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HomeMy WebLinkAbout0380 YARMOUTH ROAD - Health 380 Yarmouth Road 344-015.002 Hyannis r M 0 COMPLETE •N COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Sign re item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse . X ❑Addressee so that we can return the card to you. B. Received by 'nted Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. -� t Gam' D. Is delivery address different from item 1? ❑ es 1. Article Addressed to: If YES,enter delivery address?below: ❑No 380 Y(N� �" — 3. Service Type i S �7jq to(j D j �Certified Mail® ❑Priority Mail Express- Registered Of Return Receipt for Merchandise I U ❑Insured Mail ❑Collect on Delivery 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Nu - (�,s" ?012 1010 0000 2848 2176 PS t811,July 2013 Domestic Return Receipt PDT.UNITED STATES; 7A{: 1( First-Class MailICh::is Postage&Fees Paid USPS ,���, '.11 Permit No.G-10 • Sender: Please print your name, address, and ZIP+41 in this box• I Town of Barnstable Health Division 200 Main Street Hyannis,MA 02601 I i f I TOWN OF BARNSTABLE BAR-W 5105 Ordinance or Regulation WARNING NOTICE Name of Offender/Manager Au V:� Alz+4'-� Address of Offender MV/MB Reg.# Village/State/Zip Business Name am/Pm, on "72 20 Business Address r ) Signature df.-Enforcing Officer Village/State/Zip i A t` V1 I r / Location of Offense ' �Jf c','��EJ- � 4' F " N-A Enforcing Dept/Division r ✓ Offense ► )1114->0 ,>�- ru XA Facts �� ��" � � �f '"Ir ��i'.�. ,yL �t I ;'?r f.�n l 'a u.r �,� is �� ^c6 �� �� , fi��l�fii✓l t< <2►I"��G_ .� J T—".0 �'r`� i C u U sJ f1 .a (,.:.�">4 l " �vl L<�,� This will serve only as a warning. At *this time no legal action has been takeri:' �. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE:OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. TOWN OF BARNSTABLE BAR-W 5. 105 Ordinance or Regulation WARNING NOTICE 1 Name of Offender/Manager -,4 Address of Offender MV/MB Reg. # Village/State/Zip Business Name . am/pm', on 20 Business Address Signature of,Enforcing officer Village/Stdte/Zip Location of Offense j EnforcingDept/Division Offense 4 1 Facts This will serve only as a warning. At 'this time no legal action has been taken. " It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations.' Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. Town of Barnstable Regulatory Services Richard V. Scali,Director. Public Health Division Thomas McKean,Director 200 Main Street, Hyannis;MA 02601 Office: 508-862-4644 Fax: 508-790-6304 .Application Fee: $100.0.0 ASSESSORS MAP AND PARCEL NO.� 7' DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISHMENT l ADDRESS OF ESTABLISHMENT n. i"" I TELEPHONE NUMBER SOLE OWNER:�YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK I S GNATURE OF APP V RESTRICTIONS: HOME ADDRESS_ JAlC)i HOME TELEPHONE# ` ,'Z -7!2 7 CAcache\Temporary Intemet FileS\O MUTAZAPP Rev2015.DOC Citizen Web Request Page 1 of 1 777 q e 1,9dA\3Sht3 Citizen Request Management Request ID: 56885 Created: 7/21/2016 3:24:28 PM Status: Assigned To Staff Assigned To: Lavelle,Timothy Health Office Anonymous: Yes Category: Chapter 108 Hazardous Materials E.C. Date: 8/4/2016 Created By: Sousa,Vanessa Citations: Health Office Time Worked: 0 Response Time: 0 Request Location: Harbor Auto Sales 4 362 OLD YARMOUTH ROAD 7 Hyannis, Ma 02601 — �— Parcel Number: Map: 000 Block: 000 Lot: 000 Request: Requestor reporting Haz Mat violations; cars blocking road. Request Work History: k o� I a'�,�l�t, - ��Lt, �v�S� aK ��•eS� -Fo Ce4-X_ r Sf— (!1ZC&V� V� lob MVWZ-q1\ %vt &OV S 4- SA0,6f, v\ O�C�-Q-�S �O v Sir c7 . -o 3o0 0v4, -71g,1I b \tv-f5 Gvv(g 40`, Wo�,LNl�,CA� CIRAv�,� V Q `��� WAS cl�aKr�l, �� Ca„a �tv�n �ab1�C VIZU) • D< ak Au MAC ate' AoCo eo tiA/ kc, �r5 O'k w`)i •—�twA• N0 w04-w,� �I-jI( 5 — \AIYH JL ,\AAVLI"1 w6A 0o�4 � http://issgl2/InternalWRS/WRequestPrintPub.aspx?ID=56885 7/21/2016 IIE r°k� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARNSTABLE. • 200 Main Street• Hyannis, MA 02601 �'DrFDMP+a`e� TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: &,S YJ�< �cd -e 4 ago v4f.AV� Yee ` ^ 1 )Date: �� 1 Location/Mailing Address: �. � o.J 4�h 1 5 Contact Name/Phone: <' j o •4 , ,tic�t= Go i �� ���ry C,!vv4 +�5 Inventory Total Amount: MSDS: License#: Tier II : Labeling: Spill Plan: Oil/Water Separator: Floor Drains: Emergency Numbers: Storage Areas/Tanks: Emergency/Containment Equipment: Waste Generator ID: Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: aCl6o< ig*A „,\Vo -A362 �\ -e Ykasraw e s'5 ,,a ac , b�, k, ORDER : kAacV1&< 1466 &J o 5+ -Jr-eacO V) aS ,$A 5r-D-L-1- k Vlo INFORMATION/.RECOMMEND IONS: e cz f �o Dom- �G Z ��c S t (� �/ Inspector: �rvw P Facility Representative: WHITE COPY-/HEALTH DEPARTMENT/CANARY COPY-BUSINESS IB To of Barnstable Office:=508-862-4644 Public Health Division Fax:sosaso-ssoa e""MAPAB g 200 Main Street• Hyannis, MA 02601 . Eo TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT l / �( 'i 7 Business Name: 1()n C I ( 3JL� �� ✓�'�t-1a y` " Date: /1 Location/Mailing Address: 1(,'2- \A Contact Name/Phone: 5c, -4 0 411) Inventory Total Amount: MSDS: License#:' Tier II : Labeling: Spill Plan: 1 Oil/WaterSeparator: Floor Drains: Emergency Numbers: Storage Areas/Tanks: Emergency/Containment Equipment: Waste Generator ID: Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: Z LIST OF TOXIC AND HAZARDOUS MATERIALS _ NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. a Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners w: Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquerthinners r , ; Miscellaneous Combustible Paint&varnish removers;deglossers `� `Leather dyes` Miscellaneous,Flammables; 'I w; A, t Fertilizers. Floor&furniture strippers PCB's Metal polishes >> w ,�,. ;j : = t tOther-chlorinated,hydroc'arb'onsy , Laundry soil &stain removers , (including carbon tetrachloride) includin bleach ' p �' f'r I E Any other products with "'poi`son labels5 (including chloroform, formaldehyde,; ` hydrochloric acid,`other'acid'gy VIOLATIONS:, x#y1&kk1!7Q \vA� f' )6 L r^, -0- S'o e \10Air�,P_ ; ` 1' t,�4 r > G <.` �'� \0 �` ? (?��y, c c 1�1rr�l i�Pr12' y�yy {�zta av ��-�t ORDERS: V4 `!1 -1 ,'Av\ ((s',A%` 'ba,) rm, t�n<' c� t_r�n R� 5y�r��{{d . InS a� /V:f 4r,C, �QT del �i t (�M n�nJlin. 1A �'r GA 1�a I.)����ii� INFORMATION/.RECOMMENDA IONS: e N✓ Cc � W ( j *G i Sri ^' ���. t,Inspector: 1;'C y �lk.� 1 (L- A G Facility Representative: WHITE COPY-/HEALTH DEPARTMENT/CANARY COPY-BUSINESS } r� a A � t t x9 � S � F a < rr ��dill., r` v a 4 r EEL 16 f Ai�£ e it , Y� x v ' .e 7 p �qps@ •'`p � �'F � Stan,, f �4 k 3 F.. it ¢'TN -.- F! � i f d }• a�yt i �r I •- . 4Mdwa i A, c b II a i ■ �". ' Ir I o TOWN OF BARNS ABLE LOCATION t9 0 SEWAGE#2—® ( 3 ®3 Z VILLAGE"AME � ASSESSOR'S MAP&PARC V 1 ®� pp INSTALLE $$ HONE NO.91 C SEPTIC TAN�K�APA TY��99 J ' ()® :IM // 60 LEACHING FACILITY.(type) (size) 1011J 814D NO.OF BED 00 S OWNER (� L7h6 PERMIT DATE: ' Z'] ® � ? COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY -2q'11 3 ,3bo a. , b � No.Q V / i Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ✓ PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes 0[pplitation for Bisposal *pstrm Construction permit Application for a Permit to Construct X Repair(') Upgrade(Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot N0380 Y�./ryout lrl Owner's Name d re s,and Tel.No. G Ib�r Q Assessor's Map/Parcel — Z M✓t� 3 11�5 stall% N e Address /and Tel.No.-CZ /_ �j33- Designer's N//a�.m�.e,yA�d�dress, d Te.No. �1S c���� (� �!( bwvo � .�.-air g i►'1 tefl ��C O M A� Type of Building: , v `i Dwelling No.of Bedrooms Lot Size / sq.ft. Garbage Grinder( ) Other Type of Building bM( e—f C I 0j No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) �00 gpd Design flow provided S {,4 gpd Plan Date Number of sheets Revision Date Title Size of Septic Tankype o A. '2-(� Description of Soil P a Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and ma' nance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Enviromnental and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. G Signed Date . - Application Approved by Date �J _Z��./3 Application Disapproved by Date for the following reasons Permit No. / Date Issued -------------------------------------------------------- �v,�.;.Y.,,.Tv+,gn.+r��,��,...-,......-.:��'r+*w,.sp++ +►w7v,�-+r�#�..t,.;k,k- i��ReAMR.rwx.o*r.,.r+•.,.-^.•w.,K�^"`•r"'k+nrr"*M"T`..-v.,,..,.. .....,.,�T�.,�„- _. ___...-...�,,..,, ,�,,,,..,,,j;.....,,r. _ ... NO.Q V ( � `r �Z !- -'may' • " . r� Fee! )� THE COMMONWEALT4 OFMASSACHUSETTS Entered in computer: ✓ Yes PUBLIC HEALTH DIVISION -TOWN OF`BARNSTABLE, MASSACHUSETTS ftpfication.for Miso arpstem Construction Permit i Application'for a Permit to Construct ) Repair('#) Upgrade Abandon( ) ElComplete System ElIndividual Components Location Address or Lot NO319 0 YG�( Owner's Name Ad re s,an Tel.No. Assessor's Map/Parcel a"f --- �' Z i^,A O -1 30pral,,q.S YU0.t 1 Tloaf1r1 t stalls s Name,Address,and Tel.No., 3� ors Designer's Name,Address,. d TiyNo.�a �5�2'�Sy nn 1 1 �3 Y��( caYl� t�./V11U C�C� � Ak Type of Building: ry\ra r `"cd 02jo-I s Dwelling' No.of Bedrooms Lot Size f sq.ft. Garbage Grinder( ) Other Type of Building W Me_f C` � No.of Persons Showers( ) Cafeteria( ) r '1 Other Fixtures Design Flow(min.required) ��• gpd Design flow provided gpd i l Plan Date Number of sheets Revision Date Title ti Size of Septic Tank 3LXJ Q , 2 COn�pOX ype o S.A. .,� "Z V Qoat`QY1 �,J p 'Descri tiou of Soil Nature of Repairs or Alterations(Answer when applicable) w Date last inspected: Agreement: The undersigned agrees to ensure the construction and m inn4nance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental ode and not to place the system in operation until a Certificate of Compfiance has been issued by this Board of Health. y " s� Signed Date - Application Approved by .�'e- k e V j Date 3 Application Disapproved by w Date for the following reasons Permit No. l J j l-"l Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(✓� Upgraded(✓) Abandoned( )by 1 I at VA Ae- � �/ �.1eA,e'has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. G '. dated " ? - Installer f Designer ms N/#bedrogA• (()A^+l^F It h � Approved design flow A FV V gpd The issuance of this permit shall not be construed as a guarantee that the system will fiinction,as designed Date {„ d Inspector /t � -f O , -_ j -r- - No Q- 00 j � �.��---- -- ----- - - - -.___-•�- - - ---- --t-- -------•-_•-----V--� --'----- -----Fee c (�(/,--�^•-_ --r- THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-.BARNSTABLE,MASSACHUSETTS misposai*Pstem Construction Permit Permission is hereby granted to Construct( ) Repair() Upgrade( Abandon( ) System located at 0 (lft j) -1 ,t(I rA in � and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with z Title 5 aiid the following local provisions or special conditions. 