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0174 AIRPORT ROAD - Health
174 Airport Road (multi) Sewer Ac'u #3.9-18 (192 Airport Road,—,Bakery) , Hyannis A = 312=004. 9 \ t 0 i Citizen Web Request Page 1 of 1 M I �F Till' T° BASL\`STAI'sLE, Citizen Request Management 1 Request ID: 54264 Created: 10/2/2015 1:31:55 PM Status: Assigned To Staff Assigned To: Miorandi, Donna Health Office Anonymous: No Category: Chapter 108 Hazardous Materials E.C. Date: 10/19/2015 Created By: Sousa,Vanessa Citations: Health Office Time Worked: 2.00 Response Time: 0.25 Request Location: 192 AIRPORT ROAD Hyannis, Ma 02601 Parcel Number: Map: 000 Block: 000 Lot: 000 Request: Hyannis Fire Department reported fuel spill going in storm drains. Request Work History: Entered on 10/5/2015 8:27:04 AM DZM responded and Lt. Hennessy was on the scene. According to Lt. Hennessy a truck from "Land,Air&Sea" made a delivery to Cape Cod Winwater and it was there that this truck spilled an unknown amount of diesel from it's vehicle. It had left by the time Fire Dept. or health arrived. Due to the torrents of rain and wind occurring on this day it was hard to estimate how much may have spilled. DZM took pictures and some did go into storm drain. However, DZM does not know if it is tight or if it drains somewhere else. Due to these factors DZM did not call DEP. DZM did email Roger Parsons,Town Engineer, regarding the type of drains these are and he will investigate and get back to me. http://issgl2/intemalwrs/WRequestPrintPub.aspx?ID=54264 10/5/2015 '7 -R < ♦ `• t .• ., - PI t � a t. I t,p s'•ta."'¢".�Y' �- •, � ,�-. t Y i v 2 1 :�l Y t 1�•q! �`K��F�'t rg��1 � i •i S t -.1. ik- s � '�` t 3'- �) _ �'tv A� •a+,4 c '�' xr �y ���a �'@r �• �"-'}{. alY•.' Z.. c- a '_,.•a .}a_ _�k: f♦,_ ,:,1 1 ( ,t,7� -y t 1 F!.l ti. s r1��a�5. �:�' �• 17 � a ,. 3 � , r '. � S� it • i t- 't \ •, � �5 '1 �,.' � � ♦ t. f i���.4* i ♦ l� 1 Fju l+:1. �, t r i 1 • •k.•1�f r �` �r:`�. 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X x xt lilir, 'OXi''�" F I• fN''1S"?i�*�I '\4`riT F yil? i�- l i s .,�' "�c `� :. f ttsf Gat ,�yl.•4 w� trer7lya� i-r _ '-_ �Y"�It7 ,pf��S rl't Jyttir � �®. In,xl'' tY Pt ^c'�a !�zt i'AS,,f raw ✓.'+' t � y.L ti sttiT"3x"k�ttff�5�';, 4� a f•` f �F�Y T�}• �vvr. �{'3r'f'F"'y,,�"rt+kf *n • ��. `Yr' jra 7 i 3. , 4 to�f � Y• .Y Y'x rye` y .rt>•A* F )r..;� 1 r YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office,.1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: /0 O / Fill in please: ,tir APPLICANT'S YOUR NAME/S: S BUSINESS YOUR HOME ADDRESS: 190 vx TELEPHONE # Home Telephone Numbers 7 NAME'OF CORPORATION -A* Z: G p�Z/S �' S:` NAME-OFNEW BUSINESS LIj46,Z,5 �SSGYI'/i4. S L [�!� TYPE.OFBUSINESS:GU 6, I$:THIS:A-HOME OCCUPATIONS YES ADDRESS,OF. --;&a R /1//!� t MAP/BARGEE NUMBER J,lo C 6:.. [Assessing}: When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING CO ISSIO ER'S OFW E. This individ.al h. e n;fi a an per it a uir_erPents,that pertain to this type of business. u oriz d Signatur COMMENTS: 2. BOARD OF HEALTH This individual 9n inform f th permit equirgments that pertain to this type of business. i Authorized i ature** I COMMENTS: MUST COMPLY WITH ALL I HAZARDOUS MATERIALS REGULA 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: Make application to local Fire Department. Fire Department retains original application and issues duplicate as Permit. �i�PR 0 4 ERR 1Je�har���neril•o�C�Trixe Ve'rasicea— ✓c7oa�xc�a�CTvxe rueyctian APPLICATION and PERMIT Fee l(I-' .for storage tank removal and transportation to approved tank disposal yard in accordance with the provisions of M.G.L. Chapter 148, Section 38A, 527 CMR 9.00, application is hereby made by: Tank Owner Name(please print) X t•���„� G l him�lja2� sioliftwe r'171� Address. stnw City State Ib Compa7Nam7ef✓E_ f,0 Co.or Individual Ftd12SL Y�F �j`7� jV / y54 Prnt Address j'C J Address Prirtf Pmt i Signatur (if applyi f r rmit) Signature if applying for 9 (� Permit) - - V f✓Lf ❑ IFCI Certified Other ❑ IFCI Certified ❑ LSP# Other Tank Information tt /� ,7 Tank Location 7 /T - .r'`1 i r p©r t K�. iy V !T vt vt i _ _ I Steet Address I city Tank Capacity(gallons) C 00 0 Substance Last Stored ti S n ;ink Tank Dimensions(diameter x length) 1 X �26 Remarks: Firm transporting waste FV_a1L Leotf'Ip. Stale Lic. # 3 W Hazardous waste manifest# 1 r "-517 / E.P.A. # A1.41) Q X q 3 Approved tank disposal yard Tank yard# c3 Type of inert gas y y a C e- Tank yard address b ; tt00 e�r/j44 City or Town FDID# �`�U� Permit# `1 Date of issue Date of expiration Di safe approval number: O© 9 PP Di Safe Toll Free Tel. Number-800-322-4844 Signature/Title of Officer granting permit z '� Alter removal(s)send Form FP 290R signed by Local Fire Dep4to'URgul Compliance ltft 1bR ol�?, Room 1310.Boston, MA 02108-1618. _ HYANNlS, MA 02601 i Make application to local Fire Department. Fire Department retains original application and issues duplicate as VX (29 �TW 4 ENTD Wowwwwwea" 4��CLQ:1aC� iS ��ha�o�C�rixe C�e'xasccea — �aa�xa�a�C-�aXe �i�rrsentco�r� APPLICATIONand PERMIT Fee:for storage tank removal and transportation to approved tank disposal yard in accordance with the provisions of M.G.L. Chapter 148, Section 38A, 527 CMR 9.00, application is hereby made by: • Tank Owner Name(please print) []CtV S"FaG �i X Address . D,DLZ�/e6/0 0,6 '°"°ruro �'i� (f1 �1 Shle Zo • • • • • 6 Company Name 2-4NlC Co. or Individual XgsL-r y�-k W 6-eV1USw_ P" !� POW Address Address Signature d a 'n for r Per '' r g ( ppI mit) Signature(if applying for permit) ❑ IFCI Certified Other ❑ IFCI Certified ❑ LSP# Other Tank Location 7q AW ,r 100 t t sre•r Adaess cay Tank Capacity(gallons) _AC, 00 6 Substance Last Stored _ d�r'eSc ( i,�a✓1 � �1 O Tank Dimensions(diameter x length) t- °2 x ;Z.3 Remarks: Firm transporting waste Fv'ani- (,ov,o, State Lic.# Hazardous waste manifest# E.P.A. # _ZA-D ? 3 3 D-� Approved tank disposal yard A ',A 6 a+y Sc ✓oba _Tank yard# 0® Type of inert gas _�/��Q Tank yard address City or�Town /��909�� J FDID# �/f/�� Permit# 7 j 6 Date of issue ct/�� G� Date of expiration Dig sale approval number: Safe T Fr Tel. Number-800-322-4844 Signature/Title of Officer granting permit VIE ___UM11n�__WNT1QN BUREAU' After removal(s)•send Form FP-29OR signed by Local Fire Dept o T e ulalory Compliance U95 449t71?RDIOT Room 1310,Boston, MA 02108-161e. HYANNIS,MA 02601 JUN 07 '94 07:18 412 362 7682 P.2i2 Tel. (508) 992-2288 Phil Beauregard * * Complefe cSeAvice Station %ainfenance Interstate Serving All of N* England Webster Avenue Fairhaven, Mass. 0271.9 ®�S1101s1J111' LO_CATYON `�� E,�� A yS r ,ems F��,I ��N a N\SE S oo-R2-,x g5 N\GN \S,��'� f.��/rima7y Nip N DATE df 3/$c� • CATHODIC PROTECTION TANKS;_ VOLTS 2 �S� VOLTS• . SYSTEM USED 3 VOLTS STIP-3 REFERENCE CELL—B-6 4 VOLTS 5 VOLTS 6 VOLTS TESTER SITE �U/L D)N6 �5 e 4� N S W /r1C1L Dot&/ Massachusetts Department of Environmental Management c c n Q Office of Water Resources v V G J TYPE OR PRINT ONLY Well Completion Report 1. WELL LOCATION GPS (OLPTIONAL) LATITUDE ;LONGITUDE Address at Well Location: /n Property Owner: f�anf7� V la . Aam �%I111S ``Subdivision ' Mailing � ,City/Town: -/VeCitylTown: Assessors es1s availableAssessors L a mry Board of Health permit obtained: Yes ❑, Not Required" Perm"'4;,Number ' ' Date ssued � 2.WORK PERFORMED 3.PROPOSED USE' '; 4.;.DRILLING METHOD New Well ❑ Abandon ❑J�omestic El/IrrigationElCable �� Auger ❑ Deepen ❑ Recondition ©'Monitoring ❑ Municipal ❑ Air Hammer �E` D'irect Push ❑ 'Replace ❑ Other ❑ Industrial 01 Other ❑ Mud'Rota ❑ Other 5. WELL LOG OC Unconsolidated Consolidated ;6SITE SKETCH (use permanent landmarks with distances) HPenneabil'ity T v m a _ Q m > a c v J From (ft) To (ft) High Low �"ib �,' in Other Rock Type r ^jUU r C-)' 31 7. WELL CONSTRUCTION 8. CASING ft _ Total Depth Drilled 3� From ( ) To(ft) Casing Type ,and Material Size O.D. (in) Well Seal Type - Date Drilling'Complete a 0 �'i!� /� / (QP.1��r,ie C l I 9. SCREEN From (ft) To (ft) Slot Size Screen_Type and Material Screen Diameter 10. FILTER PACK/GROUT/ABANDONMENT MATERIAL 11. ADDITIONAL WELL INFORMATION Developed? ❑ Yes No From (ft) To (ft) Material Description\ Purpose Fracture Y S-7.r `�/i c 7 Enhancement? ❑ Yes ❑ No Sep Method Disinfected? ❑ Yes ❑ No 12. WELL TEST DATA (PRODUCTION WELLS) '' 13. STATIC WATER LEVEL(ALL WELLS) Yield ime Pumped Drawdown to Time Recovery to Depth Below Date Method (GPM),--_'(hrs`&'min) (Ft. BGS) (hrs& min) (R. BGS) Date Measured Ground Surface (FT) 14. PERMANENT PUMP (IF AVAILABLE) 15.NAMEIADDRESS OF PUMP INSTALLATION COMPANY Pump Description Horsepower Pump Intake Depth r�• �� �� (ft) Nominal Pump Capacity (gpm) 16:'COMMENTS In'j vvl ty U k•P S 3 17.WELL DRILLER'S STATEMENT;`, This well was drilled and/or abandoned under my supervision, according to applicable rules Fyn �w and regulations, and this report is ompI to �p co c to the best of rpy knowledge. Driller: !