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HomeMy WebLinkAbout0032 CORPORATION STREET - Health 32 Corpo�raion=Street Sewer Acct # 4335 �-____-- __----- _ - _ - _-_ _ ` Hyannis. a 5. C3 r A 293 027- - :i e a { i a a o TOWN OF BARN_SpTABL�y� �� � LOCATION //oZ// �a4 7RO SEWAGE # VII.LAGE�`/Gzs't�uo !, ASSESSOR'S MAP & LOTS — ,ld;7 o SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) NO.OF BEDROOMS B 6DER-OR OWNER PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility (If any wetlands exist within 300 feet of leaching facility) Feet Furnished by Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Zipplication for Migonl *pgtem Conotruction Permit Application for a Permit to Construct( . )Repair( )Upgrade( )Abandon 6410 Complete System ❑Individual Components Location Address o Lot No. - Owner's Name ddress and Tel.No �� o 2 �p/1f1T�0�1 . A f��q.Ye✓/ 2, D1' ��I`l.i✓/1//.S Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. S-67 77-)S l3vlz Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of�epairs or Altera ions Answer when applicable). a�vGC�O a/ ,(3�d C roo- 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 issueAty this Bo f Health. Signed Date � doZ Application Approved by Date Application Disapproved for the following reasons I Permit No. ?M2" Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded( ) Abandoned( `9�2 G /� L� •�S 7 C t� at Co z 4©-11 i9 Tt o w a c9 has been constrAct d ' accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.71 1��dated L �� Installer Designer The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector Fee THE COMM Entered in co ONWE*ANH' OF MASSACHUSETTS -P-te, Yes PUBLIC HEALTH DIVISION —TOWN OF BARNSTABLE MASSACHUSETTS 01pplication for �topooal 6pelent Con5tructi.on J)ermtt Application for a Pen-nit to Construct Repair Upgrade Abandon 1,4/El Complete System 0 Individual Components Lobation Address Lot NO.' Owner's P-0 Name Address and Tel.No. 121,1 7 -9 41W Assessor's Map/Parcel ILtaller's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. -7, Type of Budding: Dwelling %,No.of Bedrooms Lot Size sq. ft. Garba ge Grinder Other Type of Building No.of Persons Showeis Cafeteria( Othier Fixtures, Design Flow gallons per day. Calculated daily flow gallons. Plan. Date Number of sheets Revision Date' Title Size of Septic Tank Type of S.A.S. _— Description of Soil Nature of j1epairs or Alterations Answer when applicable). r G,— r L. I 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 issu4by this Boord-of Heallthh,�:��-,' Signed Date Application Approved by I Q)Sl- __Qj Date fi hr�_ Application Disapproved for the following.reasons Permit No. �ma - Date Issued --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposa System Constructed Repaired Upgraded Abandoned(C--1<y A.4 7 at g _f Ls 1& 12' ej RE AeP has been construct d %'n accordance with the provisions of Tide 5 and the for Disposal System Construction Permit No. 20[:5.2-'-'Gbdated I(YZ IF. Installer Designer The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector- ----—————— ——---——---———— N. JvV Fee 15:6 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Mopool *pmem Con5trurtton Ver it Permission is hereby granted to Construct Repair Upgrade andon System located at oZ ry 2 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: Construct 7ust be completed within three years of the date thisfil ermit.�y Date: Approved by C — V�� PERMIZ NO: SEPTIC ABANDONMENT PERMIT TOWN OF BARNSTABLE OBTAINED FROM HEALTH DEPT. SEWER CONNECTION PERMIT`, Abandonment: Fetmlt Not Required OFFICIAL USE ONLY a Assessors Ma �! 