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0012 ENTERPRISE ROAD - Health
12 Enterprise Rd. Hyannis Kimberly's Diaper Service � e o a .__._—uh_..._..1....�.—X^:.Ci.u. i."_Td.Ir...a9L4•BAN.�'ti.'fn:Gn.:.T.:�h.u1:SClYicrarf:.a.�.�¢:.iW].v,r Fww.vrru.r..v.,a.i.S.6YA w:d..tM4vcx1Y�...s ..N.[si_rN.+.IIaa:Gei�a+u�s..�� •...:�•4svave.tussravr.a..¢vaYva.w.an•ancw-.w.-..su+waroen. .•.ara...+.r.rtuvu..r.nr.r:_.�r_. 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 dogs.rfot give you.permission to operate.) You mustfirst ob.lain the.necessary signatures on this form at 200 Main St., Hyannis. Take the completed.form to.the Town Clerk's Ofice,1st FI., 367 Main St., Hyannis, MA 026.01 (Town Hall) and get the Business Certificate.that is required by law. l _ DATE: Fill in please: APPLICANT'S YOUR NAME/S: L U« rM A-i�C - — l�L..'�"r''''�`''*'�% •)' h.:i BUSINESS YOUR HDME•ADDRESS:W-2 a) Lnza)co f�c� i �^�'y T ©2 I ae 11!'�'�=a TELEPI-Il7NE # Home Tel Number - k; ;.[m:iXuLloFitr�7e�i.f(4`�� E-MAIL: -C�VZa «.' NAME OF CORPORATION:,f l�.Vt��I I✓ �_E�, - - NAME OF-NEW BUSINESS I L I liS' (IcUT hcz Q �O�LC S_�/o j� TYPE OF BUSINESS IS THIS A HOME OCCUPATION? • YES NOS_ ADDRESS OF BUSINESS. - 1 C MAP/PARCEL NUMBER (Assessing) When starting a new business there are several thln.gs'you must do in order to be In compliance with the rules and regulations of the Town of Barnstable. This form is-intend'od 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 licerfses required to legally operate your business in this town. 1. BUILDING COMMISSIONER' OFF E This individual has been i r• f any per r quiremerits that pertain to this type of business. orzed SIgnatu e** COMMENTS. 2. BOARD OF HEALTH This individual has been i ed of the perm' r uireme t at pei taln to this.type of busine 1 t-COMPLY WITH ALL ' HAZARDOUS MATERIALS REGULATIpy4 A o ed Signature*.* Ir- . COMMENTS: 3. CONSUMER AFFAI ICENSING RITY] h rd licensing ng requremThis individual ants that pertain to this type of business. ^_-- i COMMENTS: 1p Citizen Web Request Page 1 of 2 R9 o;ta�srnu�. 111 Citizen Request Management Request ID: 45223 Created: 4/29/2013 9:09:07 AM Status: Assigned To Staff Assigned To: Stanton, David Health Office Anonymous: Yes Category: Chapter 108 Hazardous Materials E.C. Date: 5/3/2013 Created By: Stanton, David Citations: '. Health Office Time Worked: 4.00 Response Time: 0.50 Request Location: Swimming Pool and Spa 12 ENTERPRISE ROAD Hyannis, Ma 02601 Parcel Number: Map: 293 Block: 045 Lot: 000 Request: Fire at said location, request Board of Health Rep. Request Work History: Entered on 4/29/2013 9:43:23 AM On 4/28/13 DS received a call from Hyannis fire at 4:51 PM. Request BOH rep for fire at a pool store. DS went to said location and arrived at 5:20 PM. Met with DC Dean Melanson, Spanky and the State Hazmat team. Fire occurred at said location. Pool chemicals were compromised and reacted and\or were released. There were chemicals in the runoff water. pH tests were taken in various areas and ranged from basic (pH 11) to acidic in some areas inside the building. The backside of the building was pretty clean. The front side had all the chemical storage. Several compromised chemical containers observed. Chemicals ranged from acids, bases, oxidizers, etc. Had acid, Sodium Hypochlorite, Hydrogen peroxide (27%), etc. As the scene was winding down, the fire department was able to rinse down contaminated clothing and gear. The run off appears to be going to a retention pond located across the street and behind carpet barn. Jaime Gonsalves, MassDEP arrived on scene. Frank Corp. was contracted by the owner to start the clean up. A little after-8 PM, the scene was well under control and being handed over to the owner and Frank corp. The plan for the evening was to secure the outside area (people had been attempting earlier to get close and were only wearing socks and another open thin sandals. The two guys from Frank corp. were going to suit up, including respirators and go in the building to sort out the products and put them into appropriate containers and remove the product from the site. Jaime was going to oversee the chemical removal. They were also going to have either a fire or police detail stay on scene. Power was shut off to the entire building. DS contacted Cape Cod Oyster as we were unsure if they had power. Later it appeared they had a separate feed and the owner was going to come and see. None of the runoff went to the cape cod oyster building. Lorna Berger of the Grand Island Tattoo inquired about inspections to reopen and DS passed along her info to Peg Stanton to follow up. Tim L. will be stopping by today to see if any follow up is needed on our http://issgl2/intemalwrs/WRequestPrintPub.aspx?ID=45223 4/29/2013 Citizen Web Request Page 2 of 2 end, but it appears that it is mostly in the hands of DEP and we will assist them with anything they need. Jaime was going to be spending the night at the location until Frank Corp was all set. f http://issgl2/internalwrs/WRequestPrintPub.aspx?ID=45223 4/29/2013 Homepage -News Radio 95 WXTK - Cape Wide News For Sunday April 28th, 2013 Page 1 of 3 i 07:57am,04/29/13 95WVT 46`F Ed Lambert In The Morning ��0r, ` 1: 7A-t0A Laura Ingraham . ..J Listen Live Marketplace Traffic Contact Closings&Delays Cape Cod Baseball League VdFJV YYIUV IMUVV3 IVI QUIIUdy MIA 11 4GL11, LV IJ 2-alarm fire at H annis ool supply business € �s. Tve . 4. Ph , aEwam rti Ab 4,a ill4V E �. . �` it, 444 e HYANNIS-Firefighters were called to the scene of a raging building fire in Hyannis Sunday afternoon.Flames were reported through the _ � �` roof of a commercial building at 12 Enterprise Road.Thick smoke could be seen for miles.The fire was reported to be at the Swimming ' Pool Equipment&Supplies store in a strip mall type building.A ` worker in the business at the time was treated for smoke inhalation j and taken to Cape Cod Hospital.A second alarm brought several mutual aid companies from surrounding towns to the scene.A short time after arriving,all companies were ordered out of the building. Several small explosions could be heard coming from the building. Because of pool chemicals in the building,a response was °` f requested from Hazardous Materials(HazMat)technicians.The http://www.95wxtk.com/Cape-Wide-News-for-Sunday-April-28th-2013/16185869 4/29/2013 Homepage -News Radio 95 WXTK- Cape Wide News For Sunday April 28th, 2013 Page 2 of 3 cause of the fire is under investigation but it is not believed to be suspicious. Photos by CWN associate John P. Carroll(click right