_ ',/Vt,oKA41 Supervising Driller Signature. _ Registration #: Firm: 7&hw a/ / �//7 ym)las 1(7c, C� Date: Rig Permit#: NOTE: Well Completion Reports must be filed by the registered well driller within 30 days of well completion. ?,,5t•�f ,�.,�'�t ,�,Is. .irYt "�'.�.'.'a',.'r,'•at't't.r'r't"r .'r'i HOARD"OF HEAL'TH,COPY.'.'Y'1`F',' 4 a.+ t . . r e •♦♦ a. .. , t •\ .t e I _'. 1 t t t t . - • . t t .� t.♦ /1 i' ,y _ .i to 1 • .1 , 4 i .S t a Y t i ;�yS9M` Page: CERTIFICATE OF ANALYSIS �y Barnstable County Health Laboratory Report Dated: 10/11/2000 Report Prepared For: Bay State Pipe Order Number: G0007977 175 Airport Rd Hyannis, MA 02601 Laboratory ID#: 000/9/ /-01 Description: Water-New Main Sample#: 07977 Sampling Location: 69 Ocean View Ave.,Cotuit Collected: 10/06/2000 Collected by: Lenny 2nd Sample Received: 10/06/2000 Test Parameters ITEM RESULT UNITS MDL MCL Method# Tested LAB: Microbiolo,y Total Coliform 8(2) CFU/IOOmL, 0 0 MF 10/06/2000 Approved By: — (Lab Director) Superior Court House, PO.Bog 427, Barnstable, MA 02630 Ph: 508-375-6605 pF N,j Jr9. Page. CERTIFICATE OF ANALYSIS Barnstable County Health Laboratory SAc�tus-w.-/ Report Prepared For:` Report Dated: 10/04/2000 Bay State Pipe Order Number: G0007971 175 Airport Rd Hyannis, MA 02601 Laboratory ID#: 0007971-01 Description: Water-New Main Sample#: OV#1 Sampling Location: 69 Ocean View Ave Cotuit MA Collected: 10/05/2000 Collected by: D.Rugg Received: 10/05/2000 Test Parameters ITEM RESULT UNITS MDL MCL Method# Tested LAB: Microbiology Total Coliform 0(TNTC) CFU/100ml- 0 0 MF 10/05/2000 Approved By:.:;�Z�. (Lab yDirector) Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 i TOWN OF BARNSTABLE OMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY 064 J� ` /� Cf� I (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS /7� . Class: ` 7.Miscellaneous UANTITIES AND STORAGE (IN=indoors;OUT-outdoors) MAJOR MATE S Case lots Drums Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: A! v, Gasoline �Y) Diesel, K eosert , 4�(� �OZO- Heavy Oils: waste motor oil (C) new motor oil (C) N5J transmission/hydraulic Synthetic Organics: d greasers � Mis/:q4aneous: _ r 4 DISPOSAURECLAMATION REMARKS' /' 1. nitary Sewage 2. Water SupplyZ z s Town Sewer Public � t, c O O.n-site OPrivate 3. Indoor Floor Drains YES N0� O Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES N0 O ERS: Q Holding tank:MDC ?' O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product CJ1AA1 AA jk� 2 .. erson(s) Interviewed - Inspector Date / A����� S y�''�"/�;. l t.� � S�0 /Gt_ Q� �✓L' � /�"V�/L OVL-!�� I�� ! �/�lNti. (y(,�JC GC,I� -�{� f j a y� C,tes!� � U/c o /,fie ��lc� rR c v� lb R. {'� vow �-�`-• �-� �a�-e �e� �-r-� - _ 14 t� - ol 3 � i il ^ i t•t - 14i 4+-t �_ �paare�y;o�ruuecr.�lfi a����aasacluQel�a - _L'efian�Iirne'rr-Ca�C�rixe CJ�xuice� cecuGitse A uls`ac (25a'le�.o - W- &4-17 Notification for Storage Tanks gulated Under 527 CMR 9.00 Forward completed form,signed by local fire department,to: Mass. US ildsf�,Dept - � -a - • of Fire Services, One Ashburton Place-Room 1310,Boston,MA 021+'Q��181t,1 JP� Use Form FP-290R to notify of tank removals or closures in place. 9Syj SFjp fv��� Date Received: D. V Telephone(617) 727-8500 y Sys F0, � T�e,papt. ID# (Fire Department retains one copy of FP-290) YgNNjS HUp� ❑ A. New Facility(see instructions,#1)'--[1 B. Amended ? ElC. Renewal 60 State _ Only INSTRUCTIONS: Form FP-290(Notification for Aboveground and Underground Storage Tanks)is to be completed for each location containing underground or aboveground storage'tanks regulated under 527 CMR 9.00. If more than five tanks are owned at this location,photocopy the following pages and staple continuation sheets to the form. The FP-290 must be A. Facility Number completed in duplicate. Although the form may be photocopied,the facility owner or owner's representative must sign each copy separately;photocopied signatures are not sufficient Both copies of the FP-290 are to be forwarded to the local B. Date Entered fire department,who will check all information and certify the forma. The fire department will retain one copy of the FP- 290 for its records,and the facility owner shall be responsible for forwarding the other copy to the Dept of Fire C. Clerk's Initials Services at the address above. The local fire department will issue the permit portion of the FP-290;however,registration is not complete unfit the FP-290 is received and checked by the UST Regulatory Compliance Unit. All questions on this form D. Comments are to be answered.Incomplete lorms will be returned. VNew Facility"means a tank or tanks located at a site where tanks have not been previously located. 2'Facifity street address-must include both a street number and a street name. Post office box numbers are not acceptable, and will cause a registration to be returned.If geographic location of facility is not provided,please indicate distance and direction from closest intersection,e.g., (facility at 199 North Street is located)4QQya1ds soulh!i�QLS0.mt2RrL5_fiQAd (intersection). GENERAL INFORMATION Notiffcation Required Exro�p;(a)a farm or residential tank of 1,100 gallons or less capacity used for storing motor Fire Prevention Form FP-290 is to be used as Notification,Registration,and Permit for fuel for noncommercial purposes,or(b)a tank used forstoring heating oil for consumptive i aboveground and underground storage tanks and tank facilities regulated under 527 use on the premises where stored arenot'requiredtoberegisteredunder527CMR9.00. Code of Massachusetts Regulations 9.00.No regulated aboveground or underground p�p�jQg;Myownerwhoknowinglytailstonotityorsubmitslalseinformationshallbesubject storage tank shall be installed,maintained,replaced•substantially modified or to a civil penalty not to exceed$25,000 for each tank for which notification is not given or for removed without out a a permit(FP-290)issued by the head of the local fire department which false information is submitted.(MGL Chapter 148,section 38H,527 CMR 9.00) The owner of any storage facility shall within seven working days notity,the head of the 1 local fire department and the Dept.of Fire Services of any change in the name, Aboveground Storage Tanks I address,or telephone number of the owner or operator of a storage facility subject.to• 527 CMR 9.00 requires the registration of any aboveground storage tank which meets the regulation by Chapter 148,Mass.General taw and by 527 CMR 9.00. following definition:a horizontal or vertical tank,equal to or less than 10,000 gallons Underground Storage Tanks capacity,that is intended for fixed installation without back fill above or below grade,and is Each owner of an underground tank first put into operation on or after Jan.1;1991, used for the storage of Hazardous Substances,Hazardous Wastes,or Flammable or shall,within thirty days after the tank is first put into operation,notify the Department of Combustible Liquids. Fire Services(the department)of the existence of such tank•specifying,to the extent Exception#1:Aboveground tanksof morethan 10,000 gallons capacity regulated by 520 CM R l known,the owner of the tank•date of installation, capacity,type,location,and uses of 12.00(Requirements for the Installation of Tanks Containing Fluids Other Than Water in such tank.By no later than Jan.31,1991,each owner of an underground storage tank Excess of 10,000 Gallons)are not required to be registered under 527 CMR 9.00. that was in operation at any time after Jan. 1,1974, regardless of whether or not such tank was removed from beneath the surface of the ground at any time.shall notify the Exception#21(a)a farm or residential tank of 1,100 gallons or less capacity used for storing department of the existence of such tank,specifying,to the extent known,the owner of motor fuel for noncommercial purposes, or (b) a tank used for storing heating oil for the tank,date of installation,capacity,type,and location o1 the tank,and the type and consumptive use on the premises where stored are not required to be registered under 527 quantity of substances stored in such tank,or which were stored in such tank before CMR 9.00. the tank ceased being in operation if the tank was removed