HomeMy WebLinkAbout0210 AIRPORT WAY - Health 210 AirportMdy 4
HyannsY
— -- —-- A = 313-010'
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TOWN OF BARNSTAB -
y l �
S ',CCATION�/I/y 19 gzpaG2 i u\ SEWAGE#iJ-"wtTi o
V"-
LLAGE `/� GYa//S ASSESSOR'S�MAP&PARCEL
NAME&PHONE NO.A@ A. SJ S�o
SEPTIC TANK CAPACITY S i a I
LEACHING FACILITY:(type) _ _ 'ioS (size) X
3 9Ay S f
OWNER o✓ GP®Ay 0.-ft 1.1 X .&pur
PERMIT DATE: -C O COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility(If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
FURNISHED BY
c = 3! 61.
/ D.
r
f
le
Pole .
ifs
Pe le
TOWN OF BA NS'T/ABLE
GICATION ,�2(TO 2 T lAY SEWAGE#/�sr'E C.-iva
1,11LLAGE y Al,-"A Q ASSESSOR'S MAP&PARCEL
AME&PHONE NO. 4."l.f d7o 9-
SEPTIC TANK CAPACITY /5`OG S,r oZ D
LEACHING FACILITY:(type) ic iy 6:;o,//pys
(size) 1oL c/
MS
OWNER Ra &.o Gyh►Y /mod.02 i�F I
PERMIT DATE: d // COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility(If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
FURNISHED BY
I
�ICe
Zee iF
iso o cl xtb
E(7:I aITfla 1.
V-V
Y�
Make applicatl6ril to Iocal:Fi�e=;Depament.
Fire Department retains original application and Issues duplicate as Pennit.
T �i���%♦t� � .e
APPLICATION and PERMIT Fes: a
for storage tank removal and transportation to approved tank disposal yard in acoordance with the provisions
of MAL. Chapter 148, Section 38A, 627 CMR 9--W,application Is hereby made by:
Tank,Owner Name(please print) Rv.v,/n / iyo.-iti = X
AddressC.�aSti�®/� �w®ocI PRdd���TS a /67'HonvT�,✓ �� N�/i�.ri.r�iS' /hi4
S�st orr Sale
ZO
7C=�panyame Frank Corp. Environmental Services
Co.or Individual -
pi" pf"
Address 615 Tarklin Hill Rd., New Bedford, MA 027455 Address
PAW
Sig ature(if applying for pemift) � i� Signature(IfI -applying for permit)
Other. ❑IFCI Certified O LSP# Other
Tank Information
Tank Location a/o A /A A, T w A? /7 A S
S WAdiess Cry
Tank Capacity(gallons) ;Z 7 S Substance Last Stored /- E,9 ri itv G o
Tank Dimenslons(diameter x length) Y q
Remarks: b o u t G n o j4g-q T l n-(,- o rl
Firm transporting waste. -I�R 4�- Iz .C o/ E;11(/ State.Lic.# 3 `l E
Hazardous waste manifest#: EPA
Approved tank disposal yard�7/. C )` S c A P TjU*yard# l Z
Type of Inert gas 21^ Y ZC tt Tank yard address S T.97- (Z d t.v E S%I'2, 1
City or Town_ —LI Y19 N N / S FPIDO. D /.9 A e� Permit# $G`��_
Date of issue .G —9 7~ O 4' Date of expiration
Dig We approval number. Dig Safe Toll Fr el.Number-800.322-4844f!uREkk
Signature/Tale of Officer granting permit
�le. ,,�+C 1,if,t. r
After removal(s)send Form FP-29OR signed by Local Fire L U : egulatory Compliance Unit,One Ast�tiuRonaF'ta"nbu
Room 1310,Boston,MA02-108-1618.
