to accomplish the purposes of such response action(s)as set forth in 310 CMR 40.0183(2)(b),and(iii)complies(y) with the identified provisions of all orders,permits,and approvals identified in this submittal; > d Section B indicates that either an RAO Statement,Phase/completion Statement and/or Periodic Review Opinion is being provided,the response actions)that Is(are)the subject of this submittal 01 has(have)been developed and implemented in accordance with the applicable provisions of M.G.L.c.21 E and 310 CMR 40.0000,(H)is(are)appropriate and reasonable to accomplish the purposes of such response action(s)as set forth in the applicable provisions of M.G.L.c.21 E and 310 CMR 40.0000,and 0i complies(y)with the identified provisions of all orders,permits,and approvals identified in this submittal. I am aware that significant penalties may result,including,but not limited to,possible fines and imprisonment,if I submit information which I know to be false,inaccurate or materially incomplete. Check here If the Response Action(s)on which this opinion is based,if any,are(were)subject to any order(s),permit(s)and/or approval(s) issued by DEP or EPA. If the box is checked,you MUST attach a statement identifying the applicable provisions thereof, LSP Name: Evan T. Johnson, P.E. LSPii: 613 Stamp: tH OF M4ss9 n Telephone: 413-562-1600 EA.: 254 orb EVAN yam, c T. rn FAX (options) 413-562-5317 JOHNS ON y No.6135 _ 5 -P O Q Signature: i�~� ys `c� S T ERA S�o� Date: �� G FaSIiE PROSES i 1 I. PERSON MAKING SUBMITTAL: Name of Organization: Sentinel Products Corp. Name of Contact John Bambara Title: C.E.O. Street 70 Airport Road cityrrown: (Hyannis) Barnstable State: MA ZIP Code: 02601-0000 Telephone: 508-771-5220 Ext.: FAX:(optiona) 508-771-1554 J. RELATIONSHIP TO SITE OF PERSON MAKING SUBMITTAL: (check one) Q RP or PRP Specify. ® Owner O Operator O Generator Q Transporter Other RP or PRP: Fiduciary,Secured Lender or Municipality with Exempt Status(as defined by M.G.L.c.21 E,s.2) Agency or Public Utility on a Right of Way(as defined by M.G.L.c.21 E.s.50)) Any Other Person Submitting This Forth Specify Relationship: Revised 417/95 Supersedes Forms BWSC-004 and 010(in part) Page 3 of 4 Do Not Alter This Form Massachusetts Department of Environmental Protection BWSC-104 Bureau of Waste Site Cleanup RESPONSE ACTION OUTCOME (RAO) STATEMENT & Release Tracidng Number ` DOWNGRADIENT PROPERTY STATUS TRANSMITTAL FORM _ 1080 Pursuant to 310 CMR 40.0180(Subpart B),40.0580(Subpart E)&40.1056(Subpart J) K. CERTIFICATION OF PERSON SUBMITTING DOWNGRADIENT PROPERTY STATUS SUBMITTAL: 1, John Bambara ,attest under the pains and penalties of perjury t7 that I have personally examined and am familiar with the Information contained in this submittal,including any and all documents accompanying this transmittal form;(ii)that,based on my inquiry of theRhose individual(s)immediately responsible for obtaining the information,the material information contained herein is,to the best of my knowledge, information and belief,true,accurate and complete;(ii)that,to the best of my knowledge,information and belief,tithe person(s)or entity(es)on whose behalf this submittal is made satisty(es)the criteria in 310-CMR 40.0183(2);Qv)that-tithe person(s)or entity(ies)on whose behalf this submittal is made have provided notice in accordance with 310 CMR 40.0183(5);and(v)that I am fully authorized to make this attestation on behalf of the person(s)or entity(res)legally responsible for this submittal. tithe person(s)or entity(ies)on whose behalf this submittal is made istare aware that there are significant penalties,including,but not limited to,possible fines and imprisonment,for willfully submitting false,inaccurate,or incomplete information. By. Titre: Corporate Executive Officer (signature) For. Sentinel Products Corp. Date: (print name of person or entity recorded In Section 1) Enter address of the person providing certification,If different from address recorded in Section I: Street- Cityrrown: State: ZIP Code: Telephone: EA: FAX(optionaQ L. CERTIFICATION OF PERSON MAKING SUBMITTAL: If you are completing only a Downgradient Property Status Submittal,you do not need to complete this section of the form. attest under the pains and penalties of perjury 01 that I have personally examined and am familiar with the information contained in this submittal,including any and all documents accompanying this transmittal forth,(ii)that,based on my inquiry of those individuals Immediately responsible for obtaining the information,the material information contained in this submittal is,to the best of my knowledge and belief,true,accurate and complete,and CHI`)that I am fully authorized to make this attestation on behalf of the entity legally responsible for this submittal. tithe person or entity on whose behalf this submittal is made amrms aware that there are significant penalties,including,but not limited to, possible fines and imprisonment,for willfully submitting false,Inaccurate,or incomplete information. By: Tdle: (signature) For. Date: (print name of person or entity recorded in Section 1) Enter address of the person providing certification,If different from address recorded In Section I: Street City/Town: State: ZIP Code: Telephone: Exd.: FAX(optionao YOU MUST COMPLETE ALL RELEVANT SECTIONS OF THIS FORM OR DEP MAY RETURN THE DOCUMENT AS INCOMPLETE. IF YOU SUBMIT AN INCOMPLETE FORM,YOU MAY BE PENALIZED FOR MISSING A REQUIRED DEADLINE,AND YOU MAY INCUR ADDITIONAL COMPLIANCE FEES. i i i Revised 4/7/95 Supersedes Forms BWSC-004 and 010(in part) Page 4 of 4 i Do Not Alter This Form Massachusetts Department of Environmental Protection BWSC-104 Bureau of Waste Site Cleanup RESPONSE ACTION OUTCOME (RAO) STATEMENT& Release Tracking Number DOWNGRADIENT PROPERTY STATUS TRANSMITTAL FORM a _ 1080 Pursuant to 310 CMR 40.0160(Subpart B),40.0580(Subpart E)&40.1056(Subpart J) A. SITE OR DOWNGRADIENT PROPERTY LOCATION: Site Name:(optional) Sentinel Products Corp. Street 70' Airport Road Location Aid: UTM 46 14 OOON, 3 91 900 E Cityrrown: (Hyannis) Barnstable ZIP Code: 02601-0000 Check here if this Site location is Tier Classified. If a Tier I Permit has been issued,state the Permit Number. Related Release Tracking Numbers that this Forth Addresses: If submitting an RAO Statement,you must document the location of the Site or the location and boundaries of the Disposal Site subject to this Statement. ff submitting an RAO Statement for a PORTION of a Disposal Site,you must document the location and boundaries for both the portion subject to this subn ttal and,to the extent defined,the entire Disposal Site. If submitting a Downgradient Property Status Submittal, you must provide a site plan of the property subject to the submittal and,to the extent defined,the Disposal Site. B. THIS FORM IS BEING USED TO: (check all that apply) Submit a Response Action Outcome(RAO)Statement(complete Sections A.B.C,D,E,F.H.I,J and Q. El Check here if this Is a revised RAO Statement. Date of Prior Submittal: Check here If any Response Actions remain to be taken to address conditions associated with any of the Releases whose Release Tracking Numbers are fisted above. This RAO Statement will record only an RAO-Partial Statement for those Release Tracking Numbers. Specify Affected Release Trackdng Numbers: Submit an optional Phase I Completion Statement supporting an RAO Statement or Downgradient Property Status Submittal (complete Sections A.S.H.I,J.and Q. © Submit a Downgradient Property Status Submittal(complete Sections A,B.G,H,1,J and 1q. Check here If this is a revised Downgradient Property Status Submittal. Date of Prior Submittal: I Submit a Termination of a Downgradient Property Status Submittal(complete Sections A,B,I,J and Q. Submit a Periodic Review Opinion evaluating the status of a Temporary Solution(complete Sections A,B.H,I,J and Q. Specify one: For a Class C RAO For a waiver completion Statement Indicating a Temporary Solution Provide Submittal Date of RAO Statement or Waiver Completion Statement You must attach all supporting documentation required for each use of form indicated,including copies of any Legal Notices and Notices to Public Officials required by 310 CMR 40.1400. C. DESCRIPTION OF RESPONSE ACTIONS: (check all that apply) Assessment and/or Monitoring Only Deployment of Absorbant or Contaminent Materials Removal of Contaminated Soils Temporary Covers or caps Re-use,Recycling or Treatment Bioremediation O On Site O OH Site Est Vol.: cubic yards Soll Vapor Extraction Describe: Structure Venting System Landrin Q Cover Q Disposal EsL Vol.: cubic yards Product or NAPL Recovery Removal of Drums,Tanks or Containers Groundwater Treatment Systems Describe: Air sparging Removal of Other Contaminated Media Temporary Water Supplies Specify Type and Volume: Temporary Evacuation or Relocation of Residents Other Response Actions Fencing and Sign Posting Describe: SECTION C IS CONTINUED ON THE NEXT PAGE. Revised 417/95 Supersedes Forms BWSC-004 and 010(n part) Page 1 of 4 Do Not Alter This Form Massachusetts Department of Environmental Protection BWSC-1 04 Bureau of Waste Site Cleanup RESPONSE ACTION OUTCOME(RAO) STATEMENT & Release Tracking Number DOWNGRADIENT PROPERTY STATUS TRANSMITTAL FORM E _ 1080 Pursuant to 310 CMR 40.0180(Subpart B),40.0580(Subpart E)&40.1056(Subpart J) C. DESCRIPTION OF RESPONSE ACTIONS: (continued) Check here If any Response Actions)that serve as the basis for this RAO Statement involve the use of Innovative Technologies. (DEP Is interested in using this information to create an Innovative Technologies Clearinghouse.) Describe Technologies: D. TRANSPORT OF REMEDIATION WASTE: (f Remediation Waste was sent to an off-site facility,answer the following questions) Name of FadW.. Town and State: Quantity of Remediation Waste Transported to Date: E. RESPONSE ACTION OUTCOME CLASS: Specify the Class of Response Action Outcome that applies to the Site or Disposal Site. Select ONLY one Class: Class A-1 RAO: Specify one of the following: 0 Contamination has been reduced to background levels. O A Threat of Release has been eliminated. Class A-2 RAO: You MUST provide justification that reducing contamination to background levels Is Infeasible. Class A-3 RAO: You MUST provide both an implemented Activity and Use Umitation(AUL)and Justification that reducing contamination to background