from beneath the surface Penaltles:Anyperson who knowingly violates any rule or regulation made bythe Board of Fire l of the ground prior to the submittal of such notice to the department Such notice shall Prevention Regulations shall,except as otherwise provided,be punished by a fine of not less also specify,to the extent known,the date the tank was removed from beneath the than one hundred dollars nor more than one thousand dollars. (MGL,Chapter 148,section surface of the ground prior to the submittal of such notice to the department.The 1 OB,and 527 CMR 9.00) operator of any tank that has no owner or whose owner cannot be definitely ascertained,shall notify the department of the existence of such tank,specifying,to the Where to Notify?Two completed notification forms should be signed by both the tank owner extent known,any information relating to ownership of the tank,and date of and the local fire department.One copy will be retained by the fire department,and the tank installation,capacity,type,and location of the tank,and the type and quantity of owner shall send a separate copy to the address at the top of this page. substances stored in such tank,or which were stored in such tank before the tank When to Notify?1.Owners of storage tanks in use or that have been taken out of operation ceased being in operation if the tank was removed from beneath the surface of the must notify within thirty days. ground prior to the submittal of such notice to the department.If the tank was abandoned beneath the surface of the ground prior to the submittal of such notice to Owners and Operators of Regulated Storage Tank Systems must'maintain records the department,such notice shall also specify,to the extent known to the owner or certifying that all leak detection,inventory control and lightness testing requirements operator,the date the tank was abandoned in the ground and all methods used to for the Regulated Storage Tank System are current These records must be readily stabilize the tank after the tank ceased being in operation. available for Inspection. L OWNERSHIP OF TANK(S) 11. LOCATION OF TANK(S) Owner Name(Corporation,Individual, Public Agency,or Other Entity) If known,give the geographic location of tanks by degrees,minutes,and L. David Scott seconds.Example:Lat.42,36, 12 N Long.85,24, 17W Latitude 41040 , 35N Longitude 0 7 0 . 17 , 6 7 W William J . Scott Street Address Distance and direction from closest intersection(see Instructions n2). Bay S 174 Airport Road ` y State Pi ping Company,., Inc. Facility Name or Company-Site identifier,as applicable HYannis MA 02601 ' 1744 -- 192 Airport Road City Slate Zip Code Street-Address_(P.O;Box_not acceptable-see instructions 92) Barnstable Hyannis MA 02601, County City State Zip Code 1508-775-9268 04-2279972 RArn.t-ah1 Phone Number(Include Area Code) Owner's Employer Federal 10• County Ill. TYPE OF OWNER IV. INDIAN LANDS ❑ Federal Government ❑ Commercial O Tanks are located on land within an Indian Reservo ion o n O State Government (storage and sale) other trust lands. (R Private O Local Government Tanks are owned by(storage and use);. ' ' . y native American nation,tube, or individual. TYPE OF FACILITY Select the Appropriate Facility Description(check all that apply) Gas Station Marina , ,1 • " Trucking/Transport Petroleum Distributor-` Railroad Utilities Airport Federal-Military Residential Aircraft Owner Industrial Farm Vehicle Dealership �_ Contractor Other(explain) VI. CONTACT PERSON IN CHARGE OF TANKS Name: L. David Scott Address: Phone Number(include area code): Job Title: President 174 Airport Road Home: 508-428-31.33 Hyannis, MA 02601 Business: 508-775-9268 Vil. FINANCIAL RESPONS1131LITY I have met the financial responsibility requirements in accordance with 527 CMR 9.00. -------T--------------T-------------- Check all that apply: ❑ Self Insurance ❑ Guarantee ❑ Letter of Credit O Commercial Insurance ❑ Surety Bond ❑ Trust Fund ❑ Risk Retention Group IN State Fund ❑ Other Method Allowed -Specify Vill. ENVIRONMENTAL SITE INFORMATION This information should be available from local health agent, conservation commission, or planning department. 1. Tank site located in wellhead protection area ❑Yes ❑No ❑Unknown 2. Tank site located in surface drinking water supply protection area ❑ Yes ❑ No ❑Unknown 3. Tank site located within 100 feet of a wetland ❑ Yes ❑ No ❑ Unknown 4.Tank site located within 300 feet of a stream or water body ❑ Yes ❑ No ❑ Unknown IX. DESCRIPTION OF STORAGE TANKS AND PIPING (COMPLETE FOR EACH TANK AT THIS LocATI6N) Tank Identification Number Tank No.--L- Tank No.-2 Tank No. Tank No. Tank No. 1. Tank status a.Tank mfts serial # (if known) 21269 21992 b. Currently in Use X j c. Temporarily Out of Use (Start Date) d. Permanently Out of Use �] 0 e. Aboveground storage tank(AST)or p AST}(D UST ❑AST)C] UST ❑ AST ❑ UST ❑AST ❑ UST O AST ❑ UST Underground storage tank-(UST) 2. Date of Installation (mo./day/yr.) 3/15/8 4 3/15/8 4 3. Estimated Total Capacity(gallons) 6000 5000 FP-290(revised 11/96) D—0 Tank Identification Number(cont.) Tank No. 1 Tank No. 9 Tank No. Tank No: Tank No. 4. Substance Currently or Last Stored , a. Gasoline X 0 U Motor vehicle or other use rXMV O Marina (1MV O Marina O MV O Marina O MV O Marina C MV Ci Mani ❑other O other 0 other G other O other b. Diesel X 0 C� Motor vehicle or other use O MV O Marina It MV O Marina O MV ❑Marina O MV O Marina O My ❑Marir O other O other O other O other ❑other c. Kerosene 0 0 d. Fuel Oil. ''Consumptive Use'tanks need not be registered. Tonswnpbve Use'fief used exdusfvely for area heating and/or hot water. e.Waste Oil f. Other, Please specify Hazardous Substance (other than 4a thru 4e above) CERCLA name and/or CAS number Mixture of Substances Please specify 5. Material of Construction-Tank(mark only one) Bare steel (includes asphalt, galvanized and epoxy coated) Cathodically protected steel 0 X 0 0 Composite (steel with fiberglass) 0 0 0 0 Fiberglass reinforced plastic(FRP) 0 0 0 Concrete Unknown �- Other Please specify 6. Type of Construction-Tank (mark only one) Single walled �_X Double walled �� 0 Unknown Other Please specify Is tank lined? O Yes M No O Yes CXNo O Yes ❑ No O Yes O No O Yes O No Does tank have excavation-liner? 0 Yes)0 No 0 Yes QNo 0 Yes 0 No 0 Yes 0 No 0 Yes 0 No Tank Identification Number(cont.) Tank No. 1 Tank No. 2 Tank No. Tank No. Tank No 7. Material of Construction-Piping(mark only one) ' Bare steel(includes asphalt,galvanized and epoxy coated) Cathodically protected steel —� Fiberglass reinforced plastic (FRP) L � l y C� Flexible Copper Unknown 0 Other Please specify 8. Type of Construction-Piping(mark only one) Single walled Double walled �� Unknown Other Please specify Has piping been repaired? ❑Yes M No O Yes M No O Yes ❑No O Yes ❑No O Yes O Ni Is piping gravity feed? O Yes 'M No ❑Yes Y]No O Yes O'No O Yes O No ❑Yes ❑ N( Date X. CERTIFICATION OF COMPLIANCE 1. Installation A. Installer certified by tank and piping 0 1 0 manufacturers B. Installer certified or licensed by the implementing agency C.Installation inspected by a registered 0 0 0 0 engineer D. Installation inspected and approved by the implementing agency E. Manufacturers' installation checklists �� 0 have been completed F. Another method allowed by 527 CMR 9.00. Please specify 2.Tank Leak Detection, Tank Tank Tank Tank Tank (mark only one) A. Double-wall tank- Interstitial monitoring B. Approved in-tank monitor a a C.Soil vapor monitoring (check one below) O Monthly 0 Continuous E. Inventory record-keeping and tank testing ❑ 1 F. Other method allowed by 527 CMR 9.00. Please specify FP-290(revised 11/961 - I Tank Identification Number (cont.) Tank No._1 Tank No._9 Tank No. Tank No. Tank t 3. Piping Leak Detection (mark only one) Piping Piping Piping Piping Pressurized a. Interstitial space monitor ❑ ❑ ❑ ❑ b. Product line leak detector ❑ ❑ ❑ ❑ o (mark all that apply below) O Automatic flow restrictor' O Automatic shut-off device' O Continuous alarm` Also requires annual test of device and piping tightness test or monthly vapor 00, monitoring of soil. B. Suction: Check valve at tank only ❑ ❑ -❑ ❑ (Requires interstitial space monitor or line tightness test every three years) ❑ Interstitial space monitor LJ Line tightness test C. Suction: Check valve at dispenser only D ❑ ❑ ❑ (No monitor required) D. Other method allowed by 527 CMR 9.00. Please specify 4. Date of last tightness test (tank & piping) I 5. Gravity feed piping ❑ ❑ ❑ ❑ 6. Spill containment and overfill protection Tank Tank Tank Tank Tank A. Spill containment device installed ® © ❑ ❑ ❑ B. Overfill prevention device installed a a ❑ ❑ ❑ 7. Daily Inventory Control (mark only One) A. Manual gauging by stick and records ❑ ❑ ❑ ❑ ❑ reconciliation B. Mechanical tank gauge and records ❑ ❑X ❑ ❑ ❑ reconciliation C. Automatic gauging system ❑ ❑ ❑ ❑ ❑ 8. Cathodic Protection (if applicable) Tank Piping Tank Piping Tank Piping Tank Piping Tank A. Sacrificial Anode Type a ❑ a ❑ ❑ ❑ ❑ ❑ ❑ B. Impressed Current Type ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ C. Date of Last Test 12-1-98 12-1-98 Certification of Compliance No.: X1. CERTIFICATION (Read and sign after completing all sections) NOTE:Both the copy being sent to the Dept.of Fire Services and the copy retained by the local fire department must be signed separately. A photocopied signature will m accepted on either document. 