FP-292(revised 9/96)
fd( 3
RFirid Map ParcelE 313010 xs rd Town ofBarnstable �,
�� � ��-Health De artnrierit HealthS stem,�3 �� �y:
Map/P ra cel �313010 �
• ;. .- Tank�Nbr r ':.Tag Ntir 'IV �Iristalle�d:� E Location: A
T st Nopfica6on Date
w�
Date
_..
RemovahNobfic"atiori Date Test. J I
` Abandon: I�
x} Rana e" 06/27/2006 {
Removal
� .
„ Fu'l Stored FO ,r.;Fuel Storage Reason
Capacity Cons:ii I ni ;L-eea Detection' A` Cathodic Detecfio
� Ki tt j4 W
n:S,torageTanklnfo,
Additionalxp�etails,�-
i
4
COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
DEPARTMENT OF ENVIRONMENTAL PROTECTION
TITLE.5.
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSIIRF'ACE SERFAGE DISPOSAL SYSTEM FORM
PART A
CERTIFICATION �Gv
Property Address_,�2-/O A, 6W? r 44W bv,4 X
Owner's Name• R vA.-1'wWY 11440�i�✓�r" s T
Owner's Address: /8 0 �iRya°o/L T lZ
y�
Date ofTuspection: o o n
Name of Inspector �-r//3_(please priut� Ya/f i�'`e---/.".4
company Name:
Marling Address: oX 5'l
Telephone Plumber. ;- 6J 7 7 Z /.2 C L `a _
C _
CERTIFICATION STATEMENT
I certify that I have personally inspected the sewage disposal system at this address and that the information reported
below is true,acme and complete as of the time of the iaspeciion.The won was-performed based oEAmy
training and experience in the proper farm ion and maintenance of on site sewage disposal sysmms I am a DAP
approved system inspector pursuant to Section 1 of Title (310 CNgt 15-OOU}. The system=
t.�
asses
Conditionally Passes
Needs Further Evaluation by the Local Approving Awh
L.
Fails
Inspectoz's Si . Date: �d dry
The system inspector submit a copy of this inspection report to the Approving Authority(Board of Health or
DEP)within 30 days of completing this inspection.If the system is a shared system or has a design Sow of 10,!00
gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the
DEP.The original should be set to the system owner and copies sent to the buyer,if applicable,and the approving
authority.
Notes and Comments
t?Us� � �i9/✓G�S(lSooG���v.✓ PdaXES /1� 'efX�f //e,r
(a T/ 4 f� -s 7,76 /a2 o U -Ice
****This report only describes conditions at the Ume of hmpecion and under the conditions of use at that
time.This inspection does not address how the system will perform in the.fntare under the same or different
conditions of me.
I
Page 2 of I I
OMCIAL INSPEMON FORM-NOT FOR VOLUNTA" S
SUBSURFACE SEWAGEMSPOSAL &EV9PECTION DORM
PART A
CERTMCATION(coatinx e
Property Addeess:46" R <!!5�
Owner./Toa�u�13)/ 2 cisr
Date of Inspection_ D iS'
Inspection Summary: Check A,S,C,D or E!ALWAYS complef a sRof 5eefarn D'
A. System
have not found any information which indicates*9 any of the f @u re criteria described in 310 chin
13303 or in 310 CMR 15304 exist Any failure criteria not evaluated are indicated below.
Comments:
B. System Conditionally Passes:
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 ,cpair,as approved by the Board of Healtb,will pass.
Answer yes,no or not determined(Y,N,ND)in the for-the following stateme=, If"not determined"please
explain.
The septic tank is metal and over 20 years old*or the septic tank(user metal or not)is structurally
unsound,exhibits steal won or exEltration arumk ham shnMjneuL Systemwall gass-inspection i€ _;-
existm�tam is replaced with a complying septic tank aszpp by the Board eRealth.
