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Home My WebLink About0067 CHASE STREET - Health 67 Chase Street Sewer Acct # 3068 Hyannis A = 308 — 183 0 I i I _ SEW-QC,E _PERMIT Q0_ --_--- — -- — — ---- --- -- � Eta �_— lWST.ALL.ER'S ► NME ADDRE BU-ILDE - -5 tJ1�IAF— ADDRESS _ MTE PERNAVT ISSUED -DATE- _CONAPLl-&KlCE --- �i W .� aW o a nh `� 1 /yr `'_ J Aug-31-98 09:58A ADVANCED ENVIRONMENTAL 5083856622 P.02 Make application to local lire Department. Fire Department retains original application and Issues duplicate as Permit. L �r�/aate�t�o�'C�'r��sxuti'cea— ;lc oa.�d a�C�iiXe ��rue'rt�carF Fee: /6 AOPLICATION and PERMIT _ I for storage tank removal and transportation to approved tank disposal yard in accordance with the provisions of M.G.L. Chapter 148, Sectiob 38A, 527 CMR 9,00, applicatiop is hereby made by: Yank Owner Name(please print) st tre wa i tram X Address 67 hase R tHaanni n .r MA I sv..r crry swe • • HOISTING LIC.# 043579 ' I Jeffrey Royce Expires• j 12/29/98 Company Name Advannael Pnpirnumental Co.or Individual _ Address a_n_Rox .422 =1r1 q. ruGroat Wasat W1" Pddeess aN� Signatiue(if applying for er ') Signature(if applying for permit) = IF 1fie Qther ❑ IFCI Certified ❑ LSP# Other Tank Location 6,7—Chase-It ,.. H annis,l MA Cfty Tank Capacity(gallons) ' 275 _Substance Last Stored #2 Tank Dimensions(diameter x length) Remarks: I Firm transporting wasteAdyancr Bjjyiroj2mentg1 state Lic.# MV50838561QO Hazardous waste manifest# E.P.A.# ...... I Approved tank disposal ysrd rIltx �TnQ Tank yard# Ong Type of inert gas _ i Yank yard address, j,To]-co#x St - -,-. Re a dy4 31 e,. MA 1 City or Town FDID# l� y� Permit#121. "WZA - i _ y -"'- -� -EI19' Dale of issue � _ _ Date of expiration �...� Dig safe approval number: fir; Safe Toll Free Tel.Number-f00� y4�B� _ Signature/Title of Officer granting 1 iermlt y Cy Fn 'r;�� Vier removals)sand Form FP-290R lgned by Local Fire Dept. o UST Regulatory Compliance Unit,One Ashburton Place, �� n 'zoom 1310, Boston,MA 02108-1618 j Y61 , J i 92(revised 9/98) f a Rannhusetts j&s.fl uillicatlon Form=- ANF-001 'ff1 �'# #6l ayG�i'1'}AID•.. Asbestos Abafemenf Description `�` `lr � �� 1. Facility location: ..VQ.( _._ -_ ................................................ ;;: .......Gha,�_C:........ +c-e��'_.__......_... amtUcnoas. 1-7 1 5 J 1 - 1,Al sectiory of this --•._..------1_..�-•-FS.A�.�.�:.w2...................1..1..�..�...nD�.0........:51.'1<................IeirpVaneV...�.........................._.._........_.__...._ bm oral be tormleted CNy/Toi+r h of*to=Plyrih ��/►.r `C.�.../...� ................................................._._.__. _— — FeCtIirlmsmel prybsrsorfrhWIWIWft Am./,e4q,IbotW" Fmbedmeadil li Padeenon notil'alim 2, is The facility occupied? Yes O No repot eneris of 310 CAtA 1.15(h,rmfaq drys a 3. Asbestos Contractor. Pr nttrcx6on is ,�j� LL P 1,,,()Q Sh I r7 51�eLl rra.idofWTA ~ 1 Qi G�cl SVf" t ... .............___ -- _ __._.... l._ .._..._. 1��. (Yl�ll .l1]G.�(L.�...................._ pew:and M �� Address cop irlmom at Libor and Indortrlet ..................!'n. ............._0�1..8.. .............. _$.!..."._........ `......�........ .. el W Csef S.12 (&In, ppiTorn tb"udt /dep"ont rr,+s6dAN�r�nh _. l.C.....c 0a..1.y.6.rem�ed d�Nl .............................. ..... .. ar,c„+drvoi�v� aratrev/ carndrroeltrnrM«etq . rwV►tr firs or sperrr fae►. 4. On-Sit Project Supervlsor/Fyoreman::�y� (J 2 Srhni QlQnat lam �V.c....1..+.._��C I....j..�...........d—.........`a. .............................. .........__. 1.1....Y.._.1..................... ........ .............. T e al G91beo"/ e sins I owl dtb et liiaaAoaelta 5. .Project Monitor. .9 J.110reams z V.G-. C.ha(.��n�i-�.� . LeJ.12Flog ........................................................................................._......_.--- .... ......... .............. . . Iutte,bU e2112- Namr elra2 6. Asbestos Analytical Lab: I }� �(�� 3, Nslammaybe J1 �r ✓� ( Q..{...\J. raid for ncliq the .. .. ... . .......... al Grrddbn/ UsAm.arredal . N'"" t 31 4 �� vra�onNtFnT� �gion 7. Pro)ecislarldaieenddale�—J—sPecHlcworkhours(Mon.FrIJ _(Sa1.Sun.) 1 of nbestas demdliont noxy onorealion slpd Io NFSNMS(a A What type of project Is this? (circle one): demasran nPall em oner(w+r10) CIA Subpar ul. yorwuroay;:;:� 9. Describe the asbestos abatement procedures to be used (circle): plowsW VXAMW uvca esn"1°d d0VW dbQamr Duerr over(ar 1h) rac;,araliis %col.1 10. Is the job being conducted AIndoors O outdoors? — y I U or oth.ir 11. Total amount of each type of Asbestos Containing Materials(ACM)to be handled on pipes or ducts(linear R.) surfaces(square ft.) Cy to be removed,enclosed or encapsulated: Lts� linear/square feet bo,ir.brwchbp•cord heat wbo,coalJ"ps...