1 declare under penalty of periury that I have personally examined and am familiar with the informatlorydubmil d in this and all attached documents,and that based on my inquiry of those individuals Immediately responsible for ohtaining the information,I belielwitriMe sy6mitted in rmatlon is true.accurate,and complete. Name d offic 1 title of owner or owner's n aauthoriz representative(Print) Signatur Date: Z 203 498 565 US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail See reverse Sent to lcra/ 3St et&Number Pest ice fate,&ZIP C Postage Certified �•/� $}� Certified Fee Special Delivery Fee Restricted Delivery Fee u� Return Receipt Showing to Whom&Date Delivered Return Receipt Showing to Whom, Date,&Addressee's Address 0 TOTAL Postage&Fees Is co V) Postmark or Date LL a 9/%� Stick postage stamps to article to cover First-Class postage,certified mail fee,and charges for any selected optional services(See front). 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached, and present the article at a post office service window or hand it to your rural carrier(no extra charge). 2. It you do not want this receipt postmarked,stick the gummed stub to the right of the m return address of the article,date,detach,and retain the receipt,and mail the article. 3. If you want a return receipt,write the certified mail number and your name and address M on a return receipt card,Form 3811,and attach h to the front of the article by means of the gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article a RETURN RECEIPT REQUESTED adjacent to the number. Q 4. If you want delivery restricted to the addressee, or to an authorized agent of the O O addressee,endorse RESTRICTED DELIVERY on the front of the article. M 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. LL 6. Save this receipt and present it if you make an inquiry. 102595-97-I3-0145 (L m SENDER: I also wish to receive the v ■complete items 1 and/or 2 for additional services. ■Complete items 3,4a,and 4b. following services(for an )✓ ■Print your name and address on the reverse of this form so that we can return this extra fee): card to you. ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address permit. $ ■Write'Retum Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery r y ■The Return Receipt will show to whom the article was delivered and the date a C delivered. Consult postmaster for fee. 0 3.Article Addressed to: 4a.Article Number E �� 4b.Service Type m 0 ����7` i"i cori/� ❑ Registered ❑ Certified o� N ❑ Express Mail ❑ Insured 5 17y , -V� y ❑ Return Receipt for Me andi ❑ COD OZ6D/ 7.Date of Delivery .° r a 5.Received By:(Print Name) 8.Addressee's Add (Ohly if requested c and fee is paid)' 0 t•- g 6.Signature- Addr, ee or-Agent) a� PS Form 3811, December 1994 102595-97-13-0179 Domestic Return Receipt °�NITED STATES POSTAL SERVICE First-Class Mail ��S R.I ' U Postage&Fees Paid g- �� SPS ! = S P j' Permit No.G-10 ,t a • Print your name, address, ' P Code In this box• 'I�SPS Public Health Division Town of Barnstable - I PO Box 534 Hyannis, Massachusetts 02601 Fax(508)775-3344 Phone(508)79M265 I o�tr Town of Barnstable o� • Department of Health, Safety, and Environmental Services : BAM ` 0396 ,. Public Health Division p'EDN"��A P.O. Box 534, Hyannis MA 02601 Office: 508-790-6265 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Director of Public Health September 1, 1998 Mr.Fred Amaral,Vice-President Baystate Piping Company,Inc. 174 Airport Road Hyannis,MA 02601 RE: UIC Removal Dear.Mr.Amaral, On August 20, 1998, Glen Harrington,R.S.,Health Inspector of the Town of Barnstable inspected the property located at 174 Airport Road,Hyannis. The property was inspected as part of the annual Hazardous Material Registration Program. At that time floor drains and an Metropolitan District Commission(MDC)trap was observed at the property. Due to the presence of the MDC trap,the discharge point is considered an underground injection control system or UIC. Please review the following options for your property. All options below include the proper"closure"of the UIC,according to 310 CMR 27.00 See Item 4). As mandated under the Federal Safe Drinking Water Act, the state UIC regulations prohibit potentially polluting discharge to injection wells. Vehicle maintenance operations commonly use unauthorized •.injection wells, such as floor drains leading to a septic system, dry well,or oil/water separator which leads to any subsurface leaching structure. Under the State Plumbing code(248 CMR 2.09(1)(c)(3), owners/operators of facilities with floor drains tied to injection wills(or discharging to any surface point)have three options: 1. Seal the floor drain. Contact your local plumbing inspector for the appropriate filing form. If choosing this option,all previous discharges to the drain must be eliminated at their source. For example,cars should no longer be washed and floors should no longer be hosed down. 2. Connect the floor drain to a holding tank. The tank will need DEP approval. The DEP approves two types of holding tanks for this waste: new installations and conversions of existing structures (e.g. oil/water separators). These tanks are for non-hazardous, industrial wastewater. If solvents,antifreeze,oil and other fluids are washed down the drain, the waste is likely to be hazardous. f 3. Connect the floor drain to a municipal sewer system,if available. An oil/water separator is required to be installed under this option:-This requires a permit from DEP and the Town of Barnstable Department of Public Works along with the sewer connection application. The amount of discharge shall not exceed ten parts per million(10 PPNn. 4. The"closure"of the UIC includes verifying the location and type of discharge facility, sampling/analyses of wastewater, sludge and soils,backfilling of discharge facility,and notification to proper authorities. A copy of DEP's recommended guidelines are enclosed for your review. In all cases,the owner must file a UIC NOTIFICATION FORM with DEP. You are directed to comply with the state's UNDERGROUND INJECTION CONTROL regulations (310 CMR 27.00)by informing this department in writing of your intentions within ten(10) days of receipt of this notice and completing the work within thirty(30)days. PER ORDER OF THE BOARD OF HEALTH Thomas A.McKean Director of Public Health Enc.: Industrial Floor Drains&DEP UIC closure guidelines Cc: Ed Jenkins,Town of Barnstable Plumbing Inspector David Anderson, Town of Barnstable Engineering Department. Russ Clifton,DEP UIC Program Coordinator i Pipeline Construction Fred Amaral Horizontal Boring -Vice President BAY STATE PjpI NG COMPANY, INC. 174 Airport Road `(508)775-9268 x 12 Hyannis;MA 02601 Fax:(508)775 9329 famaral@baystatepipirig.com I ry � TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops r f unsatisfactory- 4.Manufacturers COMPANY (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS I Lj ,4 L' Mnf a6f Class: 7.Miscellaneous QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Under&n-ound IN OUT IN OUT IN OUT #&gallons Age ITest Fuel my asolm Jet Fuel (A) iese , Kerosene, #2 (B) ;-k z�r ac Heavy Oils: L It, waste motor oil (C) Z 5T new motor oil (C) Cry T r toc,5 transmission/hydraulic i Z-5, Synthetic Organics: degreasers Carl.