3 P No. • As sessors Parcel No 7 S a T Street: O 2 /� D i9 . .EdLT S Village: 9 PROJECT CONTACTS PROPERTY OWNER(Mailing Address SEWER INSTALLER Name: f B 2 CP I r/ 11X4P 11/1 S" Name: �GL�..�a �v�t/S �a Address: 3c2 2— /,�•O v i•�l `M Address: Phone: S O J^ S 5 ' Phone: '52�) License No: T &-1z .ys%s1 OWNER'S AGENT/ENGINEER Name: Address: Phonw. PROJECT DESCRIPTION REGULATORY REQUIREMENTS «€ t t 4 ...... : :.::.::....:: ::. +ll< I .. I IK:::::::::::a °U a CQ::.•:::.:::>: The Ins tallation of all connections ecti must nn ons m be done in accordance with the provisions of Article XXXVI, Town of Barnstable , General By-laws and RESIDENTIAL regulations issued by the Department of Public Works. Before excavating within a Town Way the sewer installer must also obtain a Road Opening COMMERCIAL�� permit and comply with the Construction Standards and Specifications outlined therein. At least 48 hours prior to the installation,the applicant must RESTAURANT notify the Department of Public Works,Engineering Division for the purpose of inspecting the Installation. The Inspector will complete the Compliance INDUSTRIAL Sketch locating the installed lines and connection. By signing the Application, the applicant acknowledges and understands the regulatory requirements and STANDARD INDUSTRIAL CLASSIFICATION NO. understands that failure to comply with them shall be grounds for revocation of the Sewer Connection Permit and the denial of any future application. NO.OF BUILDINGS NO.OF BEDROOMS SIZE OF PARCEL ,/ ACRES ESTIMATED DAILY SEWAGE GALLONS PIPING:LENGTH A qj DIAMET t EXPECTED INSTALLATION DATE G SIGNATURE(INSTALLER/AGE DATE SIGNATURE(DPW APPROVAL) DATE Q� � I ^/ � D [V� �1 ^; > 'o � ' . ..\ .r • 1 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.) Business Certificates are available at the Town Clerk's Office, 1"FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) DATE: - Fill in please: i �Aan APPLICANT'S YOUR NAME/ - BUSINESS YOUR HOME ADDRESS: 1 1 e-= A- . � ,F�� ,` TELEPHONE # Home Telephone Number S R- . f NAME OF CORPORATION:'­T- -",:, '�- k A NAME OF NEW BUSINESS 's :f TYPE OF BUSINESS IS THIS A HOME OCCUPATION? YES NO ADDRESS OF BUSINESS --� —` MAP/PARCEL NUMBER j..? oa 7 (Assessing) When starting a new business the- re ar�'veral tT�ni g m�t do i to i ompliance with the rules and regulations of the Town of - Barnstable. This form is intended to assist you in obtaining the informatior5 you may eed. You MUST GO TO 20D Main St. - (corner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your us' n-this town. 1. BUILDING COM SIO ER'S OFFICE This individu I h e infor �o a per it requirements that pertain to this type of business. ut or' ed Signat e* COMMENTS: 2. BOARD OF HEALTH MUST COMPLY WITH ALL This individu has been-k9darmed he requirements that pertain to this type of business. HAZARDOUS MATERIALS 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: Date: /A / /f-/-Az°r TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: °'o BUSINESS LOCATION: 6194R"11-7/10A] A INVENTORY MAILINGADDRESS: 33 Z di) Z&AA1U/.f TOTAL AMOUNT. TELEPHONE NUMBER: o 19-- -77/ — /01/� :� "o GAU-°iJS CONTACT PERSON: 08672T /.V.t/EA,`P, EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: ku rn 13o,y fePA-12 VC-5 INFORMATION/RECOMMENDATIONS: P � o°srFb FirVvAiltjAy&f strict: Wf O / L t=ivtWASAI OAJ ALCM 11ft. PoST L� sE (a4►3Q SyA'L i WA-51r f3 1GC4--CrS WA Z-&"0uS 6l�kSSF u/A37F D.fia1T ` t 1fA��u•¢3LE KLyp e_t&7¢N/Af6_ ,x L vE;kJr &V r"►'L-4rP W#& d 0T&C_1AJG &Styi. �4 KEiNS(�f�i?o� WILL LL B E/�tl�Fv,ettt� Last shipment of hazardous w9�,4AJSVjAj e: �°" "ap0r Name of Hauler. GAF Lit Destination: .