levels Is infeasible. If applicable,provide the earlier of the AUL expiration date or date the design fife of the remedy will end: Class 8-1 RAO: Specify one of the following: O Contamination Is consistent with background levels Q Contamination Is NOT consistent with background levels. Class B-2 RAO: You MUST provide an implemented AUL If applicable,provide the AUL expiration date: Class C RAO: n Check here If you will conduct post-RAO Operation,Maintenance and Monitoring at the Site. Specify One: Q Passive Operation and Maintenance O Monitoring Only Q Active Operation and Maintenance(defined at 310 CMR 40.0006) F. RESPONSE ACTION OUTCOME INFORMATION: If an RAO Compliance Fee Is required,check here to certify that the fee has been submitted. You MUST attach a photocopy of the payment. Check here If submitting one or more AULs. You must attach an AUL Transmittal-Form(BWSC-113)and a copy of each implemented AUL related to this RAO Statement Specify the type of AUL(s)below: (required for all Class A-3 RAOs and Class B-2 RAOs) O Notice of Activity and Use Umitation O Grant of Environmental Restriction Number of AULs attached: Specify the Risk Characterization Method(s)used to achieve the RAO described above and all Soil and Groundwater Categories applicable to the Site. More than one Soil Category and more than one Groundwater Category may apply at a Site. Be sure to check off all APPLICABLE categories,even if more stringent soil and groundwater standards were meL Risk Characterization Method(s)Used: Method 1 Method 2 Method 3 Soil Category(ies)Applicable: S-1 S-2 S-3 Groundwater Category(es)Applicable: GW-1 GW-2 GW-3 > When submitting any Class A-1 RAO or a Class B-1 RAO where contamination is consistent with background levels,do NOT specify a Risk Characterization Method. > When submitting any Class A-2 RAO or a Class B-1 RAO where contamination is NOT consistent with background levels,you cannot use an AUL to maintain a level of no significant risk. Therefore,you must meet S-1 Soil Standards,if using Risk Characterization Method 1. Revised 417/95 Supersedes Forms BWSC-004 and 010(n part) Page 2 of 4 Do Not Alter This Form • Massachusetts Department of Environmental Protection BWSC-110 Bureau of Waste Site Cleanup LICENSED SITE PROFESSIONAL (LSP) Release Tracking Number EVALUATION OPINION TRANSMITTAL FORM - 1080 Pursuant to 310 CMR 40.0600(Subpart F) A. SITE OR LOCATION TO BE INVESTIGATED (LTBI) INFORMATION: Provide the following information as it appears on the Transition List of Confirmed Disposal Sites and Locations To Be Investigated. Site or LTBI Name: Sentinel Products Corp. Street 70 Airport Road Location Aid: UTM 46 14 OOON, 3 91 900 E City/Town: (Hyannis) Barnstable, MA ZIP Code: 02601 Site Status:(check one) Location To Be Investigated Unclassified Disposal Site Non-Priority Disposal Site without a Waiver Date First Listed in Above Category. Related Release Tracking Numbers that this LSP Evaluation Opinion Addresses: B. LSP EVALUATION OF SITE OR LOCATION TO BE INVESTIGATED: (check one of the following) Check here if this location is NOT a Site where a Release of Oil(s)or Hazardous Material(s)occurred that is subject to the notification requirements of 310 CMR 40.0300,and no further response actions are required. ❑ Check here if a Release of Oil(s)and Hazardous Material(s)subject to the notification requirements of 310 CMR 40.0300 occurred or may have occurred at this location,but Response Actions completed prior to the date of this LSP Evaluation Opinion meet the requirements of a Class A or Class B Response Action Outcome. If this LSP Evaluation Opinion is checked,you must meet all appropriate Response Action Outcome requirements described at 310 CMR 40.1000. You must include with this submittal documentation equivalent to a Response Action Outcome,including all supporting materials. Indicate the class of the equivalent Response Action Outcome: O Class A-1 0 Class A-2 O Class A-3 Q Class B-1 Q Class B-2 You may choose to submit a completed Response Action Outcome Statement(BWSC-104)and supporting documentation in lieu of an LSP Evaluation Opinion,provided that you make the submittal prior to the LSP Evaluation Opinion deadline. © Check here if a Release subject to the notification requirements of 310 CMR 40.0300 occurred or may have occurred at this location,and further Response Actions are necessary,pursuant to 310 CMR 40.0000. If this option is checked you must make one of the following submittals by the applicable LSP Evaluation Opinion deadline:n provide a Tier Classification Submittal Transmittal Form(BWSC-107)and,if necessary,a Tier I Permit Application;(ii)provide a Response Action Outcome Statement(BWSC-104);(ii)or provide a Downgradient Property Status Submittal(BWSC-104). Check here if this location is a Site that is Adequately Regulated,pursuant to 310 CMR 40.0110. Specify which other regulatory authority applies: O Response Actions at this Site,which are being conducted as a HSWA Corrective Action,are Adequately Regulated,pursuant to 310 CMR 40.0112. O Response Actions at this Site,which is a 21 C facility under the RCRA Authorized State Hazardous Waste Program,are Adequately Regulated under M.G.L.c.21 C and 310 CMR 30.000,pursuant to 310 CMR 40.0113. O Response Actions at this Site,which is a Solid Waste Management facility,are Adequately Regulated under M.G.L.c.21 H,M.G.L.c.111. §150A and/or 310 CMR 19.000,pursuant to 310 CMR 40.0114. You must attach all supporting documentation for the LSP Evaluation Opinion indicated,including copies of any Legal Notices and Notices to Public Officials required by 310 CMR 40.1400. D. LSP OPINION: 1 attest under the pains and penalties of perjury that 1 have personalty examined and am familiar with this transmittal form,including any and all documents accompanying this submittal. In my professional opinion and judgment based upon application of(i)the standard of care in 309 CMR 4.02(1), a the applicable provisions of 309 CMR 4.02(2)and(3),and(ii)the provisions of 309 CMR 4.03(5),to the best of my knowledge, information and belief,this LSP Evaluation Opinion was developed in accordance with the applicable provisions of M.G.L.c.21 E and 310 CMR 40.0000.and the response action(s)upon which this opinion is based,if any,were reasonable and appropriate to accomplish the purposes of such response action(s)as set forth in the applicable provisions of M.G.L.c.21 E and 310 CMR 40.0000. I am aware that significant penalties may result,including,but not limited to,possible fines and imprisonment,if I submit information which I know to be false,inaccurate or materially incomplete. SECTION D IS CONTINUED ON THE NEXT PAGE. Revised 3/30/95 Supersedes Form BWSC-015 Page 1 of 2 Do Not Alter This Form i Massachusetts Department of Environmental Protection BWSC-110 iiaBureau of Waste Site Cleanup ., LICENSED SITE PROFESSIONAL (LSP) Release Tracking Number EVALUATION OPINION TRANSMITTAL FORM D — 1080 Pursuant to 310 CMR 40.0600(Subpart F) D. LSP OPINION: (continued) Check here if the Response Action(s)on which this opinion is based,if any,is(are)subject to any order(s),permit(s),and/or approval(s)issued by DEP or EPA. If this box is checked,you MUST attach a statement identifying the applica ereof. OF M LSP Name: Evan T. Johnson LSP if: 6135 Stam �� �ISf'cy AN Telephone: 413-562-1600 Ext.: 254 E T. NSON FAX:(optional) 413-562-1573 v JNo 6135 r—:fR�c�C.�. yfOG STE�Signature: _ SITE PRO Date: Q E. PERSON SUBMITTM G LSP EVALUATION OPINION: Name of Organ¢ation: 5'-.d-1":.e/ P/t Name of contact John Bambara True: Corporate Executive Officer Street: 70 Airport Road City/Town: (Hyannis) Barnstable State: MA ZIP Code: 02601 Telephone: 508-771-1554 Ext.: FAX:(optional) F. RELATIONSHIP TO SITE OR LOCATION TO BE INVESTIGATED OF PERSON SUBMITTING LSP EVALUATION OPINION: (check one) RP or PRP Specify. ® Owner Q Operator O Generator O Transporter Other RP or PRP: Fiduciary,Secured Lender or Municipality with Exempt Status(as defined by M.G.L.c.21 E,s.2) Agency or Public Utility on a Right of Way(as defined by M.G.L.c.21 E,s.5Q)) Any Other Person Submitting LSP Evaluation Opinion Specify Relationship: G. CERTIFICATION OF PERSON SUBMITTING LSP EVALUATION OPINION: Evan T. Johnson ,attest under the pains and penalties of perjury n that I have personally examined and am familiar with the information contained in this submittal,including any and all documents accompanying this transmittal form,(ii)that,based on my inquiry of those individuals immediately responsible for obtaining the information,the material information contained in this submittal is,to the best of my knovAedge and belief,true,accurate and complete,and(iii)that I am fully authorized to make this attestation on behalf of the entity legally responsible for this submittal. Itthe person or entity on whose behalf this submittal is made am/is aware that there are significant penalties,including, but not limited to,possible fines and imprisonment,for willfully submitting false,inaccurate,or incomplete information. gY Title: Associate (signature) For. John Bambara Date: (print name of person or entity recorded in Section E) Enter address of the person providing certification,if different from address recorded in Section E: Street: C4/Tovm: State: ZIP Code: Telephone: Ext.: FAX:(optional) YOU MUST COMPLETE ALL RELEVANT SECTIONS OF THIS FORM OR DEP MAY RETURN THE DOCUMENT AS INCOMPLETE. IF YOU SUBMIT AN INCOMPLETE FORM,YOU MAY BE PENALIZED FOR MISSING A REQUIRED DEADLINE,AND YOU MAY INCUR ADDITONAL COMPLIANCE FEES. Revised 3130/95 Supercedes Form BWSC-015 Page 2 of 2 Do Not Alter This Form '454CAT ION re SEWAGE PERMIT NO. rj go Ad - iv b Ck Oi 1'%iGr,r�[aiv.G jsaed, ILLAGE I*NSTA LLER'S NAME- & ADDRESS B U 1'L D E R OR OWNER R /l DATE PERMIT,• ISSUED DATE COMPLIANCE ISSUED pU PACAACq1 NSTABLE y =" " CATION SEWAGE VILLAGE ASSESSOR'S MAP & LOT _19JZ��Obe INSTALLER'S NAME & PHONE NO. A & B CANCO 775-6264 SEPTIC TANK CAPACITY Mon h LEACHING FACILITY:(type) C- 7 (sue) �^ NO. OF BEDROOMS PRIVATE WELL OCPUBLIC)ATER BUILDER OR OWNER PA c A iv DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No r v►1cQ ��41k loop -�-o sT Mae qq �11 ............ THE COMMONWEALTH OF MASSACHUSETTS BOARD - OF HEALTH APPROVC TOWN OF BARNSTABLE 8Wnstable Conservation Departnwttt . , Ap,pliratiuu for Diipusal 3Vurki Cnuuottrur eruct oa. Application is hereby made for a Permit to Construct ( ) or Repair (;/f an Individual Sewage Disposal System at: ............. f `�c I�i ..... ......... __ _.. 