*A metal sgmc—=&will pass inspection ifit is strvctnaIly sound,not leaking and if a Certificate of Compliance
indicatingthat the tank is less than 20 years old is available_
ND explain:
Ooservatian of sewage backup or break out cr hW rstafic v at~r.lsve..l in thedistnibri6amhm_due to broka or
obstructed pipe(s)or due to a broken,seed ornmeven distribnfian box System wM pass.in_spection if(with
approval nfBoard of Health): :>..
broken pipe(s)-ase replaced
obstruction is removed. -
d"rstnbruiom-box is lestrsi orxqglacc& .
ND explain:
The system required pumping more than 4 times a year due—to—broken.or obstructed pipe(s).The system will
pass inspection if(with approval ofthe Board ofHealth):
broken pipe(s)are replaced
obstruction.is removed
ND explain:
I
Pige 3 of I I
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address:2 /D �i,Q v 2
Owner. 2 vry CvAY 7Q J s
Date of Inspection: 6 40
C. Further Evaluation is Required by the Board of Health:
Conditions exist which require further evaluation by th_eBaard of Health in order to determine if the system
is failing to protect public h fety or the enviro
1. System will pass unless Ban ealth determines in accordance with 310 Ch+IR 15-303(1)(b)that the
system is not a a er which will protect public health,safety and the environment
— Cesspoolis within 50 feel of a surface water
c),7y is within 50 feet of a bordering vegetated wetland or a salt mmzsh
2. System will unless the Board of Health,(and Public Water Su ,if any)determines that the
system is fanctionin in a manner that proteem the public health, ety and environment:
The system a septic tank and soil absorption SAS)and the SAS is within 100 feet of a
su-rface water supply tributary to a surface water snpP -
_ The system has a s tic tank and SAS and the AS is within a Zone 1 of a public water supply-
The system has a sep tank and SAS an a SAS is within 50 feet of a privaQe water supply well.
_ The system has a septic and and the SAS is less than 100 feet but 50 feet or more fiord a
private water supply weii=°. odd to determine distance
"This system passes if the well analysis,performed at a DEP certified laboratory,fbr coliform
bacteria and volatile organic co indicates that the well is free from pollution from that facility and
the presence of ammonia ' pen nitrate nitrogen is equal to or less than 5 ppm,provided that no etbeF
failure criteria are trix A copy o the analysis must be attached to this form.
3. Other.
Page 4 of 1 I •
PEG'Tl�rii-FORDS--NOT FORV03..�3N� �ARASSESSMENTS
�N�� .
®�IC'�L�
SUBSURFACE SEWAGE DISPOSAL.
PART A
C.RTMOg,T'ON(WMbuCdY
it 0.4el i-
property Addresr
owner: d
Date of Inspection: 6
applicable to all S-ystetn�
I?. System Failure�► to each of the following for S-B-Linspectiour-,
You mast indicate"yam'or .ne
to ov,,,..&d or clogged SAS or Cesspool
Yes N�13acImP of sewage Into Y or �Of
the ground or sMfHCe'�rs due to an avefload�or
ding of effiue�to the Surface
/ D'�Sor AS�P°°1 gged SAS or
clogged a outlet itn►ert d��am ov or c10
Static ligtud level m the dis��box above
-T cesspool Gwbelow invert ar levoltffie is r obth acted P )-Nuraber
in-cesspool is less than NOT due to ciogpdRequired PMMTMg or obstructed PiF�
��dep* more than 4 times the last Year
of times 001 or privy is below gh �water elevation-water supP1Y by to a s�F.
ce
_ f �'panim of tba SAS.cessP
Any portion of cesspool or privy is within 100 fear
f water supP1Y- public well.
