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0055 BODICK ROAD - Health
` ' 5- Bodick Road '- - ; ` Hyannis ,..�.A = 344 080002 I� 1� N � - r e 9 Y � l TOWN OF BARNSTABLE LOCATION SEWAGE# VILLAGE ASSESSOR'S MAP&PARCEL 3L4 INSTALLER'S NAME&PHONE NO!OGwtoC G 0&4254E� Lpcl SEPTIC TANK CAPACITY 1500 G*f-(-09J LEACHING FACILITY:(type)W 5;20-&*L,OQOW(size) ®25 3 k I a o 23 NO.OF BEDROOMS OWNER 55 OopPcC P-OAD L.LC, in kx1+t11 k-'IdlAH_ PERMIT DATE: - 4-,a COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility VIA Feet Private Water Supply,Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) W A Feet i Edge of Wetland and Leaching Facility(If any wetlands exist within 4 300 feet of leaching facility) tJ A- Feet ' FURNISHED BY � PL�ILI f ,� �,2�5 ' C. c c*l M cs' e9 a- sn t. 4 tn N M Co m d N� C to 0 15- C Q 1c TOWN OF BARNSTALE LOCATION 1 ;5— &N_rc.�- d�G __ _ SEWAGE # �6 �/1 VIi.LAGEvctnh I_S ASSESSOR'S MAP & LOTS U� INSTALLER'S NAME&PHONE NO. &6A) S- SEPTIC TANK CAPACITY l0 SZ O LEACHING FACILITY: (type) (size) YX 3d O.OF BEDROOMS DER O OWNE Y IPERMITDATE: L Z COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet 9 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 lea faci 'ty) Feet Furnished by .,.�. N No N °� t,� F y l II v t � Town of Barnstable Inspectional Services Public ub c Health Division • sA NFrABLE, y MASS. $ Thomas McKean, Director fo39. a`0 200 Main Street Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Hyannis Brake & Auto Repair Notice Date: June 18, 2020 55 D Bodick Road Hyannis, MA 02601 Re: Hazardous Materials Permit According to our records, you do not have a current Hazardous Materials Permit. In accordance with the Town of Barnstable general ordinance, Chapter 108, Hazardous Materials, all businesses that handle or store hazardous materials greater than household quantities are required to obtain an annual permit. The permit runs from July 1st to June 30t1i. Your permit expired on July 1, 2019 (almost one year ago). There is a$150.00 Hazardous Materials, Category II1, Fee. In addition, there would be a$10 late fee assessed, however, this fee is waived due to the COVID-19 emergency. You have a PAST DUE balance (Permit for Year 2019-2020) of$150.00. Please submit a check, payable to "Town of Barnstable," to 200 Main Street, Hyannis, MA 02601, along with the application. FOR HAZARDOUS MATERIALS APPLICATION ONLINE: Go to the website, https://townotbarnstable.us/. Click on Departments> Inspectional Services > Health Division> Application & Forms> Hazardous Materials Application. If.you have any questions or concerns, please contact the Public Health Division at 508-862- 4644. Thank you. PER ORDER OF THE BOARD OF HEALTH Thomas McKean, R.S., O Agent of the Board of Health Q:\Hazmat\2020-TUHyannis Brake and Auto Notice June 18 2020.docx c YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: 4 Fill in please: APPLICANT'S YOUR NAME/S: cifwn-A �'.QS f zs,7/ ✓J2 9 BUSINESS YOUR HOME ADDRESS: TELEPHONE # Home Telephone Number" 7 Z 3�- 'f8-> - `!A.i q Cc+-+- NAME:OF CORPORATION: 4, VI-S NAME OF NEW BUSINESS •a.rvw / - X9 e Mi7/' /•C 44-L TYPE OF BUSINESS IS THIS A HOME,OCCUPATIO ? YES NO X 41 ADDRESS OF BUSINESS .S` /�+ot`I/CK �1i ,4x"W MAP/PARCEL NUMBER 3$'e �� -0 a?= (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 COMMISSIONER'S/OFFICE This individual has bee ' med permit requirements that pertain to this type of business. y Authorized Signature* COMMENTS: 2. BOARD OF HEALTH MUST COMPLY WITH ALL This individual has e m of, 4it re rements that pertain to this type of business. HAZARDOUS MATERIALS REGULATIONS Authorized Si ture* COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: No. �r G 3 v Fee V THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: es PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ftplicatlon for Misposaf 6pstrin Construction 3pPrmit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) [Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. �� �oD�Cle �a R X. -Ir R.HI L-11P Assessor's Map/Parcel o y""s W to i t- Installer's Name,Address,and el.No. 502.(417-221'� Designer's Name,Address,and Tel.No. i 4�i,bG- (,LC- �C, s����N v Type of Building: No 1�1 ivp4zi in a RPh"- o L` `Zp • '1,1 �s C, DwellingNo.of Bedrooms f�J Lot Size s ft. Garbage Grinder r" q• g ( Other Type of Building C® f!�No.of Persons Showers( ) Cafeteria( ) t Other Fixtures &I Design Flow(min.required) 336 gpd Design flow provided 3 { gpd Plan Date a )-X6((Number of sheets f Revision Date OJ( t'' / Title TL!; 1)iC�m,DAb YA A 115 P r Size of Septic Tank I Epp CK�RI Type of S.A.S. -A(,(,ON G Description of Soil COARtS� S,� rP Srr eL40 c��r�yhPd Nature of Repairs or Alterations(Answer when applicable) .Ttj6"A4_(, JF�j -a,(� `j 1986 rjQ® A Co�td► 1' � o-c� Tb auk) j4_XQ Dwsoy, T-0 a<: W-xe, S7 Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health Signed Date ." -[��(® Application Approved by Date 2— b Application Disapproved by Date for the following reasons Permit No. ,>3 r�- U 3 0 Date Issued 2 Fee -Ud THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ✓S 101ppIitation for Misposal 6pstem Construction 3pErmit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) []Complete System ❑Individual Components E Location Address or Lot No. Owner's Name,Address,and Tel.No. Assessor's Map/Parkel 3Wjb?()1e>0a, N Y4001S wt� l L11P a S u.. _. Installer's Name,Address,A el.No. 505.417-122'/1 4 Designer's Name,Address,and Tel.No. 4S�i1,6 S1rJ`ta oLIS&g L.,�C_ a � G046d CAAN� uZ tK 1 Type of Building: N 0!(11✓'t0 p i n �v�17� �6 , U�c✓!Zp J� JL 1 ,� �^? 7U✓ Dwelling No.of Bedrooms PVT Lot Size 4 sq.ft. Garbage Grinder( ) ' Other Type of Building Co"WoKeA* _ No.of Persons Showers( ) Cafeteria( Other Fixtures Design Flow(min.required) 336 gpd Design flow provided _3 3 gpd Plan Date �• ?�s � Number of sheets Revision Date O p Title T / Tm Size of Septic Tank ( 50o !; G rj Type of S.A.S.�� $©p G9 _ot-J G� - Description of Soil COARSE SA , CQ -a" Q(AAJ Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in _ accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued bythis Board of Health. Signed Date ,� •" �� Application Approved by Date — V- 14 Application Disapproved by Date for the following reasons Permit No. d( � 3 U Date Issued Z -/b ----------------------------------------------------------------------------------------------------------------------=---------------- �l THE COMMONWEALTH OF MASSACHUSETTS /BARNSTABLE,MASSACHUSETTS Certificate of CD1tttJIIariLP THIS IS TO CERTIFY,that the On-site Sewage Disposal system (Constructed( ) Repaired( ) Upgraded( ) l Abandoned( )by M w 17g e �� LLC— _Aai 557 has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer 0A G.)TW msT LLC. Designer #bedrooms N A Approved design flow , gpd The issuance of this permit shall not be construed as a guarantee that the system will nction,�gned. Date a �,11 Inspector --------------------------------------------------------------------------------------------------------------------------------------- I No. 7 0 0 Fee /Uv THE COMMONWEALTH OF MASSACHUSETTS.r PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal *pstem Construction permit Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon( ) System located at -5 z; t3o D[e_,(G, �oAD H y A and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. J' e � Date 2 -- �� " � C� Approved by i 1ry E 002/17/201G 11 : 01 5082730367 94546 P. 001/001 '® Town of Barnstable Regulatory Services Thomas F.Geiler,Director `A"M A§& i Public Health Division Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Date: �" b' Sewage Permit# -Q0 llc ®6 30 Assessor's Map/Parcel S o-00 2 Installer&Designer Certification Form Designer: SG Enna leeciWj , 'TOC Installer• coeewic- ���FerPrise.S Address: 2854 C(cvi\oe_r(% 4-4) woy Address: 1.53 Comme.rc;,'ol Strut r eo%k uJ0(6naav1_ MA 02,38 MasV,�ee � 11 (� 012GIYJ sos•273•-0377 On 1-4 -J o f�, G aPe-wide. &Aerprise s was issued a permit to install a (date) (installer) septic system at 55 (50c0fck goad based on a design drawn"by (address) SG En9,�eec�n5 Tic_ dated Fib. 3 . 26 1 (designer) V 1 certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Stripout (if required) was inspected and.the soils were found satisfactory. I certify that the septic system referenced above was installed with major,changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State &Local Regulations. Plan revision or certified as-built by designer to follow. Stripout(if required) pected and the soils were found satisfactory. .M W JOHN L. HURCHILL u (Ins er's Signa ) ;R,'L 1ISO esigner s Signature (Affix De gn Here) P ' ASE RETURN TO ARNSTABLE PUBLIC HEAL DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL .BOTH TMS FORM AND AS: BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION THANK YOU. q:lof lice fortnsWcsignercertifleation forn,doe Aug 10 15,11:09p p.19 Commo w 1 /I,/I 3,q— vG0�0®g n ea th of Massachusetts _ Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments :mow T) 55 Bcdick Road Property Address Bill MacNamara Owner information is Owner's Name s: required for every Hyannis MA 02601 8-6-15 page. City/Town State Zip Code Date of Inspection ; Inspection results must be submitted on this form. Inspection fortes may not be altered in any way. Please see completeness checklist at the end of the form. Important When A. General Information filling out forms �ptggnuupp���� on the computer, ���� �,�H OF Mq use only the tab - 11071 ���� �;.• .. SS key to move your 1. Inspector. �• ?� cursor-do not ����•• AM yam : use the return James D.Sears s = m Y• co ke Name of Inspector s c�:— :-- CapewideEnterprises,LLC _LEI Company Name ��'�'TTTFr.• � ' 153 Commercial Street _ aNu1�G\\````• Company Address Mashpee MA 02649 City/Town State Zip Code 508-477-8877 S1623 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority _ _ 8-10-15 spectors Signature Date The system inspector shall 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 flow of 10,000 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 sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ""*This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. oin3•yi 3 Titto 5 Oticial Inspedion Form.Subsurface Sewage Di3posal System.I'm a 1 of 17 I# i Aug 10 15,11:09p p.20 Commonwealth of Massachusetts k p Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 55 Bodick Road Property Address Bill MacNamara Owner Owners Name information is required for every -Hyannis MA 02601 5-6-15 page. Citylrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: The system is a 1500 Gal.Tank D Box and three 500 Gal. Chambers All units are H-20 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 repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined"(Y, N, ND)for the following statements. If"not determined,"please explain_ The septic tank is metal and over 20 years old'or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. "A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available_ ❑ Y ❑ N ❑ ND(Explain below): Sins•3113 7die 5 Offirial trispeclion Form:Subsurboa Sawago Dispoaal System•Pago 2 of 17 Aug 10 1511:09p p.21 Commonwealth of Massachusetts ` Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments . 55 Bodick Road Property Address Bill MacNamara Owner Owner's Name information is required for every Hyannis MA 02601 "-15 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes(cont): Q Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ 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 of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water Q Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t51ns•W13 TWO 6 Official Incpac icn Form;Subsurface Sewage Diaposal Syatam•Page 3 ar 17 Aug 10 15 11:10p p.22 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 55 Bodick Road Property Address Bill MacNamara Owner owner's Name information is 02601 8-6-15 Hyannis MA required for every y page. Citylrown State Zip Code Date of Inspedion B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well*". Method used to determine distance: *"This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form_ 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"-to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or.cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in emampoW is less than 6" below invert or available volume is less than '/2 day flow )--V C///•rr 4- 15irts•3f13 Title 5 Official Inspection Forth:Subsurface Sewage Disposal Syslem•Page 4 of 17 Aug 10 1511:10p p.23 Commonwealth of Massachusetts -- Title 5 Official Inspection form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 55 Bodick Road Property Address Bill MacNamara Owner Owner's Name information is required for every Hyannis MA 02601 8-6-15 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped_ © ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis,performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence Of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area— IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department_ 15ins•3113 Tejo 5 Official Inspection Farm:Subsurface Sewage Msposal System•Page 5 of V Aug 10 15 11:11 p p.24 Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 55 Bodick Road Property Address Bill MacNamara Owner Owner's Name --- information is required for every Hyannis MA 02601 8-6-15 page. Cityfrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes"or"no" as to each of the following: 9 Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? Have large volumes of water been introduced to the system recent) art of El ® Y Y or as P this inspection? ® Were as built plans of the system obtained and examined?(If they were not available note as NIA) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components,excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and Me interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ❑ ® Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. Determined in the field(if any of the failure criteria related to Part C is at issue ® approximation of distance is unacceptable)1310 CMR 15.302(5)1 D. System Information Residential Flow Conditions: Number of bedrooms(design): Number of bedrooms (actual): DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): t5ins-3I13 Title 5 OrnVal Inspection Form:Subsurrace Sewage Disposal System•Page 6 of 17 Aug 10 1511:12p p.25 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments ` 55 Bodick Road Property Address Bill MacNamara Owner Owner's Name information is required for every Hyannis _ MA 02601 M-15 page. City/Town State Zip Code Date of Inspection D. System Information Description: The system is a 1500 Gal. Tank D Box and three 500 Gal Chambers- H-20 units Number of current residents: Does residence have a garbage grinder? ❑ Yes ❑ No Is laundry on a separate sewage system? (Include laundry system inspection El Yes El No information in this report.) Laundry system inspected? ❑ Yes ❑ No Seasonaluse? ❑ Yes ❑ No Water meter readings, if available(last 2 years usage(gpd)): Detail: Sump pump? ❑ Yes ❑ No Last date of occupancy: Date Commercial/Industrial Flow Conditions: Type of Establishment: Office-Garage ware house Design flow(based on 310 CMR 15.203): 360 Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): 37,020 Sq. Ft. Grease trap present? ❑ Yes ® No Industrial waste holding tank present? ® Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ® No Water meter readings, if available: 2013-5,250 Gal's 2014-5,025 Gal's 15ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposat System•Page 7 of 17 Aug 10 1511:12p p.26 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments H 55 Bodick Road Property Address Bill MacNamara Owner Owner's Name ition isHyannis MA 02601 8-6-t5 .required for every .- page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancyluse: Date Other(describe below): General Information Pumping Records: Source of information: NA Was system pumped as part of the inspection? ❑ Yes No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes,attach previous inspection records, if any) ❑ Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank.Attach a copy of the DEP approval. ❑ Other(describe): Mine-3113 Title 5 Ofrodal Inspection Form:Subsurrw a Semape Disposal System-Pegg 8 of 17 Aug 10 1511:12p p.27 Commonwealth of Massachusetts _ Title '5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 55 Bodick Road Property Address Bill MacNamara Owner owner's Narne information is Hyannis MA 02601 8-6-15 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed(if known) and source of information: 2004 Permit # 2004 -187 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 34"feet Material of construction: ❑cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): Pipeing is 4"PVC SCH 40. Septic Tank(locate on site plan): Depth below grade: 23 feet Material of construction: ®concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions. 1500 Gal. Precast H 20 Sludge depth: [Sire•3113 Tile 5 Official inspection Form;Subsurface Sewage Disposal System•Page 9 of 17 i Aug 101511:13p p.28 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments r 55 Bodick Road Property Address Bill MacNamara Owner Owner's Name information ie Hyannis MA 02601 "-15 required for every - y __ page. Cityrrown State Zip Code Date of Inspection D. System Information (cola.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 29" 0" Scum thickness Distance from top of scum to top of outlet tee or baffle 8" Distance from bottom of scum to bottom of outlet tee or baffle 18" How were dimensions determined? Asbuilt-Tape- PlanSludge Judge Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank at working level. Tank at 23" be low Grade w/both covers steel at grade. In and outlet tee's. No sign of leakage or over loading H-20 tank_Tank maint: pumped after inspection. Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date ISins•3f13 Title S Official Inspection Farm:Subsurface Sewage Disposal system•Page to of 17 i I i i Aug 10 1511:13p p.29 Commonwealth of Massachusetts Title 5 Official Inspection Form -- of Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 55 Bodick Road Property Address Bill MacNamara Owner Owner's Name information is H a 02601 "-15nnis _MA required for every �_. page. City/town State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection)(locate.on site plan): Depth below grade: - — Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: --- gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alann and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t51ne-3M 3 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 11 o1 17 Aug 10 15 11:13p p.30 Commonwealth of Massachusetts Title 5 Official Inspection Form s Subsurface Sewage Disposal System Form -Not for Voluntary Assessments s' 55 Bodick Road Property Address Bill MacNamara Owner Owner's Name information is required for everyHyannis MA 02601 8-6-15 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0 Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): D Box is a H-20 D B 9. Box is 26" below grade w/stell cover at grade. Box is clean and solid w/one line out. No sign of over loading or solid carry over. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: l5irrs•3l13 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 12 of W Aug 10 1511:14p p.31 Commonwealth of Massachusetts Title 5 Official Inspection Form A Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 55 Bodick Road Property Address Bill MacNamara Owner owner's Name information is Hyannis MA 02601 8-6-15 required for every. _ _ page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® Teaching chambers number: 3 ❑ leaching galleries number ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leaching is three 500 Gal. Dry well chambers. Leaching is under black top. Camera out to chambers 4"water.Wall's clean like new. Cesspools(cesspool must be pumped as part of inspection)(locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins•3r13 Title 5 Official Inspection Form:Subsurface Semge Disposal System•Page 13 of 17 i Aug 101511`:14p p.32 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Forin-Not for Voluntary Assessments 55 Bodick Road Property Address Bill MacNamara Owner Owner's Name informationis Hyannis MA 02601 B-6-15 requairediredfor every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation, etc.): [sine-3113 Title 5 Official Inspection Fonn:Subsurface Sewage Disposal System-Page 14 of 17 Aug 10 1511;14p p.33 Commonwealth of Massachusetts kvTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ol 55 Bodick Road Property Address Bill MacNamara Owner Owner's flame information is required for every Hyannis MA 02601 8-6-15 page. Cdyrrown State Zip Code Date of Insp ection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately fA 0/v_ C. s /-A,�� i 15ins•3113 Title 5 Of kW 6nper6on Corm:SuOswtace Sewage Disposal System-Page:5 of 17 II!, Aug 10 1511:15p p.34 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 55 Bodick Road Property Address Bill MacNamara Owner Owner's Name information is required for every Hyannis MA 02601 8-6-15 Cit rF w page. y o n State ZipCode Date of Ins edion P D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 10, feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: 3-24-04 Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: T.H.on Design Plan 3-24-04 no G.W.at 10'. Bottom of Chambers at 4' below grade. Bottom of chambers at 6' above T.H.Depth. Before filing this Inspection Report,please see Report Completeness Checklist on next page. 15ins•3113 . Title 5 Official Inspection Farm:Subsurface Sewage Disposal System•Page 15 of 17 Aug 10 1511:15p p.35 a Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments . 55 Bodick Road Property Address Bill MacNamara Owner owners Name information is required for every Hyannis MA 02601 8-6-15 page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D(System Failure Criteria Applicable to All Systems) completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins-3M3 Title 5 Oftial Inspection FonTu Subsurface Sewage Disposal Sysiem•Page 17 of 17 i a I 124 Main Street,Unit 2GG SDO-certified b E&WEE Carver,Massachusetts 02330 www,noveramstrong.com Telephone 508.866.8383 Facsimile 508.866.9898 TRANSMITTAL To: Bamstable Health De__uartment Date: July 29, 2015 200 Main.Street Hyannis,MA 02601 I am sending you,a document regarding Underground Storage Tanks at 55 Bodick Road H attrlis.Needs verification via Facsmiie the following: Copies Date Last Revision Description 1 7/29/15 Underground Storage Tanks Document Remai ks. Please review the document and verify it indeed came from the Barnstable Health De ar ent Please return file information via fax or email to 508-866-9898 or coien noverarrnstron Signed: cc: 10 3Jtid ONOd1SMVd3AON 8686998809 Eb:11 SZBZ/6Z/L0 757 RT ir to 140 mop 14 t e fi t +S4r h ,k k `• be Y F e � � � � w 5 � � " �s ry I ' + i I Al it lit m F A 4 's ':. - • - ..Asa n '.�.,. • $ � x '• '.� ' _ s •`�,.,_. .', �;'„' �� � `k �� ��i"-�v to �'''r`�«9r� s�r��`R �:. r e, �` at '��' ,��,'&�� � vi �, `� .. �� -- -' r u,a. THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M ^C&L DATA i w : \ | } \ '.7 ME}/� \ . i . ipj ' }\ . x Z§ 3 V 9NOdiSWdVd3ACN 8686998809 E#:II STOZ+;/z@ . NOTES TO THE FILE January 18, 2011 Taylor Scudder Oil 55 Bodick Road. Hyannis, MA Cynthia Martin, B43feh:0 The Health Master Database indicates that there are eight (8), removed, Underground Storage Tanks (UST) at 55 Bodick Road. With the exception of one heating oil UST removed in April of 1997, this data was most likely entered in error. The building at this address was constructed in 1982, after the tank installation dates of 1975. Prior to building construction the property was undeveloped. The UST's are more likely associated with the old Taylor Scudder Oil bulk plant located at 75 Ferndoc Street, Hyannis. �n �OpTME Town of Barnstable , „STM Regulatory Services �cb 16.9. `0� Thomas F. Geiler,Director AjFp��A Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 y .. ' I DATE: NUMBER OF PAGES TO FOLLOW: TO: t T�{Q LiU TL L' FROM: /J Ili b M T7 PHONE: PHONE: (508)862-4644 FAX PHONE: FAX PHONE: (508)790-6304 cc: NOTES/COMMENTS: re)L-6-4Vcl/.J 6 /s A cr�P y aF TYE SPA�L LI.UT/N�i�"�� PLA/V �od� -v J7U 4i L/ y QAFax Form.doc I! tI t q 1v :�- U - � # Tyr--#-;1�,�� W z����- -- --�-s T-- C� C� US771 5 7- r - D lit- — -- F /,�T _- 'f_146 - " S7 { E nt-7L(ovto �N ✓fF2(GT � Ir f t _ I T Town of Barnstable OPINE r Regulatory Services aY� Thomas F. Geiler,Director Public Health Division BARNSTABLE, Thomas McKean,Director 9� 639' ,� . 200 Main Street, Hyannis, MA 02601 ArFD MA'1 A - Phone: 508-862-4644 `Email: health@town.barnstable.ma.us Fax: 508-790-6304 0 . Office Hours: M-F 8:00-4:30 . ,o January 18,2011 R.F.&R.M.,LLP RE: Underground Storage Tanks 22 Channel Point Road 55 Bodick Road,Hyannis Hyannis,Ma 02601 Map Parcel: 344-080-002 Tank Numbers: 10 Tag Numbers: 00485 Dear Sir/Madame The Public Health Division(PHD)is in receipt of a copy of the tank removal Application and.Permit issued by the Hyannis Fire Department,and the"tank yard"receipt demonstrating that the above referenced underground storage tank was removed on or about April 29, 1997. The Public Health Division appreciates your attention to this matter and,has updated its data base to reflect this underground storage tank status change. Should you have any further questions please contact Cynthia Martin of this office at 508-826-4645. Thomas A. McKean,RS,CHO Director of Public Health IME r Town of Barnstable * Regulatory Services Barnstable * BARNSTABLE, 9 MASS. g Thomas F. Geiler,Director A"mericaCily `b i639. Public Health Division 11111, ► AjFD��p Thomas McKean, Director 2007 200 Main Street Hyannis, MA 02601 Office: 50.8-862-4644 Fax: 508-790-6304 N vem 0 o ber 23, 2010 e O RF & RM LLP 22 Channel Point Road Hyannis, MA 02601 RE: Underground Storage Tank 55 BODICK ROAD, HYANNIS Map/Parcel: 344-080-002 Tank Number: 10 Tag Number: 00485 Our records indicate that your underground fuel (or chemical) storage tank exceeds twenty (20)years in age, and has not been removed as required by the Town of Barnstable Code Chapter 326, Section 3, Fuel and Chemical Storage Tanks. You are directed to remove this tank within sixty(60) days from the date of this Notice. Upon completion of the tank removal and within ninety(90) days of receipt of this Notice, please submit to this office a copy of the permit for storage tank removal issued by your local Fire Department. This copy of the removal permit serves as documentation that the underground storage tank was properly removed and disposed of. You may request a hearing provided that a written petition requesting same is received by the Board of Health within ten(10) days after this order is served. Per Order of the Board of Health Thomas A. McKean, PS, CHO Health Agent QAHazmat\Underground Tanks\let mail merge Undergrnd tanks 20 yr Nov2010 final.doc Town of Barnstable Regulatory Services Barnstable * BARNSTABLE' * f�AmericaCity 9 MASS. g Thomas F. Geiler,Director A i639,�p Public Health Division Ep MA Thomas McKean Director 11111. 2007 200 Main Street Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 November 23, 2010 RF & RM LLP 22 Channel Point Road Hyannis, MA 02601 RE: Underground Storage Tank 55 BODICK ROAD, HYANNIS Map/Parcel: 344-080-002 Tank Number: 10 Tag Number: 00485 Our records indicate that your underground fuel (or chemical)�storage tank exceeds twenty (20) years in age, and has not been removed as required by the Town of Barnstable Code Chapter 326, Section 3, Fuel and Chemical Storage Tanks. You are directed to remove this tank within sixty(60) days from the date of this Notice. Upon completion of the tank removal and within ninety(90) days of receipt of this Notice, please submit to this office a copy of the permit for storage tank removal issued by your local Fire Department. This copy of the removal permit serves as documentation that the underground storage tank was properly removed and disposed of. q b-7 You may request a hearing provided that a written petition requesting same-is`received'by the Board of Health within ten (10) days after this order is served. ' ..yy _ 3 .. . {_a - Per Order of the Board of Health.mow: Thomas A.McKean, PS,1CHO. r). ,Health�Agpnt.r: Q:\Hazmat\Underground Tanks\let mail merge Undergmd tanks 20 yr Nov2010 final.doc c:• -P"V&NCEDENVIR0FJMEPJTAL. SERVICES 800/974/4300 (508) 385/61-00 FAX (508) 385/6622 May 19, 1997 Mr. Marty DeMartino Hy Line Ocean St. Dock Hyannis, MA 02601 Project.Location: ' Scudder Taylor Oil Co. 5,0.dick Rd:. Hyannis, Ma. Dear Mr: DeMartino, Enclosed please find copies of your Permit and Receipt of Disposal of Underground Steel Storage Tank. The original Receipt of Disposal has been sent to your Fire Department for their records, we will also keep a copy in our files. The.copies enclosed are.for your records. We want you to know we appreciate Your business,and we hope that we may serve you with your:environmental needs in the future. Sincerely Denise Mowles Office Manager s Advan ced .Environmental Servic es es enc: P.O. Box 472 • South Dennis, MA 02660-0472 Make application to local Fire Department. ' Fire Department retains original application and issues duplicate as Permit. 00,(29 v w',ea — Oc o,21)&ao �e ��P/UP/ILCGG�iL APPLAG IGN and PERMIT Fee: r e disposal and in accordance o Mora tank removal and transportation to'approved roved tank d s os e with the provisions 9 P PP P Y �,f M.G.L. Chapter 148, Section 38A, 527 CMR 9.00, application is hereby made by: _,ank Ov. ner Name (please print) Hk-1 i ne X pnarure aplty�g crpa mn/ :,dress nrPan St nark 14yanni c MA n26ni Street City Stare Z. ,' a name Advanced Environmental Co. or Individual - --- Print Print 0 . Box 472 „1 Atlantic Ave . Address South Dennis ,;PMA Print i', rfl azure if ap�Fy"!( for; it) Signature (if applying for permit) r. <, IFCI Certified Other O IFCI Certified _7 LSP # Oth r — F ..�7: —I-- Rd T�vann-__ 'MA Q?601, ----- ---- --- Steet Address Cdy _nK,Capacity (gallons) 500 Substance Last Stored #2 "ant: Dimensions (diameter x length) ,=crnarnS: :=;nn transporting waste AdvG-i.ced Dnyironmentalstate Lic. # MV5083856100 �_arccus waste manifest# E.P.A. rr d tank disposal yard J .G.Grants C o . Tank yard # 03501 inert gas - '� -�`� Tank yard address Rea dvi Ile „ MA _ 1 • • cr T .,n o'�`�/�9�r/it//I FDID# c� Permita _ T� of issue -2 Date of.expiration Z 7 saie approval number: Dig Safe Toll Free Tel. Number- 800-322-481'4 azure/Title of Officer granting permit rernoval(s) send Form FP-29OR signed by Local Fire Dept. to UST Regulatory Compliance Unit, One Ashburton Place, : '31`, Boston, MA 02108-1618. RECEIPT OF DISPOSAL'OF UNDERGROUND STEED TORAGE+TANK , NAME 'AND ADDRESS,, jAMES_O GRANT:CO., IN ' OF :k:26 v/ni f QTT :ST., APPROVED TANK YARD' APPROVED TANK YARD 'NO Tank Yard Ledger 502 CMR 3 03(4) Number !" 7 2 I I certify under penalty of s aw I^-have personally e�canined:",the .undei�z pd.s storage,tank delivered to this "approved tank;yarri"''by fiat, oorporaC ion.or.partnership` /�.ttl E L�iyr/i �f and:accepted same u►'oonfornence with Massachusetts Fire Prevention lation 502 CMR 1�eCju y3 00 Provisions foz;,ApQrwinq ILydergruux3 Steel-Storage Tank dismantling yards. A valid perzrut issuedby :LOCAL Head of`FireDepartrnent FDIDt this yard. ;. L Z Z-to transport Nam off' i f appm ed Lank yaid owner or owners authorized representative: P SI(31ATlJI� TITLE DATE SIGNED This signed reoei of disposal must be,returned to the local head of the fire department � irsuant to 502 CMR 3 00 (EAdi-TANK MUST HAVE A RECEIPT.OF DISPOSAL) FORM F.P. 291 '(rev._`11/95) (OVIIt) MwSSACffi1.4ETPS STATE FIRE hiF►RSffAL'S OFFICE alpNp �: �f k From: Tank-'Data;' x { a = Tank Removed / No and Street Gallons- A Prey ous Contests T � x. ( City or :u::."' Diameters Len th ' s y�t-[ r ,fit•^'. sr`` a"�, �r 'r°-,r ""� S° ..a .. J��/JI// FireDept Permit # Date:Received `7j M � Serial # (if available) N v r Tank as it 's s$..y ��, �wy' rr ,+cam: v a e r � ., p-: Owner/O m .of Not�fication�Form(FP-290,,,or F perator�to ma l revised copy 290R)K�to' UST CompHance, Office Hof the;State, Fire Marshal; 1010 u„ ,,�arrPMa' 02215. 4 Commonw, 61th venue, B oston ;1 - I £ T 1. t Zr YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$30.00 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, 1st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get,the Business Certificate that is required by law. t , DATE: /' O- Fill in please: APPLICANT'S YOUR NAME/S: P77V AZ DC-= , 3 � BUSINESS YOUR HOME ADDRESS: "873•o..2'Le TELEPHONE # Home Telephone.Number 43fri"S. 749 7 NAME OF-CORPORATION: " T707-w NAME OF NEW BUSINESS 77V4c- TYPE OF BUSINESS Ck-71 - ,r- IS THIS A HOME OCCUPATION? YES N F✓ ADDRESS OF BUSINESS C. /Y1g MAP PARCEL NUMBER [Assessing) i9NS / j Q �� . Q`JZ 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 COMMISSIONER'S OFFICE This individual has been informed of any permit requirements that pertain to this type of business. .Authorized Signature** COMMENTS: 2. BOARD OF HEALTH MUST COMPLY WITH ALL This individu nformed e ermit uirements that pertain to this type of business. HAZARDOUS MATERKS REGULATIONS Authorized Signature**. COMMENTS: .3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. ` Authorized Signature* COMMENTS: v; : ►,eS Move=V> ?e)s-nJ7 i Neves(2on.4 2-- 4n co U� �, Date: TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE-INVENTORY NAME OFBUSINESS: _�E� ,4� .e ;—&kfa BUSINESS LOCATION: C INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: CONTACT PERSON: FN w/4f�lwolS EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: ��-� INFORMATION/RECOMMENDATIONS: Fire District: Waste Transportation: Last shipment of hazardous_waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials 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 Antifreeze (for gasoline or coolant systems) .._ Misc. Corrosive NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda / Rustproofers Misc. Combustible /6PG wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) NEW USED Any other products with "poison" labels Paint &varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables hydrochloric acid, other acids) Floor&furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS 8 � k Date: TOWN OF BARNSTABLE 4 r_TOXICAND- HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS:Ccv� (f C.4 -e �u epf077` BUSINESS LOCATION: 575 e i?od-ele /4i7/!/S /�*l ewm INVENTORY } MAILING ADDRESS: TOTAL AMOU-n TELEPHONE NUMBER: ` 3-�7Y3 CONTACT PERSON: 5 . EMERGENCY CONTACT TELEPHONE NUMBER: ,SCE 3��— S 70 MSDS ON SI1'E?�' ,5, TYPE OF BUSINESS: INFORMATION/RECOMMENDATIONS: Fire District: cn Waste Transportation: Last shipment of hazardous,waste: '41 ,171 Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under thwp ovisions of Chi 111, Section 31, of the General Laws of MA, hazardous materials 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 Antifreeze (for gasoline or coolant systems) Misc. Corrosive NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants ,Motor Oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Misc. Combustible /6wCar wash detergents Leather dyes, Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's r Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) - - Ahy dfher products with."poison" labels j Paint &varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables hydrochloric acid, other acids) Floor&furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash . WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS � s` Date: TOWN OF BARNSTABLE a0 5 TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS:_ JeAhEJ2 l A LO&D/L BUSINESS LOCATION: SS 60ble'A Ri), AIV,-)VA115 IN MAILING ADDRESS: D. 66X /2!D //,A-IAS TOTAL AMOUNT: TELEPHONE NUMBER: &"off'- yT5"-,0 yi - 5.r3 V &,*t"Ad CONTACT PERSON: V /c 9l2/bt ,—19,x ;kAlC,C A - EMERGENCY CONTACT TELEPHONE NUMBER:d4fxLf H°QS_CK,7± _ 931 -3S-YIf MSDS ON SITE? TYPE OF BUSINESS: l � /V1-_-Z 3 7-0 56 �� ��bINFORMATION/RECOMMENDATIONS: 4-rtOSC A-Na �ML� ePLIA) Fire District: es POSTEbe SPUL.L_.IGvf" IS 04 SITE, E-14C t.X:TI#JGIlISF1C&S4w-E IAPTo DATA: S &&✓E-9Z7> RA4 gid IS 4Vh-1LAA1-E. W&,,ir- OIL- xdeZW *A46 VlRGlAt /obux-T sHo 0 S Z)4c' D 17 4 - W c--n- W45 TE 01 L 7)94(14 LA eG- !5 jVCLLLbZ- ln/ O lnrGtl GEl7tnS NAzA leis 7�'' `7dk6C`, Waste ' sporta#ion: VMkV 060o1s159 Last shipment of hazardou waste: Name of Hauler:&A)oe�se -ct �eer,I4/,7R-/,VNt/ rstination:5-mar,rtmA�-kA r'.9Au5-M0Rz/Lowr-v—k,* Waste Product: sE 1 6H,4vs7-16 �ert�ve0 Licensed? a No bee y 6/eD.ued NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials 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 //0 Antifreeze (for gasoline or coolant systems) Misc. Corrosive ,,5-S NEW 5,,-r USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides 900 NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. petroleum products: grease,- Photochemicals (Developer) lubricants, gear oil 18-6 FIDuN">5 NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Misc. CombustibleLr3�nr�s NoIKEHt'7i7�.trG ®rL t/e✓� Car wash detergents Leather dyes AA/77F�-r--� Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) NEW USED .- -_ .- Any other products with "poison" labels Paint &varnish removers, deglossers (including chloroform, formaldehyde, f6vRAy ,,WS of P�-a-Au&-►zs Misc. Flammables AU 1) L,u 0 hydrochloric acid, other acids) Floor &furniture strippers Other products not listed which you feel Metal polishes �� may be toxic or hazardous (please list): Laundry soil & stain removers I ' a pA/L q2-yL�-?jENiq (including bleach) Spot removers &cleaning fluids PR-ey-�Leyt3 FeoM Le- -z-1NG- i,u nte- rAtt cAcs (dry cleaners) aaC �30 G,4I-LG� A S r Fog- He-477N& rjiL Other cleaning solventsiu.4 15� E p rZ� z 0 LOAt Uy 7- Bug and tar removers /N S MU4-,'b N -)WO LWA3 kk,0L:Q veb /AJ 1160 Windshield wash �o06 QA1,L00 l°�a3 �'�`�S /9y/-l��z, ENE DtZI V T7ZikC-K �T WHITE COPY-HEALTH DEPARTMENT I C ��SSY yy//�� L��7'� � A_C bal S/ h e<�-I V L-- AtJAR COP -BUgINES �e1IK neat I` of b/E SLZ Al-4k C4ft i," ae)0o 6&,cojus { �� �`; 1 �,II ��I �, ���I �' ,� .. � � I j r i . ; i x� i i � � i ` I ; 3 �. {, f 4, �. i, r s C ' EAhIVSTA a$LE.-i Barnstable MA9£i. Atteefcal2y Town of Barnstable , Regulatory Services Department 2007 Public Health Division 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Thomas F.Geiler;Director FAX: 508-790-6304 Thomas A.McKean,CHO Date: April 1, 2008 TO: RF &RM LLC 22 Channel Point Road Hyannis, MA 02601 RE: Underground Storage Tank at: 55 Bodick Road Hyannis, MA Map Parcel: 344080002 Tank NO: 10 Tag NO: 00485 Our records indicate that your underground fuel (or chemical) storage tank is.over 2'0 years old, and has not been removed as required by section 326-3: subsection 2 of the Town of Barnstable Code regarding fuel and chemical storage systems. You are directed to remove this tank within sixty(60) days from the date of this notice. After your tank is removed,please furnish this office evidence in the form of a permit from your iocai Fire Department within ninety(90) days of the receipt of this notice. You may request a hearing provided a written petition requesting same is received by the Board of Health within ten(10) days after this order is served. Per Order of the Board of Health Thomas A. McKean, RS, CHO Health Agent ` Make application to local Fire Department. .Fire Departmen' Gins original application and issues dt ;ate as Permit. 01 APPU ION and 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 herebymade by: Tank Owner Name(please print) - —line Rk—line X Signature(it apllying or permit r Address Ocpan Sf, 'hnr-k Hyannis , MA 0?6nl Street City Stare �"Zip nnpany Name. Advanced Environmental Co. or Individual Print Print P .O .-Box 472 ,d Atlantic .Ave . Address South Dennis ,;PMA Print Signature if applyi for it) ' Signature (if applying for permit) i ❑ IFCI Certified Other — >�. ❑ IFCI Certified- ❑ LSP# her FanK Location _" e k Rd � - Hyarn i c MA 02601 Steet Address city ;Tank Capacity(gallons) 500 Substance Last Stored #2 ' Tank Dimensions(diameter x length) „ �6 Remarks: Firm transporting waste Advanced EnvironmentalState Lic. # MV5083856100 ,azardous waste manifest# E.P.A. # `� t i r;pproved tank disposal yard J .G .Grants .Co . Tank yard# 03501 i i Type of inert gas Tank yard address Readville MA ty or Town FDID# /l/, ram.Permit# Date of issue 7L 1 Date of expiration Dig safe approval number: Dig Safe Toll Free Tel. Number-800-322-4844 Signature/Title of Officer granting permit EA°�d a 9 � �9a�P .. � W a' s. 6C i Y8}°�g;Vi After removal(s)send Form FP-29OR signed by Local Fire Dept. to UST Regulatory Compliance Unit,Or s r c �D tEXT 1 Moom 1310, Boston, MA 02108-1618. HYANNIS, MR 02601 Tank Data Ta k emoved From: Gallons— v ( No: and `Street ) Previous Contents /7` /9 /Y - — y (.City. or Town ) Diameter�{�___Length QL Date Received f� Fire Dept. Per # Serial # (if available) ;i Tank I.D. # (Form FP-290) , f Owner/Operator to mail revised copy of Notification Yorm(FP-290, or Fp- 290R) to: UST Compliance, Office of the State Fire Marshal, 1010 Commonwealth Avenue, Boston, Ma. 02215. r t RECEIPT OF DISPOSAL OF�UNDERGROUND STEE TORAGE TANK NAME AND ADDRESS LAMES G. GRANT CO, �� OF APPROVED TANK YARD $`WOl C:QTT ST-- -- — AE� rPROVED TANK YARD N0. Tank Yard Ledge 501 CMR 3.03(4) Number Nk -4P _4* 2 4 certify under penalty of law I Have personally exanined the-underground s stor tank delivered to this "approved tank yard" by fig, corporation or partnershiR t1l �Q /!Jllj and accepted same in confonrance`with Massachusetts Fite Prevention Regulation r-32 CHR 3.00 Prwisions,for Approving Underground Steel Storage Tank dismantling yards. A valid pemut issued by LOCAL Head of Fire this yard. DeparGmnt FDID#CL L Z 7—to transport Name off i f apprvved tank Yard owner or owners authorized i�ejpresentative: • (3dAZ[JRE TITLE � SI r � �;�-• '.�� x . . . DATE SIGNED Ibis' receipt receipt of disposal must be returned to the local head of the fire department; FDID# ' _Z 7 gursuant to 502. Q�2.3:00. (FILCH TAM musT HAVE A RDC�T OF DISPOSAL) FORM F.P. 291 (rev. 11/95) (WIIt) MASSAC VSE?M STATE FIRE MARSHAL IS OFFICE ` TOWN OF BARNSTABLE UNDERC 'ND FUEL AND CHEMICAL STORAGE TEMS �/ � _ �.. �) ASSESSORS MAP N0. �/ PARCEL NO. - c� VILLAGE ADDRESS. CONTACT PERSON D��PL`i S U I--LA N- -PHONE NUMBER �1 S " 0 {'1 `I ]LOCATION OF TANKS:. CAPACITY: TYPE OF FUEL. AGE: TYPE: LEAK OR CHEMICAL: DETECTION RD . �o a '+ �►l3u.tF lAoS SYSTEM ' IS DATE OF PURCHASE OF, EACH: 1. ( 2-- 2• 3• 4. 