►�, Miscellaneous: f5p z-Z GeT1gt, m- " ,�PR_C.Oa (vv j fit/ it0 DISPOSAURECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply /i/d ., A11GQc+o oZ 102 Town Sewer Public ,'j/p vW 1,1 Uti o, N, ry , ' Ql _L O On-site OPrivate 3. Indoor Floor Drains YES NO O Holding tank:MDC ' C_ avfy`c�e " prVii" O Catch basin/Dry well low i a s O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MDC 1' vv►^Z. Sri:i cu l t'.1:- O Catch basin/Dry well 4 O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product t IL4 Aiin.za u YES NO 2. erson TsT nt wed Insp ctor Date i a' Fred Amaral Pipeline Construction Vice President I Horizontal Bonng TA'TE PIPING COMPANY, INC. BAY S - _ (508)775-9268 x_12 L174 Airport Road • ' Fax:(508)775-9329 ' Hyannis,'MA 02601 famaral@baystatepiping.com 1 TOWN OF BARNSTABLE eoMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair V BOARD OF HEALTH satisfactory g.Printers to Body Shops ��s unsatisfactory- 4.Manufacturers COMPANY .�� �,4 (see"Orders") 6.Fuel SStores pt ers 7.Miscellaneous ADDRESS '/ ',, `�/�'� -` �� Css: A' UANTITIES AND STORAGE (IN= indoors; OUT-outdoors) MAJOR MATER S is'e lots Above Tanks IN OUT IN OUT IN OUT #&gallons IAge Test Ye Fuels. Gasoline ' Diesel, " Heavy Oils. 7 waste motor oil (C) new motor oil(C) transmission/hydraulic Synthetic Organics: degreasers AP IV 714 ¢� M, c us: la sepw f4 a. rz IV DISPOSAURECI.AMATION REMARKS: 1. anitary Sewage 2. ater Supply Town Sewer // Public r" aOn-site OPnvate 3. Indoor Floor Drains YES N0 O Holding tank:MDC O Catch basin/Dry well O On-site system if 4. Outdoor Surface drains:YES NOI ORDERS. . O Holding tank:MDC O Catch basin/Dry well " O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product • • (Ax Al Feirso_63sf I terviewed Inspector Date Zir.�4.8 659 811 Receipt for Certified Mail No Insurance Coverage Provided UMTEDSf�TES Do not use for International Mail �OSTLLSERVCE S�y (See Reverse) J )) tL I inc'o l t>L Ste 7t d No. al P. State and ZIP Code o i,o oa a 40 Postage M E Certified Fee O D LL Special Delivery Fee CO a I:emprAM [e eery Fee j�etur�n �eiq'�„owutFi�g ,to.Whom&Date Delivered to Return Receipt Showing to Whom, Date,and Addressee's Address TOTAL Postage &Fees Postmark or Date STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES(see front). m 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address �+ leaving the receipt attached and present the article at a post office service window or hand it to T. your rural carrier Ino extra charge). � CC 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the return address of the article,date,detach and retain the receipt, and mail the article. t 3. If you want a return receipt,write the certified mail number and your name and address on a return receipt card,Form 3811,and attach it to the front of the article by means of the gummed co co ends if space permits.Otherwise,affix to back of article.Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. 00 4. If you want delivery restricted to the addressee,or to an authorized agent of the addressee, M endorse RESTRICTED DELIVERY on the front of the article. I o a 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt.If.,, LL return receipt is requested,check the applicable blocks in item 1 of Form 3811. to 6. Save this receipt and present it if you make inquiry. 105603-93-B-0216 ai SENDER: I also wish to receive the ■Complete items 1 and/or 2 for additional services. y ■Complete items 3,4a,and 4b. following services(for an H ■Print your name and address on the reverse of this form so that we can return this extra fee): card to you. ai ■Attach this forth to the front of the mail piece,or on the back if ace does not p p 1. ❑ Addressee's Address •� permit. m ■Write'Retum Receipt Requested*on the mailpiece below the article number. 2. ❑ Restricted Delivery n ■The,Aeturn Receipt will show to whom the article was delivered and the date a o delivered. Consult postmaster for fee. 0 v 3.Artiqle Addressed to: 4a.Article Numbercc d (,u��ll tae� ���(-I- �'L�✓�eolr� �e�- z3�l (�S�! ill E (� r.y�6 r /-j� 4b.Service Type «' u ❑ Registered 91Certified ¢ Cn rn MA 0 ❑ Express Mail ❑ Insured S ¢ Itt� Return Receipt for Merchandise ❑ COD .Date Tefir5(, T o 5.Received By: (Print Name) Addressee' Address(Only if requested W V11 and fee is paid) ca g 6.Signature: ddr s e orAgent) T X N PS Form 3811, December 1994 Domestic Return Receipt UNITED STATES POSTAL SERVICE First-Class MailPostage&Fees Paid USPS Permit No.G-10 • Print your name, address, and ZIP Code in this box • »:;: 7, -c;TT Board of HeaM P ,; ?own of Barnstable P.O.Box 534 Hyannis,Massachusetts 02601 --- Town--of Barnstable - ; Department of Health,Safety,and Env onmental Services MAMPublic Health Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6265 Thomas A.McKean FAX: 508-775-3344 Director of Public Health June 21, 1996 William Scott&Lincoln Scott- 174 Airport Road Hyannis,MA 02601 Dear Mr. Scott RE: Pain D'Avignon,192 Airport Road,Hyannis on June 13,1996,Donna Miorandi,Health Inspector for the Town of Barnstable,observed inside floor drains that are.connected to an outside MDC trap(oil/water separator)and terminates with a leach pit. As mandated under the Federal Safe Drinking Water Act,the state Underground Injection Control(UIC) regulations prohibit potentially polluting discharge to injection wells. Vehicle maintenance operations commonly use unauthorized injection wells,such as floor drains leading to a septic sytem,dry well, or oil/water separator which leads to any subsurface leaching structure. Under the State Plumbing Code(248 CMR 2.09(1)(c)(3),owners/operators of facilities with floor drains tied to.injection wells(or discharging to any surface point)have three options: 1. Seal the floor drain. Contact your local plumbing inspector for the appropriate filing form. If choosing this option,all previous discharges to the drain must be eliminated at their source. For example,cars should no longer be washed and floors should no longer be hosed down. The disconnection and removal or destruction of leaching structures(MDC trap,ect.)is required. 2. Connect the floor drain to a holding tank. The tank will need DEP approval. The DEP approves two types of holding tanks for this waste: new installations and conversions of existing structures (e.g. oil/water separators). These tanks are for non-hazardous,industrial wastewater. If solvents, antifreeze,oil and other fluids are washed down the drain,the waste is likely to be hazardous. 3. Connect the floor drain to a municipal sewer system,if available. An oil/water separator is required to be installed under this option. This requires a permit from DEP and the Town of Barnstable Department of Public Works along with the sewer connection application. The amount of discharge shall not exceed ten parts per million(10 ppm). In all cases,the owner must file a UIC NOTIFICATION FORM with DEP. t You are directed to comply with the state's UNDERGROUND INJECTION CONTROL regulations (310`CMR 27.00)by informing this department in writing of your intentions within fourteen (14)days of receipt of this notice and completing the work within fourty-five(45)days. PER ORDER OF THE BO OF HEALTH Thomas A.McKean Director of Public Health Enc. Industrial Floor Drains cc: Ed Jenkins,Town of Barnstable Plumbing Inspector i Town of Barnstable F Department of Health, Safety, and Environmental Services B"' ia'MAM. Public Health Division Jy A88. sb . � �►9 367 Main Street, Hyannis MA 02601 Office: 308•790 6263 7Lomss A.McKean Hedhh FAX: 508-773-3344 Director of Public tlA CO a sCO-/'r 7 Evora DearIVA IVIO �C AW �94 t-:tW fJO16CA As mandated under�Federal Safe Drinking Water Act, the state Underground Injection ` Control (UIC) regulations prohibit potentially polluting discharge to injection wells. Vehicle maintenance operations commonly use unauthorized injection wells, such as floor drains leading to a septic sytem, dry well, or oil/water separator which leads to any subsurface leaching structure. Under the State Plumbing Code(248 CMR 2.09 (1) (c) (3), facilities with floor drains tied to injection wells (or discharging to any surface point) have three options: I. Seal the floor drain. Contact your local plumbing inspector for the appropriate o filing form. If choosing this option, all previous discharges to the drain must be e immate heri ource. For example, cars should no longer washed and oo s sho Id o n er a osed down. ���CDI� C ��� NO D�l' rzc orb ' c '°,Ewe is o L�fq�Nl /'-lam 2. Connect el oor gain to a holding tank. The tank will need DEP approval. The DEP approves two types of holding tanks for this waste: new installations and conversions of existing structures (e.g. oil/water set ate These tanks are for non-hazardous, industrial wastewater. If solvent 7 ani if it and other fluids are washed down the drain, the waste is likely to be hazardous. 