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HomeMy WebLinkAbout0111 OCEAN STREET - Health 111 Ocean Street Hyannis y = 3/26 - 045 r { J y Y i r t t f` 0 SY TOWN OF BARNSTABLE /C BOARD OF HEALTH O � ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION Date 122 19 Time: In 's Out Owner I C fie,- Soc-Caaog-o Address l oceans i- Address Compliance Remarks or Regulation# NO Recommendations 2. Kitchen Facilities 3. Bathroom Facilities �CeRS 4. Water Supply 66( 5. Hot Water Facilities 6. Heating Facilities 7. Lighting an.d E cel cel trical Fac lii tie 8.Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal 17.Temporary Housing 18. Driveway Width v 19. Number of Tenants Observed PART II , 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition Number of Bedrooms Number of Vehicles Allowed (max) Number of Persons Allowed (max) Person(s) Interviewed Inspect If Public Building such as Store or Hotel/Motel specify here TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATIONS (� Date X '2 D Time: In 1 Out Owner --P^Unc,-7rn ���?y f A cj, Tenant Address C fe4n Address Compliance Remarks or Regulation# Yes NO Recommendations 2. Kitchen Facilities �P � 3 3. Bathroom Facilities � � 4. Water Supply � J 5. Hot Water Facilities e 2A 6. Heating Facilities 7. Lighting and Electrical Facilities 8. Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use 2 L, S ( f 2-,e-d s 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal 17.Temporary Housing 18. Driveway Width 19. Number of Tenants Observed PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition Number of Bedrooms Number of Vehicles Allowed (max) Number of Persons Allow d (max) Person(s) Interviewed r Inspe If Public Building such as Store or Hotel/Motel specify here TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II:MINIMUM STANDARDS FOR HUMAN HABITATION Date f ; 20/-S Time: In Out Owner A ojn(X;�n yalJ" 7S" r Tenant Address rl b Pang � ctnn� Address Compliance Remarks or Regulation# Yes NO Recommendations 2. Kitchen Facilities 3. Bathroom Facilities 4. Water Supply 5. Hot Water Facilities 6. Heating Facilities 7. Lighting and Electrical Facilities 8. Ventilation �e ct➢ru � ,�sd�.!(a�iv,� 0 9. Installation and Maintenance of Facilities \/Lan 1— nets �,•� 2��?nnS '„gyp 10. Curtailment of Service �2,1�„� "0& 11. Space and Use 7zt�S 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal -'n"N 16. Sewage Disposal C.O r 17.Temporary Housing 18. Driveway Width 19. Number of Tenants Observed PART II 37. Placarding of Condemned Dwelling; r moval of Occupants; Demolition r of Bedroomsr of Persons Allowed (max) 41-Ss) Interviewed Inspector c Building such as Store or Hotel/Motel specify hereP1.1 � a �. TOWN OF BARNSTABLE DF-L/i BOARD OF HEALTHARTICLE II: MINIMUM STANDARDS FOR HUMAN HAB TI Date JVAN 7.o. 20 1 q Time: In Out Owner yy,,t Tenant Address ocee, S Address Compliance Remarks or Regulation# Yes NO Recommendations 2. Kitchen Facilities 1�`'J (2eF4;ke arc 3. Bathroom Facilities 4. Water Supply �-- 5. Hot Water Facilities 6. Heating Facilities 7. Lighting and Electrical Facilities 8. Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents reeA varS v, tbd un 15. Garbage and Rubbish Storage and Disposal eA -exj--LJ S — s 16. Sewage Disposal 17. Temporary Housing 18. Driveway Width 19. Number of Tenants Observed PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition Number of Bedrooms Number of Vehicles Allowed (max) Number of Persons Allowed (max) Person(s) Interviewed Inspector A �—__. Public Building such as Store or Hotel/Motel specify here A a ;.r_ e� hi',.t� � C p C24-e 0 -" rS Vex— .. TOWN OF BARNSTABLE 1 BOARD OF HEALTHY 1 C D- ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION, 2�1� Date Time: In Out Owner Tenant Address j A g.J J I l o ceoc A �Y Address Compliance Remarks or Regulation# Yes NO Recommendations 2. Kitchen Facilities ^I 3. Bathroom Facilities 4. Water Supply 5. Hot Water Facilities 6. Heating Facilities 7. Lighting and Electrical Facilities 8. Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal 17.Temporary Housing 18. Driveway Width 19. Number of Tenants Observed ►. c PART II e,", 06,. 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition Number of Bedrooms N ber of Vehicles Allowed (max) Number of Persons Allowed (max)_ �1 Sy Person(s) Interviewed 5 060e,. ),L)A46.0 Inspect If Public Building such as Store or Hotel/Motel specify here 0 S Town of Barnstable Barnstable Board of Health 200 Main Street, Hyannis MA 02601 j 039. 'peg 2007 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Cannifly D.M.D. Junichi Sawayanagi January 26, 2015 Mr. Mike Gambone NE Region Maintenance Engineer Hostelling International-USA RE Variance Declslon- Screens at Doors at 105._and 1,11 Ocean Street, Hyannis Dear Mr. Gambone, You are granted a variance from Section 105 CMR 410.4552, of the State Sanitary Code, Chapter 2, Minimum Standards of Fitness for Human Habitation, which requires screens at all doors which open directly to the outside. This variance will allow you to continue to utilize the buildings at 105 and 111 Ocean Street, Hyannis for itinerant travelers without any screens provided at any of the doors which open to the outdoors. You stated that these doors are kept locked at all times for security. You also indicated that you have budgeted and planned for mechanical air conditioning to be installed in the Spring of 2015. The Board is of the opinion that there should be sufficient ventilation provided to these buildings when mechanical air-conditioning is provided. S6ra y our ille , M. , Cn Board of Health Town of Barnstable Q:\WPFILES\VarianceDecisionHoste1105and 1110ceanStreet.doc 9 J F EXCERPT FROM THE BOARD OF"HEALTH MEETING MINUTES ON 1/13/2015: I. Hearing — Housing (Hostel): Mike Gambone representing Hostelling International-USA, owner— 111 and 105 Ocean Street, Hyannis, requesting exemption from screen doors as the exterior door remains locked at all times (windows do have screens and air conditioning is scheduled to be installed Spring of 2015). Mr. Gambone was not able to be present. Mr. McKean said the staff had no objections to this as the exterior doors are locked at all times for safety and the ventilation will be assisted by the air conditioning being installed. Upon a motion duly made by Dr. Canniff, seconded by Mr. Sawayanagi, the Board voted to grant the variance from the requirement of screen doors. (Unanimously, voted in favor.) i' Page 1 of 1 Crocker, Sharon From: Mike Gambone (mike.gambone@hiusa.org] Sent: Friday, January 09, 2015 11:07 AM To: Crocker, Sharon Subject: Re: Barnstable Board of Health - 111 and 105m Ocean Street, Hyannis Hi, Sharon, Thank you for the agenda. Since the Hyannis hostel is closed for the season and has been winterized, mail is being forwarded from there to our Martha's Vineyard hostel. You could use the 111 Ocean St., Hyannis 02601 address or 525 Edgartown-West Tisbury Rd. Vineyard Haven, MA 02568. I will not be able to personally attend the January 13th meeting, as I am working on a project at our Richmond, Virginia hostel now under construction. Is that a problem? I can certainly respond to questions, but won't be back on the Cape until March. Kind Regards, Mike On Fri, Jan 9, 2015 at 10:38 AM, Crocker, Sharon<sharon.crocker(a,town.barnstable.ma.us>wrote: Hello Mike, Attached is the agenda for our upcoming meeting next Tuesday, January 13, 2015. You are the second item on it. <<011315 Agenda Rev.pdf>> Please email your mailing address to me for our records. Thank you. i See you there, Sharon Crocker Administrative Assistant 508-862-4739 2/4/2015 s . . . e Page 1 of 1 McKean, Thomas From: Mike Gambone [mike.gambone@hiusa.org] Sent: Wednesday, December 03, 2014 1:57 PM To: Health Subject: Screen Doors 111 and 105 Ocean Street Dr. Wayne Miller Chairman, Board of Health Town of Barnstable Dear Dr. Miller, Please consider an exemption for the requirement of screen doors for the above-cited addresses in Hyannis. These buildings and their dependencies comprise a seasonal (May- October) traveler's hostel. As such, they serve as overnight lodging for itinerant travelers, not permanent habitation. Guests typically stay just in the evening, spending the day visiting the Cape and Islands. Check-in is at 4:00pm, check-out at 10:00 am;the maximum number of overnight stays allowed in a season is seven. The exterior doors on all the buildings are kept locked at all times for security. Guests are provided codes to the push-button locks. All our windows have screens and no door opens directly into a kitchen. We have budgeted for and plan to install air conditioning in the Spring of 2015 before the start of the upcoming season. Thank you for your consideration. Regards, Mike Gambone NE Region Maintenance Engr. Hostelling International-USA 804-384-8465 I 12/4/2014 Town of Barnstable Barn Board of Health 200 Main Street, Hyannis MA 02601 I 2007 fp M►il�' Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi January 26, 2015 Mr. Mike Gambone NE Region Maintenance Engineer Hostelling International-USA y.. RE `Vanance,Declslon'-,-Screens at Doors at,10.5 and 111 Ocean Street,.Hyannis Dear Mr. Gambone, You are granted a variance from Section 105 CMR 410.4552, of the State Sanitary Code, Chapter 2, Minimum Standards of Fitness for Human Habitation, which requires screens at all doors which open directly to the outside. This variance will allow you to continue to utilize the buildings at 105 and 111 Ocean Street, Hyannis for itinerant travelers without any screens provided at any of the doors which open to the outdoors. You stated that these doors are kept locked at all times for security. You also indicated that you have budgeted and planned for mechanical air conditioning to be installed in the Spring of 2015. The Board is of the opinion that there should be sufficient ventilation provided to these buildings when mechanical air-conditioning is provided. Si ly our ayne ille , M. , Chair an Board of Health Town of Barnstable Q:\WPFILES\VarianceDecisionHostel105and 1110ceanStreet.doc EXCERPT FROM THE BOARD OF HEALTH MEETING MINUTES ON 1/13/2015: I. Hearing — Housing (Hostel): Mike Gambone representing Hostelling International-USA, owner— 111 and 105 Ocean Street, Hyannis, requesting exemption from screen doors as the exterior door remains locked at all times (windows do have screens and air conditioning is scheduled to be installed Spring of 2015). Mr. Gambone was not able to be present. Mr. McKean said the staff had no objections to this as the exterior doors are locked at all times for safety and the ventilation will be assisted by the air conditioning being installed. Upon a motion duly made by Dr. Canniff, seconded by Mr. Sawayanagi, the Board voted to grant the variance from the requirement of screen doors. (Unanimously, voted in favor.) i Page 1 of 1 Crocker, Sharon From: Mike Gambone [mike.gambone@hiusa.org] Sent: Friday, January 09, 2015 11:07 AM To: Crocker, Sharon Subject: Re: Barnstable Board of Health - 111 and 105m Ocean Street, Hyannis Hi, Sharon, Thank you for the agenda. Since the Hyannis hostel is closed for the season and has been winterized, mail is being forwarded from there to our Martha's Vineyard hostel. You could use the I I I Ocean St., Hyannis 02601 address or525 Edgartown-West Tisbury Rd. Vineyard Haven, MA 02568. I will not be able to personally attend the January 13th meeting, as I am working on a project at our Richmond, Virginia hostel now under construction. Is that a problem? I can certainly respond to questions, but won't be back on the Cape until March. Kind Regards, Mike On Fri, Jan 9, 2015 at 10:38 AM, Crocker, Sharon<sharon.crocker(c.btown.barnstable.ma.us> wrote: Hello Mike, Attached is the agenda for our upcoming meeting next Tuesday, January 13, 2015. You are the second item on it. <<011315 Agenda Rev.pdf>> Please email your mailing address to me for our records. Thank you. See you there, Sharon Crocker Administrative Assistant 508-862-4739 2/4/2015 � Page 1 of 1 McKean, Thomas From: Mike Gambone [mike.gambone@hiusa.org) Sent: Wednesday, December 03, 2014 1:57 PM To: Health Subject: Screen Doors 111 and 105 Ocean Street Dr. Wayne Miller Chairman, Board of Health Town of Barnstable Dear Dr. Miller, Please consider an exemption for the requirement of screen doors for the above-cited addresses in Hyannis. These buildings and their dependencies comprise a seasonal (May- October) traveler's hostel. As such, they serve as overnight lodging for itinerant travelers, not permanent habitation. Guests typically stay just in the evening, spending the day visiting the Cape and Islands. Check-in is at 4:OOpm, check-out at 10:00 am; the maximum number of overnight stays allowed in a season is seven. The exterior doors on all the buildings are kept locked at all times for security. Guests are provided codes to the push-button locks. All our windows have screens and no door opens directly into a kitchen. We have budgeted for and plan to install air conditioning in the Spring of 2015 before the start of the upcoming season. Thank you for your consideration. Regards, Mike Gambone NE Region Maintenance Engr. Hostelling International-USA 804-384-8465 12/4/2014 Town of Barnstable y Barnstable Oit�:_Pok%x Board of Health , . A"MeficaCity�r ti 200 Main Street Hyannis MA 02601 i l tli,";IIAFLYSTABLE, * - I[I. t y r1ASS. a ' °AT 1639. a`�� 2007 Fb MA'1 ' Office: 508-862-4644 Wayne Miller,M.D. FAX: 503-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi N February 6, 2009 Michael Ford, Esquire PO Box 665 West Harwich, MA 02671 RE: Sandra L. Tubman Trustee of Ruth M. Rusher Trust 111 Ocean Street Hyannis 45 Dear Attorney Ford: You are granted variances from 105 CMR 410.400 (C)', Minimum Square Footage on behalf of your client, Sandra L. Tubman, Trustee of Ruth Rusher Trust, which requires ...in a rooming unit, every room occupied for sleeping purposes by one occupant shall contain at least 80 square feet of floor space; every room occupied for sleeping purposes by more than one occupant shall contain at least 60 square feet for each occupant. These bedrooms will not meet the standard minimum requirements of floor space per occupant(s) in a room. Multiple sleeping rooms will be constructed less than 80 square feet at the proposed youth hostel at 111 Ocean Street, Hyannis. After much discussion, the Board agreed with the philosophy that due to the temporary occupancy with a maximum stay of 14 days in aggregate, along with the desire to offer reasonable temporary housing for young visitors who stay at youth hostels, a variance should be granted. This variance is granted with the following conditions: ❖ The rooms shall be used for temporary occupancy, The building and the bedrooms shall conform to the Hostelling International HI-USA HOSTEL QUALITY STANDARDS effective 1 January 2009. Television sets are not authorized in the sleeping rooms. ❖ A ceiling fan shall be installed within the second floor sleeping room(s). The total number of beds (including cots and roll-a-ways) in hostel shall not exceed the approved number of beds as authorized on current hostel license or certificate of occupancy. Beds are always counted according to their maximum potential-capacity* Sin j rely yo s ay e Miller, M.D. Chai man *Page 12, Hostelling International HI-USA Hostel Quality Standards Effective 1 January 2009. Q:\WPFILES\Ford 111 Ocean St Hy Dec2008.doc �t +E,ARCHITECTS Brewser�MA0263, (Rt. 6A) Residential Commercial 508.896.0051 phone 508.896.6199 fax Sustainable Design www,capecoddoslgner.com 30 October 2008 Building A: 1" floor: Bedroom 1: 185 SF 4 beds 46 SF/occupant 2"d Floor: Bedroom 2: 200 SF 6 beds 33 sf/occupant Bedroom 3: 140 SF 4 beds 35 SF/occupant Bedroom 4: 155 SF 4 beds 39 SF/occupant Bedroom 5: 165 SF 5 beds 33 SF/occupant Attic: Bedroom 6: 215 SF 5 beds 43 SF/occupant Bedroom 7: 135 SF 2 beds 68 SF/occupant Building A Total: 30 beds 40 SF/occ. average Building B: 1 St floor: Bedroom 1: 115 SF 4 beds 29 SF/occupant 2"d Floor: Bedroom 2: 100 SF 3 beds 33 SF/occupant Bedroom 3: 100 SF 3 beds 33 SF/occupant Building B Total: 10 beds 32 SF/occ. average Building C: Bedroom 1: 165 SF 4 beds 41 SF/occupant Building C Total: 4 beds 41 SF/occupant Building D: Bedroom 1: 100 SF 1 bed 100 SF/occupant Bedroom 2: 100 SF 2 beds 50 SF/occupant Building D Total: 3 beds 67 SF/occupant GRAND TOTAL: 44 beds 43 SF/occupant a Cape and Island Hostel Comparisons: Total SF comparisons: Hostel Location =Total SF. Total#of Beds -SF/ er erson Operating since Eastham 3100 SF 49 beds 63.3 SF 1960s Truro 4550 SF 45 beds 101.1 SF 1960s Nantucket 4397 SF 46 beds 95.6 SF 1960s Martha's Vineyard 5972 SF 73 beds 81.8 SF 1950s Boston 22,685 SF 215 beds 105.5 SF 1983 Proposed Hyannis- 4625 SF 47 beds 98.4 SF Eastham Bedrooms: Bedroom/cabin Total SF:.bedrooms Total# of Beds SF/per person Cabin 1 163 SF 8 beds 20.4 SF Cabin 2 163 SF 8 beds 20.4 SF Cabin 3 156 SF 4 beds 39.0 SF Cabin 4 163 SF 8 beds 20.4 SF Cabin 5 163 SF 8 beds 20.4 SF Cabin 6 136 SF 5 beds 27.2 SF Cabin 7 136 SF 5 beds 27.2 SF Cabin 8 (staff) 160 SF 2 beds 80.0 SF Average Eastham: 1240 SF bedrooms 48 beds 25.8 avers a SF/bed Martha's Vineyard Bedrooms*: Bedroom/cabin Total SF: bedrooms Total#of Beds SF/per person Men's Dorm 480.5 SF 16 beds 30.0 SF Women's Dorm 878.5 SF 26 beds 33.8 SF Coed Dorm 333.5 SF 20 beds 29.3 SF Small Dorm 198 SF 7 beds 28.3 SF . Private Bedroom 187.5 SF 4 beds 46.9 SF Total'W.• 2078`SF bedrooms 73 beds 28.5 average SF/bed *Staff Housing not included in these numbers Nantucket Bedrooms*: Bedroom/cabin Total SF: bedrooms Total#of Beds: SF/ er' erson Women's Dorm 864 SF 20 beds 43.2 SF Men's Dorm 744 SF 14 beds 53.1 SF Coed Dorm 165 SF 5 beds 33 SF Family Bedroom 168 SF 5 beds 33.6 SF Total Nantucket: 1941SF bedrooms 44 beds: 44.1. average SF/bed *Staff Housing not included in these numbers 9 Truro Bedrooms: Bedroom/cabin Total.SF::bedrooms Totalft of-Beds SF/per person. - Bedroom 1 132 SF 4 beds 33.0 SF Bedroom 2 112 SF 3 beds 37.3 SF Bedroom 3 200 SF 8 beds 25.0 SF Bedroom 4 133 SF 6 beds 22.2 SF Bedroom 5 (1"Flr) 190 SF 7 beds 27.1 SF Bedroom 6 (1"F1r) 268 SF 14 beds 19.1 SF Staff 144 SF 1 beds 140.0 SF Staff 140 SF 2 beds 70.0 SF Totals Truro: 1319 SF 45 beds 29.3 average SF/bed Boston Bedrooms: (Sample of 52 rooms) Bedroom Total SF: bedrooms Total#of Beds SF/per person Bedroom 1 131 SF 4 beds 32.8 SF Bedroom 2 137 SF 4 beds 34.3 SF Bedroom 3 138 SF 5 beds 27.6 SF Bedroom 4 140 SF 5 beds 28.0 SF Bedroom 5 172 SF 6 beds 28.7 SF Bedroom 6 90 SF 2 beds 45.0 SF Totals Boston: 808 SF 26 beds 31.1 average SF/bed Proposed Hyannis Bedrooms: Bedroom/cabin Total SF:bedrooms Total#of Beds SF/per person Bedroom 1 (A) 185 SF 4 beds 46.3 SF Bedroom 2 (A) 200 SF 6 beds 33.3 SF Bedroom 3 (A) 140 SF 4 beds 35.0 SF Bedroom 4 (A) 155 SF 4 beds 38.8 SF Bedroom 5 (A) 150 SF 5 beds 30.0 SF Bedroom 6 (A) 215 SF 5 beds 43.0 SF Bedroom 7 A) 135 SF 2 beds 67.5 SF Bedroom 1 (B) 115 SF 4 beds 28.8 SF Bedroom 2 (B) 100 SF 3 beds 33.3 SF Bedroom 3 (B) 100 SF 3 beds 33.3 SF Bedroom 1 (C) 165 SF 4 beds 41.3 SF Bedroom 1 (D) staff 100 SF 1 beds 100.0 SF Bedroom 2 (D)staff 100 SF 2 bed 50.0 SF Totals HK annis: 1860'SF bedrooms 47 beds 39.6 average SF/bed 6:� own of Barnstable t ' Barnstable �°,s"- Board of Health O Al-Amelit a Cai9 - [ -, I 200 Main Street, Hyannis MA 02601 tli I I RARYSTABLE, 1639• ��� 2007 TFD MAt a. Office: 5 8-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul CannifF,D.M.D. 7unichi Sawayanagi J February 6, 2009 Michael Ford, Esquire PO Box 665 West Harwich, MA 02671 RE: Sandra L. Tubman, Trustee of Ruth M. Rusher Trust 111 Ocean Street Hyannis i� Dear Attorney Ford: d° You are granted variances from 105 CMR 410.400 (C)', Minimum Square Footage on behalf of your client, Sandra L. Tubman, Trustee of Ruth Rusher Trust, which requires ...in a rooming unit, every room occupied for sleeping purposes by one occupant shall contain at least 80 square feet of floor space; every room occupied for sleeping purposes by more than one occupant shall contain at least 60 square feet for each occupant. These bedrooms will not meet the standard minimum requirements of floor space per occupant(s) in a room. Multiple sleeping rooms will be constructed less than 80 square feet at the proposed youth hostel at 111 Ocean Street, Hyannis. w After much discussion, the Board agreed with the philosophy that due to the temporary occupancy with a maximum stay of 14 days in aggregate, along with the desire to offer reasonable temporary housing for young visitors who stay at youth hostels, a variance should be granted. This variance is granted with the following conditions: ❖ The rooms shall be used for temporary occupancy, The building and the bedrooms shall conform to the Hostelling International HI-USA HOSTEL QUALITY STANDARDS effective 1 January 2009. Television sets are not authorized in the sleeping rooms. ❖ A ceiling fan shall be installed within the second floor sleeping room(s). ❖ The total number of beds (including cots and roll-a-ways) in hostel shall not exceed the approved number of beds as authorized on current hostel license or certificate of occupancy. Beds are always counted according to their maximum,potential capacity* Sin% rely yo s ayteMiller, M.D. Cha *Page 12, Hostelling International HI-USA Hostel Quality Standards Effective 1 January 2009. Q:\WPFILES\Ford 111 Ocean St Hy Dec2008.doc BAMSrAai,s, m i659. � 1�a DATE: FEE: 4 t it, � (p � REC. BY_ SCHED. DATE. { g/7-0 0 q Town of Barnstable Board of Health 200 Main Street, Hyannis MA 02601 Office:508-862-4644 Wayne A.Miller,M.D. FAX:508-790-6304 Paul J.Canniff,D.M.D. VARIANCE REQUEST FORM LOCATION Property Address: 11 nd 105 Ocean Street H annis MA 02601 Assessor's Map and Pa cel . tuber: 326/045 Size of Lot: .45 Wetlands Within 300 Ft. Yes X_ Business Name: Ruth M. Rusher Trust No Subdivision Name: APPLICANT'S NAME: Sandra Tubman,Trustee of Ruth M Rusher,Trust Phone: C/O Michael D. Ford 508-430-1900 r� Did the owner of the property authorize you to represent him or her?Yes X No PROPERTY OWNER'S NAME CONTACT PERSONI Cr:` •�r Name: Ruth M. Rusher Trust Name: Michael D. Ford, Esquire 6 Address: 1 11 and 105 Ocean Street, Hyannis, MA Address: 72 Main Street, PO Box 48`5 1W. Harwich, MA 02671 Phone: C/O Michael D. Ford 508-430-1900 Phone: 508-430-1900 C-7) >" ,p- r� VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space ne ed) 105 410.400(C) See Narrative Attached NATURE OF WORK: House Addition❑GL❑ House Renovation❑ORepair of Failed Septic System 00 Building Expansion&Renovation Checklist(to be completed by office staff-person receiving variance request application) Please submit copies in 4 separate completed sets. _Four(4)copies of the completed variance request form _Four(4)copies of engineered plan submitted(e.g.septic system plans) _Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) —Signed letter stating that the property owner authorized you to represent him/her for this request —Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicants expense(forTitle V and/or local sewage regulation variances only) Full menu submitted(for grease trap variance requests only) _Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals[same owner/leasee only],outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems[only if no expansion to the buildingproposed]) Variance request submitted at least 15 days prior to meeting date r VARIANCE APPROVED Wayne Miller,Chairman NOT APPROVED Paul J.Canniff,D.M.D. REASON FOR DISAPPROVAL MICHAEL D. FORD ATTORNEY AT LAW 72 MAIN STREET, P.O. BOX 485 WEST HARWICH, MA 02671 TEL. (508)430-1900 FAX (508)430-9979 EMAIL:mdfesql@verizon.net October 31, 2008 Town of Barnstable Board of Health 200 Main Street Hyannis, MA 02601 b RE: Variance request Ruth Rusher, Trust, I I I and 105 Ocean Street, Hyannis Dear Members of the Board, Enclosed please find variance request form, attachments and plans filed on behalf of Ruth M Rusher, Trust, together with a check in the amount of$85.00, payable to the Town of Barnstable. Please place this matter on your November 18th, 2008 meeting agenda. - Thank you for your assistance and cooperation. . c-� r Very truly yours, N 3�° C3 c rn Michael D. Ford, Esq. CC: Clients Page 1 of 1 Crocker, Sharon From: Law Office of Michael Ford [lawofficeofmichaelford@verizon.net] Sent: Monday, February 23, 2009 9:27 AM To: Crocker, Sharon Cc: mdfesgl@verizon.net Subject: Ruth Rusher Trust Variance Hi, Sharon. Here is the information to correct the variance for the Ruth Rusher property: RE: 111 Ocean Street, Hyannis Property Owner - Sandra L. Tubman, Trustee, Ruth M. Rusher Trust Title Reference — Book 18564, Page 234 This variance has to be recorded this week. Could you please let me know if Dr. Miller will be signing this today or tomorrow? Alison Alessi will be stopping by to pick up the signed variance to take it to be recorded. Thanks for your help with this. Please let me know when this can be picked up. Lorna Assistant Law Office of Michael Ford 72 Main St. - P. O. Box 485 West Harwich, MA 02671 (508) 430-1900 Fax (508) 430-9979 lawoff_iceofmichaelford_@verizon.net 2/23/2009 r ` HOSTELLING INTERNATIONAL HI-USA HOSTEL QUALITY STANDARDS Effective 1 January 2009 To help all, especially the young, gain a greater understanding of the world and its people through hostelling. HI-USA HOSTEL QUALITY STANDARDS Table of Contents Section Page Introduction 1 1.0 Legal and License Requirements 7 2.0 Safety and Security 7 GENERAL SECURITY SAFETY AND LIABILITY MANAGEMENT EMERGENCY PREPAREDNESS 3.0 Welcome 9 RESERVATION AND CANCELLATION POLICIES REGISTRATION PROCEDURES OVERNIGHT RATES OPEN HOURS NETWORK PROMOTION SERVICES AND AMENITIES 4.0 Sleeping Rooms 12 CAPACITY AND CONFIGURATION FURNISHINGS AND FIXTURES SLEEPING ROOM SECURITY AND PRIVACY CLEANLINESS AND MAINTENANCE 5.0 Bathrooms 14 CAPACITY AND CONFIGURATION FURNISHINGS AND FIXTURES BATHROOM PRIVACY CLEANLINESS AND MAINTENANCE 6.0 Kitchen 16 KITCHEN CAPACITY FURNISHINGS AND FIXTURES CLEANLINESS AND MAINTENANCE 7.0 Public Areas 18 DINING AND COMMON ROOMS EXTERIOR, ENTRANCE AND OTHER PUBLIC AREAS CLEANLINESS AND MAINTENANCE 8.0 Environmental Practices 19 ENERGY WATER WASTE AND MATERIALS AIR QUALITY EDUCATION 9.0 General 21 GUEST SERVICE AND SATISFACTION HOSTEL ATMOSPHERE ENVIRONMENTAL PRACTICES HUMAN RESOURCES AND TRAINING EVALUATION AND REVIEW Appendix A Additional Suggestions to Improve Services 22 Introduction Since the founding of American Youth Hostels in 1934, the organization's hostels have been distinguished as clean,safe and affordable accommodations operated by those who believe in what hostelling stands for. The International Youth Hostel Federation (IYHF) is the global organization that coordinates the worldwide hostelling movement. American Youth Hostels, also known as Hostelling International USA (HI-USA), is the American affiliate of IYHF. HI-USA exists to serve its mission: "To help all, especially the young, gain a greater understanding of the world and its people through hostelling." One way that HI-USA carries out its work is through offering a network of hostels. Hostels by their very design encourage exchange among guests. The hostel stay experience is further enriched by thoughtful interaction with staff. Hostelling combines the hostel stay experience with travel in a way that broadens perspectives and enriches lives. Over the years IYHF's "hostel quality standards" have evolved based on lengthy experience with operating hostels. The standards help to ensure that hostellers are assured of a level of consistent quality among hostels worldwide. They were most recently updated by IYHF in 1994, and are the base minimum requirements for all Hostelling International (HI) hostels worldwide. HI-USA's hostel quality standards are aligned with those of IYHF. HI-USA's standards were revised in 1995 to reflect the IYHF updates. The 2006 standards reflect over a decade of experience with the 1995 HI-USA hostel standards and changing hosteller preferences. The standards also reflect our responsibilities as the sole national affiliate sanctioned by IYHF and as the association responsible for promoting the hostelling movement in the United States. PRIORITIES FOR HI-USA HOSTELS HI-USA serves the hostelling public. Hostel quality standards are important because they help to define how these priorities are delivered on a daily basis to hostel guests. In serving our guests, Hl- USA hostels seek to be: clean • well maintained ■ safe and secure • mission focused ■ guest responsive ■ staff friendly ■ legally mindful TYPES OF STANDARDS Mandatory Standards There are two types of mandatory standards: 1) health and safety standards and 2) other mandatory standards. Health and safety standards individually relate to items deemed to be essential to the personal health, safety, and security of our guests. They are designated by "(MHS)" to the right of the standard number. HI-USA Hostel Quality Standards(effective 1 January 2009) 1 Other mandatory standards relate to items deemed to be essential to the professional operation of a hostel that chooses to affiliate with HI-USA. They are designated by "(M)" to the right of the standard number. Scored Standards Scored standards, when taken together, collectively define the HI-USA hostel stay experience. While a hostel may not be able to meet all scored standards, it is important that a hostel meets a majority of them. Scored standards are assigned point values. Scored standards are designated by the numerical point value in parentheses to the right of the standard number"(#)". Hostels must score 85 percent or more of the total available points overall to be in good standing. In addition, hostels must score 75 percent or more of total available points within each scored section of the quality standards. Points Section Available 75% 1.0 Legal and License Requirements N/A N/A 2.0 Safety and Security N/A N/A 3.0 Welcome 45 34 4.0 Sleeping Rooms 60 45 5.0 Bathrooms 50 38 6.0 Kitchen 75 56 7.0 Public Areas 70 53 8.0 Environmental Practices N/A N/A 9.0 General N/A N/A ADDITIONAL CONSIDERATIONS HI-USA quality standards take into account variations in the size and type of hostels. In addition to the volume differences described below, consideration is taken for the type of neighborhood a hostel is located in to determine kitchen capacity standards in section 6. Scaled Standards In some cases standards are dependent on the number of overnights at each hostel per year. They recognize that one size does not fit all when it comes to fair and consistent application of Quality Standards and that guests may have different expectations in different situations. Volume categories are calculated annually based on the average number of overnights from the three most recent calendar years. There are three categories of hostels based on business volume: Low Volume (LV) - Hostels reporting less than 10,000 overnights annually. Mid Volume (MV) - Hostels reporting 10,000-24,999 overnights annually. High Volume (HV) - Hostels reporting 25,000 or more overnights annually. Standards apply to all three volume categories unless otherwise noted. For some standards,the requirement for each volume is described within the standard text. Others show a volume designation in parenthesis at the end of the standard. For example, "(HV only)". 2 HI-USA Hostel Quality Standards(effective 1 January 2009) HSE Standards A Home Stay Experience (HSE) is a hostelling experience in a private family home. By its very nature, a home may differ in basic ways from a hostel. Accordingly HSE operators are not bound by the full list of standards required for HI-USA hostels. The standards that apply to HSE operators are designated by "(HSE)" at the end of the standard text. All HSE standards are mandatory. APPLICATION OF QUALITY STANDARDS The Quality Standards described in this manual are considered minimum standards. Hostels are encouraged to exceed these standards whenever possible. Hostel Evaluation Visits Hostels are regularly evaluated by HI-USA. In most cases,this involves an on-site visit by a trained hostel evaluator. An on-site visit is more than just an "evaluation" of a facility. It also is a time for information exchange and discussion. For this reason, HI-USA asks that the hostel manager or operator be on-site during the visit. The Quality Standards are an important tool for the evaluation. In addition, the hostel evaluator uses available hosteller feedback (e.g. guest comment card results), the hostel's performance record in meeting required submissions to HI-USA (e.g. user fee reports), and other relevant activity. Both the evaluator and the manager will have advance access to these items. Scoring Scored standards have assigned point values. The total point value of all scored standards (not including bonus points) is 300. Each hostel begins their evaluation with the maximum 300 points. During the evaluation, points are deducted when an item does not meet one or more scored standards. Bonus points are awarded in cases where a hostel exceeds a standard, particularly in areas of customer service. Bonus items, along with their point value in parentheses, are listed in a "smaller, italicized font" beneath the applicable standard. The total value of all bonus points is 15. Bonus points count toward a hostel's overall and section scores. A hostel is in good standing when: 1) The hostel meets all mandatory standards, and 2) The hostel's overall score for scored standards is at least 255 (85%) of the 300 points available, and 3) The hostel's score on each of the scored sections is at least 75% of the total available points for that section. Variances There are two types of variances to mandatory standards: a code variance and a situation variance. Variances are granted by the Director of the HI-USA Hospitality Division or their designee. There are no variances for scored standards. HI-USA Hostel Quality Standards(effective 1 January 2009) 3 A code variance is available when a health, safety or other code of a local jurisdiction establishes a standard that prevails over a mandatory HI-USA quality standard. Generally,this will be a situation where the two standards contradict or otherwise compromise each other. In cases where one standard is simply stricter than another,the stricter application is required. Forms are available on the intranet to request a code variance. A situation variance is available when the intent of a standard can be fully,met in an alternative way due to a particular physical circumstance or other situation. Variances are granted to the situation, not the hostel. Situation variances,once granted,are,fully disclosed to all hostels within the HI-USA network. Forms are available on the intranet to request a situation variance. Variance requests should be submitted at least four weeks prior to the hostel's compliance deadline. Requests submitted less than four weeks prior to the compliance deadline may result in pry robationa status if the variance remains under consideration at the time of the deadline. Completion of the Evaluation Once the evaluation is completed and discussed, it is forwarded to the Director of the HI-USA Hospitality Division for review. Evaluations are finalized when the results are confirmed in a letter to the hostel's licensee and/or manager from the Director of the HI-USA Hospitality Division. For hostels in good standing,the confirmation letter is an expression of congratulations and thanks. For hostels that do not meet the requirements for good standing(full compliance with all mandatory standards, minimum 85 percent overall score and minimum 75 percent score in each section) a confirmation letter outlines next steps for correcting the deficiencies. Correcting Deficiencies Failure to meet any mandatory standard (M or MHS)or to receive the minimum required overall or sectional scores (85% overall and 75% in each section) must be corrected within two months of receipt of the finalized evaluation report, unless a longer period is justified with the approval of the Director of the HI-USA Hospitality Division. If corrections are not made by the deadline, a hostel is placed on probation. Probation Probation is authorized by the Director of the HI-USA Hospitality Division. A hostel on probation is removed from HI-USA and IYHF web sites and from HI-USA and IYHF telephone and internet reservation systems. Once a hostel emerges from probation,the hostel will be re-listed as soon as possible. If a publication deadline falls within a hostel's probationary period, the hostel will not be listed in the publication. Once a hostel emerges from probation, the hostel will be re-listed in the next version of the publication. 4 HI-USA Hostel Quality Standards(effective 1 January 2009) A hostel on probation for more than two months for failure to meet any mandatory health and safety standard (MHS) is automatically de-licensed by the Director of the HI-USA Hospitality Division. A hostel on probation for more than four months for failure to meet any other mandatory standard (M) or for a failing score is automatically de-licensed by the Director of the HI-USA Hospitality Division. A hostel placed on probation for failure to meet standards more than two times during a three year period will be automatically de-licensed by the Director of the HI-USA Hospitality Division. Appeals A hostel evaluator decision may be appealed to the Director of the HI-USA Hospitality Division. A decision by the Director may be appealed to the CEO. The decision of the CEO shall be final. During the appeal process, a hostel may continue to be listed on HI-USA and IYHF web sites and reservation systems unless the appeal relates to a mandatory health and safety standard. Hostels not meeting one or more health and safety standards will be removed from HI-USA and IYHF web sites and reservations systems during the appeal process. A WIDELY RECOGNIZED SIGN OF QUALITY The International Youth Hostel Federation oversees the world's largest accommodations network, hosting over 30 million overnights annually. The "blue triangle" represents the IYHF "brand" and stands for"quality"worldwide. HI-USA hostel quality standards advance the global"blue triangle" in the USA. Consistency in the quality of the HI-USA hostelling experience allows more effective promotion and marketing. The desired outcome is that HI-USA hostels are widely recognized as the place hostellers can depend on for consistent safety, security, cleanliness, service and quality. HI-USA Hostel Quality Standards(effective 1 January 2009) 5 6 HI-USA Hostel Quality Standards(effective 1 January 2009) 1.0 Legal and License Requirements 1. (M) Current HI-USA Hostel License Certificate is posted. (HSE) 2. (M) Current HI-USA brand usage standards are employed on the hostel premises and as part of all hostel promotional materials. (HSE) 2.0 Safety and Security GENERAL SECURITY 1. (MHS) Hallways and corridors are lit at night (and all times when natural lighting is dim). 2. (M) Lockers (or other system for the secure storage of guests' valuables) are available on the premises to accommodate no less than 60% of the hostel's average annual occupancy percentage for the three most recent calendar years ending 31 December 2005. The locker requirement will be re-calculated every three years thereafter. A minimum of four lockers is required. (Bonus 1)Lockers for 100%average annual occupancy located on hostel premises. (Bonus 1)Lockers for 100%average annual occupancy located in each guest room. 3. (M) Room names or numbers do not appear on room keys/cards issued by the hostel. 4. (MHS) Steps are taken to secure the property against unauthorized entry. (HSE) a. Ground floor and other windows accessible from outside have working locks. b. All entrances are secured at night and during lockout and closed hours. c. Emergency exits are secured from outside without hindering authorized egress from inside. SAFETY AND LIABILITY MANAGEMENT 5. (MHS) Flammable and toxic materials are properly labeled and safely stored in locked cabinets out of guest access. (HSE) 6. (MHS) All cleaning supplies are properly stored out of reach of children. (HSE) 7. (MHS) All sidewalks, stairways(interior and exterior)and railings are in good condition and monitored to prevent slipping, tripping and falling. (HSE) a. All existing interior and exterior pathway,entranceway, stairwell and hallway light fixtures are in working order. b. Warning signs are posted when walking surfaces are slippery. c. All mats and rugs have appropriate backing to prevent slipping. 8. (MHS) Egress and emergency escape routes are free from obstruction. Window and door latches, locks and releases are checked regularly for ease of use. (HSE) 9. (MHS) All bathroom electrical outlets and kitchen outlets near sinks have GFI (ground fault interruption) protection. (HSE) 10. (MHS) The current window warning notice provided by Hl-USA is posted in a clear and conspicuous location on or immediately adjacent to every operable upper story window. HI-USA Hostel Quality Standards(effective 1 January 2009) 7 11. (MHS) Staff is on-site and available during all hours that guests have access to the hostel (including overnight hours and when guests are in building and the front desk is closed). When the front desk is closed, a sign is posted that instructs how to reach staff in the event of an emergency. (HSE) 12. (MHS) Known local security risks, when they exist, are disclosed to guests. (HSE) 13. (MHS) Private well water systems have written operational documentation to assure proper maintenance and use. In the absence of local code, water is tested at least annually. (HSE) 14. (MHS) Measures to control pests are appropriate to the building and consistent with the hostel's infestation history, if any. Infestations are to be treated until eradicated. (HSE) EMERGENCY PREPAREDNESS 15. (MHS) At least one ABC rated fire extinguisher rated #2 or higher is mounted and easily accessible on each floor and in the kitchen. All fire extinguishers are professionally tested and kept fully charged, bear current inspection certificates or tags, and are in good working order. (HSE) 16. (MHS) Smoke detectors in good working order are located on each floor, in each sleeping room, and immediately outside of kitchen(unless a working heat detector is installed inside kitchen). (HSE) 17. (MHS) Every guest must have access to two reasonable means of egress from each floor of the building. (HSE) 18. (MHS) Appropriate signage designates all emergency and hallway exits. 