5. - DATE-OF-FIRE DEPARTMENT PERMIT: TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS PLEOE 'PROVIDE A SKETCH SHOWING THE LOCATION OF TANKS ON THE,BACK OF. THIS CARD. i • ' HYANNIS FIRE DEPARTMENT HYAtvNis 95 HIGH.SCHOOL RD. EXT. HYANNIS, MA.02604 ' 4Dj CHEM11CAL HAROLD S. BRUNELLE CHIEF F�REDEpgFL[MEt� - - - STUDEHTRWAP.ENESS OF FIRE EDUCATION 89 FIRE PREVENTION BUREAU BUSINESS PHONE: (508)775-1300 FACSIMILE PHONE: (508)778-6448 LT. DONALD H. CHASE,JR., CFI LT. ERIC F.HUBLER,CFI FIRE PREVENTION OFFICER FIRE PREVENTION OFFICER FACSIMILE TRANSMITTAL SHEET : THIS FAX IS GOING TO: Z" 1 HIS FAX IS BEING SENT BY: ....... /..�� � ...... ..... SUBJECT OF THIS FAX: .... . ` .....��-��............... ........ ....................... ......... DATE: FAX NUMBER: NUMBE OF-PAGES: a ..... ay. ................... ................... (INCLUDE OVER) I NOTES: ...... .. n .......... .� .. .. . .......... .... ... !. . ...... -$1 0. ......................................................................` ... . ... . ........................................... ............................................................... . ............. v le � eer . }_ , STREET ADDRESS OE PROPERTY BEING SURVEY-EE N Z - . OWNER pHONE7/�S. ADDRESS _. t OCCUPANT: ' HONE• ADDRESS PRESENT FLAMMABLE PERMITTED STORAGE AT PROPERTY; TANK PRODUCT LOCATION AGE CONSTRUCTION sIZF (r. _ TANKS REJ-IO VEO FROM THE PROPERTY; TANK PRODUCT LOCATION CONSTRUCTION DATE S I ZE (GAL) REMo vED 5 P I LLS / LEAKS AT THE PROPERTY; DATE: MATER I AL AP PROX. SIZE OF RELEASE NF•3P.l''A►iCN PRCViDED eY DATE ; /RG "HYANNIS FIRE PREVENTION BUREAU" HYANNIS FIRE DEPARTMENT 95 HIGH SCHOOL RD. EXT HYANNIS,MA C2601 Town of Barnstable FS�E r Regulatory Services Thomas F. Geiler,Directorzi 9KAL $ Public Health Division �� p Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 . Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT %I10e-n5 WP1(-567 , CC-NEtt�'C A. - C�!°� CO'O 0/(- fkV(CE. r,q/L. NAME OF ESTABLISHMENT ONE COO ®/� -56(CV(Ce- tWC-, JO131 5C(/,00Ek 7/1y.Ccj/z 0/(_ ADDRESS OF ESTABLISHMENT 60 01C A R D A0 , box /d/c) /¢.Y/)4..I v( o d`b d � � II TELEPHONE NUMBER 5 .-7 f U y 7 Y SOLE OWNER: YES IN 0 IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: C;�i CD T y.n IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. D STATE OF INCORPORATION /� q FULL NAME AND HOME ADDRESS OF: _ PRESIDENT A'Aw C.t a F I o y �G2 S N/ ,ST s TREASURER CLERK /M.rZ.- A00.° G4 P k C O:�G VA`URE OF APPLICANT �W�1/lc.� , VV C RESTRICTIONS: HOME ADDRESS r 1v l"Vf HOME TELEPHONE"# "7 91- F3 i 737 Y-7 Haz.doc,'wp/q MAIL-IN REQUESTS Please mail the completed application form to the address below. Also include copies of your employees food sanitation training certificates. In addition, please include the required fee amount (see fees at bottom of this page). Make check payable to: Town of Barnstable. Allow five to seven (7)working days for in-house processing. Our mailing address is: Town of Barnstable Public Health Division 200 Main Street Hyannis,MA 02601 FOR FAXED REQUESTS Our fax number is (508) 790-6304. Please fax a completed application form. Also, please fax copies of your employees food sanitation training certificates. In addition, you must mail the required fee amount (see fees at bottom of this page). Please make the check payable to: Town of Barnstable. The check must be mailed to the address listed above. Allow up to four days for in- house processing. For further assistance on any item above, call (508) 862-4644 Back to Main Public Health Division Pa e Number Fee 332 THE COMMONWEALTH OF MASSACHUSETTS $loo.00 Town of Barnstable Board of Health This is to Certify that Scudder Taylor Oil SS Bodick Road PO Box 1210, MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires June 30, 2007 unless sooner suspended or revoked. ------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN SUMNER KAUFMAN,M.S.P.H. May 24, 2006 PAUL J. CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health P4(d P(NW Date: %d TOWN OF BARNSTABLE S TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: GUM sj� 1 BUSINESS LOCATION: i;K l/l INVENTORY MAILING ADDRESS: TOTAL AMOUNT. TELEPHONE NUMBER: 29- 775 _ 0 7q 4y, t CONTACTPERSON: EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: I FORMATION/RECOMMENDATIONS: . 111AP a 46 Fire District: _ lr Waste Transportation: 0�7 Last shipment of hazardous.waste: Name of Hauler-• l, Destination: Waste Product: pit Licensed? Ye No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. UST 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 Antifreeze (for gasoline or coolant systems) Misc. Corrosive _&L NEW ,USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) j Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides NEW M5USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Misc, petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Misc. Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) NEW USED Any other products with "poison" labels Paint &varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables hydrochloric acid, other acids) Floor &furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers (including bleach) Spot removers & cleaning fluids - (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS I a / OIL WASTE OIL OIL FILTERS ANTIFREEZE WASTE 27 T ANITFREEZE fn s . V i b 6DI/ GASOLINE WASTE GAS WASTE W/W FLUID 0 ATF VENT 39 �D � HYDRAULIC MISC. MISC. MISC. MISC. FLUID hfxh COMMBUSTIBLEE FLAMMABLE, CORROSIVE PETROLEUM319 FREON ETYLENE CAR WASH CAR WASH PAINTS/THINNER WAX DETERGENTS SEALANT CLEANING BATTERIES POISION/TOXIC CAULK/GROUT SOLVENTS �o io FERTALIZERS DIESEL FUEL oln n /YI a v�i jre5--� C Q 9� os � v C e. C�Pi,ct,��..eo( (,e�.IxQ �ua-�e v►��• d 014.-Or" (pt-a'w'5f ,son S� C? S ' - s �3110 Town of Bar stable-Health Department ' Page 1 HAZARDOUS MATERIALS INVENTORY SITE VISITS �.. DBA: Scudder-Taylor Oil Fax: 508-771-8077 Corp Name: Mailing Address Location: 55 Bodick Road,Hyannis Street: P.O.Box 1210 mappar: City: Hyannis Contact: Tom Walsh,General Manager State: Ma Telephone: 508-775-0474 Zip: 02601 Emergency: Person Interviewed: Tom Walsh Business Contact Letter Date: Category: (Fuel Inventory Site Visit Date: Type: Gas/Service Station Follow Up/Inspection Date: / /075 ar ❑� public water LJ indoor floor drains ON outdoor surface drains Q license required ❑ private water ❑ indoor holding tank mdc outdoor holding tan mdc a.11DOo currently licensed ❑ town sewage ❑ indoor catch basin/drywell ❑ outdoor catch basin/drywell hbIA yv, p"(4- RJon-site sewage Elindoor on-site syste ❑ dat 6/30/2006outdoor onsite system - - --- _ l 7 �s REMARKS: Bulding is heating by fuel oil.Above fuel tank-330 gallons, compliance: 275 gallons,and 300 gallons. Underground fuel tank-4000 Satisfactory gallons. EPA#MAR00015159 MSDS available. Speedi Dry used for small clean ups. Rages kept in metal cont.u1st.Spill kits in each trucks. Haz. Mat.Training annually.Battery's recicled with Interstate. Used tires removed by Cape &Island. 6129104 Onsite inventory. Staff has annual hazmat !ll�i�""" lik training. Has MSDS,manifests,contingency plan onsite. Has proper Ki It/((� septic installed last year for truck washing. Has containment for water /�/,�U�1� ,` runoff. Shop is clean,organized and in good shape. Shop manager is l l n `a very knowledgeable about his storage and proper handling. Advances fir/ Liquid Recyc.Takes solvent. Unifirst takes shop rags,uniforms,and fender covers. ORDERS: label HW drums"Toxic and Hazardous Waste",obtain Hazmat Permit for 04-05. o 00a) Vol6A I Page 2 t Town of Barnstable-Health Department HAZARDOUS MATERIALS INVENTORY Chemicals: ❑ Zero Toxic Waste Materials ❑ gty's>25 Ibs dry or 50 gals liquid but less than 111 gals W gty's 111 gals or more d t e ..,�: . .. .._q , nit oJonescnp f mess"eur ._.e... waste oil 300gallons — _ ..............__.___ _ . __ . . ..._.... .. ... _ antifreeze(for gasoline or coolant systems) 55 gallons Misc.Flammable 55 gallons car wash detergents 55 gallons ..........._..._.._............._......__.._........_........._..___..................___....__....._........__.._..____._........__. _ _........._........_._..._..............._...._.......... . misc.petroleum products:grease,lubricants 122 gallons gear oil 440 gallons Acetylene 10 gallons automatic transmission fluid ( 8 gallons ..............._. _._...___...................------._.__.__._._. _____......._._. _._. hydraulic fluids(including break fluid) ,__....._. ....................3 gallons Windshield Wash 24 gallons _._...._........_......__.._._.._._.................__.. _._.._...__._m.... motor oil ; 330 gallons aste antifreeze 55 gallons Waste Transporter: ';Cyn Oil Fire District: Hyannis Last HW Shipment Date: 5/25/2004 Waste Hauler Licensed: Yes __.... _.............. Town of Barnstable Regulatory Services , Thomas F. Geiler,Director BARNSTABLE. ` C MASS.9� Public Health Division _. 039. ArED a►o+a Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 c W Office: 508-862-4644 Fax:.50.8-790ZJ6304 Application Fee: $100.00 r co M ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS ' FULL NAME OF APPLICANT .0 PE- G0 0 0 /L Je-fC V I C-E-1 IAI C- NAME OF ESTABLISHMENT SG V 00 C--2 4 Y C-y(L OIL ADDRESS OF ESTABLISHMENT ST 6 0DIC /C/.) . P 0• b UX Id-IC) /-1 Y/iNA//J' Od 6v/ TELEPHONE NUMBER cS0 SOLE OWNER: YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOMW ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. t/ V 3 0 F111 STATE OF INCORPORATION - FULL NAME ANP HOME ADDRESS OF: D� PRESIDENT �ZT� fC . /`1/� (Jr}.33� TREASURER 11 CLERK - SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS y� /'11(L 1 dE- R NN T'Z ' e"N° , /'✓- Ud6�2 HOME TELEPHONE# U 7 7 / ` !o L/ Haz.dodwp/q Town of Barnstable-Health Department Page 1 HAZARDOUS MATERIALS INVENTORY SITE VISITS ......... ............ — DBA: Scudder Taylor Oil Fax: 508 771-8077 Corp Name: Mailing Address Location: 55 Bodick Road,Hyannis Street: P.O.Box 1210 .......... _....... - ._. ..................... mappar: City: Hyannis Contact: 'Tom Walsh,General Manager State: Ma Telephone: 508-775-0474 Zip: 02601 Emergency: Person Interviewed: Don McBride,Plant Maintenance Business Contact Letter Date: 9/21/2005 .....I........... ......__...... Category: Fuel Inventory Site Visit Date: 10/19/2005 Type: Gas/Service Station Follow Up/Inspection Date: .......................................................................................................................... ❑� public water indoor floor drains ❑ outdoor surface drains 0 license required ❑ private water ❑ indoor holding tank mdc W outdoor holding tank mdc ❑d currently licensed ❑ town sewage ❑ indoor catch basin/drywell ❑ outdoor catch basin/drywell expir El 6/30/2006 - ----- ❑ on-site sewage indoor on-site syste ❑ outdoor onsite system - - 6 REMARKS: Bulding is heating by fuel oil.Above fuel tank-330 gallons, compliance: 275 gallons,and 300 gallons. Underground fuel tank-4000 Satisfactory gallons. EPA#MAR00015159 MSDS available. Speedi Dry used for small clean ups. Rages kept in metal cont.u1st.Spill kits in each trucks. Haz.Mat.Training annually.Battery's recicled with Interstate. Used tires removed by Cape &Island. 6/29/04 Onsite inventory. Staff has annual hazmat training. Has MSDS,manifests,contingency plan onsite. Has proper septic installed last year for truck washing. Has containment for water runoff. Shop is clean,organized and in good shape. Shop manager is very knowledgeable about his storage and proper handling. Advances Liquid Recyc.Takes solvent. Unifirst takes shop rags,uniforms,and fender covers. ORDERS: label HW drums"Toxic and Hazardous Waste",obtain Hazmat Permit for 04-05. 10/19/05 alp-Facility is very clean and organized.ORDER: Label waste antifreeze drum with "waste/used antifreeze"RECOMMEND: keep parts cleaner lid closed when not in use. Page 2 Town of Barnstable-Health Department HAZARDOUS MATERIALS INVENTORY Chemicals: ❑ Zero Toxic Waste Materials ❑ gty's>25 Ibs dry or 50 gals liquid but less than 111 gals qty's 111 gals or more waste oil 285 gallons _._.__._-_.._..____.._....___._..__._..__._..___.._.._._._..___......_._._.........___.___._._ antifreeze(for gasoline or coolant systems) E 61 gallons Misc.Flammable 57 gallons misc.petroleum products:grease,lubricants ' 49 gallons _....................._._._._..._......___.._.__.___...._......._....................._.._.___..........................._...._...__........ Acetylene __ 9 gallons automatic transmission fluid _ 4 gallons _ hydraulic fluids(including break fluid) 1 gallons motor oil 300 gallons ....__.-_-_. _ .....�......_ _-_. waste antifreeze I 85 gallons other cleaning solvents 30 gallons _ Misc.Combustible 30 gallons Waste solvent 30 gallons 0 ......... _.._ Waste Transporter: ;Cyn Oil Fire District: 'Hyannis Last HW Shipment Date: 8/12/2005 Waste Hauler Licensed: Yes TOWN OF BARNSTABLE BAR-W 3400 . - Ordinance or Regulation T WARNING NOTICE Name of 'Offender/Manager " = i•�t.. Address of Offender , , fr_ 4141^ MV/MB Reg.# Village/State/Zip t» C-'.�IF�tm `r i✓a� oz.6-V114 Business Name 'St44.-J, ,0 - 'r d d . am/ ; on :-."6 k 20044 Business Address &Lx �z �0 Signature.o'f Enforcing Officer Village/State/Zip_- ' ++1t ,*ay4w Location of Offense '"" "` ` Enforcing.D.ept/Diviis=ion Offense TW (r / +4,, -- t V . .e-4-C fn. 4 1" -s— p ,`- ,.1 � Facts tf l V"t6-:.fit R, (0/2q .r4 `N x �.4J �r"'�o►`�x.r'1 0K A -"1n ym 0 This will serve only as a warning. At this trine no `legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town . Ordinances, Rules and . Regulations. Education efforts and warning notices are attempts to -gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. 2, t5 Date: / `�/ ,91 `f TOWN OF BARNSTABLE i TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: db1zr7_30 Oq BUSINESS LOCATION: SS INVENTORY MAILING ADDRESS: 6og TOTAL AMOUNT- TELEPHONE NUMBER: SOS- -7-7,5-- 0"-7 CONTACT PERSON: -726?'h Wa.ta�, A2 EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: ec,&* ���`� 4 -- INFORMATION/RECOMMENDATIONS: Fire District: 6 Z Qj j CM S uV Q_A I- d- i'1A�.p9►5, TO X/C- of q,4Z.4R2TSBV S L4A S?'�'' c� _*e,aaA.5 Waste Transportation: u ea-- Last shipment of hazardous.waste: CaAA �aoy Name of Hauler: C d .Ao{.y. ta`{._R&*G. Destination: Waste Product: aik, 9 f}c�= Licensed.) a No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA,.hazardous materials 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 Antifreeze (for gasoline or coolant systems) Misc. Corrosive SEW 1 ,USEQ Cesspool cleaners Qd Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils �� Pesticides ��® NEW USED (insecticides, herbicides, rodenticides) asoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED /2 Z Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Misc. Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) NEW USED Any other products with "poison" labels Paint &varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables hydrochloric acid, other acids) Floor &furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers � & (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers 2 Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS \ p' Town of Barnstable-Health Department Page 1 HAZARDOUS MATERIALS INVENTORY SITE VISITS DBA: ,Scudder-Taylor Oil Fax: 771-8077 — Corp Name: Mailing Address Location: 55 Bodick Road,Hyannis Street: 55 Bodick Rd. mappar: _ City: Hyannis f..,�-�_ Contact: Tom Walsh �� State: Ma Telephone: 508-775-0474 1 Zip: 02601 Emergency: Person Interviewed: Business Contact Letter Date: 6/24/2004C� . _fi r Category: Fuel Inventory Site Visit Date: 6/U/2004 Ate' _ 7_9 AM- public Gas/Service Station Follow Up/Inspection Date: G� ❑� public water ❑ indoor floor drains ❑ outdoor surface drains ❑ license require �� �� ❑ private water ❑ indoor holding tank mdc ❑ outdoor holding tank mdc ❑ currently licensed ❑ town sewage ❑ indoor catch basin/drywell ❑ outdoor catch basin/drywell expir - — -- S6 on-site sewage y ❑ outdoor onsite system date: g indoor on-sites ste REMARKS: Bulding is heating by fuel oil.Above fuel tank-330 gallons, compliance: 275 gallons,and 300 gallons. Underground fuel tank-4000 Satisfacto ,�� gallons. EPA#MAR00015159 MSDS available. Speed!Dry used for small clean ups. Rages'kept in metal cont. u1st.spill kits in each trucks. Haz.Mat.training an n ual ly.Battery's E � rec led with Interstate. Used tires removed by Cape&Is and. w �( i Page 2 Town of Barnstable-Health Department HAZARDOUS MATERIALS INVENTORY Chemicals: ❑ Zero Toxic Waste Materials ❑ gty's>25 Ibs dry or 50 gals liquid but less than 111 gals gty's 111 gals or more va-, r� - description �. qty: ' measure waste oil Ogallons _._.._.__............_...................._.._.. .._._ .._.._..._.............._..........__...................._...........__.._.._.... _...........__.._...;........._...................._........._........__..........................._ motor oil 300gallons ._.._.... _ �__ .. _. .__ ..��.._.___..._..... ri.. __.. ..._.. ..._ �_.._.. antifreeze(for gasoline or coolant 55.gallons degreasers for engines and al _ J 1cases Waste Transporter: ! lrj 0 i I Fire District: "!"�'j Last HW Shipment Date Waste Hauler Licensed: P� I i =14/ 0 No. Fee "'THE COMMONWEALTH OF MAOSSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 01ppYication for Miqual 6potem Construction Permit Application for a Permit to Construct( . )Repair( )Upgrade( )Abandon( ) ❑Complete System O Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. Assessor's Map/Parcel t Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. dove 5,T- rw q t Z4 Lk -33 Type of Building: Dwelling No.of Bedrooms Lot Size 5?.QZ/b sq.ft. Garbage Grinder( A Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number f s et Revision Date Title Size of Septic Tank Type of S.A.S. C.3) A0 Description of Soil e� Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board of Health Signed Date Li 2 Application Approved by Date Application Disapproved for the following reasons Permit No. DateIssuedTi� P10 n .- Fee CJ .471' I ®.r *: � THE�`GOMMONWEALTH OF MA'SSACH� Entered in compute SETTS .- M Yes e IV PUBLIC HEALTH DIVISION;-TOWN OF BARNST-ABLE., MASSACHUSETTS � iration for-33 gnogal *pgtem Congtruction Permit Application for a Permit to Construct(C�)Regal( Upgrade{ )Abandon( ) El Complete System ❑Individual Components Location Address or Lot No. "'r L i a Owner's Name;Address and Tel.Nov, Assessor's Map&arcel t � 5 00.3 L „C C.U e' I� 11 Installer's Name,Addtiiess,'adT II-No.f' Designer's Name,Address and Tel.No. 126 \"2 3%/ Type of Building: Dwelling No.of Bedrooms Lot Size 3-)t 07-4 sq.ft. Garbage Grinder( 1 Other Type of Building No.of Persons Showers( ) Cafeteria( ) I Other Fixtures r Design Flow ;` gallons per day. Calculated daily flow gallons- Plan Date Number of sheets Revision Date ; y)� ii r ( Title �� t.>'i,= i 9"����..- � �r r �i; •� If Size of Septic Tank Type dS.A.S. AU b Description of Soil {' ,✓ Nature of Repairs or Alterations(Answer when applicable) Date last inspected: , Agreement: j The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issue b this,18bardof ., alt ` zk.1 {. Signed _.� -\�--- Date t-l^2 1-0Application Approved by wf �,-." Date Application Disapproved for the following reasons Permit No. Date Issued y'.);?'v THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliances THIS IS TO CERTIFY-that the On`site4Sbwage Disposal System Constructed ( )Repaired ( �pgraded( ) Abandoned( )by @ Ld at F �e 1L l�-A-K 1 � has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 20OY`47 dated V-a,P`OC/ Installer Designer 1 The issuance of this pe ' shall °ot be construed as a guarantee that the s s�e• ill1funcc�tion�s des�g `ends./,4 !^ t Date Inspector e . 1 All tom.-... 6_ 4 17, ———-------------------------------------- No. u u q —I�__2 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS lw gpogal *pgtem' on$truction Permit Permission is hereby granied to Construct(-\)*Repair( t Upgrade( )Abdn' ( ) System located at e - _ and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this ovit.01Date: ��f Approved by . V i •. ,� P# D Town of Barnstable pFZHI:Tpk Department of Regulatory Services p' Public Health Diisian. Date a 9 � 200 Maiii*Sfeeet;Hyannis MA 02601 02 Da te Scheduled ; t � Time Fee Pd. Soil Suitability Assessment for Sewage Disposal . Performed By: Witnessed By: LOCATION& GENERAL INFORMATION Location Address faj)�IC P19D Owner's Name �I�•�V/�i/ Tj Address Assessor's Map/Parcel: 37/� ,JV�O V V t/� Engineer's Name NEW CONSTRUCTION REPAIR X Telephone# Land Use C&A'1A1&-ft G 114 V Slopes Surface Stones NON C Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Well ft ft r Drainage Way ft Property Line 3 1 r ft Other SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) 5 p - tt T.N Parent material(geologic) Depth to Bedrock Depth to Groundwater: Standing Water in Hole: NO Weeping from Pit Face A Estimated Seasonal High Groundwater /VGA DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: 't&fi✓I4/!