—J— o coral,solid core pipe In Waflon......_l cmupabdabyarodPve'p lot Insulation.... ►-WJ79WWW.................. _l spay-on Invoo6np....................._/ b"weUspr"coolings.....,......... _l VMS,wow fabrics.....................--1 1ansRe bond,wall bond............._J Does(please destst2e)...................._J 12. Describe the decontamination system(s)to be used: (�( Ca . A-S c-� ............................._......................................._......................._... __--- - --�.............................................................................................................................. 13. Describe the eontainertutlon/disposal methods to comply with 310 CMR 7.15 and 453 CMR 6A4(2)g): .........._(�.....I./.".A..1........►._ 1..............bS.----� .........-................................................................................................................................... 14. For Emergency Asbestos Abatement Operations,the DEP and DU officials who evaluated the emergency: t ........................ Naar of aP Omar ....................................._......... GM dAarMRallae �. .Nr...m.....d............ ..I. ..........................................................................................._... __._� euartd i ................ ............................. .................................................... ._._........_........................................................ Wa'Kr/ Rea dAuraaealio+ IS: Do prevailing wage rates apply as Per M.G.L.c.149,§26,27,or 27A-Flo this project? ❑Yee 1 No VON sV! ,1 Facility Description 1. Current or prior use of facility: lug -- _.__._-...._....._._........................................_................................................................................. _._.:......................—.--- _ 2. Is the lacllly owner-oeeupled residential with 4 units or less? KY as0 No 3. Facility Owner. _ cL,mc....__. ....J��.. ....... . .................................................................................................._........ _- f7ryAo+m 4. Facility's Owner's On-She Manager. ..................N._k N........................................................ ................... ................... ................--......... _.._._ 5. General Contractor, NL.P..._............................. ................................................................................_.........._..._..... NyM - Addrrss ......................................................................................_._......_•-•-.._.- p4'AOMII r�rb OM eenbwfory Werhes 6an0.auunr Pore/ Em.D+„ G. What Is the tine of the facllity7';I= (sq 11)?(I of Iloors) Asbestos Transportation and Disposal 1. Transporter of asbestos-containing waste material Irom site to temporary storage site(II necessary)to Ilnal.disposal she: ................. _ 85U....... �1Q►S..I i i ng-fG7...S t Q ._...... W. .y. .rY- t1.�........LY) .:::... a. .. `.�....... .'�.g....'.��..�.�....�.:�..........._ uyrre.a m� rraroM . 2. Transoorter of asbeslostontalning waste material from removall temporary storage site to linal disposal site: ��cc .o...... r�.�..K0... ..._ ..............�U ......P.►.c. .r..�/ _strut' -t-1c�n.Cl..................... T ................ Mote:Transfer �/%'0 n700* r� Stations must 3• Refuse transfer station and owner(R applicable): efxnp'01 the SoNd Waste — __ ___.._..._......_.0ivfskn►rpufa• ►aM A&W Nons 310 CMR 18.00 .Ib..........dt............................................►na..oM..................................._._.�__ rAyrrorra .. m 4. Final Disposal Site: ......... 1!..I.een�.? ...�-a► ..1..:1......................._..............-... -- -_ roowrwe. N1 ........ _...._ i o t. .�..p.._►- ................ fl 3.5.... ............:............................................................. fryAow jam r«.pia.. Ir CertiAcallon The undersigned hereby stales,under the penaRles of perjury,that he/she has read the Commonweallh of Massachusetts Regulations for the Removal,Containment or Encapsulation of Asbestos,453 CMR 6.00 and 310 CMR 7.15.and the he Inlormalion contained In this ratification is true and correct to the best of his/her knowledge b Roil. IQ pNSs ......i••_•V...`............ ..... ..........A....... ...........Y .................... y...............L7.... Mote:Contractor c y� must sipn this `-t'rr_ NEST - 1 L.L� form la OLIs„mu _.— ---—- _................................... eiq................_.............f................._-• — nohrwition pvrpOJet 8So tuxes h;�� cr, 5 -ee r............. ktA#Lfn. i Fee exempt(City.Town,district,Muni clpal housing authority,owner-occupied residential of four units or less)7Xyes O no Sticker I(from front of lorm): -7 r -