3. Connect the floor drain to a municipal sewer system, if available. An oil/water separator is required to be installed under this option. This requires a permit from DEP and the Town of Barnstable Department of Public Works along with the sewer connection application. The amount of discharge shall not exceed ten parts per million (10 ppm). In all cases, the owner must file a UIC NOTIFICATION FORM with DEP. To�nl. o�- 3,a R.NSXA 6L E� C),6�'���U TNs i�6 '�Coo�2 I��i1V ��'� You are directed to comply with the state's UNDERGROUND INJECTION CONTROL regulations (310 CMR 27.00) by informing this department in writing of your intentions within ten (10) days of receipt of this notice and completing the work within thirty (30) days. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean Director of Public Health CaIp p CC a0 KIVS Pu) B/Arg i I i ENVIRONMENTAL SERVICES COMPANIES 94 THORNTON DRIVE P.O. BOX 2068 ! HYANNIS, MA 02601 (617) 778-2341 I I I M.D.C. TRAP INSPECTION FOR CLEANING September 4, 1987 . I Bay State Piping 174 Airport Rd. Hyannis, MA 02601 To Whom It May Concern: On September 4, 1987 the M.D.C. trap located at the above address was inspected visually by Clean Harbors of Hyannis. The following condition was found: 1/. M.D.C. trap in " good " condition M.D.C. trap in " fair " condition; pumping and cleaning suggested in the near future. M.D.C. trap in an 11 unsatisfactoty " condition; pumping and cleaning is recomended. INSPECTOR: i DATE: V-Z41. KINGSTON,MA NATICK,MA SOUTH BOSTON,MA SOUTH PORTLAND,ME ALBANY,NY PROVIDENCE,RI HOOKSETT.NH FARMINGTON.CT (617)585.5111 (617)65543863 (617)269.5830 (207)799.8111 (518)434-0149 (401)461.1300 (603)644-3633 (203)674-0361 1 .y J TOWN OF BARNSTABLE '�.�f 7bE Tyra Q !t OFFICE OF mum BOARD OF HEALTH Epp s6A 0 MA 367 MAIN STREET k' HYANNIS, MASS. 02601 August 14, 1987 William Scott Bay State Piping 174 Airport Road Hyannis, MA 02601 Dear Mr. Scott : You are reminded that State regulations require periodic pumping and or cleaning of all MDC traps (Metropolitan District Commission, gas and oil separator tanks) . You are directed to contract with a licensed hazardous waste transporter\contractor to perform the required pumping and or cleaning of your MDC trap by September 11 , 1987 , or provide proof of such maintenance performed within the past three m nths . You are further directed to have your MDC trap inspected and cleaned if necessary, by a licensed hazardous waste contractor every three months . Written proof from a licensed contractor will be required. Inspections will follow by the Health Department to verify compliance. You are reminded that failure to' comply could result in a fine of $200 . 00 daily under the Town of Barnstable Toxic and Hazardous Waste By-law. Very Truly Yours , PohM . Kelly Director Barnstable Health Department i I ' No.. �- _..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .................:... ....................O F........................................ ..... ... ..._........................._. Appliration for Diopooal Works Tonotrurtion umi# Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal •b , System at: ,. .................-................................................................................ .......----•-------.............----............------............................................ Location-Address or Lot No. ...................... . .........------............................ .. ......----......................... ..... ner Address a -....._...M C.:z w--... .......... Installer Address Type 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 ( ) Other fixtures .................. W. Design Flow.............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity_........_._gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width..................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed bY.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water......................... 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ M --------------------------------------------------------•- ... ------- ----------- ------------- •••••- O Description of.Soil.....----•-.......---•--------------------------------••-•---------•----•-- ... .......................................... U ---------------------------------------------------•--•-------------------...........••---...----•-•--••-••-•-.--•- W x -•- U N ure of Repairs l 1 R�ep'?airs_or-Alterations- ncsw_eVr w( hen.i applicable ..../ir: A ..1...—��:r:: ._ e — F....---- ------ • ------- Agreement: c2 f:y 71V wOrr'4 The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TI HE 5 of the State Sanitary Code—.The undersigned further agrees not to place the system in - operat on until Certifica of C mpliance has been issued by the board of health. � �-- ' __ Signed _. c ..................... .................. Application Approved By...``--..........'� �-'"` i ace Date Application Disapproved for the following reasons:--------•------------------------------------------------------------------------------•--•-•-•-•-•--.....-•--- •-•-•---••--•.................•--•--•-•-••---••-•--•-....-••--•-•••---••-••-•---••-•-•---•.......--•----•--•-•..........••-•-------•••....••--•-•--•-•••-••--•--•---•-•-•-•---.........•-----..... Date o.._ Permit N ........................................ --- •- Issued....................................................... Date • THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF.......................................... (9rdif utt#p of Toutplianrr THIS 0STO CERTIFY That the Individual Sewage Disposal System constructed ( ) or Repaired................. -... �, -�•�, tp/���� �—• ^+� -Tiin�s all ri at.._....._._.'...... = ....... ^ ��1JC ....... � f'I iy .....................................7-----------_---. ---- has been installed in accordance with the provisions of TITLE 5 of-lhe State Sanitary Code as described in the application for Disposal Works Construction Permit No.__'T_( ......1�l...t._....... dated--------------I_ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUA ANTEE THAT THE SYSTEM WILL F NCTION SATISFACTORY. DATE................... 1 - I..................................... Inspector........................ / ,t.�.�--- •• -•-Y'------ THE COMMONWEALTH OF MASSACHUSETTS 6K iN C) BOARD OF HEALTH �' 1 .N,� lam. `'1 .....................OF..................................................................................... -�- �is�os works �ons#rur#iun �.ermit --I Permissionis hereby granted....-- ....:_ t_....4`....� .......................................................................................•---_.... to Construct ( ) or Repair ( an ndividual Sewage Disposal System at No. Street as shown on the application for Disposal Works Construction Permit No. _..�L�i. Dated.......-!. a.r'. ��?....-... F T-C i-/! yT' =: . .... DATE. Board of Health ......_•• -p ...................•-----.........- FORM 1255 A. M. SUL IN, INC., BOSTON o BAXTER & NYE, INC. Registered Land Surveyors and Civil Engineers 7 Parker Road/Osterville, Massachusetts 02655./Tel. (617)428-9131 WILLIAM C.NYE,R.L.S.-President RICHARD A.BAXTER,R.L.S.-Vice President PETER SULLIVAN,P.E.-Vice President-Engineering March 9, 1987 Town of Barnstable Board of Health P.O. Box 534 Hyannis, MA 02601 i RE: Airport Road Hyannis Packaging Industries Installer: Macomber Permit: 86-141 Dear Board: In accordance with your request, I have inspected the installation of the above referenced septic system. The system has been installed as per the approved plan with respect to primary components, location and grades. Please note that I have not inspected the pump or the alarm , system. Very truly yours, _ Peter Sullivan, P.E. Baxter & Nye, Inc. PS/bc tN OF Mess PETER SULLIVANCA No. 29733 A9oA�sScisTtia�G`��c�Q . CORAL E� MEMBERS OF CAPE COD SOCIETY OF PROFESSIONAL ENGINEERS AND LAND SURVEYORS/AMERICAN CONGRESS ON SURVEYING AND MAPPING MASSACHUSETTS ASSOCIATION OF LAND SURVEYORS AND CIVIL ENGINEERS Ne ...:: FEs...y�__ } THE COMMONWEALTH OF MASSACHUSETTS 1 BOARD -OF HEALTH t ...........................................O F.............................................................--------........../�......... . lir�tiutt for Mipauttl Workii Cron rlartiun .ermit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Syat: ............... ..�i'.4G�;�.✓ 4�- ' ...................................................... . ... ... .. .. ....... l • ..... Location:Address or Lot No. -.. : .. ..... ...... . ............ ....- � � .........._.... w r //� •Address •-- w .... .. ....... . .. ......... .............................. ....................... . •................ .......................................... Installer Address dype of Building Size Lot.................... .....Sq. feet Dwelling—No. of Bedrooms.............'! .....................Expansion Attic ( ) Garbage Grinder (�� pP4 Other—Type of Building of persons............................ Showers ( ) — Cafeteria ( ) Q, Other fixtures ................................. . W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 04 Septic Tank—Liquid*capacity............gallons Length................ Width................ Diameter................ Depth................ 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. l................minutes per inch Depth of Test Pit.................... Depth to ground water........--............... G% Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water....................---. P4 ----......••••-••----•-------••------------------------------------------------••••-•-.......................................................... 0 Description of Soil........................................................................................................................................................................ x U ...-------•-•-•------•-•--•---•---•-----------------••-------••--••••-•-------------.......-•••------.......-•-----------------------------------•--••••-•------------......--------••---•--------•--•--- W ........................................................... ---- -................ -.................................... UNature of Repairs ter ions er when applicable............................................................................................... � �` Agreement: The undersigned agrees to install .the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITi U 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of Health. fined = Application Approved By... . r/ D e ---�- �`- -----------• - -------------- Date Application Disapprove or he following reasons: = .......................•----....-----.........--....--••-----...............-•--------..................•----................-----•---------•--------•-----•-----•••----- •-•-•••-••-----•----•- Date Permit No....................................................... Issued........................................ ................ Date Nol'.. Y. FE c y.................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........................................OF...........................................................................,I t....... t" ApplirFatinaa for DiipniFal Workii Tomitrur#inn Permit Application is hereb made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Sys at: / .. ..............•---•----•----........ uYu�. _. .. ... ... --- % Location•Address or Lot No. ti �.:...- - ••-••-•-••-••-•................................•.-.....................••---.................---•- ner Address aw •--- ___ • ! /W.............................................. ................................................................................................. Installer Address d Type of Building !, ,� Size Lot............................Sq. feet Dwelling—No. of Bedrooms..._- °...��....................Expansion Attic ( ) Garbage Grinder 44 Other—Type of Building �'4!�®yc"2?Cfj�:�No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures ................................. . w Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid'capacity.........._.gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench-No..................... Width..................... Total Length.................... Total leaching area....................sq. ft. Seepage.Pit No..........:.......... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by..........-............................................................... Date......................................... ,a Test Pit No. I...........:....minutes per inch Depth of Test Pit.................... Depth to ground water......................... Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ..__._._--••--------•._......._•--•-•_.___....•••..................................................•.......................................................... 0 Description of Soil••••:-•--••--•---•--:-•••-•-----••-•-•-•--•-•--•-•-•............................••••-•••••••••••-••••---••••-•-•••-....••-•--------•••---•-----_._........_.-__-_-_.._.. x .......................••--•-----•-•--•-_._____•.----•--•-•---- U . -•-••-•-----•----._......_.....-------_._....._...--•••.__...._._.....---••--__._-------•.._...•-•-•-•.._....._..__...-------.___.....--- w UNature of Repairs or Alterations—Answer when applicable.................................................................................•_-•_________. -----__..--•______________••--•-•---__._...-•••--•-•-----•-•-----------•-•----•-•----__....._---•----•-•----------•------------___..__._._._._......____._.__.._.___.._._.____..__•---..._...•....:_.._. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITIE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of Health. 100e- — gned. ......................•---•------•----•--•------__._--•_--••-•-•----•----.._.._..•_ rf =i Application Approved BY =s •-•-•-=-- ....... .._11rDate Application Disapproved r ng reasons:_-----•-------------------------••-•----•••---•••--_-__-____•-------•----•---_--_--•---•__...--............... ........................•--__.._•----•--•--__-_.-_-._---••-------._..-___---•-:.;::...--••-•---------•---..__-_-__-___-_.-__-_._.----._.__---•--••••-••••-•--•----------•=------•••••-_.._..----------•-- '' Date PermitNo......................................................... Issued_._.....•-...------•--•••-••---_-_--_--_-__. . Date --.......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... Tertif irate of fanutpliatto T T ;'CERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( ) by........ ...--•---•-•............................. -..._........................---•--••-•-•---.•..................---............._-•---••--_..._ t � Installer has been ins.:lled in accordance with the provisions of TITLE 5 of Th State Sanitary in the applicat• or Disposal Works Construction Permit No....f ...... ------------ dated--- _�....................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector..................................................................................... THE COMMONWEALTH OF MASSACHUSETTS i• BOARD OF -HEALTH „ OF.......................fi,:_.......................___...........:_..._._............ t/� No._ ... FEE.•1.............•-•---- Bilivols���n (go nntration erutit Permission is h y gra ed :..__` ' ` - -. •=-•----------•••••---_..-•-•-••••••••-•-•••..................•............... to Cons pa an Individual Sewage Disposal System atNo............. . •• •----- •--••• •--••--- •--•-----------------------•------_._--_......_....---_........------...••..•.-------__.._--••---------•--._...-•--- --•-• ................... Street as shown o t a plicati for Disposal Works Construction Permit No........ ted.6--- . ... .... ... ................ . .. s Z Board of Health/ - DATE......Vk. ..•••••. = .. ................................................. FORM 1255 A. M. SULKIN• INC.. BOSTON n o nr P i /t' 3 /10, ; • bd li7 / d ! / I 1 � 1 r r � Z r • I i �I I a 6 D Z, =3 �i Ir �� I t.�p c..m._ ..,�.�#�, �� ,� �'a �' �►✓/4 ��' � '. t� ExFa�..�-��x� �� �.�:��r �,.""".. - .� �.,-�- .,,�,�...�„_...,...,...,�'�.`"_"'""'"..�.,�.•r ram. 1v 1�c�: 3r.. .r" e,►' 'C : 7T �a r a i i n, Q�v "� t k '" 1 , 1 q I �t5- 'PE-1i i.. , X i S At i.,t..0► +<: ie50 # (:�x A s tJ � 36,00 �.� %.., �K ,,_� -� ��_G. �.,.x�;�`� t'aiR�""t' ��g�a 't'?�d�!►,i '�.. !�,.,t L� ��i� Z M` �1� x f 2 y '�y� /� -�F 7 1, ''"i 'y .;- > L i+s 'f ✓��' H A i'A-"V fe_ Vsq/ +�`N V <:tZU6i yy ,- Awr t _ �,�r+f� may. .�wr l_ �+ # � ¢ � 1, � y;,Mt-C11l�� ��1 4,��{f�i..:et • �,d �SWi 4 lax �».J�+ T/.-:� �t ��}y�� __ _,i_...a.�._.... 1 J/,/' �•. ��...«..•^....r.^`.»w+-.»- .....�•''�.......-..d'"".,^^`.+.. _.,,-_. o '" ,.� �, r � ,�� � � ___..___. 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DISTRlBUTlQf� BOAC DETAIL: (p' LEACHING PIT DETAIL: O SLNALE NOT TO SCALE NOT TO SCALE .