2 , Provided'tonstruction must be completed within three years of the date of this permit. - Date / �� Approved by / L� t FROM FAX NO. Jun. 21 2016 09:56AM P1 Town of Tnstable ]Regulatory Serves Tht► Haas F- • eiler,= ,D irceto;r ' .Publ>!c health,n>!v>ls�o.d Thomas MOKca0,•Directox zoo main Street, Uyannic..MA 02601 Urlm 508-862-4644 Date: }'ax: 508=79U-6304 Sewage Pe►�mit#{ , Air:7erso>r'y:Map/Panel � i installer& ncsi er C'c icatiun N u _ gn►cr: Address: nstaller: i > f r ay- Address. . On '� (dram) 64as 111.. issued aP e / 5uail °r rmit<toinstall a septic system ate Y a ress) basal on a deli is drawn;(,y ow,n(! �t (desimer dated a I certify that the scptie.systemreferoced above was'in5 the design, which nzay,include .rilinor, tailed substantiall dtSlribtA(tpij boy attiil�r septic tank. Stripout ( 'reduced. was y accorelmg t approved c banes saaeli as latirral relocation of the, were found'�Litisfactorv- inspected and ilte s<ii.ls rtify,that° s T cptte syytitern zeferenced above v<as installed with ofeher th lateral relocation of the SAS or any vertical rlocaticis o of the;se c stem) but in Accordance with �'tate &i,nrzi Tt �°r:changes (i.e. ccrtific wilt by designer,to follow, Stripc�ut if ti f any component eb' lations. Plan revitiion ar were i>n saii ifictory ( ey�iired) as inspected arici il7e~ails, tH OFMq� 1 Signature) UOJAE,4 c` CIVIL, No.46602 (Designer's Si nature sSIONAt e�p ` r- tunp Hcrc PLEASE 12F' ( etii�ne s S.t ) . ITR 'PQ ARNSTAl3.t..FHEAI,T CE T DIVISIQN: C FlGtTI<I+'I :ATE ARn ,.0 X.L .li �' 1 THIS O T 'ANK YnU, - A' A A—1) A$..' U 4AI)I IIA;furn ikle�igi�rccnillcaiion furm.doC s., Town of Barnstable 200 Main Street,Hyannis,Massachusetts 02601 zb �0� 1639. Regulatory Services Thomas F. Geiler, Director Building Division Tom Perry,Building Commissioner Phone(508)862-4679 Fax(508)862-4725 www.town.barnstable.ma.us July 22, 2013 Harbor Auto Sales c/o Daniel A. Ojala PE,PLS Down Cape Engineering, Inc. 439 Main Street, Yarmouthport, MA 02675 RE: Site Plan Review# 007-13 Harbor Auto Sales ® a 380 Yarmouth Road, Hyannis Map 344, Parcel 015-002 Proposal: Demolition of existing auto sales and detailing buildings. Propose construc o of a 1 _0 story 7,400 s.£ metal building with 4 bays, an upgraded septic system, draina improvements, and paved parking lot. No changes in uses are proposed,upgr ding to t%) I building only. w Dear Mr. Ojala- Please be advised that subsequent to the formal site plan review meeting held April 4, 2013, revised plans for the above-referenced proposal were administratively approved subject to the following: • Approval is based upon and must be substantially constructed in accordance with the following plans entitled: "Landscape & Civil Site Plan of#380 Yarmouth Road, Hyannis,MA" 1 Sheet, Scale 1"=20', prepared for Gilbert Wood by Down Cape Engineering, Inc., Yarmouthport,MA, dated December 3-21-13 with final revisions 6-13-13. • Confirmation that the exterior measurements of the finished area of the 1 story building without a mezzanine does not exceed 7,500 s.f.,will need to be provided to ensure that fire safety requirements are met. • Because this property is located in the Wellhead Overlay District, quantity of onsite.hazardous materials presently documented with the Health Department cannot be exceeded. • A list of proposed hazardous materials as well as their location and quantities must be filed with the Health Department. • A new automotive display layout plan which coordinates with the 6-13-13 plan must receive approval from the Building Commissioner. Cf .t! • Any modifications to the existing automotive dealership license will require approval from the Licensing Authority. • A road opening permit must be obtained from DPW to perform work within the Town road layout. • A Storm water drainage system maintenance plan must be implemented. • Applicant must obtain all other applicable permits, licenses and approvals, including but not limited to, Hyannis Water Department for water service design and Health Department for removal of existing septic system, and design and installation of new septic system. • 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 (Zoning Section 240- 105 (G). This document shall be submitted prior to the issuance of the final certificate of occupancy. A copy of the approved site plans will be retained on file in the Building Department. Sincerely, Ellen M. Swiniarski Site Plan/Regulatory Review Coordinator CC: Tom Perry, Building Commissioner SPR File Hyannis FD Roger Parsons—DPW Licensing ,Health Dept-3 Hans Keijser-Hyannis Water I �Joo) Town of Barnstable p I 3630 �iF ref '� � JDepartlmt;yat of Regulatolry Services ' u 'rt.ARNBTAHL�, n Public tic HIegllth Division Date 200 Main Street, Hyanuis MA 02601 • �U7 PM't A Date Scheduled Time—� Led' (Va w Soil Suitability Assessynerdfor Se'Wa Disposal Pcrfonned By:r4CMJAA Witnessed By: LOCATION & GE NEI RAL I[NDC+'O)[B.IVUTION --- Location Address 0'pU �/� Y`�` Owner's Name (�0O�{r Y�,Y✓t'10 u 7'� v\ '�y/CL ✓L� Address Assessor's Map/Parcel: '3yy//S-o� Cngiucer's Naiuc J�U w✓� NBW CONSTRUCTION !!! REPAL2 Telephone ff Land Use �-E%YY1/jy� �-„— Slopes(%) '� /U Surface Shines Distance's From: Open'Water Body It Possible Wet.Arep `" ft Drinking Water Well ft Draiha.ge Way �- ft Property Line ��ft Other ft SME''I CH, (Street lame,dimensions of lot,exact locations of lest holes S:pore tests,locale Wellunde'I a n pro)[inuty to holes) -_j U- Lrj( kt �. zf �4 tf 121 Ar e I x s Parent material(geologic)_ l�yA 5 Dcpllt Lp Rutlroelt d Depth to Groundwater: Standing Walcr ill I-foie: Weeplhg Ourl! Pit Nor .�, NqI Estimated Seasonal High Groundwater V _ DE,7CEPOENATION FOR SIKASO A L HIGH WA.71'ITH TABLE lylethod Used: Depth Observed standing in obs. hole: A JOAJ In. Depth 10 spll nlutlk.,J; Depth to weeping from side ofobs.hole: _—l!1, dYuullrJwulaY.Ad�uslment„e� �Pc. Index Well R Reading Date: Index -Wlreelml IeYull��r_ Ad1.ftieto!' _ __ AtJ.C npundwuter Level IL JUII'.'�l.x. LA Il I.Oi A,Jt1iS �lllt; ';ljil'Ifl ® Observation I-Jolc 1f I 12- Time lit 9" Depth of Perc `/5- Tln'ir at 6" Start Pre-soak Time @ Oy 101,20 t Time(9`4') I End Prc-soak qq G) Rate Min,/Inch r' Sitc Suilabillly AssessmunL Silt Pssseil— _ Silg'-Failed: Additional Testing Needed(YIN)ft✓ Original; Public Fieallh Division Observation Rote Data To Be Completed on Back-----11__ Pex-colation test is to be. wild uctec vviLiiin 100' of vvetland, you must firslt uot(fy fiRc. 13arnstlble Conservntio ll Y)ivision at least 011c (I) week prior to Ibeghwiug. Q:\SBPTIC\Pl3RCpORN9.DOC IDIIEICI[�.cCb �lE] VA'�'ION]E OL � LOG ~Depth from Soil Idnrizon Hot SurFace(in.) Soil Texture(USDA soil Color soil• lher (Munsell) Mottling (SLruc ure,Stoncs; Qoulders, Con isle c a ravel Po � � k Lu Depth from Soil horizon ON HOLE, LOG Role(USDA Surface(in.) soil Texture Soil Color Soil ` ) (Munsell) Moltlin Other (Structure,Stones, Boulders. LL - C nsi•tency % Orn%) levzz Depth!ram Xr Soil Norizon Eq LOG ][�®]ti~ # T SiirPace(in.� soil Tcxhrra r _. (USDA) sail Colo Soil (Munsell) Other —/0 r Mottling (,!structure,Stones,Boulders. onsravATIONTIOLE Depth From Soil Harizon �'® Surface(in ) Soil Tcxture Soil Color ) 5011 (USDA) unsell) Mottling (Strucu Other re,Stones', Boulders, v �'� V (M/ ConsWanc__vv: OL,.y.,,1],--.,._ -- � Fgoodl Insurance](tale Maw Above 500 year•flood boundary No Yes within 500 year boundary No '^ Within 100 year flood boundary No� ➢mac ! oaf l`Jytulrajlly Occurring Pqg Vious Mate;rfal Does du dealt four feet of naturally occurring pervious material exist in all are Is Observed thrpughout the area proposed for the soil absorption system? ;._ if not, i�'lhat is the depth of naturally occunring pervious mat81'161? 1 certify that on 0-'e- (date)1 have passed the soil evaluator examination approved by the Departmn!nt of Environmental.firotection and that the above Rnalysis was performed by me cons stent tivith dlae regltired irainiiag, experti e and experience descriUed in W C11Al2 15.017. Signnture Date ' -7 Q,1S)3pTICTERCrORM.DOC Town of Barnstable Hazardous Materials On-Site Inventory and Inspection FACILITY INFORMATION:,, Business Name: �A�/>AS EZ.DA 617_10n/!A1 A-Alb RtPAI�c Business Location: 3 gG V A-R-1 d GL 1N 11-YA-i iAiiSS Mailing Address: 146 Algal Telephone Number: 5�f- '� � Contact Person: �)+y/D Emergency Contact Telephone Number:14L&L-M &-u_ 5 Type of Business: 14tW n � t' t&=: AJC� HAZARDOUS MATERIALS (CHAPTER 108) Virgin Product Total Quantity Container Size(s) Storage Location Major Materials Gallons or Pounds Quarts,gallons, Shed,retail store, drums,tank,etc... cabinet,closet,etc AAA,4GE 8' �/{-SGLic1E aZ �/�-LS o2 Ga �1/SCCa,1_.4AJeO0 !! !�-v�aavt ,cfC-rx-E j2Ar�t�-?At3L�S �P• ��'•4�L<5 sP�- CANS C'��ivET W* Q - 1 - ..3 Misc.Combustibles �.C,-4t Misc. Corrosives 6NE" q-,v q F1 vE eAlAWE tLe;+,ver s rf �,�c s c twLo,� �NEns Misc.Reactive Misc.Toxics AW� /c�j /4s�. 6ANs cA-6/N eT- Inventory Total Amount: " /y 7-4AL",f S Hazardous Materials License Posted?Yes Contingency Plan Posted? Yes (.T Fire District: 11VAA/AAS Fire Extinguisher Service Date: N / Metal Covered Rag Bin: Yes l Vo Absorbent Material Available? Yes Type of Absorbent: Speedy Dry Pads Pigs Other: MSDS on site? Yes No Hard Copy Computer Access Hazardous Waste Handling Hazardous Waste Generator Identification Number: Type(s) of hazardous waste product(s): Date of last hazardous waste shipment,type of waste and quantity: Hazardous Waste Transporter(s): Designated Hazardous Waste Facility: Hazardous Waste Storage Area Description: Is hazardous waste storage area labeled: Yes No Are tanks/drums/containers labeled with the words "Hazardous Waste",the type of waste and the associated hazard (i.e. ignitable,corrosive,reactive or toxic) Yes No If hazardous waste is stored out of doors is it covered from the elements? Yes No Is it in 110% containment? Yes No If hazardous waste is stored indoors is it on an impervious floor? Yes No - 2 - FLOOR DRAINS (Chapter 381) Town Sewer Account Number: Indoor floor drains• e No If yes,circle one,does it discharge to a: holding tank dry well o site septic. Alo .1>o"AiEi4j rear/ oxls77 R&C;*�'d/.vG .� ,��oo-artiG TAB-n!!�• Outdoor surface drains: Yes No If yes,circle one,does it discharge to a: holding tank dry well on site septic. FUEL AND CHEMICAL STORAGE TANKS (Chapter 326) Underground Storage Tank(s) on site? Yes Age: Is removal required? Yes No If yes,when? Is testing required? Yes No If yes,when? Out of doors above ground storage tank on site? Yes No If yes,is it protected from the elements? Yes No If yes,how? Is it on a foundation larger in size than the tank. Yes No COMMENTS/RECOMMENDATIONS/CORRECTIVE ACTIONS 077 /AI .4 N P PoS T 4 t O// 1-1-4ZA 0&C RR7ZWJ*a 1•-/GLiUSC Eo.UPuT�/{N Pw T A- J Ai eZ aA CAJC�f /S /Z A-LSO 3£ HA,-1 L6-,) 7V Nf/PT/ 66T4i/tJ, R C77t-//J 6,u.s f TC oAeQA-id/Z'C" JN AA) tom/z y AE7i5 e-AJC4:b /YAIVAIE?P— /`/A--i'F "At- c�' i ��7 Si�n ,e— Au- h`�' otlJ �/-Z- Coal i�cJe�2S aG AiZE iZ �' LA le-ZeD APPRv��f&RUTY r# -T /-krvE /l-s lhle-� � �( Tff'� h ,6oiZ T xA/w. Date: JIiNE .Z T X p/0 Public Health Inspector:,,,."A Facility Representative: o) .�F:7WO P&5 AIR /-��etr�,t THAT Jo)VA) ""JI-7, hem �SR;�c Gv�� �,u d� .i uty /, t0/0 AAva �vr�z BE s��'�1�177'c1G P u 7I NT T�{nt� rn Pv,�uc ff� UrN �/V,,Si6AJ. A hb 770NA y WAS ^/oT/Gi� T �jGt;cc kEti17A?/o�� PRdV/Af THE ,cs dF,E 774f/7_7 � w/1 4(Nh67z saw/ cdv�e, - 3 - SUBSURFACE SEWAGE DISPOSAL SYSTEM NBp'ECTION FORM PART B SYSTEM INFORMATION continued SKETCH OF .SEWAGE DISPOSAL SYSTEM: include ties :to at least two permanent references landmarks or benchmarks locate all wells within 100 ' / -srv.