photo to enlarge) News briefs: Trailer damaged by fire in Hyannis HYANNIS-Fire broke out in a trailer at 569 Main Street in Hyannis late Sunday afternoon.A Yarmouth engine covering because of the major blaze on Enterprise Road(see story above)responded and extinguished the flames.The cause of the fire is under investigation. Car vs guardrail on Route 6 BARNSTABLE-A car lost control and struck the guardrail on Route 6 around 5 p.m.The crash happened on the eastbound side before exit 7.The driver was not seriously injured.Traffic was reduced to one lane while officials worked the scene.State Police are investigating. Car vs bicycle in Yarmouth ft i t g s Yj. .. wPCmahi4'"' `'a u q,. K: ,man. YARMOUTH-Officials are investigating a car vs bicycle crash in Yarmouth.The crash happened about 1:30 p.m.on Route 28 at Wood Road.The victim was taken to Cape Cod Hospital with unknown injuries. Sarah,a Cape Wide News reader captured the scene. If you see breaking news and can safely take photos or video,please send them to us. Elderly man injured in fall from ladder MARSTONS MILLS-A man was seriously injured after falling about two-stories from a ladder Sunday morning.Rescuers responded to the area of Santuit-Newtown Road and School Street shortly before noon.The victim was taken to the Cape Cod Airport off Route 149 and MedFlighted to a Boston hospital. Motorcycle crash reported on Scenic Highway BOURNE-A motorcycle crash stalled traffic on the Scenic Highway around 12:50 p.m.The crash happened near the Bourne Scenic Park.The extent of injuries was not immediately known.Police are investigating the crash. Car vs pole closes Stevens Street in Hyannis HYANNIS-A portion of Stevens Street in Hyannis was closed well into the morning after a car vs pole crash.The pole,laden with a transformer,came down across the roadway after the 1:15 a.m.crash.Two people in the car escaped injury.NSTAR crews were called to start replacing the pole.According to the utility's map,only a handful of customers were without power. The crash is under investigation by Barnstable Police Driver extricated after Bourne crash BOURNE-Firefighters had to use the Jaws of Life to free a driver after a crash on Route 25 in Bourne Saturday evening.Two vehicles collided around 8:30 p.m.around a mile from the Bourne Bridge and ended up in the median.Once freed.the driver was taken to Tobey Hospital in Wareham.The other driver was not injured.State Police are investigating the crash http://www.95wxtk.com/Cape-Wide-News-for-Sunday-April-28th-2013/16185869 4/29/2013 Swimming pool store in Hyannis burns CapeCodOnline.com Page 1 of 2 " Swimming pool store in Hyannis burns By AMY ANTHONY aanthony@capecodonline.com April 29,2013 2:00 AM HYANNIS—Firefighters battled a blaze that destroyed an office around 4 p.m. Sunday at a commercial building on Enterprise Road. Hyannis firefighters were alerted to the fire when they received a call from an employee at The Swimming Pool and Spa Design, at 12 Enterprise Road behind the Cape Cod Mall. "He said he heard a crackling sound," said Steven Senna, the owner of The Swimming Pool and Spa Design, who was not present when the fire started. r= Content blocked by your organization i Reason: This Websense category is filtered: Streaming Media. URL: http://www.youtube.com/embed/gdAEosG390A i I Options: Click more information to learn more about your access policy. ! Click Go Back or use the browser's Back button to return to the previous page. G Back s�4� 52RM1^°ti Senna said the employee,who has not been identified, got out of the building and contacted him. Hyannis, Yarmouth, Barnstable, West Barnstable and Centerville-Osterville-Marstons Mills firefighters arrived on scene within minutes of the call and could see flames through the business's front windows,which they broke to create ventilation. Dark smoke, which smelled heavily of chlorine, billowed out of the windows for several minutes. "There was tons of black smoke going down the street,"said Nate Robertson, 24, the owner of The Cape Cod Florist across the street from the swimming pool business, which is part of a strip mall. Robertson, who had been cleaning his office when the fire started, smelled smoke and saw flames when he stepped outside. By 4:20, firefighters had knocked down the fire on the first floor of the business, but continued to chase the fire through the attic, using chain saws to cut holes in the roof to locate flames. Firefighters on the ladder truck also sprayed the building from above. "It's not going to put me out of business,"said Senna,who has owned the swimming pool business for 18 years and was at the Enterprise Road location for two years. "It's a little disturbing because of all the chemicals," said Michael Hollis, an employee at the store, referring to the chlorine housed in the office, "but also because his whole life's in that office." http://www.capecodonline.com/apps/pbcs.dll/article?AID=/20130429/NEWS/304290310&templa... 4/29/2013 Swimming pool store in Hyannis burns I CapeCodOnline.com Page 2 of 2 Senna, Hollis and dozens of onlookers gathered along Enterprise Road to watch firefighters inspect the office after the flames had been extinguished. "There was heavy fire damage on both floors,"said Hyannis Deputy Chief Dean Melanson. There was also significant smoke damage to Vehicle Vibes, the business next door to The Swimming Pool and Spa Design, he said. Because of the chlorine odor in the air and a milky runoff seeping from the building, Melanson called in a hazardous materials team and the board of health to make an assessment of the building. The cause of the fire is under investigation, but it does not appear suspicious, and there is no reason to believe this fire is related to the arsons that occurred April 21 on Pilgrim Lane and Baxter Road, Melanson said. The employee who reported the fire was taken to Cape Cod Hospital to be treated for smoke inhalation. No other injuries were reported. The property is assessed at$1.08 million and is owned by Brenner Levy Associates LLC of Wellesley. Copyright©Cape Cod Media Group,a division of Ottaway Newspapers, Inc.All Rights Reserved. I http://www.capecodonline.com/apps/pbcs.dll/article?AID=/20130429/NEW S/304290310&templa... 4/29/2013 Page 1 of 1 fill �tffi �•F;++�s1` �:�. �� f `v� � �g'� �� �,d ��p '��Ie a x�r' .