19. (MHS) A written emergency plan that includes the location and operation of all shut-off valves and clean-outs is in place and readily available to staff. All staff are able to locate the emergency plan, are trained in emergency procedures, and capable of handling emergency situations. The staff training is documented. 20. (MHS) A permanent record of accidents and other noteworthy incidents is maintained. (HSE) 21. (MHS) A first aid kit is readily available to staff at all times. 8 HI-USA Hostel Quality Standards(effective 1 January 2009) 3.0 Welcome RESERVATION AND CANCELLATION POLICIES 1. (M) Reservations and cancellations for individual guests are accepted in accordance with minimum standards outlined in Table A. Group policies may vary depending on the hostel. Table A: Reservations and Cancellations Low Volume Mid Volume High Volume Hostels Hostels Hostels RESERVATIONS Accepted by mail, telephone and internet ✓ .. ✓ ' " ✓ , ; Accepted by HI-USA toll free reservation c ' number M��� �✓� � ✓� �� Accepted by hiusa.org _ .N ✓ ,,�', h, ,✓ ` Sy kr. Accepted by hihostels.com ✓ f= 4 ✓ :. , yOw Accepted via real-time, web-based property management system Accepted until day end closing of night prior to ✓ � ✓ arrivalsn Guaranteed for entire night of arrival (if takenA � with credit card hold or deposit) Credit card payment accepted CANCELLATIONS No penalty cancellations are accepted until 48 hrs prior to arrival a No penalty cancellations are accepted until midnight of day before arrival , Major events and holidays may be appropriate ✓�� � � ; exceptions to above cancellation policies , „ All guests are informed at time of reservation of ✓ ;. ✓ ' ems.; f all cancellation policies. REGISTRATION PROCEDURES 2. (M) Government issued identification with a photograph is required of all guests upon check-in and immediately returned after registration. (HSE) 3. (M) HI membership is required of all guests. All membership cards are returned at the time of registration. (HSE) a. Domestic guests arriving without a membership must have the option of purchasing either an annual membership or a daily membership. b. Foreign guests arriving without a membership must purchase and receive an IYHF welcome stamp. 4. (M) A record of each guest's name and nationality is collected at registration. (HSE) 5. (M) Policies are in place to protect guests' personal and financial information during and after their stay. (HSE) HI-USA Hostel Quality Standards(effective 1 January 2009) 9 6. (M) A length of stay policy is implemented. Policies establishing length of stay limitations for hostel guests and contract guests are clear and consistently enforced. Policies for hostel guests allow for a stay of appropriate duration, so long as guests do not become legal tenants or residents. 7. (M) The current HI-USA non-discrimination policy is posted at or near front desk. (HSE) 8. (5) All staff are identifiable to guests in a consistent way, such as through uniforms or name tags. 9. (5) The only animals allowed at the hostel are service animals for the disabled. Pets of hostel staff are not allowed in hostel guest areas and will not impact the quality of the guest's stay in any way. OVERNIGHT RATES 10. (M) Rates may be published as ranges. Ranges must include all dormitory types and sizes. Guests are never charged more than the highest published rate. 11. (M) The cost of daily membership fees and IYHF welcome stamps are not part of the hostel's overnight rate and are not published as such. (HSE) OPEN HOURS 12. (M) The front desk is staffed for guests to check in and out and the phone is answered at all times during open hours. Minimum daily front desk open hours are: Low Volume: Two hours to include 8-9 AM Five hours to include 6-9 PM • Mid Volume: 8-10 AM and 5-10 PM • High Volume: 24 hours 13. (M) Open hours and access hours (including curfew and daytime lockout) are clearly posted at the front desk. (Except at 24 hour hostels.) 14. (5) In hostels where a daytime lockout period exists, a sign is posted at the front entrance during closed hours indicating current bed availability. 15. (5) Arrangements for late night arrival or early morning check out can be made on a reasonable basis. 16. (5) Telephone voicemail service provides a pre-recorded greeting with information useful to guests (e.g. open hours, current bed availability, directions, etc.). (Bonus 1) Voicemail contains the phrase "bookings can be made online 24 hours a day at HI USA.ORG." NETWORK PROMOTION 17. (M) The HI-USA mission statement is prominently posted in the reception or other high traffic area. 18. (M) Comment cards are prominently placed and readily available in reception area. (HSE) 19. (M) The HI-USA hostel network and its benefits are actively promoted through,posters, signs and displays neatly mounted in the reception or other high traffic areas within the hostel. Brochures from other HI-USA hostels are available through a distribution rack. 10 HI-USA Hostel Quality Standards(effective 1 January 2009) 20. (M) The current HI-USA map is posted and readily available to guests free of charge. (HSE) 21. (M) Hostels that are not affiliated with HI are not actively promoted, except as noted below: (HSE) a. Brochures of non-affiliated hostels are permitted only when they are in locations that are not otherwise served by HI hostels. b. Posters, signs, and displays of non-affiliated hostels are not allowed on the hostel premises in any case. c. Information on non-affiliated facilities is given only when all HI affiliated hostels in the area have reached capacity. 22. (M) Guests have free access to hihostels.com and hiusa.org. (HV only) SERVICES AND AMENITIES 23. (M) Clean linens(top and bottom sheets or a sheet sack) and pillowcases are provided to all guests. If sheet sacks are ordinarily provided, top and bottom sheets must also be available upon request. Sheet sacks must measure at least 32" x 83". (HSE) 24. (M) The cost of linens is included in the overnight rate. (HSE) 25. (M) Hostel maintains an email address and messages are responded to in a timely manner. 26. (5) Towels are available for guest use upon request. (Bonus 1) Issued free of charge as part of linen at check-in. 27. (5) Alarm clocks, hair dryers,working flashlights, irons,and ironing boards are available for guest use upon request. 28. (M) No late check-out penalty is charged within 90 minutes of check out time. (HV only) 29. (5) Day storage of luggage is available before check in and after check out. 30. (5) Up-to-date maps and information about local restaurants, entertainment, activities, and other points and routes of interest are available for use and attractively posted in the reception or other high traffic areas. 31. (M) Internet service is available for guest use. (HV only) HWSA Hostel Quality Standards(effective 1 January 2009) 11 4.0 Sleeping Rooms CAPACITY AND CONFIGURATION 1. (MHS) Single gender sleeping rooms are available in the hostel's inventory. (HSE) 2. (MHS) Guests are notified in advance when they are being assigned to mixed gender accommodations. If not acceptable, a full refund is provided to the guest. (HSE) 3. (M) Total number of beds (including cots and rollaways) in hostel does not exceed number on current hostel license or certificate of occupancy. Beds are always counted according to their maximum potential capacity: (HSE) ■ Regular bunks (twin top and twin bottom) count as 2 beds • Double beds always count as 2 beds ■ Houston beds (bunk with twin top and double bottom) count as 3 beds ■ Three-level bunks are not allowed FURNISHING AND FIXTURES 4. (M) Beds are sturdy and do not shake, sway or squeak under normal usage. (HSE) 5. (M) Each upper bunk is accessible by a securely attached ladder. End rails are acceptable only if designed to be used as a ladder. (HSE) 6. (5) A 30"clearance exists between the surface of the top mattress and lowest point of the ceiling above. A 25" clearance exists between the surface of the bottom mattress and lowest point of the top bunk. 7. (MHS) All top bunks have secure railings extending at least 5" above top of mattress. (HSE) 8. (M) Beds and mattresses measure at least 30" x 74". (HSE) 9. (5) All mattresses are firm and comfortable. 10. (5) All mattresses are covered with a fitted,washable protector in addition to the linens provided to each guest. A system is in place to manage cleanliness of mattress covers. 11. (M) Each bed is furnished with one pillow, retaining original shape and consistency. (HSE) 12. (M) Each bed is furnished with one substantial blanket made of a fabric that provides warmth. (HSE) (Bonus 1)Duvets with washable covers are furnished. 13. (M) One extra blanket for each guest is available at any time. (HSE) 14. (5) Each bed has at least one hook nearby for guest use. 15. (5) At least one mirror is provided in each sleeping room. (Bonus 1)Full length mirrors are provided in each sleeping room. 16. (5) Waste receptacles are provided in each sleeping room. SLEEPING ROOM SECURITY AND PRIVACY 17. (MHS) Each guest has a clear egress path of at least 30". (HSE) 12 HI-USA Hostel Quality Standards(effective 1 January 2009) 18. (MHS) No Smoking signs are posted on or immediately adjacent to the door of each sleeping room. 19. (MHS) An emergency egress diagram clearly and accurately depicts 2 evacuation routes and is posted on back of or immediately adjacent to every egress door. (ESE) 20. (MHS) The current bunk bed safety notice provided by HI-USA is posted on or immediately adjacent to the door of each sleeping room or affixed to the upper bunk of each set of beds.The notice reads: "To help prevent serious or fatal injuries from entrapment or fall, children younger than seven years of age should not be allowed on upper bunks. Use at your own risk." (HSE) 21. (M) All sleeping room doors have operable locks, and a key or key card is issued to every guest. (MV and HV only) 22. (M) All sleeping room windows are appropriately covered to provide privacy. (HSE) CLEANLINESS AND MAINTENANCE 23. (20) The sleeping rooms and their furnishings and fixtures are clean and free from stains, mildew and mold. (HSE) 24. (10) The sleeping rooms and their furnishings and fixtures are well maintained. (HSE) I HI-USA Hostel Quality Standards(effective 1 January 2009) 13 f 5.0 Bathrooms CAPACITY AND CONFIGURATION 1. (M) Hostel meets bathroom capacity according to the following: (HSE) a. Domestic bathrooms (designed for a single user) have a fixed capacity of 1 sink, 1 toilet, and 1 shower for every 6 beds. b. Commercial bathrooms(designed for multiple users at the same time)have a fixed capacity of 1 sink per 6 beds, 1 toilet per 12 beds, and 1 shower per 15 beds. c. En-suite bathrooms are defined as bathrooms that are inside a sleeping room and available only to occupants of that room. Their capacity is determined by either the number of beds in that sleeping room or the fixed capacity allowed by the design (as described above), whichever is smaller. d. In cases where an en-suite bathroom has a capacity that is smaller than the number of beds in that room, signage to additional bathroom facilities is required. 2. (M) Bathroom doors are appropriately signed. Domestic bathrooms may be designated and signed for both male and female use due to their single-use nature. Commercial bathrooms are designated as either male or female, with at least one available for each sex. FURNISHINGS AND FIXTURES 3. (M) All bathrooms provide hot and cold running water. (HSE) 4. (M) Soap and hand drying provisions are available in all bathrooms. (HSE) 5. (M) Soap and shampoo dispensers are available in all showers. (HV only) 6. (5) At least two hooks are available per shower and are located immediately outside each shower stall. 7. (5) An ample, clean, dry surface to set toiletry items is provided near showers and sinks. 8. (5) Mirrors are provided above each sink. 9. (5) All bathrooms have a least one electrical outlet (outlets in bathrooms must be GFI protected per standard 2.9). 10. (M) An ample supply of toilet paper is easily accessible. (HSE) 11. (M) Each bathroom has at least one waste receptacle. In addition, each commercial female toilet stall has a waste receptacle. (HSE) BATHROOM PRIVACY 12. (M) All domestic bathrooms must have a lockable entrance. (HSE) 13. (M) All commercial bathrooms must not have a lockable entrance (unless keys or key cards are issued to all potential and appropriate users). 14. (M) Shower stall openings are covered with curtains or doors. (Bonus 1)Private changing area is provided outside each commercial shower. 15. (M) Toilet stall openings are covered with curtains or doors that may be secured for privacy by the user. 14 HI-USA Hostel Quality Standards(effective 1 January 2009) 16. (M) All bathroom windows are appropriately covered or rendered opaque to provide privacy. (HSE) CLEANLINESS AND MAINTENANCE 17. (20) The bathrooms and their furnishings and fixtures are clean and are free from stains, mildew and mold. (HSE) 18. (10) The bathrooms and their furnishings and fixtures are well maintained. (HSE) HI-USA Hostel Quality Standards(effective 1 January 2009) 15 6.0 Kitchen KITCHEN CAPACITY 1. (M) Hostel kitchens include a means of refrigeration, a means of cooking food,and sinks with hot and cold running water sufficient for food preparation and washing dishes. (HSE) 2. (5) Refrigerator space capacity is met as described in Table B. 3. (5) Burner capacity is met as described in Table B. 4. (5) Oven and microwave capacity is met as described in Table B. 5. (5) Guest food storage capacity is met as described in Table B. 6. (5) Dish and utensil capacity is met as described in Table B. 7. (5) Food availability requirement is met as described in Table B. Table B: Kitchen Capacity Requirements The standards in Table B are keyed to the availability of services in the hostel's immediate neighborhood and determine capacity requirements based on the hostel's location and size. If both of the following are true, your hostel is in a "Neighborhood 1" category. ■ Groceries and a variety of inexpensive prepared food can be acquired from at least 7:00 am to 9:00 pm daily within a 10 minute walk of hostel. ■ The hostel is located in a highly trafficked area with early morning and evening attractions that cause guests to spend time outside the hostel. Otherwise, your hostel is in a "Neighborhood 2" category. Refrigerator Burners Ovens/ Guest Food Dishes& Snacks/Food Space Microwaves Storage Utensils available Neighborhood 1 1 cu. ft. per 1 per 25 1 microwave per 1 cu.ft. per 1 set per Vending (300+beds) 12 beds beds 100 beds 8 beds 8 beds Neighborhood 1 1 cu. ft. per 1 per 15 1 microwave per 1 cu. ft. per 1 set per Vending (<300 beds) 10 beds beds 75 beds 5 beds 5 beds Neighborhood 2 1 cu. ft. per 1 per 8 1 oven/30 beds 1 cu. ft. per 1 set per Basic food 2 beds beds plus a microwave 2 beds 2 beds items available for purchase Sets of dishes will be counted based on the availability of plates,bowls,table knives,forks,spoons,and cups/glasses. FURNISHINGS AND FIXTURES 8. (5) Sufficient cookware, cooking utensils, and small appliances are available. 9. (MHS) Refrigeration is maintained at or below 40OF on a visible thermometer. (HSE) 10. (5) Sufficient counter space is available next to the sink for exclusive use of air drying dishes. 16 HI-USA Hostel Quality Standards(effective 1 January 2009) 11. (5) Separate adequate space is provided for food preparation. 12. (M) Sponges/rags/scrubbers and dish soap are available for guest use. (HSE) 13. (M) Lined and covered waste receptacles are provided in the kitchen. CLEANLINESS AND MAINTENANCE 14. (20) The kitchen and its furnishings and fixtures are clean and free from stains, mildew and mold. (HSE) 15. (10) The kitchen and its furnishings and fixtures are well maintained. (HSE) HI-USA Hostel Quality Standards(effective 1 January 2009) 17 7.0 Public Areas DINING AND COMMON ROOMS 1. (M) At least one common area is provided where guests are able to relax, read, meet and interact. (HSE) a. The common area, if in a single room, should be divided into separate spaces for separate activities such as eating, reading, and socializing. b. The dining room, if large enough and always open, can serve as the sole common area in Low Volume and Mid Volume hostels. c. High Volume hostels must provide two common rooms in addition to the dining area, one of which is a quiet reading area. 2. (5) Total seating approximates 75%of total bed capacity in Low Volume or Mid Volume hostels, 25% in High Volume hostels. a. Outdoor garden/patio areas may be included in overall capacity in year- round mild climates and must be lighted during appropriate hours. b. At least 25% of common space capacity must be sheltered. 3. (5) A television, if present, is kept separate from reading and socializing space(s). If located in the hostel's sole common room, it is situated such that it does not dominate the full space, except when the television is part of a hostel-sponsored activity or educational opportunity. 4. (5) Reading materials and complete games (i.e., cards, checkers, chess, and board games) are available for guest use. EXTERIOR, ENTRANCE AND OTHER PUBLIC AREAS 5. (M) The hostel entrance is well-marked with appropriate HI-USA signage. 6. (5) The hostel is appropriately signed from the roadway. 7. (5) Outside garbage bins are covered and, if visible, do not present an eyesore to guests. 8. (5) Pay phone(s) are available on premises. (MV and HV only) (Bonus 1)A phone is available for free local calls and phone card use. CLEANLINESS AND MAINTENANCE 9. (20) All public areas and their furnishings and fixtures are clean and free of stains, mildew and mold. (HSE) 10. (10) The hostel exterior and landscaping are well-maintained. (HSE) 11. (10) All interior public areas and their furnishings and fixtures are well-maintained. (HSE) 18 HI-USA Hostel Quality Standards(effective 1 January 2009) 8.0 Environmental Practices ENERGY 1. (M) Complete an energy audit no less than every five years using a third party certified agency or utility company. [All hostels must comply with this standard by 31 December 2011.] 2. (M) Replace burned out incandescent light bulbs with compact fluorescent bulbs (CFL's). . [All hostels must comply with this standard by reaching the following targets: 50% by 31 December 2010; 75% by 31 December 2011; 100% by 31 December 2012.] 3. (M) Weatherproof doors and windows according to recommendations from the energy audit and as necessitated by local climate and open dates. [All hostels must comply with this standard by 31 December 2011.] 4. (M) Insulate water heaters that are not already insulated and insulate exposed pipes within 3 feet of water heaters. [All hostels must comply with this standard by 31 December 2011.] 5. (M) Have in place a purchasing policy for replacement of energy-consuming equipment (e.g. air conditioners) that requires the selection of ENERGY STAR models. [All hostels must comply with this standard by 31 December 2010.] (Bonus 1)All of the above Energy items are met before the extended deadlines. WATER 6. (M) Install faucet aerators so that each faucet consumes no more than 2.2 gallons per minute at a flowing water pressure of 80 pounds per square inch. [All hostels must comply with this standard by 31 December 2010.] 7. (M) Install shower heads so that each shower consumes no more than 2.5 gallons per minute at a flowing water pressure of 80 pounds per square inch. [All hostels must comply with this standard by 31 December 2011.] 8. (M) Have in place a purchasing policy that requires replacement of toilets and urinals with low-flow models, i.e. toilets that use no more than 1.6 gallons per flush and urinals that use no more than 1.0 gallon per flush. [All hostels must comply with this standard by 31 December 2010.] (Bonus 1)All of the above Water items are met before the extended deadlines. WASTE AND MATERIALS 9. (M) Maintain a program for guests and staff that ensures recycling of paper, cardboard, glass, plastic, aluminum, and batteries. [All hostels must comply with this standard by 31 December 2010.] 10. (M) Maintain a program for staff that ensures recycling of toner cartridges and safe disposal of fluorescent lamps. [All hostels must comply with this standard by 31 December 2011.] 11. (M) Eliminate the use of disposable cups, dishes and cutlery for regular day-to-day operations. [All hostels must comply with this standard by 31 December 2010.] 