�y „A �; X{ D�s7RlavT/oN B Cx 1T' q- c -7. o .F-T . B" Gaeiv,�i2 . TRH G�"eAG� A- D 3 7. D/S7�e./8uT/off _moo X DEPTH TO GROUNDWATER depth to 'groundwater method of determination or approximation: yYH,v"rs 4'}iAox �,c.E Tmw�v mf �.e�/.srARc.� OBs'.Ee� D k/4r,=A TttB.�e� yiy.E_/�.2 ' • /993 �/•.S.IJ.A. use/�.svicr,�y of IjAC'�/sTABCe� ` Coy.yTY. /''IAss�3cltys TS " - a � n r •b ra ... k ,,7�g F _ ' V _ � t ' i # d � � + + f t k7 '� .. f,4 a i" �(�� (��GorO ►•7c�N►N� Icy„io�^�6 7��c �����/ L ��..<, rr ril BY STREET 21-.Jul-10 Hse# Street Village Prop Owner Date Hauler Source 79 Old Yarmouth Road Hyannis Hostetter 1/19/2002 Macomber Septic 113 Old Yarmouth Road Hyannis Roberts 2/28/2004 Roberts Septic Septic 113 Old Yarmouth Road Hyannis Frank, Scott 6/24/2008 Scott Frank Septic 113 Old Yarmouth Road Hyannis Frank, Scott l l/l/2008 Scott Frank Septic 123 Old Yarmouth Road Hyannis Whitten, John 1/6/2010 Wall 144 Old Yarmouth Road Hyannis Freeman, Charlie 1/13/1999 Abco Cesspool 150 Old Yarmouth Road Hyannis Freeman 1/17/2007 Macomber Cesspool 150 Old Yarmouth Road Hyannis Andrews 5/4/2009 Capewide Cesspool 155 Old Yarmouth Road Hyannis Gauvin 4/30/2007 LeBoeuf Septic Septic 155 Old Yarmouth Road Hyannis Gauvin 5/17/2007 LeBoeuf Septic Septic/Ce 237 Old Yarmouth Road Hyannis Ayotte, Brian 4/10/2002 Hickey Cesspool 380 Old Yarmouth Road Hyannis Recon&Repair 3/18/2005 Ace Septic - 380 Old Yarmouth Road Hyannis Recon&Repair. 9/2/2005 Ace Septic 380 Old Yarmouth Road Hyannis Recon&Repair- 1/28/2005 Ace Septic ^ 380 Old Yarmouth Road Hyannis Recon &Repair 2/4/2006 Ace Septic `dt 380 Old Yarmouth Road. Hyannis Recon &Repair 2/15/2006 Ace Septic 380 Old Yarmouth Road Hyannis Recon&Repair• 6/26/2008 Ace Septic 380 Old Yarmouth Road Hyanni Recon&Repair 6/25/2009' Ace Septic l�w- -�aG; - � 79o-G335' . . 1 BY STREET 21-Jul-10 Hse# Street Village Prop Owner Date Hauler Source 79 Old Yarmouth Road Hyannis Hostetter 1/19/2002 Macomber Septic 113 Old Yarmouth Road Hyannis Roberts 2/28/2004. Roberts Septic Septic 113 Old Yarmouth Road Hyannis Frank,.Scott 6/24/2008 Scott Frank Septic 113 Old Yarmouth Road Hyannis Frank,.Scott l l/l/2008 Scott Frank Septic 123 Old Yarmouth Road Hyannis Whitten,.John 1/6/2010 Wall 144 Old Yarmouth Road Hyannis Freeman,,Charlie 1/13/1999 Abco Cesspool 150 Old.Yarmouth Road Hyannis Freeman 1/17/2007 Macomber Cesspool 150 Old Yarmouth Road Hyannis Andrews 5/4/2009 Capewide Cesspool 155 Old Yarmouth Road Hyannis Gauvin 4/30/2007 LeBoeuf Septic Septic 155 Old Yarmouth Road Hyannis Gauvin 5/17/2007 LeBoeuf Septic Septic/Ce 237 Old Yarmouth Road Hyannis Ayotte, Brian 4/10/2002 Hickey Cesspool 380 Old Yarmouth Road Hyannis Recon&Repair `3/18/2005 Ace Septic 380 Old Yarmouth Road Hyannis Recon&Repair 9/2/2005 Ace Septic 380 Old Yarmouth Road Hyannis Recon&Repair 1/28/2005 Ace Septic 380 Old Yarmouth Road Hyannis Recon&Repair 2/4/2006 Ace Septic 380 Old Yarmouth Road Hyannis Recon&Repair 2/15/2006 Ace Septic 380 Old Yarmouth Road Hyannis Recon&Repair 6/26/2008 Ace Septic 380 Old Yarmouth Road Hyannis Recon&Repair 6/25/2009 Ace Septic 1 I AsBuilt Page 1 of 1 LOCATION SEWAGE PERMIT NO. 3�d G1�4/�� n��� Pi o �•/</-y�,�=cod VILLAGE/ INSTA LLER'S NAME i ADDRESS , J /7 0 C•-,=PS BUILDER OR OWNER J'a 4 N9�y ��GG DATE PERMIT ISSUED DATE COMPLIANCE ISSUED 7_ h , liJr 0 /- o �0 i. http://issgl2/intranet/propdata/prebuilt.aspx?mappar=344015002&seq=1 7/21/2010 Health Master Detail Page 1 of 1 Logged In As: TOl•^%wadlinge Health Master Detail V-jednesday, :July 2.1. 2010 f Application Center Parcel Lookup Selection .Items Parcel Septic Perc Well Fuel Tank Parcel: 344-015-002 Location: 380 YARMOUTH ROAD, HYANNIS Owner: WOOD, GILBERT C Business name Business phone: Rental property: (- Deed restricted: EJ Number of bedrooms Contaminant released: r. Fuel storage tank permit: rl } Safe ParceChariges ` `'Returrii•to Look°up" .. �3. Y Li z m"°�,' ,cR .% 5.'.... Parcel Info Parcel ID: 344-015-002 Developer lot: LOT 2 Location:380 YARMOUTH ROAD Primary frontage: 164 Secondary road:OLD YARMOUTH ROAD Secondary frontage:239 Village:HYANNIS Fire district:HYANNIS Sewer acct: Road index: 1890 Asbuilt Septic Scan: 344015002_1 Interactive map: Town zone of contribution:WP (Wellhead Protection Overlay District) State zone of contribution:IN Owner Info Owner: WOOD, GILBERT C Co-Owner: Streetl:730 BEARSES WAY Street2: City:HYANNIS State:MA Zip: 02601 Country: USA Deed date: 11/15/1995 Deed reference:9936/078 Land Info Acres: 0.99 Use: AUTO V S&S MDL-96 Zoning:B Neighborhood: CI09 Topography: Road: Utilities: Location: Construction Info Building No ear Boil Gross AYeaLivng Area Bedroom-Bathrooms 1 1936 2077 12029 0 Full Buildings value:u46,000.00 Extra features: xO.00 Land value: u218,900.00 ti http://issgl2/intranet/healthMaster/HealthMasterDetail.aspx?ID=344015002 7/21/2010 n Of THE T0�,4 Barnstable Town of Barnstable « edcaC i + UARNSTAFSLE, ' IMASS. Board of Health iDlEo MAC n 200 Main Street,Hyannis MA 02601 2007 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi July 27, 2010 Mr. David Almeida, David's Reconditioning and Repair 380 Yarmouth Road Hyannis, MA 02601 I zLJ �J Dear Mr. Almeida, On July 1, 2010 a Hazardous Materials On-site Inventory and Inspection was performed at your business located at 380 Yarmouth Road, Hyannis, MA. This inspection revealed that the floor drain of the garage work bay reportedly discharges to a"tight tank". (A tight tank is defined as a water tight vessel having an inlet to receive raw sewage but no outlet and which is designed and used to collect and store sewage until it is removed for disposal, and which is regulated under 310 CMR. A holding tank is defined as_a stationary device, constructed of non-earthen materials (e.g., concreted, steel or plastic) that provides structural support, and is used to accumulate or store industrial wastewater. 15.000.) Upon review of Division of Public Health files, the installation of a tight tank/industrial waste holding tank at 380 Yarmouth Road has never been documented. You are hereby requested to provide a completed Subsurface Sewage Disposal System Inspection Form, signed by a licensed inspector, documenting the type of tank connected to the floor drain. Please forward the Inspection Form to the Public Health Division, 200 Main Street, Barnstable, Massachusetts, 02601, Attention: Cynthia Martin, by no later than August 12, 2010. Should the existence of an industrial waste holding tank be verified, you are also required to complete and submit the enclosed"Compliance Certification Form(DEPO1)" to the Massachusetts Department of Environmental Protection. A copy of the completed form shall also be submitted to the Public Health Division at the address noted above, by no later than August 19, 2010. Copies of the "Regulation of Industrial Wastewater Holding Tanks and Containers" and"Compliance Certification (DEPO1) Instructions" have also been enclosed for your convenience. I 2. Should you have any questions, please contact Cynthia Martin of the Public Health Division at 508-862-4645. �4 cKean Director of Public Health Enclosures: Compliance Certification Form(DEP01) Compliance Certification (DEPO1) Instructions Regulation of Industrial Wastewater Holding Tanks and Containers 4 i s c Regulation of Industrial wastewater Holding Tanks and Containers M a s s a c h u s e t t s Holding tanks, mobile tanks and containers are commonly used by commercial, D e p a r t m e n t industrial, institutional and municipal facilities—particularly in areas not served by Of sewers—to store wastewater for off-site disposal, recycling or treatment. Depending E N V I R O N M E N T A L P R O T E C T I O N on storage vessel functions,wastewater characteristics and facility locations, these tanks and containers may be subject to different federal and state regulations. All owners and operators of industrial wastewater holding tanks (IWHTs), mobile tanks and containers used exclusively to accumulate or store non-hazardous, non-sanitary wastewater are required to comply with a Massachusetts Department of Environmental Protection (DEP)-industrial wastewater holding tank regulation (found at 314 CMR 18.00)that took effect in November 2002. Applicability and requirements The regulation applies only to facilities that store non-hazardous, non-sanitary wastewater in IWHTs, mobile tanks or containers and intend to truck it directly off-site for disposal, recycling or treatment. The rule establishes specific construction and operation standards, record-keeping requirements and decommissioning procedures for these industrial wastewater storage vessels. Massachusetts Department of In addition, there is a one-time compliance certification requirement for IWHTs. The Environmental Protection certification form (DEP01) replaces holding tank plan approvals (IW-29 and WP-56) One Winter Street that were required before November 2002. IWHTs previously approved by DEP, as well as mobile tanks and containers, are exempt from the certification requirement. Boston,MA 02108-4746 Regardless of installation date or certification status, owners and operators of storage Commonwealth of vessels subject to the regulation are required to comply with all applicable procedures, Massachusetts requirements and standards. Mitt Romney,Governor Exemptions Executive Office of The regulation does not apply to tanks and containers that are used for: Environmental Affairs Ellen Roy Herzfelder,Secretary • Sanitary wastewater storage regulated under 310 CMR 15.00 (Title 5) • Production processes and wastewater treatment systems Department of Environmental Protection Non-contact cooling water or heating or cooling condensate storage Edward P.Kunce, Acting Commissioner Waste site cleanup projects regulated under 310 CMR 40.0000 Produced by the Hazardous waste storage regulated under 310 CMR 30.000 Bureau of Waste Prevention, , Facilities regulated under the DEP Environmental Results Program (dry cleaners, April 2003. photo processors and printers) Printed on recycled paper. For additional information " This information is available in ' You may download a copy of the DEP01 Industrial Wastewater Holding Tank alternate format by calling our certification package from the DEP Web site at: ADA Coordinator at 617-574-6872 http://www.mass.gov/dep/water/approvals/surffms.htm If you have questions, please call DEP at 617-292-5503. Regulation of Industrial Wastewater Holding Tanks and Containers•Page 1 of 1 Massachusetts Department of Environmental Protection Industrial Wastewater Holding Tank PEP Assigned Facility ID or Compliance Certification Form (DEP01 ) Facility Name Important: A. FacilityInformation When filling out forms on the computer,use only the tab key a.Facility Name b. Facility SIC Code c.DEP Assigned Facility ID to move your cursor-do.not use the return d. Facility Site Address(Street No.,Street Name,Street Suffix e.g.St,Ave,etc.) e.Secondary Unit(e.g.Building-C,7th Floor) key. + f.City g.State h.Zip Code i.Facility Mailing Address(if different from the facility site address