��,��« � r. w+w � � �� � �«° `* �_*•. •, � � ����€ � � .sue _ x _ 6 http://www.capecodonline.com/apps/pbcsi.dll/bilde?Site=CC&Date=20130429&Category=NEW... 4/29/2013 Page 1 of 1 14 itn� s � w t 'c r B K' e4t Z Jw. w av ^- n i �r F. L �g s - C � s.' t s i a g+�yr a= •��' - _� t http://www.capecodonline.com/apps/pbcsi.dll/bilde?Site=CC&Date=20130429&Category=NEW... 4/29/2013 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business cerrificate 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, 151 FI., 367 Main St., Hyannis, tvlA 02601 Town Hall) and get the: Business Certificate that is required by law. DATE: 1 q ` ti Fill in please: APPLICANT'S YOUR NAME/S: S+e— Z N ' BUSINESS YOUR HOME ADDRESS: I L-Izrey-e -ck K,-Xe • [Q-aC, (.-;2, 75 31,433 TELEPHONE # Home Telephone Number C"1'7413 —O� s! i l:4 NAME OF CORPORATION: F.L NAME OF NEW BUSINESS Sw-,Mrn.N 5 F a1 4-SIFo__ 'i/0 TYPE OF BUSINESS �W=MM�N {gip©lS fh-S IS THIS A HOME QCCUPATION? YES NO V--- ADDRESS OF BUSINESS od• I MAP/PARCEL NUMBER (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 been informed of any permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 2. BOARD OF HEALTH This individual has been infop r d at the permit requirements that pertain to this type of business. `'' '`` MUST%;OMPL`1f WITH ALL HAZARDOUS MATERIALS REGULATIONS Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS EN SING AU"ORITY) This individual h j en informed he licen ing requirements that pertain to this type of business. Authorized Si fixture** COMMENTS: Town of Barnstable `M�' Board of Health 16,59. A 200 Main Street,Hyannis MA 02601 Y 2007 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi November 29, 2012 Mr. Peter Sullivan, RE, Sullivan Engineering P.O. Box.659 Osterville, MA' 02655 RE Cape Cod Oyster Facility = Dear Mr. Sullivan You were present during the August 21 , 2012 Board of Health meeting. The meeting was held because you requested a determination from the Board in regards to determining design flow for a septic system for a rinse water operation along with a limited number of employees (four to eight employees, part-time). In this case, the rinse water is from a culling operation as the result of washing off live oysters, determined to be approximately 600 gallons per work day. According to your letter, you originally intended to add the rinse water into the septic system however, you did not want that flow to "penalize" the total design flow. It was determined by the Board that the rinse water from the culling operation will not be used to "penalize' the applicant in regards to nitrogen loading`limitations. i However it was later determined, after consulting with Brian Dudley of MA DEP, that this'is considered an "industrial' use. Therefore an industrial holding tank may be required. If you should have any further questions, please feel free to consult with MA DEP or telephone Thomas McKean at 508 862-4644. Sinc ely yours Wayne' iller,.M.D. I Chair an Board of Health Q:\WPFILES\CapeCodOysterRinseWater2012.doc l j I gage i ul l McKean, Thomas From: Peter Sullivan [peter@sullivanengin.com] Sent: Tuesday, August 14, 2012 4:17 PM To: McKean,Thomas Cc: Crocker, Sharon; capeoyster@comcast.net f Health Meeting August 21, 2012: Cape Cod Oyster Subject: Board o RE Cape Cod Oyster, Facility Dear Tom, ust 21, 2012. The purpose of our We are on the`agenda for the next Board of Health Meeting Aug ees at the s stem is limited to of the number employ request is to confirm that the design flow to the septicY facility (4-8 people, 4 hours per day, and 4 days a week).opera the septic system however do not We will be adding the"rinse water"from the culling op approximately 600 gallons per work want that flow to penalize the total design flow. The"rinse water" is day and is the result of washing off the live oysters. k water therefore flow and The"rinse water" by definition is neither grey nor blac have attached the rlab results of he rinse water therefore it is not design flow as defined by Title 5. We from the Hyannis operation (town sewer). We are looking for the Board's affirmation of our position. As always thank you in advance for your efforts on this matter. Peter 4 Peter Sullivan PE Sullivan Engineering, Inca 508-428-3344 12 Page 1 of 1 Crocker, Sharon From: Peter Sullivan [peter@sullivanengin.com] Sent: Thursday, August 02, 2012 2:28 PM (� To: Crocker, Sharon Cc: capeoyster@comcast.net;john@sullivanengin.com Subject: Cape Cod Oyster Hi Sharon, Can we get on the Boards agenda to discuss the criteria for a new facility for bagging &shipping oysters? Do I need to do anything other than ask you? Thank you in advance for your help. Peter Ca i� 1 8/2/2012 "uF�A�sa, Page: 1 of 1 CERTIFICATE OF ANALYSIS Barnstable County Health Laboratory (M-MA009) '9�s'c5v' Report Prepared For: Report Dated: 6/15/2012 Al Surprenaut .Cape Cod Oyster Co. Order No.: G1267940 262 Bridge St. Osterville, MA 02655 Laboratory ID#: 1267940-01 Description: Gray Water Sample#: Sample Location: 12 Enterprise Rd, Hyannis, MA Collected: 06/04/2012 Collected by: A. S. Received: 06/04/2012 Routine ITEM RESULT UNITS RL MCL METHOD# TESTED Nitrate as Nitrogen 0.53 mg/L 0.10 10 EPA wao 6/5/2012 Copper 0.055 mg/L 0.003 1.3 SM 31116 6/12/2012 Iron 14 mg/L 0.010 0.3 SM 3111B 6/12/2012 pH 7.7 PH AT 25C NA 6.5-8.5 SM 4500-H-6 6/5/2012 Sodium 74 mg/L 1.0 20 SM 31116 6/12/2012 i Total Coliform 102 /100ml- 0 0 EPA 1604 6/4/2012 Conductance 580 umohs/cm 2.0 EPA 120.1 6/5/2012 Present for E.coli Attached please find the laboratory certified parameter list. Approved By: (Lab Director) ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 Page: 1 of 1 CERTIFICATE OF ANALYSIS �' Barnstable County Health Laboratory (M-MA009) �yss'n�yps�~ Report Prepared For: Report Dated: 6/15/2012 Al Surprenaut j Cape Cod Oyster Co. Order No.: G1267940 262 Bridge St. Osterville, MA 02655 Laboratory ID#: 1267940-01 Description: Gray Water Sample#: Sample Location: 12 Enterprise Rd. Hyannis, MA Collected: 06/04/2012 Collected by: A. S. Received: 06/04/2012 Routine ITEM RESULT UNITS RL MCL METHOD# TESTED Nitrate as Nitrogen 0.53 mg/L 0.10 10 EPA 300.0 6/5/2012 i Copper 0.055 mg/L 0.003 1.3 SM 31116 6/12/2012 i Iron 14 mg/L 0.010 0.3 SM 3111B 6/12/2012 pH 7.7 PH AT 25C NA 6.5-8.5 SM 4500-H-6 6/5/2012 Sodium 74 mg/L 1.0. 