�' Any portion of a cesspool or patvY isvvttbin a Zone i ofa pub a van water
orpnVY is wither SU feet of a Private water�from Fri
"_�' Any portion of a cesspool
or privy is-1�100 feet bin gr�than 50 if the WeR WSter analysis,
Any portion of a cessPoo spsbem Passm
Supply well with no acceptable�o� cmis.and volume Smartie comFoaa:s
performed at a DEP Inbarainnt that and tlm gsesznc of ammonia
indicates that the well is free h, poltu6on frarm et 'lnac Erntsria
nitrogen and nitrate nitrogen s�1-�or3ess � no other
A copy of-the aaaly
are tirigdered- of the above fa&M�e5st as
Eme or mtuz ovrner shoal ct the BBoard of
• �(� (Yes/No)The system fags 1'h� .�-�-�sy�, d c�a
/ descrpwd in 310 Ct RM 15303,thetnfo�fe ID�the f�uree-
Atealth to deternune whasw�1 be y
1 of 1"00 gpn to'151000
L Wge S7stmOr- t asfac tp $
To be considered a large m tht:
youmust indtc ate eld�'"Y�'or each of the follov►�
apPi9
(The following criteria tn
in addition to the�a above)
yes no . 400 feet o a Stnface&MIG 9 water supply
the system is
o
o a drin ►g water suM1Y
sysethe - 200 feet
—— area�Wellhead ptotcction Area-jyr'PA)or a�-Pped
the is-located.in aaitrooen
— — II of-a public water Supplywell
is� a�t5�threat,or answered
If you a answered"yam'to�'question in S E lhe of3"lNV Ym considered a
`Yes"" Sectiova nbove•the large system has fated owner or aperatra in re with 310 C'MR
systemsi - cat threat underSection E or fOed under St:cti D rhea aP93ft the
15304.The stem owner should con act the rt:gianal office of the Department
sy
I
page 5 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORMI
PART B
CRECKLIST
Property Address:
/a Nam«
Owner: yN ca��9Y TR H S T
Date of Inspection: d
Check if the following have been done.You must indicate "or-no"as to each of the folloevine:
Pumping information was provided by the owner,occupant,or Board of Health
_ ere any of the system components pumped out in the previous two weeks?
— ��<Ive
H2s the system received normal flows in the previous two week period?
large volumes of water been introduced to the system recently or as part of this inspection
?
_ were as built plans of the system obtained and examined?(If they were not available note as N/A)
_
Was the facility or dwelling inspected for signs of sewage back up
/ Was the site inspected for siens of break out?
_� Were all system components,excluding the SAS,located on site?
�_ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition
_oft/he bales or tees,material of construction,dimensions,depth'lof liquid,depth of sludge and depth of scum?
< _ Was the facility owner(and occupants if different from owner)provided with information on the proper
maintenanc`of subsurface sewage disposal systems?
The size and location of the Soil Absorption System(SAS)on the site has been determined based on:
t
Yes no
_ Existing information.For example,a plan at the Board of Health_
z— Determined in the field(if any of the failure criteria related io Part C is at issue approximation of distance.
is unacE-ptable)(310 CMR I5.302(3)(b)]
I
I �
1,
Page 6 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE-IIISPOSAL-SYSTEM3NSPECI FORM-
PART-C
SYSTEM INFORMATION
Property Address:'.z —//L o 12 T
Owner. JZt. .dW'4'V :'qL a .5.
Date of Inspection:
1FLOW CONDMONS
RE
Number (design)' Nrmnber of bedrooms(actual):
DESIGN based on 310 IS203 LfarExample:I l0�ci x oflp,dmt>msj:
Number of
Does residence a e grinder(yes or no):
Is laundry on a sep sewage system{yes or no): yes separate inspection required]
Laundry system (yes or no):
Seasonal use or noj:
Water m gs,if avail (last 2 yearsnsage(gpd)):
Sump (yes or no):_
Last date of occapaacy.
CONIIVIERCIAiJII�ID
Type of establishment S .9> s !