-F «AJE qZ. Waste Product: WA-s &,A,7- Licensed? e N 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 I Rustproofers Misc. Combustible ~F iC `'1 orJ� euc- a-� Car wash detergents Leather dyes s� N` ! Car waxes and polishes �k"`�>z�K Fertilizers 'r °! / *f"j i_+t� e` fib&51 tV Asphalt & roofing tar kNn 4AI-t_DWS PCB's 5,z c.�- Paints, varnishes, stains, dyes Other chlorinated hydrocarbon�uo`�''e ,Ijzc I10 PA0boVT j#e i2� 0-1 Lacquer thinners Iu �6&40AI '"r P—Wit (inc. carbon tetrachloride) NEW 5'�USED ►�aE n,�,N�/n+1,�,uu2 i,u U01 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 ,� 0) �-4A-z.cOAJ aPv1-ti,jC7z-- or wA-srE-A ut1 re&-6z6 (including bleach) T�RNSFt?2,P�� ID 332- f;fGAeov?,y R/) Gio2 PAoor'rt Spot removers &cleaning fluids �) . s,gZ (dry cleaners) C �/fE7;�-L GAA/S AW*I,?AJC- RE4LCEc AJ& yic.4---uaA-9-C' Other cleaning solvents 1.1y AP BC /W A pL4-S17G ce1vrAJ.J1YE,A/T &AllbAW4a• Bug and tar removers 9 oK- bK-+ is PLV6y&b Windshield wash � WHITE COPY-HEALTH DEPARTM c�COPYINES ` 9*' Date: r TOXIC AND HAZ RDOUSMATERIALS REGISTRATION FORM S NAMEOFBUSINESS: tj " 'N a I 0 '2 OT BUSINESS LOCATION: tj r-To tj 'T 0 A A MAILINGADDRESS: D "8 0 h7A &4 a1 Mail To: TELEPHONE NUMBER: UqL1 Board of Health Town of Barnstable CONTACT PERSON: N P.O. Box 534 EMERGENCY CONTACT TELEPHONE NLJMBE9,, Hyannis, MA 02601 TYPE OF BUSINESS: _ U d Does your firm store y of the toxic or hazardous materials listed below, either for sale or for you own use? 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 otherthan 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. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Quantity Antifreeze(for gasoline or coolant systems) Drain cleaners NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salt (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor oils Pesticides NEW USED (insecticides, herbicides, rodenticides). Gasoline, Jet Fuel • Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil NEW USED Other petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Battery acid (electrolyte) Swimming pool chlorine PJ-.Rustproofers Lye or caustic soda 1AUj L Car wash detergents Jewelry cleaners I/2 AL- Car waxes and polishes Leather dyes Asphalt & roofing tar Fertilizers L aints,' arnishes, stains, dyes PCB's L Lacquer thinners Other chlorinated hydrocarbons, L�JLLNEW USED (inc. carbon tetrachloride) int & varnis removers, deglossers Paint brush cleaners Any other products with "poison" labels (including chloroform, formaldehyde, Floor & furniture strippers hydrochloric acid, other acids) Metal polishes Laundry soil & stain removers Other products not listed which you feel (including bleach) may be toxic.or hazardous (please list): Spot removers& cleaning fluids OqA (dry cleaners) Other cleaning solvents ' 1 L Bug and tar removers `' WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair 2.Printers BOARD OF HEALTH satisfactory 3.Auto Body shops lr O unsatisfactory- 4.Manufacturers COMPANY (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS lass: 7•Miscellaneous LOR A IT TIES AND STORAGE (IN= indoors;OUT=outdoors) MAM IALS Drums Above Tanks Underg-round 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 Mi cel neous: I o hP0l / DISPOSAIJRECI AMATION REMARKS: 1. Sanitary Sewage 2.Water Supply .n O Town Sewer OTublic �VOn-site OPrivate , q 3. Indoor Floor Drains YES NO e T/_ ap O Holding tank:MDC O Catch basin/Dry well S O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product Licensed? 1L A-F/ T lg v / YES NO 1 son (s) Interviewed Inspector Date r rTAN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations, epair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY �/1i6�'6JT�P'���� �j (see"Orders"). 