20 SM 3111B 6/12/2012 Total Coliform 102 /10omL 0 0 EPA 1604 6/4/2012 Conductance 580 umohs/cm 2.0 EPA 120.1 6/5/2012 Present for E.coli j " Attached please find the laboratory certified parameter.list. Approved By: (Lab Director) w ._ Z ;ara ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 I ' ji CERTIFICATE OF ANALYSIS Page: 1 of 1 Barnstable County Health Laboratory (M-MA009) h' Report Prepared For. Report Dated: 7/6/2012 Al Surprenaut Cape Cod Oyster Co. Order No.: G.1268815 262 Bridge St. Osterville, MA 02655 Laboratory ID#: 1268815-01 Description: Gray Water Sample#: Sample Location: 12 Enterprise Rd. Hyannis, MA Collected: 06/28/2012 Collected by: A. S. Received: 06/28/2012 Test Parameters ITEM RESULT UNITS RL MCL METHOD# TESTED Fecal Coliform 900 CFU/100 mL 100 MF-SM9222D 6/28/2012 Total Coliform 1,400,000 CFU/100mL 10,000 EPA 1604 a 6/28/2012 Tested present for E.coli. Attached please find the laboratory certified parameter list. Approved By: (Lab Director) 72 i „> ll et"� _ 0 ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 , CERTIFICATE OF ANALYSIS Page: of ^' Barnstable County Health Laboratory (M-MA009) �9lctN `�/ Report Prepared For: Report Dated: 6/15/2012 Al Surprenaut Cape Cod Oyster Co. Order No.: G1267940 262 Bridge St. Osterville, MA 02655 Laboratory ID#: 1267940-01 Description: Gray Water Sample#: Sample Location: 12 Enterprise Rd. Hyannis, MA Collected: 06/04/2012 Collected by: A. S. Received: 06/04/2012 j Routine ITEM RESULT UNITS RL MCL METHOD# TESTED Nitrate as Nitrogen 0.53 mg/L 0.10 10 EPA 300.0 6/5/2012 Copper 0.055 mg/L 0,003 1.3 SM 3111 B 6112/2012. Iron 14 mg/L 0,010 0.3 SM 3111 B 6/12/2012 pH 7.7 PH AT 25C NA 6.5-8.5 SM 4500-H-6 6/5/2012 Sodium 74 mg/L 1.0 20 SM 3111E 6/12/2012 i Total Coliform 102 /1o0mL 0 0 EPA 1604 6/4/2012 Conductance 580 umohs/cm 2.0 EPA 120.1 6/5/2012 Present for E.coli Attached please find the laboratory certified parameter list. Approved By: (Lab Director) ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 �Y�jFAA ;Si CERTIFICATE OF ANALYSIS Page: 1 of 1 T.. l� �^ Barnstable County Health Laboratory (M-MA009) � Report Prepared For: Report Dated: 6/15/2012 Al Surprenaut Cape Cod Oyster Co. Order No.: G1267940 262 Bridge St. Osterville, MA 02655 Laboratory ID#: 1267940-01 Description: Gray Water Sample#: Sample Location: 12 Enterprise-Rd. Hyannis, MA Collected: 06/04/2012 Collected by: A. S. Received: 06/04/2012 Routine ITEM RESULT UNITS RL MCL METHOD# TESTED Nitrate as Nitrogen 0.53 mg/L 0.10 10 EPA 300.0 6)5/2012 Copper 0.055 mg/L 0.003 1.3 SM 3111 B 6/12/2012 Iron 14 mg/L 0.010 0.3 SM 3111 B 6/12/2012 pH 7.7 PH AT 25C NA 6.5-8.5 SM 4500-H-6 6/5/2012 Sodium 74 mg/L 1.0 20 SM 3111B 6/12/2012 Total Coliform 102' /10omL 0 0 EPA 1604 6/4/2012 Conductance 580 umohs/cm 2.0 EPA 120.1 6/5/2012 Present for E.coli Attached please find the laboratory certified parameter list: Approved By: 1 (Lab Director) ` ttWw � js, ,,. RU .�.2� w rt 1 i F p f , ram. h•s t ff w R• . ` Efiz �at"t"`��������. ►ram• �-�9��✓a� .m� � �� ,�. �+ ,r ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 ` COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF ENVIRONMENTAL PROTECTION Certified Parameter List as of:01 Dec 2009 M-MA009 BARNSTABLE COUNTY HEALTH 8 ENV DEPT, BARNSTABLE•MA Analytes Methods for NON-Potable Water Methods for Potable Water ALUMINUM EPA 200.8 ANTIMONY EPA 200.8 EPA 200.8 ARSENIC EPA 200"8 EPA 200.8 BARIUM EPA 200.8 BERYLLIUM EPA 260.8 EPA 200.8 CADMIUM EPA 200.8 EPA 200.8 CHROMIUM EPA 200.8 EPA 200.8 COBALT EPA 200.8 f, COPPER EPA 200.8;SM 3111B EPA 200.8;&M 3111E IRON SM 3111 B LEAD EPA 200.8 EPA 200.8 MANGANESE EPA 200.8;SM 3111B MERCURY 200.8 NICKEL EPA 200.8;SM 3111 B EPA 200.8;SM 3111 B SELENIUM EPA 200.8 EPA 200.8 SILVER EPA 200.8 EPA 200.8. THALLIUM EPA 200.8 EPA 200.8 VANADIUM EPA 200.$. ' ZINC EPA SM 31116 PH 'Pv14500-H-8 SM 4500-H-B SPECIFIC CONDUCTIVITY EPA 120.1;SM 2510B HARDNESS(CAC03),TOTA>.• SM 2340B CALCIUM SM 31118 SM 31118'` MAGNESIUM SM 3111B SODIUM SM 3111E SM 31113 POTASSIUM SM 3111 B ALKANILITY,TOAL SM 2320B SM 23208 1] CHLORIDE EPA 300.0 FLUORIDE• EPA 300.0 4 y zz SULFATE EPA 300.0 EPA 300.0 NITRATE-N EPA 300.0 EPA 300.0 -a NITRITE-N ' z1 EPA 300.Q.URSiCiTf EPA 180.1 TOTAL DISSOLVED SOLIDS SM 2540C SM 2540C NON-FILTERABLE RESIDUE(TSS) SM 25400 M C Tr TOTAL ORGANIC CARBON 5M 5310E 'CHEMICAL OXYGEN OXYGEN DEMAND HACH METHOD-8000 BIOCHEMICAL OXYGEN DEMAND SM 5210E TRIHALOMETHANES EPA 524.2 VOLATILE HALOCARBONS EPA 624 VOLATILE AROMATICS EPA 624 VOLATILE ORGANIC COMPOUNDS EPA 524.2 1,2-DIBROMOETHANE EPA 504.1 1,2-DIBROMO-3-CHLOROPROPANE EPA 504.1 PERCHLORATE EPA 314.0 HETEROTROPHIC PLATE COUNT SM 9215B TOTAL COLIFORM MF-SM 9222B TOTAL COLIFORM EPA 1604 TOTAL COLIFORM ENZ.SUB.SM 9223 FECAL COLIFORM MF-SM 9222D MF-SM 9222D E.COLI EPA 1603 EPA 1604 E.COLI EPA 1103,1 NA-MUG-SM9222G E.COLI MF-SM 9213D ENZ.SUB.SM 9223 ENTEROCOCCI EPA 1600 EPA 1600 Effective Date:01 July 2010_Expiration Date: 30 Jun 2012 .. go 14 Town of Barnstable Hazardous Materials On-Site Inventory and Inspection FACILITY INFORMATION: Business Name: POOL AAl b 5PA ACS14AJ Business Location: /&'I- eAJ7-EXP1GS6 fT 0A--Q, �Iit/I T11 IIVAW AJIS Mailing Address: Telephone Number: 9 0 -f Z3 543 Contact Person: S 7EV�N S d IVA Emergency Contact Telephone Number: Type of Business: R®4- 4`N/) SPA b65/6AJ A-Atb AtA-11,1T�*AJ4E HAZARDOUS MATERIALS (CHAPTER 108) Virgin Product Total Quantity Container Size(s) Storage Location Major Materials Gallons or Pounds Quarts,gallons, Shed,retail store, drums,tank,etc... cabinet,closet,etc &-LCiVA( C/) �S' POCW'9 SSW"T0.0 /q PGC IZ41 '.l �6/mod uafA9 944ex.C7- T,�tc�Laeo-s' - 3 �ouAvv,S �) -2 i-6 6AIAIAW 5°b`a ACIS S /a r-� SNa�r/eoo PC2oJ�fDE °c� �� NS eeA1r A/nd6_Xs �/�GUcC�C (611 /o L B, GNL 0�/��' fi D you Nt�S Si _UCt-TS �YiSC¢zA,u�cz 1 .2,O ro A-1- S' tit fi eh0L-"iC'4z s A0'9AJ 6 Cda M.I XON S 1-1&-Z.v/aJ& /tt�S Ca-b-AA-)IZOs fG 01tA,6'E 7T s,v�uf/Pa�rc /�CQI/fIJ AMU- /�tZVi'.t�fC- f - 1 - Misc. Combustibles Misc. Corrosives Misc.Reactive Misc.Toxics Inventory Total Amount: �� ;PUII�(1/�S A-Alb /9 Cy p2C-6�S Hazardous Materials License Posted?Yes o � Contingency Plan Posted? Yes U Fire District: /�' AA1A11f Fire Extinguisher Service Date: Metal Covered Rag Bin: Yes & Absorbent Material Available? Yes No Type of Absorbent: Speedy Dry Pads Pigs Other: MSDS on site? Yes � Hard Cop Computer Access Hazardous Waste Handling Hazardous Waste Generator Identification Number: Type(s) of hazardous waste product(s): Date of last hazardous waste shipment,type of waste and quantity: Hazardous Waste Transporter(s): Designated Hazardous Waste Facility: Hazardous Waste Storage Area Description: Is hazardous waste storage area labeled: Yes No Are tanks/drums/containers labeled with the words "Hazardous Waste",the type of waste and the associated hazard(i.e. ignitable,corrosive,reactive or toxic) Yes No If hazardous waste is stored out of doors is it covered from the elements? Yes No Is it in 110% containment? Yes No If hazardous waste is stored indoors is it on an impervious