Design flow(based on 310 CMR 15.203)- I,Y'O D Qpd
Basis of design flow(seatslpeasons/sgf etc.): /0S
Grease trap present(yes or no)r
Industrial waste holding tank present(yes or no)�/
Non-sanitary waste discharged to the Title 5 em(yes or no):/-k/
Water meter readings,if available-
Last date of occupaorylase (0 e
OTHER(describe):
GENEKALINF�ATTON
Pumping Records
Source of information: Z 415,fA cr-d 01-
W-as system pumped-as part of the inspection(yes orno):
Ifyes,volume pumped '3�lons—Flo amity. &Mmnned?-,0 5;/k 6�:±y46
Reason for pumping; /S oa O %i9A/WT
f '
T��F 3YST'EM
/Septic tank,distribution box;soil absorptiaa syst>~!m
—Sirgle cesspool _
_Qverflovrcesspool,
Privy
_Shared systems(yes or-no)(if yes,attach pieviarn. h records,if any)-
_ImmovaUvetAhernaiivetectmology.Attachacopy of the current-operation and maintenance contract(to be
obtained-from system owner)- -.
_Tight tank- —Attach a copy of the DEP-approval-
Other(describe):
Approximate age of all components,date installed(if known)and source of information:
Were sewage odors detected when arriving at the site(yes or no):
1
PAge7ofII
OMCL4 .INSPEC nON FORM-NOT FOR VOLUNTARY ASSESSMENT
,SUBSURFACE.SEWAGE DISPOSAI;SYSTEM INSI'EMON FORM
PART C
SYSTEM E4FORI ATION(continued)
Property dress: ���, 7
11ty��s
Owner. IIA✓4y g y /Z rr s
Date of Inspection: �6
B1MDING SE9i m(locate on site plan)
Depth below grade:
2✓IatPrials of camsnaction: eon PVC other(explain):
Dismce from private water supply well or suction Imp:
Comments(on candition of joints.venting,evidence of leakage,etc):
SUMC Tin::(tote on site plan v`Q
Depth below fade:
AlatcrW of ccnstr=on _�concrese metal fiberglass---Polyethylene
otbr;(elaia}
If ankle is metal list age:_ Is age confirmed by a Certificate of Compliance(des or no)-_(ash a COPYo
certificate) j
Dimensions:
Sludge depth:
Dhtance from tap of sludgy to bottom of outlet tee or baffle: Q _
Scan!hiclmess: 01 41 y
Distance from top of scum to top of outlet:tee or baffle:ef
Distance from bottom of scrim to bottom of outlet tee or baffle: �
How were dissensions determined:-
Comments(an;� inlet and outlet tee or baffle conditior}structural intern ity,liquid ie:els
as related m outlet invert,evidence ofleakage,ett): .
�i9 Nk �61119E&7 S r �+ i.✓ Gs a L� ,y .r ra.✓
I
GREASE T'PUP: (Iorate on site plea) 1
Depth below grade-
Material of constraci : conQste m ,lass_polyethytlene ether
(explain):
Dimensions
S-.:tmi thiclmess:
Distance favm top of scrim tap et Lee or baffle:
Distance fitun bottom of gr ottotn of outlet tee or baffle:
pqvium
dations,anlet:and outlet tee or baffie condition, i�gy,liquid le'%
1
Page 8of11
SUBSURFACE SKWAGE DISpOSAL SVSTEM INSPE£I M®N FORM-
PART C
WORM AM ON )
Pr6perty Address- l D l a2,
�ti r
Owner: 4 Y /L !iS
flat$ofoae � o •
MEET or HOLDING TAPFK: (tmJ-must be gang atlime of h2Specd0mj(j=ate on.sit-plan)
Depth below grade
Ivfa'uerial of motion_ m —Po 3'l=. vfl=(explain):
Daaen Jons:
CaPacity
Aga Floes gallo dal
AJam pry.sent(yes or
Alum IeveL- Alarm iu world-msrier Cves or no):
Dare oflast '
Comm ofalarm and flit switches,ew):
D1 MollV Bom_(LfPre=t mast be opened)(lomae on site plan)
Depth of liquid level above glider invert: Z�l 4
Ccaume=(now if bm c is level and disuibudon to oud--m eq[aL-3nY evidmse,of solids canyever,any uvidm—_a of
3 Qe inifl out of box,em y r /
PUMP*5At4MER-. un site p 1Phmps in wigmilZ�(j
:no)
Almms m working-order(yes or no
Cemmemds(note coax tjim of ber_ trn i a�st1 __
Page 9 of 11
OFFICIAL iNSPECTTON FORM-NOT FOR VOLETCEARY ASSESSM EWS �
S:RSU"ACE SEWAGE DISPOSAL SYSTEM INSPEMON FORM
PART C
SYSTEM _ ORMATTONT(continued)
Property.Addt.ess._2l0 AO
Owner: z,v u/f�
LDate of Inspection: 6' o
SOIL.ABSORPTION SYSTEM S):Zooc2te on site_plan,-excavation not required)
If SAS not located explain why.