5.Retail Stores , 6.Fuel Suppliers ADDRESS �'� } 0� �����`/'� Class: -.7 7.Miscellaneous QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALSUnderground IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasolin Jet Fuel ) Diesel, K rose/e, 2 (B) Heavy Oil waste mo r oil (C) new otor of (C) /ansmissio draulic ynthetic Organics: degreasers Ad Miscellaneous: DISPOSAURECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply Town Sewer Public O On-site OPrivate 3. Indoor Floor Drains YES_J!�_NO Holding tank:MDC Catch basin/Dry well l '1-Q4'zov On-site system 4. OJ0or�e drains:YES____NO ORDERS: 0 Holding tank:MDC 0 Catch basin/Dry well 0 On-site system 5.Waste Transporter Name of Hauler Desti.n.ation Waste Product 5 , YES NO 1. Iv l 2. Person (s) Interviewed Inspector Date v TO ALL NEW BUSINESS OWNERS: Fill in below: '/ J NAME OF NEW BUSINESS: l J7 N S 0 / U TYPE OF BUSINESS IS THIS A HOME OCCUPATION? !V b ADDRESS OF BUSINESS mOu D ID T...T MAP/PARCEL NUMBER If you are starting a new business there are quite a few things you need to do in order to be in compliance with all rules and retulations of the Town of Barnstable. Once you have been checked off on this sheet you may apply for a business certificate at the Town Clerk's office (Ist floor- n a . 1 GO TO BU DIN INS R'S OFFICE (4TH FLOOR TOWN HALL) T is individ s in compliVn; en explained the procedures needed to start a businesElGilding Inspector 2. GO TO BOARD OF HEALTH (3RD FLOOR TOWN HALL) This individual has been informed of any permit requirements that pertain to this type —of_bu!iiness. N�e��ol(rc a-Na-z. Yru t?r,►:e9 F�r r`� Health Inspector's Signature L� 3. GO TO CONSUMER AFFAIRS(LICENSING AUTHORITY)-(3RD FL SCHOOL ADMINISTRATION BUILDING This individual has been informed of any licensing requirements that will pertain to this type of business Licensing Authority Signature After being checked off by all of the above-remember to return to the Town Clerk's office to actually obtain your business certificate. MF0000695 THE COMMONWEALTH OF MASSACHUSETTS `,,r. s DIVISION OF STANDARDS `- 12-31-97 LICENSE NO. EXPIRES. . ONE ASHBURTON PLACE, BOSTON, 02108 '• 'e.. ISSUE DATE 03-11-97 LICENSE TO SELL MOTOR FUEL and /or AUTOMOTIVE LUBRICATING OIL AT RETAIL :N 'AT •'G.�: This is to certify that: HYANNIS FORD, INC. HYANNIS FORD, INC. : 332 FALMOUTH ROAD ROUTE 28 P . O . BOX 578 "x� HYANNIS MA 02601 '�`" " 1025621 CONTROL NO. '� �_ •�+�.-:<: -� is hereby licensed to engage In the business of selling motor lust and/or lubricating oil at retail In accordance with the provisions of ,t •,:,ir,;;`f��`r C1,apter 454 of the Acts of 1039,as most recently amended. THIS LICENSE IS NOT TRANSFERABLE AND MUST BE CONSPICUOUSLY POSTED UPON THE PREMISES . ......;of .. .. ... -• ....... +_. .. _.'iw •3:µ :r:• ...,.'a.•':T GE T'.5 'OR"`SELLER'S'-LICEN. CLASS'=1:Y N SE'— ' ^:'J' .. 5•l t [j 1''r lRi,.: q�ij..1K. ,o:1...?'`_ .,..... ..;.:ay_ n�•.,.�.o-,:w+•.gq'..'vb jl.¢-.-die.`: ..cAS:r Ri..�) ` SV &l3I Yn lw r 4`�1*RF�OR THE,SALE�OFI' SECOND-HAND tMOTO,R 1/,EH1 x Y�xiOi�..vfFad b s s 5 r -�c3. ` a '. ter r14o Ceneral' .aws:witl,wamenamentrli>.. I,n-�acxordauce�wi�provieionarofXhap "G{ �Y9u�` � tis t '�9f}.:L,'(.".f�'��y36 r 've�� �' •:JfQf� ".,..�t ,g•l�.: a€fir +-o� a ofaew motor3veucl whoselpri p uan Sent a Y rr ��W o>c,�ivhoaayasaM'iasregnire Pb,�p..i ection`58 +�' i � l I •q -4Cr. r � ,z 'SF�.e, 4, • ` �' t�'?.' �LOI�.....'x �A aeesapd=�!�el1 ap��ncidental orb and ereto '�secoad=handpn { - 'a . 