/` �i4//YS�AfdL[i- 199Z GI9N1'�ry d M1e.1.�/t. moDE Depth Observed standing in obs.hole: in. Depth to soil mottles: A F I in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft• Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwater Level_ PERCOLATION TEST Date Time Observation ��' Hole# Time at 9" - �", Depth of Perc Time at 6" Start Pre-soak Time a D Time(9"-G') E, End Pre-soak 1 1 •Z� r Rate Min./Inch 4 ThIQN 2 MIN/IN&H Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within loo' of wetland,you must first notify the Barnstable Conservation Division at least one(1)week prior to beginning- Q:HEALTH/W P/PERCFORM f DEEP OBSERVATION HOLE LOG Hole#TH Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(In.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders. Co slstene 6%.arnvel 0. -2�� O NARDtNCi�..-12D�� C N DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell Mottling (Structure,Stones,Boulders. Consistency.%Grave) _ DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil . Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistences %Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) Flood Insurance Rate Mao: Above 500 year flood boundary No— Yes Within 500fyear boundary No Yes • Within 100 year flood boundary No_ Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervrous material exist in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring pervious material? Certification I certify that on (date)I have passed the soil evaluator a}'aininatiun approved by the Department of Enviromnental Protection and that the above analysis was pefformed by me consistent with the required training,expertise and experience described in 310 CMR 1.5.017., Date Signature Q:HEALTH/W P/PERCFORM I i TOWN OF BARNSTABLE LOCATION Ir� �`�- SEWAGE # �v�1! :q VILLAG ASSESSOR'S.MAP & LOTS A INSTALLER'S NAME&PHONE NO. « SEPTIC TANK CAPACITY l SZO LEACHING FACILITY: (type) 3 Saa c��y �S (size) NO.OF BEDROOMS BUILDER OWNS PERMITDATE:� _COMPLIANCE DATE: Separation Distance Betweet�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 j Edge of Wetland and Leaching Facility(If any wetlands exist ° within 300 feet of lea '�fa�Fi ) Feet IFurnished by- i Cpv.Cr;t `LD � Zg � Z� 1 Town of Barnstable °p1NE Tp�� Regulatory Services Thomas F. Geiler,Director IARNSTABLE. • MASS. Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: .> // L-/ Designer: 5uLL1 LIA" E1VC-1W6 LR-I/VG ►lVc Installer: JA i c KC-/ Cc7 WC, Address: .7 PArle 6 fZ 12 vr4 D Address: 30 Qco s ArY L!✓ 0S7-�ry/L,Lc , 1JA-.S s On zz ® /-/lcl E y C61Nst /nrc was issued a permit to install a (date) (installer) septic system at S✓`8oPicIc t2-D.. i4 yA/v1,1l5 based on a design drawn by (address) SUG�Ii//l/VL/IiGIIvEC/tIN�C/, itie— dated (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. ( lV s _�-LL=D /9 / c-o o G!4L�,a� }-1-2-0Scpt►c tAN1t 1' d P If✓ L.ILl LXISIIN� IOoo C-/4LLr✓w �EP7-i C -rA N iL.N'a-,o 1,\-JG v-2mQ,a -4AeN i wP-%\3E-a�%%j Soo k^'fub Urvoe29�AUEMf-5"T I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic s s em) but in accordance with State & Local Regulations. Plan revision or certified as- by designer to follow. OF SUUWAN (Inst�,'er'sSignature) .29733 CIVIL (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BA_ RNS_T_ ABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form TOWN OF BARNSTABLE Date: TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: d Z BUSINESS LOCATION: SS INVENTORY MAILING ADDRESS: 60X TOTAL AMOUNT: TELEPHONE NUMBER: SD g- -7-7S — OLA -7 Y (A 5 5 CONTACT PERSON: -`%� W"-L"; f2)011"14 EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: 1",4 INFORMATION/RECOMMENDATIONS: Fire District: e-!►S, T'o x(C�� air, k Waste Transportation: -- Last shipment of hazardous,waste: ��oY Name of Hauler: 0-44 vi ,AoW. L%e. e��Destination: Waste Product: a= t�+r� ' - Licensed? a No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials 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 __ Antifreeze (for gasoline or coolant systems) Misc. Corrosive SINEW � USEQ Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants 7 otor Oils 300 Pesticides d NEW bW USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED /Z ZQxt Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Misc. Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) NEW USED Any other products with "poison" labels Paint &varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables hydrochloric acid, other acids) Floor&furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers (including bleach) /® cl Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers 2 Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS TOWN OF BARNSTABLE M111tllCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2. Printers BOARD OF HEALTH 3.Auto Body Shops t�\�� O unsatisfactory- 4. Manufacturers COMP I W Cal L (see"Orders") 5.Retail Stores ff \\ 6.Fuel Suppliers ADDRESS _ Class: 7.Miscellaneous c1C-�SMNQUANTITIES AND STORAGE (IN= indoors; OUT-outdoors) MAJOR MATE IALSCi se lots Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerose e, #2 JC Heavy Oils: waste motor oil (C) new motor oil(C) transmission/hydraulic Synthetic Organics: degreasers 1 py)-h f(Sfew Miscellaneous: 1 5 J (0 DISPOSALIRECLAMATION REMARKS: 1f' O tarSge ewa 2.W ter Supplyown Sewer Public s n-site OPrivate UGa� F 0 b r L 3.I door Floor Drai NO S7" � Holding tan M O Catch basin/Dry well T� A O On-site system 4. Outdoor Surface drains:YES�/ NO ORDERS: O Holding tank:MDC— N06(_, 0 Catch basin/Dry well )99� O On-site system ' / 5.Waste Transporter Name of Hauler Destination- Waste Product Licensed? NQ 2. 01 140�� Person(s) Interviewed Inspector D to F r� COMMONWEALTH OF MASSACHUSETTS z _ EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS + d DEPARTMENT OF ENVIRONMENTAL PROTECTION SOUTHEAST REGIONAL OFFICE d 20 RIVERSIDE DRIVE, LAKEVILLE, MA 02347 JANE SWIFT BOB DURAND Governor Secretary LAUREN A.LISS Commissioner URGENT LEGAL MATTER: PROMPT ACTION NECESSARY CERTIFIED MAIL: RETURN RECEIPT REQUESTED Py January 30,2002 S Mr. s RE: BARNSTABLE BWSC/ER General Manager Residential property Scudder—Taylor Oil 73 Harris Meadow Lane 55 Bodick Road,P.O.Box 1210 RTN#4-16838 Hyannis,Massachusetts 02601 NOTICE OF RESPONSIBILITY M.G.L. c. 21E,310 CMR 40.0000 ATTENTION Mr. Walsh On January 21,2002 at 1:50 pm the Department of Environmental Protection (the 'Department") received oral notification of a release and/or threat of release of oil and/or hazardous material at the above referenced property which requires one or more response actions. Two hundred and thirty(230)gallons of #2 fuel was accidently released on the driveway and front yard of the above referenced property. Reportedly the nozzle was in the open position and when the driver engaged the power take-off in the cab that engages the pump on the truck,fuel was released. The driver discovered the release when he exited the truck to make the delivery. Response Environmental of Worcester, MA, was retained to conduct the necessary response actions. The Massachusetts Oil and Hazardous Material Release Prevention and Response Act, M.G.L.. c.21E, and the Massachusetts Contingency Plan (the "MCP"), 310 CMR 40.0000, require the performance of response actions to prevent harm to health, safety, public welfare and the environment which may result from this release and/or threat of release and govern the conduct of such actions. The purpose of this notice is to.inform you of your legal responsibilities under State law for assessing and/or remediating the release at this property. For purposes of this Notice of Responsibility, the terms and phrases used herein shall have the meaning ascribed to such terms and phrases by the MCP unless the context clearly indicates otherwise. The Department has reason to believe that the release and/or threat of release which has been reported is or may be a disposal site as defined by-the M.C.P. The Department also has reason to believe that you (as used in this letter, "you" refers to Scudder-Taylor Oil) are a Potentially Responsible Party (a "PRP")'with liability under M.G.L. c.21E §5, for response action costs. This liability is "strict", meaning that it is not based on fault, but solely on your status as owner, operator, generator,transporter, disposer or other person specified in M.G.L. c.21E §5. This liability is'also "joint and several', meaning that you may This information is available in alternate format by calling our ADA Coordinator at(617)574-6872. DEP on the World Wide Web: http://www.mass.gov/dep 10 Printed on Recycled Paper t 2 be liable for all response action costs incurred at a disposal site regardless of the existence of any other liable parties. The Department encourages parties with liabilities under M.G.L. c.21E to take prompt and appropriate actions in response to releases and threats of release of oil and/or hazardous materials.By taking prompt action, you may significantly lower your assessment and cleanup costs and/or avoid liability for costs incurred by the Department in taking such actions. You may also avoid the imposition of,the amount of or reduce certain permit and/or annual compliance assurance fees payable under 310 CMR 4.00. Please refer to M.G.L. c.21E for a complete description of potential liability. For your convenience, a summary of liability under M.G.L.c.21E is attached to this notice. You should be aware that you may have claims against third parties for damages, including claims for contribution or reimbursement for the costs of cleanup. Such claims do not exist indefinitely but are governed by laws which establish the time allowed for bringing litigation. The Department encourages you to take any action necessary to protect any such claims you may have against third parties. At the time of notification, the Department approved the following response actions as an Immediate Response Action(IRA): • Deployment of absorbent materials including pads and boom. • Placement of oil impacted snow in drums to limit migration. • Securing of the .impacted area with a layer of absorbent pads covered with polyethylene sheeting. • Beginning on January 22, 2002, the excavation of up to sixty-five (65) cubic yards of impacted soil.. • All Remediation Waste must be properly stored/hauled and disposed of within 120 days from the date of generation per 310 CMR 40.0030. • The field NOR requested that within seven (7) days of the release a written description of how the release occurred be provide to the Department. The requested documentation was submitted to the Department via facsimile on January 28,2002. ACTIONS REQUIRED Additional submittals are necessary with regard to this notification including,but not limited to,the filing of a written IRA Plan, IRA Completion Statement and/or an RAO statement. The MCP requires that a fee of$750.00 be submitted to the Department when an RAO statement is filed greater than 120_days from the date of initial notification. Specific approval is required from the Department for the implementation of all IRAs, and Release Abatement Measures (RAMS) pursuant to 310 CMR 40.0420 and 310 CMR 40.0443, respectively. Assessment activities, the construction of a fence and/or the posting of signs are actions that are exempt from this approval requirement. In addition to oral notification, 310 CMR 40.0333 requires that a completed Release Notification Form(BWSC-103,attached)be submitted to the Department within sixty(60)calendar days of January 21, 2002. You must employ or engage a Licensed Site Professional (LSP)to manage, supervise or actually perform the necessary response actions at this site. You may obtain a list of the names and addresses of licensed site professionals from the Board of Registration of Hazardous Waste. Site Cleanup Professionals by calling (617) 556-1145 or visiting http://www.state.ma.us/lsp. The Department has Glen Goral with Response Environmental as the LSP of record for this release. Unless otherwise provided by the Department, potentially responsible parties ("PRP's") have one year from the initial date of notification to the Department of a release or threat of a release,pursuant to 310 r 3 CMR 40.0300, or from the date the Department issues a Notice of Responsibility,whichever occurs earlier, to file with the Department one of the following submittals: (1) a completed Tier Classification Submittal; (2) a Response Action Outcome Statement or, if applicable, (3) a Downgradient Property Status. The deadline for either of the first two submittals for this disposal site is January 21,2003. If required by the MCP,a completed Tier I Permit Application must also accompany a Tier Classification Submittal. This site shall not be deemed to have had all the necessary and required response actions taken unless and until all substantial hazards presented by the release and/or threat of release have been eliminated and a level of No Significant Risk exists or has been achieved in compliance with M.G.L. c.21E and the MCP. If you have any questions relative to this Notice, please contact Julie J. Hutcheson at the letterhead address or at (508) 946-2852. All future communications regarding this release must reference the following Release Tracking Number: 4-16838. Very truly yours, Richard F.Packard,Chief Emergency Response/Release Notification Section P/JJH/re CERTIFIED MAIL#7001 0320 0001 4831 2903 RETURN RECEIPT REQUESTED Attachments: Release Notification Form;BWSC-103 and Instructions Summary of Liability under M.G.L. c.21E Department's guide to hiring a Licensed Site Professional. cc: Board of Health 200 Main St. Hyannis,MA 02601 Board of Selectmen 200 Main St. Hyannis,MA 02601 Fire Department 95 High School Road Hyannis,MA 02601 Response Environmental 563 Main Street Suite 211 Worcester,MA 01608 ATTN: Glen Goral,LSP Matthew Geiger Mr.&Mrs.Mark Belkin 10 Oriele Drive Andover,MA 01810 OFTME Town of Barnstable BAMMBIX, ` Board of Health 9qF1 a s � P.O. Box 534, Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,R.S. FAX: 508-790-6304 Ralph A.Murphy,M.D. Sumner Kaufman, M.S.P.H. To: SCUDDER,FREDERIC F 2ND& Date Monday,March 05,2001 SCUDDER,RICHARD M&ROBERT M 22 CHANNEL POINT RD HYANNIS M 02601 RE: Underground Storage Tank at 55 BODICK ROAD C4v r �-� Map Parcel: 344080002 Tank NO: 02 Tag NO; 00000 Our records indicate that your underground fuel(or chemical)storage tank is over 20 years old,and has not been removed as required by section 03: subsection 2 of the Town of Barnstable Health Regulation regarding fuel and chemical storage systems. You are directed to remove this tank sixty(60)days from the date of this notice. After your tank is removed, please furnish this office evidence in the form of a permit.from your local Fire Department within ninety(90)days of the receipt of this notice. You may request a hearing provided a written petition requesting same is received by the Board of Health within ten(10) days after this order is served. Per Order of the Board of Health Thomas A.McKean,RS,CHO Health Agent l OFTNE Town of Barnstable 1 5 = MASS. Board of Health 1639. IN P.O. Box 534, Hyannis MA 02601 Office: 508-8624644 Susan G.Rask,R.S. FAX: 508-790-6304 Ralph A.Murphy,M.D. Sumner Kaufman, M.S.P.H. To: SCUDDER,FREDERIC F 2ND& Date Monday,March 05,2001 SCUDDER,RICHARD M&ROBERT M 22 CHANNEL POINT RD HYANNIS M 02601 RE: Underground Storage Tank at 55 BODICK ROAD( Map Parcel: 344080002 Tank NO: 03 Tag NO: 00000 Our records indicate that your underground fuel(or chemical)storage tank is over 20 years old,and has not been removed as required by section 03: subsection 2 of the Town of Barnstable Health Regulation regarding fuel and chemical storage systems. You are directed to remove this tank sixty(60)days from the date of this notice. After your tank is removed, please furnish this office evidence in the form of a permit from your local Fire Department within ninety.(90)days of the receipt of this notice. You may request a hearing provided a written petition requesting same is received by the Board of Health within ten(10) days after this order is served. Per Order of the Board of Health Thomas A.McKean,RS,CHO Health Agent �FIKE Town of Barnstable • B^MASS. ' Board of Health 9 MASS. q' 1639. ``� P.O. Box 534, Hyannis MA 02601 'GEED MpV A Office: 508-862-4644 Susan G.Rask,R.S. FAX: 508-790-6304 Ralph A.Murphy,M.D. Sumner Kaufman, M.S.P.H. To: SCUDDER,FREDERIC F 2ND& Date Monday,March 05,2001 SCUDDER,RICHARD M&ROBERT M 22 CHANNEL POINT RD HYANNIS M 02601 RE:Underground Storage Tank at 55 BODICK ROAD Map Parcel: 344080002 Tank NO: 04 Tag NO: 00000 Our records indicate that your underground fuel(or chemical)storage tank is over 20 years old,and has not been removed as required by section 03: subsection 2 of the Town of Barnstable Health Regulation regarding fuel and chemical storage systems. You are directed to remove this tank sixty(60)days from the date of this notice. After your tank is removed, please furnish this office evidence in the form of a permit from your local Fire Department within ninety(90)days of the receipt of this notice. You may request a hearing provided a written petition requesting same is received by the Board of Health within ten(10) days after this order is served. Per Order of the Board of Health Thomas A.McKean,RS,CHO Health Agent f IKE Town of Barnstable MAS& Board of Health 9 A83. P.O. Box 534 Hyannis MA 02601 � Y Office: 508-8624644 Susan G.Rask,R.S. FAX: 508-790-6304 Ralph A.Murphy,M.D. Sumner Kaufman, M.S.P.H. To: SCUDDER,FREDERIC F 2ND& Date Monday,March 05,2001 SCUDDER,RICHARD M&ROBERT M 22 CHANNEL POINT RD HYANNIS M 02601 RE:Underground Storage Tank at 55 BODICK ROAD Map Parcel: 344080002 Tank NO: 05 Tag NO: 00000 Our records indicate that your underground fuel(or chemical)storage tank is over 20 years old,and has not been removed as required by section 03: subsection 2 of the Town of Barnstable Health Regulation regarding fuel and chemical storage systems. You are directed to remove this tank sixty(60)days from the date of this notice. After your tank is removed, please furnish this office evidence in the form of a permit from your local Fire Department within ninety(90)days of the receipt of this notice. You may request a hearing provided a written petition requesting same is received by the Board of Health within ten(10) days after this order is served. Per Order of the Board of Health Thomas A.McKean,RS,CHO Health Agent OFTNE Town of Barnstable 11AMSZABL4 Board of Health 039..OrFD3.�6 P.O. Box 534, Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,R.S. FAX: 508-790-6304 Ralph A.Murphy,M.D. Sumner Kaufman, M.S.P.H. To: SCUDDER,FREDERIC F 2ND& Date Monday,March 05,2001 SCUDDER,RICHARD M&ROBERT M 22 CHANNEL POINT RD HYANNIS M 02601 RE: Underground Storage Tank at 55 BODICK ROAD Map Parcel: 344080002 Tank NO: 06 Tag NO: 00000 Our records indicate that your underground fuel(or chemical)storage tank is over 20 years old,and has not been removed as required by section 03: subsection 2 of the Town of Barnstable Health Regulation regarding fuel and chemical storage systems. You are directed to remove this tank sixty(60)days from the date of this notice. After your tank is removed, please furnish this office evidence in the form of a permit from your local Fire Department within ninety(90)days of the receipt of this notice. You may request a hearing provided a written petition requesting same is received by the Board of .Health within ten(10) days after this order is served. Per Order of the Board of Health Thomas A.McKean,RS,CHO Health Agent TOWN OF BARNSTABLECOMPLIANCE: CLASS: 1.Marine, as Stations,Repai satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops /�j o unsatisfactory- 4.Manufacturers COMPANY (�t/b"/ v f (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS V1CfKTW Class: 7.Miscellaneous 41Z4e,c� QUANTITIES AND STORAGE (IN= indoors;OUT=outdoors) MAJORMATERIALS 4 y G IN OUT IN OUT IN OUT #&gallons Age Test if" 11 Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) s transmission/hydraulic Synthetic Organics: degreasers Miscella eou : DISPOSALIRECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply - Town Sewer Alp ez- O On-site OPrivate 3. Indoor Floor Drains YES NO., - O Holding tank:MDC O Catch basin/Dry well ' O On-site system All 4. Outdoor Surface drains:YES i�'NO ORDERS: Holding tank:MDC Catch basin/Dry well On-site systemAV 5.Waste Transporter ) r7/� YES NO qA M, -I_4 A , /--7,:7] /'/ 1 1 2. T/ -M _P Person s) Interviewed nspector Date T TOWN OF BARNSTABLE OMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY`J t,`r� �� � (see"Orders") 5.Fuel Suppliers ADDRESS 4 f�iz ''LYE (! Class: 7.Miscellaneous i G QUANTITIES AND STORAGE (IN= indoo rs; OUT=outdoors) MAJOR MAT RIALS ��. IN OUT IN OUT IN OUT #&gallons Age Test Fuels: y� r , #2 (B) �✓ Heavy Oils: waste motor oil (C) ` = new motor oil(C) t &. transmission/hydraulic Synthetic Organics: degreasers DISPOSAURECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply ' — r, Zs� 2 Town Sewer &Public O On-site OPrivate 3.IIndoor Floor Drains YES L�NO ---�� olding tank:MDC A� O Catch basin/Dry well a O On-site system ' 4. Outdoor Surface drains:YES 4` NO O ERS: Holding tank:MDC. tl ,"� � Catch basin/Dry well' '' c On-site system 5.Waste Transporter estihatio Narne of Hauler 2. Person(s) Interviewed Inspector Date N d SENDER: I also wish to receive the o ■Complete items 1 and/or 2 for additional services. ii ■Complete items 3,4a,and 4b. following services(for an r an ■Print your name and address on the reverse of this form so that we can return this extra fee): card to you. j ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address permit. j ■Write'Retum Receipt Requested'on the mailpieoe below the article number. 