HomeMy WebLinkAbout0141 SPRING STREET - Health 14~1rSpring Street.
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Town of Barnstable
y 4 " Regulatory Services
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Thomas F. Geiler, Director
Public. Health Division
Thomas McKean,Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790=6304
To: SOARES,RAYMOND Date Thursday,January 05,2006
141 SPRING ST
HYANNIS MA 02601
RE:Underground Storage Tank at:
141 SPRING STREET
Map Parcel: 328062
Tank NO: 01
Tag NO: 01073
Our records indicate that your underground fuel(or chemical)storage tank is over 30 years old,and
has not been removed as required by section 326-3: subsection 2 of the Town of Barnstable Code regarding
fuel and chemical storage systems.
You are directed to remove this tank within sixty(60)days from the date of this notice.
After your tank is removed, please furnish this office evidence in the form of a permit from your local
Fire Department within ninety(90)days of the receipt of this notice.
You may request a hearing provided a written petition requesting same is received by the Board of
Health within ten(10) days after this order is served.
Per Order of the Board of Health
Thomas A.McKean,RS,CHO
Health Agent
V,
03/14/2006 14:57 5087786448 HYANNIS FIRE PAGE 01
HYANNIS FIRE DEPARTMENT
HY�x 95 HIGH SCHOOL RD. EXT. HYANNIS, MA. 02601 '
Ip ICAL �p
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ED; HAROLD S. BRUNELLE, CHIEF
aRiM$� arUoenrau�•nenese a�rme eoUCAtion
FIRE PREVENTION BUREAU
BUSINESS PHONE, (508)775-1300 FACSIMILE PHONE: (508)778-6448
LT. DONALD H. CHASE,JR., CFI LT.ERIC F.HUBLER,CFI
FIRE PREVENTION OFFICER FIRE PREVENTION OFFICER
FACSIMILE TRANSMITTAL SHEET
THIS FAX 1S GOING TO:
HIS FAX IS BEING SENT BY:
or
SUBJECT OF THIS FAX:
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DATE: FAX NUMBER: NUMBER OF PAGES:
....�®........... .. ............................
(INCLUDES COVER)
NOTES:
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03/14/2006 14:57 5087786448 HYANNIS FIRE PAGE 02
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,.,: ,,,,, :I, .',p,� � ,TITLE:ip,'. r6.=;rvi''i:;�" .,s.., ,:.nt.'..'Yagi:
(GNAT R '.z,', ,.�'i � +'.u' .,1.i Y Iir.. )� '19;;'J q, x
'tl � �,,. o,N:?�h. sr• +a!' ,,,1 ,�� ..� u° !': :'4'. !;i:;l'Li'4�-,., i:.. ?'•'I,..,; "7,J�.�)'a'6'"l y� ,1 .1P :4•" r' ,
I<.. .a�+' �... s >ns•4 4,t �' b�i'4 :..; %;:: ., r �,..,,li..,. :7, ,•,• ulguari(t0 502 CMR .00.
i l 1 I m t'6'e readrnria ro Me local heat!otf ehe 1irt3'"deparimB�Jt:FDIDu'
T s signed receipt bf d s odu — ,
P ;,l'�, .�t•u`'t N''.ra. M1/'A f'
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EACH TANK MUST M�AVE A I�ECEIpT'O�D
03/14/2006 14:57 5087786448 HYANNIS FIRE PAGE 03
Make application to local Fire Department.
Fire Department retains original application and issues duplicate as Permit.
W.11111110� Q2C�a ok"iZ
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Toaxa
lip
APPLICATION
and PERMIT EFee-Z�—���
r storage tank removal and transportation to approved tank disposal yard in accordance with the provisions
M.G.L. Chapter 148, Section 38A, 527 CMR 9.00, application is hereby made by:
SC - An
Q 1`c x n oa0ammrt
Tank Owner Name(please Print) °��r° r s
141 5 MA
N& city
ST NYA,k)wZI
Address
Su°°r
i
•
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I
Company Name Co. or Individual ,Mr
,w
Address Rd Jkddress
Signatur applyi I or It Signature(if applying for permit)
❑ IFCI Cenified Other ❑ IFCI Certified O LSP # Other
1ti L SpRT-ry C� S�" �ct�run,rSA 062-r
Tank Location 5 u city
�°arAOdra
Tank Capacity(gallons) �-�S Substance Last Stored —
Tank Dimensions(diameter x length)
Remarks:
3
Firm transporting wasteAjjyAjL9jjd—YwDy r a nme n t a I State Lic. # MV5083856100
Hazardous waste manifest# E.P.A. # f
^.,..Ji
Approved tank disposal yard LlaM98 G G ant Co Tnc Tank yard# [)OA
1
Type of inert gas A)eN t C E Tank yard address
:ity or Town J FDID# PermitN 0 —
r
)ate of issue 2 " Date of expiration
dig safe approval number: 200�5`V Dig Safe Toll Free Tel. Number- 500.322-4844
I �
l�signature/Title of Officer granting permit "HYAN.Ins FIRE Y NTION B f EAU"
.or removal(s)send Form FP-29OR signed by Local Fire Dept. to UST Regulatory Compliance Unit, One 9#'WWL RD, EX1
om 1310, Boston, MA 02108.161a. NNIS, MA 026iQ1�'dw
(revised 91913)
03/14/2006 14:57 5087786448 HYANNIS FIRE PAGE 04
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TOWN OF BARNSTABLE - ' UNDERGROUNA FUEL AND CHEMICAL STORAGE REGISTRATION
MAP NO. 2.R PARCEL NO. 66 Z
ADDRESS OF TANK: _ IIV/ \ 9-wriyC� "s?• V ILLAGE t A1etAA1N,3=S
• Nv,mb.�r •lrQ�!
MAILING ADDRESS ( IF D//I,F-FIERENT FROM ABOVE) t
OWNER NAME t PHONE t
INSTALLATION DATES BYs
INSTALLER ADDRESS: 'CERT.NO.
*TANK LOCATION: kle4lSE.
(DtQOA=Qs r^mw L.ppA72QN WSTH AtO�QQT Tp �LJ2LDSNa�
CAPACITY .200 TYPE OF TANK :STEP L AGE ?'' 0 ,_YRS. FUEL/CHEM I CAL
TESTING CERTIFICATION [ ' I PASS [ ] FAIL DATE
LEAK DETECTION [ ] CHECK IF. N/A TYPE/BRAND
ZONE OF CONTRIBUTION [ I YES [ ] NO DATE TO BE REMOVED
FIRE DEPT. PERMIT ISSUED ['P'j YES [ I NO DATE
CONSERVATION [ ] CHECK IF N/A DATE
BOARD OF HEALTH TAO NO. . C ,' �' it.; ] DATE .
S 'PLEASE• PROVIDE A SKETCH SHOWING THE TANK, LOCATION ON THE BACK OF THIS CARD
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