32; 1 almOii aRoa� _r R',gur Y. �. :$ a AO luclea;at No....r:.....�....:. �•4 Of. ; g �s ' �S�lOWrOOIII`� 1-C-��.1 . �p edssaa ollowe �...:at* ' rations*.Roac: Btu"YcI ng:;,,consi , s o >sG. -r» 2�C 111 g ti coristzuctal.on� eroc�k ;sa des &two. sam conduction '1.''r 4- K Y'•�TiST'�J� ^A - 7 t -'K..••, T s ��'a+Jia9�t����alf�� � "�s.cY�S,S'ii��r•��iL'� -+ 'w1`J �,< 001no - 310 ••µt+..„ EX`1�; $t�C�,lX 1f;FlC► y 'Jqr -..ti i �� a .fi. s' .b• o tllS'PLICENSEXP�IRES a, - ac .� . TIIIS` r _ �'.OS'I'ED�INA CONPCi�U. -rt .-.f -'/011M�t34� O C...?11[VIKD .anej� � ✓•. Gatti�.. ,,.. .- .wr:• S;fi• '.iY w,r,?•T:' "` y $" :;�`~P^` +. L` yii.'.',•;35 '. >Y''rc". --^ G -a •"�4fi "'e��. i-? k...,;+"µ.W .Y`- .ai? .;f:: .. - t\.�, ia`.�i;''"rs e�Ax:del�ii�7ba..•,._, ..�.to#.. 6�tw. '..,d�"i7� .-«. ...�'.. q•.�. Number Fee i 148 THE COMMONWEALTH OF MASSACHUSETTS $10o.0o Town of Barnstable Board of Health p This is to Certify that Hyannis Auto Body 1 !32 Corporation Road, 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 2006 unless sooner suspended or revoked. ---------------------------------------- SUSAN G.RASK,R.S. WAYNE MILLER,M.D.,CHAIRMAN 2006. SUMNER KAUFMAN,M.S.P.H. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health r� Town of Barnstable r/f-6 0-0 Regulatory Services hP ~° Thomas F. Geder,Director " B"MAS&`� " Public Health Division s 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 /.,7//,/ 2 0oS". APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT L• L. Ovj4jl, 014. NAME OF ESTABLISHMENT Z!�//fiiy��S /Ili To b10 y ADDRESS OF ESTABLISHMENT TELEPHONE NUMBER �DW-771-/D y9 SOLE OWNER: YES N IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF JL PARTNERS: z c-) o rn eco mac' IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. —dY,3 fe 7a STATE OF INCORPORATION -Z�FI-Aw-A;e� FU`I,I j§AME AND HOME ADDRESS OF: PRESIDENT iC/�M L-r'oy,Amma �3 /01AJIJ14 0"V TREASURER 1w- &trtl5. e,' , < 0 AA gieA-5— ctmw �Me� btu i«AO6 r SIGNATURE—bfkAPPLICAINT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# Haz.doc/wp/q Town of Barnstable Regulatory Services Thomas F. Geiler,Director Public Health Division sextvsrasi.E.:* Thomas McKean,Director 9 ass. m°i i639. 200 Main Street, Hyannis,MA 02601 . 1�. Phone: 508-862-4644 Email: healthCo,town.barnstable.ma.us Fax: 508-790-6304 Office Hours: M-F 8:00—4:30 December 13, 2005 Hyannis Auto Body Richard Covington 332 Falmouth Road Hyannis,MA 02601 RE: Hazardous Materials Permit Required Dear Mr. Covington: On Novembei 21;2005,you spoke to Mr. Tom McKean about the letter dated November 10, 2605 stating the Hazardous Materials Permit is Required and Overdue. There was confusion in this matter. The Hazardous Materials Permit has been obtained by Ford of Hyannis located at, according to the Assessors Map, 322 Falmouth Road,Hyannis,MA. The Hazardous Materials Permit has not;however been obtained by the address of Hyannis Auto Body located at, according to the Assessors Map, 32 Corporation Street,Hyannis,MA. You currently have both businesses listed under the same address, 332 Falmouth Road,Hyannis,MA which would create confusion. Under the provisions of Chapter 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. Each business address shall be responsible for obtaining a Hazardous Materials Permit.Both locations currently have the minimum of I I I gallons at each site. You will receive your Hazardous Materials License certificate after you have paid the license fee. Your continued cooperation is greatly appreciated. If you have any questions or need further information,please do not hesitate to contact the Public Health Division. Thank