2, ❑ Restricted Delivery rn ■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 0 ;7 ❑ Registered Certified ❑ Express Mail ❑ Insured e aWc ❑ Retum Receipt for Merchandise ❑ COD ` G o2 6-ol 7.Date f Deliv w z 'o. p 5.Received By:� 8.Addressee Addr ss(Only if requested e and fee is paid) cc g 6.Signatur acid essee Agent) a°, X a) PS Form 3811,December"!994 ' ""` 102595-97-B-0179 Domestic Return Receipt First-Class Mail UNITED STATES POSTAL SERVICE Postage&Fees Paid USPS Il Permit No.G-10 C Print your name, address, and ZIP Code in this box C I �9 FL",:f Health DWWOn ovrn of Barnstable p 0.Box 634 Hyannis, Massachuseft 02601 I P 339 578 714 US Postal�$ervice Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail See reverse Sent icA. t&Numb �f/ Pos Certified Fee Special Delivery Fee Restricted Delivery Fee LO Return Receipt Showing to Whom&Date Delivered Q Retum Receipt Showing to whom, Q Date,&Addressee's Address 0 TOTAL Postage&Fees $ Z, M Postmark or Date li 12`-719� 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. If you do not want this receipt postmarked,slick the gummed stub to the right of the kD return address of the article,date,detach,and retain the receipt,and mail the article. rn 3. H 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 ends if space permits. Otherwise,affix to back of article. Endorse front of article a (` RETURN RECEIPT REQUESTED adjacent to the number. Q I 4. If you want delivery restricted to the addressee, or to an authorized agent of the I addressee,endorse RESTRICTED DELIVERY on the front of the article. Go 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. 6. Save this receipt and present it if you make an inquiry. d I_— ,1 �IKE ram, Town of Barnstable o� Department of Health, Safety, and Environmental Services 9q, "�: ��� Public Health Division ATFD"'P�A P.O. Box 534, Hyannis MA 02601 Office: 508-862-4644 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Director of Public Health December 1, 1999 Ms. Ann Cahill . Camelot Limosine 55 Bodick Rd., Hyannis, MA 02601 ORDER TO COMPLY WITH THE BOARD OF HEALTH FLOOR DRAIN REGULATION,PART u, SECTION 1.00 You are hereby notified on September 28, 1999,the Town of Barnstable Board of Health adopted the attached Floor Drain Regulation. All owners/operators of facilities with floor drains connected into a leaching structure have three options: 1. 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. 2. 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). 3. 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. Therefore, you are directed to comply with the Board of Health Floor Drain Regulations by informing this department in writing of what your intentions are to comply with the regulation within ten (10) days of receipt of this notice and by completing the work within ninety (90) days. You may request a hearing if written petition requesting same is received within ten(10)days your receipt of this order letter. Failure to comply with an order of the Board of Health may result in a fee of not less than$200, nor more than $1,000.00. Each day of failure to comply with an order shall constitute a separate violation. PER ORDER OF THE BOARD OF HEALTH t7�0"01 Thomas A.McKean Director of Public Health Enc. Board of Health Floor Drain Regulation cc: Ed Jenkins, Town of Barnstable Plumbing Inspector SCUDDER-TAYLOR OIL . Ma O - O Cape Cod's Leading Oil Dealer Since 1864 Associated Companies: • Dumaine Oil • Thomson Oil • Halstead Fuel • South Shore Oil 1/4/00 Mr. Thomas A. McKean Director of Public Health P.O. Box 534 Hyannis, Ma. 02601 Dear Mr. McKean On January 3, 2000 I received the attached notice regarding floor drains addressed to "The Green Machine", 55 Bodick Rd., Hyannis, Ma. Prior to that we had received the same notice addressed to Scudder and Taylor Oil at the same address. The notice that was addressed to Scudder and Taylor Oil was forwarded to the property manager, Joseph DeMartino, who informs me that he has been in contact with your office regarding compliance of the floor drain regulations. The Green Machine has not conducted business from this location for over four years as that portion of our business has been sold. Mr. DeMartino has informed me that our facility currently meets the regulations as issued by the Town of Barnstable and that no further action is required. Please contact me if your records indicate otherwise and I will then take the issue up with the property owner to take corrective action. Thank you for your assistance. Yours Truly �✓ Thomas Walsh General Manager 55 Bodick Road, PO Box 1210, Hyannis, MA 02601-2001 508-775-0474 1-800-698-0474 Fax 508-771-8077 • Fuel Oil •Diesel • Heating Equipment •Excellent Service V ;f opt Town of Barnstable Department of Health, Safety, and Environmental Services ► 1L4JW TA13M Public Health Division P.O. Box 534, Hyannis MA 02601 Office: 508-862-4644 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Director of Public Health December 17, 1999 Mr.Thomas Walsh Green Mashine, The 55 Bodick Rd., Hyannis, MA 02601 ORDER TO COMPLY WITH THE BOARD OF HEALTH FLOOR DRAIN REGULATION,PART U,SECTION 1.00 You are hereby notified on September 28, 1999,the Town of Barnstable Board of Health adopted the attached Floor Drain Regulation. All owners/operators of facilities with floor drains connected into a leaching structure have three options: 1. 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. 2. 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). 3. 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. Therefore, you are directed to comply with the Board of Health Floor Drain Regulations by informing this department in writing of what your intentions are to comply"with the regulation within ten (10) days of receipt of this notice and by completing the work within ninety (90) days. A You may request a hearing if written petition requesting same is received within ten (10)days your receipt of this order letter. Failure to comply with an order of the Board of Health may result in a fee of not less than $200, nor more than $1,000.00. Each day of failure to comply with an order shall constitute a separate violation. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean Director of Public Health Enc. Board of Health Floor Drain Regulation cc: Ed Jenkins, Town of Barnstable Plumbing Inspector c- SENDER: I 'o ■Complete items 1 and/or 2 for additional services. I also wish to receive the . w ■Complete items 3,4a,and 4b. " following services(for an d ■Print your nameand address on the reverse of this form so that we can return this extra fee): card to you. d ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address permit. d ■Wnte'Retum Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Deliv Iry, N ■The Return Receipt will show to whom the article was delivered and the date a C delivered. Consult postmaster for fee. 3.Article Addressed to: !��,S S�Ar� Number e O 7 e 7p� c ! i E _ 4 .Service Type f° ' % ❑ Registered Certified �� ✓I'n D� n /) o Express Mail ❑ Insured ¢ (�- C� �C U 6 Return R9, eceipt for Merchandise ❑ COD 0 /NNV Date of Delivery 0 z /VeDP. ec ' By:(Print Nam 8.Addressee's Addre (Only if requested W and fee is paid) Cc ¢ g .Signature:(Addressee rAn 0. X 7; PS Form 381,1, December,199a ;; ; ;;;; ,r 102595-97-13-0179 Domestic Return Receipt i� First-Class Mail UNITED STATES POSTAL SERVICE Postage&Fees Paid USPS t Permit No.G-1 J C Print your name, address, and ZIP Code in this box C Town of Barnstable PO Box 534 Hyannis, Massachusetts 02601 Fax(508)775-3344 Phone(508)790-6265 I I 11111111111111f lilt I III 1il111I11111IfIi1111 III I III 111 fill 11111 AA 339 578 703 Y: US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail(See reverse) Sent to&! St &Number P�O�t1ice, ate,#ZIP ode�/)A� Postag ClI-In4J $ Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt Showing to Whom&Date Delivered Q, Return Receipt Showing to Whom, Q Date,&Addressee's Address 0 TOTAL Postage&Fees $ 2 9� M Postmark or Date 0 LL 212 Z�`� if Stick postage stamps to article to cover First-Class postage,certified mail fee,and [Il 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 m window or hand it to your rural carrier(no extra charge). 2. If 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. uO 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 it 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 C 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. o i 6. Save this receipt and present it H you make an inquiry. d o� Town of Barnstable Department of Health, Safety, and Environmental Services Public Health Division �Ea'iA°�A P.O. Box 534, Hyannis MA 02601 Office: 508-862-4644 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Director of Public Health December 17, 1999 Mr.Thomas Walsh Green Mashine, The 55 Bodick Rd., Hyannis, MA 02601 r ORDER TO COMPLY WITH THE BOARD OF HEALTH FLOOR DRAIN REGULATION,PART U,SECTION 1.00 You are hereby notified on September 28, 1999,the Town of Barnstable Board of Health adopted the attached Floor Drain Regulation. All owners/operators of facilities with floor drains connected into a leaching structure have three options: 1. 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. 2. 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). 3. 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. Therefore, you are directed to comply with the Board of Health Floor Drain Regulations by informing this department in writing of what your intentions are to comply with the regulation within ten (10) days of receipt of this notice and by completing the work within ninety (90) days. You may request a hearing if written petition requesting same is received within ten(10)days your receipt of this order letter. Failure to comply with an order of the Board of Health may result in a fee of not less than $200, nor more than$1,000.00. Each day of failure to comply with an order shall constitute a separate violation. PER ORDER OF THE BOARD OF HEALTH Thomas A.McKean Director of Public Health Enc. Board of Health Floor Drain Regulation cc i Ed Jenkins, Town of Barnstable Plumbing Inspector d SENDER: c ■Complatelitems 1 and/or 2 for additional services. I also wish to receive the w ■Complete items 3,4a,and 4b. following services(for an tv ■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 mallpiece,or on the back if space does not 1. ❑ Addressee's Address ggqg �► permit. y ■Write'Retum Receipt Requested'on the mallplece below the article number. 2. ❑ Restricted Delivery c ■The Return Receipt will show to whom the article was delivered and the date delivered. Consult postmaster for fee. 3.Article Addressed to: 4a.Article Number 7 CL E ,��p®��- 4b.Service Type - !z /,�G v� ❑ Registered 6 Certified °C Im CO� //�_� iT(�7^� Express Mail ❑ Insured c ❑ Return Receipt for Merchandise ❑ COD GCAe 7.Date of Delivery ° zT 0%G dZ 5.Rec ' ed B dnt Name) S.Addressee's Address(Only if requested c and fee is paid) r g 6.Si atu re ee orAg ) ~ ! o xr� I PS Form 3811, December 1994 102595-97-13-0179 Domestic Return Receipt i UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 c Print your name, address, and ZIP Code in this box O Public Health INVISIen own of U nstable PO,Box KA Hyannis, Massachusetts 02601 P 339 578 724 US Postal Ser,-,e Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail See reverse Sentto Stre umb r /r_� �• O (�o J..' Post Offitle,State,,&ZIP Code Postage $ Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt Showing to r Whom&Date Delivered Q Retum Receipt Showing to Whom, Q Date,&Addressee's Address 0 TOTAL Postage&Fees is ch Postmark or Date a 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,slick 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). m 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the w return address of the article,date,detach,and retain the receipt,and mail the aside. in 3. If you want a return receipt,write the certified mail number and your name and address CO on a return receipt card,Form 3811,and attach it to the front of tl-e 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 C addressee,endorse RESTRICTED DELIVERY on the front of the article. M N5. Enter fees for the services requested in the appropriate spaces on the front of this r I receipt. If return receipt is requested,check the applicable blocks kn item 1 of Form 3811. ti i N 6. Save this receipt and present it if you make an inquiry. a OF THE Tpy,_ Town of Barnstable �� Department of Health, Safety, and Environmental Services 9� 163 � Public Health Division A'FD'"o�A P.O. Box 534, Hyannis MA 02601 Office: 508-862-4644 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Director of Public Health December 1 1999 Mr. Thomas Walsh Mr. Don McBride. Cape Cod Oil Service Inc. 55 Bodic Road, Hyannis MA 02601 ORDER TO COMPLY WITH THE BOARD OF HEALTH FLOOR DRAIN REGULATION,PART H,SECTION 1.00 You are hereby notified on September 28, 1999,the Town of Barnstable Board of Health adopted the attached Floor Drain Regulation. All owners/operators of facilities with floor drains connected into a leaching structure have three options: 1. 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. 2. 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). 3. 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. Therefore, you are directed to comply with the Board of Health Floor Drain Regulations by informing this department in writing of what your intentions are to comply with the regulation within ten (10) days of receipt of this notice and by completing the work within ninety (90) days. �J w. You may request a hearing if written petition requesting same is received within ten(10) days your receipt of this order letter. Failure to comply with an order of the Board of Health may result in a fee of not less than $200, nor more than$1,000.00. Each day of failure to comply with an order shall constitute a separate violation. PER ORDER OF THE BO OF HEALTH Thomas A. McKean Director of Public Health Enc. Board of Health Floor Drain Regulation cc:. Ed Jenkins,Town of Barnstable Plumbing Inspector TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 0 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY � '� (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS 413 T_O, ��� ' Class: f � � 7.Miscellaneous f� l� W(-.Y QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS DrumsAbove Tanks Underground T, IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Dill,hero ne,-#2-tBr Heavy Oils: waste motor oil (C) S new motor oil(C) � transmission/hydraulic Synthetic Organics: degreasers te4 ej l piianeous: a� 04 � 2 DISPOSAURECLAMATION REMARKS: 1. Sanitary Sewage 2. ater Supply° O Town Sewer Public ���. 4 , ¢- On-site Private t ' 3. Indoor Floor Drains YES�NO O Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NOJ ORD RS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter 'DestinationName of Hauler o• 2. r Person(s) Interviewed Inspector Date TOWN OF BARN STABLE OMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS 46di.,-Le,(V Wlass: / 7•Miscellaneous QUANTITIES AND STORAGE (IN=indoors;OUT=out oors) MAJOR ERIALS Case lots Drums Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: , waste motor oil (C) new motor oil (C) Pi transmission/hydraulic Synthetic Organics: degreasers �S / Miscellaneops: Vs- V DISPOSAUREC;LAMATION REMARKS: 1. Sanitary Sewage 2.W ter Supply O Town Sewer Public t S On-site OPnvate41 01 3. Indoor Floor Drains YES s N0 O Holding tank:MDC (` O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YESJNO ORDERS: O Holding tank:MDC Catch basin/Dry well O On-site system S ' 5.Waste Transporter Name`of Hauler Destin ion Waste Product 2. Person(s) Interviewed Inspector Date TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair 2.Pnters BOARD OF HEALTH satisfactory 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY t*$' w O (see"Orders") 5.Retail Stores ----� 6.Fuel Suppliers ADDRESS 5S Wta Class' �� 7.Miscellaneous ktt _r QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) �A Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) 7S new motor oil(C) 3Dv Ctransmissi"ydraulic Synthetic Organics: degreasers /'10 Au Miscellaneous: s1:5, d -7 DISPOSAL/RECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply O Town Sewer OPublickewAyed - �— �On-site OPrivate r 3. Indoor Floor Drains YES '< A r olding tank:MDC SC 06 atch basin/Dry well �' 6 - n-site system I S � 6 �door Surface drains:YESX NO ORDERS: �Tiolding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter Name of i4auie'r 1 ' & Mi YES NO 2. -d r--C. �c C.2�-' J Person,(s) Interviewed Ing-pector Date TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH satisfactory 2.Printers 3.Auto Body Shops v 6 O unsatisfactory- 4.Manufacturers COMPANY b (see"Orders") 5.Retail Stores ® 6.Fuel Suppliers ADDRESS Class: 7.Miscellaneous ��II(( �� QUANTITIES AND STORAGE (IN=indoors; OUT-outdoors) MAJOR MA4&KLfS Case I ots Drums IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) J� UcSODS Diesel; Kerosene, #2 (B) e a Heav aste motor oil (C new motor oil (C) transmissio ydraulic Synthetic Organics: degreasers Miscellaneous: A f-rl F&�6� C 7-,G g fo 1 JIV DISPOSAL/RECLAMATION REMARKS:SOLVE 1. Sanitary Sewage 2.Water Supply W E O Town Sewer Public UGC_ ,F0� On-site Private 3. ndoor Floor Drains YESNO en Holding tank: MDCn A hr, o 66 76 a� W o Catch basin/Dry well a O On-site system 4. Putdoor Surface drains:YES NO 4A0V G00QD �VSZD,� TAA Holding tank: MDC Catch basin/Dry well A tv n msoz O On-site system cc� 5.Waste Transporter Name of Hauler Destination Waste Product � YES 'NO 1. 2• "A1V!j(7Z,(AA1 AJA&6NS d"11) _,Z�6 0 Person (s) Interviewed Inspec /Date K TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: C/JPE COO OIL �� Mail To: BUSINESS LOCATION: SS 6ODiC A Board of Health Town of Barnstable MAILING ADDRESS: b®a( /&/0 P.O. Box 534 TELEPHONE NUMBER: 7 7s- - 0 Y7`lit__, ; _ Hyannis, MA 02601 CONTACT PERSON: T1toAj`r5 / t-S�t�` 8 %�NdC��I�L EMERGENCY CONTACT TELEPHONE NUMBER: Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in qua (ties totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES V NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store: Quantity/Case Quantity/Case S Antifreeze (for gasoline or coolant systems) Drain cleaners /J OurS Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners 61-1-L Hydraulic fluid (including brake fluid) Disinfectants 300 G OLL Motor oils/waste oils (_/YJ& Road Salt (Halite) Gasoline, Jet fuel Refrigerants /0,000 &fti, Diesel fuel, kerosene, #2 heating oil ) ^� sticides (insecticides, herbicides, NkNa— Sy GALL Other petroleum products: grease, lubricants rodenticides) /S 44- Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint &varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy- Health Department/ Canary Copy-Business TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers j BOARD OF HEALTH 3.Auto Body Shops a O unsatisfactory- 4.Manufacturers L COMPANY j (see"Orders") 5.Retail Stores _ 6.Fuel Suppliers ADDRESS Class: '77 7.Miscellaneous a QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS 7777 ,. - , ,IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: o DISPOSAURECLAMATION REMARKS: f Q 1. Sanitary Sewage 2. Water Supply Q O Town Sewer Public C,14 V )kOn-site O Private 3. Indoor Floor Drains YES N0k O Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES X NO ORDERS: Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter 1 ' ,. YES NO 1. 2. Person(s) Interviewed Inspector Date -7 0 a 3 �` ,�v�� ,,� 1-- 771- c3a TOWN OF BARNSTABLE ,�C•OMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH J( satisfactory 2.Printers 3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY d (see"Orders") 5.Retail Stores / 6.Fuel Suppliers ADDRESS SrS' Class: + 7.Miscellaneous QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS NNW ,• _ TIM 7 .771 OUT IN TOUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) j o Diesel, Kerose e, #2 (B S d �� Heavy Oils: �S waste motor oil (C) new motor oil(C) S� 7T� transmission/hydraulic Synthetic Organics: degreasers 1_ 'Miscellaneous: /4eo � DISPOSAL/RECLAMATION. _ REMARKS: VZ �.