12. (M) Use Green Seal certified, or equivalent, recycled paper products (both printing and janitorial.) [All hostels must comply with this standard by 31 December 2010.] (Bonus 1)All of the above Waste&Materials items are met before the extended deadlines. HI-USA Hostel Quality Standards(effective 1 January 2009) 19 AIR QUALITY 13. (M) Use Green Seal certified, or equivalent, cleaning products. [All hostels must comply with this standard by 31 December 2011.] 14. (M) Have in place a purchasing policy that requires the selection of paint products with a low Volatile Organic Compound (VOC) content. [All hostels must comply with this standard by 31 December 2010.) (Bonus 1)All of the above Air Quality items are met before the extended deadlines. EDUCATION 15. (M) Display the HI-USA Sustainability Statement in a high traffic area along with information about the hostel's Sustainability Initiatives. [All hostels must comply with this standard by 31 December 2010.] 16. (M) Display information on public transit options between the hostel and nearby sights, destinations, and transportation connections. [All hostels must comply with this standard by 31 December 2010.] 17. (M) Display information about the virtues of environmentally sustainable practices in tourism. [All hostels must comply with this standard by 31 December 2010.] (Bonus 1)All of the above Education items are met before the extended deadlines. 20 HI-USA Hostel Quality Standards(effective 1 January 2009) 9.0 General GUEST SERVICE AND SATISFACTION 1. (M) Prompt, courteous attention is given to any guest criticism, regardless of source. (HSE) HOSTEL ATMOSPHERE 2. (M) Rules are expressed positively and kept to a minimum. (HSE) 3. (M) Requests for help with light housekeeping tasks may be posted as follows: "Light housekeeping assistance will be accepted on a limited, short-term, voluntary, uncompensated basis." (HSE) 4. (M) Political, religious, or other forms of proselytizing or advocacy are not permitted on hostel premises. (HSE) 5. (M) Hostels provide a smoke-free environment. Where a designated smoking area is also provided, it must be segregated from other areas of the hostel such that smoke does not permeate in any manner. (HSE) 6. (M) Quiet time in dormitory rooms is from no later than midnight until no earlier than 7:00 AM. HUMAN RESOURCES AND TRAINING 7. (M) Staff who enter guest rooms are clearly identifiable as staff. (HV and MV only) 8. (M) Staff never enter guest rooms except when carrying out assigned duties. (HSE) 9. (M) Registered guests are not permitted in staff quarters. 10. (M) Reception staff is well-informed about the HI-USA mission,the hostel's policies,and the HI-USA reservation system. (HSE) EVALUATION AND REVIEW 11. (M) The hostel's general manager or licensee is in attendance during the evaluation review. The evaluator is able to schedule the evaluation and review on any day the hostel is open for business. (HSE) (Bonus 1) The licensee and general manager are both in attendance(must be two parties). 12. (M) The entire facility (not including permanent staff quarters) is made available for the evaluation. (HSE) 13. The evaluator may award a one time innovation bonus point for a unique and innovative practice at a hostel. (Bonus 1) HI-USA Hostel Quality Standards(effective 1 January 2009) 21 Appendix A ADDITIONAL SUGGESTIONS TO IMPROVE SERVICES The following list contains suggestions for improving guest service and satisfaction. Some of the items below are listed in HI-USA's quality standards as either a bonus item or only required of hostels in a specific volume or neighborhood category. Safety and Security Lockers are available for 100% of bed capacity (in each room if possible). Welcome Reservations are accepted by participation in the HI-USA TTRS. Hostel is a booking center and makes reservations for other HI hostels. Credit cards are accepted. No penalty cancellations are accepted until midnight the day before arrival. Family rates (or discounts for children traveling with parents) are available. Curfew is later than midnight (if at all). No late check out penalty. Extended front desk hours (no lock out). Sleeping Rooms Chairs are provided in all sleeping rooms. Private rooms are available. Bed lamps are provided at every bed. Public Areas More than one common area provided. Laundry facilities are provided on site. Pay phones are available. Services and Amenities Activities are offered to guests. Outings are offered to guests. Local discounts are available—promoted and maintained. Educational opportunities are offered to guests. Parking information is available, if not provided on-site. Basic concierge service is available. Towels are offered at no charge. j 22 HI-USA Hostel Quality Standards(effective 1 January 2009) '�'WE ram, Barnstable A The Town of Barnstable ;�a 9'" MASS.'��' Growth Management Department ��ss. � 1 1619.�a 367 Main Street,Hyannis,MA 02601 Office: 508-862-4678 Patty Daley 2007 Fax: 508-862-4782 Interim Director REGULATORY AGREEMENT Rusher Trust Hostel 111 OCEAMSTREET, HYANNIS This regulatory agreement(".Agreement") is entered by and between the applicant, Ruth M. Rusher Trust, ("Applicant" and "Developer") and the Town of Barnstable ("Town"), a municipal corporation, on this_day of , 2008 pursuant to Section 240-24.1 of the Barnstable Zoning Ordinance and Section 168 of the Barnstable Code; WITNESS: WHEREAS, the Applicant under this Agreement will contribute public capital facilities to serve the proposed development and the municipality or both; WHEREAS, this Agreement shall establish the permitted uses, densities, and traffic within the Development, the duration of the agreement, and any other terms or conditions mutually agreed upon between the,Applicant and the Town. WHEREAS, this Agreement shall vest land use development rights in the property for the duration of the Agreement, and such rights shall not be subject to subsequent changes in local development ordinances, with the exception of changes necessary to protect the public health, safety or welfare. WHEREAS, the Town is authorized to enter into this Agreement pursuant to Chapters 168 and 240 of the Barnstable Code; WHEREAS, the Applicant is the legal owner of the property ("Property") at 111 and 105 Ocean Street, Hyannis, consisting of approximately .45 acres, shown on Barnstable Assessor's Map 326 as Parcel 045, title to which is recorded in Barnstable County Registry of Deeds Book 18564 Page 234, and desires to develop the Property pursuant to a Regulatory Agreement; WHEREAS, it is anticipated that ownership of the Property will be transferred from the Ruth Rusher Trust to the Cape Cod Foundation once building permits are issued for the Project and as such the Cape.Cod Foundation shall also be a signatory to this Agreement and when the term "Developer" is used herein it shall include the Cape Cod Foundation; WHEREAS, the Applicant is willing to commit itself to the development of the project substantially in accordance wNth this Agreement and desires to have a reasonable amount of flexibility to carry out the Development and therefore considers this Agreement to be in its best interests; and WHEREAS, the Town and Applicant desire to set forth in this Agreement their respective understandings and agreements with regard to development of the Property; WHEREAS, the Development will not require regulatory review under the Massachusetts Environmental Policy Act(MEPA) or the Cape Cod Commission Act; WHEREAS, the Applicant has made application to the Planning Board pursuant to Section 168 of the Barnstable Code; Regulatory Agreement Rusher Trust Hostel 1 105 and 111 Ocean Street, Hyannis October 2,2008 WHEREAS, the Development is located in the Hyannis Growth Incentive Zone ("Hyannis GIZ") as approved by the Cape Cod Commission by decision dated April 6, 2006, as authorized by Barnstable County Ordinance 2005-13, Chapter G, Growth Incentive Zone Regulations of the Cape Cod Commission Regulations of General Application; WHEREAS, the Development is not subject to review by the Cape Cod Commission as a Development of Regional Impact due to its location in the GIZ and due to the adoption of Barnstable County Ordinance 2006-06 establishing a cumulative development threshold within the GIZ, under which this development may proceed and the Applicant has submitted a Jurisdictional Determination to the Town of Barnstable Building Department to confirm the same; WHEREAS, the Applicant has undergone informal review by the Hyannis Main Street Waterfront Historic District on August 15 and September 19, 2007;, WHEREAS, the Applicant has undergone informal site plan review on September 5, 2007; r WHEREAS, the Development is serviced by municipal sewer and does not impact resources protected by the Barnstable Conservation Commission; WHEREAS, the Applicant will require zoning relief from the use regulation schedule in the HD zoning district, more specifically referred to in Paragraph 36, below; WHEREAS, the Applicant has undergone at least two public hearings on the Agreement application and received a majority vote from the Planning Board approving the application on January 28, 2008; WHEREAS, the Applicant has undergone a public meeting on the Agreement application before the Town Council and received a 2/3rds vote approving the application on October 2, 2008; NOW, THEREFORE, in consideration of the agreements and covenants hereinafter set forth, and other good and valuable consideration, the receipt and sufficiency of which each of the parties hereto hereby acknowledge to the other, the Applicant and the Town do enter into this Agreement, and hereby agree and covenant as follows; 1. The Applicant agrees to construct the Project in accordance with the plans and specifications submitted to and approved by the Town, listed as follows and made part of this Agreement by reference: a. Pans entitled "Proposed Site Plan" Sheet S 1 dated 02.26.2007, and Proposed Plans A-2, A- 3, A-4, A-5, and A-6 dated 06.26.2007 prepared by A+E Architects, 15 Cape Lane, Brewster, MA b. Such other plans and plan revisions as maybe required by the terms and conditions of this Agreement. 2. The Developer proposes to renovate four existing buildings to develop the Property as a Hostel. For the purposes of this Agreement, a Hostel is defined as a facility which provides inexpensive, overnight accommodations for travelers in dorm-style rooms with male, female, coed and family rooms. The hostel is designed to bring people together through the use of shared kitchens, bathrooms, and common areas. The four existing buildings at the Property shall be remodeled and updated to comply with applicable building and health codes. 3. A new 16 car parking area is also proposed to service the hostel (the"Development"), with 13 spaces- of pervious parking and an additional three lined and available if the need arises. 4. As shown on the plans entitled, proposed Plans A-2, A-3, A-4, A-5, and A-6 dated 06.26.2007 prepared by A+E Architects, 15 Cape Lane, Brewster, MA Hostel shall have a maximum of 13 rooms Regulatory Agreement Rusher Trust Hostel 2 105 and 111 Ocean Street, Hyannis October 2,2008 with a maximum of 47 occupants, including Hostel staff and children under 18. The maximum number of occupants shall be posted in the area of the premises where guests register. 5. When open, the Hostel shall have a minimum number of one Hostel staff on the premises on a 24 hour basis. 6. Hostel visits shall be limited in duration. Each individual Hostel visitor shall be limited to not more than fourteen (14) aggregate nights in a one year period. The Hostel management shall keep a log containing the names of visitors or groups of visitors occupying the Hostel. The log shall be made available for inspection by the Town Board of Health and/or the Town Manager's office upon request, but in no case shall such log be made available later than five (5) business days after receipt of a written request by the Town. 7. The Hostel shall operate on a seasonal basis'and shall not receive visitors between November 161h through April 14th of each year, but may be open at its option seven (7) days a week from April 151h through November 151h in any one year. 8. Separate sleeping accommodations shall be provided for visiting boys and girls under the age of 18. This shall not apply to a family sharing a discrete room. 9. The preparation of food shall be restricted to the kitchen and a designated area for outdoor grilling and dining. The management shall ensure that food preparation does not occur in sleeping rooms. 10. The Hostel management shall clearly post and shall enforce a quiet time between 11 pm and 7 am. 11. Smoking shall not be allowed. Outdoor smoking on the premises shall only be permitted in designated areas with proper receptacles. 12. The possession and/or consumption of alcoholic beverages or illegal substances shall be prohibited. The management shall take steps to remove anyone from the premises who has had too much to drink or is disruptive. 13. Animals, with the exception of service animals assisting persons with disabilities, shall be prohibited. 14. The four habitable buildings shall include a full emergency sprinkler system as approved by the Hyannis Fire District. 15. The curb cut on Ocean Street shall be configured on Ocean Street so it only allows for"right turn in, right turn out" and Developer shall install a"No Left Turn" sign. 16. Developer shall construct a Passive Stormwater Maintenance and Infiltration System to service the Development. 17. Developer will provide a bicycle rack at the Property. 18. Developer and its successor(s) shall maintain all landscaping and drainage facilities during the term of this agreement for the period for which the development rights granted hereunder continue to be exercised. 19. Upon completion of all work, a registered engineer or land surveyor shall submit a letter of certification, made upon knowledge and belief in accordance with professional standards that all work has been done in substantial compliance with the approved site plan (Barnstable Code Section 240- 104(G). This document shall be submitted before the issuance of the final certificate of occupancy. 20. Prior to the issuance of any building permit, the Developer shall submit a landscape plan which shall be reviewed and approved by the Planning Board. Regulatory Agreement Rusher Trust Hostel 3 9 rY 9 105 and 111 Ocean Street,Hyannis October 2, 2008 21. The Developer shall apply or cause its approved operator to apply for and receive a yearly license for the operation of the Hostel from the Town Manager or his designee, unless the Town Manager determines that there is an alternative adequate licensing procedure. The Developer agrees that for the first year the fee for said license shall be $1,000 per year. Thereafter, the fee shall be determined pursuant to the Town's fee-setting procedures. A denial, suspension or revocation of a license by the Town Manager or his designee shall result in the closure of Hostel operation on the premises, subject to all rights of appeal. No occupancy permit shall be issued until the Developer demonstrates that the premises are duly licensed. 22. Developer shall permit or cause its approved operator to permit the inspection of the premises by town staff, including but not limited to health, building and fire safety personnel. 23. Upon notice and hearing, the Town Manager reserves the right to terminate Hostel operations if necessary to protect the public health, safety,or welfare. 24. No change in the licensed operator of the premises shall be permitted without the prior written approval of the Town.Manager or his designee. 25. Any reconfiguration of the interior of the premises which alters the number of rooms available for guests shall receive the prior written approval of the Planning Board, who may approve such change administratively. 26. The development rights granted hereunder shall be exercised and development permits may be obtained hereunder for a period of two years from the effective date of the Agreement, provided, however, that prior to the expiration of said one year period the Applicant may request one six month extension to obtain development permits. Upon receipt of necessary development permits, construction shall proceed continuously and expeditiously, but in no case shall construction exceed 2 years from receipt of necessary development permits. The Applicant estimates that construction will commence on or about November, 2008 and will be completed on or about November, 2009. 27. Commencing in the third year of operation, the Developer has agreed to contribute to public capital facilities to serve the proposed development and the Town by making a yearly payment in lieu of taxes. The initial payment shall be $ 5,355.40, which amount shall be increased by 2 '/2 per cent per year. No license (permit) shall issue for.the third year of operation until the initial payment constituting a contribution to public capital facilities has been received by the Town. The Town Manager shall make provision for a proportionate share of said payment to be paid to the Hyannis Fire District. 28. Any lighting for the development shall be contained on-site, shall be down cast and shall not contribute to light pollution of the area. 29. All landscaping within the Development shall be low water use and shall minimize the use of fertilizers and pesticides in keeping with the Hyannis Village Zoning Districts Design and Infrastructure Plan. 30. All plumbing fixtures shall be low water use fixtures and other water conservation measures are encouraged in the design and development of the project. 31. Construction and demolition debris from the Development shall be removed and reused or recycled to the maximum extent possible. 32. Developer is responsible for obtaining all applicable permits and licenses, including but not limited to theJollowing: foundation permit, building permit,:street excavation permit (necessary for work in all public spaces) sewer permits and water permits.. 33. Exterior construction impacts shall be minimized and construction shall be limited to the hours of 7:30 a.m. to 6:00 p.m. weekdays, and 8:30 a.m. to 2:00 p.m. Saturdays. No exterior construction shall" occur on Sundays. The Building Commissioner shall establish protocols to minimize the location of staging, noise, dust, and vibration. Regulatory Agreement Rusher Trust Hostel 4 105 and 111 Ocean Street, Hyannis October 2,2008 34. To the extent that the referenced plans do not depict all of the findings and conditions as set forth in this Agreement, revised plans and/or notations shall be provided. In addition to permits, plans and approvals listed above, any and all permits and licenses required shall be obtained. 35. Developer has represented to the Board that it intends to enter into contract with the Eastern New England Council Hostelling International—American Youth Hostel, Inc. to operate the Hostel. Prior to the issuance of any occupancy permit for the premises, Developer shall submit a copy of said contract to the Planning Board for their determination that the contract incorporates the terms and conditions of this regulatory agreement. All operators shall be bound by the terms and conditions of this Agreement and the Developer shall incorporate this Agreement by reference into any contract it enters into for the operation of the premises and said contract shall require that the operator comply with the terms of this Agreement. 