above) j.Secondary Unit 'e"D k.City I.State m.Zip Code n.Phone Number o.Fax Number p. Federal Employer Identification Number(FEIN or EIN) A-I. Certification Information a.Contact Person First Name b.Contact Person Last Name c.Title d.Telephone Number e.Owner First Name f.Owner Last Name g.Title h.Telephone Number i.General business description t B. Industrial Wastewater and Holding Tank Information Answer all questions, unless you are directed to skip a question. Do not answer questions that you are directed to skip. 1. Major sources of industrial wastewater a. ❑ Process wastewater (Check all that apply) b. ❑ Equipment cleaning wastewater c. ❑ Spent concentrated solution d. . ❑ Floor spills or floor drainage e. ❑ Other(s)(Please describe below) Describe major sources 2. Major pollutants in the industrial wastewater a. ❑ BOD/COD (Check all that apply) b. ❑ Oil & Grease C. ❑ Low/High pH d. ❑ Cyanide e. ❑ Cadmium f. ❑ Chromium 9• ❑ Copper h. ❑ Lead f i. ❑ Nickel j. ❑ Silver = k. ❑ Zinc I. ❑ Other(s)(Please describe below) Describe major pollutants ■dep01.doc 12/02 Page 1 of 6 ■ r Massachusetts Department of Environmental Protection Industrial Wastewater Holding Tank DEP Assigned Facility ID or Compliance Certification Form (DEP01 ) Facility Name B. Industrial Wastewater and Holding Tank Information (Cont.) 3. Holding Tank ID (If any): 4. Holding Tank Installation Date: (MM/DD/WYY) 5. Tank Type (Check one box only): a. ❑ Above-ground b. ❑ In-ground 6. Tank Construction Material a. ❑ Steel (Check appropriate box(es)or specify): b. ❑ Concrete C. ❑ Fiberglass d. ❑ Plastic e. Other(s)(Please describe below) Describe construction material 7. Tank Capacity a. ❑ Less than 3,000 gallons (Check one box only): b. ❑ 3,000 gallons or more B-I. Compliance Information Section-1 General 101 Do you discharge industrial wastewater to ❑ yes—you must cease discharging and a septic system, leaching field, or complete a Return to Compliance Plan cesspool? ❑ no . 102 Do you discharge industrial wastewater to ❑ yes—you must cease discharging and a storm drain or to the ground without a complete a Return to Compliance Plan surface water or groundwater discharge permit? ❑ no L 103 Is the discharge of your industrial ❑ yes—I have checked with DEP and.l am wastewater to a municipal sewer system aware of the restrictions that may apply to feasible? my facility (if your answer is yes to this question, you need to check with DEP for restrictions ❑ no "that may apply to your facility before completing this certification) ■depOl.doc 12/02 Page 2 of 6 ■ Massachusetts Department of Environmental Protection Ll Industrial Wastewater Holding Tank DEP Assigned Facility ID or Compliance Certification Form (DEP01 ) Facility Name B-I. Compliance Information (Cont.) 104 Is your facility located in the Zone I or ❑ yes— I have checked with DEP and I am Zone A of a drinking water supply area? aware of the restrictions that may apply to (if your answer is yes to this question, you my facility need to check with DEP for restrictions that may apply to your facility before ❑ no -completing this certification) 105 Is this certification for-an above-ground ❑ yes holding tank? ❑ no -skip to question 301 Section-2 Above-Ground Holding Tank 201 Is this above-ground holding tank ❑ yes constructed or lined with material compatible with your industrial ❑ no- submit a Return to Compliance Plan wastewater? 202 Is this above-ground holding tank ❑ yes remotely filled or automatically filled? ❑ no- skip to question 203 202a Have you provided an appropriate ❑ yes audio and light alarm system for this above-ground holding tank? ❑ no- submit a Return to Compliance Plan 203 Have you provided appropriate spill ❑ yes containment for this above-ground holding tank? ❑ no-submit a Return to Compliance Plan 204 Have you provided "Non-Hazardous ❑ yes _ Industrial Wastewater" labels for this above-ground holding tank? ❑ no -submit a Return to Compliance Plan 205 Was this above-ground holding tank both ❑ yes installed after November 15, 2002 and fabricated on site? ❑ no- skip to question 401 Ndep01.doc 12/02 Page 3 of 6 f Massachusetts Department of Environmental Protection LA Industrial Wastewater Holding Tank - DEP Assigned Facility ID or Compliance Certification Form (DEP01.) Facility Name B-I. Compliance Information (Cont.) 205a Was this above-ground holding ❑ yes —skip to question 401 tank constructed in accordance with engineering plans that were ❑ no—submit a Return to Compliance Plan stamped and signed by a and skip to question 401 Massachusetts Registered Professional Engineer? Section-3 In-Ground Holding Tank 301 Is this in-ground holding tank constructed ❑ yes or lined with material compatible with your industrial wastewater? ❑ no- submit a Return to Compliance Plan 302 Is the capacity of this in-ground holding ❑ yes tank greater than 500% of the average daily flow? ❑ no-submit a Return to Compliance Plan 303 Have you provided an appropriate audio ❑ yes and light alarm system for this in-ground holding tank? ❑ no- submit a Return to Compliance Plan 304 Have you provided"Non-Hazardous ❑ yes Industrial Wastewater" labels or signs for this in-ground holding tank? ❑ no- submit a Return to Compliance Plan 305 Was this in-ground holding tank installed ❑ yes t before November 15, 2002? ❑ no -skip to question 306 305a Was this in-ground holding tank ❑ yes- skip to question 401 constructed in accordance with engineering plans that were ❑ no stamped and signed by a Massachusetts Registered Professional Engineer? MdepOl.doc 12/02 Page 4 of 6 Massachusetts Department of (Environmental Protection Industrial Wastewater Holding Tank DEP Assigned Facility ID or Compliance Certification Form (DEP01 ) Facility Name B-I. Compliance Information (Cont.) 305b Will you (or did you)obtain an ❑ yes -.Skip to question 401 integrity assessment by November 15, 2003,which will be ❑ no -submit a Return to Compliance Plan prepared by a Massachusetts and skip to question 401 Registered Professional Engineer, for this in-ground holding tank? 306.. Was this in-ground holding tank ❑ yes constructed in accordance with engineering plans that were stamped and ❑ no -submit a Return to Compliance Plan signed by a Massachusetts Registered Professional Engineer? 307 Have you provided an appropriate ❑ yes secondary containment for this in-ground holding tank? ❑ no-submit a Return to Compliance Plan Section-4 Record Keeping 401 Do you maintain all holding tank ❑ yes construction and installation records (including all applicable permits) at the ❑ no -submit a Return to Compliance Plan facility? 402 Do you keep and maintain the appropriate ❑ yes operating records, including wastewater shipment, ultimate destination, and hauler. ❑ no- submit a Return to Compliance Plan information at the facility? y Odep01.doc 12/02 Page 5 of 6 O Massachusetts Department of Environmental Protection Industrial Wastewater Holding Tank DEP Assigned Facility ID or Compliance Certification Form (DEPO1 ) Facility Name C. Certification Statement (Note: Complete all required Return to Compliance Plan forms before signing this statement) attest under the pains and penalties of perjury: (Name of responsible official) (i) that I have personally examined and am familiar with the information contained in this submittal, including any and all documents accompanying this certification statement; (ii) that, based on my inquiry of those individuals responsible for obtaining the information, the information contained in this submittal is to the best.of my knowledge, true, accurate, and complete; (iii) that systems to maintain compliance are in place at the facility and will be maintained even if processes or operating procedures are changed; and (iv) that I am fully authorized to make this attestation on behalf of this facility. I am aware that there are significant penalties including, but not limited to, possible fines and imprisonment for willfully submitting false, inaccurate, or incomplete information. Signature Date(MM/DID!YYYY) Printed Name Title Source of Signatory Authority (Check appropriate box): 1. If a Corporation: a. ❑ President b. ❑ Secretary c. ❑ Treasurer d. ❑ Vice President(if authorized by corporate vote) e. ❑ Representative of the above (if authorized by corporate vote and if responsible for overall operation of the facility) 2. If a Partnership: ❑ General Partner 3. If•a Sole Proprietorship: ❑ Proprietor 4: If an institution: Principal Executive Officer 5. If a Municipality or a Public Agency: a. ❑ Principal Executive Officer b. ❑ Ranking Elected Official (Empowered to enter into contracts on behalf of the municipality or public agency) Edep01.doc 12/02 Page 6 of 6 f Massachusetts Department of Environmental Protection Industrial Wastewater Holding Tank Compliance Certification (DEP01 ) Instructions This document contains instructions for the one-time Compliance Certification (DEPOT), which is required for many Industrial Wastewater Holding Tanks (IWHTs) under 314 CMR 18.00. The instructions are intended to help you to determine the applicability of the regulation to any tank you own or operate, and to guide you through the certification process with specific construction, operation, and record-keeping requirements. Table of Contents Page # I. What is the Compliance Certification Program? 1 11. Do'I Have to Certify? 2 A. Does 314 CMR 18.00 Apply to Me? 2 B. Do I Have to Submit the Compliance Certification? 3 III. How do I Complete the Compliance Certification? 4' A. Facility Information 4 A-I. Certification Information 5 B. Industrial Wastewater and Holding Tank Information 5 B-I. Compliance Information 6 Section 1: General 6 Section 2: Above-Ground Holding Tank 8 Section 3: In-Ground Holding Tank 8 Section 4: Record Keeping 10 C. Certification Statement 10 IV. How do I Complete the Return to Compliance Plan? 10 V. How do 1 Complete the Transmittal Form? 11 VI. Completeness Checklist 12 VII. DEP Mailing Address 12 i dep01-ins.doc Rev.7/03 Massachusetts Department of Environmental Protection Industrial Wastewater Holding Tank ` Compliance Certification (DEP01 ) Instructions I. What is the Compliance Certification Program? Effective November 15, 2002, all owners/operators of industrial wastewater holding tanks (IWHTs), mobile tanks, and containers are required to comply with Volume 314 of the Code of Massachusetts Regulation, Section 18.00 (314 CMR 18.00). The purpose of this regulation is to protect public health, safety, and the environment by establishing specific construction and operation standards, record-keeping requirements, and decommissioning procedures for these industrial wastewater storage vessels. In addition to these standards, this regulation replaces the previous IWHT Plan Approval requirement (DEP reference numbers IW-29 and WP-56) with a one-time IWHT Compliance Certification requirement (reference number DEP01). This Certification requirement does not apply to mobile tanks and containers. The Compliance Certification requires you to provide general information about your facility and to answer a series of specific compliance questions. Before completing it, you will need to inspect your IWHT and review