1 i`..N... .-----•---------••---.....----•------------------------ Location-Address or Lot No. av>....�. ....�� .. .........................................................................•....................•... Owner Addre s a ..... ....... 3.......�.fa.!:�!C©............................................. �0:�>'1a...11-9..p �..��,1�r� .o�- ------------- Installer Address UType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building ............... No. of ersons.....................__..... Showers a YP g ------------- P ( ) — Cafeteria ( ) d 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. I................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........................ a ................................................... --•---••------------•------------------------------------•--.-..------•-•••-------..-..-------------•--•-•----•--------...-••-------------........-----•••- 0 Description of Soil........................................................................................................................................................................ v •-•••---•-••--••----•-•....-•-•-----••---•••---------•••••-••••----------••-•---•--•-•••-••-•--•••-•-•----••-•••••---••----••-••••----•-•--•-•---•-••--•••••-----------•................•--•----••------ W --••••-•--••----...••--•----•-•--•-•-••---•----••--••-•--•-•-•-...----••••--.........-•---••-•-•••... U Nature of Repairs or iterations Answer whe ap licab hr9.� _1�aa._ _ G !'•._ ------ ---- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code e undersigned further agrees not to place the system in operation until a Certificate of Co an s been is_u y the board of health. Signed . ........... \\ r .................... .................................. Da ApplicationApproved By ................ ...... ...................................................---.......... ......----............................-- Date Application Disapproved for the following reasons: .............. ................................................................................................................................................................................................................ ........................................ Dace PermitNo. .......G �-..."... oZ .C1....................... Issued ............................................................--...... Dace No..,�V .-. FEB...3 o.............. a' THE COMMONWEALTH OF MASSACHUSETTS p BOARD ,,OF HEALTH - TOWN OF BARNSTABLE J. Applirativin for DisousuriForks onstrudiaYt ramit Application is hereby-made for a Permit to Construct ( ) or Repair (p,,r an Individual Sewage Disposal System at: ............ L ._ aP,_-1........ ...__..... ................. ....................................................... Location-Address r or Lot No. :.. ........................................................ Owner Address --•---•-----••--- . � _. .r ... 9.�..p.....t a:...l l__,/_?_1_nn__n___u__T__ ____............. Installer Address d Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms................................ .....Expansion Attic ( ) Garbage Grinder ( )p,, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Pa 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........................................ aTest Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ rX4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water..................... Ix _-------•--------------------------------------------------•----_.-------------__-••----• -•--- •--•---------------- •......... _----------••-••---•----•••---- 0 Description of Soil..........................................................................................................................-............................................ UW -•-------•------...•---•••••-----•--•----••--•-•-•-•----•-•-------------•--------•---------•••-••------ --- .----------------------P•........................4-......a.................. Nature of Repairs or Alterations—Answer when applicab}l . o.. __lb� .,o-I .•lo u/ i•�,-• ate. _•..._-_ne -•••-_.. 1� Y trr,• ...................................................... Agreement: I The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code The undersigned further agrees not to place the system in operation until a Certificate of Cori�iplianc- has been issued by the board of health. Signed ... ------- . ---------------------------`......--------- ' � Dare Application Approved By .................... .,e ,, .- Dace Application Disapproved for the following reasons: ........................................................................................................................................ ........................................ Permit No. .... �-. vZ..�............... .... Issued Date...... Dare THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE (9er#ifirate of Coxalalian.ce THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ✓) by -------- .......C.Qkv.c..0.................................................................................................................................................................................... Installer at ............. ..1..2..?a.2. 1-...... ..1�......'.... 4,:c ...�/.......... )4.v..A..u.N.�. ............................ has been installed in accordance with the provisions of TITLE 5 ofJThe State Environmental 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 FU CTJON S i"SP CTORY. DATE ................................. Inspector` ............................ ....... ............... THE COMMONWEALTH OF MASSACHUSETTS BOARD, OF HEALTH 9 TOWN OF BARNSTABLE FEE....a".... Disposal Workii Tonstrudinn JIrrutit Permission, is hereby granted..... ........_c.fC4_J.CrS.......... .. . to Construct ( ). or Repair ( .� an Individual Sewage Disposal System at No........-'-ta'.Z.4.— -k-`—•-------- = 1' /,S Street as shown on.the applicatio:. for Disposal Works Construction Permit No. - .—Dated.......................................... ............................. .......................................................... DATE,-_------ ----•.......................•..... Board of Health -. '_'�i >�-]-��- V M 36506 MO66S�N•INC.. t!gHERS - i �NSTABLE LOCATION a�- - ,� ��< .s SEWAGE VILLAGE ����✓'� ASSESSOR'S MAP & LOT ;y �: d�'' ; INSTALLER'S NAME & PHONE NO. A & B CANCO 775-6264 .SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) e?, NO. OF.BEDROOMS PRIVATE WELL O PUBLIC ATER� BUILDER OR OWNER PA c Ac,i eov rlN -'� DATE PERMIT ISSUED: ,- � DATE COMPLIANc.E ISSUED: VARIANCE GRANTED: Yes No ' i aP� e / e / LO;CATION �'`_.1_� la� � l; :< SEWAGE PERMIT NO.j go Act N o3 .r VILLAGE IN.ST.A. LLER'S NAME- ADDRESS „ e e N� B UIlDE :R OR OWNER D A T E P-E-n I T I S S U E D DATE COMPLIANCE ISSUED ilk 1 i —`— -� -� - ....... ... 3s -------------- DANIEL S.GREENBAUM Commissioner GILBERT T.JOZ Regional Directo �J �. / May 3 , 1991 Independence Park, Inc. RE: BARNSTABLE--WSC-4-1080 Box 1776 Packaging Industries Hyannis, Massachusetts 02601 Group, Inc Airport Rd. LOCATION TO BE ATTENTION: L. Paul Lorusso, INVESTIGATED, Request President for PA/Phase I Report, M.G.L. , Ch. 21E and 310 CMR 40. 000 Gentlemen: The Department of Environmental Protection, Bureau of Waste Site Cleanup, (the "Department") , has determined that the property occupied by Packaging Industries Group, Inc. , located on Airport Road, Hyannis, Massachusetts, (the "Location") , is a Location To Be Investigated (LTBI) as a possible disposal site within the meaning of M.G.L. Chapter 21E and the Massachusetts Contingency Plan, (MCP) , 310 CMR 40. 000. Based upon available information, the Department considers this location reasonably likely to be a disposal site. Because this Location has been identified as an LTBI, it will be included on the list of "Locations and Disposal Sites" published by the Department. The Department is in receipt of your "Notice of alleged release of hazardous material at Packaging Industries, Inc. facility in Hyannis, Barnstable, MA" dated October 17 , 1990. Furthermore, the Department is investigating the source(s) of contamination affecting the water quality at several public water supply wells for the Hyannis area. As part of this investigation, the Barnstable Municipal Airport installed observations wells at the airport property. Groundwater contamination with volatile organic compounds was detected in wells downgradient from the Location. The assessment and cleanup of disposal sites areas where oil or hazardous materials have been released or come to be located, is governed by M.G.L. , Ch. 21E, and by 310 CMR 40. 000, the MCP. The information currently available is insufficient to allow the Department to confirm the Location as a disposal site. In Recycled Paper -2- order to make this determination, the Department requests that you (as used in this letter you refers to Independence Park, . Inc. ) , as a party potentially liable for the release, take the steps outlined below: 1. Provide the Department with a written response within fourteen (14) days of your receipt of this letter, indicating whether your intend to take the necessary actions. 2 . Contract with a consultant knowledgeable in hazardous waste site assessment and abatement to conduct the following work in accordance with the MCP: a. Complete and submit, within forty-five (45) days of receipt of this letter, a Preliminary Assessment .Report (copy enclosed) meeting the requirements of 40. 541 of the MCP. b. Complete the Phase I-Limited Site Investigation and Report as outlined in 40. 