36. Town hereby grants a waiver from the following zoning restrictions: permitted or conditional use in the HD zoning district(Hostel), Section 240-24.1.7 of the Barnstable Code and reduction in onsite parking requirements, Section 240-24.1.10 (4)(b) 37. The Developer shall submit revised plans which address the comments submitted by the Site Plan Review Committee dated September 5, 2007, to the extent applicable, which plans shall be reviewed and approved administratively by the Building Commissioner. IN WITNESS WHEREOF, the parties have hereunto caused this Agreement to be executed, on the day and year first above written. Dated this day of v � j 11` 2008. Town of Barnstable Developer By: By: Cape Cod Foundation By Regulatory Agreement Rusher Trust Hostel 5 105 and 111,Ocean Street,Hyannis October 2,2008 + ARCHITECTS Brews erAMA 02631 (Rt 6A) Residential Commercial 608.896.0061 phone 508.896.6199 fax Sustainable Design www.capecoddesigner.com 30 October 2008 Building A: 1"floor: Bedroom 1: 185 SF 4 beds 46 SF/occupant 2"d Floor: Bedroom 2: 200 SF 6 beds 33 sf/occupant Bedroom 3: 140 SF 4 beds 35 SF/occupant Bedroom 4: 155 SF 4 beds 39 SF/occupant Bedroom 5: 165 SF 5 beds 33 SF/occupant Attic: Bedroom 6: 215 SF 5 beds 43 SF/occupant Bedroom 7: 135 SF 2 beds 68 SF/occupant Building A Total: 30 beds 40 SF/occ. average Building B: 1" floor: Bedroom 1: 115 SF 4 beds 29 SF/occupant 2nd Floor: Bedroom 2: 100 SF 3 beds 33 SF/occupant Bedroom 3: 100 SF 3 beds 33 SF/occupant Building B Total: 10 beds 32 SF/occ. average Building C: Bedroom 1: 165 SF 4 beds 41 SF/occupant Building C Total: 4 beds 41 SF/occupant Building D: Bedroom 1: 100 SF 1 bed 100 SF/occupant Bedroom 2: 100 SF 2 beds 50 SF/occupant Building D Total: 3 beds 67 SF/occupant GRAND TOTAL: 44 beds 43 SF/occupant Cape and Island Hostel Comparisons: Total SF comparisons: Hostel Location .Total SF ;1 ;' Total#of Beds t.',_`nSF/ er'Oerson = Operating since Eastham 3100 SF 49 beds 63.3 SF 1960s Truro 4550 SF 45 beds 101.1 SF 1960s Nantucket 4397 SF 46 beds 95.6 SF 1960s Martha's Vineyard 5972 SF 73 beds 81.8 SF 1950s Boston 22,685 SF 215 beds 105.5 SF 1983 Proposed Hyannis. "` 46,' 98.4-SF Eastham Bedrooms: Bedroom/cabin Total SF: bedrooms Total# of Beds SF/per person Cabin 1 163 SF 8 beds 20.4 SF Cabin 2 163 SF 8 beds 20.4 SF Cabin 3 156 SF 4 beds 39.0 SF Cabin 4 163 SF 8 beds 20.4 SF Cabin 5 163 SF 8 beds 20.4 SF Cabin 6 136 SF 5 beds 27.2 SF Cabin 7 lib SF 5 beds 27.2 SF Cabin 8 (staff) 160 SF 2 beds 80.0 SF Average Eastham 1240 SF bedrooms 48 beds 25.8 average SF/bed Martha's Vineyard Bedrooms*: Bedroom/cabm " Total SF: bedrooms Total#of Beds SF/per person Men's Dorm 480.5 SF 16 beds 30.0 SF Women's Dorm 878.5 SF 26 beds 33.8 SF Coed Dorm 333.5 SF 20 beds 29.3 SF Small Dorm 198 SF 7 beds 28.3 SF Private Bedroom 187.5 SF 4 beds 46.9 SF TotahtLlV =2078 SF`bedrooms 73 beeds 28:5 average SF/bed *Staff Housing not included in these numbers Nantucket Bedrooms*: Bedoom[ca6in -Total SF: bedrooms Total#of:Beds SF/per person Women's Dorm 864 SF 20 beds 43.2 SF Men's Dorm 744 SF 14 beds 53.1 SF Coed Dorm 165 SF 5 beds 33 SF Family Bedroom 168 SF 5 beds 33.6 SF Total= .-f ucket 1941SF bedrooms 44 beds. 44:I. avers e SF/bed *Staff Housing not included in these numbers r a Truro Bedrooms: _ .. Toa`SFbedroos SF/ e erson:Bedroom/calim l a.A Bedroom 1 132 SF 4 beds 33.0 SF Bedroom 2 112 SF 3 beds 37.3 SF - Bedroom 3 200 SF 8 beds 25.0 SF Bedroom 4 133 SF 6 beds 22.2 SF Bedroom 5 (1"Flr) 190 SF 7 beds 27.1 SF Bedroom 6 (1" Flr) 268 SF 14 beds 19.1 SF Staff 144 SF 1 beds 140.0 SF Staff 140 SF 2 beds 70.0 SF Totals Truro: 1319-SF 45 beds 29.3 average SF/bed Boston Bedrooms: (Sample of 52 rooms) Bedroom Total SF: bedrooms Total#of Beds SF/per person Bedroom 1 131 SF 4 beds 32.8 SF Bedroom 2 137 SF 4 beds 34.3 SF Bedroom 3 138 SF 5 beds 27.6 SF Bedroom 4 140 SF 5 beds 28.0 SF Bedroom 5 172 SF 6 beds 28.7 SF Bedroom 6 90 SF 2 beds 45.0 SF Totals Boston: 808 SF - 26 beds 31.1 average SF/bed Proposed Hyannis Bedrooms: Bedroom/cabin Total SF: bedrooms Total.#of Beds SF/per person Bedroom 1 (A) 185 SF 4 beds 46.3 SF Bedroom 2 (A) 200 SF 6 beds 33.3 SF Bedroom 3 (A) 140 SF 4 beds 35.0 SF Bedroom 4 (A) 155 SF 4 beds 38.8 SF Bedroom 5 (A) 150 SF 5 beds 30.0 SF Bedroom 6 (A) 215 SF 5 beds 43.0 SF Bedroom 7 (A) 135 SF 2 beds 67.5 SF Bedroom 1 (B) 115 SF 4 beds 28.8 SF Bedroom 2 (B) 100 SF 3 beds 33.3 SF Bedroom 3 (B) 100 SF 3 beds 33.3 SF Bedroom 1 (C) 165 SF 4 beds 41.3 SF Bedroom 1 (D) staff 100 SF I beds 100.0 SF Bedroom 2 (D) staff 100 SF 2 bed 50.0 SF 4 Totals H annis. ' ` 1860 SF bedrooms 47 beds 39.6 avers a SF/bed k { i aw VARIANCE REQUEST RUTH M RUSHER, TRUST Background The Hostel is proposed to be located at 111 and 105 Ocean Street, Hyannis on the property of the late Ruth Rusher. Prior to the death of Ms. Rusher she set aside the property in Trust to be used as a Hostel. The use of the Rusher property for this purpose will allow her legacy to continue, consistent with her wish to provide low cost hostel accommodations to enable people to experience the cultural and recreational attractions of Cape Cod. Because a hostel was not included as a specifically permitted use in the Barnstable Zoning Ordinance, the Planning Board and the Town Council have voted to authorize the Town Manager to enter into a regulatory agreement to permit the Hostel under terms and conditions set forth in the regulatory agreement. (See exhibit A attached hereto) The site of the proposed Hostel includes 4 buildings that were built circa 1910. The buildings are located within the Hyannis Main Street Waterfront Historic District. The existing structures being approximately 100 years old, contain numerous small rooms. The proposed Hostel, is defined as a facility which provides inexpensive, overnight accommodations for travelers in dorm style rooms with male, female, co-ed and family rooms. The Hostel is designed to bring people together through the use of shared kitchens, bathrooms and common areas. The applicant proposes to remodel and update the four buildings currently existing at the site to create 13 rooms with a maximum of 47 occupants, which includes Hostel staff. The Hostel will have a minimum of 1 staff person on premises on a 24 hour basis. Hostel visits are limited in duration. Each Hostel visitor is limited to not more than 14 aggregate nights in any one year. The applicant will be required to keep a log of all visitors and groups of visitors occupying the Hostel, which log will be made available for inspection by the Board of Health, as well as the Town Manager's office (See Regulatory Agreement, Exhibit A, paragraph 5). Attached hereto as Exhibit B is the proposed square footage of each room used for sleeping, in each one of the four buildings as shown on a chart prepared by A&E • 1 Architects. The chart includes not only the number of bedrooms within each building but also the proposed square footage of each bedroom, the number of beds and the resultant square footage per occupant. The property is serviced by town sewer. Requirements of 105 CMR 410.400 105 CMR 410.400 Minimum square footage (C) provides "in a rooming unit, every room occupied for sleeping purposes by one occupant shall contain at least 80 square feet of floor space; every room occupied for sleeping purposes by more than one occupant shall contain at least 60 square feet for each occupant." 105 CMR 410.020 Definitions provides; "every dwelling or part thereof which contains one or more rooming units in which space is let or sublet for compensation by the owner or operator to four or more persons not within the second degree of kindred to the person compensated. Boarding houses, hotels, inns, lodging houses, dormitories and other similar dwelling places are included . . ." It would appear that the Hostel, not being specifically referenced in the regulation, is included within the phrase"other similar dwelling places". 105 CMR 410.020 Definitions defines a rooming unit as follows; "the room or group of rooms let to an individual or household for use as living and sleeping quarters but not for cooking, whether or not common facilities for cooking are made available; provided, that the cooking facilities shall not be deemed common if they can be reached only by passing through any part of the dwelling unit or rooming unit of another". The proposed Hostel contains a cooking facility which meets the definition of a common facility set forth above. Accordingly,it would appear that the minimum square footage requirement per room used for sleeping purposes in the Hostel would be that prescribed for a rooming unit, i.e. "in a rooming unit, every room occupied for sleeping purposes by one occupant shall contain at least 80 square feet of floor space; every room occupied for ' C sleeping purposes by more than one occupant shall contain at least 60 square feet for each occupant." Operation of the Hostel The proposed operator of the Hostel is the Eastern New England Council Hostelling International—American Youth Hostel, Inc. ("Hostelling International"). Hostelling International is the operator of several Hostels on the Cape and Islands, as well as in Boston. Attached as Exhibit C is a chart showing the location of those Hostels together with the number of beds and square footage per person, as well as the length of time that they have been operating. This chart is intended to be instructive to the Board of Health in making their determination on this variance request. Variance Conditions A substantial investment will be made in the property by the Rusher Trust, however in order to operate the Hostel so as to insure its economic viability going forward,the number of beds proposed (47) is required to offset the ongoing capital and operating expenses. The proposed number of occupants per room size is comparable to other Hostels operated on the Cape and Islands as shown on Exhibit C. The applicant believes this information is important in considering its variance request for at least two reasons; first it shows that the other Cape & Islands Hostels have been operating since the 1960's without any health issues while providing sleeping rooms with square footage per occupant less than the square footage proposed for the Hyannis Hostel. Secondly, this information evidences the densities at which other Hostels operate in order to be economically viable. Additionally, given the age of the historic structures (approximately 100 years) architectural limitations dictate that the*rooms used for sleeping quarters are small. The applicant, in an effort to preserve the historic buildings, believes they have laid out the sleeping quarters to honor the historic nature of the structures, while at the same time not compromising public health. This balance by necessity has resulted in small sleeping rooms. Conclusion In the instant case,the Hyannis Hostel requires the proposed occupancy in order to insure its economic viability. Accordingly, it is the applicant's position that manifest injustice will result if they are limited to the number of occupants (beds) in order to comply with 105 CMR 410.400 as such a limited occupancy will not be economically viable going forward, nor will the applicant be able to preserve the historic room configurations which exist. The applicant believes that the Board can make a determination that the grant of the variance sought will not conflict with the spirit of the regulations and further will not endanger or impair the health, safety or well-being of any of the potential occupants of the Hostel. I n4 I BENNETTENVIRONMENTALAsSOCIATES, INC. LICENSED SITE PROFESSIONALS & ENVIRONMENTAL SCIENTISTS & GEOLOGISTS & ENGINEERS 1573 Main Street-P.O. Box 1743, Brewster, MA 02631 508-896-1706 Fax 508-896-5109 www.bennett-ea.com BEA12-10487 May 28,2013 Mr. William Nole Evans General Counsel HI-USA 26125 Woodward Avenue Huntington Woods, MI 48070 RE: UIC CLOSURE DOCUMENTATION and nJ µ LIMITED REMOVAL ACTION(LRA) COMPLETION STATEMENT CD The Angeline Crocker Hinckley Hostel ',, M 111 Ocean Street, Hyannis, MA ,a Dear Mr. Evans, 77 BENNETT ENVIRONMENTAL ASSOCIATES, INC. (BEA) has prepared the following UIC Closure Documentation and Limited Removal Action Completion (LRAC) Statement, with Supporting Documentation, ;inclusive of. permit forms; as a summary of discovery, environmental assessment and';remedial response actions completed in the basement of Building A, at the above'referericed property: This investigation found a nominal amount of impacted soils underlying an open pipe set in..aggregate as leading from the floor drain, as a direct discharge to the subsurface. BEA personnel supervised the cutting of the floor and the drumming of the associated waste material as a Limited Removal Action with the benefit of soils and groundwater analysis. Subsequently, endpoint soil sampling at the extent of excavation documented that the no significant impacts remained in the sidewall (SW) and bottom-of-hole (BOH) areas as representing No Significant Risk, wherein the most restrictive RCS-1 Reportable Concentrations were met. As such, the appropriate removal and management of impacted aggregate and soils from below the floor drain under the LRA, as part of the UIC Closure process, has been successful in mitigating potential exposure risks to identified human and environmental receptors within the 120-day Condition reporting deadline. Additionally, the sealing of the floor drain will prevent any future direct discharge to the environment. As such, this report documents regulatory compliance and serves to establish the technical rationale and justification for project closure without notification or remedial response liabilities as consistent with the provisions of 310. CMR 40.0318 and 310 CMR 27.00. The work conducted by BEA, as represented herein, has been conducted in a manner consistent with the MCP Response Action Performance Standards, pursuant to 310 CMR 40.0191 and the QA/QC policies of BEA. The facts and statements herein are, to the best of our 1 EMERGENCY SPILL RESPONSE 6 WASTE SITE CLEANUP 6 SITE ASSESSMENT& PERMITTING & SEPTIC DESIGN&INSPECTION WATER SUPPLY DEVELOPMENT,OPERATION&MAINTENANCE & WASTEWATER TREATMENT,OPERATION&MAINTENANCE f MAY 28,2013 THE ANGELINE CROCKER HINCKLEY HOSTEL(HI-USA)/BEA12-10487 PAGE 3 OF 9 UIC CLOSURE DOCUMENTATION/LIMITED REMOVAL ACTION COMPLETION compliance, any catch basins and/or drains discharging directly to the subsurface require registration with the MA DEP in accordance with 310 CMR 27.00. As such, on January 10, 2013 BEA personnel were at the subject property to perform pre- closure sampling of the Class V Well (floor drain). The drain consisted of an 8-inch drain set in concrete with stone and brick aggregate beneath. No piping was observed and no leaching structure was present beneath the floor. The drain cover was removed, along with some of the aggregate beneath the floor and a soil sample was collected from 1-2' below the basement floor (SS-l: 1-2'). The sample was screened in the field with a Thermo Environmental 580B OVM photoionization-detector (PID) for total organic vapors, where low PID readings (0.4 ppmv) were reported. The soil sample, as screened from the aggregate, was then placed in the appropriate containers on ice and sent to a MA certified laboratory for extractable petroleum hydrocarbon (EPH), volatile petroleum hydrocarbons (VPH), volatile organic compounds (VOCs) via EPA Method 8260 and MA DEP 14 metals analysis. Results of the laboratory analysis received January 16, 2013 reported concentrations of six metals (barium, cadmium, chromium, lead, nickel and silver) and a single VOC (chloroform) above the applicable RCS-1 Reportable Concentrations. Low concentrations of fractional EPH were also reported below the applicable RCS-1 Standards. No concentrations of fractional VPH were reported above the method detection limits. Based on the exceedances of metals and chloroform reported, a 120-day Reportable Condition was apparent pursuant to 310 CMR 40.0315, as reported to the property owner on January 18, 2013. As such, on March 14,2013 BEA personnel returned to the site to perform additional soil assessment to determine the extent and magnitude of significant environmental impact and to confirm the apparent 120-day Condition. A hole was cut using a concrete coring drill bit and a hand boring was performed approximately 3' north of the drain. HB-1 was advanced using a 3.5" stainless steel bucket auger, wherein 2' composite soil samples were collected to a depth of 6' below the basement floor, where groundwater was encountered. Field screening of these soil samples did not report any organic vapors with all headspace concentrations reported below the detectable limit (BDL) (<0.1 ppmv) of the instrument. A 3' x 3' area was then cut in the floor surrounding the drain and the concrete removed. The material below and surrounding the floor drain was removed to approximately 3' below the basement floor. The impacted material was then placed into two 55-gallon DOT drums and stored at the site. A soil sample was collected from the bottom of the excavation and screened in the field with a PID. Low concentrations (1.2 ppm) of organic vapors were reported. The bottom-of-hole sample (BOH@ 3') and.a composite of the HB-1 sample (HB-1: 2- 6'), as representative of the sidewall area, were then field preserved for laboratory analyses. The samples were submitted to Alpha Analytical of Westborough, MA for laboratory analyses of extractable petroleum hydrocarbon (EPH) with target PAHs via MADEP methodology, volatile organic compounds via EPA Method 8260 and MA DEP 14 metals analysis on a standard five- day turnaround. BEA received the laboratory analytical results on March 21, 2013. Laboratory analytical results of the bottom-of-hole sample reported trace concentrations of petroleum-related VOCs (xylenes, toluene and ethylbenzene), and trace concentrations of fractional C11-C22 Aromatics r } MAY 28,2013 THE ANGELINE CROCKER HINCKLEY HOSTEL(HI-USA)BEA12-10487 PAGE 4 OF 9 UIC CLOSURE DOCUMENTATION/LdMITED REMOVAL ACTION COMPLETION and C19-C36 Aliphatics, all below the applicable RCS-1 Reportable Concentrations. Concentrations of cadmium and nickel in the BOH@3' sample were reported above the applicable RCS-1 Reportable Concentrations. All other VOCs, target PAHs and metals were reported as below the applicable RCS-1 Reportable Concentrations or below reporting limits, wherein the reporting limits concentrations were significantly less than the applicable RCS-1 Reportable.Concentrations. Laboratory analytical results reported all concentrations of EPH, target PAHs VOCs and metals as below the method detection limits in the HB-1:2-6' sample g � P indicatingclean conditions at the northern siclewall approximately 3 north of the former floor pP y drain. Based on the depth of observed impact at 3' below the basement floor, as within 3' of estimated groundwater, a groundwater monitoring well was installed in the basement of the subject building on April 1, 2013. Hand boring HB-2 was advanced 2.5' east of the excavation, approximately 4' east of the former floor drain, downgradient of impacted vadose zone soils. Soil samples collected from HB-2 were screened in the field with a PID. No concentrations of organic vapors were observed above the instrument detection limit in any of the soil samples collected. The hand boring was advanced into groundwater to approximately 7' below the 'basement floor, with groundwater encountered at approximately 5 below the basement floor. BEA personnel returned to the subject property on April 3, 2013 to sample the newly installed monitoring well as immediately ay acent to, and downgradient of, the former floor drain. The monitoring well was developed with a disposable bailer by hand to remove 10 times the well volume as appropriate for new groundwater monitoring wells. The well was then sampled using a peristaltic pump and low-flow sampling techniques for EPH with target PAHs and MA DEP total metals, after the stabilization of field parameters. Laboratory results of groundwater sampling reported all concentrations of total metals as below the applicable RCGW-1 Reportable Concentrations or as below the method detection limits, wherein the detection limits are significantly less than or equal to the most restrictive RCGW-1 and applicable RCGW-2 Reportable Concentrations. Fractional EPH and target PAHs were all reported below the method detectior_limits wherein the detection limits are significantly less than the most restrictive RCGW-1 and applicable RCGW-2 Reportable Concentrations. These analytical results, and governing RCGW-2 criteria, are represented in Table 1 and are further discussed in the Risk Characterization section of this report. Based on the delineated extent of soil impact above the groundwater interface, and wherein no significant impacts to groundwater were reported, additional soil removal was proposed under a Limited Removal Action. As such, BEA requested a proposal from a qualified environmental contractor for the removal of the impacted material in a 4' x 4' x 4'(D) area centered on the former floor drain. After discussions with the client, Global Remediation Services,Inc. (Global) was contracted to perform the proposed activities. i MAY 28,2013 THE ANGELINE CROCKER HINCKLEY HOSTEL(HI-USA)BEA12-10487 PAGE 5 OF 9 UIC CLOSURE DOCUMENTATION/LIMITED REMOVAL ACTION COMPLETION TABLE 1:GROUNDWATER ANALYTICAL RESULTS Sample Results Comparison with Reportable Concentrations RCGW-2 Criteria. LOCATION MW-1 - SAMPLINGDATE P 03-APR-13 LAB SAMPLEED L1305816-01 RCGW-2-01 Units Qua] MCP Total Metals-Wes tborough Lab Antimony,Total 8 mg/1 0.0021 Arsenic,Total 0.9 mg/I 0.005 U Barium,Total 50 mg/1 0.04 Beryllium,Total 0.2 mg/1 0.004 U Cadmium,Total 0.004 mg/I 0.004 U Chromium,Total 0.3 mg/I 0.01 U Lead,Total 0.01 mg/l 0.01 U Mercury,Total 0.02 mg/1 0.0002 U Nickel,Total 0.2 mg/1 0.025 U Selenium,Total 0.1 mg/1 0.01 U Silver,Total 0.007 mg/1 0.007 U Thallium,Total 3 mg/I 0.0005 U Vanadium,Total 4 mg/1 0.01 U Zinc,Total 0.9 mg/1 0.05 U EPHw%CIS Targets-Westborough Lab 2-Methylnaphthalene 2 mg/l 0.0004 U Acenaphthene 6 mg/1 0.0004 U Acenaphthylene 0.04 mg/1 0.0004 U Anthrocene 0.03 mg/I 0.0004 U Benzo(a)anthracene 1 mg/I 0.0004 U Benzo(a)pyrene 0.5 mg/1 0.0002 U Benzo(b)fluoranthene 0.4 mg/1 0.0004 U Benzo(ghi)perylene 0.02 mg/1 0.0004 U Benzo(k)fluoranthene 