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HomeMy WebLinkAbout0110 ROSARY LANE - Health (3) r4-1—ROSERY-CX- I iHYANNIS'— � PAUL MORNEAULT, CUSTOM WROUGHT METAL oo I i i 0 R 1. i( IS 10. 271AM Vo. 7142 P. 2i4 Contingency Plan Emergency Procedures Viola Associates 110 Rosary Lane Hyannis, MA 02601 508-7713457 Fax: 508-771-3496 1. 2015 10:27RM k 7142 P. 3/5 EMERGENCY COORDINATORS The Emergency Coordinators listed in the section are authorized to act a on-scene coordinators and to commit necessary(primary or akernate)either on the company premises or on-call.The coordinators must be thoroughly familiar with all aspects of the contingency plan, all operations and activities at the company records,and the physical layout of the company,The emergency coordinator will tall all reasonable measures to ensure that fires, explosions, and/or releases do not occur, recur a,or spread to other areas in the company.The measures shall Include,where applicable,stopping processes and operations,collecting and containing released waste and removing or isolating containers. The Coordinators are as follows: Primary Coordinator: ton D.Laliberte Service Manager 1-774-487-13 62 Alternate Coordinator: Eddie Trainor General/Office Manager 508-320-3533 .. A r. 1. 2015 10:27AM k 7142 P. t/5 i I ARRANGEMENTS The Following Local Authorities have been sent copies of the contingency plan; Hyannis Fire Department Dean Melanson Barnstable County Dept. of Health and Environment Amy Alati EMERGENCY PROCEDURES During an emergency,the emergency coordinator shall perform the necessary actions to insure a timely and appropriates response.The coordinator shall choose the order and applicability of the following actions, based upon the situation and the hazardous waste constituents involved: 1. Identify and assess the situation (Source, Health,and environment impact), 2. Activate alarm to notify all company personnel, 3. Evacuate the company, if necessary, 4. Determine action to be taken (e.g.Containment,absorption), S. Oversee the clean up throughout its entirety 6. Within 15 days after the Incident, emergency coordinator must submit a written report on the incident to Hyannis Fire Dept, and Town of Barnstable. EMERGENCY EQUIPMENT The following equipment should be found in good condition at the company. Include the physical description and capabilities of each item: EQUIPMENT PHYSICAL DESCRIPTION AND CAPABILITIES: • Entire company is outfitted with fire extinguishers that have been installed and inspected by Gorin Fire Extinguishers. EMERGENCY ROUTES In an event of fire, hazardous waste, any other incident that will require the company personnel to evacuate,the evacuation plan and notification of incident to all personnel will be implemented. Evacuation routes are from the front and back door of each building,as well as two road access points on either side of the property, HOOP Moons L7-� r. O Amp,nB[v 1�� ' rn CMbn1�a swags p- Haug 10— _ y 110 Rosary Lane Main Building Parking Area Amess Area 1 Access Area 2 < o Rosary Lane V, ,,/� Date: � -- TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS:�. J� �cCIZ� r Gv1j BUSINESS LOCATION: «�� iisri�r�" /�if� ��✓�� MAILINGADDRESS: S�C� ` G+ti Z ail To: TELEPHONE NUMBER: C>g'- �- � Board of Health Town of Barnstable CONTACTPERSON: G ® P.O. Box 534 EMERGENCY CONTACT TELEPHONE NUMBER: S`Ca25- 1�W-79/2 Hyannis, MA 02601 TYPEOFBUSINESS: Does your firm store any of the toxic or hazardous materials listed below, either for sale or for you own use? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. , If you answered YES above, please indicate if the materials are stored at a site other than your mailing address:e4rgc>SIAe 55 ADDRESS: 1/0 ogo,s��V TELEPHONE: - ef2.c5 7010 LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Quantity Antifreeze(for gasoline or coolant systems) Drain cleaners NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes p Road Salt (Halite) Q Hydraulic fluid (including brake fluid) p Refrigerants Motor oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel 0 Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil NEW USED �LOther petroleum products: grease, C�) Photochemicals (Developer) lubricants, gear oil- NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages 0 Wood preservatives (creosote) Battery acid (electrolyte) 0 Swimming pool chlorine Rustproofers 0 Lye or caustic soda Car wash detergents O Z Jewelry cleaners Car waxes and polishes Leather dyes Asphalt & roofing tar Fertilizers Paints, varnishes, stains, dyes p PCB's Lacquer thinners C) Other chlorinated hydrocarbons, NEW USED (inc. carbon tetrachloride) Paint & varnish removers, deglossers Paint brush cleaners � Any other products with "poison" labels (including chloroform, formaldehyde, Floor & furniture strippers hydrochloric acid, other acids) � Metal polishes Laundry soil & stain removers _ Other products not listed which you feel (including bleach) may be toxic or hazardous (please list): Spot removers & cleaning fluids z- j � �- ��, (dry cleaners) Q Other cleaning solvents Q Bug and tar removers C, o WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS �F1HET� TOWN OF BARNSTABLE OFFICE OF o L� D 1 DAns9TAaLL I BOARD OF HEALTH MASS. OCT 1 1991 �h f639• �� 387 MAIN STREET Yk HYANNI9, MASS. 02801 APPLICATION FOR 21E I; .00 INFORMATION SEARCH �Af D 1 OGTO - t9Q1 NAME OF PERSON (� REQUESTING INFORMATION 1 961&,kt X(,-A 1 LLX& ENGINEERING FIRM INSOI" ' INc- ADDRESS 100 itfZ"t CoJe Fes• l�I�.I. CA , pt�loZ TELEPHONE 0 (lstl) 2-'73- 504 FgcX *� Ctot�►� 2�3— �qoy ADDRESS SITE LOCATION�SAP-q "K)S `dAfyN�S ASSESSORS MAP NU: 0 fro N PIRKAW R EHH93idE�S—N��'�1. r GROUNDWATER DIRECTION FLOW Cavr J Sei&hA CAS SPECIFIC SITES YOU WISH TO RECEIVE RELEASE INFORMATION ASsEssoas MAP No- ws . vparFl ,y NO• r7 AS ESSORS MAP NO: -z 31--5--- �_N�IrA CELNO� Z► it col I IV ASSESSORS MAP NO: 395 n` _ Zt. 29 30_ 3t .� No ppARGEL NO - ASSESSORS MAP NO: 344 PARCEL NO: Zq'�S8: 29-29 30-32. ��® i�f0 a it r TOWN OF BARNSTABLE P LOCATION I�1� a R Y �/9hl� SEWAGE VILLAGE ASSESSOR'S MAP & LOT A-3 CIS INSTALLER'S NAME & PHONE NO. �►q�, t���,�„��� ;CSC-/3�'� N SEPTIC TANK CAPACITY / LEACHING FACILITY:(type) J. , � Q (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER 1�ySl,lC BUILDER OR OWNER (�',�e /�'C6A)_r DATE PERMIT ISSUED: �7 ^ - 2, DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No �j� ��' , f: �� � li �� i i�l t I� a V ,H _1 -�� 00 � �� 4� � � '- p3 3 0 f S'�so�s Ay,or-P zv, - No �.� VWX&O ..::._., '�, Fizz 7S.. ........ THE COMMONWEALTH OF MASSACHUSETTS ESIGNING ENGINEER MUST SUPERVI" BOARD OF HEALTH ';TALLATION AND CERTIFY IN VIRITIN DCc/�( OF.:..: !, ..ST.6.04..�_____________�_........�"YEP0 WAS INSTALLED I1V STH.0 i .JANCE TO PLAN. , pphra tiott for Ui_qposaal Works Tomotrurtiutt nutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: �!/O .......Zess? .4d;................. ...! it is /72!' .......................................................... Location-Address or Lot No. ........... /Cile(s.SZfGIIL�KC. .............. ..... 400 n�ejr _� ddress a -•••................ aff ,`J r.. ----...---••-•----.....---------------....•-••..._..... Installer Address Type of Building Size Lot..__ feet Dwelling—No. of Bedrooms___....______________________________Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building _17. . "°"f......... No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures ------------------------------ --------------------------------------------------------------------------------------•-------------..--.-- W Design Flow.........A�.......................gallons per person per day. Total daQy flow........ '.... gallons. 9 Septic Tank—Liquid capacity.__//....gallons Length.... ------ Width...!......... Diameter------�o__---- Depth__ . _. Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area___--_------.-------sq. ft. Seepage Pit No..—?--------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing t k ( ) Percolation Test Results Performed by.---__-_ _ -._ ' ....._.... Date.. " 8� a _... •--------------------------••--- ,� Test Pit No. 1.... Ate-.minutes per inch Depth of Test Pit.................... Depth to ground water-._-_-___-______---__.-. 44 Test Pit No. 2................minutes per inch Depth of Test Pit......_............. Depth to ground water......................... --- --- ----- --- ------------••----...._.................... ---•-•--•---......-•------------...........------------........-•--------- D Description of Soil_... S -. ..1_....._.._.2_n_./A....._ x w Z ---•------•----------------------•----------•---•--------•--------------------------•--•-----......-----••-••-----------------•----••-------------•----------•--------------------•-•-•-------••••-•--- U Nature of Repairs or Alterations—Answer when applicable.-------------------------------------------•-------_-__-_--:_____________---___••-----------_-. •. -............................................................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE ; of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has-been is ed by t boa o health. G Signed ±.. : CJ ............... _......---- -- ...... •-----... Application Approved By......�On\_&u.......... ............. Date Application Disapproved for the f oll�w g reasons-------------------------------------------------------------------------------•-----------------......_...... Date Permit No........... Issued....................................................... 0 (7 � Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............. .........O F....1�?, ,�r'�(.T. ,G. ......................................... C�grtifiratie of Tompliaurr THIS ISO CERTIFY, That the Individual ewage Disposal S stem constructed ( r Repaired ( } blop y d/d.1fG .. .... 1................. .....-a/'/e...,•-------------••-•--------••----------- _Installer at ,llO. aSS ---...--- .+>rCll?1_S...�61------•-----•-------•--.•----.--•-----------•------------------------- has been installed in accordance with the provisions of TA"IF" 7 of The State Sanitary C de as described in the r . application for Disposal Works Construction Permit No.___. _____._���............... dated_...-�_._.�3_ �.�.._....____._. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. j DATE................................................................................ Inspector.................................................................................... , 1�1 ,ec�s -0 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..............!e C04�..........OF...... !9 R/�7f113�C Appliration for Diiipaaal Works Tonstrartiun thinfit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System_at ................___...._••-•.......• •---•- Location-Address or Lot No. ___.___•______ .�iY��irl 7---_'c_� ZA-l_ee7__P. -•---------- --•- ICJ .!3 x...1.1n ✓_1�`d.$tGu7!!.h. ........... O ner Address w �,/di/�v............�ff".. l � Insta.ier Address �/_ UType of Building Size Lot..-.�'.�`__ ilr..Sq. feet Dwelling—No. of Bedrooms.......0..............................Expansion Attic ( ) Garbage Grinder ( ) `4 Other—T e of Buildingy-�f......_... No. of persons............................ Showers. Cafeteria Otherfixtures -=----------------------------•----------------•--- W Design Flow......... . .......................gallons per person per day. Total daily flow........1I.o.....•...........__....,_gallons. WSeptic Tank—Liquid capacity....f./.____gallons Length.... ------- Width---<".......... Diameter.....j........ Depth..6_'.°...... x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area--------------------sq. ft. Seepage Pit No._2--------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing t k ( ) W Percolation Test Results Performed by....... '...................... ......... aTest Pit No. I........J.%---minutes per inch Depth of Test Pit.................... Depth to ground water........................ ( Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ............... - ----....••••--•••-••••--......................................................... - D Description of Soil... '�. ., z_ ''-... v x 1 �� '� —------------------------------------- U --•--•---•----•---••----•--••-------•----•••---•-•-•----------••--••-----•...----•-•••-•••--••••-•---•-------•-•-•••••--•--------•------•-------------- W ----------------------------------------------------------------------------- V Nature of Repairs or Alterations—Answer when applicable..............................:.............................................................:r -------------•••••••-•••--•--••--------•-------•......--••----------•---.............................................................................................................................. Agreement: The- undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of i-TLE ; of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been is ed�by�tboa health, -- •. Application A roved B ( ate 4! SM: Date Application Disapproved for the f oll w ng reasons:............................................................................................................... .........-•----------•-----•-------------••--•-----------•--•----•---•--...------•-•-•----------------------•----------------•-••-•-•-•••....--------••--•-----•-----•----•--•------••----•--•----------. Date PermitNo.......... ...... .............................. Issued................................................... Date THE COMMONWEALTH OF MASSACHUSETTS � BOARD OF HEALTH ............ ..........OF.... .......................................... %rdif iratr of ftuutpliatta THIS IS;'O CERTIFY, That the Individual Sewage Disposal S-stem constructed ( -�/or Repaired ( } bY•------•-•----.s/.l._Qf/�r<�,�.__.11/_F.g�i---------------- � i -... �.S z.� �/rr ........................................ at #J�Q .`=.g2_S � ����� installer Y � r5 ------------------------------------------------------=----- has been installed in accordance with the provisions of iT"'.1,-E j of The State Sanitary Code as described in the application for Disposal Works Construction Permit No--- ................ dated_-.. j.�Z---::-_f�)_-------_--- THE ISSUANCE OF THIS.CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT YHE -SYSTEM 41LV FUNCTFONI SATES FACTORY. �ry DATE..... l I .._._: Inspector.................................................................................... V THE COMM VE F M S ACHUSETTS T I BOARD OF HEALTH Z. ......./QIU. Y..............0F..- .!✓�'�<J-7m C.--•---------................------.'........ No._._.._.................. FEE.......:71...... 111sporua1 Works Cnunutrttrtion frrufit Permission is reby granted .� jeTF� �� 1/f�G�'7...h �l //, ./f!�. to Construct (Lol or Repair ( ) an Individual Sewage Disposal System at No....... `tlQ ant, Y-----Z�tc'�............. ///SS..._................................................................ ' Street as shown on the application for Disposal Works Construction Street No..P-�?L_ Dated..__-S._..',�.:__y �............... n .... ••. .... oard of Health DATE---- JJJ FORM �1255 HOBBS & WARREN, INC., PUBLISHERS „i TOWN OF BARNSTABLE f � LOCATION /%03�o s R ply ,C ANe— SEWAGE'# VILLAGE ASSESSOR'S MAP & LOT A-3 S/I� INSTALLER'S NAME & PHONE NO. /-?A,,, SEPTIC TANK CAPACITY LEACHING FACILITY:(type) J , `Q (size) �•�8 NO. 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