543 of the MCP. All items must be addressed. Note that in order to determine the source and extent of contamination, observation wells (deep and shallow) need to be installed. To determine the depth of the wells and the length/location of the screen, split spoon samples should be taken continuously to be tested for the presence of VOCs utilizing a field gas chromatograph or similar instrument. The Phase I Report shall include, at a minimum, the following: 1. Boring logs, well construction specifications; a -I description of the drilling method; 2 . A listing of all chemicals (generic names) and quantities used, stored and disposed of at the Location; 3 . Maps drawn to scale showing the location of the observation wells, catch basins., utility lines, septic system, dry wells, floor drains; 4 . A current ground water and contaminant plume contour map; and 5. Results of laboratory and field testing data. Ground water from all wells should. be sampled and analyzed for VOCs utilizing EPA Method 624. In addition, the sampling plan should include -3- the chemicals listed in item 2 for soil and ground water samples. All laboratory data must comply with the Department's "Minimum Standards for Analytical Data for Remedial Response Actions Under M.G.L. , Ch. 21E, Policy #WSC-89-004" (copy enclosed) . C. Complete the Inter/im Site Classification Form (copy enclosed) in accordance with 40. 544 of the MCP. The Phase I Report documenting all Phase I activities shall be prepared and submitted, in conjunction with the Interim Site Classification Form, to the Department within ninety (90) days of receipt of this letter. d. ' The consultant shall also evaluate the need for a Short Term Measure (STM) as defined in 40. 542 of the MCP. If at any time an imminent hazard is discovered at the Location, you must immediately notify the Department and submit a proposal for a STM. This evaluation shall continue throughout the assessment process for the location. Depending on the information generated by the above work, the Department may require additional investigations, studies and actions. You should be aware that if the Department performs the required assessment activities, you may be held liable for of the costs the Department has incurred. •If the LTBI is confirmed as a disposal site, you may be named as a' party liable for up to three (3) times the Department' s response action costs. The Department may also assess interest on the costs it has incurred to date at the rate of twelve percent (12%) , compounded annually. You may also be liable for damages from the impairment of natural resources and for any liability imposed under M.G.L. Ch. 21E, Section 11 and other laws for each violation of Ch. 21E and other laws, or under M.G.L. Ch. 21A; Section 16, for violations of Ch. 21E and other statues, regulations, orders, or approvals. If you perform the required response actions, the Department will not seek to recover the costs it incurs in-.reviewing the preliminary assessment, phase I limited site investigation report- and the disposal site classification form that you submit to the, Department. s -4- Should you have any questions regarding this Notice, please contact Maria Pinaud at (508) 946-2869. In any correspondence to this office, please refer to case WSC/SA 4-1080. The Department looks forward to your cooperation in this matter. Very truly yours, 41 Mark J/Begley, Chief Site Remediatiori Section B/MP/re Enclosures CERTIFIED MAIL #P622 584 326 RETURN RECEIPT REQUESTED cc: DEP - BWSC - Boston DEP - SERO - Data Entry Town of Barnstable Town Hall Hyannis, MA 02601 ATTN: Warren Rutherford Town Manager Hazardous Waste Coordinator P.O. Box 534 Hyannis, MA 02601 ATTN: Tom McKean DEP - Div. of Water Supply - SERO ATTN: Larry Dayian Barnstable Fire District P.O. Box 546 Phinney' s Lane Barnstable, MA 02630 Barnstable Water Company j P.O Box 326 Hyannis, MA 02601 ATTN: George Wadsworth Packaging Industries Group, Inc. 130 North Street Hyannis, MA 02601 I ' r 02 97& o ''`~ Sy•y` lJ7vM/t���/��IMW J V/�i�/G/ .LA,��P2/`♦!C'L{NV/V Daniel S. Greenbaum VGhe'G ��Qdf C °�CO�i Commissioner 0?\J _�6 oAe, 'A%madOTc Y4, Gilbert T. Joly �`"'`^ Regional Director February 7, 1991 Packaging Industries RE: BARNSTABLE--Cross Connections 130 North Street Proposed Backflow Prevention Device Hyannis, Massachusetts 02601 at Packaging Industries, 130 North Street, PWS ID# 4020004 91-394 ATTENTION: Mr. Carl Bolton Gentlemen: The Department of Environmental Protection, in response to a request submitted on your behalf dated October 30, . 1990, has reviewed plans of a proposed backf low . prevention device for the subject location. The plans consist of one (1) sheet which is titled: 'PACKAGING INDUSTRIES NORTH ST. OFFICE HYANNIS, MASS. CANCO FIRE PROTECTION 10/30/90 The plans propose the installation of one 6" Watts 709 double check valve assembly on the water line feeding the fire sprinkler system equipped with siamese connections. The plans are hereby approved with the following provisions: 1. The water lines affected may be shut down during normal business hours, after reasonable notice and after written permission is received from the local fire department having jurisdiction to permit necessary testing and maintenance. If it is not possible to meet this requirement, it will be necessary to provide a by-pass equipped with an approved type backflow prevention device. 2 . The installation must be readily accessible for testing and maintenance. Original Printed on Recycled Paper -2- 3 . A complete set of spare parts for each device must be available for future maintenance. 4 . The fire sprinkler system will not be equipped with storage capability. 5. The fire sprinkler system will 'not have a direct connection to an unapproved source of water. 6. The fire sprinkler system will not be treated with chemicals which includes any type of anti-freeze. In addition, the Department requires that the installation be completed within ninety ' (90) days after receipt of this communication. After the work has' been completed, please notify the Barnstable Water Company so that arrangements can be made for an inspection. The application for a cross connection permit will be issued after the inspection. If you have any questions, please contact Mr. Richard Wiles at (508) 946- 2767. Very truly yours, i J"-Lawrence S. Dayian, hief 'Water Supply Section D/ROW/kan cc: Barnstable Water Company P.O. Box 326 Hyannis, MA 02601 Board of Health Town Hall 367 Main Street Hyannis, MA 02601 , Plumbing Inspector Town Hall 367 Main Street Hyannis, MA 02601 Fire Dept. Main Street Barnstable, MA 02601 r ' -3- cc: A & B Canco P.O. Box 999 W. Yarmouth, MA 02673 • I [ANNCARROLL. DISTRIBUTION MANAGER CAPE COD POTATO CHIPS 0 Breed's Hill Road,Hyannis,MA 02601 rehouse te1:508-771-9180 fax:508-778-9618 office te1:508,775-3358 x216 + TOWN OF BARNSTABLE C MPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops 1 unsatisfactory- 4.Manufacturers e ." r " 5.Retail Stores COMP Oders ) 6.Fuel Suppliers ADDRESS Class: 7.Miscellaneous rti4QUANTITIES ANDS ORAGE (IN=indoors;OUT=outdoors) MAJOR MATEj�OW ALS Case lots Drums Above Tanks Underground IN OUT IN OUT I IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2(B) Heavy Oils: waste motor oil (C) new motor oil(C) transmission/hydraulic Synthetic Organics degreasers Miscellaneous: t S DISPOSAL/R.ECLAMATION REMARKS: 1. Sanitary Sewage 2.W •ter Supply `l�/��. - — JNTown Sewer Public d On-site OPrivate 3. Indoor Floor Drains YES V NO O Holding tank:MDC Catch basin/Dry well 7" � c O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product YES NO 1. 2. • son s) Interviewed ector Date COMPOONWEALTII OF MASSACI[USET-tS ' Isis EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMFNT OF ENVIRONMENTAL PROTECTION r.,Nr WINTrR S'FRFF:T. nOSTON. NIA 02109 FI 7•'_92-�500 lot WII.1 I04 r kv r-I.I) TRI!hti: XF Gmcrnvr A 350 MAIN STREET +01, Saerc r. WEST YARMOUTH, MA illy p )fl i 1S AROF0 PAI H.CH.l_IrC(1 508-775-2800 Lt (�ovcmnr 000MM)9 �, dotiM ur SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FOR 9B PART A vzvA~ CERTIFICATION MAP 294 PAR 068 S 9 � PROPERTY ADDRESS: 80 AIRPORT ROAD,HYANNIS ADDRESS OF OWNER: DATE OF INSPECTION: NOVEMBER 16, 1998 HOLLY MANAGEMENT NAME OF INSPECTOR: JAMES D.SEARS I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 9310 CMR 15.000) COMPANY NAME: A&B Canco MAILING ADDRESS: 350 Main Street,West Yarmouth,MA 02673 TELEPHONE NUMBER: (508)775-2800 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: X PASSES CONDITIONALLY PASSES NEEDS FURTHER EVALUATION BY THE LOCAL APPROVING AUTHORITY FAILS INSPECTORS SIGNATURE: 0DATE: NOVEMBER 16, 1998 The system Inspector shall submit a copy of this inspection report to the Approving Authority within thirty(30)days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer,if applicable and the approving authority. INSPECTION SUMMARY: Check A, 8, C, or D: A] SYSTEM PASSES: X I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. COMMENTS: SITE OVER ALL PASSES, INSPECTION OF SYSTEM IS BASED ON CONDITION OF SYSTEM AT THE TIME OF THE INSPECTION.THERE IS NO GUARANTEE ON THE LIFE OF THE SYSTEM. B SYSTEM CONDITIONALLY PASSES: N/A One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair,as approved b the Board of Health,will pass. Indicate yes,no,or not determined(Y, N,or NO). Describe basis of determination in all instances. If"not determined", explain why not) The septic tank is metal, unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance(attached)indicating that the tank was installed within twenty(20) Years prior to the date of the inspection;or the septic tank,whether or not metal, is cracked,structurally unsound,shows substantial infiltration or exfiltration,or tank is failure is imminent. The system will pass- inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. Page 1 of 10 (Revised 04/25/97) DEP on the World Wide Web:http://www.magnet.state.ma.un/d i s SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (CONTINUED) Property Address: 80 AIRPORT ROAD,HYANNIS Owner: HOLLY MANAGEMENT Date of Inspection: NOVEMBER 16, 1998 B]SYSTEM CONDITIONALLY PASSES(continued) I Sewage backup or breakout or high static water level observed in the distribution box is due to I broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health). Describe observations: broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced i The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed C]FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: N/A Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health,safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER,IF APPROPRIATE)DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet to a surface water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and the SAS is within,a Zone 1 of a public water supply well. The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well,unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen and nitrate nitrogen is equal to or less than 5 ppm. Method used to determine distance (approximation not valid). 