0.1 mg/1 0.0004 U Cll-C22 Aromatics mg/1 0.1 U Cll-C22 Aromatics,Adjusted 5 mg/1 0.1 U C19-06Aliphatics 50 mg/1 0.1 U C9-C18 Aliphatics 5 mg/I 0.1 U Chrysene 0.07 mg/I 0.0004 U Dibenzo(a,b)anthracene 0.04 mg/1 0.0004 U Fluoranthene 0.2 mg/1 0.0004 U Fluorene 0.04 mg/1 0.0004 U Indeno(1,2,3-cd)Pyrene 0.1 mg/1 0.0004 U Naphthalene 1 mg/1 0.0004 U Phenanthrene 10 mg/I 0.0004 U Pyrene 0.02 mg/1• 0.0004 U As such, on May 2, 2013, BEA personnel returned to the subject property to oversee additional soil removal activities. Upon arrival Global personnel had cut the floor to make the excavation larger and had begun removing the impacted material and placing it into 55-gallon DOT drums for off-site disposal. Global personnel removed the impacted material to 3.5'below the basement floor, in a 4' x 4' area. Representative soil samples were then collected from the sidewall and bottom-of-hole areas. The soil samples were placed in 250-milliliter glass jars and sealed with an aluminum septum. The jars were then agitated to develop organic volatiles and .field screened with a photoionization detector (PID) [ThermoEnvironmental OVM 580B, 10.6 eV lamp, calibrated to benzene standard], as per the MA DEP Policy WSC 94-400. Field screening of these confirmatory soil samples noted that none of the sidewall and bottom-of-hole samples evidenced any total organic volatile (TOV) headspace concentrations with TOYS reported as BDL (<O.1 ppmv). MAY 28,2013 THE ANGELINE CROCKER HINCKLEY HOSTEL(HI-USA)/BEA12-10487 PAGE 6 OF 9 UIC CLOSU-RE DOCUMENTATION/LIMITED REMOVAL ACTION COMPLETION Based on.field screening results, the four soil samples from each representative sidewall were composited into a single sample for analysis. All confirmatory soil samples collected during soil removal activities were field preserved for laboratory analyses and submitted to Alpha Analytical of Westborough, MA, for laboratory analyses on a` standard five-day turnaround. The composite sidewall (SW Comp: 0-33) and bottom-of-hole soil sample (BOH@3.5') were sent to the laboratory for extractable petroleum hydrocarbon (EPH) with target PAHs via MADEP methodology, volatile organic compounds (VOCs) via EPA Method 8260 and MA DEP 14 metals analysis. A total of eight (8) drums of impacted material were generated and left at the Site pending pickup and off-site transport to a licensed disposal facility. BEA received the laboratory analytical results on May 10, 2013. The pertinent laboratories Certificates of Analyses, as well as a summary of the results, are attached to this report. Laboratory analytical results reported all VOCs, and target PAH concentrations as below reporting limits or "ND" wherein the reporting limits concentrations were significantly less than the applicable RCS-1 Reportable Concentration. Trace concentrations of EPH fractional C11 to C22 Aromatics were detected in the samples from the composite sidewall sample (29.9 mg/kg) and the bottom-of-hole (9.67 mg/kg). The remainder of EPH fractions and PAHs were reported as ND. Concentrations of all metals anal s-s were reported as ND or significantly below the y p g Y applicable RCS-1 Reportable Concentrations. These analytical results for representative sidewall and bottom-of-hole soil sampling at the extent of excavation, relative to the RCS-1 criteria, is represented in Table 2 and further discussed in the Risk Characterization section of this report. The drummed material was transported off-Site on May 13, 2013 by Veolia ES Technical Solutions personnel, under a Uniform Hazardous Waste Manifest to Stablex Canada Blainvill--, Quebec, Canada for licensed disposal (included for reference). As such, soil removal and remedial waste management were completed within the 120-day reporting period in accordance with the Limited Removal Action provisions of 310 CMR 40.0318. r 5 MAY 28,2013 THE ANGELINE CROCKER HINCKLEY HOSTEL(HI-USA)BEA12-10487 PAGE 7 OF 9 UIC CLOSURE DOCUMENTATION/LIMITED REMOVAL ACTION COMPLETION TABLE2:IIVDPOINT S OM ANAU=CAL SUMMARY Samplo Rcsuits Comparison with Reportable Concentrations RCS-1 Criteria. LOCATION SW COMPOSITE 0-3.5' 110l1©3.5' SA113PLINGDATE 02-MAY-13 ' 02-MAY-13 LAB SA T-rl i 1-1307933-01 L3 3 0 7933-02 RCS-1-08 Units Qunl Qunl General Ch c ..c m.. is t.. ry-\Ves rlwrough Lab SoliQ+ i.tal -A99 95.5 hICP Total M1'Ictals-\Ves tlwrongl,Lati Antimony,Total 20 mg/kg 1.9 u 2 U Arsenic,Tot.l 20 mg/kg 1.1 0.72 Barium,Total 1000 ,g/kg 4.8 - 2 Beryllium,To al 100 mg/kg 0.19 0.2 U Cadn,lum,T.t.l 2 g/kg 039 U 0.42 Chromium,Total 30 mg/kg 1.7 1.2 Lc-%Total 300 mg/kg 5.2 2 U Mercury,Total 20 mg/kg 0.08 U 0.0 U Nickel,Total 20 mg/kg 1 1 U Selenium,Total 400 mg/kg 1.9 U 2 U Sn-"Totd 100 ,g/kg 1.5 3.8 Th.illum,Total 8 mg/kg 1.9 U 2 U V.n.dium,Total .00 ,g/kg 2.8 3.8 line,Tomi 2500 ,g/kg 10 5.2 1%ICP Vol nine Organ I-by 82 6 015 035 We,tbo...gh Lab 3,1,3,2-Tctrnc Llorocth.nc 0.1 mg/kg 0.00094 U 0.0013 U 1,1,1-Trichi...H,.nc 30 mg/kg 0.00094 U 0.0013 u 1,1,2,2-Tetra.10--thane 0.005 ,g/kg 0.00094 U 0.0013 U 1,1,2-Trichlorocth.nc 0.1 mg/kg 0.0014 U 0.002 u 1,1-Diehl oroctbnnc 0.4 ,g/kg 0.0014 U 0.002 U 1,1-Dichloroctbcnc 3 ,g/Icg 0.00094 U 0.0013 U 1,1-Diehl...propene ,g/kg 0.0037 U 0.0054 U 1,2,3-Trichi...benzene mg/kg 0.0037 U 0.0054 U 1,2,3-Trichl.roprop:,nc 100 ,g/kg 0.0037 U 0.0054 U 1,2,4-Tricl,iorobcnzcn e 2 ig/119 0.0037 U 0.0054 U 1,2,4-Trimcthylbcnz... 1000 mg/kg 0.0037 U 0.0054 U 1,2-Dibromo-3-chl...propane 10 ,g/kg 0.0037 U 0.0054 U 1,2-Dl bromoeth.nc 0.3 ,g/kg 0.0037 U 0.0054 U 1,2-Dlehlorobcnzenc 9 ,g/kg 0.0037 U 0.0054 u 1,2-DIcA,.rocth.ne 0.1 ,g/leg 0.00094 U 0.0013 U 1,2-Diehl oroproi=,nc 0.1 ,g/kg 0.0033 u 0.0047 U 1„3,5-Tri-c'hylbe....c 10 ,g/kg 0.0037 U 0.0054 u 1,3-Dichlorobcnzenc I mg/kg 0.0037 U 0.0054 u 1,3-Diehl oroprolzmc 500 mg/kg 0.0037 U 0.0054 U 1,4-Die hlorob,,z enc 0.7 mg/kg 0.0037 U 0.0054 U 1,4-D'.--c. 0.2 mg/kg 0.037 U 0.054 U 2,2-1)lchl o..prop.ne n,g/kg 0.0047 U 0.0067 U 2-Butanonc 4 mg/kg 0.0094 U 0.013 U 2-Flc�anonc 100 mg/Icg 0.0094 U 0.013 u 4-Methyl-2-r-ta ne 0.4 mg/kg 0.0094 U 0.013 U Acc tone 6 mg/kg 0.034 U 0.048 u Benzene 2 mg/kg 0.00094 U 0.0013 U IIromobcnzcnc 100 mg/kg 0.0047 U 0.0067 u Br.m.cl ...meth... ,g/kg 0.0037 U 0.0054 u B rom.dici,loromethnnc 0.1 mg/kg 0.00094 u 0.0013 u Bromoform 0.1 mg/kg 0.0037 U 0.0054 u Bromomcth.ne 0.5 mg/kg 0.0019 U 0.0027 U Ca rbo"11-1fidc 100 mg/kg 0.0037 U 0.0054 U Carbon tclrnchloride 5 mg/kg 0.00094 U 0.0013 U Chi ..bcnzenc 1 mg/lcg 0.00094 U 0.0013 U Cht.,act].... 100 mg/kg 0.0019 U 0.0027 U Chloroform 03 mg/kg 0.0014 U 0.002 u Ch l.r.mctbn.. 100 mg/kg 0.0037 U 0.0054 U cis-3,2-Diehl oroethene 0.3 mg/kg 0.00094 U 0.0013 U s-1,3-Dlci,l or '.Pe 0.01 mg/kg 0.00094 U 0.0013 U Di br.m.chloromcthanc 0.005 mg/kg 0.00094 U 0.0013 u Di bromomcthane Soo mg/kg 0.0037 U 0.0054 U Diehl orodinuoromcth an. 1000 mg/kg 0.0094 u 0.013 U a:yl the 100 mg/kg 0.0047 U 0.0067 U Lihyl-Tort-Butyl-Plhcr rag/kg 0.0037 u 0.0054 U Ebyl benzene 40 ,g/Icg 0.00094 U 0.0013 u I3c�nchlorobu Mdicnc 6 mg/kg 0.0037 U 0.0054 u Isopropyl Scher 100 mg/kg 0.0037 U 0.0054 U Isopr.pylbenzene 1000 mg/kg 0.00094 U 0.0013 U Mcthyl tort butyl cthcr 0.1 ,g/kg 0.0019 U 0.0027 U Methylene chloride 0.1 mg/kg 0.0094 U 0.013 U n-Burylbenzc nc ,g/kg 0.00094 U 0.0013 U n-Pr.pylbenzcne 100 mg/kg 0.00094 U 0.0013 u Nuphth:d enc 4 mg/kg 0.0037 U 0.0054 u o-Chlorotolucnc 300 mg/kg 0.0037 u 0.0054 u o-Xylcnc 300 ig/kg 0.0019 V 0.0027 U p-Chlor,t,l.... mg/kg 0.0037 U 0.0054 U pis opr,pylt,l ucnc 100 mg/kg 0.00094 U 0.0013 U p'm-Xylenc 300 mg/kg 0.0019 U 0.0027 u ec-Butylbenzene mg/kg 0.00094 U 0.0013 u Styrene 3 mg/kg 0.0019 U 0.0027 U i tcrt-Butylbc...ne 100 ,g/kg 0.0037 U 0.0054 U Ternary-Amyl Methyl Sher =kg 0.0037 V 0.0054 U Tetra.1,lotacthc.. 1 ,g/Icg 0.00094 U 0.0013 U Tetrahy lr.r.ra. Soo ,g/Icg 0.0037 U 0.0054 u Toluene 30 mg/kg 0.0014 U 0.002 U trans-1,2-Dicl,Ioroctl,cnc 1 ,g/Icg 0.0014 U 0.002 u trans-1,3-Dich,oropropenc 0.01 mg/kg 0.00094 u 0.0013 U hichl.roetb enc 0.3 mg/kg 0.00094 U 0.0013 U Trichi oro0uoromcth.nc 1000 ,g/Icg 0.0037 u 0.0054 u Vinyl:hloride 0.6 ,g/kg 0.0019 U 0.0027 U n Xyicn (Total) - 300 mg/kg 0.0019 U 0.0027 U L•\trne�table Petrol cum llydrocnrlwus-Westb rough Lab 2-Mcthy1 naphthw... 0.7 ,-_/kg 0.32 u 0333 U Accnaphih enc 4 mg/kg 0.32 U 0333 U Acco.pbthyl enc 1rag/kg 0.32 U 0333 U Anthracenc 1000 mg/kg 0.32 U 0333 U Bcnzo(n)nnthrnecnc 7 mg/kg 032 U 0333 U Ben..(a)pyrcnc 2 ,-- /kg 0.32 U 0333 U Bcnzo(b)0 u.runthcnc 7 mg/kg 0.32 U 0333 U IIcnzo(gl,i)perylcnc 1000 mg/kg 032 u 0333 U Be... (k)nuornn then. 70 mg/kg 032 U 0333 U C11-C22 Aromatics mg/kg 29.9 9.67 C31-C22 Aromatics,Adjusted 1000 mg/kg 29.9 9.67 C39-C36 Aliphatic, 3000 ,g/kg GA U 6.67 u C9-CISAliphatics 1000 ,g/kg 1.4 u G.67 U Ch ryscn. 70 mg/kg 0.32 U 0333 U Di bcnzo(a,h)nn th race.. 0.7 mg/kg 0.32 U 0333 U Iluornnthcnc 1000 mg/kg 0.32 U 0333 u F uorcnc 1000 mg/kg 0.32 u 0333 U lndcno(1,2,3-cd)Pyrcnc 7 mg/kg 0.32 U 0333 U Nopbtbafen, 4 mg/kg 0.32 U 0.333 U Phe...threnc 30 mg/kg 032 u 0333 U Pyrcne 3000 ,g/kg 0.32 U 0 333 U MAY 28,2013 "HE ANGELINE CROCKER HINCKLEY HOSTEL(HI-USA)BEA12-10487 PAGE 8 OF 9 UIC CLOSURE DOCUMENTATION/LIMITED REMOVAL ACTION COMPLETION RISK CHARACTERIZATION Soil As previously represented, the RCS-1 Reportable Concentration soil category was considered in review of.LRA performance standards, in accordance with the provisions of 310 CMR 40.0318. These criteria are generally consistent with the most stringent S-1 (GW-1), Method 1 - Risk Characterization thresholds. Laboratory analytical results of sidewall and bottom-of-hole samples collected at the extent of the excavation reported confirmatory, in situ concentrations of EPH with PAHs, MA DEP-14 metals and VOCs as ND or significantly below the applicable RCS-1 Reportable Concentrations. As such, the laboratory analytical data from the endpoint samples collected have demonstrated that all significant soil contamination has been effectively removed.as mitigating all potential exposure risks via the Limited Removal Action. Groundwater Based on the NPDWSA designation, the RCGW-2 Reportable Concentration groundwater category was considered in review of LRA performance standards. The vertical . extent of significant soil impact has been qualified as approximately 33 bgs, as some 1.5' (+/-) above groundwater. Monitoring well installation and testing adjacent to, and immediately downgradient of the former floor drain, have reported fractional EPH and target PAH concentrations in groundwater as ND. Concentrations of MA DEP 14 metals were reported as ND or as below the applicable RCGW-2 and more stringent RCGW-1 Reportable Concentrations. As such, the laboratory analytical data from the groundwater samples collected have demonstrated that no groundwater has been impacted by the contaminants of concern. CONCLUSIONS The Limited Removal Action completed at the Angeline Crocker Hinckley Hostel property is represented by the management and proper disposal of the impacted material from below the basement floor as associated with the former floor drain. Field PID screening and laboratory analysis were used to qualify the extent of the area of significant soil impact and the effectiveness of the remedial response actions as consistent with 310 CMR 40.0318. Based on laboratory analysis of endpoint soil samples, a condition of "No Significant Risk" has been established for all discrete sidewall and bottom-of-hole areas. This information was applied to the most restrictive RCS-1 Reportable Concentrations as technical justification for the efficacy of the LRA Completion to support project closure and document regulatory compliance, wherein no Release Notification or Remedial Response liabilities are present under the provisions of 310 CMR 40.0000 as based upon the available data and regulations in effect at the time of this reporting. The findings of this investigation, as represented herein, document regulatory compliance with governing regulations and set forth fne rationale and technical justifications for project closure, as established by the LRA Completion Statement specific to the area of investigation as noted on the enclosed Site Plan. You are required under the provisions of 310 CMR 40.0318(7) to maintain a copy of this UIC Closure Documentation and Limited Removal Action Completion Statement for a minimum period of five (5) years. These records are archived in your folder at our offices but you should retain a separate copy for your records. MAY 28,2013 THE ANGELINE CROCKER HINCKLEY HOSTEL(HI-USA)BEA12-10487 PAGE 9 OF 9 UIC CLOSURE DOCUMENTATION/LIMITED REMOVAL ACTION COMPLETION Should you have any questions or need additional information, please contact me at your convenience. Respectfully Yours, BE ETT ENVIRON . ENTAL ASSOCIATES,INC.. J f f l John D. Tadema-Wielandt, Sr. Environmental Scientist Se 'Project Wager i Da 'd C. et , LPG., CGWP.,LSP President Encl. -Site Plan entitled "Limited Removal Action Completion Statement/UIC Closure"; Prepared by BEA,Dated 5/2/13 -Field Log -Monitoring Well Sampling Log (4/3/13) -Uniform Hazardous Waste Manifest [000801720 VES (8 Drums/3200 lbs. solid waste) -Laboratory Analytical Results Soil Assessment [L1300567 (1/16/13)] Additional Soil Assessment [L1304352 (3/21/12)] TCLP [L1305098 (4/2/13)] Groundwater Assessment [L1305816 (4/11/13)] Confirmatory Endpoint Soil Samples [L1307933 (5/10/13)] -UIC Class V Well Post Closure Notification Form -Form WS-1 Plumbing Inspector Approval to Seal Floor Drain cc: Joe Cerutti, UIC Program Coordinator—MassDEP BRP (Boston) Thomas McKean- Barnstable Board of Health' Thomas K. Lynch—Barnstable Town Manager' Deputy Chief Dean Melanson—Hyannis Fire Department' 'Narrative,Title Page and Site Plan provided under public notice distribution requirements pursuant to paperwork reduction policy. Full copies of reports(electronic or paper)provided on written request. BENNETT ENVIRONMENTAL ASSOCIATES, INC. LICENSED SITE PROFESSIONALS,ENVIRONMENTAL SCIENTISTS,GEOLOGISTS,ENGINEERS 1573 Main Street,P.O.Box 1743 (508)896-1706 Brewster,MA 02631 fax(508)896-5109 LETTER OF TRANSMITTAL TO: DATE: JOB NUMBER: Mr.William Nole Evans 6/3/2013 BEA12-10487 General Counsel HI-USA 26125 Woodward Avenue Huntington Woods,MI 48070 REGARDING: UIC CLOSURE DOCUMENTATION and LIMITED REMOVAL ACTION(LRA)COMPLETION STATEMENT SHIPPING METHOD: Regular Mail ❑X Pick Up ❑ Priority Mail ❑ - Hand Deliver ❑ Express Mail ❑ Other ❑ Certified Mail ❑ Green Card/RR ❑ COPIES DATE DESCRIPTION 1 5/28/13 UIC Closure Documentation and Limited Removal Action(LRA)Completion Statement The Angeline Crocker Hinckley Hostel I I I Ocean Street,Hyannis,MA For review and comment: ❑ For approval: ❑ As requested: ❑ For your use: ❑ REMARKS: cc: Joe Cerutti,UIC Program Coordinator-MassDEP BRP(Boston) Thomas McKean-Barnstable Board of Health(narrative/title and site plan only) Thomas K.Lynch-Barnstable Town Manager(narrative/title and site plan only) Deputy Chief Dean Melanson-Hyannis Fire Department(narrative/title and site plan only) FROM: DCB,JTW If enclosures are not as noted,kindly notify us at once L.B.Form No.L29 No......LDCIM006 5 Th � ' . 1in vari) for t1le Tit jj o o vil hereby grants a LODGINGHOUSE LICENSE (6.L Ch. 140, s. 22) .12 T1 �Ni�AT STREET TO BOSTONO MA 021 IS On premises 4 �s ?kFour story butlit4g. 4 ILODG.RS: THIS LICENSE WILL .EXPIRE APRIL 30, 2009 1) 'THHIS LICENSE DMUST BE POSI.'-ED LN A CONSPICUOUS PLACE WHERE MEMBERS OF THE PUBLIC MAY SEE AND READ IT WITHOUT THE NEED TO ASK FOR ASSISTANCE FROM EMPLOYEES OF THE PREMISES. 2) THIS LICENSE IS VOID IF THE CERTIFICATE OF INSPECTION IS RE,V()I+ED OR EXFMS.DURING THE TERM OF-THE LICENSE. g) THE MANAGER OR OWNER OF THESE PREMISES SMALL INSURE THAT A COPY OF THE RULES AND REGULATIONS OF THE BOSTON LICENS[NG BOARD BE KEPT ON THE PREMISES AND BE AVAILABLE UPON REQUEST. THE LICENSEE MUST KEEP A REGISTER. WI'T.NFss OU.R HANDS,this 30th day of,_ 5 � � Du ha€rvtn Licensing Board STONTA.4 ' catworert An. - 1630, . . MUST BE POSTED IN k CONSPICUOUS PLACE . 4'A el 1% TT:ITTleii a �� T10'1 qOQ-TW RCC(Af 7t/TAT TV'J T11;0T Q670-7 07 1)T THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) M A F. /�X L DATA i page 1 of 2, THE CITY OF BOSTON - INSPECTIONAL, SERVICES DEPARTMENT Fcln::.ry 2W9-200) INSPECTION CERTIFICATE tic; 3i:36 Issued in accoTdaslce with the prolisions of chapter 802 of the;A,.ts of.19-12.as iunended. !_toCt1ti01a Number Ward — —'— i{I::�•iNUAY 12-0 p4 Occupanq -Maximum Capacity (.edging FIau:x& S?r,�o.ms,R'19 Pcirsons, t twner Lessa: Boston Intemational.AYH-Hostelling nr 1.2 Hemenway Street Lietwee Boston,MA 02115 (6I'7)536-9455 Attn:Bob Sylvia 1 certify that thetie premises Lave been inspected and approved by the lnsprcii.onal _._. Servi.css flepaitnsent and the requirements of chapter 802 of vILrL for buiiditigs - of;ts class are applicable tt'.ereto.Read the statement printed below and abide by requirements. A rnlry„i':dix arlilkak M=bc pos,od In 9 CM.r .10:rys�ppie�e n,,��n^�up sron oIfW 4uildiay,. ksiled: February 1,22008 t:Ypires: February 1„2009 (� (i✓^"L�'�� NC)TICE-THIS CURTLF!CATE SHALL BE VOID IF THE NUM.1)ER OF OCC.UPA?;'rl)IS INCREASED.OR MATERIAL CHANGES OR A.LT ERATTONS IN ARRANGISMENT ARE. MADE,OR IF EGRESSES,ARE OpBSTRRI;CTED OR CHANGED. fees have !y11!ai;e1',il*coililic.,i:e is issuedwid'the rndlhci<;n;u)ri;:,ore- ,.,..si. ;if,:;l'r'o;;+)tt.pli?Isis,;.q?��rncnt�rc:• ;.. :hc... �..._ ..'•.jir e:.<.�,r::,:ccs cn!;atin��!iR t! ' �,1'�y i or a0co 01F 180 CaSAP�a ge G�a� �d9iP9�yo ;AAss , D "Dp.. '��TP9 ,i_ pake4tti MA't C.wcG"� yin9 MA 02"SofJ 0P pTl�' D�er1iliRg'rPa GE v CA-sH,Mor�FY 0 DER r Is be ch8 .,:ST fie;ralu� .,.seewri w!!! en4 TTI)TMO' rm,cr,a-,v oeeo,��rTOT vua en!eT onn.,,n7 •r,T ., a •'ram , n:1^.. s ..ts' "- x..%1 ... e h. �.r ,.. '.» t':..,' J;n,' t' <' �Z # - i s x 1,01 � F "alp,y TOP �. 9` k_ r { „ _,r-:h 1, .. ... ,, :. ,.,.:: ., „s . 4 GYl r- h t�� :At d .Hostel of I1!1a�a s'Vne ,ard zWzy"M SUP os � _ x �` 3•yv £ t 'a�'y'; A f FY/'S19 E uF, g6 `4 1. aa+-� sv k 525. atown Zoad ' _ 3ox1SK8._ ?E,STrCOMM .� IS �s r r40E3RESS ! .: � A ISHEa ' (}C) sta .l= shut I' E 7w Y ' , i Faod£st�blisY� h M , a .I x' ;:', , :. n ' t ,£, Y `.+C .�i +.�. This hermits_.grxzfed in cc�rfnmty nth the x D� cembex 3l ;2( ?. .. ..,; . � � �ON g . `: �: .: uix1W s.9,a©ner st s��.eno a o`r reuo�ed expires P t. L R.E t" ' "T Y� ��TR:ICTI�CI��S•. �, . ed �e`ta�l haw.'--• �.4 :-j ��� .r":> rz. Tel , o� a��iz�ti�n yes onsih�e,faar ac �' ' IS,:. ,. ..,_ .."'` ., ;, t Y :. � �• COMMON , 'Y` -'OHE ah� WIN- M rL a x, o;' ��•..;% i goal r WAN x'�--�; v -;-Luc;A ARY m � n �- Qce�z arc. '7_ .beds. S sa -_€ ',e. MA n� .. - a a. ax r # k.' � , cy '� .' .. 'ri a r: r3 v x; .' at, n ,� }; I, sx ' <" �n ':; q� £'s K J'S ..,., t � •may:..:toy -n r z. :Yts n s; ....i. .w x.... ..x „� $;.e ."$C -e -.a , . F ,a s7. US �$ .€•M,��' .., � ,.,. , , ., m?yo- .. .. :.,.., ,• r•� ,�� b ti s r a ' �_. m :,. �: �,,• k.:, r .. . 5 \ 4�✓ a ? :s.s`•. .. ;5 „ ^ ,,;`. `. „ v ..a: *pia,sx s .�' �' HI - Boston Hostel :: Hostel to Reserve in the United States Page 1 of 3 eeas�•a Hostelling Boston .tNRY,IcNAYe�NAt. 0 M HI-Boston Reservations Explore the HI-Boston Hostel - - About Us - ----. s GrouP Explore the Hostel Get Involved Fenway Summer Hostel Contact Us �, Find Us - FAQ Ask the GM ®Programs Front Desk Front Desk Activities Volunteer Girl Scouts ®Boston Discover Boston Tourist Info Transit Info = ' Weather f _ Front Desk Dining Room �- off—�-=.�---•..»-�° ----} M HI-USA 1 Home Page Member Benefits "' Buy a Membership v r http://www.bostonhostel.org/explore.shtml 12/9/2008 HI Boston Hostel :: Hostel to Reserve in the United States Page 2 of 3 x Dining Room Dining.Room .� v s . 4 ti 9 1 S Q Dining Room Lobby A I Lobby/Internet Terminals Lobby Entrance j Room Room http://www.bostonhogtel.org/explore.shtml 12/9/2008 ti���O� E4sry V THE COMMONWEALTH OFMASSACHUSETTS i� TOWN OF EASTHAM °gpoF1 . Board of Health. PERMIT TO OPERATE A RECREATIONAL CAMPS, OVERNIGHT CAMPS OR CABINS,MOTELS AND TRAILER COACH PARKS Permit#2008- /l' Fee: $100.0.0 This license-is issued in conformity with the authority granted to'the.Board of Health,by Chapter 140,Sections 32A,32B;:32C, 32D and 32E as amended, and is subject to the.provisions of the Laws of the Commonwealth of. Massachusetts::relating thereto:,and upon such terms and conditions,and to the rules and regulations in regard to:said Camps or Cabins so licensed as adopted by the Board of Health, and expires December 31, 2008 unless sooner suspended or.revoked. License issued to: Hostelling International Mid Cape Issue Date 'Madefynanne Magifi Licensing Clerk COPIES OF THIS CERTIFICATE MUST SE€ OSTELA IN A CONSPICi.OUS LOCATION IN EACH STCRY(7F THE BUILgiNG CITY OF BOSTON INSPECTIONAL SERVICES DEPARTMENT FIF?'H FLOOR 1010 V.ASSACHUSETTS AVE.