Type
leacbiagpits,number_
Ieachiztg chambers,ntanber_!� - �
leac3mzgjalleries,ntmmber-
leachmg trenches,number,length:
lead �Q felds,uumber,dimensions
ov(2 ow-cesspool,aamber•
innovativefaltm=ive systaw-Typefname of technology_
Commnents(none•condition-ofsoil,-sk=ofhydraulic failure,level ofpon/ding,damp soil,condition offJv eLarion, n
etc.): C��r�bFQs �/ �T h /ST /7/LU�i.✓CJ
AA AS/ AN,:P iAi �•✓rf
CESSPOOLS: (cesspool must be pumped as art of inspection)(locate on site plan)
Number and configurati
Depth—top of liquid m inl in _
Depth of solids layer
Depth of scum layer_
Dimensions of cesspool:
Nlaterials of construction:
Indication of gmundw= infiaw(y r no):
Comments(note condition of soil,s ofhydrauUc ihi wm,'! -
- 1 .
Pam: (locate on site nl l
Dimensions:
Comments(note condition of soil.sians hvdtanlic.failure.IEv�I�:'i poadinr.�u:ss:L on <.;Y _a c.sY
Ell A MEs s TIA,_E TH 7_5
'R ON OMY
T�o-c-
TER AT-YOTN
le 7-
�Vl AICAVOO',003 ka 5"'r
S11=ice 0 F S=--,/A G I-;DIS P 0,-9 A 3: S Y S T E 31T
be—i-chmarks-Locate aTlRli�!_Is Lvcala whe-M-Public
ys
A�-
Pole
P,le DO
iT I
pole 0
4f ;L /00
p,le 13
CnON FORD—NOT FOR Vui ul%"Lm' .-.PU
Qy Aid�SP� GE IDISPOS� I &TFZnO�
BA
SU BSWACE PARS'C
SYSTEMO IION(confoued)
/v 0 2 7-AV
weer: vn� 7r2 u S
Date of fS
snmr-.ur
ss T
rbzk=uw ,(/as✓
SbaTow wellsEWmamd i✓a�/t
neA w%Found vMr--
pimsemrw=(cherk)aIl methods nsedto de3zs t the hi-0i gamd w=el m \
on _If rhos,dare of def'pPIMM%i '
Obtained from system des n hole within 150 feet of SAS)..
Ob�d site(�°°g
Qmck d ed with� i�eTs-�auach� on?
USGS ' abam.a*kai :
Accmcd
0� [� f
d
gmrmd watea' o
Y' must, �e des how von est3otisl a the «✓ Gl/A 7 E 6L
s
i
I
O
'NCI! �.frrTJf-FT i� ---
R1SF
.\ y
TOWN OF BARNSTABLE Date: s /
TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY
NAME OF BUSINESS: AIA 164� 1
BUSINESS LOCATION: 7,\O INVENTORY
MAILINGADDRESS: .2 rvtr ��e.I�o S no c� r,L S r��lwr�e TOTAL AMOUNT:
TELEPHONE NUMBER: 51�0$ - 771- oD r b 1Z4_ oZE,6
CONTACT PERSON:
EMERGENCY CONTACT TELEPHONE/NUMBER: MSDS ON SITE?