3) OTHER (Revised 04/25/97) Page 2 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 80 AIRPORT ROAD,HYANNIS Owner: HOLLY MANAGEMENT Date of Inspection: NOVEMBER 16, 1998 D]SYSTEM FAILS: You must indicate either"Yes"or"No"as to each of the following: N/A 1 have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303.The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes No Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. Discharge or ponding of effluent to the surface of the ground or surface waters.due to an over- loaded or clogged SAS or cesspool. Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. Liquid depth in cesspool is less than 6"below invert or available volume is less than Yz day flow Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone I of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable,attach copy of well water analysis for coliform bacteria,volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E)LARGE SYSTEM FAILS: You must indicate either"Yes"or"No"as to each of the following: The following criteria apply to large systems in addition to the criteria above: N/A The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: Yes No the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or mapped Zone II of a public water supply well) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. (Revised 04/25/97) Page 3 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 80 AIRPORT ROAD,HYANNIS Owner: HOLLY MANAGEMENT Date of Inspection: NOVEMBER 16,1998 Check if the following have been done:You must indicate either"Yes"or"No"as to each of the following: Yes No X Pumping information was provided by the owner,occupant,or Board of Health. X None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. N/A As built plans have been obtained and examined. Note if they are not available with N/A. X The facility or dwelling was inspected for signs of sewage back-up. X The system does not receive non-sanitary or industrial waste flow. X The site was inspected for signs of breakout. X All system components,including the Soil Absorption System,have been located on the site. X The septic tank manholes were uncovered,opened,and the interior of the septic tank was inspected for condition of baffles or tees,material of construction,dimensions,depth of liquid depth of sludge,depth of scum. The size and location of the Soil Absorption System on the site has been determined based on: X The facility owner(and occupants,if different from owner)were provided with information on the proper maintenance of Sub-Surface Disposal System. X Existing information.Ex. Plan at B.O.H. X Determined in the field(if any of the failure criteria related to Part C is at issue,approximation of distance is unacceptable)[15.302(3)(b)] (Revised 04/25/97) Page 4 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 80 AIRPORT ROAD,HYANNIS Owner: HOLLY MANAGEMENT Date of Inspection: NOVEMBER 16,1998 FLOW CONDITIONS RESIDENTIAL: Design flow: g.p.d./bedroom for S.A.S. Number of bedrooms: Number of current residents: Garbage grinder(yes or no): Laundry connected to system(yes or no): Seasonal use(yes or no) Water meter readings,if available(last two(2)year usage(gpd): Sump Pump(yes or no): COMMERCIAL/INDUSTRIAL: Type of establishment: WAREHOUSE Design flow: N/A gallons/day Grease trap present:(yes or no): NO Industrial Waste Holding Tank present:(yes or no) NO Non-sanitary waste discharged to the Title 5 system:(yes or no) NO Water meter readings,if available: Last date of occupancy: OTHER: (Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: 12-97 BARNSTABLE PLANT System pumped as part of inspection:(yes or no) NO If yes, volume pumped: Gallons Reason for pumping TYPE OF SYSTEM X Septic tank/distribution box/soil absorption system Single cesspool - Overflow cesspool Privy Shared system(yes or no)(if yes, attach previous inspection records, if any) I/A Technology etc. Copy of up to date contract? Other APPROXIMATE AGE of all components,date installed(if known)and source of information: UNKNOWN Sewage odors detected when arriving at the site:(yes or no) NO (revi'sed 04/25/97) Page 5 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 80 AIRPORT ROAD,HYANNIS Owner: HOLLY MANAGEMENT Date of Inspection: NOVEMBER 16, 1998 BUILDING SEWER: N/A (Locate on site plan) Depth below grade: Material of construction _ cast iron _ 40 PVC _ other(explain) Distance from private water supply well or suction line Diameter Comments:(condition of joints,venting,evidence of leakage,etc.) SEPTIC TANK:X (Locate on site plan) Depth below grade: 3' Material of construction X concrete _ metal _ Fiberglass _ Polyethylene _ other(explain) If tank is metal,list age Is age confirmed by Certificate of Compliance (Yes/No) Dimensions: 15'L X 5'H Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle: 31" Scum thickness: 1" Distance from top of scum to top of outlet tee or baffle: 7" Distance from bottom of scum to bottom of outlet tee or baffle: 14" How dimensions were determined TAPE Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert, structural integrity,evidence of leakage,etc.) TANK AT WORKING LEVEL,INLET TEE,OUTLET TE,BOTH COVERS 2'STEEL AT GRADE. GREASE TRAP: N/A (locate on site plan) Depth below grade: Material of construction _ concrete _ metal _ Fiberglass _ Polyethylene _ other(explain) Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert, structural integrity,evidence of leakage,etc.) (revised 04/25/97) Page 6 of 10 ' u , SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 80 AIRPORT ROAD,HYANNIS Owner: HOLLY MANAGEMENT Date of Inspection: NOVEMBER 16, 1998 TIGHT OR HOLDING TANK: N/A (Tank must be pumped prior to,or at time,of inspection) (Locate on site plan) Depth below grade: Material of construction _ Concrete _ metal _ Fiberglass _ Polyethylene _ other(explain) Dimensions: Capacity: Design flow: gallons/day Alarm level: Alarm in working order _ Yes; _ No Date of previous pumping: Comments: (condition of inlet tee,condition of alarm and float switches,etc.) DISTRIBUTION BOX:X (locate on site plan) Depth of liquid level above outlet invert: 0 Comments: (note if level and distribution is equal,evidence of solids carryover,evidence of leakage into or out of box,etc,) D-BOX IS 7'BELOW GRADE,FOUR LINES OUT, 18"STEEL COVER AT GRADE. PUMP CHAMBER:X (locate on site plan) Pumps in working order:(Yes or No) YES Alarms in working order(Yes or No) YES Comments: (note condition of pump chamber,condition of pumps and appurtenances,etc.) NOTE: PUMP CHAMBER AT WORKING LEVEL,TWO PUMPS,TANK, PUMPS AND CHAMBER ARE CLEAN,BOTH COVERS ARE 2'STEEL AT GRADE. (revised 04/25/97) Page 7 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 80 AIRPORT ROAD, HYANNIS Owner: HOLLY MANAGEMENT Date of Inspection: NOVEMBER 16, 1998 SOIL ABSORPTION SYSTEM(SAS):X (locate on site plan,if possible;excavation not required, but may be approximated by non-intrusive methods) If not determined to be present,explain: Type: leaching pits,number: leaching chambers,number: leaching galleries,number: 15 leaching trenches,number,length: leaching fields,number,dimensions: overflow cesspool,number, alternative system: Name of Technology: Comments: (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.) GALLEYS DRY,THREE 18"COVERS STEEL AT GRADE. CESSPOOLS: N/A (locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater: inflow(cesspool must be pumped as part of inspection) Comments:: (note condition of soil,signs of hydraulic failure, ,level of ponding,condition of vegetation,etc.) PRIVY: N/A (locate on site plan) Materials of construction: Dimensions: Depth of solids: _ Comments: (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.) (revised 04/25/97) Page 8 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 80 AIRPORT ROAD, HYANNIS Owner: HOLLY MANAGEMENT Date of Inspection: NOVEMBER 16, 1998 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100(locate where public water supply comes into house) too 0 1 �q 0 0 \ (revised 04/25/97) Page 9 of 10 r v SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 80 AIRPORT ROAD,HYANNIS Owner: HOLLY MANAGEMENT Date of Inspection: NOVEMBER 16, 1998 Depth to groundwater feet Please indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record Observation of Site(Abutting property,observation hole,basement sump etc.) Determine it from local conditions Check with local Board of health Check FEMA Maps Check pumping records Check local excavators,installers Use USGS Data Describe in your own words how you established the High Groundwater Elevation.(Must be completed) NOTE:LOT HIGH,LEACHING AREA HIGHER. NO GROUND WATER PROBLEM. (revised 04/25/97) Page 10 of 10 • #;p+` k''t i�,..:-r,��s+;'^.'"i,L 1. `�,.. ..t� y1• ,♦. +. s,. .,.a^ ...v-.'+ .:r' .i.:'S4^t+R1s_ _ wj Log Number: Bottle # PKI Date: April 29, 1988 pF gqR �,� tisay BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT ��r p SUPERIOR COURT HOUSE BARNSTABLE, MASSACHUSETTS 02630 v ASO DRINKING WATER LABORATORY ANALYSIS PHONE: 362-2511 Ext. 337 Client: Packaging Industries Collector: Paul Croteau Mailing Address: Airport Road Affiliation: Hvanriis. MA 02601 Time & Date of Collection: A197/%Ztt Telephone: 775-5220 Type of Supply: ' ,�p�l Sample Location: Off Airport Road Well Depth: 4Dt Barnstable. MA Date of Analysis: 4/27/88 12*.UU ivoon PARAMETER SAMPLE RESULT RECOMMENDED LIMITS Total Coliform Bacteria/100 ml 0 0 H _ 5.6 Conductivity (micromhos/cm) 227 500.0 Iron ( m) 0.1 0.3 Nitrate-Nitro en ( m) 1. 