your operation and maintenance procedures. You are also required to sign a statement that certifies to DEP that all of the information you are submitting is true, accurate, and complete. If you identify compliance problems that cannot be corrected before your submittal deadline, you must file a Return to Compliance Plan (RTC) for each of the problems along with your Compliance Certification. The RTC requires you to explain the problem, list the correction actions to be taken, and provide an anticipated return to compliance date. DEP may follow up with additional questions or an on-site inspection, if necessary. This package includes the following documents: • Compliance Certification Form ■ Compliance Certification Instructions with step-by-step guidance ■ Return to Compliance Plan ■ Transmittal Form for the Fee Payment You are required to pay a certification fee of$115 at the time you submit your Compliance Certification. This replaces the former Plan Approval fee of$350. If you have questions, or need additional information about 314 CMR 18.00 or the Compliance Certification, please contact: ■ DEP Bureau of Resource Protection at (617) 292-5867 ■ DEP Bureau of Waste Prevention at (617) 292-5503 . You may obtain an official copy of 314 CMR 18.00 from the Office of the Secretary of State, or download from the DEP Web site at http://www.mass.gov/dep or request a hard copy from DEP. Page 1 of 12 dep01-ins.doc Rev.7/03 Massachusetts Department of Environmental Protection IL Industrial Wastewater Holding Tank ` Compliance Certification (DEP01 ) Instructions II. Do I Have to Certify? Holding tanks, mobile tanks, and containers are common in industrial settings and may be regulated by other programs depending upon the specific situation. The IWHT Compliance Certification replaces the previous DEP IWHT Plan Approval only. Before you file, it is important to determine if 314 CMR 18.00 applies to you and whether you qualify for certain exemptions. A. Does 314 CMR 18.00 Apply to Me? The regulation applies to holding tanks, mobile tanks, and containers that meet all three of the following criteria: 1. The vessel is used exclusively to accumulate or store industrial wastewater generated on-site or off-site. For example, if you use your holding tank, mobile tank, or container within a production process or within a wastewater treatment system, then this regulation does not apply to you. -and- 2. The industrial wastewater in the vessel will be transported directly to an off- site facility for recycling, treatment, or disposal. For example, if your holding tank, mobile tank, or container is used to transfer industrial wastewater within or between your production process(es) or treatment system(s), then this regulation does not apply to you. -and- 3. The wastewater accumulated or stored in the vessel is non-hazardous, non- domestic industrial wastewater. For example, if the industrial wastewater in the holding tank, mobile tank, or container is hazardous industrial wastewater or domestic wastewater, then this regulation does not apply to you. Please note that under criteria 1 and 2 above, 314 CMR 18.00 does not apply to tanks that are used to hold wastewater before it is discharged to a municipal sewer system. Such tanks may be regulated through industrial wastewater discharge permits and plan approvals under 314 CMR 7.00 and 12.00. If your holding tank, mobile tank, or container does not meet all three of the applicability criteria above, you may stop here because 31.4 CMR 18.00 does not apply to you. Page 2 of 12 dep01-ins.doc Rev.7/03 Massachusetts Department of Environmental Protection Industrial Wastewater Holding Tank ` Compliance Certification (DEP01 ) Instructions Even if you meet all three of the applicability criteria, you may still qualify for an exemption from 314 CMR 18.00 if you meet any one of the following exemption conditions: 1. You are a dry cleaner, photo processor, or printer regulated under the DEP Environmental Results Program (ERP); ' 2. Your holding tank, mobile tank, or container is used for a waste site cleanup project (for example, addressing contaminated soils) that is regulated under 310 CMR 40.00 at your facility; 3. The holding tanks or containers in your facility meet the standards in the Massachusetts Hazardous Waste Regulations (310 CMR 30.000), and the industrial wastewater is shipped to a licensed Treatment, Storage and Disposal Facility (TSDF); or 4. Your holding tank, mobile tank, or container is used for non-contact cooling water, or heating or cooling condensate only. If you are unsure whether you qualify for any of the above four exemptions, call DEP for assistance. If you meet any of the above four exemption conditions, you may stop here because 314 CMR 18.00 does not apply to you. B. Do I Have to Submit the Compliance Certification? If you meet all three of the applicability criteria and do not qualify for any of the four exemptions, you are required to comply with applicable construction and operation standards under 314 CMR 18.00 and to submit a one-time Compliance Certification to DEP for each of your IWHTs, unless: 1. Your existing IWHT was approved by DEP under the previous IWHT plan approval program and issued a IW-01, IW-28, IW-29, or WP-56 permit; or 2. Your existing IWHT has already been approved by DEP under the Compliance Certification program (DEP01). If you have more than one IWHT, you need to check the regulatory applicability for each tank and submit a Compliance Certification for each if required. Even if your IWHT has previously been approved by DEP and therefore exempt from the Compliance Certification requirement, you must still comply with the construction and operation standards established by 314 CMR 18.00. You should periodically inspect your IWHT, review operation procedures, perform maintenance, and keep records of these,activities. Using the Certification form as a compliance checklist is a good idea even if you are not required to submit one. Page 3 of 12 dep01-ins.doc Rev.7/03 Massachusetts Department of Environmental Protection Industrial Wastewater Holding Tank Compliance Certification (DEP01 ) Instructions III. How do I Complete the Compliance Certification? The following Explanation and Instruction Table is designed to guide you through each part of the Compliance Certification by section and number. You will notice that some items, such as "Facility Name" and "Telephone Number," are omitted because they are self-explanatory. Explanation and Instruction Table No. Term Explanation and Instruction A. Facility Information b. Facility SIC Code Your facility's Standard Industrial Classification (SIC) code is a four-digit number used to describe business operations. A list of SIC code is available from: - U.S. Occupation Safety and Health Administration (OSHA), http://www.osha.gov/oshstats/sicser.html - Mass Division of Occupational Safety, (617) 969-7177 If your facility involves multiple types of operations, you may have more than one SIC code. In that case, you should provide the primary SIC codes that are related to your industrial wastewater. C. DEP Assigned If your facility has a permit from DEP, you should have a DEP Facility ID Assigned Facility ID, which can be retrieved from the first page of the permit. If your facility has never held a DEP permit, you may leave this space blank and DEP will assign a Facility ID for you during the review process. d. Facility Site This is the physical location of the facility equipped with an IWHT. Address Example: A company filing from headquarters in New York for a franchise in Boston where the IWHT is physically located should provide the Boston address here, not the headquarters address in New York. e. Secondary Unit Your location may need to be identified by more than a street number. Example: Your facility is located in an industrial park at 10 Washington Street, which has ten buildings, and your company is located in building #5. In this example, your Facility Site Address is 10 Washington St. and your Secondary Unit is Building #5. Page 4 of 12 dep01-ins.doc Rev.7/03 Massachusetts Department of Environmental Protection Industrial Wastewater Holding Tank Compliance Certification (DEP01 ) Instructions No. Term Explanation and Instruction A. Facility Information continued i. Facility Mailing This is the address where the person responsible for signing the Address Compliance Certification can be reached through mail if it is different from the facility site address. Example: A company filing from headquarters in New York for a franchise in Boston where the IWHT is physically located should provide the New York headquarters address here, not the Boston facility address. P. Federal Employer This is a nine-digit number assigned by the U.S. Internal Identification Revenue Service (IRS) to identify business taxpaying entities. Number (FEIN or Your company's FEIN (or EIN) can be retrieved from your most EIN) recent federal tax forms. A-l. Certification Information a. Contact Person This is the person who is actively in charge of IWHT operation. The Contact Person could be the IWHT owner, plant manager, or IWHT operator. e. Owner This is the person who is legally responsible for the IWHT. An owner is usually the person who has legal or equitable ownership of the IWHT, but can also be the person who has effective control over the IWHT, such as an administrator, lessee, or executor. i. General Business You may use general terms to describe your business, such as Description automobile maintenance, electroplating, or food processing. B. Industrial Wastewater and Holdin -Tank Information 1. Major Sources These are the sources that generate most of the wastewater that enters the IWHT. Check all sources that may apply. If your wastewater stream cannot be categorized under(a) through (d); check "Other(s)" [box (e)] and describe that wastewater stream in the line provided. 1-a. Process This is wastewater generated from production processes. Wastewater 1-b. Equipment This is wastewater generated from equipment cleaning . Cleaning processes, including vehicle wash water in non-commercial Wastewater vehicle washing facilities. 1-c. Spent Concentrate This is a solution that contains high concentrations of non- Solution hazardous chemicals, such as certain aqueous cleaners, or non- petroleum based oil and grease. Page 5 of 12 dep01-ins.doc Rev.7/03 LlMassachusetts Department of Environmental Protection Industrial Wastewater Holding Tank Compliance Certification (DEP01 ) Instructions No. Term Explanation and'Instruction B. Industrial Wastewater and Holding Tank Information continued 2. Major Pollutants These are regulated pollutants contained in wastewater streams, such as heavy metals or oil and grease. Check all pollutants that may apply. If there is any pollutant that is not listed under(a) through (k), check "Other(s)" [box (1)] and specify that pollutant in the line provided. 3. Holding Tank ID If you have only one tank in your facility, the Tank ID may not be necessary. However, if you have more than one tank in your facility, you need to assign a Tank ID for each one for proper identification (e.g., T=1 or T-203). Since you are required to submit a Compliance Certification and keep records for each IWHT in your facility, consistent use of Tank IDs is important. 