floor? Yes No - 2 - FLOOR DRAINS (Chapter 381) Town Sewer Account Number: tz Indoor floor drains: Yes & If yes,circle one,does it discharge to a: holding tank dry well on site septic. Outdoor surface drains: Yes No If yes,circle one,does it discharge to a: holding tank dry well on site septic. FUEL AND CHEMICAL STORAGE TANKS (Chapter 326) Underground Storage Tank(s) on site? Yes 6N 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? Yes No If yes,is it protected from the elements? Yes No If yes,how? Is it on a foundation larger in size than the tank? Yes No COMMENTS/RECOMMENDATIONS/CORRECTIVE ACTIONS &SEP eAl 1WVjjW7V K UNTS L/ S AI d Su 7Zr-r &ous Mkrta2f4---(-s L c&-AJsl.J6- 'UiW1R-C-77 ®iz�' T1VE- SAW Of lS7X&E, 36VCXkL_ Dr—l�r fix L C4Ltt-WtL fj-3- /+leg" let?V— -E A-Alb 5)W Z!" 57DR6b *A]® #*AJbQZ W 1 7W CA/39-. /yShS 5/Y01Z4,,6 tic A-VAILgeCC 0,/ 'T,eae-r-S. I Date: Se �� Public Health Inspecto Facility Representative. - 3 - YOU WISH TO OPEN A BUSINESS? AME in town For Yo ur Information: Business certificates (cost$30.00 for 4 years). A business certificate ONLY le at tlhe Town Clerk's STERS Office, 1°`FL., 367h �^ you must do by M.G.L.-it does not give you permission to operate.) Business Certificates ar Main Street, Hyannis, MA 02601 [Town Hall] DATE: 0 Fill m ease: YOUR NAME S: APPLICANT'S / _ 1, � v�r G YOUR HOME ADDRES16 S: T t TELEPHONE # Home Telephone Number d�� kdnlA4'1� NAME OF CORPORATION: �� l� lL TYPE OF BUSINESS NAME OF NEW BUSINESS \ . _ r IS THIS A HOME OCCUPATION? YES N ( `MAP/PARCEL NUMBER f Assessing) ADDRESS OF BUSINESS S wn of When starting a new business there are several things n°U the info�mat order in yo may need.plYou MUSTiance with hGO TO 20O Maie rules and n StnS (corner of the oof Yarmouth Barnstable. This form is intended to assist you 9 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 ` This individual has b n i f r e 'I t per requirements that pertain to this type of business. L Auth, ized Signature* - /C ice.. COMMENTS: N-4�fzb'30s 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: 511r l mil® TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS IALS ON-SITE INVENTORY NAME OF BUSINESS: D 9� CR. ` �0 66 1 6 ()t M BUSINESS LOCATION: 1 �� G�`� �S C' 9- D. ���4� "l N� /� INVENTORY MAILING ADDRESS: a EN a '% i q� (S, K8 0)-601 TOTAL A OUNT: TELEPHONENUMBER: CONTACT PERSON. _A ,1^�;�il EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: uS 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 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 CMNt7� Q...P. IDRU Foy (including bleach) Y�4 !QQD N L� AAA Spot removers &cleaning fluids Oyu ft o Wv_ L (dry cleaners) 9ANX Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Purchased the following items from silkscreeningsupplies.com 1. 1 quart of CCI Nutralyze Fabric Degreaser 2. 1 quart of CCI Liquid Renu-It 3. 1 8oz ounce bottle of CCI ER 80 Super Concentrate Emulsion Remover 4. 1 gallon of CCI ProChem DXP Pink Diazo-Emulsion 5. 1 gallon of CCI Textile Screen Wash 147 6. 1 12oz bottle of ProChem Pro Hand Cleaner and Conditioner 7. 1 8oz bottle of CCI Red Coat Water Removal Blockout 8. 1 20oz can of Sprayway Fast Open 957 9. 1 12oz can of Top Bond Mist Pallet Adhesive 10. 1 gallon of SR-97 Spot Remover 11. Plastisol Ink from Ryonet(Used over a 1 year period) • 1 Gallon of White • 1 Gallon of Black • 1 Quart of Royal Blue • 1 Quart of Scarlet Red • 1 Quart of Lemon Yellow • 1 Quart of Kelly Green • 1 Quart of Navy • 1 Quart of Golden Yellow • 1 Quart of Dark Orange • 1 Quart of Purple 1 Quart of Magenta • 1 Quart of Cyan • 1 Quart of Process Yellow • 1 Quart of Process Black 12. 1 20oz can of Spray Way Glass Cleaner 13. 1 quart of Discharge Agent Crystal/Powder Form *Chemical Consultants Incorporated (CC]) *These chemicals are used over a 6 month period. f L'd LOLL-Z9£-S09-1 dao0 uoijoy suaapjiy0 y{_��j d£Z:ZO 60 9Z lo0 TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1. Marine,Gas Stations,Repair satisfactory. 2. Printers BOARD OF.HEALTH 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY a— (see"Orders") 5.Retail Stores 6.Fuel Suppliers 14 ADDRESS I D QA)�q. Or' nl 5 Class: 7.Miscellaneous QUANTITIES AND STORAGE (IN= indoors; OUT=outdoors) AJOR MATERIALSan -round 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: 30 DISPOSALIRECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply (i"Town Sewer OPublic O On-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:YES NO ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter Narne of Hauler Waste Product 2. Person(s) Interviewed Inspector Date TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1. Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY !2 ��� O (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS t! TOE-R21 = eb Class: 4za 7. Miscellaneous �o..�r1iS QUANTITIES AND STORAGE (IN= indoors; OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground 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: V55( \ X yUl DISPOSALIRECLAMATION REMARKS: ` 1. Sanitary Sewage 2.Water Supply Town Sewer b�ublic O On-site OPrivate 3. Indoor Floor Drains YES N0�< O Holding tank:MDC O Catch basin/Dry well O On-site system V 4. Outdoor Surface drains:YES N0-)<- ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product INO Sk 2. Person(sl Interviewed Inspector Date TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair 2.Printers BOARD OF HEALTH O satisfactory 3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY &i*%ism la (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS 7.Miscellaneous ` c QUANTI IES AND STORAGE (IN= indoors; OUT=outdoors) MAJO MATERIALS 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: V DISPOSAUJRECLAMATION REMARKS: N, 1. Sanitary Sewage 2.Iyater Supply own Sewer Public O On-site OPrivate 3. Indoor Floor Drains YES—I-/NO- -0 Holding tank:MDC O Catch basin/Dry well - O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MDC lC O Catch basin/Dry well O On-site system 5.Waste Transporter YES NO 1. 