10.0 Sodium ( m) 26 20.0 I . Water sample meets -the recommended limits for drinking of all above tested parameter: II . XX Based only on results of the parameters tested for this sample, the water is suitable for drinking but may present the problems checked below: A. Water sample has higher than average levels of Nitrate. Future monitoring is recommended (2-3 times per year) to establish any upward trends. B. The low pH of the water may shorten the useful life of the house's plumbing. C. Water may present aesthetic problems (taste, odor, staining) due to D. X Water sample has high levels of sodium-. Persons on low sodium diets should consult their doctor. III. Due to one or more of the reasons checked below, this water sample is unfit for human consumption: A. High Bacteria B. High Nitrates REMARKS: CC: Barnstable Board of Health CC: U) (646/;�L 1 /7/85 Laboratory Director n i. Explanation of Test Results Total Coliform Bacteria r Coliform bacteria are an indicator of the sanitary quality of a water supply. Water supplies may become contaminated from malfunctioning septic systems, cesspools and surface runoff. A total coliform count of zero indicates that your water supply is safe and approved for human consumption. A total coliform count of greater than zero is most often the result of accidental contamination of the sample bottle through improper sampling methods. For this reason. it.would be advisable to retest any well water that is not approved. pH pH is the measure of acidity oralkalinityof the water. On the pH scale, the number 7 is neutral, less than 7 is acidic and more than 7 is alkaline. The pH of water on Cape Cod tends to be acidic in the range of 5.0 to 6.5. Conductivity Conductivity is a measure of the dissolved salts in solution. Amounts in excess of 500 micromhos/cm are generally considered unacceptable and may have a laxative effect upon users. Iron The presence of iron in water in concentration of .3 ppm or greater may: give the water a bittersweet astringent taste, cause an unpleasant odor, often gives the water a brownish color and cause staining of laundry and porcelain. The average concentration of iron in Cape Cod's water is .2 - .6 ppm. Although the presence of iron in water may cause the problems listed above, it is not considered deleterious to health. Iron may be removed by use of an iron removal system. Nitrate-nitrogen The Massachusetts Drinking Water Regulations have set a maximum contaminant level for nitrates at 10 ppm. Excessive concentrations may cause methemoglobinemia (an infant disease) and have been suggested to form potentially carcinogenic nitrosamines. Contamination sources include fertilizers, cesspools and industrial wastes. Copper ' Due to the acidic nature of the water on Cape Cod, copper tends to leach from pipes. This normally does not present a health hazard; however, concentrations in excess of 1.0 ppm may cause a metallic taste and/or a bluish-green stain on porcelain fixtures. Sodium A concentration of sodium over 20 ppm is only of concern to people who are on a low sodium diet. If the water supply has more than 20 ppm sodium. it is up to the people who are on such a diet to find another source of drinking water or contact their. doctor to determine if consuming the water is advisable. Concentrations exceeding 50 ppm indicate that there may be ocean water or road salt runoff water getting into the well. TOWN OF -,mRNSTABLE LOCATION SEWAGE # � VILLAGE ASSESSOR'S MAP Cz LOT INSTALLER'S NAME PHONE NO. SEPTIC TANK CAPACITY ' 5;/.1 ad LEACHING FACILITY:(type) �- 5: (size) NO. OF BEDROOMS PRIVATE WELL OR PU-BLI-C- WATER BUILDER OR OWNER �='D- ,% /i �,i✓ DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No !/ i ' O 1 RNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT Superior Court House Date: January 31, 1986 Barnstable, Massachusetts 02630 362-2511 Ext. 331 A s 6 SURFACE WATER LABORATORY ANALYSIS Mailing Address : Town of Barnstable Collector: James Conlon Main Street Time & Date of Collection: 1/29/86 , Hyannis , MA 02601 ' Time & Date of Analysis : Date of Last Rain: Telephone: 775-1120 x157 Method of Analysis : BATHER TOTAL COLIFORM FECAL COLIFORM MEETS RECOMMENDED LIMITS SAMPLE LOCATION(S) : TIDE DENSITY /100 ml /100 ml FOR WATER YES NO PKI Pond bottle #1 140 50 PKI Pond bottle #2 140 64 PKI Pond bottle #3 1000 1000 't4ITS for RECREATIONAL WATER Mass . Water Quality Criteria 1 ,000 Total oliform/100 ml , 200 Feca Codiforni%100 inl '.!-ZITS for" SHELLFISH WATER ( Interstate Shellfish Sanitation Program) MPN 70 Total Coliform/100 ml , MI'N 14 Fecal Col -1 foriii/I 00 ml )1 M E N T S: Re s u l t s' o n l y. The .Barnstable County Health and Environmental Department shall not endorse any statements, interpretations or conclusions made by anyone ®Ise concerning these results without wsttten consent. Analyst , ? Superior Court House Date : January 31 1986 I Barnstable , Massachusetts 02630 Ot - 362-2511 Ext. 331 SURFACE WATER LABORATORY ANALYSIS Nailing Address : Town of Barnstable Collector: James Conlon Main Street Time & Date of Collection : 1/29/86 " Hyannis , MA 02601 Time & Date of Analysis : Date of Last Rain : Telephone: 775-1120 x157 Method of Analysis : BATHER TOTAL COLT FORM FECAL COLIFORM MEETS RECOMMENDED LIMITS ?.;?'E L OCATION(S) : TIDE; DENSITY i /100 ml /100 ml FOR ';LATER YES NO PKI Pond bottle #1 140 i 50 PKI Pond bottle #2 � . i 140 I 64 PKI Pond bottle #3 1000 1000 I I I I I I i I I !TS for RECREATIONAL WATER Mass . Water Quality Criteria 1 ,000 Total of iform/100 ml , 200 Feca Coliforni%1"U0 i•l1 !TS for SHELLFISH WATER ( Interstate Shellfish Sanitation Program) MPN 70 .Total Col iform/100 ml , KIN 14 Fecal Coll form/ 100 (III . '''E?ITS: Results only. The Barnstable County Health and Environmental Department shall not endorse any statements, interpretations or conclusions made by anyone alse concerning these results without written consent. A n a l y s tl• c; � ` c, - ;_� PACKAGING INDUSTRIES GROUP, INC. Sentinel Products January 30, 1986 Mr. John M. Kelly Director of Public Health Town of Barnstable Hyannis, MA 02601 Dear Mr. Kelly: We received your letter expressing your concern about our failure to upgrade our septic system for Plant #2 located at Airport Road in Hyannis. We are in the _process of getting this project requoted, and should have .all quotes back to us within two weeks from this date. At that time we will contact you with our timing for the completion of this project. We will not delay this project any longer. We are sorry for the inconvenience. ; i Sincerely, Richard J. Venuti Vice President of Corporate Engineering RJV/dm cc: John Bambara Anthony Giovannone i 130 NORTH STREET, HYANNIS, MASSACHUSETTS 02601 • TEL: 617-775-5220 • TELEX: 94-0350 January 23, 1986 11r. John Banbera, President Packaging Industries P. O. Box S Hyannis, MA. 02601 ' NOTICE TO ABATE VIOLATIONS OF I05 CMR 15.00, THE STATE ENVIRONMENTAL CODE, MINIMUM RBQUIREMENTS FOR THE SUBSURFACE DISPOSAL OF SANITARY T SEWAGE You are directed to upgrade your falling on-site sewage •disposal system within five (5) days of receipt of this order in accordance with Regulation 15.02 (19) of 310 CMR 15.00, of the. State Environmental Code. The failed system is servicing your plant located off Airport Road, Hyannis. You were previously ordered to upgrade this failing system by November 1, 1984. You did not comply. On March 6, 1985, you were granted a variance to upgrade this system but did not follow through with the repair. We recently received notification from the Department of Public Works that your system required pumping on November 4, 5, 7, 21 and 22, 1985. Your failure to upgrade is placing an unjustifiable burden on the septage treatment plant. We do not feel that you have acted hi good faith in your dealings with the Town in this matter. Non-compliance could result in a fine of up to $500. Each day's failure to comply with an order shall constitute a separate violation. Please be assured that appropriate action will be taken if you again ignore this directive. PER ORDER OF THE BOARD OF HEALTH John M. Kelly Director of Public Health JMK/mm 51' q :isdmuM poJ All �O?JOW 4.-ExpjmyKiqp.,,qf .S�.R R.ft t� j A VIA. DA,I IAI W I 1'�-. AaTy Coliform.Bacteria rD Coliform bacteria are an of..,t�� sj,i Zt!­_�X'.� qua i y -o --a:-water�-suppl y--W- atei�-sup IU Z3 a bed6 rJ ` contaminated s�pti +�ystems,-cesspools--and--surface-runoff.­ , c_o �Vero pd, indicates that iform.count of greater than our water supply is safe an approved .-A-totel--coI y -�., ��9,plS. zero is.—m-o-s-t�often-tfii*'iEi6if'bf'accident,4hcpntamination of the-sample-bottle--through--improper- sampling methods. 11 water-that-is-not­approved-�- ----- 0visabfe to peteq,-janT,yye For this reason, it would _ . I :notjaooj qrw52 --I T-3 MARA" pH is the4neasure of acidity or alkalinityof the water. On the pH scale,the number-7js neutral,Less than 7 is acidic I .11, ,"i I ";; -,)r5,�, - f.r-)j F b J o T and--,:�-o"-r-e--iiii-n"7-is--a'lk-al'i'n-e-'."TH-e--pl-H-of Wafteron,Cape--Cod tends-W-be-acidic"In A- ,e4Mg64P-,5- Ho Conduct(yity,'.',,C- Cond0ti y-ity is a measure of the:dissolved salts in solution. Amounts in excess of 500 micromhos/cm are Unerally',T cl q no -'--considered--u'--n'a-c-c-e-p"t-ib*I-e-"a-n-d-'m*-a--y'-H'a*v-e,-a-lgika[tive-effect,upon--users-.- f,r ----------- Iron V ............ MU ,s. The presence of iron in water in concentration of .3 ppin or greate' r may: give the water a bittersweet astringent taste, cause an unpleasant es-the-water-a7brownish-color-and-eause-staining-of-laundr-y-and-p.orcelain-,-- The average concentration of irori in Cape Cod's water is .2 - .6 ppm. Although the presence of iron in water may '-'--c--a' us—e'-t'h'-e--p-r-obfie-iiii-listed-abd-\ie,-it-i's-tf(5t--t6nsidered--deleterious-to'health-;-Iron-..m.ay-be-r-eniGved-.by--we-of-an-.ir.oxL-.- i q rr!E, f-)j f,W mQvil, in.. b=-las,31 Nitrate-nitrogen a maximum levpl f9r nitrates at 10 p in. The;M4ssa ljusptts prinking W4ter..,Regula.t,.ions,-ha,v..e set,,,, Q ,1� P _4 , -1 fk f disease') M 9bggR&�".toJorm_,_­ bi pij Excessive concentrations zm�aytLcauspjmethemoglo inemia (an in d,4 I.,;.! Q, 1 '�-rjr 'Y 061s' WA�aMi Vastes. potentially carcinogenic nitrosamines. Contamination sources iTicit�(iWfei-filizeeg,"c*jss'P-61s' t _U_ I ­�11 -V:I e" 61,11 Copper n4 .j D.),; 6J -f Due to the acidic nature of the water on Cape Cod, copper tends to leach frdm--pipes-.--This-normwLy-.does not concentrations in,,exce cause 4 metallic taste and/or a ,ss.of, 1.0 ppin may, mj5z, ­.,, 91qr ) . W bluish-green stain on porcelain fixtures. . I.,16 -,)J-.,)ob IF 13 P rl 0D J -1 v, I fo cm. of 3suct, T T Sodium 3a J f 1) MJUJOD f rnud A concentration of sodium over 20 ppm is only of concern to people who are on a low sodium diet. If the water tharf-20 ppm'sadium,'it is-up-to.the people-who-are-on.,such-.a..dietto..find-ano.ther-,s.Quu-e-Qf-dr.in.ki.ng-. i. water or contact their doctor to determine if consuming the water-is advisable. Concentrations exceedingVpiw indicate that there may be ocean water or road salt runoff water getting into the well. Jj Log Number Bottle # s;> Date: G BAR'�'sa BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT o SUPERIOR COURT HOUSE V BARNSTABLE, MASSACHUSETTS 02630 A1Asa DRINKING WATER LABORATORY ANALYSIS PHONE: 362-2511 EXT. 331 Client: �� ,��� �z��, .