you, omas_.:.,McKean, RS,CHO F, .. Director of Public Health �I blG Alisha L.Parker Hazardous Materials Specialist l ' Number Fee 148 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 . Town of Barnstable Board of Health This is to Certify that Hyannis Auto Body 32 Corporation Road, 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:su§pended 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 Town of Barnstable / pod °FINE T Regulatory Services ti 15'24 100Thomas F. Geiler,Director I P '^ MASS. Public Health Division �. *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 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT /r/ L. OVln NAME OF ESTABLISHMENT Avzo 16(zn y 1 ADDRESS OF ESTABLISHMENT �;�( o�74n q Joy cSZ. i / /7�/9n/�f/S�/°Il�• CMG U= TELEPHONE NUMBER V�O� 77/ -MY-/ _, °may cfs _D SOLE OWNER: YES --"NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL N) rn PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. sjf—D`f,'073, STATE OF INCORPORATION )'anGJzy,-� FUU�INAME AND HOME ADDRESS OF: PRESIDENT l.3 Onnie'4 kk, 016A /hfj, TREASURER \STEiiGti A. Atl-it5 - 9 /JA 'fc>/L0 71h. j>)&,s��a-a An ieff C -7i^'a5 4i5r J2.. 97 �B�v�a�n ,�� k�. LcaG�►+ D�� /2 A. 0 /G 4. S TURE OF APPLICANT RESTRICTIONS: HOMEADDRESS�\_7 IdJAn14,/, GL)C�, jL ,yd,�✓:L� /�'�/+ HOME TELEPHONE# \3Cfg- 737 L 298d Q:\Application Forms\HAZAPP.DOC t MAIL-IN REQUESTS Please mail the completed application form to the address below. Also include a copy of your contingency plan (to handle hazardous waste spills, etc). In addition, please include the required fee of$100. 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 us a copy of your contingency plan (to handle hazardous waste spills, etc). In addition, please mail the required fee amount of$100.00. 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 Page 1 Q:\Application FotmAHAZAPP.DOC CHECK FORD OF HYANNIS CONTRih:NO.''- 31992 ISSUED BY: Lutzen, Christina 332 Falmouth Road PAGE 1 Hyannis, MA 02601 ............................................... ......................... ................................................................................................................... ...... ...................... ............................................. . ........................................................ . ........ -H �t At ......... . ....................... ......... ... ........................ . : ...... .............. ................................. M N c. v T. .... V-0 ...................... .......................... .........X, D, -N ............ ...... U .T.... W, .0 .......................... -X': . ........ A ............. .................. ............................... ....................................... .... 051506 HAZARDOUS mArERIALS 111 GALLONS 100. 00 31992 10110 -100.00 86640 100.00 TOTAL 10110 100.00 DETACH AT PERFORATION BEFORE DEPOSITING CHECK REMITTANCE ADVICE Number Fee 148 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Hyannis Auto Body 32 Corporation Road, Hyannis,MA 02601 Is Hereby Granted a License G FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. �D ---------------- ------------------------------------------------------- - -------------------------------------------------- -------- -------------- ------------------------------------------------------------------------------------------------------------------------------------------------- ----------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires June 30, 2009 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER;M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/08 