2. r on(s) Interviewed Tnspector Date rl �oFVETti Town of Barnstable o� Board of Health * BARNWABLE, • J, 9� MASS.. ,�� P.O. Box 534, Hyannis MA 02601 ATEp Mp'l A Office: 508-862-4644 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Agent of the Board of Health Mr. Freeman Watson _ March 9, 2001 The Broken Yolk 12 Enterprise Rd. Hyannis, MA 02601 EMERGENCY CLOSURE/SUSPENSION OF PERMIT The following violations were observed by Health Inspector Donna Miorandi, R.S., on March 9, 2001 at 2:00 p.m.: 5-401.11 No hot or cold water provided. Faucets at handwash sink, faucet at three compartment sink, and all faucets and toilets in bathrooms were inoperable. No water provided through faucets in bathroom, at handwash sink, and at three compartment sink. 5-103.11 No hot water provided through distribution systems sufficient to meet peak hot water demands throughout:food establishment because adjacent business operator/owner disconnected hose from hose'bib. 5-205.11 No handwash facilities provided. Handwash sink faucet handles inoperable due to the fact that there was no water provided.. The board of health agent has determined that an imminent health hazard exists, which' requires the immediate suspension of the food establishment permit or the operation of one or more particular operations at the food establishment. All operations of the food establishment shall immediately cease and desist. The emergency closure shall remain in effect until conditions cited in the order Qf closure are corrected and the corrections are confirmed by the board of health or its authorized agent, as determined by the board of health, through reinspection and other means as appropriate. A written request for a hearing may be filed with the board of health by the permit holder within ten days of receipt of this suspension order. You have the right to inspect and obtain copies of all relevant inspection reports, orders, notices, and other documentary evidence in the possession of the board of health and you have the right to be represented at any hearing. The board of health a, nt may end the suspension at any time if reasons for the suspension no longer e ist. F TH BOARD OF HEALTH omas A. McKean Agent of the Board of Health Q:/heahh/brokyolk +a of Axj- Ka,1x -7 )f— ,2 ;V, '4 0�/, / � ,k. _�_ V0/ TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair , nters BOARD OF HEALTH � satisfactory 3.2.Auto Body Shops ;� - � 1 O unsatisfactory- 4.Manufacturers COMPANY j�' �i9 (see"Orders") 5.Retail Stores . 6.Fuel Suppliers ADD 1 Class: :2- 7.Miscellaneous L cj QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS / ,. . , 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:- f .sue 1 �- S/:� - vim► DISPOSAIJRECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply U )kTown Sewer b'ublic O On-site OPrivate . 3. Indoor Floor Drains YES X NO O Holding tank:MDC O Catch basin/Dry well d O On-site system 4. Outdoor Surface drains:YES-NO ORDERS: 0 Holding tank:MDC Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product YES NO 2. Aa oAm� 1�y lle!��A_ 7 Person (s) Interviewed Inspector Date TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH satisfactory 2.Printers 3.Auto Body Shops o ® O unsatisfactory- 4.Manufacturers COMPANY f (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS Glass: 7.Miscellaneous /J 7L QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MA RIAS Drums Above Tanks Unde-rgr6iifiiI'_-T,AlrsMi 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 o I a �2 �� �21 e Miscellaneous: I k4 610WrWAM `o reo, U Soi.Ao * A DISPOSAL/RECLAMATION REMARKS: o 11 1. Sanitary Sewage � 2. ater Supply V 6q -r. A Town Sewer TO Public S — N On-site co 00 Private MA 3. Indoor Floor Drains YES NO k t\1 f)O Holding tank:MDC Al " O Catch basin/Dry well O On-site system PWVWA6�QA� ka�&,L6 TaNZ? 4. Outdoor Surface drains:YES NO Q Holding tank: MDC S O Catch basin/Dry well -nae O On-site system L14 5. Waste Transporter Name of Hauler Destination Waste Productis T NO �.2. m Person (s) Interviewed Ins Pec` wt, , / TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: SIR SPEEDY PRINTING Mail To: BUSINESS LOCATION: 11 Enterprise Road Board of Health MAILING ADDRESS: Hyannis, MA 02601 Town of Barnstable P.O. Box 534 TELEPHONE NUMBER: �ro k Hyannis, MA 02601 CONTACT PERSON: f-�t t.L-- Safi-Ices EMERGENCY CONTACT TELEPHONE NUMBER: G 0 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in q��NO- Thisies totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES 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 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 Pesticides (insecticides, herbicides; Other,petroleum products:grease;-lubr-icGnts -- -- -=r-odenticides) IDegreasers for engines and metal S 6N.PhotochemicalS (fixers and developers) .01 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) 564 Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy- Health Department/ Canary Copy-Business LOCATION SEWAGE PERMIT NO. 94 Enterprise Plaza, Hyannis, MA 02601 r-- VILLAGE - OL5 I N S T A LLER'S HAM1E i ADDRESS _ A & B Cesspool Service 0 U I L D E R OR OWNED Es L= Uq I 1 Kempo Corporation - Michael H. Brown 94. Enterprise Plaza, Hyannis, MA 02601 DATE PERMIT ISSUED DATE C 0 M P L I A N C E ISSUED V M v � M 1�J 1� J. No.....80....�.. FRs.... ....5..00......_ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .................... Town.....OF.... arnstable...................... ............... ApplirFa#ion for DiiposFai Varkii Tonitrnrtion ramit Application is hereby made for a Permit to Construct ( ) or Repair (x) an Individual Sewage Disposal System at: ----4u69.7-...... -----------------------------•---------•----------------•----•---•-•---••-•------.-...........--- Location.Address or Lot No. Michael_.B owra-------------------------------------------------------------------- Qakw...... Owner Address A_& B.Cesspool_ Service _._,_„_-,_ 128•-Bishops_Terrapg, .Hxanr�is-,:_MA__•_-Q26Q --_-- Installer Address Type of Building Size Lot.... ......... .........Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures ------------•----------------------•----------------.......---------------------------------=-----.......------.._....------........_---••---.....•--• W Design Flow............................................gallons per person per day. Total daily flow............._..............................gallons. WSeptic Tank—Liquid'capacity............gallons Length................ Width................ Diameter-_.____---__-_.- Depth................ x Disposal Trench-No..................... Width.................... Total Length.....................Total leaching area....................sq. ft. Seepage Pit No--_---------------- Diameter.................... Depth below inlet.................... Total leaching area...................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by........................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water.....................__. (i, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ----------------------------------------------------------------------------------•----.......