� 1. SanitarySewage' 2.WaterSupply, � ��'� �ate O Town Sewer;' ,,�!r?ublic tl V n-site OPrivate 3. Indoor Floor Drains YES NO O Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YESJ_( NO O RS: Holding tank: MDC O Catch basin/Dry well O On-site system 5.Waste Transporter Name'of ftatil6r 1 YES NO 2. Person(s) Interviewed Inspector r Date - J HYANNIS FIRE DEPARTMENT 95 HIGH SCHOOL ROAD EXTENSION HYANNIS, MASS. 02601 Paul D. Chisholm Si1ZlUlIe Oetectvzl Salle .e�(/ed BUSINESS: 775-1300 CHIEF _ EMERGENCY: 775-2323 I f To I JJ Town of Barnstable, Board of Health - T. McKean Town of Barnstable, Conservation Commission - From ; Fire Prevention Bureau, Hyannis Fire Department Subject The installation of above ground storage tanks . Date' ; Persuant to the applicable sections of 527 CMR - Fire Prevention Regulations , this Department has inspected the following location for above ground storage. ADDRESS : 55 Bodick Road z OWNER/OCCUPANT : SCUDDER & TAYLOR PHONE 775-0474 SIZE OF TANK (S) 330 gal. steel OUTSIDE/VAULTED COMMODITY STORED• : PURPOSE FOR STORAGE THIS INSTALLATION IS PRE-EXISTING A REPLACEMENT NEW X This installation complies does not comply with the required installation regulation listed below. FIRE PREVENTION OFFICE For: PAUL D. CHISHOLM, CHIEF HYANNIS. FIRE DEPARTMENT Town of Barnstable Hazardous Materials On-Site Inventory and Inspection FACILITY INFORMATION: Business Name: _5CU DD t�A-&0X- OIL- Business Location: yA Mailing Address: /. J6, &YA IJAJAf d Z(O/ Telephone Number: 4 - Contact Person: AJ /lc-45R 16 Emergency Contact Telephone Number: &q-ROL Al-oxic &y— �Efl Type of Business: /9,GK )e:L&g_--7' /-1.�-�.U � •4�0 ���'�/� HAZARDOUS MATERIALS (CHAPTER 108) Virgin Produc/ Total Quantity Container Size(s) Storage Location Major Materials Gallons or Pounds Quarts,gallons, Shed,retail store, drums,tank,etc... cabinet,closet,etc Al �r� &z&W�J&? W A-SrZ D/L �I&c ;Z0 a A"LLOA) ? S�I�SS/oar Dtz /zU Oova.►P C,ge"E ?orr,ve,s i RUAd.s V I 6-/AJ&-AA!;t 1 E 9?io C*1,4_6A 1 p E o/4- 3 7A�kk f fit//A165HIC-Lb oAl�4A'LL.GA) STa�A E WA-3NeYz lb f LLvNS Z S i+PCA S rZ:C-9�141C, OAt-- RUA'9-7_ S ra ICA-a j OWCd(jAe_,r 5T6&.44E /CiEZ 13N/C TI�rUKL-�� Q!/�/I1 E �LG�Z 7X4CC= ZuscA C,*RA4 6 i7! ,1 Misc. Combustibles 4-Nn jZ1+,4P-A6ZC5 0 4*t,/-O/c/S 1t,9&ucr-,4 RV5OLC4 LJS Misc. Corrosives Misc.Reactive Misc.Toxics d/L 6,ff A/ //U �A'1�LDaJs4kS /�Z,yl�s E Inventory Total Amount: 3 153 Hazardous Materials License Posted?(p No Contingency Plan Posted? 19 No Fire District: A)AS Fire Extinguisher Service Date: �,I&,U E Metal Covered Rag Bin: (0 No Absorbent Material Available?& No Type of Absorbent: EED Pads igs ther: 6 4-?Df1 /34Slx) Lf vel' MSDS on site? es No Co Computer Access Hazardous Waste Handling Hazardous Waste Generator Identificatign Number: Type(s) of hazardous waste product(s): � 7EP-1 /;e4(C/-- W-+5Mo> AIAPM4 Date of last hazardous waste shipment,type of waste and quantity: 7E-D U L /L/�4TVel L /�//e-si77� b/L. U) 7aa uaS Hazardous Waste Transporter(s).N "-AWLt�Y� o.J L � �kcavfsys- Designated Hazardous Waste Facility-AVOR ® �itlY RocJ,c«! G �C ,U o`L 3 PA6V1 Dec:-o IT L ,S TD 417GW,H ICtt Hazardous Waste Storage Area Description: -S 7ZWL co ir422&M Dkb&� s ON -4 W®vIM� P*14,Fr aN U U6Ae7-C- FT-&Qt2 4 T116)2,1 4C.,, /-'v0X- Fib'. Is hazardous waste storage area labeled: G No Are tanks/drums/containers labeled with the words "Hazardous Waste",the t el�f waste and the associated hazard (i.e. ignitable,corrosive,reactive or toxic) Yes l'�'�i3 'y�t'ut�f u z Al w1-u) If hazardous waste is stored out of doors is it covered from the elements? Yes No A11A Is it in 110% containment? Yes No If hazardous waste is stored indoors is it on an impervious floor I es No - 2 - FLOOR DRAINS (Chapter 381) Town Sewer Account Number: 1JV A VAI i S nG— Indoor floor drains. e No If yes,circle one,does it discharge to olding tank dry well on site se ic. Outdoor surface drains es o If yes,circle one,does it discharge to . ol�tank dry well on site septi . FUEL AND CHEMICAL STORAGE TANKS (Chapter 326) Underground Storage Tank(s) on site? Yes & Age: Is removal required? Yes No If yes,when? Is testing required? Yes No If yes,when? Out of doors above ground storage tank on site? ip�sl No If yes,is it protected from the elements? es No If yes,how? CA)ezoSE-k in.1 .514E7> s r7e4zP—Moe-- Is it on a foundation larger in size than the tank? es No COMMENTS/RECOMMENDATIONS/CORRECTIVE ACTIONS I—A6 EZ.6p 11-4-zA-Abole.5 U&x u/sh»40 �rox r C o Date: Public Health Inspector: Facility Representative: - 3 - TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1. Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTI , 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY /W'6 ��WO (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS Class: 7.Miscellaneous �' %5 QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR M�T�RIALS Drums Above Tanks Undergroundl��M IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: l C 1b DISPOSAIJRE(;LAMATION REMAORKS- 1. Sanitary Sewage 2.Water Supply s ivw_60 W O Town Sewer Public U LO�� On-site ri ate 3. door Floor Drains YESrO Holding tank:MDC ®�G Catch basin/Dry well O On-site system 4. utdoor Surface drains:YES NO Holding tank: MDC ,m a AD h d Af 0 Catch basin/Dry well M / e O On-site system 5.Waste Transporter 00 ® a Name of Hauler Destination Waste Product YES NO 1. 2. Person (s) Interviewed Inspector Da M TOXIC AND HAZARDOUS MATERIALS REGISTRATION FOR ' NAME OF BUSINESS: fA1,1 — 'T / rlif_ (.�l'�`�'' h^Mfiv,v&ail To: BUSINESS LOCATION: ,3:� �3,0161C F'D. N yeVvVj� Mni- 0 o/ Board of Health MAILING ADDRESS: Ai ywo-'s Mr- 0cp-6 0 Town of Barnstable P.O. Box 534 TELEPHONE NUMBER: 7-5 0 Hyannis, MA 02601 CONTACT PERSON: �r/fio.'07=9-s; EMERGENCY CONTACT TELEPHONE NUMBER: Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totalling, at any time, more than 50 gallonsliquid volume or 25 pounds dry weight? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: A10 TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store: Quantity/Case Quantity/Case Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil 600 _1h Pesticides (insecticides, herbicides', Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy- Health Department/ Canary Copy-Business Q�oFTHE To�♦ TOWN OF BARNSTABLE OFFICE OF BABAS&H i BOARD OF HEALTH Ad6 pp 1639. ��0 a His k. 367 MAIN STREET HYANNIS, MASS.02601 January 29,1990 Mr. Frederick Scudder 55 Bodick Road Hyannis, MA 02601 Dear Mr. Scudder: I recently received information from Edward Barry, Health Inspector for the Town of Barnstable, that you send the vehicles from your Scudder and Taylor Oil Company to be washed at "Jet Stream" located on Cit Avenue, Hyannis: He also stated that you stated you no longer utilize the steam cleaning machine and you sent it to Hy-Line. I passed on this information to the Board of Health members at the public meeting held January 23, 1990. Would you please verify this information to me in writing. Also, how many . trucks does Scudder and Taylor operate? How often are :the trucks sent to "Jet-Stream"? A letter from you would be greatly appreciated. Sin erely yours, T a TiomacKean Director of Public Health Town of Barnstable TM/bs copy: Attorney Bruce Gilmore �P�oF?HE ro�o TOWN OF BARNSTABLE ' sre n OFFICE OF i Bsaa9TABL :MAE S. BOARD OF HEALTH 7 �p i63q. o 39 k� 367 MAIN STREET AR HYANNIS, MASS.02601 January 29,1990 Mr. Frederick Scudder 55 Bodick Road Hyannis, MA 02601 Dear Mr. Scudder: I recently received information from Edward Barry, Health Inspector for the Town of Barnstable, that you send the vehicles from your Scudder and Taylor Oil Company to be washed at "Jet Stream" located on Cit Avenue, Hyannis'. He also stated that you stated you no longer utilize the steam cleaning machine and you sent it to Hy-Line. I passed on this information to the Board of Health members at the public meeting held January 23, 1990. Would you please verify this information to me in writing. Also, how many . trucks does Scudder and Taylor operate? How often are :the trucks sent to "Jet-Stream"? A letter from you would be greatly appreciated. Sin erely yours, Tfiomas McKean Director of Public Health Town of Barnstable TM/bs copy: Attorney Bruce Gilmore SCUDDER-TAYLOR OIL COMPANY, INC. March 6, 1990 Mr. Thomas McKean Director of Public Health Town of Barnstable 367 Main Street Hyannis, MA. 02601 Dear Mr. McKean : I am writing in reguard to—y-our questions asked during our conversation on March 1,�1990.__Fi=rst of-,,all there seems to be some-concern that vehi lames are ..beingwashedat 55 Bodick Road. At no time are vehicles/washed `,at this' site,, as�we are aware of the current laws and regurlations`,.of- the`town:-` Reguarding your, question as to-why we.,haven't been to Jet Stream, it is because-- we have not .had`.the need to utilize there "service . Our company operates six fuel oil delivery trucks, and four service vans . IThe service=vans. are. taken to car wash facilities to be washed which averages' 3 "to 4 times a winter season. The fuel oil delivery trucks are taken off cape to be cleaned. This averages 3 time',s a seas"on.- The question reguarding the use of the steam cleaning machine. As I stated to Health Agent Barry, -the machine ,has been offered to our sister company�H�y-Line but there again being aware of potential problems that could\arise t'$w il, not bey,,us'ed.- I hope the answers' will satisfy�your,.,concerns . I know your department must be overwhelmed wlth_monotoring situations throughout the town , but I can asure you that Scudder-Taylor will do everything in its power to cooperate with your department . Sincerely,. `t�L�i�.�✓C L C.. �.�Gv1�z..�-S� Frederic F . Scudder II , 55 BODICK ROAD, P.O. BOX 1 21 O, HYANNIS, MA 02601 775-0474 477-2302 888-0952 759-3091 432-6800 Q�oFTHE ro�♦ TOWN OF BARNSTABLE OFFICE OF BAHAR&BL MA66 i BOARD OF HEALTH � pp t639. MpY�� 367 MAIN STREET HYANNIS, MASS.02601 January 29,1990 Mr. Frederick Scudder 55 Bodick Road Hyannis, MA 02601 Dear Mr. Scudder: I recently received information from Edward Barry, Health Inspector for. the Town of Barnstable, that you send the vehicles from your Scudder and Taylor Oil Company to be washed at "Jet Stream" located on Cit Avenue, Hyannis. He also stated that you stated you no longer utilize the steam cleaning machine and you sent it to Hy-Lane. I passed on this information to the Board of Health members at the public meeting held January 23, 1990. Would you please verify this information to me in writing. Also, how many trucks does Scudder and Taylor operate? How often are the trucks sent to "Jet-Stream"? A letter from you would be greatly appreciated. Sincerely yours, Tho as McKean/�--` Director of Public Health Town of Barnstable TM/bs copy: Attorney Bruce Gilmore TOM: I visited the Barnstable Bus Co,now owned by Laidlaw Transit Inc. ,at at 39 Ferndoc Rd. in Hyannis on January 17, 1990.Marilyn Singer was out of the office for the day so I spoke to Stanley Warren down at the building adjacent t6 the Bus C:o.office. He said he was no longer in charge and was working at a mechanic for Laidlaw.I worked the building with him and he informed me that they are not washing the buses here or steam cleaning engines. The floor driins in the building catch only the rain or snow runoff of the vehicles that come into the building. Scudder and Taylor still own the property. I then visited Scudder and Taylors office just down the street at 55 Boldic Rd.Fred "Skip" Scudder the manager was not their so I left a message for him to call me to set up an appointment.I met with Fred on Friday January 19 at 4.00pm. He informed me that they are not, washing vehicles on premises. Th send them down to "JET STREAM" on Cit Ave. The steam cleaning .machine was turned over to HY-LINE. Fred expressed a strong desir to comply with all regulations.They are reviewing their options as to truck washing and maintenance and underground storage of homr fuel oil.Fred would like to meet with the Board of Health to review these options and to determine what lattitudes they have for the projected use of their present facilities.The contract they have with Laidlaw,Fred said, was gdite restrictive with regard to use of property Ed Q�oFTHE T TOWN OF BARNSTABLE OFFICE OF ? Bea , i NAB& BOARD OF HEALTH .� MABB �° 1639- �00 367 MAIN STREET HYANNIS, MASS.02601 December 1, 1989 SUMMARY OF FINDINGS The land site upon which Scudder & Taylor Oil Company and Barnstable Bus Company are located are under the same ownership. They are located adjacent to one another on Ferndoc Road, Hyannis off Yarmouth Road. The businesses fall within Zone 1 of the zones of contribution to the public supply wells. SCUDDER & TAYLOR OIL COMPANY Maintenance Garage: Maintenance done for all Scudder & Taylor Oil Company vehicles and Barnstable Bus Company buses. MDC trap on site last inspected by Clean Harbors February 7, 1989. Engines steam cleaned indoors once a month. Materials stored and used on site: Solvents parts washer kerosene oils antifreeze BARNSTABLE BUS COMPANY —Owned by Laidlaw Transit, Inc. No indoor vehicle facilities.' Buses fueled and washed outdoors. State Registry of Motor Vehicles requires cleaning by engines owners. Violation Observed - Waste oil and, diesel spots on ground adjacent to diesel pump and bulk plant. STATEMENTS Stanley Warren of Scudder Si Taylor Oil Company, states that engines are steam cleaned only once a month inside maintenance garage: Marilyn Singer, Manager of Barnstable Bus Company, stated buses are washed outdoors on the site at the parking lot. -The grey water traveled down the street!` I SCUDDER-T YLOIN OIL COMPANY, INC. December 8, 1989 Thomas McKean Town of Barnstable Board of Health 367 Main Street Hyannis, MA. 02601 Dear Mr. Mckean : Per your enclosed order dated- 2-1-89 and highlighted in blue. We have excavated/a d `materi`al `'and p'laced�t.he,' contaminated stone and soil in D.0 T/inspected drums #' s T1269, 1A71, 1687. Clean Harbors will be/notifi6d to pick up above drums\and dispose of them at a secure/sit'e/facility, pursuant to api'i cable federal, ' state and local guidelines . The contaminated soil and 'stone was replaced by clean processed stone pack-- adjacent! to bulk plant and clean stone around offload area and diesel" pump. - v Sincerely, ] ichael Madden 55 BODICK ROAD, P.O. BOX 1 21 O, HYANNIS, MA 02601 775-0474 477-2302 888-0952 759-3091 432-6800 - r ? TOWN OF BARNSTABLE CQWUA NCE: C'j,A,$,S; 1.Marine,Gas Stations,Repair BOARD OF HEALTH o satisfactory 2.Printers 3.Auto Body Shops unsatisfactory-Ar 4.Manufacturers COMPANY (see"Orders 5.Retail Stores 6.Fuel Suppliers AD DRE853 ok �� c' �E Ee i_ Class: 7.Miscellaneous QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS IN OUT IN O.UT,. IN OUT #&gallons Age Test Fuels: Gasoline Jet Fuel(A) a Diesel,Kerosene, #2(B) Heavy Oils: `. .. . waste motor oil(C) p new motor oil(C): transmission)hydraulic Synthetic Organics: ` degreasers Miscellaneous: J f . I r I ` 7 I Y "DISPOSAIJRECLAiVIATION RE1VtKS: a,1 Sanitary•Sewage 2.Water Supply I L rya Y e� ;w,,,O'Town Sewer' i OPublic n O,On-site ! QPnvate On row cQ �� `e�►4 t 3 Y• t 4a _V :. 3 or Dr ains Indoor Flo `� _k. ��YESl - NO O Holding tank:!MDC ",�`�� �L M O Catch basin/Dry well 'Dy+iG Gj'sIlie lYi - = 4 Outdoor;Suurface drains:YES -NO— ORDERS: _ Q Holding tank:MDC — , �—" O Catch basin/Dry well ,—��•—. .O On-site°system -- 7 7��Q-4_Z f e 5 Waste Transporter —- i 1. 6,L 2. t1nAD F .� e VYIntorviewR7 7 Inspector Date �. SCU DDER-TAYLOR - S �- P .,� _ OIL COMPANY INC. DEC 8 55 BODICK ROAD �989 4 DEC P.O. BOX 1210 o 2 h HYANNIS, MA 02601 9"55 G�_ a5?� Thomas McKean ` Town of Barnstable 367 Main Street Hyannis ,- -MA,, -026.0-1 YL SCUDDED-TAYLOR OIL COMPANY, INC. Stanley Warren Scudder-Taylor Vehicle Maintenance 49 Ferndoc Street Hyannis , MA. 02601 Thomas McKean Town of Barnstable Board of Health 367 Main Street -- Hyannis , MA. 0.2601 Dear Mr. McKean: As a follow up t`o "your December P, `1989 �risit to Scudder- Taylor Vehicle Maintenance garage,'- 49 Ferndoc Nstreet , Hyannis , MA. , I contacted Clean Harbors to perform an �•i�nspection of our MDC trap. Enclosed for your records" is a copy J�f Clean Harbors inspection report . Also ther+e has not / been nor- will there be any pressure washing occurring inside'- -or outside on these premises . If you have any further' questions please feel free to contact me. Sincerely, .i Stan Warren � II 55 BODICK ROAD, P.O. BOX 121 O. HYANNIS, MA 02601 775-0474 477-2302 888-0952 759-3091 432-6800 ._.�. ...,.. .,.•_..._ _ --,. .�_ ...��_�.... ,� �.��t �^,K-,�ak ��- ram_ '� „�e„<.� .:�.,�....�....:: §.��:c .n..= ENVIn�NAAENfAI SEnVICES60MIvan hAN1ESy " W 4 t 2 94 tmoliNtON �. P O 80X 2088 4s s; _ r ,R,, , MYANNIS MA 02801 a E *r .; . � S I w g' t F k 1wt c7f M.A.C. TRAP INSPEC' ION,FOR CLEANING It SCUDDER & TAYLOR P.O. BOX 1210 HYANNIS, .MA. 02601 -- _ _� r. { a• "d� Fa S�` J re�'�"s. r�u`" �� am°zfk�s t"'�44N.. a r T hF` 1 t�.r"N.,w tr €d;rk i ex i d ,fin j To Whom It May Concern 4 �a �• t ,DecAmr,ar 6 .l casza the M.D.C. .trap ltlocated at the.above address was inspected j. visually by Clean Harbors of Hyannis,t Thejfol�lowing condition was found: M.D.C. trap. in " good " con Ion' �,•: a .,f M.D.C. trap in fair condition; pumpng�xn . fl n gig_, r ° r f and cleaning suggested in the `near, future: *'J `` 2 12,6 +� �M-�' Fts M.D.°C. twap in .an I' unr�aitisfactoty " condition; fit: pumping `and cleaning is _recomended.4j a; K:tr�fi: y -. �'w"k rY •�t�� ,Fy-���+h���mNl���¢.>�k��r�•- C x`,�.°mY3p{�t� � s ��,�,tt �> INSPECTOR•`rl xx . DATE / x �, co I � - �O N a 04) } KINWIot1,MA "Al".NIA SMI"WST(M,IAA soul"Pon"No.ME MANY,NY vwomf.nl NooKSEti;NN FARM14010"Ct , 191/1MM11 191119SSMs 191t14 "30 ISIe11384149 14011461.13M (9OW-363] 003MA4361 t ,^ y �I SCUDDER-TAYLOR OIL COMPANY, INC. P1��, m '4I C ,• 's� iJ. .PU�Ir,CL!Y I DEC 14'89 x 55 BODICK ROAD .a �K P.O. Box 1 210 - HYANNIS, MA 02601 �'�S _. >- ' _ —_�« Thomas McKean Town of Barnstable Board of Health 367 Main Street Hyannis , MA. 02"601 a ,a �-" P 017 016 213 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) Sent toRichard M. Scudder streeta&a.dder & Taylor Oil 55 Bodick Road P.o..styannisdeMA 02601 Postage 3 2 . 00 Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt showing to whom and Date Delivered W) Return Receipt showing to whom, �- Date,and Address of Delivery m TOTAL Postage and Fees 52 . 00 o Postmark or Dateco 12 8 8 9 E 0 U. to a i I 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 po3t office service window or hand it to your rural carrier. (no extra charge) I 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the return address of 6 the article,date,detach and retain the receipt,and mail the article. 3. If you want a return receipt,write the certifiec mail number and your name and address on a return " receipt card,Form 3811,and attach it to the front cf the article by means of the gummed ends if space per- i mits.Otherwise,affix to back of article. Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. 4. If you want delivery restricted to the addressee,or to an authorized agent of the addressee,endorse y RESTRICTED DELIVERY on the front of the article. A " 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. " 6. Save this receipt and present it if you make inquiry. 1 U.S.G.P.O.1987-197-722 1' y .:R TOWN OF BARNSTABLE �pf TH E T�4 OFFICE OF BAWST'"' L i BOARD OF HEALTH .f MA66. p� oo �MpY'k�+� 367 MAIN STREET HYANNIS, MASS.02601 December 4, 1989 Mr. Richard M. Scudder Scudder & Taylor Oil Company 55 Bodick Road Hyannis, Ma 02601 Dear Mr. Scudder: The property owned by you located at 39 Ferndoc Road, Hyannis, was inspected by Thomas McKean, Director of Public Health for the Town of Barnstable on December 1, 1989. The following violations of the Town of Barnstable Article XXXIX: Control of Toxic and Hazardous Materials Bylaw were observed: Dark colored spots which appear and smell to be oil and diesel fluid observed on stones, soil, and pavement adjacent to "bulk plant" and diesel pump. You are directed to remove the contaminated stones and soils within fifteen (15) days of receipt of this notice. Also, Stanley Warren, Supervisor at Scudder & Taylor Oil Company, stated that vehicles' engines are steam-cleaned inside the maintenance garage. The grey water flows into the floor drain which is connected into an onsite sewage disposal system and MDC trap. The MDC trap was last inspected February 7, 1989 by Clean Harbors. You are also directed to cease engine cleaning and steaming immediately. In addition, Marilyn Singer, Manager of Barnstable Bus Company, stated that buses are washed outdoors on the parking lot adjacent to the "bulk plant." You are also directed to submit plans of a closed-loop system, holding tank system, or any other industrial waste containment system designed by a professional engineer for the disposal of engine steaming and bus-washing waste effluent. You may request a hearing if written petition requesting same is received by the Board within seven (7) days. On May 21, 1987, the Board of Health sent your engineer A. M. Wilson Associates, a letter which stated the following: Our representative Nancy Leitner met with Mr. Michael Pare, Clinton Watson, Phillip Ripa and Tara Gallagher of the Department of Environmental Quality Engineering. All agreed that you would be required to obtain a groundwater discharge permit if you wished to discharge any type of waste water into or onto the ground. This would include the steam cleaning of engines or the washing of vehicles'. -. Mr. Fred Scudder Re: 39 Ferndoc Road, Hyannis December 4,, 1989 A.M. Wilson Associates, was also instructed notified on May 21, 1987 to inform you not to discharge any type of waste water, including grey water from any source into the ground or onto the surface of the ground. You are reminded that any discharge of pollutants to the groundwaters which requires a permit and does not have a permit is illegal since January 1, 1974, and the person responsible for the discharge is subject to the penalties and fines established in G.L.C. 21 - Section 43. The civil penalty being $10,000.00 per day or a criminal fine of $2,500.00 to $25,000.00 per day. Very truly yours, Grover C. M. Farrish, M.D. Chairman Board of Health Town of Barnstable GF/bs copy: Marilyn Singer James Crocker Ann Jane Eshbaugh it. TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH O satisfactory 2.Printers 3.Auto Body Shops 0 unsatisfactory 4.Manufacturers COMPANY"!