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health I f Town of Barnstable Barnstable Regulatory Services Department AlAmerlcaCitv Public Health Division � BARNffI'ABLE• • . v MAss 200 Main Street, Hyannis MA 02601 i639 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. „�l3 G�7 DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT /1 /�'�lA 6V1AA11--rda- NAME OF ESTABLISHMENT Axk'(,/5 A-/-0 / ADDRESS OF ESTABLISHMENTaAZPAeA-77,(1YV TELEPHONE NUMBER QOV-77/-/0 SOLE OWNER: YES I O Jj cIT. IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF AFL �mr� PARTNERS: W IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. yr/-0 73 I�U'I3. STATE OF INCORPORATION yELAZJA/Z� FULL NAME AD HOME RESS OF: PRESIDENT / i i i iG(Q TREASURER Itoz10 -bi .` 4)&67r-j4un6 AA 01 CLERK ESE 9-Jb• 9 w 20 47111)" SIGNATURE OF AP CANT RESTRICTIONS: HOME ADDRESS �3 Av.u/i o 4u., SVAu/Jp d* HOME TELEPHONE# �(J&-73-) Q:\Iiazmat\Haz Mat Application2008.DOC �} Date: TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: Rv.a nn IS A afD 13n' Au BUSINESS LOCATION: 32 CLWO ►a7hmi �OGId i�nrlly MA l INVENTORY MAILING ADDRESS: %\ " TOTAL AMOUNT- TELEPHONE NUMBER:: c4q CONTACT PERSON: r aim 0r6!5(_f 1 EMERGENCY CONTACT TELEPHONE NUMBER: _ MSDS ON SITE? TYPE OF BUSINESS: I FO MATION/RECOMMEN ATIONS: Fir District: i• Waste Transport a ion: Last shipment of hazardous.waste: Name of Hauler- estination- — Waste Product: Licensed? ftes No NOTE: Under the pro isions of Ch. 111, Section 31, of the Genera 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) i 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 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 IAMSfe .SDI VUK. IJ6 44 W (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers j Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS OIL WASTE OIL OIL FILTERS ANTIFREEZE WASTE ANITFREEZE } GASOLINE WASTE GAS DIESEL FUEL W/W FLUID ATF i HYDRAULIC/ MISC. MISC. MISC. MISC. BRAKE FLUID COMMBUSTIBLE VIABLE CORROSIVE PETROLEUM j (GEAR OEL/GREASE/ ✓ LUBRICANTS) FREON ACETYLENE CAR WASH CAR WASH PAINTS/ WAX DETERGENTS THINNERS ✓ ✓ x� s SEALANT CLEANING BATTERIES/ POISION/TOXIC CAULK/GROUT SOLVENTS BATTERY ACID FERTALIZERS .WASTE SOLVENT BLEACH DISH WASH AND MSDS to DETERGENTS �,UU�. l�'I �„u.S MA4FFS� 5/�07 r, 5V_ z Town of Barnstable oZIME T Regulatory Services N, �Wtio� Thomas F. Geiler,Director Public Health Division BAMSTABLE, Thomas McKean,Director ME 63. ,�� 200 Main Street, Hyannis,MA 02601 ArFD��a Phone: 508-862-4644 Email: health(Rtown.barnstable.ma.us Fax: 508-790-6304 Office Hours: M-F 8:00—4:30 June 18,2007 Mr. Craig Brissell Hyannis Auto Body 32 Corporation Road Hyannis,MA 02601 Dear Mr. Brissell: Thank you for your time and cooperation during the hazardous materials inventory and site visit at Ford of Hyannis on May 15, 2007. This letter contains information from that visit that will help you become compliant with and remain compliant with Chapter 108 of the Town of Barnstable Ordinance: Hazardous Materials. Enclosed is a copy of the Toxic and Hazardous Materials On-Site Inventory form from the site visit. Please note the problems identified at your place of business during the hazardous materials inspection and their corresponding orders or recommendations listed below. OBSERVATIONS: • MSDS book not present,but found during inspection. Please ensure the MSDS binder stays at the facility. On Site Inventory Total The Toxic and Hazardous Materials On-Site Inventory from May 15, 2007 shows that you have approximately 262 gallons of toxic and hazardous materials being used, stored, generated and disposed of at Hyannis