4. Holding Tank This is the date when installation was completed. If the actual Installation Date installation date is unknown, you may estimate it to the best of your knowledge. 5. Tank Type Tank type refers to either above ground or in-ground. Above ground tanks are constructed and positioned completely on or above the plane of the adjacent surrounding surface. In-ground tanks are constructed and positioned partially or completely below the plane of the adjacent surrounding surface. You need to indicate which type of tank you own/operate. 6. Tank Construction Check the appropriate box to indicate the material used to make Material your IWHT. If the IWHT is made of fiberglass, for example, check box (c). If your tank material is not listed under (a) through (d), check "Other(s)" [box (e)] and specify that material in the line ' provided. B-I. Compliance Information Section 1: General 101 Septic system, This refers to the sanitary waste disposal system regulated under leaching field, or 310 CMR 15.00. Under DEP regulations, any discharge of cesspool industrial wastewater to a septic system, leaching field, or cesspool is prohibited. If you are currently discharging into one of these systems, you must cease the discharge and complete a Return to Compliance Plan. Page 6 of 12 dep01-ins.doc Rev.7/03 Massachusetts Department of Environmental Protection Industrial Wastewater Holding Tank Compliance Certification (DEP01 ) Instructions No. Term Explanation and Instruction B-I. Compliance Information continued 102 Surface water or For any discharge of wastewater to surface water or ground, groundwater including storm drains, you are required to obtain a discharge discharge permit permit under DEP regulations 314 CMR 3.00 or 5.00. If you are currently discharging without a permit, you must cease the discharge and complete a Return to Compliance Plan. In the Return to Compliance Plan you may choose to apply for a discharge permit from DEP or to use an IWHT. 103 Feasibility of Under 314 CMR 18.05(1), facilities may not be allowed to use an discharging IWHT prior to shipping their industrial wastewater off-site for industrial treatment or disposal (excluding recycling), if the discharge of the wastewater to a industrial wastewater to a municipal sewer system is, or municipal sewer becomes, feasible (except under certain conditions). Discharging system industrial wastewater to a municipal sewer system is feasible when your facility: (a) Has an existing connection to the sewer collection system and the industrial wastewater discharge can be hydraulically accepted by both the sewer collection system and local wastewater treatment plant; or (b) Meets all of the following conditions: 1. An existing sewer line abuts the facility boundaries; 2. The discharge of the industrial wastewater can be hydraulically accepted by both the sewer collection system and local wastewater treatment plant; and 3. The distance from any building generating industrial wastewater to the closest sewer connection manhole is 250 feet or less. Note that tanks used for discharging to sewer systems are not regulated as IWHTs under 314 CMR 18.00. Rather, they are regulated through the Industrial Wastewater Discharge Permit and Plan Approval under 314 CMR 7.00 and 12.00. Please contact DEP for assistance. 104 Zone I or Zone A Contact your local water supply board or DEP to determine drinking water whether your facility is located within the Zone I or Zone A of a supply area drinking water supply area. If it is, you may be required to comply with more stringent standards. You may not be allowed to use an IWHT under the Drinking Water Regulation 310 CMR 22.00. You may also need to comply with additional requirements from your local water supply board. To find out these additional restrictions or requirements that may apply to you, please contact DEP and your local water supply board for assistance. Page 7 of 12 , dep01-ins.doc Rev.7/03 I Massachusetts Department of Environmental Protection Industrial Wastewater Holding Tank Compliance Certification (DEP01 ) Instructions No. Term Explanation and Instruction B-I. Compliance Information continued Section 2: Above-Ground Holding Tank 201 Tanks constructed Compatible in this context means that the tank or tank liner is or lined with suitable for mixing or contacting the wastewater stored in the material compatible IWHT without causing containment corrosion, degradation, or an with industrial undesirable chemical reaction. If you have questions about wastewater. compatibility, check with your tank supplier or contractor. 202 Remotely filled or These are IWHT filling operations that happen either out of the automatically filled operator's sight (e.g., the IWHT is in the basement or a room . away from the main business operation) or out of the operator's control (e.g., an automatic discharge into a IWHT from production processes). In these cases, an alarm system is necessary to prevent overflows and spills. 202a Appropriate audio This is an alarm system that activates both a sound signal (such and light alarm as a ring or a horn) and a visual indicator (such as a red Fight) in system a staffed location to inform the operator that the IWHT is filled to 75% of its tank capacity. When a computerized continuous monitoring,system is in use, beeper and flash icon signals from a computer are adequate for this requirement. 203 Appropriate spill This refers to a containment structure located in a secured area containment for over an impervious surface with access for visual inspection. The above-ground spill containment structure must have a capacity of 110%of the holding tanks largest single tank or 10% of the total possible volume of all holding tanks, whichever is greater. 205 Fabricated on site This means that the tank was constructed or built at the facility (e.g., a large concrete tank). Pre-fabricated tanks, such as plastic tanks, are not fabricated on site. 205a Engineering plans These are the holding tank design and construction documents, including design and construction specifications and engineering drawings. Section 3: In-Ground HoldingTank 301 Tanks constructed Compatible in this context means the tank or tank liner is suitable or lined with for mixing or contacting the wastewater stored in the IWHT material compatible without causing containment corrosion, degradation, or an with industrial undesirable chemical reaction. If you have questions about wastewater. compatibility, check with your tank supplier or contractor. Page 8 of 12 dep01-ins.doc Rev.7/03 f Massachusetts Department of Environmental Protection Industrial Wastewater Holding Tank Compliance Certification (DEP01 ) Instructions No. Term Explanation and Instruction r B-I. Compliance Information continued 302 Average daily flow This is equal to the maximum weekly flow divided by the number of working days per week, or the monthly flow divided by the number of working days per month. 303 Appropriate audio This is an alarm system that activates both a sound signal (such and light alarm as a ring or a horn) and a visual indicator (such as a red light) in system a staffed location to inform the operator that the IWHT is filled to -75% of its tank capacity. When a computerized continuous monitoring system is in use, beeper and flash icon signals from a computer are adequate for this requirement. 305a Engineering plans These are the holding tank design and construction documents, including design and construction specifications and engineering drawings. 305b Integrity This refers to an engineering evaluation prepared by a assessment Massachusetts Registered Professional Engineer through specific inspection processes. The in-ground IWHT integrity assessment needs to indicate the condition of the tank and how actual or potential'problems, if any (such as leaks, cracks, corrosion, erosion, or uplift), should be properly managed. If the integrity assessment indicates any actual or potential deficiencies, then you must either take all necessary steps to correct them or decommission the tank. 307 An appropriate This refers to techniques used to contain spills from a holding secondary tank and prevent a release to the environment. The secondary containment containment may include one of the following: 1. An impervious liner; 2. A vault; or 3. A double-walled tank. The appropriate secondary containment structure also needs to provide space and access (including access through mechanical or electrical detection devices) to detect leakage from the holding tank and remove it from the secondary containment. Page 9 of 12 dep01-ins.doc Rev.7/03 f Massachusetts Department of Environmental Protection LlIndustrial Wastewater Holding Tank Compliance Certification (DEP01 ) Instructions No. Term Explanation and Instruction B-I. Compliance Information continued Section 4: Record Keeping 401 Construction and At a minimum, these records need to include: installation records 1. Engineering plans, if applicable; 2. Specifications for pre-fabricated holding tanks (if any); and 3. All applicable permits from approving authorities. 402 Operating records At a minimum, these records need to include: 1. Name of the holding tank operator; 2. Date of wastewater shipment; 3. Volume and description of industrial wastewater from ( each source, both on-site and off-site (if any); 4. Name and address of the receiving facility and a document from that facility verifying the shipment; and 5. Name and vehicle registration number of the hauler. C. Certification Statement What is the This statement attests that the person signing the form has certification reviewed the submittal, believes the submitted information is true, statement? and will make sure that management systems are in place to keep the facility in compliance with environmental protection requirements. The person signing the form must be authorized to do so on behalf of the facility and understands that there may be serious consequences for submitting false information to DEP. Who can sign the Only a responsible official. Persons eligible to sign the statement certification are listed below the space for the signature. The person who statement? signs the form must also print or type his/her name and title on the appropriate lines, date the form, and check the applicable title. You must hold one of the listed titles to legally sign the form. IV. How do I Complete the Return to Compliance Plan? If you identify compliance problems that cannot be corrected before your submittal deadline, you must file a Return to Compliance Plan (RTC)for each of the problems (please make extra copies of RTC if necessary). The RTC requires you to specify the compliance question number associated with the problem, explain the problem, list the correction actions to be taken, and provide an anticipated return to compliance date. DEP may follow up with additional questions or an on-site inspection. Page 10 of 12 dep01-ins.doc Rev.7/03 Massachusetts Department of Environmental Protection Lyi