&C ut 01, J (see"Orders") 5.Retail Stores - �C1 l 6.Fuel Suppliers ADDRESS l ��(C � 8SS: f 7.Miscellaneous QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel(A) : 5 Diesel, Kerosene, #2 (B) `'o f rL Heavy Oils: waste motor oil (C) �� � � j s new motor oil(C) �� transmission/hydraulic Synthetic Organics: degreasers ire }�f -• ~-�`"" Miscellaneous: DISPOSAURECLAMATION REMARKS: Fart 7 P t� �rfr�rl 1. Sanitary Sewage 2.Water-Supply O Town Sewer ®Public ,N IPu�t�S D lll�tr �cc� wUsk%+� �r� i�c-5 On-site Oprivateo, 3. Indoor Floor Drains Y,ES- NO o(� i 4 ram . ) PinSlhe ' ltQc.tllS C;�CrrhA -{fir I( O Holding tank:Mj::�-i'� v F 0 Catch basin/Dry well O-O 1 :5`ec'n, w= s 1 C`�r n-site system /� a � V�" - -7' �T . G� 4. Outdoor Surface drains:YES _.NO11� ORDERS:" cr S V°vt 1)C $-f j 5 0 Holding tank: MDC ��'" cQ-Cat h ba n/ -�Dry well ' S q ciea,�r� e N 1'Ae S l; mo—r O On-site system 5.Waste Transporter -------�- Name of Hauler Destination Waste Product cc c/ l n 2. �" Person (s) Interviewed '-Inspector Date' " � `�" ►���rt*+'Ffvt'�`�,,TM4„ ; ;+�7' ""xFiraas"��""`;p �e'^t�g#�i� �+ `i "' ti[— � -.-_�+� TOWN OF BARNSTABLE COMPLIANCE: Crass: 1.Marine,Gas Stations,Repair satisfactory BOARD OF HEALTH 2.Printers3.Auto Body Shops ' unsatisfactory- 4.Manufacturers " COMPANY +PryL e 2.. (see"Orders") 5.Retail Stores _ 6.Fuel Suppliers ADDRESS-3�A Class: 7•Miscellaneous QUANTITIES AND STORAGE (IN=indoors; OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline Jet Fuel(A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: DISPOSALlR.ECI.AMATION REMARKS: nn 1. Sanitary Sewage 2. Water Supply 1 L. 46,5t? vac-7sfz r^e_h7r,e O Town Sewer OPublic � - O On-site OPrivate -� Cal S-G L IFS•+ JJ r' � U!� �� 3. Indoor Floor Drains YES NO O Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: f O Holding tank: MDC ° -1A\01;b, 1Ae zc»J 0.1S O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product YES N0 1. Vfj G, L 2. W4' rf,to fh(D C , T,-0 'Person (s) Interviewed Inspector Date tift 2. Printers D OF -HEALTH satisfactory 3. Auto Body Shops Q unsatisfactory- 4. Manufacturers _ (see"Orders") S. Retail Stores I rli 6. Fuel Suppliers. AV. .. :.J -� �/ Class: 7. Miscellaneous QUANTITIES AND STORAGE (IN=indoors; OUT=outdoors) MAJOR MATERIALS Case lots Drums Ab*veTanks Undetground Tanks IN UT Fuels: Gasoline, Jet Fuel (A) Diesel, Kerosene, N2 (B) Heavy Oils: = waste motor oil (C) x new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers �6)Lx Miscellaneous LIP I DISPOSAL REC ,ATION RE ; 1. Sanitary Sewage 2. Watex Supply. . PP Y Town,Sewer Public Q 4L L C On-site Private 3. Indoor Floor Drains: YES NO Q Holding tank: MDC O Catch basin/Dry well 6���y Dw 0. On-site system URD)MI 4. *door Surface drains:YES NO Holding tank: MDC Catch basin/Dry well �(s QOn-site system S Waste Transporter Licensed? afn D ,etina -ion m l UA 01 b kv U 23 ei erson(s) Interviewe Inspector Date TOWN OF BA"RNSTABLE COMPLIANCE: CLASS: 1. Marine,Gas Stations,Repai.r *1 �""., 2. Printers Q satisfactory 3. Auto Body Shops BOA��© �C�F HE' TH y p ! 1 1 Qunsatisfactory-�� 4. Manuficturexs COMPANY t_1,-� p^, ,,^ i r t�(, ;'r� l t+ (see O,�cders ) S. Retail Stores 00 6. Fuel Suppliers. ADDRESS ! Class: 7. Miscellaneous QUANTITIES AND STORAGE (IN=indoors; OUT=outdoors) MAJOR MATERIALS Case lots Drums AbOveTanks Undetground Tanks IN OUT IIN IOUT I IN IOUT # e Fuels: Gasoline, Jet Fuel (A) Diesel; Kerosene, #2 (B) Heavy Oils: d f waste motor oil "(C) new motor oil (C) ` 1 transmission/hydraulic Synthetic Organics: degreasers ; Miscell`an ous ' DISPOSAL RECLAMATION RE I L 1.' Sanitary Sewage 2. Wr Supply. f i ,''.�t� l/ -:-�� t �! _- rr Town Sewer ' Public C/ AI On-site `Q Private ! t /ti .3. Indoor Floor Drains: YE`� NO Holding tank: MDC 5,06c L) Y. O Catch basin/Dry well On-site system 4. Outdoor Surface drains;YES NO Holding tank: MDC Catch basin/Dry well OOn-site system S. Waste Tra�ns�p�o�rte) f t r !r� ��,�- c Licensed? N 4 l7 L T.... Decti na i�n , „ prod , 12 23ei �Pe�soPs I�terviewe p�,ri�� Ins ector ate a ���JTOB.NO� .rx *�. P.O.NO. aAT F' T&A!lean a nr ` �MAVIFF IT VO CON TRAC T I✓ti 'rspM�Nlfh S1 NO .. _ (24 Hour Service) _ INVOI('E NO } DATACTPt.'H°S'ON_ �j CC 1�� MA (800)OIL-TANK NY (518)434-0149 X. MA (617)269-5830 ME, (207)799-8111 RI .(40.1)438-5600 BILLING ADDRESS ' OB LOCATION I ry as `�`': ��/\t Lam• -,\ ATTN. LABOR, EQUIPMENT +r � NAME *s i s TITLE REG OT RATE AMOUNT QTY TYPE HRS RATE AMOUNTS r ' ;7 � �i ` �s Y 3 10, h"Mil Y �qv u X t# .ice + 1•"�.�sFXR"'�z'?,i �` _ _ �X 3.} e�,t.�".0 'N <5 y t1'Y <3`"1 1•., �.• }F.. 'ti �`( F` ._.L - N t vY t �}� ,� Yr..• t 4 ,s,.,t� ; :�__ .: � ° �°ESN $..a`hv.l�� a`� '. TOTAL TOTAL rF M/1TERIAL' �U ' 3. DISPOSAL` OTY RATE-",'- ;AMOUjN- sy�x �RATEp «AMOUNT �k 3_-aun TYPE. s { � �z� iaa: F t`d5r dY61?fit 6 s LIOUID � tt� e�F .v..ti Y �'Sk �".._k �•+i-wt r '' 7 }Z SOLID `. r's xttr' TOTAL OTHER �AMOUNT: � n�d § tP aka, s TRANSPORTATION Vq n x € TOTAL TOTAL t �1 ray 4 f +IQ t�E$CRIPTIQNat N TOTALLABOR �` � .. a TOTAL MATERIAL Y t b •yl b l: " TOTAL EQUIPMENT sI �: 3e � � -0r. $� �7�:f K.� .e taw`�r+'t" ty a;f x ' = r f ,. •. „�-,,{T > X a ,Rtyn . 3� ;• ';.-. TOTAL DISPOSAL LIQUID " TOTAL DISPOSAL SOLIDS nr ter t f;s TOTAL OTHER - Kjtr Tom"+ 51 xW t 3"' t 'N[ s yea „1 G : y n OTHER `� s Y Sj • F s �° ��?,t} S t F ;°X �" s. MATERIAL 5%SALES T X h ``" r 3 �Y3' 't, rm 3 xr..H"�' �J* `6 t �;e' .i _ f f �� •y,EP��'a �a..vf � {t i r y a ('(,'STOMI:'N (•FRTN•IFO( -1011, T __ +r X�'(•' r. {�. i / pQ ('l.1-.4\If.4 NBOHI' ClLeanHarbo5 ENVIRONMENTAL SERVICES COMPANIES 94 THORNTON DRIVE P.O. BOX 2068 HYANNIS, MA 02601 (617) 778-2341 �I M.D.C. TRAP INSPECTION FOR CLEANING Scudder & Taylor 49 Ferndock Rd. Hyannis, MA 02601 h To Whom It May. Concern: On November 20, 1987 the M.D.C. trap located at the above address t was inspected visually by Clean Harbors of Hyannis. The following ` condition was found: M.D.C. trap in " good " condition M.D.C. trap in !' fair " condition; pumping a and cleaning suggested in the near future. ti M.D.C. trap in an 11 unsatisfactoty " condition; pumping and cleaning. is recomended. ; E .. A INSPECTOR: 4�(/49d DATE: rt: } } KINGSTON,MA NATICK,MA SOUTH BOSTON.MA SOUTH PORTLAND.ME ALBANY,NY PROVIDENCE,Al HOOKSETT.NH FARMINGTON.CT (617)5W51I1 (617)655-6863 (617)269-5830 (207)799.8111 (5t6)434Ot49 (401)461.1300 (603)644.3633 (203)674-0361 ; i' COMMONWEAL H OF MASSACHUSETTS DEPARTMENT OF ENVIRC)NMENTALQUALITY ENGINEERING ' DIVISION OF SOLID AND HAZARDOUS WASTE r �d One Winter Street ' f, Boston Massachusetts 02108 " Please print or type.(Form designed for use on elite 0 2-pitch)typewriter.) UNIFORM HAZARDOUS 1.Genurato!US EPA ID No. Manifest. 2.Pag 171Mn.rmation in the shaded areas rtDocument oWASTE MANIFEST r; + f� t ,-� t 1 of t required by Federal law. 3.Generator's Name and Mailing Address y A sState'Manifest DocumentxNurnber MA C478794 a ,, + B State Gen )O f 4.Generator's Phone( ii ' ... ) ,/ J ! ; 11 ,. 1' x 4 ¢.:' E wp+' � !i.Transporter '1 Company Name 6. US EPA.ID Number Cr S ate Trams 1D ,} 1,N CYN OIL CORPORATION MIA D 0 8 2 3 0 3 7 7 7 `.: t � _ )7.Transporter 2 Company Name 8. US EPA ID Number D.Trensportec.'s Phone(':617 1 '°$ Q26 tf tare rans S £y 51t T IN9.Designated Facility Name and Site Address 10. US EPA ID Number CYN OIL'CORPORATION F,Tton sporter's Phone I w' n ao- 1771 WASHINGTON STREET p c StateF6cif y'sIo o1.Resaufr�il ,*t $TOUGHTON, MA 02072 M A D 0 8 2 3 0 3 7 7 7 H Facftfty's elione( <. t7� 1 3A4 2fi ': { Y Q > v 12.Containers 13. 14. f ,,O # 11 'US DOT Description Unc/uding Proper Shipping Name,Hazard Class,and/DNumber) Total Unit y 1tU te�f O 1 No. Type Quantity WtNol Fa ; r ,00 WASTE PETROLEUM OILS N.O.S. COMBUSTIBLE LIQUID NA 1270 0 0 1 T T . �.m G b Z rip E. t fz rn% y, R c x �Ir x m t � � i< �v`�t'r a�� �1► t a _ Adc�ittot181 l) acnption for Materials listed hove furc/ude physrce/state and hazard code 1 K'.Handling Codes for Wastes Listed AboYe; n1, c f�1•. , A 0 c r a 4C :r tiCy-,h ' t$$,,,-: t a7 'y i" jai. i �x-s. c '�'tz 7 t a�,• , k; �' 1t z�`a '„�.'r",'!+`+° { b4W^'. ','x- ], ? ;. E' '., a d: .? ' - ''• ' tir:r '', ..o '. °k E 1 fi SpecialHandling Instructions and Additional information f�r1 A w : 16,.GENERATOR'S CERTIFICATION:I hereby declare that the contents of this consignment are fully and accurately described above by " 'a�propar shipping name and are classified.packed,marked,and labeled,and are in all respects in proper condition for transport by highway. + �" O :according to applicable international and national government regulations. - = •/V`y + ItI am a'large quantity generator,1 certify that I have a program in place to reduce the volume and toxicity of waste generated to the degree I have determined to be economically practicable y a c_ and that.I have selected the practicable method of treatment,storage,or disposal currently available to me which minimizes the present and future threat to humaohealFh�nd th.a@n�,iron } �• ;ment;OR,if I am a small quantity generator,I have made a good faith effort to minimize my waste generation and select the best waste management meth d1fiiat.is-sViilable to me an�'iE?atJ 4 can afford. . Date r %m g ti Printed/TypedN�me i j Signature t J Mr,.th Day- MIX +r + F ' T 17.Transporter 1 Acknou4ledge nt of Receipt of Materials y, R fi V tN _ Printed?sped Nalne ' , Y --'^ "" Signatures + Month Delc,- ye ' s 0 18 Transporter 2 Acknowledgement of Receipt of Materials Date t q n - E + n , Prmted/Typed Name Signature Yeat` ' a p ? s, 19'Discrepancy Indication Space A +z „' L 20 Facility Owner or Operator:Certification of receipt of hazardous materials covered by this manifest except as noted in Item,19. 1 r Data t '' a Y .: PrintedlTypedName Signature Month pay `Yaer i t cKsr GERALD E. McCARTHY Form Approved OMB No.2050-0039.Expires 9-30-88 EPA Form 8700-22(Rev.9-86)Previous editions are obsolete... `` COPY>8s GENERATOR-RETAINED BY GENERATOR COMMONWEALTH OF MASSACHUSETTS .d M, �' DEPARTMENT OF ENVIRONMENTAL QUALITY ENGINEERING r DIVISION OF SOLID AND HAZARDOUS.WASTE x `V ., ' One Winter Street ,� . .� Boston, Massachusetts 02108 I f a ;Please print'Ortypd.(Form designed for use on elite(1 2-pitch)typewriter.) UNIFORM HAZARDOUS Wnnt U EPA ID Manila 2.Pag 1 Information in the shadedareae Documen 3 i WASTE MANIFEST I of is riot required by Federal law. 1 at br F 3 Generator's Name and Mailing Address. {Ai State Manifest Dooumsng NumJ��k t d Z yr- 7 �+jr !�/ • tB�Stat�O ` t :i"' <_¢.Generator's Phone( 1) 3 5'Transporter' ,11':Company Name 6. US EPA ID Number CYR OIL-CORPORATION MIA D 0 8 .2 3 013171717 � b , t r 7 Transporter 2 Company Name 8: US SPA ID Number p Trans error s on ( i 6,17�`�s r � ` - �N, 8 CYN OILdfacifity'Name and CORPORATIONSite Address - 10. us EPA ID Number �F I Tr Il sporter sP}hane �pr� ��� � � '�' � W f • 1w V1V a :�1�) w� 0044 �+ 1771=WASHINGTON STREET ' ;G'stataFa�,uclD� �tlterlf _';, ; �. t� STOUGHTON' MA 02072 MAD 0 8 121310 131.7 1713 n acuity,a,„Ptwn�•l. 17 m t.. 0 6 =. „° N ! . 12.Containers 13. 14. W F� Q 1 USA QOT Description(Including'Proper Shipping Name,Hazard Class„and l0 Number)` Total Unit NO Type "GUafltlty Wt/VOI'. r L1 +•� a s..N v� - r� �.`'l "� ¢" a I WASTE PETROLEUM OILS NO.S. COMBUSTIBLE LIQUID NA 1270 0 0 1 T T G t 'N '„ F y r p; E s921021 ss 4y, yj` R d} MAR (;M; co 7"t - a'�.3 � „,•� 1 r, �`�' )pe riptfons(¢p M etiali A veN. gph a c / r Ha FJ�n@CiOd afor` ae1isfl1 I���` .y >.��''._••-7CC $.� r "'Y r� _ w'.;�rt',`0,, ''�Sr�, �`t � � ..�z y G("r .1 �' �� Y �. :• c* ° �`, Qd X. �'.' �Y �r Ceti ^ "1 .t •u. �` � ��'` , � 4� �:�� �1<b• � �r•� ��fi�. ��.n" ",�� ,. c aq xyo a+f ax �� uz r�.�.�rvY� �„$ � �. �a i � _'y ;f�, ? .M41 + Y ijN Special Handling lnitructions and Additional Information ate GENERATOR'S FERTIFICATION:I hereby declare that the contents of this consignment are fully end accurately described above by iQper shlppinQ dame end are classified,packed,marked,and'labeled;and are in all respects in proper condition for transport by highway a� 000rdin to epplicatile'international and national government regulations.' '�. V If-r'sm a large quentity generator,I certify thatThave a�program in place to reduce the volume and toxicity of waste generated to the degree l,pave.determined to be-econorprcelI pr l:•tlCabfe + - t ') ,A, -s nel that�,heve selected theprecticable method of treatment,storage,or disposal currently available to me which minimizes the present and future threat to humarihealth.en.Q;the enylfoit• o .xKR y#.x.°. gm a srpall qudnt(iy generator,Ia�aye made a good faith effort minimize my,gaste.generation anQ&elect thabaat,wasle m§,,agement me}hod that is�avedable me 4ry)that 1 et "" o ffii after z� Date " aPnnt pad Name Sgnetu M y 1' P c G T m) ,17 Transporter °:1 owledgement of Receipt of:Materials ti Oate ice° a �,(Nt1 Y A + Panted? a Si ne 3i ,l�ors 'Typed .R 18 Transporter 2 Acknowledgement of Receipt of Materials pate.', 1 ' rrA Er i Pnnted/Typed Name Signature Month Day ,Year , i 3.x 19 Qiscrepancy Indication Space t,_ r _ '47 Ago . �20 Facirity Owner oc;Operator:Certification of receipt of hazardous materials covered by this menifest.exceptas noted in Item >t a r� .,,�Qata T 911 5 tR "'IT ji f }�55 1k y r E iv x Pnnted/Typed Name 1(/�1 0/yam/ =- !e MontA D y, y r t 3 AA p ioim Approved OMeNo, 050-0039.'Expires 9730-88 , µ} EPA Form 8700 2'2(Rev.'9 86)Previous editions are obsolete. * . ,_ -. COPY>3: GENERATOR—MAILED BY TSDF G ,ti DEPARTMENT OF ENVIRONMENTAL QUALITY ENGINEERING DIVISION OF SOLID AND HAZARDOUS WASTE A) One Winter Street • P.O. Box HWM • Boston; Massachusetts 02108 P. O. BOX HWM Please print or type.(Form designed for use on elite(12•pitch)typewriter.) ` UNIFORM HAZARDOUS 1. Generator's US EPA ID No. Manifest Document No. 2 1 page 1 Information in the shaded erase. = WASTE MANIFEST MAD981893191 58363 or is not required by Federal law:' 1 Generator's Name and Mailing Address A. State Manifest Document Number SCUDDER—TAYLdR OIL MA Ci' ,5 0 7;02`! FERNDOCK ST 91. ; State Gen.ID HYANN I S MA 02601 . SAME t ' 14,f4' Al. Gener to•' •Phone( 617 )775-0474 C. State Trans.ID u 5 Tr n o er 1' to any Name 6. US EPA ID Number �;b =§?e Ln t - $AF —KLEEN CORP. ILD000B05911 MIA 7 k3 k =. Y y ? 7 yTransporter2,Company Name US EPA ID Number D. Trana er's Phone �'• f u , C' f E. State Trans.ID a0 9> Designated.Facility Name and Site Address 10. US EPA ID NunDtier .,..� ..:. .... . . ........_ :_.._.__ ... _. ....,. _... ..__ .._.._.._ F ..T18[Iapotl6J,a BhOtj®( .-:..). �,�.�•�,-.�i-. j� -�', �N' t : SAFETY-KLEEN CORP. " 'a G State Facility s IDNOT'REQUIRED " 128: ELM STREET o. , g ' hone(b9Facitysx BRID3EWATERt MA 02324 MAD000846006 7 4b48t { , 12. Containers 13. 1 t I r` ,n V^ ` 11 US DOT Description(Including Proper Shipping Name,Hazard Class and ID Number) Total Unit No. Type Quantity WWoI ",'�st .,.� c; a' ` `ry WASTE -PETROLEUM NAPHTHA, r rj �'f _ COMBUSTIBLE LIQUID, UN 1255 / DM P m> iEPA,-. IQNITADILITY, D001 ) l t ' c^ E � O b g 17 f8 } vz a: N ; "Ay'1 19 r� a q� x r m .yT.'.• rn E r 4 - A{ii` - 'tt �7 e - z ds R t r • s f u t ITI Q t• to 5 A,` I0A /J� 198 y d cs q� fnl4nP isxed (tt►dupla p yetcet r cocje ffi�r K Handing Cedes for Wastes listed AW4v 1 = � n , ..i. .aih x d.. 4t? "_.�..r..•i , N.. n +, t 4eX ,. rk •�.;t,`Vr„Ty. �,_ tC t.k 5 v, {s. 5 S O. G w> n a 32 n a .x C F �^��," z $Fs�[•R'�''Y Y+ j x k, i�'^v ski +.-^.' -°�� { � a '. y f t ; � :Y �.. t` at' �p,'{�s VJ - �' a ��� nl � �'p+ z+ 6"�+'�sa � .:t,r.•^ 1�. x.c:'.;15 ,.�*„•� :d.. ,,,,1, tt`�aro��`,�,.,:. ,r`-: t�.^v s. Sx b - ,.:x.. s ;. ""��'N' , 7. Na I :Special Handling Instructions and Additional Information N k5 2-022 03-7044 SPT FOR RECYCLE k�Y` r fs` t s I �:7 38363 � o, 18'fiENERATOR'9.CERTIFICATION:I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name and are classified,packed,marked,and labeled,and are in all respects in proper condition for transport by highway - ` 5'• eccording to appligable international and national government regulations. c If I am a large quantity generator,1 certify that I have a program in place to reduce the volume and toxicity of waste generated to the degree I have determined to be economically practicable �. end that 1 have selected the practicable method of treatment,storage,or disposal currently available to me which minimizes the present and future threat to human health and the environ- '.Tent;OR,If I am a small quantity generator,I have made a good faith effort to minimize my waste generation and select the best waste management method that is available tome and that I i c - c c ,r �,can afford. m Date' O . a P yped N e ignat Month .Ds Yea { T 17.T.ransport6r 1 Ackno ed ement of.Receipt of Materials Date}; t f Ri k' C A nted?YPed Nam ! ,a. re Month Day Year t ' (t s r,5'O 18.Transporter 2'Acknowledgement of Receipt of Materials , •Date ; R ' t T a Prlated?yped Name Signature Month De Year 19 Discrepancy-Indication Space t G z+i � p i j�'� — -- r A rr r*sr a 'L 20,Facfllty.Owner'or,Operator:Certification of receipt of hazardous materials covered by this manifest.except as noted in Item 19: .T lnted/Ty Ne Si to Date a Y M th Day=: •hear ' s or A MB .2050•0039.Expires 9.30.88F pk 'EPA Form.8700-2 ev.9-86)Previous editions ate obsolete. OF n 5 COPY>3: GENERATOR-MAILED BYTSDF t i S M IY r � it. � C Rz Z d 0 v 8� o� P O- 07� E c•8.7 Q � STDRA6 40- 49 \ Y \• RO � E� Y � � �en1 c � 1 F: L0' CAIT'10N 5�����- �' 6- 0A SEWAGE PERMIT NO. T 31-1 -,-1 VILLAGE INSTALLER'S NAME i ' ADDRESS \ t4UIL0ER OR OWNER DATE PERMIT ISSUES DATE COMPLIANZE ISSUED 1� J 4r d n � o o \v � G � 0 1 INC y �p ............. THE COMMONWEALTH OF MASSACHUSETTS BOAR: ®F HEALTH ✓✓ OF ) t / J Ami iration for Dispniitai Workii Tnnitrnrtiun frrutit Application is hereby made for a Permit to Construct A) or Repair ( ) an Individual Sewage Disposal ' System- 1 ............... - --U- ----- ` -------- --•---------------...---.......... -•-- ------------....--•- ----•----------- Location.Address �x Lot No y� �12Z.11 .115.:�4 . .il -- = Owner Address 44 Installer Address QType of Building Size Lot..3 :._..........`.....Sq. feet Dwelling—No. of Bedrooms................._..........__ .Expansion Attic ( ) Garbage Grinder ( ) Pk Other—Type of Building© E'1.41�.}_ IZMfcf� No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures ................................. Design Flow.......1-�_._C�`?: __g y. rTotal daily flow............ .. " ...gallons. W .. 1:4 Septic Ta�L— uId capacrty..l.�X�`?gallons Length.__�. C... Width... Diameter................ Depth_.!%_— ,-__. Disposal e�No._._..A............. Width____. P ...... Total Length__.: . ...... Total leaching area....4_1ej.i---sq. ft. Seepage Pit No................ .. Diameter-______--___-___-_- Depth below inlet.................... Total leaching area.................. sq. ft. z Other Distribution box ( 1 Dosing tank '-' Percolation Test Results Performed by....... ... Date_._. _-_ _ . as Test Pit No. 1.....L Z-_minutes per inch Depth of Test P�________ _______ Depth to ground water........................ �,.. p pt Pit___� ___..____ Depth to ground water__._.°(�a_�........ Test Pit No. 2.._...._._._ minut-s er,,inch De th of ! , y '� -----------------------------•-- --•- .................................................................................................................. 0 Description of Soil...... `?5? .�1...._7'�_......1� ...1� ....._Man 7 x 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 LITI1Z 5 of the State Sanitary Co e— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be ssued by tk d of health. Signed-_ J .._ ............. ��/f Sd..L?.Z— Application Approved BY ._ %:. �` '� L -L Date Application Disapproved for the following reasons---------------•---•--------------------------------•---•---•------•-•----------------------•---------......-•-- F ............................................................................................................................._.__......---....---............---...__......._._......_...__..._..:....... Date PermitNo.......................................................- Issued....................................................... Date 1 No... � . - FEs...- ..�.�..... THE COMMONWEALTH OF MASSACHUSETTS BOAR.D PF HEALTH OF.......................................... •...... .................................. Appliration for Bispaa al Works Tnntrurtion Vanfit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System A.., ,275 ...................:fl.