� �,,� ��>> -� Collector: Mailing Address: Affiliation: Time & Date of Collection: Telephone: Type of Supply: Sample Location: Well Depth: Date of Analysis. PARAMETER SAMPLE RESULT RECOMMENDED LIMITS Total Coliform Bacteria/100 ml 0 Hoy Conductivity (micromhos/cm) 500.0 Iron m) 0.3 Nitrate-Nitrogen ( m) 10.0 Sodium m) 20.0 I . Water sample meets the recommended limits for drinking of all above tested parameters. II . Based only on results of the parameters tested for this sample, the water is suitable for drinking but may present the problems checked below: A. Water sample has higher than average levels of Nitrate. Future monitoring is recommended (2-3 times per year) to establish any upward trends. B. The low pH of the water may shorten the useful life of the house's plumbing. C. Water may present aesthetic problems (taste, odor, staining) due to D. Water sample has high levels of sodium. Persons on low sodium diets should consult their doctor. III. Due to one or more of the reasons checked below, this water sample is unfit for human consumption: A. High Bacteria B. High Nitrates The Barnstable County Health and Fmvironmental Department Shull not en :-,7 s; n-,'y - REMARKS: interpralec'Es or corn ut ion rAd else cancem ng these resulIos w4houi wi8UO ednser& in Laboratory Director I 117185 March 6, 1985 Mr. Richard Venuti Packaging Industries 130 North Street Hyannis, MA. 02601 Re: Packaging Industries Airport and Fresh Hole Road, Hyannis Dear Mr. Venuti: You are granted a variance to instal tic lea g galley chambers 3.9 feet and 2.6 feet from a property line in of required ten feet, and 14.2 feet from the cellar wall, in lieu of the re twenty feet, with the following conditions: (1) The designing en g r must be site supervise construction and certify in writing the Board that i design has been complied with. (2) All other regulati s contained i itle 5, of the State Environmental Code, and the To of Barnstab ealth Regulations must be strictly adheie This var is granted cause it is an upgrading of a failing septic disposal system tributing to th egradation of the environment. V tr yours, obert L. C man BOARD OF HEALTH TOWN OF BARNSTABLE JMK/mm cc: Peter Sullivan- Baxter Q Nye r TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1. Marine,Gas Stations,Repai.r BOARD F HEALTH Satisfactory 2. Auto ers Body p 3. Auto Body Shops it _1 isfactory- 4. Manufacturers COMPANY L�AJT.tirw >� >,1 (see"Orders") S. Retail Stores r_I�fl1/i l�� 6. Fuel Suppliers ADDRESS -�,t , , u i �� �, � a.,,,,,,� Class: 7. Miscellaneous QUANTITIES AND STORAGE (IN=indoors; OUT=outdoors) MAJOR MATERIALS Case lots Drums AboveTanks Underground Tanks fIN OUT IIN IOUT I IN UT gallons Agerest? Fuels: Gasoline, Jet Fuel (A) Diesel, Kerosene, #2 (B) d Heavy Oils: 1 ! waste motor oil (C) new mot-Ar oil (C) transmission/hydraulic C�— Synthetic Organics: , degreasers I I I Miscellaneous: i IA— i e r , DISPOSAL RECLAMATION REW RKS: 1. Sanitary Sewage 2. Water Supply OTown Sewer VPrivlate-"T;4_� cOn-site O - 3. Indoor Floor Drains: YES NO i_.lr✓ U \ , _,-5��,� ��, ✓ iy„„,, -I„,•_L I •f__ Holding tank: MDC V. {rr O Catch basin/Dry well , -A �- On-site systemVIA 4. Outdoor urface drainstYES NO / Holding tank: _MDG- OCatch basin/Dry wellOn-site system system S. Waste Transporter �,J�(��,,,� fit, J t (. 4�t �,i.r d Licensed? Name of Hauler. tion Waste ProdUct Vitt Y� z� ai P son(s) Int.erviewe --' Inspector Date to • SENDER: Complete items 1,2,3 and 4. T o Put your address in the"RETURN TO-space on the 3 reverse failure to do this will prevent this card from ODD beln; ned tw you.The return receipt fee will provide you•the name of the person delivered to and the date of ` delivery. For additional fees the following services are C- available. Consult postmaster for fees and check box(as) for service(s)requested. - 4 1.XgkShow to whom,date and address of delivery. w 2. ❑ Restricted Delivery. 3. Article Addressed to: Mr. John Banbera, President Packaging Industries P.O.Box S HYANNIS MA 02601 4. Type of Service: Article Number ❑ Registered ❑ Insured P517 442 159 RT;Certified ❑ COD ❑ Express Mail At vvays^tain signature of add ssee or agent and DAT DE IVERED. O 5.(ign r dressee . O y 6. Signature- Agent. f) X 3) 7. Date of Delivery m C Z 8. Addressee's Address(ONLY if requested and fee pat m n m v -4 UNITED STATES POSTAL RVlXGEP I OFFICIAL BUSINESS �984 SENDER INSTRUCTIONS UMMSMMMIL Print your name,address,and ZIP Code In the �p •pace below. Corn late hems 1,2,3,and 4 on the reverse. • Attach to front of article if space permits, PENALTY FOR PRIVATE otherwise affix to back of article. USE.$300 • Endorse article"Return Receipt Requested" I adjacent to number. RETURN TO BOARD OF HEALTH - TOWN OF BARNSTABLE (Name of Sender) �v^�:— 4I No.end Street,Apt,Suite,P.O.Box or R.D.No.) i :— j ty, at•,en Code) i I P 51?t 442 159 RE . YR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED— ,NOT FOR INTERNATIONAL MAIL (See Reverse) Sent to Mr. John Banbera Street and No. Packaging Industries P.O.,State and ZIP Code Postage $ Certif led Fee Special Delivery Fee Restricted Delivery Fee Return Receipt Showing to whom and Date Delivered Return Receipt Showing to whom, N Date,and Address of Delivery ao o� TOTAL Postage end Fees $ 1.55 Postmark or Date w 0 °° mailed 9/6/84 8 0 w a snit FosTAGE sumps to Ancte To cortex Fmsr ctass PmswL MUM M Fee.M1 sxAR W FOR ANY Set CM OP ONAL SIMICEL(s6 ftiz j 1.If You want this receipt postmarked,stickthe gummed stub on the left portion of the address sido Of a article leaving the roceipt attached and present the article at a post office service vAndowor •1\ d It to your rural carrier.(no extra charge) �^�►'klf you do not want this receipt postmarked,stick the gummed stub on the left portion of thri i 0 5 Of the artiala,date,detach and retain the recelpt,and mail the article. III you want a,return receipt,write the certified-mall number end your name and address on c return rticelpt card,Form 3811,and attach Ittothe front ofthe article by means ofthe gummed ends H space permits.Otherwise,afPor to back of article.Endorse front of article RETURN RECEIPT REQUEGM Kacent to the number. ' 4,.11 you want delivery restricted to the addressee,or to an authorized agedt of the addressee, endorse RESTRICTED DEUVERY on the from of the article. 6.Enter fees for the services requested in the appropriate spaces on the front of thls receipt If ratUrn receipt is requli sted,check the applicable blocks in item 1 of Form 3811. 8.Sava this receipt and present it if you make inquiry. ' September 6,..19¢4 . Mr., Johm Banbera, President Packagiug Industries B, ID, 0ox S - 'Airport Road Hypnnis, ,Ma. 02601 Dear Mr. Baaberas The Department of Public Works has Notified us that your on-site sewage, ,disposal ,system may be inadequate. Their records indicate .that.- your system was pumped May-4, May 18 (twice), June 1 ,(twice)., five times June 4, June 13, June '12, three times June 23, twice June 26" twice June '29, July 23, and August •2, 1984. It I:s apparent that you have a. failing otk-site selvage disposal system. F In accordance with Regulation 15.02 (19) 'of 310 CMR 15.00:,..of the .State -Environmental Code, .you are directed to furnish us �engineering•plans " '• by October 1`s 1984,, showing•. how' your system Will be upgraded. Aftor approvaLof your engineering planis, .all upgrading construction must be completed by November 1, 1984. You may request. a hearing before the Board of Health if written petition, requesting same is received Seven (7) days after the date order is served. Non-compliance could result in a fine' of. up to $S00. Each day's failure to comply -with an order shall constitute a separate violation. ; PEYt'ORDER OF, THE BOARD OFHEALTH John 'M.• Kelly Director of Public Health 4N v TOWN . OF BARNSTABLE COMPLIANCE: CLASS: .,M� '-he,Gas Stations,Repair BOARD OF HEALTH isfactory . }� ntersy Shops 3. uto Pod O unsatisfactory- 4. Manufacturers f �- Retail Stores COMPANY UI t (see"Orders") 6. Fuel Suppliers ADDRESS L2�rl 77 Class: r 7. Miscellaneous QUANTITIES AND STORAGE (IN=indoors; OUT=outdoors) MAJOR MATERIALS Case lots Drums AboveTanks Undetgrouad Tanks IN IDUT IIN IOUT IN UT izallons AgeTest? Fuels: Gasoline, Jet Fuel (A) Diesel, KeroserA, J2 (g) Heavy Oils: waste motor oil (C) f new motor oil (C) transmission/hydraulic j 1 a Synthetic Organics: , degreasers I Miscellaneous: V f:G (`,� �0--[�-(1Jd�dfn2' 3M__0 DISPOSAL RECLAMATION °� REMARKS: 1. Sanitary Sew a 2. Watex ply 0 T Sewer Public — On-site V Private _ 3. Indoor Floor Drains: YES NO ® Holding tank: MDC Catch basin/Dry well 0 On-site system 4. Outdoor Surface drains-.YES ✓NC ® Holdint tank: MDC ,►,n �ac([� �C 0 Catch basin/Dry well vu� ® On-site system S. Waste Transporter Lice nsed? Waste Pr6dUct YES No 2. 12 23 el P son(s) Int.erviewed inspector Date L TOWN OF BA R N STA B L E COMPLIANCE: CLASS: 1. Marine,Gas Stations,Repai.r Osatisfactory 2. Printers BOARD OF HEALTH 3. Auto Body Shops,,,,.,�, 4. Manufacturers Q unsati sfactory-COMPANY (see"Orders") 5. Retail Stores 3/9s 6. Fuel Suppliers ADDRESS 69 ! rr\ c®ex- � ahn�5 Class: 7. Miscellaneous co'.� ,sites QUANTITIES AND STORAGE (IN=indoors; OUT=outdoors) MAJOR MATERIALS Case lots Drums AbOveTanks Undetgrouad Tanks IN 10DUT IIN IOUT IN OUT e2llons Aze s ? Fuels: • Gasoline, Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste.-motor oil (C) new motor oil (C) transmission/hydraulic iSynthetic Organics: degreasers Miscellaneous: DISPOSAL RECLAMATION REW RKS: Q. 'z ,,A; 1. Sanitary Sewage 2. Wa;�PSuu er l i c � . b-A*Owite OPrivate _ 3. Indoor Floor Drains. YES NO `y E- l to Heak 4 Holding tank: MDC &'1n "<c� Catch basin/Dry well 'e_® k' aon-6``� On-site system ©� , 0 N s ;�) 4. Outdoor Surface drains:.YES NO O Holding, tank: MDC O Catch basin/Dry well O .On-site system .5. Waste Transporter Licensed? Name of Hauler_ Destination Waste ProdU t MR/ Perso s) Interviewed Inspector Date. 12 23 81 i I I July 2, 1981 Mr. Dan Doucet Packaging Industries Airport Road Hyannis, MA. Dear Mr, Douce*: During a Board of Health inspection of your facility on June 26, you mentioned that your firm did not have a cur. rent contract with a disposal compnay to haul away your waste cutting oil. The list of licensed haulers we agreed to send you is enclosed. This list is not entirely up to _ r date, so each firm you contact should be asked if they hold a current license,with the State Division of Hazardous Waste. All barrels containing any type of oil, either new or used, should be stored inside your wooden sheds to prevent ex- posure to weather, accidents and vandalism. Thonk you for your cooperation, and let us know if you need more information. Very truly yours, John M. Kelly Director of Public Health JMK/mm encl. 1 } �XIC A`',I ;i: :iIOUS P1A'1TPIA1,S P, G15'fR;1'110`v Fi1i�1WD 01= r I w•1:31 Q C .