- NOTES� 1. SEPTIC TAM SMALL RE STEEL 1, INLET AMC OUTLET TEES TO RE CAST IRON OR � I' MANHOLE COVER LOAM S SEED REINFORCED CONCRETE. SCNE4 40 PVC. TEES TO BE CENTERED UNDER 3� --+� NO. OF OUTLETS: BROUGHT TO FINISH GRADE OR PAVEMENT MANHOLE COVER. NOTES! "'`�7T" ; 2. SEPTIC TANK TO WITNSTAMO N-10 LOADMIS UNLESS UNDER PAVEMENT,DRIVES OR , t DIET. SOX TO WITHSTAND H-10 LOA0046 2"M#N OF 1/9" TRAVELED WAYS,WHEREIN H-20 LOADING 1 1 U14LESS UNDER PAVEMENT,DRIVES OR TO 1/2" 12"MIN. FILL SMALL APPLY. ('RECAST + TRAVELED NAYS WHEREIN H-20 LOADING WASHED i / SMALL APPLY. STONE j. ALL PIPE CONNECTIONS AND CONCRETE rAMMot[ cove[ ,� WST It 1,T r CONSTRUCTION TO RE WATERTIGHT. afouarlT To rnaf« •aAo[ � e0x E' 2. PROVIDE INLET TEE OR RAFFLE WHERE SLOPE OF 0 a o o a•o 0 o a t 1 j INLET POPE EMCEED! O.OGFT./FT OR IN y PVC INLET PIPE n' `---r�--_� PUMPED SYSTEM. a o a o o co a o 0 MUTE .'1 cpvta S. FIRST TWO FEET OF PIPE OUT OF GIST = r , -.b LEACHING PIT TO TBOX TO RE LAID LEVEL. a • o c o 0 o tm n v at. ( _ T PLAN VIEW •D��° PRECAST UNLESS UNDER LOAR4MG • ('• PAVEMENT DRIVE R RE MOVEABLE W S/•1"TO 1.1/2 7. t- �ro�r�` .A-T-t-��-`ev—e` COVER � o c t� O O c7 C7 o TRAVELED WAY REIN r =---- - - - - - - - - - - - - - ---I DOUBLE LEACHING PIT % eo H•20 LOADING ALL -1 WASHED a cm o v ca Q o = 0 0• °� APPLY + - PROv10E r ' STONE ° + i met T 799 ^f WATERTIGHT W + _ ►A[CAfT — I,. ,�INT511pP1 •1 1' •I '1• _ ft►TK ,, i-0•IpM. OUTLtT + (-'1 ftt 1 , I Do a t7 d CJ td t� O O O % V L+oUW DIP rN Ttt 1 „r Mort t • I i, 1 + ♦AM■ i' , 4" INIE T 0 o cl n o © o C3 O i :IL�1 r'"•+OUTLET 1 J. r _ ." f 01 fOTTOY OM ttvtt suatt fAtt '.19A*D - .� WOTTOAI & j� LEVEL STABLE — !© OIA PLAN VIEW `� N CROSS-SECTION VIEW CROSS SECTION BASE CROSS-SECTION GENERAL NOTES: I THIS PLAN IS FOR DESIGN AND CONSTRUCTION OF THE SEWAGE DISPOSAL FACILITY ONLY, 2 ALL CONSTRUCTION METHODS AND MATERIALS SHALL CONFORM TO MASS. D.E.O.E. TITLE S AND LOCAL BOARD OF HEALTH REGULATIONS. 3 ALL PIPES LOCATED UNDER PAVEMENT f OR TRAVELED WAY SHALL 9E SCHEDULE 40 OR EOUAL. 1" SEPTIC I` SyG'jEM1 �E SIGt"-i DIET A 7lA dc�l�orJ 2dCaO " 1,20 0 0 o S.� . ��m z � ��IcNy t, Co80 S.F. � WcarGh©uSC 5, 520 S.`F. � `� I. E s� ' ��Na�cd �ydc�.L.3t� c Laoc�.hg (UeS��InFtt�w) �K, �"� �f!'iI3L- IA 'iD. � � . 1��"✓ l�•c•4�� Q ���ce l5 CzPD per I,0C)o S.F. Wa►rehoose- so GPD Pei- boot) S .F 1S x I . C[> 8 12Cr, Sax S . S 2 4o2 GPO ' ? . S e0 tc. -Tcah V- S tier \ �� ►v trot c�e moo►; �.� F tow ¢02 x t ��%> > Gno3 ga t• rn NIA v,r►t�M -7 E It I is'� ,v\ 4-Gx f► I,oC?C� .1 3 . -0es.tcjn pe.cto�Q�,av� c�Ae - 4- Q.P. I. SI4ewatLI loc" V\ 2. op gQ� �S•'F' . d.� # . o tt N3 o.S'3 cl / e ckc,�%\Y\c� kvt_ck-_ T) s . z,�,> X. I Nast G t 8 8 'S.F. �o4 orn � " 'tC' (5) - l ct S .F . ICA I� 4 4 2 9at ,�da > 407. cs Ad�� v 0,kk taw a � 1 dN p�G � Csq,t:���A 4 'unf�tt" C �^ f 11 a 4 V. I S %Ck-( 5 1R 4 c��t bwt_a � t WE�t 5 Z4N o12 CoaT2►Qy-TtOVA Qr.c. IL.ATtot>J � \ ��' .l 1 �, 1�(iG ' r�� 1.�' V!wAtx n1 �rh �,� +! a 2 b 2 3 P►� lhc_ ' ` � `� fir �✓U fir 4c�td�►IY, 402 ci P O A , 1 4 c a ;` �► x C® I e2e; i I G'1JJ GE C Ma i g 11aa8%%j ( 01-t4�,)-) Po >�.re.a...'L.f3-'. b� - 3c� ► c� PS)ft�.� r c��l x ��o ' ! � , `� off- , s s - Ina►n 33D Ca P b�A r-e a kt ow oab t e O V-1 fy -- r + - (7aa AL. tom' -- -- ' r!o ' ck ac d 005 Ckp_ heats ©r �a�. tC'5 are �0 tia•"- C�eura�eN ` _ ._ __ rrh .,f�r'�r° - _�_�__._ _:� �?__. .�. lei } vap-,h r► $4 �► IA X1�/r .yyy va FII r%( P As9 �JICI'j' 111!` f,,4�I l.1 L;",✓ �`L '�t!ys 7 + / ANIEL E. � BRA. AN CIVIL y v No.32d8dC ~ _ ... f1/I � .r✓ 9� ` I 1 �� (3a !hJ M F rot �''r�H_ ILLIA '11 ., 9 DERS !NC. and o� ,� FSS�orvA�ENG� _ _ _�_. __.__ {, . _ ::._ - . .._ ._ _... ____ ►!>! t.+l0at1 �� LE��ti a� ouuced or divulged _.__.., • �� ^ 4 ,� /'!N n1a ;-gin =•1a�9sslCn �?� ,r. N !f FA 190 ISSUE© FOR: DATE: " t PRO) ECT � � � '' P�tOJE�-: T NO. fit DATE THE WILL IAMS COMPANY SCALE DRAWING N O• _-- 1019 I YANOUGH RD,, RTE. 132, HYAN.NISt MA.02601 ►�' ° If " -T'' ►- #��„�' ___ _ _ ____ __ _ ,IV 44. � ,�, 1N� DRAWN • r� IV PLANNERS • DESIGNERS BUILDERS - - 1 TITLE : � '� � ',1 J>. �,,I. APPD 13Y: NO. DATE REVISION REVISIONS: TEST PIT DA TA DATE OR TESTING dt-c• Z,� /'Pax _ PERC. TEST DATA : SEPTIC TANK DETAIL : sizE- _ DIST. BOX DETAIL : LEACHING FACILITY DETAIL' NO. DATE TESTB Y : G, ,� c�J,•%-�-,...c.. ---- — "� 1. , e/A1-;. DATE OF TESTING' _t _- -__ TANK TO CONFORM TO TITLE 5 REQUIREMENTS. a TO CONFORM TO TITLE 5 REOUIREMENTS T. P WITNESSED BYE �o.'•V.v J^v cv,ai - _ TEST BY -- - -- - - --- - - -- — NO. OF OUTLETS: - = --- -�q, Y \ ! � / _ J� / J,' - -- - - d,,, .,,,• .�. �a EMOVE48LE COVER t WITNESSED B Tory 12 MANHOLE BROUGHT TO 2 pEASTp X.LQ4M9F/LL /2 MA FINISH GRADE. .. - 3 CLEAR 3 CLEAR _ • —zT OUTLET DEPTH OF TEST' -- 6"MIN_J� 2"M/N 6 MIN ° `•Ir AS REOU/R/EDS r 7 7---, 95.9 INLET RATE . / INLET TEE — •. O M/N OUTLET TEE . II BOX 4"C./. /000- GAL. I •r I I WOO-GAL. 24 3, 7 � V �� INLET AND OUTLET 4 0" MIN/MUM OUTLET rEE DEPTH �,{ ��` SEPTIC TA/INY �� •,V '�/ � TEES r0 BE CAS%r -" L IOUID DEPTH ,• /4' AT LIQUID DEPTH OF 4" 2' 6 �• I• PRECAST OR BLOC.X CO l9 ' S Il / ' CONCRETE I SEEPAGE PIT — -- r - -- — -- IRON, SCHED. 40 . • ... I . nL ,p DEPTH OF TEST —.. --_- - _- _ _ _ P VC. OR CAST/N 24 6' NS cw ' 29 " MIN. PLACE CONCRETE {} RATES •; CONCRETE o 34" •• •• •' " B' � BOTTOM ON LEVEL STABLE BASE I - . •� 1.4 - - - --- CONSTRUCTION - ; (WATERTIGHT) i INLET TEE PROVIDED WHERE SLOPE F.�vt �.�••� ;•':'.t•;.'• ; : °�,•":;'. :. . L— OF INLET PIPE EXCEEDS 0 08 % OR - TANK TO BEABLE TO W/THSTANO ------------ - 8?=� I w`�•Tc &'"-1'TC BOTTOM OF TANK ON LEVEL STABLE BASE H-/0LOADING UNLESSUNDER IN A PUMPED SYSTEM 20'M/N _I / i Sgn.p --- S 5. 1 !a,?A�� 8 5, 8 S•4 'D �OA0ING UNDER PAVEMENT OR i /2 WASHED STONE DRIVE /O' I RECOMMENDED MANUFACTURER C_ ^!'=:'c •� _ RECOMMENDED MANUFACTURER �.,,�✓. g (OR APPROVED EQUAL 1 OR APPROVED EOUAL) r NOTES PLAN VIEW : �� ti� .�y N �: - 2 ° � - IN VER T EL EVA TIONS� !. THIS PLAN/S FOR THE DESIGN AND CONSTRUCTION Of- THE .SEWAGE DISPOSAL FACILITY ONLY. SCALE = / "= 20 ' ti; 00 2 A/..L CONSTRUCTION METHODS AND MATERIALS SHALL CONFORM TO ?�' >��� /��O v.:T.E'/�G OF A /NV. AT BUILDING 99.?o Lj� _ - -� — � --- .__ I /NV. AT SEPTIC TANK(IN) �c� `�f� .z� RENWICK MASS. D.E.Q.E. T/TL E 5 A ND THE -� us-r,� -?- BOARD OF IV n I --- g B. ga s IYEAL TH REGUL A TIONS. i - ., ___/NV. AT SEPT/C TANK(CXJT) f 8. � CHAPMAN � �' '- i No.27 a v LAPSuy .�. ,/�. '> , .17�. //y-r. .��-•'/t'J'C/.K.+ ..raaalr'�y'' +r'•.2.".�v c. .s,t/.�+c.G.. �^ c ,� .�1'-d c.J G ��1, rr , / - - 4 `' I lir \QJSz Ep $`` F'1 ��/ •, , ,c'p .�i' .a/,� •�. ?►.+✓C cr, C:;.cr G 5 ' .*�'.i a c�na u r� G+/s'ey -S Y's ..7. — ,=E - -- J � /NV. AT D/ST. BOX(/NI • //v .�/,a y'�,a�,c�` .30-�- S , /.7'GCr .�•�.�/ >�.i2 �.-,v L• 3 .���.� �'� :�,ri /, :- '�'� - r .'a ,' f µ•` _ _ /NV. AT DIST. BOX(OIUT) s, o aw��#'+ ', f a._.. u_, f•; < .��,.rq 4 " 9a c.•"C.�: mac'-s�•R': /G� AT LEACHING FACILITY -, BOSTON, MASS. WORCESTER, MASS. 8oiron� 4 FSAc,,!ic1C HALIFAX, MASS. NORWELL, MASS. ��d� � ,� .,, ` � � \ � BEDFORD, MASS. LEXINGTON, MASS. .3' - c:�vim.✓ T��i+i e c� c�..✓ .�4�c�.1 =/ `r'`� � 1 � � ---' r� � ', � �N �1�rt HYANNIS, MASS. MANSFIELD, MASS. ..' re L7 L-.ti,p CE•-2 O.e/`/•G ca.Z CRANSTON, R.I. DERRY, N.H. p- 13 a7� , ` �f..J�f G:/�'+.r✓Ps. .G+/T-/ /r,/ �'o G�.v'b/�G- .�-'%r�GL ' [ a" /f ��* / �` i n PROFILE• SCALE- / "_ J J \\ l N Vi I � \ S I Q DESIGN DA TA • p , \ DESIGN FLOW -- ---- -T-- -- ' � � r -�'�s -�.�,�► \`. �y 1 � ,,a .�" Q.-:�'"/C c. I3 c.-.��/n/G 7.SG�.G. D. �io o�> <.s=� Q, o -j 'x I I REQUIRED SEPTIC TANK � y �'�<,r % \ - - _ GAL. <s > �. 9 , ---� - -- -- --+- ------ - y / / 9z J y ��_ __. �� \ Ul SEPTIC TANK PROVIDED = -- GAL. CAPE COD S U R V E Y ��� �` � ` . CONSULTANTS REWIRED SIZE LEACHING FACILITY- P O. BOX 56 HYANNIS° MASS. 02601 --- - �� / M �. ..., .�- �. ?' � --- ---- ----- -- . Q•s o G.�? v. 617 775 — I SURVEY BOSTON SU CONSULTANTS INC. SIZE OF LEACHING FACILITY PROVIDED: ENGINEERING SURVEYING PLANNING "�„ -.••.., e `' s ` > `� TYPE OF SYSTEM• '�.-�, . ; - TITLE: SEC T/ON• - �•r' LS - /88 .f x Z.S.'g- D. �� 470 ` �` L, � i / / T�'�-�'"°t, -p-.a.'\ ` :: r�•-r,.>. - 7 9� x /.o G,a D.�,i s �q 4 j!c 99 SEWAGE DI S PO►SAL SYSTEM t- - �.�/. Cox. c ,� /p.~' -- - - - - -- - - ----- - -- DESIGN I � - . •'•�'y� .,,` `�� � � Vic. � .<iv0, EZ.r ima.orr „ LOCUS PLAN • �.Z� _ �� Y� ,y,�,; /1 , Ac7G L � I ,C.�o.•C,. 7"/!� 4:w'!"�l?i/rj C/'9'i G, ?'!�` G:.O r+-,Y.d..!•/+/•/6'3 r^l,t.J D t c9f G.G • ., ��.� (.p(iV -C7C.cs T.i G,,c£�: ,•cs�`iv ,P7�'E f lull/"ecax a'00* 1 7_eS c.ew C-,/, -"c-s�d..G+[. G O c,,a 7''i v•�/.� '"-.� A S SHOWN � SCALE h METERS �_--- Cues L7es � I ��J"��C EcXCs7Y,c?>/Ndi� [jG >�TIi'/�7, /N1lifGG/NGL, /�rj '.�iGG//b"Gf� FEET 0 C�.C.�l.�vvCi/ t'.,arc./.vr�.��J"' ,�E'.S>v,.C..o-s 3 0,./ o..0 .�'c_..�!,..9.;�'ii++•cG �--�- �i?YC✓T�/ `` `...- �i ` �` - , -- - DATE: _ I G�/.'►il�.n4N/.�"•'SO �✓.dL/'G o2' /�,�./x�;,��-R �+>✓s�-'.e�e�. 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