�................._............._.......I........ t/l..t_....... ........._._...._...................._............__...._..._......_.._...._.__..........._...... Location-Address or Lot No: !;..LAC - 1=!'� (..�'_...........r.1} .C.?? !..l?__... _ !`r� rJ ! �' V p, U AJ I.f /P/7.. Owner --- Address .l .�,. .` .�. l. V. .. C.? :t __T_ �!. .Sl.s:��... t.J l�� u�A._L.�..... •---•-.. Installer Ad. J_...dress Type of Building Size Lot_____.......................Sq. feet V Dwelling—No. of Bedrooms............................................Expansion Attic. ( ) Garbage Grinder ( ) a Other—Type of Buildingsti£. _ q U No. of persons____________________________ Showers ( ) — Cafeteria ( ) Other fixtures ___t.......... _ w Design Flow...... Total dailyflow___.._.__._ .__gallons. 1:4. Septic Ta d capacity___�fYF?gallons Length___` __._ Width._. � ._ Diameter................ Depth__Z/::ram__.. Disposal l`11—No_ ___________________ Width...... _____.__. Total Length_._ ?_:-_.____ Total leaching area____'::' :�__L___sq. ft. Seepage Pit No-----------------_... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( :) Dosing tank ( )0-4 11 9 Percolation Test Results Performed by..' . .....................»:...%:. •.................................. Date....._.................__............. .. .� as Test Pit No. I.....�_.1F:_minutes per inch Depth of Test Pi��........_!`.._____ Depth to ground water__`.'_ ...'__._ fiI Test Pit No. 2_________ � mi s per inch �/epth of t Pit.... �`'_____.__ Depth to ground water_-_ rz_...._._._. RI' ...............................- .-----------......-•----••------•-----•---............................................................ Description of Soil...... LU uU_L!----T�%-----` `I _.... !? .......x w VNature 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 ITT LE 5 of the State Sanitary Co e—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee�i 'ssued by d of health. 5 / Z Signed-- . ......----- ... ------- •........... ........::.::... .._.._�--1�._..._.--- �r j Da. Application Approved By...... -•.----� _._.. !"�- -•- � A- .� ---•-•-•--•----•------.... Date Application Disapproved for the following reasons-----------------------------•----------•---------------•---------•--------------._...._------••-------........•- ...................•••••••---•••-------•-•---....---•-----•-••------------•--•--•-----•-------•......-•---•--•-----•-•--•----------------------•-------------•--•--....-----•----------•---•--...__. Date PermitNo......................................................... Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �,1.`��Ll. -.........OF........ .....r'i..P..1.?...C..�r.4.�C�............................. Trrfif irtttr of TnntpliFanrr THIS IS TO CERTZ4Y, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by...........t:_.o.__ -T----[- .........CCU---........................-------------......._......_...---------...-------------•----------------......-------•----------...._ Installer at........ .E-----130-_w_a� ---------R.,. -fq.. .......MA_................................................................................... has been installed in accordance with the provisions of TITLE j of The State Sanitary Code as described in the application for Disposal Works Construction Permit No----G ..„P_ ........ dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE_-=-=•-------•-••-----•----•--- f-A`..................... Inspector.......---_h-A4.............................................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH / r�.S YTS �w.L...........0F.....T._... .r!7 k)\ ! /! -->�- No. =. ....,i� I_, ....................................................... FEE.. ................. Ma v aal Works Tontrnr##ion rr it Permission is hereby grante - ---- ... to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at No.---3--r..__.. .1 �t.LLC-•--•-•-�---Q�.................(.�..... 1�1,�!�! �r - Street ••- as shown on the application for Disposal Works Construction Permit No..................... Dated......................................... ...........,,/' ... -/ en.................................................-. DATE............................................. • ••-- /Soard of Health��•��' FORM 1255 HOBBS & WARREN, INC., PUBLISHERS I ' I I •o �9�. 9 47- 2 N n• 9 .9 AD .. tU oG 3� 3(.99 2 s.� i n9,u'1 3 --- , qua I NA6 �3 1i32-v5•Fcj N� x 3 TA srrl -Rck„ rkg «� T 9 • � .q-d.a� (�xG w/.3� � • � t� Vt c' Tp 2 2 C I�GI"l iVi Af�JZ. ThqW.C.I 99. Z 9�9 EDGE sTouC. SPLA5�A •A t6kt yaTA x. _...-110:a����i -loC,. � �,21U�E�V � I_._ •= ,_ -- r-�__--;_ _ `. . - s AV& rx-34-{ Mow • ;'7.32X'l5 g art r "--,o.►j t4 _ �;50.x t so y • 82 6�w=;a► ; . . 1000 e.et_ t L 1 U'S F�l• , �l e_t.so • .'* F1..17W.� FtN>�io25 r T - 5E '•f+�.�(�-�: .m� �riG.iG� BOTTOM 1l¢ A tcK..a ate., rA►.Ja S: , �. - OT4 l o 6W .. -- �¢rot.�►Tto� � R1�Tt� (° 1tJ �MiU. 021.�,5. ' � , . , : , ` : : : .. : : ` : � ':. - .::�:.� �:- : ". Cko .� • o d . I , -r> Pt.oT PLh.t�l x 1 CC-=F`(: -r",&T .TNt_ �11.T�1{�(� • >ro(� ` . 0 .Owlu >RO� Go.t t GLY5;.W1'i�l Tl 1E 1 . S1vau"m ANn .5'EcacaL'AZE5Wut¢.SME"T5 4V- , E "rOW o -• � r•.iC,Jsl� C =GCS `J'1iir,1'L.� '17A7G-: •rf ( Y' 1 Q,�b• LANt7 �iu>Zi)�`foR. . .. er=('15tt=zoo Lkt.tD 5u1?W 11)P-1; T •. it TOP ,; �•, � ,� .,. .: :. . :� : ..... .. .... .:. ' : ,, . # � � � � • ,- , k '� . 'fa tuv �uv , (COO ►u� wv. vasT. iu� SOR uFF� M trD: z i 7/ lo•� • � GO Y to �ik"� tUv �, a r't-•$.G f���AR�'it f H WtT" A:OF 3/4 To 1Y:' WA6WcD _ 4,ToU z ALL AMWQtu . Z' of WA6LIE.D �GASTDN6 vIl C,f \ 9.7 S i �Li/• Ala J r W&TIa2 El.a 0.41, 45TC_ 0�1 ogst /ED w�-r��. t 170 OCO/P. J:. L 0 C.A T ION w SEWAGE PERMIT NO• ,407 3rc VILLAGE INSTA L,LER'S NAME i ADDRESS ago v' A PEd4 l4M.a� BUILDER OR OWNER DATE PERMIT ISSU E q �z DAT E COMPLIANCE ISSUED mow DiF�"S`x� ,,sue 67 /o - SLAB= 91 .6-'-F 24"MIN.ACCESS PROVIDE PRECAST CONCRETE FINISH GRADE OVER D-BOX 89.6,� PROP.VENT WITH CHARCOAL FILTER TO ABOVE GRADE = (TYPICAL FOR 3) EXTENSION RISER WITH WATER TIGHT FINISH GRADE OVER CHAMBERS= 89.6`- 89,4' 3/4"TO 1-1/2"DOUBLE WASHED GENERAL NOTES FINISHED GRADE F.G.OVER CAST IRON FRAME&COVER TO F.G. SLOPE @ 2 MIN. OVER SYSTEM SLAB @ FOUNDATION= 92,0'± TANK EL.= 92.0± REMOVABLE WATER-TIGHT COVER OVER /o STONE TO CROWN OF PIPE 1. UNLESS OTHERWISE NOTED,ALL SYSTEM COMPONENTS AND CONSTRUCTION - -_... -` RISER TO WITHIN 6"OF FINISHED GRADE 4" SCHEDULE 40 PVC INSPECTION PORT WITH ACCESS - METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL 9"MIN. 5"DIA. OUTLET(S) MIN SLOPE 1% BOX TO F.G. (SEE NOTE 19) 2"OF 1/8"TO 1/2"DOUBLE WASHED CODE AND ANY APPLICABLE LOCAL RULES. STONE OR GEOTEXTILE FILTER FABRIC 36" AX. - 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE PLACE RISERS ON ALL DESIGN ENGINEER. �� 4"SCH.40 PVC TO 3'MAX. � TOP OF SAS=$$.5O' CHAMBERS WITH 3. 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL 2 DROP MIN. DISTRIBUTION BOX 3 MAX. MIN.SLOPE @i% 6" =---3„ 3"DROP MAX. 3" g„ 3„ 9„ 87.50' ' INLET PIPES TO 6"OF MIN.SLOPE��� BREAKOUT EL= $B.00 SYSTEM UNLESS OTHERWISE NOTED. PROPOSED4" --- -- -- - -- - - -- _ FINISHED GRADE SCH.40 PVC o ' L = 40'± 4. TO PREVENT BREAKOUT,THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN 14 14 89,00 PROVIDE WATERTIGHT o ELEVATION =88.00' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS A 4 PVC IN FROM JOINTS( YP. 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S.AND THE TOP OF 89•60' SEPTIC TANK 4"PVC OUT TO 0 °° 0 = O o THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. O LEACHING FACILITY o 00 48 12,E 6„ o00 0 0 0 5. SLOPE ALL SOLID PIPE AT 1.0/o MINIMUM. „ o o 89.25' 88.00' MIN. 87.83' 2' oo 00 7- 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. GAS BAFFLE GAS BAFFLE 0 0 0 0 0 0 0 0 0 o0 0 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK 1 000 GAL. 5OO GAL. 6"CRUSHED STONE °° ono CD FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION.SYSTEM IS 10A'TO FND OVER MECHANICALLY o � � 0 � � 0 0 0 � o 0 0 � � 0 0 0 0 NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH (48 HRS DETENTION) (24 HRS DETENTION) -ffi o COMPACTED BASE 6"CRUSHED STONE 3 4.0 8.5' (TYP) 4.0' 4.0' 4.0' AND DESIGN ENGINEER. OUTLET DISTRIBUTION BOX OVER MECHANICALLY 4.83 8. ELEVATIONS BASED ON APPROXIMATE NAVD 88 DATUM. BENCHMARK ELEVATION OF 90.40, TO BE INSTALLED ON A LEVEL STABLE ESTABLISHED ON A NAIL SET IN UTILITY POLE 1129/3Y,AS SHOWN ON PLAN. COMPACTED BASE 25.0' (TYP.) BASE. FIRST TWO FEET OF OUTLET � GROUND WATER ELEV.= < 79.70' PROPOSED 1000/500 GALLON TWO COMPARTMENT SEPTIC TANK (H-2O) PIPES TO BE LAID LEVEL. 85,50 12.83' 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION LENGTH 10'-8" WIDTH 5'-10 DEPTH 6'-2" 5' MIN. THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT D`MENSION As PER CROSS SECTION VIEW 2 - 500 GALLON I-$-20 CHAMBERS S CHAMBER END VIElIU 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES NOTE: LVIGGIN PRECAST CORP. TYPICAL CHAMBER PROFILE TO THE DESIGN ENGINEER. ALL TEES SHALL BE DIRECTLY UNDERSEPTICPOCASSET,MA DISTRIBUTIONTDETAILS ITS RESPECTIVE ACCESS COVER NOT TO SCALE (ID0)564-6774 NOT TO SCALE NOT TO SCALE ' 10• ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC.STRUCTURES SHALL BE MADE WATERTIGHT. 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FR .w � T' � FROM TOP .. .,. APPROPRIATE AUTHORITY. 24 �: �' PERC NO. � ' "" . 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS LOCATED 6' MAX .'** « INSPECTOR: David W. Stanton,RS UNDER MORE THAN 3 FEET OF COVER OR LOCATED UNDER PAVEMENT DRIVE z 4 � S, OR * * +� RAVELED WAYS IN WHICH CASE THEY SHALL WITHSTAND H-20 LOADING. EVALUATOR: Sullivan Engineering, Inc.lnc EL-99.00 1 C.S.E.APPROVAL DATE: Unknown 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT,DUST AND FINES. t . . 4 * DATE: March 29,2004 M . 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE RASS 311 MAX SLOPE \ ■ « r TEST PIT#: 1 MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY TIP PLACE FILTER FABRIC BETWEEN • , , _ , z -- "BACKFILL AND NATURAL SOIL "" • ELEV TOP 89.70 FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). 6 MAX 12 OF 3/4 CRUSHED STONE * ELEV WATER= < 79.70' 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES 24 BEHIND WALL FOR DRAINAGE FOUND IN ti 4' PERFORATED DRAINAGE TILE sf z +Ar I = � SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. 39 1 O�1 1 G� y PERC RATE 2 min./inch EL-sz,00 DAYLIGHT EVERY 50' 1, 4 L. V�7 C7 BASE BLOCK B MIN BELOW �. ' . •* r' ° nk w 16. PROPOSED PROJECT IS LOCATED WITHIN: c- 4 _ GRADE WITH LEVEL T❑E SL❑PE k DEPTH OF PERC- U no n M M �- 6' GRANULAR LEVELING PAD * • //.'` '' ONE 2 r ASSESSOR'S MAP 344 LOT 80-002 CIDM _"'--UNDISTURBED S❑IL OR SELECT •* * / TEXTURAL CLASS: 1 m MATERIAL 95% COMPACTED * , OWNER OF RECORD. R.F. &R.M. LLP FS ter ve + 89.70' ADDRESS: 37 WHITMAR ROAD Hard Gravel MARSTONS MILLS, MA 02648 RETAINING WALL DETAIL ►' *. ` 2„ 89.53' FEMA FLOOD ZONE X NOT TO SCALE . _ M►. , " =: - .. ,t._.H,'r : t.: COMMUNITY A 25001 U TY PANEL# C0567J EX. STONE RETAINI! G WALL IT DEED REFERENCE: BOOK 22464, PAGE 280 PROPOSED D-BOX(H-zo) �, * * bf.. ' _. 18. PLAN REFERENCE: PLAN BOOK 363, PAGE 47 19. A 4"PERFORATED SCH.40 PVC PIPE SHALL'BE PLACED IN A VERTICAL POSITION TO A PROPOSED 2 500 GALLON �'" r# - �. DEPTH OF THE d0TTOM OF THE SAS AND EXTEND TO WITHIN 3"OF FINISH GRADE. LEACHING CHAMBERS • - y REMOVABLE THREADS`D-CAP SHALL BE PLACED ON THE TOP , o� i � i it . .- _ +r► , TO ALLOW FOR INSPECTIONS. PROPOSED MAX 6 HIGH REDY ROCK WALL +� �; / i ✓ WITH AGGREGATE H-20 -. TOP ELEV=VARIES 105'-100' /< ,^o®O' / i ! r G ( ) #41 GRADE AT BASE=99' Coarse Sand EXISTING t C Light Yellowish Brown COMMERCIAL1. ..'' ! it s / .• = 10Yr 6i4 PROPOSED MAX 6 HIGH REDI ROCK WALL / / / / - .�� ' - STRUCTURE TOP ELEV=VARIES(98'-921) / l / / Z 0}`1% 90- GRADE AT BASE=92' / / / / / r',.. % (NO BASEMENT) 4) s9 x 5' j'�'- /�, MAP 344 /� (6 b "� LOT 80-CND i LOCUS PLAN / / ' 2) / .< MAP 344 , / f` / ::;:.:. ...:•,:,.,, y 89x1' i SCALE: 1° =1000' LEGEND LOT 51 ✓ 1) r- 89x6, O ��6°g3, / / , .,.... ® _. �-- -PROPOSED 00-W / 120" 179.701 ;..:_:::.:.•_``.�:'':•,::.' N INSPECTION PORT 88xT 177.43, ° ! 50x0 EXISTING SPOT GRADE (3 No Mottling, Standing or Weeping Observed 25.0, AIR CONDITIONING UNIT _ ! ?' METAL BOLLARD TYP ` I DESIGN "�' - - - 50 - - EXISTING CONTOUR C-1 CLEANOUT (5 - 89x5 ( ) / CC-2 CONCRETE PAD (TYP) \\\ 50 PROPOSED SPOT GRADE / 89x5, \ / r� PROPOSED CONTOUR . SLAB = 91.5'± ,; , / � � 4 \� ! °} SYSTEM IS FOR A BATHROOM ONLY NO SPECIFIC DESIGN FLOW REQ. =-_ELEC -FLEE-- EXISTING UNDERGROUND ELECTRIC LINE / 4RET. 88x8' NO INCREASE IN FROM BUILDING � PROPOSED 1,000/500 GAL.TWO ,,%-,,,,1�`�. LL (TYp � '_, COMPARTMENT SEPTIC TANK(H-20) / - ) __:__ `AS; _ _ �JAS .__._._ EXISTING GAS LINE BASE TOTAL DESIGN FLOW ON 330 GAUDAY DESIGN FLOW x 200 % = 660 GAUDAY EX. MONITORING EXISTING WATER LINE 00 USE PROPOSED 1,500 GALLON SEPTIC TANK / WELL (TYI ) / / o ry y TEST PIT LOCATION a! / N s PROPOSED 1,000/500 GALLON l ' q #55 I rn lr Vo 0 0 0 �r, I�d y I_. C.. .S . 1: ; a/ EXISTING - d °' 3 TWO-COMPARTMENT H-20 SEPTIC TANK O INSTALL 2 - 500 GAL. H-20 CHAMBERS W/ STONE 4/� COMMERCIAL '� 2 , ' (� o STRUCTURE �I m PROPOSED 4"SOLID SCHEDULE 40 PVC PIPE - A : '- )}. .gym h (NO BASEMENT) rn SIDEWALL CAPACITY `X�S* R,,G SA' i �' SLAB = 90.9'± / ! LENGTH + WIDTH 2 SIDES 2' HIGH 0.74 GPD/S.F. _ GAUDAY ® PROPOSED H-20 DISTRIBUTION BOX(H-20) t / (25.0'+ 12.83') (2 ) (2') (0.74 GPD/S.F.) = 111.9 GAUDAY ' PROPOSED 500 GALLON H-20 LEACHING CHAMBER / BOTTOM CAPACITY Benchmark Nail in U.P. LENGTH x WIDTH 0.74 GPD/S.F. = GAUDAY 1 MAP 344 ) LOT 80-002 Elev. =90.40 (25.0 x 12.83) (0.74 GPD/S.F.) 237.4 GAUDAY \ '�v. U.P. 1129/3'�<\ NAVD 88 f 36,992 S.F.t \ ._, ; t Gw TOTALS: REV. DATE BY APP'D. DESCRIPTION r i TOTAL NUMBER OF CHAMBERS 2 f- PROPOSED SEPTIC SYSTEM PLAN TOTAL LEACHING AREA 472.1 SQ.FT: TOTAL LEACHING CAPACITY 349.3 GAL./DAY PREPARED.FOR: r o CAPEWIDE ENTERPRISES APPIROX OF EXIS 1NG U-EBO,: �. LOCATED AT SWING-TIES 55 BODICK ROAD NOTES: S7So 531 oo" HYAN N I S, MA 02601 E _� 1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE TOP EDGE OF EACH 216,1p, $ - DESCRIPTION BC-1 CC-2 SCALE: 1 INCH = 20 FT. DATE: FEBRUARY 3,2016 SEPTIC SYSTEM COMPONENT. - o o TANK INLET COVER(1) 22.8' 74.1' t OF�^ 0 10 20 40 80 FEET 2. CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE LOCATION OF THE Assq PROPOSED LEACHING SYSTEM TO ENSURE CONSISTENCY WITH TEST PIT DATA 2 TANK OUTLET COVER(2) 29.7 70.5 � c� ° JO L. `'�� PREPARED BY: SHOWN ON THIS PLAN AND TO ENSURE NO GROUNDWATER ENCOUNTERED ABOVE RESERVED FOR BOARD OF HEALTH USEo ELEVATION 56.00'AT TIME OF INSTALLATION. REPORT TO ENGINEER AND LOCAL CORNER OF STONE(3) 55.6' 39.8' � CHUR ; 'LL JR. � � JC ENGINEERING, INC. � BOARD OF HEALTH IF SOILS ARE NOT CONSISTENT WITH TEST PIT DATA. _ / CORNER OF STONE(4) 60.3' 44.8' P N 418 2854 CRANBERRY HIGHWAY N PROPERTY IS LOCATED WITHIN A STATE APPROVED ZONE 2 AND THE CORNER OF STONE(5) 80.0 16.9' EAST WAREHAM, MA 02538 . ENTIRE PR � c 3) SITE PLAN GROUNDWATER PROTECTION OVERLAY DISTRICT. s J' CORNER OF STONE(6) 83.3' 26.7' 508.273.0377 SCALE: 1"=20' Drawn By: BSM Designed By:MCP Checked By: JLC JOB No. 3368 00, LEGEND: ZONE: A " © Sewer ManholeArea ® Catch Basin Existing Commerciol Bld Frontage n(min) 20' �t wom r. ® Catch Basin (round) // "41 Bodick Road Condominium' Width (min) - NO INCREASE IN. FLOW Sign ii Setbacks: �. Front 20 DESIGN DATA # Light Post / / / �/ �/ % Side - . o / Rear - ""� Office Flow=4800st./1000=4.8 a, a Hydrant / // / // 4.8z75gol.= 360gpd y / � O rs O C '' SepticTank*360 a1.x200%=72ogpd EI CB/DH g .. ,swat Use Exist. Gallon Septic Tank. / / / / 1 1 ° '�► a its -O Guyer Gate (round) / /// / /// // / / 5.3' S 76-10'04» E / ' R= se.o E � s:~' -40 ,f aa> �., LEACHING AREA 360gpd/0.74=487s.f. Required © GalstGatele / / / % /� /� _ A- 177•43' J rotSiaewan=2(I2'+28')2= 160s.f. _._--... I / / / / Q°� X1 a9x� 1g9\ _ a OV RLAY DISTRICT: / E A• - Bottom Area= 12 x 28= 336 s.f. J / // / // / so • ° � -.- � WP - Wellhead Protection District _ 496 s.f.Total Provided / / // a "-so 3 3�-_!...................................89x2� g l ` l l +° / 9..... . As Shown on Plan Entitled e 'Revised Groundwater Protection F 9 �" �� I • � 1�` oN. ' • LEACHING CHAMBER DESIGN `O ///a�// / �o / a paved Parking Overl///� ay Districts" - April, 1993 '� All Pi Ingo be Schedule 40 PVC.Use I / / / /y / 9 € i pp `. -- o+ 3 500 Gal.Leaching Chambers!no rn / / /�/ /o, ° : _i... . cs, is .t r k; r yye•., W / / / / or 9mr4 1 \ Cp UI 12 x 28 Washed Stone Field as Shown J I // / \ . _ 4 so 5 Spaces` io ........._...\. tw O \ / \ 1 i s 12 Conc, Ede of Pove Ret 1� O Location Map. / \ » . / of Conc Londsco a Timber 1 -2 000± I 1 - ce/oisc/Fnd ' Yra 'da _ ..................................... ` \ , 1 .....tom... Conc Londsco a ember Ret �� -8g` 15.7' T p .f h / II I / conc ASSESSORS REF. • _ Fbric ' Jl i ' win Fabrk Coapadad FIII----�--- QII CO "Polo t � W� � Mop 344, Parcel 80-2 �' vat.il` / Vermoning Water Y v sox4 PaaSbna JlJ$ 2NV Gt.00a SgrTORAC, IFLOOR Ot=>=�� 1 a I J JJ �� e,-Cot2�o� r�0 x VO y0'�c L.o Q .....j................... .......... ` DO CB/D"sc/Fnd a• Leaching „ 20'P• o ° O FLOOD ZONE: N ►aadw w sh�11,2 baaN. \ I I i I ' / 7a or �' a a 3 'Scudder yl 1........................................... Zone C I .-lo - ►z'-o" I I �'\\\ III #55 oil �a a 1 j \ Communit Panel No. \ - °'1 F ■ Y I h 1IIII. \ 6._2 Story Building ........................................... : #250001 0005 D CROSS SECTION OF CHAMBER °� �II I ommerciali3 k July 2, 1992 `-NOT To 3CALE I p � //I I' \ C 1 O I Tiripber Ret Wall n t Sign • Ve t.See Noe I , // //Q / 'scu�der Toytor Oil'\ \ I O a F G F.G. - No.9_ I n //////��° 25_2' czz Meet ti° SepticTantk87.5 91.0 I ////�/� Exist.1000 Top EL88.5 22.0' fj/// 00 / / ab_9t.s8' A - �t _ r Pr o� -90-__ / Edge of Pave GaL Septic ( / / op Structure 11 Get ,stPT�• ° " Tank e,s Bot.El.85.5 i / II 'll� C / R=91.5 : Conc Enclosing 0 t5x1�T, I�nEMAIN ggls r :•c•.: z -::,✓ +:: 9 873 r / I I 9 Oil Tank 0 Bedding as 5 / ////I I I / slab=s2.ss ) _ /soxs Bottom Test Hole El. 80.5 / I I z$' m _��ADI*►G9_ O , Per Title 5 No Groundwater ® 00 0� I 91k6 _ - >� Gravel �' tk DELVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM / / ,� n _� _ --, �� Ars+ u�� _ ti__. __g / III �� _ Not to Scale R=91.9 91 7 ( l N 90.4Fnd �•V O 0\' NOTES y / / ////////////I� Cod ey. 6reluL1- VV I. Water Supply For ThisLotisMunicipalWater. Q / h/ �/ / J J I 'Copeervice wti ®Rim Elev i °r� 1 9 , 2.Location of Utilities Shown on This Plan Are Ap rox. ?\ ° / ,o / J I J I J Oil S e„ cant 91.3a I j � c / p I S Bench Mork Top of Pr j east he Hours Prior to Any Excavation For This / I J $/ J JI J�I 9a/ 1n 130ap s F 2 - \ LCB Elev 90.42' NGVD 29 Pro ect.The Contractor Shall Make The Required Notification to DIG SAFE-1-888-344-7233 oI I I ^I J / °j I/ ' =91 (kJMnnov` ISX1bTIN� R=9o.1 Q N / I Y li S.A.s. 3.Per Contractor is Required to Secure Appropriate a Permits From Town Agencies For Construction � / /I I I I I I J J J I JI � \ / R-9t.9 R=08 r� Defined by This Plan. I y ° IQ 4.Instal I Risers as Required to Within 12°of Finished / / /I J ' J I I J I , '4 / LtA.H PIT o a-AL Grade. / I I I I I I U 1 s1 2 �J / Lot Are �X18T. 400o i; O 5.All Structures Buried Four Feet(4)or More or I / l/I / I I 02 6 s.f•- <I Ci e l. -r1 GHT Ye Subject to Vehicular to be H-20 Loading. /l / / / / I 37, \TANK e of Pa Edg 1 6.Septic System to be Installed in Accordance With \ /I//// I i I 92X, .9 \ 310 CMR 15.00 Latest Revision And The Town of / /// o S 7s�10too E Barnstable Board of Health Regulations. v // / / I I i I ` 7 All Piping to be Sch.40 PVC. \ �/ / ,I / ( I I I I Barriers WATER ML�TfsR IZMAp1NG5 8.RemQve Existing S.A.S.aAll Unsuitable Material , \� �( I ` i Concrete Jersey For 5 All Around Pro osed S.A.S. Replace With \ I I I I 216�� -s2_ RQAp p / coh1SUMP"ON Clean Suitable Material Co / / / )�\�.\ J I I I I F - - 2/20/04 'b2o GPD 9 Location of Vent to be Determined in The Field. �YirA / / / / N fF 11/ 19 /03 31 2 GPD B%d o, ��,a l / miner Trust 8/22/03 Z 64 GPO No a/,a �0: 2ta2 GIoD Z/2b OZ a 344 a-PD 4- 93- PEIT I / / / / I \ / I1� \ II 0u TEST HOLE IELC%r. q0•S /! l l I l I ///1��1 \ °r1� J O H A Ro GRAv E t. Y97 \ J 2" CPLN IVIL - _ _ C COAR E OANo 10 BR 1-/y i � . -- - NO GROUNQWATEt2 (3Y: 9ULLIVAN ENG1µ3ie(Z�Nd 1NC W%TNE S a0. STAN ON,T;0,G,-13.p.µ �/ '�' LC4STNAN 2t�n1N.�INCH Title: PREPARED BY: PREPARED FOR: Notes/Revision: Sullivan Engineering, Inc. Ca eSurV Frederic F 2N1� Richard M 1.) The property line information shown was � SEPTI ST -REPAIR_ --�- Ci`.5Y EM PO Box 659 7 Porker Road Robert M Scudder compiled from available record information. 55 BODICK ROAD Osterville, MA 02655 Osterville MA 02655 ' - HYANNIS, MASS. (508)428-3344 (508)428-3115 fox (508)420-3994 (508)420-3995 fox 22 Channel Point Rd 2•) The topographic Information was obtained from an on the ground survey performed on Hyannis, MA. 02601 3/MARCH/04. 0 - - ----- Draft: MJD Field. WHK MDH 3. The datum used is NGVD '29, a fixed mean / 20 0 10 20 40 80 ) Dote: Scale: rr r Review. PS' Comp/Draft: WHK/RRL sea level datum. March 28, 2004 1 =20 Proj. # 97024 Drawing # C383_5 1 '