-IM LING Au�?;:ESS: v2(a G � 'ITI-LPHONE NU'.;BER: CONTACT PERSON: Does- your firm store any of the toxic or hazardous Plateria]s listed'below, either for sale or for your o%Nzn use, in quantities totalling, at any time, 1 e than SO gallons liquid volume or 2S pounds dry weight? YES_ �� - NO . t ' 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 4bove, please indicate if the materials are stored at a site other than your mailin address : ADDRESS: /RP027'Q04_h' TELEPHONE: 77,5- -Za. < LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous characteristics and. must be registered when stored in quantities totalling more than 50 gallons liquid volume or 2S pounds dry weight. Please put a check beside each product that you store: Antifreeze (for gasline or coolant systems) Refrigerants Automatic transmission fluid Pesticides (insecticides, Engine and Radiator flushes herbicides , rodenticides ) Hydraulic fluid ( i ncluddi ng brake fluid) Photochemicals ?rotor oils/waste oils Printing Ink Gasoline, Jet fuel Wood preservatives Diesel fuel , Kerosene, n2 heating oil (creosote) Other petroleum products: grease, Swimming Pool chlorine lubricants Lye or caustic soda Degreasers for engines and metal Jewelry cleaners Degreasers for_, driveways & garages Leather dyes Battery acid (electrolyte) Fertilizers ( if stored Rustproofers outdoors) Car wash detergents PCB' s Car waxes and polishes Other chlorinated h}%dro- Asn;alt & roofing tar carbons , ( inc. carbon Paints, varnishes, stains , dyes tetrachloride) Paint and lacquer thinners Any other products with Paint & Varnish removers, deglossers "Poison" labels (including -Paint brush cleaners chloroform, formaldehyde, Floor & Furniture strippers hydrochloric acid, other _ Mietal polishes acids) _ Laundry soil & stain removers Other products not listed (including bleach ) N•:hich you f eel may be Spot removers & cleaning fluids toxic or hazardous (please (dry cleaners ). E ® list): --z-r Other cleaning solvents HEALTH DEPT. _ Bug and tar removers TOWN OF BARNSTABLE ::ousehold cleansers , oven cleaners f=i'ci1%%1't rt Drain cleaners uS',df d/l`19 1y1.:.�tz Toilet cleaners Cesspool cleaners ✓1 t,r�_LtL /'?'ZtC�' Disinfectants JUN `y 1981 Road Salt (Halite) aril J�G(�i)1��1 2 dr�. �rc-t1� jr;chloA�-oF��or-t�e- un2; C, - in5 o ► � : y /C } i•: r , TOWN OF BARNSTABLE BOARD OF HEALTH CONTROL OF TOXIC AND HAZARDOUS MATERIALS - INSPECTION SHEET FIRM _ PCL&aQ1ACP �Q� �ouCe� ADDRESS Major types of materials: 1) z C_ 510-4-- 2) 6e c��o� ) I. Description of material(s) use: VDU _ p ; hs _r -}- II. Storage (denote product by number listed above) YY1Gtch'rt.2t' A. Containers metal glass paper plastic cans,bottles,jars , drums,barrels aboveground tanks r� a 'underground tanks bags,boxes open,loose,uncovered inadequate labelling h s P Q © S B. Storage Facility �/or.# Remarks/Recommendations �4 1. Indoor a) separate, contained room b) stored- it general work area Y i i) inadequate ventilation _ ii) floor drains iii) inadequate fire protection 2. Outdoor a) uncovered, exposed to weather oAl - 3n Q . shwld b) pervious surface/catch basins 5 r i CZ 2 e III. Disposal N�h a is iN� accItrr'- �y -1 A. Reclamation/Recycling it t1 ! . 1� B. On-site disposal J U 1. Town. sewer �j C Vv e,C_ 5c Ck 0 .e 2. Regular septic systel U 2 11 ; Y O 3. Separate holding tank C. Off-site disposal yy 1. hauled by own firm l\o o4rct �-C pt, J ° 2. hired.hauler en i (,CP a 4a a) name of hauler b) address or disposal site Person(s) Interviewed , Inspector V, 1 Date — (Jl TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1. Marine,Gas Stations,Repai.r O satisfactory 2• Printers BOARD * OF HEALTH 3. Auto Body Shops n , ) 0 unsatisfactory- 4. Manufacturers COMPAN) Ia(\4 _4A' I (see"Orders") S. Retail Stores � ,, 6. Fuel Suppliers ADDRESS A r, , .,,r f I-�cI • � h-� •" Class:1 7. Miscellaneous QUANTITIES AND STORAGE (IN=indoors; OUT=outdoors) MAJOR MATERIALS Case lots Drums AbpveTanks UndetgrQuad Tanks IN OUT IIN IOUT ( INIOUT gellons Aggerest? D -Gaso3mi:ne;-z1et-+ue1-4A) G1---'7� -� c r :„n Diesel, Kerosene, #2 (B) Heavy Oils: IIICAy�3 waste motor oil (C) _ I new motor oil (C) transmission/hydraulic. .— 5 --r -- �� Synthetisc-Org'anj-cs /jCG r.. i Miscellaneous: t � � 1 i + - DISPOSAL RECLAMATION REW,RKS: 1. Sanitary Sewage 2. Water upply OTown Sewer `' b i-E— c, jr On-site Private-- �, 3. Indoor Floor Drains: YE�NO 4 Holding tank: MDC O Catch basin/Dry well 0 On-site system - 4. Outdoor Surface drains:YE�C OHolding tank: MDC ---�-r— --�-- O Catch basin/Dry well OOn-site system S. Waste Transporter Licensed? Name-of Hauler Destination Waste Product YFS1 NO 1. v/c Jn c 2. 12 23 81 Person(s) Interviewed Inspector Date OWN O F BA R N S TA B L E COMPLIANCE: CLASS: 1. Marine,Gas Stations,Repair Q sari factory 2. Printers BOARD OF HEALTH 3. Auto Body Shops satisfactory- 4. Manufacturers G►4'Gi 00" o s-r(>irs (see"Orders") 5. Retail Stores :OMPANY 6. Fuel Suppliers `....�. _ " , 7: Msc�hl`aneous -----.__.T__..-. . > � �; f..._ d..,_..._ Class...,. ADDRESS 3 QUANTITIES AND STORAGE (Ilv=indoors; OUT=outdoors) :fAJOR MATERIALS Case lots Drums AboveTanks Undetgrouad Tanks IN OUT I IN IOUT IN OUT gallons A e rest? -Fuels: Gasoline, Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C)" new m&Fft oil (C) 'v transmission/hydraulic Synthetic Organics: degreasers ti Miscellaneous': I DISPOSAL RECLAMATION REMARKS: 1. Sanitary Sewage 2. Water Supply ;-sit ewer blice Private u 3. Indoor Floor Drains: YES N0 �� U"�� =;• r" 4'G�`' ��` ® Holding tank: MDC - _ S O Catch basin/Dry well On-site system , r 4. Outdoor Surface drains:Y S NC / iC O Holding tank: MDC r ,C, O Catch basin/Dry well OOn-site system Waste Transporter �� , ��L ensed? S. Name of Hauler. Destination Raste Product 1 rd,1 . - -, tj L12 23 81 Pe s'on( ) Interviewed I'ns` satisfactory C 2. Printers BOARD OF HEALTH �- 3. . Auto Body Shops J - O unsatisfactory- 4. Manufacturers - (see"Orders") S. Reta).1 Stores COMPANY t- 6. Fuel Suppliers ADDRESSSJ, r,, - ( v %% , Class: 7. Miscellaneous QUANTITIES AND STORAGE (IN'--indoors; OUT=outdoor MAJOR FfATERIAL-S Case lots Drums AbOveTanks Underground Tanks IN OUT IN our I OUT 0 6 ,g_e l Ions Aze. I-es Fuels: Gasoline, Jet Fuel (A) Diesel, Kerosene, N2. (B) Heavy Oils: waste motor oil (C) f new motor oil C transmission/hydraulic" Synthetic Organics: degreasers -7 r - �- i• Ah Pf • .. A, ;tin<--t . Miscellaneous: �7) DISPOSAL REGWRTION REW-kRKS. 1. Sanitary Sewage 2. Water Supply OTown Sewer Public On-site Privaite �ZJ �� , ', is ��� 3. Indoor Floor Drains: YE No Q [folding tank t . MUC�� O Catch basin/Dry well'•i\,V\ cY � On-site system - 1. 4. Outdoor Surface drains:YES NC . _ Q Holding tank: MUC O Catch basin/Dry well OOn-site system S. Waste Transporter Licensed? r� �gtinatinn mate ProdUct 4 XFq NQ 1 'i� '�iti, (`i,�•1`1 �l;`�� l��1 .1! � � r1 �.�.Lf1�T t� '� 2. t 12 si ergs - s ery ew '-�` Inspector Date LOCA I N - SEWAGE PERMIT NO. VILLAGE IINSTALLER'S NAME AND ADDRESS BUILDE OR OW ER - DAT E PE T ISSUED DATE COMPLIANCE ISSUED L- p pgm Box 1776, Hyannis, Massachusetts 02601, (617) 775-1776 October 15, 1975 Town of Barnstable Board of Health Town Building Hyannis, Mass. 02601 Gentlemen, Independence Park Inc. respectfully requests a variance of the distance from an existing leaching field to a building, from 201 to 151 . The Town of Barnstable Board of Appeals, Case #1975-15, granted approval to construct a building on this site. The buildings, as shown on Plan of Packaging Industries, Inc. having a revision date of 10/10/75, are to be connected via a tunnel. Manufactured products will be conveyed from existing building via tunnel to proposed warehouse .for curing and/or shipment. , The proximity of one'-building to the other is most vital. 1 Proposed warehouse was designed to meet the manufacturing ` needs of the existing building and the lot size available. Thank you for your consideration in this matter. I Sincerely, Inde e nde nc e Park Inc . George F. Wetmore Vice President - Construction GFW/es i THE NATION'S FINEST RESEARCH AND INDUSTRIAL PARK 1-7 October 17, 1975 Mr. George F. wetmore Vice President - Construction Independence Park Box 1776 Hyannis, Massachusetts Dear Mr. Wetmore: Your request to construct a new building 15 feet from an existing leaching field in lieu of the required 20 feet is. granted. The new septic system, as shown on your plan, will be approved upon receipt of a legal document showing the area deeded to Packaging Industries for sewage disposal. This variance will expire one year from the date of final approvement. Ver ruly yours, D " Ro ert L. Childs, Chairman i Ann J Eshba Gerdldvil. F ard, M. D. J BOARD OF HEALTH mm i TE r"oF THE Y. TOWN OF BARNSTABLE OFFICE OF • BAEES . BOARD OF HEALTH 3639. � r ie L � °°Dtfo bXY h"\ 367 MAIN STREET HYANNIS; MASS. 02601 VARIANCE REQUEST FORM All variance requests must be submitted five (5) .days prior to the scheduled Board of Health meeting. Attn: Richard Venuti NAME OF APPLICANT Packaging Industries TELEPHONE NO.775-5220 ADDRESS OF APPLICANT 130 North Street Hyannis; MA 02601 NAME OF OWNER OF PROPERTY Independence Park , Inc . LOCATION OF REQUEST Airport Road & Fresh Hole VARIANCE FROM REGULATION (List regulation') .15 . 03 ( 7 ) Distances VARIANCE REQUESTED (Specific request) Property Line - Setback. *Distance 3 . 9 & 2 .6 Feet in Lie2of 10 Feet . Cellar Wall - Setback Distance 14 . 2 Feet in Lieu of 20 Feet . REASON FOR VARIANCE (May attach letter if more space needed) Required Setback Distances not Available Between Building and Street Line . PLANS `-, Two copies of plan must 'be submitted clearly outlining variance requested. VARIANCE APPROVED NOT APPROVED REASON FOR DISAPPROVAL{ 3 Robert L. Childs, Chairman Ann Jane Eshbaugh H. F. Inge, M. D. BOARD OF HEALTH TOWN OF BARNSTABLE