Industrial Wastewater Holding Tank Compliance Certification (DEP01 ) Instructions V. How do I Complete the Transmittal Form? The Transmittal Form for Permit Application and Payment is a standard form used by all DEP programs to track submittals of application materials and fee payments. The.following table provides specific instructions for completing this form: Section Instruction Your Transmittal Number You need to hand-enter your unique Transmittal Number at the top of the Transmittal Form. Your unique Transmittal Number can be accessed through the DEP Web site at http://www.state.ma.us/scripts/dep/trasrhfrm.stm or by calling the DEP. A. Application Information DEP Permit Code: DEP01 Name of Permit Category: DEP Holding Tank Type of Project or Activity: DEP Holding Tank B. Applicant Information This section is similar to the IWHT Compliance Certification Section A. However, the address in this section should be the Facility Mailing Address identified in the IWHT Compliance Certification Section A (i) through (m). C. Facility, Site or Individual This section is similar to the IWHT Compliance Certification Requiring Approval Section A. However, the address in this section should be the Facility Site Address identified in the IWHT Compliance Certification Section A (d) through (h). D. Application Prepared by This section needs to be completed if a consultant or agent prepared the Compliance Certification for you. E. Permit- Project Coordination Complete this section if the IWHT is part of a project that is subject to Massachusetts Environmental Policy Act (MEPA) review. F. Amount Due Make a check of$115 payable to the Commonwealth of Massachusetts and then fill in the Check Number, Dollar Amount ($115); and the date of your submittal. Make three copies of the completed Transmittal Form: one to send with your payment, one to attach to the Compliance Certification submittal, and one to retain for your own records. Page 11 of 12 dep01-ins.doc Rev.7/03 Massachusetts Department of Environmental Protection L11 Industrial Wastewater Holding Tank Compliance Certification (DEP01 ) Instructions VI. Completeness Checklist Complete the checklist below to ensure that you take all of the required steps in submitting your IWHT Compliance Certification Form to DEP. ❑ Have you read, understood, and completed the Compliance Certification form, providing answers to all (except for those you were directed to skip) compliance questions? ❑ Have you completed the Return to Compliance Plan form(s) and attached to the Compliance Certification (if applicable)? ❑ Did you consult the instructions and contact DEP for assistance when you needed clarification or additional information? ❑ Has a person with appropriate signatory authority signed the Certification Statement? ❑ Have you attached a copy of the DEP Transmittal Form to the Compliance Certification? o Have you mailed the Transmittal Form and $115 fee payment separately to DEP at the address as listed in the Transmittal Form? ❑ Have you retained complete copies of all submissions for your records? VII. DEP Mailing Address Your complete IWHT Compliance Certification package should be mailed to DEP at: MA DEP IWHT (DEP01) One Winter Street Boston, MA 02108-4746 Page 12 of 12 dep01-ins.doc Rev.7/03 Massachusetts Department of Environmental Protection Industrial Wastewater Holding Tank Compliance Certification Form DEP01 DEPAs Facility NignedFacilitylDor Name Portent: When filling out A. Facility Information W forms to the -Dq ,I 1101PNf computer,use r/�jy �{jJ,� 1�,'t only the tab key a.Facility ame I I I b.Facility SIC Code c.DEP Assigned Facility ID move your c cursor-do not d.Facility Sit Address(Street No.,Street Name,Street Suffix e. St,Ave,etc. e.Secondary Unit(e.g.Building-C,7th Floor) use the return !� g• ) key. HL ' L-q IA �Lj d Z(=,C)' f.City 1 � g.State h.Zip Code i.Facility Mailing Address(If different from the facility site address above) 1.Secondary Unit k.City I.State m.Zip Code n.Phone Number o.Fax Number p.Federal Employer Identification Number(FEIN or EIN) A-I. Certification Information a.Contact Person First Name b.Contact Person Last Name c.Title d.Telephone Number IADW 0 _ e.Own r First Name f.Owner Last Name g.Title h.Telephone Number i.General business description . B. Industrial Wastewater and Holding Tank Information Answer all questions, unless you are directed to skip a question. Do not answer questions that you are directed to skip. 1. Major sources of industrial wastewater a. ❑ Process wastewater (Check all that apply) b. ❑ Equipment cleaning wastewater C. ❑^ W nt concentrated solution d. t- r r spills or floor drainage e. Other(S) (Please describe below) v04UE Wry .ldi2- Describe major sources 2. Major pollutants in the industrial wastewater a. ❑ BOD/COD (Check all that apply) b. ❑ Oil & Grease c. ❑ Low/High pH d. ❑ Cyanide e. ❑ Cadmium f. ❑ Chromium g. ❑ Copper h. ❑ Lead i. ❑ Nickel j. ❑ Silver k. I. ❑ Others Please describe below Vf'H" y'lew WMYA2- Describe major pollutants ■depOl.doc 12102 Page 1 of 6 U ——al-liuseus uepartment of Environmental Protection Industrial Wastewater Holding Tank Compliance Certification Form (DEP01 ` DEP Assigned Facility ID or B. Industrial Wastewater an Fility d Holding Tank Information ac 3. Holding Tank ID (If any): (C NameOrlt.) Holding Tank Installation Date: . (MM/DD/Y 5. Tank Type (Check one box only): a• ❑ ve-ground b• In-ground 6. Tank Construction Material (Check appropriate box(es)or specify): a ❑ S el b• Concrete C. ❑ Fiberglass d• ❑ Plastic e. ❑ Other(s)(Please describe below) Describe construction material 7. Tank Capacity (Check one box only): a: Less than 3,000 gallons b. ❑ 3,000 gallons or more B-�. Compliance Information Section-1 General 101 Do you discharge industrial wastewater to EJ a septic system, leaching field, or yes You must cease discharging and cesspool? com lete a Return to Compliance Plan no 102 Do you discharge industrial wastewater to a storm drain or to the ground without a yes—You must cease discharging and surface water or groundwater discharge ;n�o om lete a Return to ComPliance Plan permit? 103 Is the discharge of your industrial wastewater to a municipal sewer system ❑ yes—I have checked with DEP and I am feasible? aware of the restrictions that may apply a I to (if your answer is yes to this question, you my f ility need to check with DEP for restrictions that may apply to your facility before no completing this certification) Odep0l.doc 12/02 Page 2 of 6 9 r ~~~. 11UaCus uepartment of Environmental Protection Industrial Wastewater Holding Tank Compliance Certification Form p ( EP01) CEP Assigned Facility ID or BSI. C•om pliance Information (Cont.) Facility Name 104 Is your facility located in the Zone I or Zone A of a drinking water supply area? Elyes— I have checked with DEP and I am. (if your answer is yes to this question,you aware of the restrictions that may a I t need to check with DEP for restrictions my facility Y PP Y o that may apply to your facility before completing this certification) no 105 Is this certification for an above-ground holding tank? ❑ yes GJ'no - skip to question 301 Section-2 Above-Ground Holdin Tank 201 Is this above-ground holding tank constructed or lined with material El yes compatible with your industrial wastewater? ❑ no-submit a Return to Compliance Plan 202 Is this above-ground holding tank remotely filled or automatically filled? ❑ Yes ❑ no-skip to question 203 202a Have you provided an appropriate audio and light alarm system for El yes this above-ground holding tank? ❑ no-submit a Return to Compliance Plan 203 Have you provided appropriate spill containment for this above-ground holding ❑ yes tank? ❑ no-submit a Return to Compliance Plan 204 Have you provided "Non-Hazardous Industrial Wastewater"labels for this Yes above-ground holding tank? ❑ no-submit a Return to Compliance Plan 205 Was this above-ground holding tank both El installed after November 15,2002 and Yes fabricated on site? ❑ no-skip to question 401 epol.doc 12/02 Page 3 of 6 ■ Alm I Massachusetts Department of Environmental Pr Industrial Wastewater Holding Tank otection Compliance Certification Form D EP01) DEP Assigned Facility ID or B-1• Compliance Information (Cont.) Facility Name 205a Was this above-ground holding tank constructed in accordance Yes 'skip to question 401 with engineering plans that were stamped and signed by a ' ❑ no—submit a Retum to Compliance Plan Massachusetts Registered and skip to question 401 Professional Engineer? Section-3 In-Ground HoIdin Tank 301 is this in-ground holding tank constructed � � or lined with material compatible with your YUd' es industrial wastewater? ❑ no-submit a Return to Compliance Plan. 302 Is the Capacity of this in-ground holding tank greater than 500%of the average Yes daily flow? ❑ no-submit a Retum to Compliance Plan 303 Have you provided an appropriate and light alarm system for this in-g in-ground El yes holding tank? �,� R no-submit a Return to Compliance Plan 304 Have you provided "Non-Hazardous Industrial Wastewater"labels or signs for yes this in-ground holding tank? no-submit a Return to Compliance Plan 305 Was this in-ground holding tank installed before November 15, 2002? ❑ Yes Ee no-skip to question 306 e!!!305aw z Was this in-ground holding tank coco tsnn !ed in accordance.wiih ❑ yes-skip to question 401 rengineering plans that were stamped and signed by a no Massachusetts Registered Il'`I`' i Professional Engineer? _C)*6• p0l.doc 12102 Page 4 of 6 ■ Massachusetts Department of Envir onmental - , Industrial Wastewater tal Protection er Holding Tank Compliance Certification Form (D E P01) pEP Assigned Facility Ip o B-1• Compliance Information (Cont.) Facility Name 305b Will you (or did you)obtain an ❑ Yes-skip to question 401 integrity assessment by November 15,2003,which will be no-submit a Retum to Compliance PI prepared by a Massachusetts Registered Professional Engineer, and skip to question 401 an for this in-ground holding tank? (306 `Was this in-ground holding,tank ,-Constructed in accordance'with ❑ yes engineering plans that were stamped and nO-submit a Return to Compliance Plan signed by a Massachusetts Registered Professional Engineer? x}PP42c--s\z� 71�% 307 Have you provided an appropriate secondary containment for this in-ground ❑ Yes holding tank? no-submit a Return to Compliance Plan I' Section-4 Record Keeping 401 Do you maintain all holding tank construction and installation records ❑ yes (including all applicable permits)at the facility? no-submit a Return to Compliance Plan 402 Do you keep and maintain the appropriate operating records, including wastewater shipment, ultimate destination,and hauler information at the facility? ❑ no-submit a Return to Compliance Plan Idepol.doc 12/02 Page 5 of 6 ■ r -r f Massachusetts Department of Environmental Prot Industrial Wastewater Holding Tank ection Compliance p Certification Form (DEP01 ) DEP Assigned FacilityIDor C. CertlflCatlOrl Statement Facility Name (Note: Complete all required Retum to Compliance Plan forms before signing g mg this statement) (Name of res , attest under the pains and penalties of perjury: ponsible official) (i) that I have personally examined and am familiar with the information contained in this submittal, including any and all documents accompanying this certification statement; (ii) that, based on my inquiry of those individuals responsible for obtaining the inform information contained in this submittal is to the best of my knowledge,true, accurate, and complete; atlon, the (iii) that systems to maintain compliance are in place at the facility and will be maintained even if Processes or operating procedures are changed;and (iv) that I am fully authorized to make this attestation on behalf of this facility. I am aware that there are significant penalties including, but not limited to, possible imprisonment for willfully submitting false, inaccurate, or incomplete information." fines and Signature '/ ,( D (MM/DD/YYYY) • l'iirnea rvame C9G(/�� �.