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0033 CHASE STREET - Health
33 Chase Street - Sewer Acct # 2624 Hyannis A = 308 189 -. 0 1 HYANNIS FIRE DEPARTMENT 95 HIGH SCHOOL ROAD EXTENSION HYANNIS, MASS. 02601 Harold S. Brunelle BUSINESS: 775-1300 CHIEF �Smo a Oetea"d Save .eivea EMERGENCY: 911 APR 1 FAX: 778-6448 8 2003 To 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. Dates/ate Persuant to the applicable sections of 527 CMR - Fire Prevention Regulations, this Department has inspected the following location for above ground storage. p p ADDRESS �3 -�/ 360 -I D�� OWNER/OCCUPANT PHONE �J� z 7,F _z-?,a LL SIZE OF TANK(S) COMMODITY STORED PURPOSE FOR STORAGE s THIS INSTALLATION IS : PRE-EXISTING A REPLACEMENT NEW _� This installation complies _Z!�I does not comply with the required installation regulation listed below. FIRE PREVENTION OFFICE For: HAROLD S.BRUNELLE,CHIEF HYANNIS FIRE DEPARTMENT I Massachusetts Department of Environmental Management 10 A Office of Water Resources 7 TYPE OR PRINT ONLY Well Completion Report 1.WELL LOCATION GPS(OPTIONAL) LATITUDE LONGITUDE „ . Address at:Well Location: Property.Owner: 'Subdivision Name Mailing Address: - Clty/Town. ( 7a toL7 F. ,. . City/Town: "Assessors Map.: Assessors Lot.#: NOTE: Assessors Map and Lot# mandatory.if no street address available Board of Health ermit,obtained: Yes ❑ Not Required. Permit Number t p, q Dateassued" 2.WORK PERFORMED° .. , �- `' .�?RO�OSED iJSI�A,�=F 4. DRILL,1N �ETHC)p New Well ❑ Abandon ❑ Domestic ❑ Irrigation ❑ Cable `, ;Auger ElDeepen ElRecondition FWMonitoring ❑ Municipal ❑ Air Hammer"'y0" Direct Push ❑ 'Replace ❑ Other ❑ Industrial ❑ Other ) ❑ Mud!Rota ` .❑ Other 5.WELL LOG a: Unconsolidated Consolidated 6.SITE SKETCH(use permanent landmarks with distances) FW-- Permeability T c - > — Cd From ft To ft High Low m Other Rock Type "- 3 �o X X 13 I X k 1 g 2'o X k 1=-M-C !-z� 3 2 X X X V'Z( _. 7. WELLmCONSTRUCTION¢'_ 8.CASING,n- t; Total-Depth Drilled ®i. From (ft) To (ft) Casing Typewand Material Size O.D.:(in) Well Seal Type - Date Drilling Complete + PVC `rJ"I" 8. SCREEN From (ft) To (ft) Slot Size _ ScreenType and Material Screen Diameter PVG OJT 21t 10. FILT Ft PACK J GR01 a BANEONMEN�OATERIAL 11. ADDITIQNAL WELL INFORMATION Developed? ❑ Yes X No From (ft) To(ft) Material Description Purpose Fracture Enhancement? ❑ Yes XNo Method i Disinfected? ❑ Yes , No 12.WMIT TEST DATA(PRODUCTION WELLS) >'13. STATIC WATER LEVEL(AL WELLS) Yield. Time Pumped Drawdown to Time Recovery to Depth Below Date Method (GPM) (#irs`&min) (Ft. BGS) (hrs & min) (Ft. BGS) Date Measured Ground Surface (FT) 14.F'E ANENT PUMP`(I,,',,A LA L ," t'' s -" 15.NAMa IApDRESS OF PUMP 1NSTALI,ATIDN COMPANY Pump Description - .- •.. Horsepower Pump Intake Depth (ft) Nominal Pump Capacity (gpm) 16.COMMENTS �� � 17.WELL DRILLER'S STATEMENT This well was drilled and/ bandoned under my supervisio according to applicable rules .� and regulations, and this a oit is complet nd correct to best of my knowledge. (Driller--j- „ s��Supervising Driller Signature: Registration #:1 12'h 111 Firm: - -1 / I f" + zaa 'Date Rig Perrnit-4: 1 12 1017 1 NOTE: WeU Completion Reports must be filed by the registered weU driller within 30 days of well completion. k r. '13()ARD,OFHEALTLTH COPY s't COMMONWEALTH OF MASSACHUSETTS W EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS } d DEPARTMENT OF ENVIRONMENTAL PROTECTION F 20 RIVERSIDE DRIVE, LAKEVILLE, MA 02347 508-946-2700 JANE SWIFT BOB DURAND Governor Secretary LAUREN A.LISS Commissioner URGENT LEGAL MATTER: PROMPT ACTION NECESSARY ©1J� CERTIFIED MAIL:RETURN RECEIPT REQUESTED U November 16,2001 Frederick Burbank RE: BARNSTABLE-BWSC 33 Chase Street fA lot 33 Chase Street Hyannis;MA 02601-4515 � Burbank Residence 9 RTN#4-16741 [RECEIVED NOTICE OFRESPONSIBILITYM.G.L. c.21E,310 CMR 40.0000 o 5 2 01ATTENTION:.Frederick Burbank LTH DEPT BLE On November 13, 2001 at 1:30 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. Approximately fifty (50) gallons of#2 Fuel Oil was released from a ruptured fuel feed line connected to a 275-gallon Above Ground Storage Tank(AST)located in the basement. 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 Frederick Burbank ) 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 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 This information is available in alternate format by calling our ADA Coordinator at(617)574-6872. DEP on the World Wide Web: http:/Avww.magnet.state.ma.us/dep 0 Printed on Recycled Paper 2 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 oral notification to the Department,the following response actions were approved as an Immediate Response Action(IRA): • Further Assessment. • Deployment of Absorbent/Containment Materials. • All Remediation Waste must be properly stored/handled and disposed of within 120 days from the date of generation per 310 CMR 40.0030. 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 CUR 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 November 13,2001: 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 these licensed professionals from the Board of Registration of Hazardous Waste Site Cleanup Professionals at(617)556-1145. 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 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 November 13,2002. 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.2.lE and the MCP. 3 If you have any questions relative to this Notice, please contact Andrew L. Jones at the letterhead address or at (508) 946-2785. All future communications regarding this release must reference the following Release Tracking Number: 4-16741. Very truly yours, .. , L-z Richard F.Packard,Chief Emergency Response/Release Notification Section P/ALJ/re CERTIFIED MAIL#7001 0320 0001 4830 8227 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 P.O.Box 34 Hyannis,MA 02601 Board of Selectmen P.O.Box 34 Hyannis,MA 02601 Fire Dept 95 High School Road Hyannis,MA 02601