---•--.........--••-•-----•------ --------- ODescription of Soil.....Samcl.......................................................................................................................................................... x w U Nature of Repairs or Alterations—Answer when applicable---installation--1,f__a..15QD__ga1.._._pre-rast..septie ga1.....pre_-.cast,___st.Qne-..packed_.leach..pit...(ov.er:l w) . Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the,,b9ard of health. -----•• _9g ...4/8D-•----....... Date ApplicationApproved By.................................................................................................... -••-••••..V...4/80............. Date Application Disapproved for the following reasons---------------------•--------------------------------------------------........................................ .................................•---------•-•...•.....-•----------------•••-•-••....------------- Date Permit No.._80...........................-------------------- Issued ----------�1--4/80........................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........................T.Qj^n.......OF...........Barnsta_U e............................................... Tntifiratr of TompliFanrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (x) by....AA3... ces.,--Herann:i-s,---MA.....Q2LQl......................................... Installer at......94-..Enterpriae..Plaza,--H�Xa ran is,---MA..-- zQl._.=..Michael_.3rewn---------------•--...---.....------------------------------. has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.......$Q-------41..e....... dated__--------------9/.A/8D............... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNC I N SATISFACTORY. DATE.........Y.:. ......................................................... Inspector f No........Q.Q= FEB......, ....5.JDD..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ---------- --------Sown...oF.....Barnsta..ble..........-----------------..........-----......._....._.. ApplirFation for Uhipos ai Works Tnnitrnrtinn ramit Application is hereby made for a Permit to Construct ( ) or Repair an Individual Sewage Disposal System at: .Q.4..Zxttexp=lae..Plaza.,---B.YJannia,.--MA.....02601.... ----••----------------------------•-...........----------•--------------•--•----.....---.......... Location-Address or Lot No. AQl&al._.3=Q)M.................................................................. _.F�nter�riae..Blaza.,...HyraanlsT ....W601..-- owner Address a A... B_-C�si�oo ..5 .ce 12$._A3 shags.Tamace,...Hyanziis, 02607. Installer Address Pq UType of Building Size Lot............................Sq. feet ., Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria a � Other fixtures -•-•-•--•-•--•-•---------------••------•-------•-----•---•-•----------------•--••-•-•----------------------------------------......_............._._. w Design Flow...........................................gallons per person per day. Total daily flow............................................gall ons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width...............----- Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water..........__-_-__.._-___- fi,. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a �'4 ---•-----------------------••--•-••----••-•-•---•--•---............----•----•-•----•....._...............•••---------.......---------••-..._.._...........-- ODescription of Soil......Sand.....................••---------------•----•--•--•-•-------------------------------•-------------------------•--------------------.........------•----• x w UNature of Repairs or Alterations—Answer when applicable----ins_te lation__.of-.a..1,500..ga.l.....pre-=Cast•-,peptic taaiI.#---1_AlstxibutlQn-..box,._.and...a_.1000._gal.--pre-aaat,...stona--packed..leash..pi.t...(axera" aw). Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITS 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the b ard'of,health. Signed./ '_......-�- !l ........... ---9/-.4/8Q.....-_-... D to ApplicationApproved By.....................................................................................:.......••••• --- - ............ Date Application Disapproved for the following reasons:............................................................................................................... --------------•---------------•---------------------------........---------------•-•--•--------•-•---•--•--- . / Date Permitr No....80................................................_ Issued-............91.-.:1AQ ' ...-•-----•------•------.. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH T owe.......OF.............&'>acxaZtable............................. �rrtifirFatr of f�um �iaanrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( x) by---A.&_B Cesspool_ServiFed--1�2$_Bia kaop#_ ' Qe�.. tszuai ,_. 'IA....02603 ........................................ Installer at------.94 Enterprise.Plaz4....H iE Q264 __.-._MiQx �1__Prot�m has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No-------- �-`__ `"......... dated_..............94-4/80.............. ,THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE :L_.. _' .._...... Inspector... . . . .."44 -= ,�•--•-- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH y Town......OF............Barnstable NO......$....-.. `�..... FEE.... 5 .... Disposal Workv Tonstn ion rrmit Permission* is hereby granted__.A & B Cesspcol ServiCe............................................................................. to Const_r}ict ( ) or Repair ( an Individual Sewa e Disposal System at No....�..Enterprise_ Plaza,-.Hyannis, 1�IA ___0 601 -� Michael_-Brown--_-•________________ ............................... Street as shown on the application for Disposal Works Construction P it N 01_ 80-._.. Dated_____________91..V ............ ---------------------•-- u � oard of ealt DATE.. ..... ..........................................................---••-•••- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS LO CAT 10Npvt- SEWAGE PERMIT NO• ,VILLAGE �l�lt ,Y'1 �t � � I N S T A LLER'S NAME i ADDRESS y �l O U I L D E R OWNER DATE PERMIT ISSUED ,(,C � � 010L DATE C 0 M P L I A N C E ISSUED O I Ir It, a `6 �b"N w w P, THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................O F................... Appliration for Dispaii al Work i Tomitrnrtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ---......fsA/zee 2{�2f5 ......�—� ... -.. ..... .............. ..............•---.............--------•---•-••--••---•----••--------....--•-•-•-----.........