Auto Body, 32 Corporation Rd.,Hyannis,MA(Please see enclosed Toxic and Hazardous Materials On Site Inventory sheet). If you have any questions about these problems,the orders and recommendations, or you need further information, guidance or assistance,please do not hesitate to contact the Public Health Division. S* gerely, � c2sfUA Alisha L. Parker I. Hazardous Materials Specialist All orders to correct violations of Chapter 108 of the Town of Barnstable Ordinance: Hazardous Materials shall be co ed upon receipt of this letter. Th mas A.McKean, RS, C Director of Public Health Enc. On-Site Inventory(copy) i i iU.S. Postal (DomesticCERTIFIED MALL RECEIPT Ln m ru IE `fl Postage $ ? U7Certified Fee Postmark Return Receipt Fee Here rru (Endorsement Required) C Restricted Delivery Fee O (Endorsement Required) 0'. Total Postage&Fees ,$ "'3 0 Recipiept's Name(Please Pdnt CI arty)(to boom leted by mailer) O � V /1 C3' Street,Ap�N PO Box O City,State, P+4 -•••------- VT a5 zo Certified Mail Provides: ■ A mailing receipt ■ A unique identifier for your mailpiec4+ ■ A signature upon delivery ■ A record of delivery kept by therostal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First-Class Mail or Priority Mai,. ■ Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. ■ For an additional fee,a Return Receipt may be requested to Provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece 'Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS postmark on your Certified Mail receipt is required. ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". ■ If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,February 2000(Reverse) 102595-99-W2087 UNITED STATES POSTAL SERVICE "8� A y°o��R '-alai CD r - • Sender: Please print yourThme, a dress, and IP+4 in this boxawd of Hum • TawnatGaya" SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.'Also complete A. Signal item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse X ❑Addressee sq,that we can return the card to you. B. ceiv d by tinted Name) C. Date of elivery ■ Attach this card to the back of the mailpiece, j or on the front if space permits. 4hK 1 Pe, L L' '��'V L D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑ No �µ 3. Service Type RIZert:fied Mail ❑ Express Mail ❑ Reg stered ZL-Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number (transfer from service label) 7 0 U 0 — el 6,1 d —p 0 A 6— 1 a g— 5713,5— PS Form 3811,August 2001 Domestic Return Receipt 102595-01-M-2509 °FtHE r Town of Barnstable , Regulatory Services lk • 1ARNSfABLE:.• v MASS. g Thomas F. Geiler,Director i639' �0 Public Health Division Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 April 12, 2002 . DMR Realty Corp Trustee DJM Realty Trust P. O. Box 603 Middlebury, VT 05753 RE: Map & Parcel 293-027 Dear Sir: You are directed to connect your building located at`32--Corporation,Street;-HyanniS, MA., to public sewer on or before October 12, 2002. -� The Superintendent of the Department of Public Works has notified us that your property abutts town sewer lines. The.lines were extended because of the density, and the size of the lots in:the.area, and the potential for serious health problems. Failure to comply with this order will result in a court complaint against you for failure to comply with a Board of Health Order. If you should have any questions, please telephone me at 862-4644. g PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S. CHO Health Agent for TOWN OF BARNSTABLE BOARD OF HEALTH Susan G. Rask, RS., Chairperson copy: Peter Doyle Sumner Kaufman, M.S.P.H. Return receipt requested Wayne Miller, M.D. sewerco2 '