�AO T f:Q L1 - rhrr,5t^.oaa r BOSTON,NIA 02118 CERTIFICATE F €1 E AND OCCUPANCY IN ACCORDANCE WITH THE PROVISIONS OF CHAPTER 802, .ACTS OF 1972, AS AMENDED, TO WIT, SECTION 119.0. A CERTIFICATE OF USE AND OCCUPANCY IS ISSUED FOR THE BUILDING LOCATED AT: 12 Yemerway Street DISTRICT nc� .a�_e WARCZ ! - OF SUFFOLK COUNTY,THE COMMONWEALTH OF MASSA01HUSET75. THIS CERTIFIES THAT THE USE GROUP, THE FIRE GRADING, THE MAXIMUM LOAD AND THE OCCUPANCY LOAD COMPLY WITH THE COMMONWEALTH OF MAS S,ACHUSETTS STATE BUILDING CODE BY ISSUE OF PERMIT -:-,.,,,'►.2200 --ON ..sp-,,4-qs-... -- SY THE INSPECTIONAL SERVICES COMMISSIONER OF THE CITY OF BOSTON" THE ALLOWED USE AND OCCUPANCY IS;_ Freed Dist.rihution, one Apartment, Lcdging Rouse (219 aer�ans) 00 for T,odeinp douse — 1st floor — 6112—.41134114� CERTIFICATE NUMBER: 39686 ISSUED: — 7/29/98 ALL PRIOR CERTIFICATES OF USE AND OCCUPANCY FOR THIS STRUCTURE ARE NULL AND VOID. _a (ISSUANCE OF THIS CERTIFICATE INDICATE: THERE ARE N1 0 GUTSTANDl-NG VIOL1i i0NS AGAIRtST THIS,'ROPERTY) ` �- 8D•�22A f0omz TTounoo n03sog-IH THd 90:9T 800Z-ft2/(7T NUMBER COMMONWEALTH OF MASSACHUSETTS BHP-20080331 Town of Nantucket FEE Board of Health $100.00 DATE ISSUED Star of the Sea Youth Hostel June 05.,2008 -- ------------- ------------- NAME 31 WESTERN AV -- -- ----- ----------------------- . . ----------------------- ----- ------ -------------------------- ----------- ------ - --------- ------- ---- ---- ADDRESS IS HEREBY GRANTED A Lodging House - Dormitory Lodging House-Dormitory This permit is granted in conformity with the Statutes and ordinances relating thereto,and (' expires December 3,1,2008 unless sooner suspended or revoked. . r„-3;�t - Board of NOTES:Front Dorm-Max 20 ryl? a1s ^' ;" .1 Health fi,C?s .. - ---------- CHO "{ $ NUMBER COMMONWEALTH OF MASSACHUSETTS BHP-200E-0330 Town of Nantucket FEE Board of Health $100.00 / DATE :: ISSUED Star of the Sea Youth Hostel June O5, 2008 - - NAME 31 WESTERN AV ------ -------------------..-_ -------- ---------- ------ ---- ADDRESS .. -- — ---- - - - - - IS HEREBY GRANTED A Lodging House -Dormitory I Lodging House-Dormitory j This permit is granted in conformity with the Statutes and ordinances relating thereto, and � December 31,2008 expires unless sooner suspended or revoked. tit - '' [ x Board of --------------------- NOTES: Rear Dorm-Max 24 Health .�. . --- _ I - CHO . Y r r -uENNETT ENVIRO,NMENTAL ASSOCIATES, INCO' LICENSED SITE PROFESSIONALS 6, ENVIRONMENTAL SCIENTISTS 6 GEOLOGISTS 6 SANITARIANS 1573 Main Street-P.O. Box 1743, Brewster, MA 02631 6 508-896-1706 6 Fax 508-896-5109 www.benneft-ea.com J i BEA10-10207 June 4, 2010 Mr. Sean Smiley, Project Manager/Construction Superintendent Acella Construction Corporation 62 Accord Park Norwell, MA 02061 1 RE: UST CLOSURE ASSESSMENT/ LIMITED REMOVAL ACTION COMPLETION(LRAC) STATEMENT Former Residential Property 105 Ocean Street—Hyannis, MA Dear Mr. Smiley, r BENNETT ENVIRONMENTAL ASSOCIATES, INC. (BEA) has prepared the following UST Closure Assessment and Limited Removal Action Completion (LRAC) Statement, with Supporting Documentation, as a summary of discovery, environmental assessment and remedial response actions completed at the above referenced property in response to the closure of an abandoned 275-gallon underground storage tank (UST) wherein a limited amount of soil contamination was noted as attributed to minor leakage of the vessel. This report documents regulatory compliance and serves to establish the technical rationale and justification for project closure without Notification'or further Remedial Response liabilities as consistent with the provisions.of 527 CMR 9.00, 310 CMR 40.0318 and MA DEP Policy WSC- 402-96 under the MA Contingency Plan and MA General Law MGL c. 21. The work conducted by BEA and represented herein, has been conducted in a mariner—• consistent with the. MCP Response Action Performance Standards, pursuant to 310 °CMR 40.0191 and the QA/QC policies of BEA. The facts and statements herein are, to the best,of ours knowledge, a true and accurate representation of the Site activities, remedial.response actions;`'i and environmental conditions associated with the project. As such, this report serves'as they technical justification and rationale for the LRA Completion and documents regulatory compliance for project closure. k ENVIRONMENTAL CONDITIONS __ The subject property, 105 Ocean Street in Hyannis;-MA -is°located along the west side of Ocean Street and extends westerly to Old Colony Road [refer to Site Sketch Plan]. The subject property is noted in the Town of Barnstable Assessor's Geographic Information System (GIS) 'database as,Parcel 45 on Map 326. The former residential 'property<is currently being re- w developed.as a youth hoste . The surrounding area is characterized by a mix of predominantly L I VT. ,- t ,-d JU i re EMERGENCY SPILL,RESPONSE WASTE SITE CLEANUP 6 SITE ASSESSMENT 6 ENVIRONMENTAL PERMITTING Q LAND USE PLANNING WATER SUPPLY DEVELOPMENT,OPERATION&MAINTENANCE 6 WASTEWATER TREATMENT,OPERATION&MAINTENANCE JUNE 4 2010 ACELLA/BEA10-10207 PAGE 2 OF 6 UST CLOSURE/LIMITED REMOVAL ACTION COMPLETION commercial development associated with the Ocean Street docks and seasonal tourism industry immediately to the east, interspersed with residential development. Access to the property during re-development is restricted by chain-linked contractor fencing and will ultimately be unrestricted with high frequency/low intensity of use and children potentially present. Access to the area of release, as beneath a deck under construction, is more restricted as low frequency/low intensity of use and children potentially present. Groundwater was not encountered during LRA activities and is estimated at greater than 10 feet below grade surface (bgs) in the area of the former UST. Regional topographic and water table contours indicate a southeasterly flow direction towards Hyannis Inner Harbor. The MA DEP, BWSC overlay for the GIS mapping program demonstrates that the subject property is located within a Non-Potential Drinking Water Source Area (NPDWSA) likely associated with saltwater intrusion and/or development density. The subject property and surrounding area is served by the municipal water supply. . The entire property is mapped within the Sole Source Aquifer that pertains to all of Cape- Cod east of the Cape Cod Canal. There are no areas of Protected Open Space or NHSEP Estimated Habitat of Rare Wildlife mapped within the subject property; however, the eastern portion of the property is mapped as being within the 100-year flood zone. Based on Site conditions associated with the proximity of on-Site residential use and_ 4 abutting residential properties, the RCS-1 Reportable Concentrations are applicable to soil' conditions as consistent with the provisions of 310 CMR 40.0361. In addition, the RCGW21 Reportable Concentrations are applicable to groundwater conditions at the subject property in ' accordance with the provisions of 310 CMR 40.0362. Furthermore, the S-1/GW-2 and GW-3 Method 1 Risk Characterization categories are considered in review of potential human and environmental exposure risks. BACKGROUND A 275-gallon, horizontal underground storage tank (UST) was discovered during construction activities being conducted at the subject property by Acella Construction Corporation, wherein the former.residential property is being re-developed as a hostel. Tank' f Removal Services (TRS) of Hyannis, MA was subsequently contacted to remove the vessel. In preparation for removal, 100 gallons of oil/water/sludge mix was evacuated from the vessel and transported off Site to Murphy's Waste Oil Services, Inc. facility in Woburn, MA under Uniform Hazardous Waste Manifest #006294811. On Friday, March 26, 2010 the tank was removed, as witnessed by BEA personnel and the Hyannis Fire Department. Upon removal, the vessel was inspected and a small 2mm (+/-) hole was noted beneath heavy scaling at the western end near the bottom of the UST. A limited area of apparent soil impact was noted immediately adjacent to this part of the vessel. In an effort to determine the vertical extent of soil impact, a backhoe was used to remove impacted soils from the western end of the tank grave to approximately 6' below grade surface (bgs). These impacted soils were stockpiled on and under poly-sheeting. Composite sidewall (Sidewall Comp 0-6') and bottom-of-hole (Bottom Comp 6') soil samples were then collected for-field screening of total organic vapors (TOVs) by "jar headspace" method wherein each�soil sample was placed in a 250-milliliter glass jar and sealed with an aluminum septum. The jars were then agitated to develop organic volatiles and field screened with a photoionization detector JUNE 4 2010 ACELLA/BEA10-10207 PAGE 3 OF 6 UST CLOSURE/LIMITED REMOVAL ACTION COMPLETION (PID) [Photovac 2020, 10.2 eV lamp, calibrated to benzene standard] for the presence of any total organic volatile (TOV) headspace concentrations. No evidence of petroleum impact was observed in the field screening conducted. Given the late hour wherein the construction crew indicated the need to backfill the area in review of public safety, the area of excavation was lined with poly-sheeting and backfilled and the area was secured before departing the Site for the weekend. BEA informed Acella personnel that confirmatory soil samples would be submitted for laboratory analyses and noted that additional soil assessment and/or excavation may be necessary based upon these results. Upon returning to the BEA office, the composite Sidewall Composite and Bottom Composite samples were tested for Total Petroleum Hydrocarbon (TPH) concentrations using the Dexsil PetroFLAG Analyzer. This screening reported TPH concentrations in the Sidewall Comp and Bottom Comp soil samples at 468mg/Kg and 328mg/Kg, respectively. These concentrations are noted as well below the applicable RCS-1 Reportable Concentration of 1,000mg/Kg. The composite samples were subsequently submitted for confirmatory extractable petroleum hydrocarbon (EPH) with target PAHs laboratory analyses, while a representative stockpile soil sample was sent for total petroleum hydrocarbon (TPH) fingerprint analysis to confirm the apparent 120-day Reportable Condition and to pre-characterize soils for off-Site transport and disposal at Aggregate Industries, a licensed asphalt batching facility. On April 5, 2010 laboratory analytical reported low-level fractional EPH concentrations below the applicable RCS-1 Reportable Concentrations and the most stringent S-1/GW-1 .. . Method 1 —Risk Characterization standards in the Bottom Comp 6' soil sample. In addition, all target analytes were reported below the reportable limits of the analysis (BRL), wherein these reporting limits are below the applicable RCS-1 concentrations and the aforementioned Method 1 standards. As such, the vertical extent of soils impact was established at some 4' or more above the groundwater interface. Fractional EPH concentrations were also reported in the Sidewall Comp 0-6' soil sample below the applicable RCS-1 concentrations and Method 1 standards. The target PAH 2-methylnapthalene, however, was reported at a concentration of 1.9mg/Kg, exceeding the applicable RCS-1 concentration of 0.7mg/Kg. All other target analytes were reported below the reportable limits of the analysis (BRL), wherein these reporting limits were below the applicable RCS-1 concentrations and the aforementioned Method 1 standards. As such, a discrete area of significant residual soil impact was identified requiring the lateral extension of the area of excavation. The stockpile soil sample (Disposal Comp) confirmed the contaminant of concern as #2 fuel oil and reported a TPH concentration of 23,000mg/Kg, well exceeding the RCS-1 Reportable Concentration of 1,000mg/Kg, confirming a 120-day Reportable Condition and the applicability of a Limited Removal Action (LRA) pursuant to the provisions of 310 CMR 40.0318. SUPPLEMENTAL ENVIRONMENTAL ASSESSMENT/REMEDIAL RESPONSE On April 28, 2010, BEA was on Site to supervise the removal and segregation of clean fill down to the poly-sheeting and commence excavation of the residually impacted soil in the sidewall areas. The north,and west sidewalls were laterally advanced 2' and 1', respectively, with excavated soils added to the existing contaminated stockpile. Representative soil samples were then collected from each of the sidewalls and field screened for TOV concentrations. Each of the sidewall areas reported a TOV concentration of 0.4ppmv. .The sidewall north (SW-N: 0- JUNE 4 2010 ACELLA/BEA10-10207 PAGE 4 OF 6 UST CLOSURE/LIMITED REMOVAL ACTION COMPLETION 6') sidewall was also field tested for Total Petroleum Hydrocarbon (TPH) concentrations using the Dexsil PetroFLAG Analyzer and reported a TPH concentration of 62mg/Kg. Based on the field screening conducted, and in consideration of worker safety given the proximity of the north sidewall of the excavation to the adjacent building foundation, no further soil removal operations were conducted. A single, representative composite sidewall soil sample (SW Extension Composite: 0-6') was submitted for laboratory EPH analysis on a priority (5 day) turn-around time. Laboratory analytical results were received on May 4, 2010 and the EPH carbon range and target analyte concentrations were all reported as BRL wherein all reporting limits are below the applicable RCS-1 concentrations and the strictest Method 1 standards, with the exception of fluoranthene which was reported at a 0.54mg/Kg. This concentration is noted as well below the applicable RCS-1 Reportable Concentration and the most stringent S-1/GW-1 Method 1 — Risk Characterization standard of 1,000mg/Kg. As such, the LRA Closure objectives are met wherein soil conditions at the extent of excavation are significantly less than the most restrictive RCS-1 standards. Based on the reported presence of fluoranthene, Aggregate Industries, Inc. later required ' f MA Disposal Characterization.and additional metals analysis prior to approval of a Bill of Lading for off-Site transport and disposal of the contaminated stockpile. This laboratory.' ' analytical was ordered and upon receipt a Bill of Lading was completed and approved by Aggregate Industries, Inc. On May 7, 2010 Diaz Construction transported the 8.94 tons of contaminated soils to Aggregate's South Dennis facility bringing the LRA to closure within 120' days of receiving knowledge of the release. RISK CHARACTERIZATION Soil As previously represented, the RCS-1 soil standards were considered in review of LRA G performance in accordance with the'provisions of 310 CMR 40.0318. These criterion are generally consistent with the most stringent S-1/GW-1 Method 1 - Risk Characterization thresholds that"are used to consider any significant ingestion, inhalation and/or dermal contact exposure risks. Additionally, these standards characterize the potential leaching of contaminants from soils to groundwater. Laboratory analytical results of sidewall and bottom-of-hole samples collected at the extent of the excavation reported all confirmatory analyses concentrations BRL or less than the applicable RCS-1 Reportable Concentrations and the S-1/GW-2, Method 1 — Risk Characterization standards, with the laboratory detection limits set significantly less than same. As such, the laboratory analytical data from the end point samples collected have demonstrated that all significant soil contamination has been effectively removed as mitigating all'potential exposure risks via the Limited Removal Action. Groundwater As noted, the RCS-1 Reportable Concentrations are the same as the most restrictive S- 1/GW-1, Method 1 —Risk Characterizations standards. The Method 1 standards further consider the potential for leaching of contaminants to groundwater. It is noted that groundwater was not I JUNE 4 2010 ACELLA/BEA10-10207 PAGE 5 OF 6 UST CLOSURE/LIMITED REMOVAL ACTION COMPLETION encountered in the course of the LRA. In fact, groundwater is estimated to be some 4' below the vertical extent of impacted soils, as established in the laboratory analysis of the Bottom Comp 6' soil sample wherein all endpoint sampling was reported as significantly less than the applicable RCS-1 Reportable Concentrations and the most stringent S-1/GW-1, Method 1 — Risk Characterization standards. Therefore, no groundwater testing was deemed necessary nor conducted in support of the LRA Completion Statement. CONCLUSIONS The Limited Removal Action completed at subject property is represented by the excavation and recycling of some 8.94 tons (6 CY+/-) of contaminated soil from the area of the former UST. Laboratory analysis of endpoint soil samples document that all significant soil impact has been removed as compared to the most restrictive RCS-1 Reportable Concentrations, as well as the most stringent Method 1 Standards. This data qualifies the efficacy of the LRA Completion to support project closure and documents regulatory compliance,wherein no Release Notification or Remedial Response liabilities are present under the provisions of 310 CMR 40.0000 as based upon the available data and regulations in effect at the time of this reporting. The findings of this investigation, as represented herein, document regulatory compliance with governing regulations and set forth the rationale and technical justifications for project ` closure specific to the area of the former UST. While these records are archived in your folder at our offices, you are required under the provisions of 310 CMR 40.0318(7) to maintain a copy of this UST Closure Documentation and Limited Removal Action Completion Statement fora ' minimum period of five (5)years. Should you have any questions or need additional information, please contact me at your convenience. Respectfully Yours, BENNETT ENVIRONMENTAL ASSOCIATES, INC. ; ,Brian Clarke, Geolo s Todd Everso , PM Project Manager Senior Envir nmental Scientist Encl. Supporting Documentation: -Site Sketch Plan -Tank Removal Permits -Uniform Hazardous Waste Manifest -Bill of Lading Paperwork -Groundwater Analytical: ID 132165 (4/5/10) Groundwater Analytical: ID 132249 (4/12/10) -Groundwater Analytical: ID 132492 (4/21/10) -Groundwater Analytical: ID 132812 (5/4/10) JUNE 4 2010 ACELLA/BEA10-10207 PAGE 6 OF 6 UST CLOSURE/LIMITED REMOVAL ACTION COMPLETION cc: David Stanton,Agent—Barnstable Health Department) Deputy Chief Melanson—Barnstable-Hyannis Fire Department) John C. Klimm -Town Managerl L S ! >• r i a . eY . .. 1 As consistent with our paperwork reduction policy,the public notice distribution is limited to the report narrative, site plan, UST documents and analytical table. SITE SKETCH PLAN a M C a M001002 } #0 z o . V 0 326046 #101 . c a 0 4, CIO Former 275 gal UST NA 326044CND . Dec 05 09 01 : 54p James F. Shaughnessy 508-388-8999 p. 3 Fire Department retains original application and issues duplicate as Permit. cv�ucced—� ��� ✓��iu�z�n APPLICATION and PERMIT Fee: S for storage tank removal and transportation to approved tank disposal yard in accordance with the provisions of M.G.L. Chapter 148, Section 38A, 527 CMR 9.00, application is hereby made by: Tank Owner Name(please print} x gnarwe epuyurg-pe- Address i I ) �pLA-.) Suect CRY '-' slate Zp Removal Coritractor • + - r Company Name.a A�� - ()JL__� Ls" Co.or Individual Print WIPrfn} Address `till-' Address print Sio�afurP� -appl in for pert) Signature(if applying for permit) Cl ifi Other 0 IFCI Certified 0 LSP# Other Tank Location Sleet Address City Tank Capacity(gallons) �J Substance Last Stored dl Tank Dimensions(diameter x length) Remarks: ` Spy. Firm transporting waste, �' ` - State Lic. EPA.# Hazardous waste manifest# Approved tank disposal yard �^*� <-)r- Y4 Wb--� Tank yard# Type of inert gas. Tank yard address ►�-���'� w Wb 6U1. ' City or Town - FND# ®/92� Permit# - Date of issue J �9 / Date of expiration Dig safe approval number_ Dig Safe Toll Free Tel.Number-800-322-4844 Signature/Title of Officer granting permit After removal(s)send Form FP-29OR signed by Local Fire Dept.to UST Regulatory Compliance Unit,One Ashburton Place, Room 1310. Boston.MA 0910SARIR Please print or type.(Form designed for use on elite(12-06)typewriter.) Fo,Tatfipproved.OMB No.2050✓ UNIFORM HAZARDOUS 1.Generator ID Number 2 pace 1 of 3.Enrergernay Response Phone 4 MandestTz-.rkarg the. WASTE MANIFEST jtr ,, ) CAT....T,Ax.h.- J- JJ K 5 Generators Name and Malting Address r Generator's Site Address d di ferent than magi f A - r r ) E; � G�`, a�R, s i `� t1 11 tt \10 Generators Phone: k-;% x W%S, a 22 ,m, rPAA O X fs c% i 6.Transporter 1 Company Name E U.S.EPA ID Number 5a. 7.Transporter 2 Company Name $ U.S.EPA ID Number 8.Designated Facility Name andSfte Address r U.S.,EPA ID Number �' yi :5 ':.:FT' 5 Q♦ i?i,;> ,:f FadfVs Phone: ga, 9b.U.S.DOT Description(mdudmg Proper Shipping Name,Hazard Class%I Number, 10.Containers 11.Total 12.Una 13.Waste Codes HM and Packing Group(if any)) No. Type Quantity Wt VoL x •` �) !.1 j T t� I Z 2. Uj 3. 4 f 14.Special Handling Instructions and Additional Infionnation 0 5•t.v E; W:#:.d i.- iL�i.);i� i..;l§ °t .•._ ���f T ,.;€I Tv-- "- `:��--'�---...�V[-t'`! } - >a <t _ y h tE. aL'4z (•'s;'1T �:'s Y:., t d t s n r -c hea- v d{ 'r,it i)t�r s t` 31 C-£Y?tti`: . I. CY I`" t: ,t?;d.E"�ti4�t"1°,f.x:u`S` s. .3 .?