-•-- Location-Address or Lot No. .................................................................................................. Owne Address Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) A4 Other fixtures ------------------------------ - W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter________-___-.- Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( . ) Percolation Test Results Performed by.......................................................................... Date........................................ a Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water_-_________-_-_.-.---__. fs, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ O Description of Soil.. ......11 ?,? _. }.__LSD _: _ Z........ x -�- . t� �n,--•--- . . ----•---------------•--•------------•---------------............... 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 SIT y g g psystem 5 of the State Sanitary Code—The undersigned further agrees not to lace the `in operation until a Certificate of Compliance has issued y the oVofalth__ Signed ..--•---------------------------------------------- r 1 / D to Application Approved By------- .xt....�� ..... -AfO�?, Date Application Disapproved for the following reasons:.......................................................................................................•-....-- .............................•--•-----------•------•-•------------------------•-•.....---------•------••- Date PermitNo._ .................................................. Issued....................................................... Date No...Q.r�,....7'0- ....�.+."'........ THE COMMONWEALTH OF MASSACHUSETTS QOARD OF HEALTH ........................................._OF................................_...... Appliration for Dispersal Wark.5 Tonotrurtion rrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ......... '.`...... R.T�� = ....._._... .......................................... ...... Location Address ....or Lot No. . K ....••-•---•-•-•••.................................. OwneAddress •-----......A21, k.----•--C '' `...t....:................................ ................................................................................................. Installer Address d Type of Building 'k Size Lot...........................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — a YP g ...............•------------ P ( ) Cafeteria ( ) dOther fixtures .........................-----------•--••--------------------•--------------------------------------------•-•--------•---------•---•-•---------------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. Ix Septic Tank—Liquid capacity............gallons Length................ Width._............_. Diameter................ Depth................ Disposal Trench—No. ...................: Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter----------------.--- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ a Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water...................rXq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ W ---- -- --- --- ------ •-- ...__..._..•. ......................... O Description of Soil Z ... ./ "_--_-.-- U - �� ....... ..... ..• ----•--- ------•. -------- _----- -•••---- .._....._ W ----------------------------------------•----------•----------------•--•---....------.....------•----••--------------------...--------•----------•-•----------------•--------•-•-------•-••-----------. U Nature of Repairs or Alterations—Answer when applicable_______________________________________________________________________________________________ -----------------------------------------•----------------•--------------------•--------------•--•--••-•---••-------••-•---------•---••--•--------•----•••---•----------•----•--•----•••••••.....-•---- Agreement: Via"'" The undersigned agrees to install the aforedescribed Individual Sewage Disposal Systemein accordance with the provisions of TT'T LZ 5 of the State Sanitary Code—The undersigned further agrees.;not to place the system in operation until a Certificate of Compliance has issued y t d oalth a Signed - =' .. •i ` ''`.....- ..............•----•-- Application Approved BY E .. OP, ........-- Date Application Disapproved for the following reasons:............................................................................................................... -•-------------------•---------------•--......---...----------------------------••--------------•--...---•-•------------------•-••---------•-------•-------------•--••----•-••---------................ Date PermitNo......................................................... Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . gf?" w............OF........... �.................................. (9rdifirate of Taantplianrr THIS IS-TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) /� �/ Insta l f l at............... r '.�c'... '---------------•-------------------------•--.......................................... has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.... a_____________ dated................................................ THE ISSUANCE OF THIS CERTIFICATE SMALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION,r SATISFACTORY. DATE...................................... ..... 1.. Inspector........... THE COMMONWEALTH OF MASSACHUSETTS BOARDO�rF-y HEALTH .yam r FEE._ ........-•---....... Disposal Workii 05onotrttrtilan pamit Permission i h,preby granted..........!'?'` . to Constructj or Repair ( an Individual Sewage Di al System atNo......_ ��. .---.....- -•- `-------- -- - ----------------------------------------------------------------------------------- " as shown on the application for Disposal Works Construction Permit No..................... a�t�efd.......................................... V.P.' ..........................................._ f Health DATE--=----------•----•-•---••---------•----•---•----............................... FORM 1255 HOBBS & WARREN, INC., PUBLISHERS r � w .yaa[AS!�:.�lSL,�s..�.t..s_10 (jS 'l �,ii•5'E)M� t O�Y ® rrtt i 1kA• 4 C.I. GIST Box .i 14 z':?00 { �� r�,•:�• -1000— GAL. GAL. -` , �• PRECAST OR ` SEPTIC 6 s� • BLOCK ✓ " i TANK ;'. 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RATS s � � ° �� .�t •' 6 INY IroTO SEEPAGE PIT ` l{ CAPE COD SURVEY CONSULTANTS ..� �'K•�°TEST BY : ROUTE 132 • . °""' ` ;'�t��___ TOWN INSPECTOR .J%'y « -r� 7 BOTTOM OF PIT t;l HYANNIS, MASS P BACKHOE OPERATOR `ram. > ,._`"r"C„' A DIVISION 809YOY fu*YtY CO.SuuANYS, INC *,CAT MADE ONI+! _.._.. P�_� -- 6 BOTTOM OF STONE LAYER ,