TYPE OF BUSINESS:
INFORMATION/RECOMMENDATIONS: Fire District:
a\ vr,�A ►ytovr 4ri�/ S
,rA1 � o a \
C� L �1/�A,c ale oaf
Waste Transportation: 4A 24 �f4K50o1k_ Last shipment of hazardous waste:
Name of Hauler: -I''oJr~5 li���eG�',ow Destination:
Waste Product: Licensed? Yes No
NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use,
storage and disposal of 111 gallons or more a month requires a license from the Public Health Division.
LIST OF TOXIC AND HAZARDOUS MATERIALS
The board of health and the Public Health Division have determined that the following products exhibit toxic or
hazardous characteristics and must be registered regardless of volume.
Observed / Maximum Observed / Maximum
Z Anti reeze (for gasoline or coolant systems) Miscellaneous Corrosive
D NEWS ❑ USED Cesspool cleaners
Automatic transmission fluid Disinfectants
Engine and radiator flushes Road salts (Halite)
Hydraulic fluid (including brake fluid) Refrigerants
Motor Oils 1 Pesticides
NEW USED yo - '�� 'ks (insecticides, herbicides, rodenticides)
30 Gasoline, Jet fuel,Aviation gas 30 Photochemicals (Fixers)
Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED
Miscellaneous petroleum products: grease,
Photochemicals (Developer)
LSD lubricants, gear oil) k1tc�1,G.�kk� I IS ❑ NEW ❑ USED
Degreasers for engines and meta Printing ink
Degreasers for driveways&garages Wood preservatives (creosote)
I
Caulk/Grout Swimming pool chlorine
Battery acid (electrolyte)/Batteries Lye or caustic soda
Rustproofers Miscellaneous Combustible
Car wash detergents Leather dyes
Car waxes and polishes Fertilizers
Asphalt& roofing tar PCB's
t3 D Paints, varnishes, stains, dyes 1 u Other chlorinated hydrocarbons,
La quer thinners (including carbon tetrachloride)
D INEW I� MUSED t-!� Any other products with "poison" labels
(including chloroform, formaldehyde, .
Paint&varnish removers, deglossers hydrochloric acid, other acids)
Miscellaneous. Flammables Other products not listed which you feel
Floor&furniture strippers may be toxic or hazardous (please list):
Metal polishes
Laundry soil &stain removers
1 (including bleach) I �r`11 0 1 _ 2 h 4 1 Wr~S'I e or
Spot removers&cleaning fluids / 9 f� 1"')
(dry cleaners)
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Bug and tar removers IN 04< ti I D q A I, q
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Message Page 1 of 1
Lavelle, Timothy
From: Swiniarski, Ellen
Sent: Tuesday, April 29, 2014 12:19 PM
To: Lavelle, Timothy
Subject: 200 Airport Way
Hi Tim,
I have an inquiry regarding storing jet skis at this location which would be ok. However, they
also want to do minor repair and oil changes to the jet skis. This is in the wellhead and I can
see a form in 1999 where a large amount of hazmats were listed for Cape and Islands Steel.
This was the last hazmat list in the file They intend to rent only 8300 s.f. of the building. I have
a feeling that the hazmat grandfathering here may have dropped off? Can you tell me if you
have visited recently or have any updated info? The building was built in 1988 as a warehouse
and went through the CCC and may have made it under the wire for filing prior to the WP in
1987. The health file has EPA clean up letters from 1995 or so, however there was the 1999
list. Wondering what you think is the status today and if this type of activity involving hazmats
is still alive.
Thanks, Ellen S.
Ellen M.Swiniarski
Town of Barnstable �J
Site Plan/Regulatory Review Coordinator J a ��� -- �`�t ' /`5
Building Division /
Tel: 508-862-4679G�
Fax:508-790-6230
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