�� SS< ..�, i„•,51 a`,=: ...�� .4'SS � :s .��- 15. GENERATOWSIOFFEROR`S CERTIFICATION: I hereby declare that the conrtentsvithis consignment are fully and accurately described above by the proper shipping name,and are classified,packaged, marked and labeledlplacarded,and are in all respects in proper condition for transport arcordmg to appluaMe mtemational and national governmental regulations.if export shipment and I am the Primary Exporter,I certify that the contents of this consignment conform to the terms of the attached EPAAdmowledgment of Consent I certify fhat the waste minnimaation statement identified in 40 CFR 262.27(a)(d I am a large quantity generator)or(b)(dl am a small quantity generator)is true.. Generatoes/Offeroes+Printedfiyped Name Signalum Month Day Year, Ire 16.international Shipments w El Import to U.S. ElExport from U.S. Port of entry/exit F Z Transporter signature(for exports only): Date leaving U.S.: w 17.TrarisportuAdmoMedgment of Receipt of Materials 1 Transporter PrintedfTypedName aa ,j., jj • Signature �- Month Day Year NA'*a7+ ZZ Transporter 2 Printed/Typed Name Signature Month Day Year F 18.Discrepancy 18a.Discrepancy Indication Space Quantiiyr ❑Type Residue ❑Partial Rejection ❑Fug Rejection Maridest Reference Number. 18b.Attemate Facility(or Generator) U.S.EPA ID Number J C.) LL FacTrVs Phone. LO 18e.Signature of Alternate Faality(or Generator) Month Day Year a Z 55 19.Hazardous Waste Report Management Codes(i.e.,codes for hazardous waste treatment.disposal,and recycling systems) C 1. I € w 2. 3. 4. 20.Designated FacTi dy Owner or Operator.Certification of receipt of hazardous materialg'carered by the ma_ri t except as toted in Item 18a Nntedffyped Na „ ; Signature d Month Day Year . 4� t . "`a•.:1��i�C,... i�!fir r, �c. t � �� ,��) ,,.,. c MAY AGGREGATE INDUSTRIES May 14, 2010 Todd Everson Bennett Envir 1573 Main St PO Box1743 Brewster, Ma 02631 Re: Soil Residence 105 Ocean St - Hyannis,Ma Release Tracking#LRA Recyclable soil from the above referenced project has was last received at our facility on May 7, 2010. A total of 8.94 tons was received. I assume that shipment is complete and have attached a copy of the BOL, along with an original form 12C to close out the project. 1 Thank you for recycling at Aggregate Industries. Regards, William R. Reinhardt Manager, Environmental Services AGGREGATE INDUSTRIES NORTHEAST REGION 1101 Turnpike Street Stoughton,MA 02072 Telephone (781)341-1100 Facsimile (781)341-5523 www.aggregate-us.com An Equal opportunity Employer An AGGREGATE INDUSTRIES company SOIL RECYCLING SUBMITTAL . Revised 3/12/99 AGGREGATE b INDUSTRIES M A o _ €-e a 1101 Turnpike Street, Stoughton, MA 02072 Tel: (781) 341-5500 Fax: (781)341-2440 Site Information: NAME Private Residence CONTACT Mr. Sean Smiley, Project Manager STREET 105 Ocean Street PHONE 781-681-9240 CITY/TOWN Hyannis STATE/ZIP MA, 02601 Generator Information: NAME Acella Construction Corp CONTACT Mr. Sean Smiley, Project Manager STREET 62 Accord Park PHONE 781-681-9240 CITY/TOWN Norwell STATE/ZIP MA, 02601 Consultant Information: NAME BENNETT ENVIRONMENTAL ASSOC. INC. CONTACT Todd Everson STREET 1573 Main Street-P.O. Box 1743 PHONE 508-896-1706 CITY/TOWN Brewster STATE/ZIP MA 02631 , Estimated Soil Quantity: TONS 12 CUBIC YARDS 8 Soil Contaminants (gasoline,diesel fuel, motor oil,etc.) . #2 fuel from.historic UST Analyses Performed (check all that apply) f�1 TPH PH Reactivity(S,CN) As PCBs Flash Cr Pb TCLP(metals)if required vocs Cd Hg based on total levels other � All the above tests Laboratory analytical` � Screening Data ✓ were performed 1=J data attached I v i Attached Instrument Used and Constituents Found PID (Thermo 580B OVM, 10.6 eV lamp, calib.to benzene std.) Environmental Services.Revised 3/12/99. page 1 of 3 Description /Source of Release: UST 275 gal UST DATE OF RELEASE historic-unknown OTHER,DESCRIBE Soil Description PHYSICAL DESCRIPTION(SAND,GRAVEL,SILT,ETC) sand/silt CLASSIFICATION METHOD Unified Soil Classification S stem Check if the following materials are present(check all that apply) CLAY CONSTRUCTION DEBRIS OTHER DELETERIOUS MATERIALS(PLEASE LIST) COAL � VEGITATIVE MATTER ASH -, Soil Characterization Methodology Sampling Method GRAB COMPOSITE ED SAMPLES(E.G.HEADSPACE SCREENED,VISUALLY CONTAMINATED) CONSTITUTES OF CONCERN TPH from petroleum residuals Site History aCHECK IF EXTRA SHEETS ATTACHED 4 CURRENT USE under re=development PAST USE residence I,the generator,having used due diligence determined that there is no reason to suspect or believe that the petroleum ; contaminated soil has been impacted by any releases of oil or hazardous materials other than that of the known source or I have identified the additional oil and hazardous materials that are suspected or known to be present in the soil,in addition to those associated with the known release,including any anthropogenic contaminants. I,the generator,realize that due diligence shall consisit of a search of information and records reasonably available to the generator of the contaminated soil and sufficient to make the determination.Such records and information may include, but are not limmited to,those of the generator,location of generation(i.e.facility if not the generator),the Department's Bureau of Waste Site Cleanup and the municipality(i.e.Board of Health,Fire Department)within which the site is located. All samples for VOC analysis were collected according to DEP policy#99-41S. SIGNATURE OF GENERATOR DATE 4/27/1 O GENERATOR-PRINTED NAME Mr.Sean Smiley AGGREGATE Environmental Services.Revised 3/12199. page 2 of 3 YiO1151P1Ef V n 1 A site diagram is required indicating any major structures or roads,excavation areas and stockpile locations. All sampling locations must be noted. LlCHECK IF DIAGRAM ATTACHED Site Diagram 326001002 z #0 0 d 326046 V #101 Q - 9 - Former 275�® Z gal UST IDA 3260"CND #119 NAME OF INDIVIDUAL PREPARING DIAGRAM: :. . AGGREGATE Environmental Services(BTES/900)12/3/97.Revised 3/12/99. page 3 of 3 nmusrares Massachusetts Department of Environmental Protection BWSC-012A Bureau of Waste Site Cleanup - Release Tracking Number' BILL OF LADING (pursuant to 310 CMR 40.0030) A. LOCATION OF SITE OR DISPOSAL SITE WHERE REMEDIATION WASTE WAS GENERATED: Release Name(optional): Private Residence Street: 1015 Ocean Street Location Aid: Map 326, Parcel 045 Cityffown: Hyannis ZIP Code: 02601 Date/Period of Generation: 4/10/2 010 to: 6/15/2 010 Additional Release Tracking Numbers Associated with this Bill of Lading: - Note: If this Bill of Lading is the result of a Limited Removal Action(LRA) taken prior to Notification, a Release Tracking Number is not needed. ki B. PERSON CONDUCTING RESPONSE ACTION ASSOCIATED WITH BILL OF LADING: Name of Organization: Acella Construction Corp Name of Contact: Mr. Sean Smiley Title: Project Manager Street: 62 Accord Park City/Town: Norwell State: MA ZIP Code: 02061 Telephone: (781) 681-9240 Ext.: C. RELATIONSHIP TO RELEASE OF PERSON CONDUCTING RESPONSE ACTION ASSOCIATED WITH BILL OF LADING: 0✓ RP or PRP Specify: ❑ Owner Operator Generator Transporter Other RP or PRP: contractor Fiduciary,Secured Lender or Municipality with Exempt Status(as defined by M.G.L.c.21 E,s.2) Agency or Public Utility on a Right of Way(as defined by M.G.L.c.21E,s.50)) Other Person: If an owner and/or operator is not conducting the response action associated with the Bill of Lading,provide on an attachment the name, contact person,address and telephone number,including any area code and extension,for each,if known. D. TRANSPORTER OR COMMON CARRIER INFORMATION: Transporter/Common Carrier Name: Diaz Construction, Inc. Contact Person: Mr. Bruno Rodriquez Title: R , Street: 190 Bodwell Street MA Cityfrown: ,Avon State: ZIP Code: 02322 Telephone: (5 0 8) 8 8 9-816 9 Ext.: E. RECEIVING FACILITYITEMPORARY STORAGE LOCATION: operator/FacilityName: Aggregate Industries Contact Person: Wm Reinhardt Title: General Mgr of Env Safety Street: 230 Great Western Road South Dennis MA ZIP Code: 02660 CityRown: State: Telephone: 7 81-3 41-5 5 0 0 Ext.: Type of Facility: 0 Asphalt Batch/Cold Mix Landfiil/Disposai Incinerator Temporary Storage (check one) • [71 Asphalt Batch/Hot Mix F1 Landfill/Daily Cover Other. Thermal Processing Landfill/Structural Fill EPA Identification M. MAD985286384 S-01-0 2 7 Division of Hazardous Waste/Class A Permit Division of Solid Waste Management Permit#: #: g Actual/Anticipated Period of Temporary Storage(specify dates if applicable): to: Reason for Temporary Storage: Revised 1013/94 Page 1 of 3 -� Massachusetts Department of Environmental Protection BWSC-012A Bureau of Waste Site Cleanup _ Release Tracking Number* BILL OF LADING(pursuant to 310 CMR 40.0030) LRA E. RECEIVING FACILITYIrEMPORARY STORAGE LOCATION(continued): Temporary Storage Address: Street: City/Town: State: ZIP Code: F. DESCRIPTION OF REMEDIATION WASTE: (check all that apply) © Contaminated Media(check all that apply): Soil 4 Groundwater Q Surface Water O Other: Contaminated Debris(check all that apply): O Vegetation or Organic Debris Demolition/Construction Waste OInorganic Absorbant Materials O Other. Non-hazardous Uncontainerized Waste(check all that apply): O Non-aqueous Phase Liquid O Other. Non-hazardous Containerized Waste(check all that apply): O Tank Bottoms/Sludges O Containers O Drums OEngineered Impoundments O Other. , Type of Contamination(check all that apply): El Gasoline Diesel Fuel © #2 Oil #4 Oil #6 Oil Waste Oil s Kerosene 0 Jet Fuel Other. , Estimated Volume of Materials: Cubic Yards: 8 Tons: 12 Other. r Contaminant Source(check one/specify): Transportation Accident ,Underground Storage Tank Other. Response Action Associated with Bill of Lading(check one): ED Immediate Response Action 1-1 Release Abatement Measure Utility-Related Abatement Measure ❑✓ Limited Removal Action Comprehensive Response Action 0 Other Remediation Waste Charcterization Support Documentation attached: ❑✓ Site History Information V] Sampling and Analytical Methods and Procedures MLaboratory Data Field Screening Data If supporting documentation is not appended,provide an attachment stating thedate and in connection with what document such information was previously submitted to DER G.,LICENSED SITE PROFESSIONAL(LSP)OPINION: Name of Organization: BENNETT ENVIRONMENTAL ASSOCIATES, INC. LSP Name: David C. Bennett Title: President, LSP Telephone: (508) 896-1706 Ext.: I attest under the pains and penalties of perjury that I have personally examired and am familiar with this submittal,including any and all documents accompanying this submittal. In my professional opinion and judgment based upcn application of (i)the standard of care in 309 CMR 4.02(1), (ii)the applicable provisions of 309 CMR 4.02(2)and(3),and (iii)the provisions of 309 CMR 4.03(5), to the best of my knowledge,information and belief,the assessment actions undertaken to characterize the Remediation Waste which is(are)the subject of this submi r accepts eat the facility identified in this sutmittal comply with the applic ons of 310 CMR 40.0000,and such facility is permitted t acce t Reme iat n Waste having the characteristics described in this sub Arpow significant penalties may result, AVID including,but not li led to f' as and imprisonment,if I submit inbrmation which I kin or materially incomplete. 1. ' y ou D r O C. LSP Signatures' Seal: U BENNETT ca No.4W3 Date: c� .r License Number. - 4303SITE PROF y � , Page 2 of 3 Revised 1013/94 Massachusetts Department of Environmental Protection BWSC-012A Bureau of Waste Site Cleanup Release Tracking Number' BILL OF LADING (pursuant to 310 CMR 40.0030) -LRA H. CERTIFICATION OF PERSON CONDUCTING RESPONSE ACTION ASSOCIATED WITH THIS BILL OF LADING: I certify under penalties of law that I have personally examined and am familiar with the information contained in this submittal,including any and all documents accompanying this certification,and that,based on my inquiry of those individuals immediately responsible for obtaining the information,the material information contained herein is,to the best of my knowledge and belief,true,accurate and complete. i am aware that there are significant penalties,including,but not III gpssible fines and imprisonment,for willfully submitting false,Inaccurate,or incomplete information. Signature: Date: 4/27/10 ��`'�� Name of Person(print): Mr. Sean Smiley for Acella Construction Corp. f a r Revised 10/3194 Page 3 of 3 Massachusetts Department of Environmental Protection BWSC-01213 Bureau of Waste Site Cleanup BILL OF LADING (pursuant to 310 CMR 40.0030) Release Tracking Number SUMMARY SHEET 1 OF 1 ❑ -iL ' I I. LOAD INFORMATION: Sig atiiu a of Transporter Representative: i Receiving Facility/Tempora Storage Representative: Load 1: /.��— of Shi ment: r Fes`" 41 i c Yl� 1 Date p Time of Shipment: 1 7 Date of Receipt: Time of Re_cei1 El AM [3 PM i ' .m(3; 1 �L1 I �'j AM PM Truck/Tractor Registration: Trailer Registration(if any): ~"1 Load Size(cu. Jtons) 9 Load 2: Signature of Transporter Representative: i Receiving Facility/Temporary Storage Representative: i Date of Shipment: Time of Shipment: i i Date of Receipt Time of Receipt: ❑ AM ❑ PM ❑ AM ❑ PM "rr� Truck/Tractor Registration: Trailer Registration(if any): i i Load Size(cu.ydsJtons): ,a Load 3: Signatiure of Transporter Representative: i Receiving Facility/Temporary Storage Representative: r Date of Shipment: Time of Shipment: Date of Receipt Time of Receipt: AM ❑ PM ❑ AM. ❑ PM Truck/Tractor Registration: Trailer Registration(if any): i Load Size(cu.yds-tons): Load 4: Signatiure of Transporter Representative: i i Receiving Facility/Temporary Storage Representative: Date of Shipment: Time of Shipment r Date of Receipt Time of Receipt } El AM Q PM i ❑ AM ❑ PM. Truck/Tractor Registration: Trailer Registration(rf any): • r i Load Size(cu.ydsAons): Load 5: Signatiure of Transporter Representative: Receiving FacilityfTemporary Storage Representative: i r i Date of Shipment Time of Shipment: ❑ AM ❑ PM i Date of Receipt Time of Receipt: AM ❑ PM i Truck/Tractor Registration: Trailer Registration(f any): i i Load Size(cu.ydsJtons): i Load 6: Signatiure of Transporter Representative: i Receiving Facility/Temporary Storage Representative: i Date of Shipment: Time of Shipment: Date of Receipt Time of Receipt ❑ AM ❑ PM ❑ AM ❑ PM i Truck/Tractor Registration: Trailer Registration(if any): i r Load Size(cu.ydsJtons): i J. LOG SHEET VOLUME INFORMATION: Total Volume Recorded This Page(cu.yds./tons) Total Carried Forward(cu.ydsJtons): Total Carried Forward and This Page(cu.yds./tons): Page 1 of 1 Revised 10/3194 Massachusetts Department of Environmental Protection BWSC-012C Bureau of Waste Site Cleanup BILL OF LADING(pursuant to 310 CMR 40.0030) Release Traddng Number SUMMARY SHEET 1 OF 1 ❑ - LRA K. SUMMARY OF SHIPMENTS: Daily Volume Shipped Date of Shipment: Date of Receipt: Number of Loads Shipped: (cu.ydsJtons): 5j7j10 1 8.94 s Summary Sheet i oraf snipped: 1 8.94 Bill of Lading Total Shipped (only if different): Page 1 of 2 Revised 1013/94 V , A Massachusetts Department of Environmental Protection BWSC-012C Bureau of Waste Site Cleanup BILL OF LADING(pursuant to 310 CMR 40.0030 Release Tracking Number SUMMARY SHEET LRA ONLY COMPLETE ONE COPY OF THIS PAGE AND ATTACH TO THE FINAL COPY OF THE SUMMARY SHEET. L. ACKNOWLEDGMENT OF RECEIPT OF REMEDIA11ON WASTE AT RECEIVING FACILITY OR TEMPORARY STORAGE: Receiving Facility/Ternporary Storage Representative(print): William R Reinhardt Title: Mngr Env Srvcs • 5/14/I 0 Signature: - M. ACKNOWLEDGMENT OF SHIPMENT AND RECEIPT OF REMEDIATION WASTE BY PERSON GOM-DUCTING RESPONSE ACTION A SOCjATED WITH THIS BILL OF LADING_ 1 certify under penalties of law that 1 have personally examined and am familiar with the information contained in this submittal,including any and all documents accompanying this certificati opiv and that,based on my inquiry of those individuals immediately responsible for obtaining the information,the material information c�on{tai r e best of my knowledge and and belief,true,accurate acc uratte�and complete, I am aware that there are significant pent,�,k'auc ng,bLA f t�Ypl fi—O and t � 11J/1 ifiGl f�,fd Wfftfflll'y sLtmY ng CIISG,Inaccurate,or I lrt/�mplletG i Ii—,,.fion: Signature: Date: nlinx 7 Name of Pei-son(print): vid Bennett , President Bennett Environmental .Associates , Inc . for Acella Construction Company . Sean Smiley , Project Manager i Revised 10/3/94 Page 2 of 2 4 MA RCS-I MA S-1/GW 2 Bottom Comp 6' Disposal Comp Iidewall Comp 0-( SW Extension Composite:0-6' ` (mg/Kg): (mg/Kg) .. 3/262010 3262010 3262010 4282010 - ASTM D3328-00 Mod - Total Petroleum Hydrocarbons 1,000 1,000 23,000 , MA DEP EPH , n-C9 to n-C18 Aliphatic Hydrocarbons 1,000 1,000 8l 370 ` n-C19to n-C36 Aliphatic Hydrocarbons 3,000 3,000 63 140 n-CI I to n-C22 Aromatic Hydrocarbons 1,000 1,000 62 170 Unadjusted n-CI I to n-C22 Aromatic Hydrocarbons 63 170 2-Methylnaphthalene 0.7 80 1.9 Fluoranthene 1,000 1,000 _ _ - 0.54 a contingent upon that fact that there is no increase in flow, 4) Use is 632 gallons per day, 200%of average water demand, and 5) American Tent Company must maintain daily log for grease removal. Board grants six month extension on repair for systems B & E which will be in effect until July 1, 2008. IV. Septic Variance (New): A. Michael Ford representing Sandra Tubman, Trustee of Ruth Rusher Trust, owner - 111 Ocean Street, Hyannis, Map/Parcel 326-045, 0.45 acre lot, variances requested to 105 410.400 (C) for a proposed construction or reconstruction of dwelling into a youth hostel. The Board voted to approve the reconstruction of dwelling at 111 Ocean Street, Hyannis into a youth hostel with the following conditions 1) Facility must adhere to the Hostelling International Hi USA-Hostel quality standards dated January 1, 2009. The standards include, but are not limited to, no television and no smoking. (2) Rooms with less that 60 square feet will require bunk beds. 3) Permanent staff must have adequate square footage. Any staff residing there for more than 14 days must have living quarters that adhere to standards of state sanitary code. (4) Health variance will be reviewed annually to ensure that it is incorporated into the town managers license agreement. B. JC Engineering representing Christian Camp Meeting Association, owners — 915 Craigville Beach Road, Map/Parcel 225-001, Centerville, 2.5 acre parcel, three variances regarding setbacks. The Board voted to approve the following variances at 915 Craigville Beach Road, Centerville 1) 2.6 foot variance from property line to pump chamber. 2) 3.5 foot variance from leaching facility to front property line. 3) One foot variance for the groundwater separation. 4) Local variance from Article 2 Section 360-2 (soil stability) to allow for the upgrade of septic system. C., Mike Aucoin, A&M Land Services, representing Linda Childs, owner— 54 r Circle Drive, Map/Parcel 228-036, Hyannis, 0.53 acre parcel, three variances regarding setbacks of SAS. The Board voted to approve the variance with the following conditions: 1) Replace both tank and pump chamber with watertight monolithic tank, 2) provide buoyancy calculations for both, and 3) Effluent filter must be shown on the plan. D. FOOD ESTABLISHMENT: David Lawler representing Adam Weiner, Trustee, Guaranteed Fresh Produce — 35 lyannough Road, Map/Parcel 343-002, Hyannis, 0.67 acre,existing system is two feet above groundwater. Board agrees that there is no need for a variance for groundwater separation as the original plan for the septic took into account the correct calculations to deal with the groundwater. Dec 9,2008 Page 2 of 3 22'-8"ORIGINAL HOUSE 7'-1" 1950's X \ D.� DjN \M h �m mX comx o -.j O to_I .z ,z U) D z z 2 O 0 r O m O O z \ \ z :\ K \ 471 C? \U) z \ \\ \ I �v —I D n� Cn co Cp o0 rn = gyp W = r O rO 00 0O Z O 0 O Z=. 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'TITLE: (C011DOMINIUiv1S) LIMITED REMOVAL ACTION COMPLETION STATEMENT .LEGEND �' UIC CLOSURE-ANGELINE CROCKER HINKLEY HOSTEL Q MONITORING WELL I 1 I OCEAN STREET-HYANNIS,MA 02601 ® CATCH BA51N S KETC N PLAN B BENNETT ENVIRONMENTAL oO LEACH PIT / - ASSOCIATES, INC. O 2O 40 GO LICENSED SITE PROFESSIONALS,ENVIRONMENTAL SCIENTISTS, OO ROOF DRAIN GEOLOGISTS,ENGINEERS Ell1573 MAIN STREET,P.O.BOX 1743,BREWSTER,MA 02361 ® FLOOR DRAIN - - _ - - :G ^�� a 20' "ATECALE: )896-1706 „„1vbennettca.com FAX:(508)896-5109 J /'� BY: CHECK: JOB NUMBER: �55 501L SAMPLEAs Noted JTW KMR BEA12-10487 f I T N OF BARNSTABLE BOARD OF HEALTH j ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITA Date m , �,/!9 Time: In Out Owner ''v' c C am, J 5 Tena—nt fll: � � 1`revVV Q Address Inlce&A S�" J" Mf\� Address Compliance Remarks or Regulation# Yes NO Recommendations ¢ 2. Kitchen Facilities 3. Bathroom Facilities i 4. Water Supply 5. Hot Water Facilities 6. Heating Facilities 7. Lighting and Electrical Facilities 8. 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