�� ����� Title Source of Signatory Authority(Check appropriate box): 1. If a Corporation: a• ❑ President b. ❑ Secretary C. ❑ Treasurer d• ❑ Vice President(if authorized by corporate vote) e. ❑ Representative of the above (if authorized by corporate vote and if responsible for overall operation of the facility) 2. If a Partnership: ❑ General Partne r 3. If a Sole Proprietorship: proprietor 4. If an Institution: (] Principal Executive Officer 5. If a Municipality or a Public Agency: a• ❑ Principal Executive Officer b- ❑ Ranking Elected Official (Empowered to enter into contracts on behalf of the municipality or public agency) Idep0l.doc 12/02 Page 6 of 6 i Aug 06 10 10: 35a P. 1 Commonwealth of Massachusetts �T Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not of for Voluntary Assessments 380 Yarmouth Road Property Address Gilly Wood, Property Owner, David Almeida, Business Owner Owner Owner's Name information is required for Hyannis MA 02601 Au ust 6, 2010 every page. City/TownState zip Code Date of Inspection Inspection results must be submitted on this form. inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important, A. General Information - When filling out - forms on the computer,use 1. Inspector only the tab c move yourr David B. Mason cursor-do not use the ratum Name of Inspector key. David S. Mason Company Name ' Q 4 Glacier path Company Address East Sandwich MA 02537 CityJTown State Zip Code 50$-$33-2177 SI287 Telephone Number License Number B. Certification — — — I certify that I have personally inspected the sewage disposal system at this address and th at CD { information reported below is true, accurate and complete as of the time of the inspection.Tha ins tion was performed based on my training and experience in the proper function and maintenances on to sewage disposal systems. I am a DEP approved system inspector pursuant to Section 140 Title 5(310 CMR 15.000).The system: Passes ❑ Conditionally Passes ❑ Fails Li Z3 an © Needs Further Evaluation by the Local Approving Authority D w r J—A August 6, 2010 in'r, tor's Si'jr'-tu Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 drays of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. ***This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. l5im'•co/On A VID Tilly 5 nffiG@I InSpnLtirm From::wbsurfarm sewage D,sl �i Sybt,Ln•I'agr.m n(17 J Aug 06 10 10: 35a p. 2 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 380 Yarmouth Road Property Address Gilly Wood, Property Owner, David Almcida, Business Owner owmear f: mi&s Name information is Hyannis MA 02601 Au ust 6, 2010 required for Y' g every page. Cityrrown State Zip CWO Date of Inspection B. Certification (cont.) Inspection Summary:Check A,B,C,D or E I always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: Existing 1000 gallon H2O Septic Tank used as a tight tank connected to a garage bay floor drain.No information was available at the Health Department regarding DEP approval. B) System Conditionally Passes: ® One or more system components as described in the"Conditional Piss"section need to be replaced or repaired.The system,upon completion of the replacement or repair, has approved by the Board of Health,will pass. Check the box for"yes","no"or"not determined" (Y, N, ND)for the following statements, If"not determined,"please explain. The septic tank is metal and over 20 years old"or the septic tank(whether metal or not) is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent.System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board,of Health. `A metal septic link will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND(Explain below): 15ins•09108 iifla 5 Official trrspedw r orm:Svbsreeeo.S0'mci I mprnal:;yMem•pnga?(A 1/ Rug OE 10 10: 358 p, 3 Commonwealth of Massachusetts ?� Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 380 Yarmouth Road 2� Property Address Gilly Wood, Property Owner, David Almeida, Business Owner Owner owner's Name Information is required for Y H annis MA 02601 August 6, 2010 ovary page. (:lryRown State Zip Code Datm of Inspection B. Certification (cont.) B) System Conditionally Passes(cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ NO(Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipc(s).The system will pass inspection if(with approval of the Board of Health): ❑ broken pipo(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ NO(Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh tGmz.0MA title.N Offiri:Y Inspudwl Fow 5ubsurrairn Surnyu Disposal syslum.llapn:1 of 17 Rug 06 10 10: 35a p. 4 `\ Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments `• 380 Yarmouth Road Property Address Gilly Wood, Properly Owner, David Almeida, Business Owner Owner Owner's Name information is required for Hyannis MA 02601 August 6, 2010 every page. Cityrrown _ State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health(and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**, Method used to determine distance: This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections; Yes No ❑ ® Backup of sewage into racility or system component due to overloaded or clogged SAS or cesspool El ® Discharge or ponding of effluent to the surface of the ground or Surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6"below invert or available volume is less than'/z day flow l5ina•0lNOH . . .--- .. .-- .. ...—. Tiih:-,I-Arm i inspeaw�rwnc Subsur(nce se un}n rh W,sal&rslwu•Hngn 4 of 17 Aug 06 10 10: 35a P. 5 < Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 380 Yarmouth Road Property Addre;S Gilly Wood, Property Owner, David Almeida, Business Owner Owner Ownpes Name information is H annis MA 02601 August 6, 2010 required for y wary page. City/Town _ - State Zip Code Date of Inspection B. Certification (cont.) Yes No Q ® Required pumping more than 4 times in the last year NOT duc to clogged or obstructed pipe(s). Number of times pumped: _ __ ❑ 0 Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ❑ Any portion of cesspool or privy is within 100 feet of a surface water supply or_ tributary to a surface water supply. ❑ 9 Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ Any portion of a cesspool or privy is within 50 feet of a private water supply well. Q ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ❑ The system is a cesspool serving a facility with a design flow or 20009pd- 10,0009pd, Q ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems- To be considered a large system the system must servo a facility with a design flow of 10,000 gpd to 15,000 gpd. For large sysh;ms, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water Supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area IWPA)or a mapped zone It of a public water supply well If you have answered"yes"to any question in Section E the system is considered a signific.:3nt threat, or answered"yes" in Section D above the large system has failed.The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. 150S•UUIOH I tlln 6 Qffiriul In:peuGuo Form yi ioSurtaro rw;ruye Dni"l System-1�npn•,of 17 Aug 06 10 10. 3Ga p, s e Commonwealth of Massachusetts Title 5 Official Inspection Form 1 _ Subsurface Sewage Disposal System Form-Not for Voluntary Assessments �Y;;,� .•;" 380 Yarmouth Road Property Address Gilly Wood, Property Owner, David nlmeida, Business Owner Owner Owner's Name information is Hyannis MA 02601 August 6, 2010 required for y every page. City/rown _ StiatH zip Code Date of inspection C. Checklist Check if the following have been done.You must indicate"yes"or"no"as to each of the following: Yes No ® ❑ Pumping information was provided by the owner,occupant,or Board of Health ❑ U Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? El ❑ Have large volumes of water been introduced to the system recently or as part of this inspection? ❑ ® Were as built plans of the system obtained and examined?(If they were not available note as NIA) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components,excluding the SAS, located on sits:`? ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions,depth of liquid, depth of sludge and depth of scum? Was the facility'owner(and occupants if different from owner)provided with Z p information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) (310 CMR 15.302(5)] D. System Information Residential Flow Conditions: 0 Number of bedrooms actual 0 Number of bedrooms(design): (actual): DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): Dins•OWN 1 qu:5 OlBdel hapegnr,rum,.subsurfaru smiye @5 -mi fiy.Num•Patio 4 el 1 r l IRug 06 10 10: 36a p, 7 Commonwealth of Massachusetts Title 5 Official Inspection Form _ Subsurface Sewage Disposal system Form Not for Voluntary Assessments 380 Yarmouth Road Sig" Property Address Gilly Wood, Property Owner, David Almeida, Business owner owner owner's Name information is Hyannis MA 02601 August 6, 2010 required for y State Zip Code Date of Inspection every page, cityrrown D. System Information Description: System passes based on the information observed on May 20, 2010 at 2 PM.This does not guarentee the continued operation of the system. Increase in occupancy may result in hydraulic failure. 2 employees Number of current residents: Does residence have a garbage grinder? ❑ Yes 9 No Is laundry on a separate sewage system?[if yes separate inspection required] ❑ Yes 0 No Laundry system inspected? ❑ Yes 9 No Seasonaluse? [� Yes 10 No Water meter readings, if available(last 2 years usage(gpd)): yes Detail: 2008-71,250 gallons and 2009 53,250 gallons Sump pump? ❑ Yes ® No current Last date of occupancy: Date Commercialllndustrial Flow Conditions: Type of Establishment: Dosign flow(based on 310 CMR 15.203), Gallons per day(gpd) Basis of design flow(scats/persons/sq.ft.,etc.): Grease trap present? ❑ Yes ❑ No ,Industrial waste holding lank"present? " - = -❑� Ycs,�"'No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings,if available: It,ins•09/08 Title 5 Ugirinl lmpWio�l Farm:rubswlAro.%w.iye ikspnr,; tiyniem•Pflpn 7 u1 17 IAug 06 10 10: 36a p, 8 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 380 Yarmouth Road Properly Addre,s Gilly Wood,Property Owner, David Almeida, Business Owner owner Owners Name infomlation is MA 02601 August 6,2010 wired for Hyannis required Lit /Towm State Zip GOcc Date of Inspection every page. Y —. -- — — — —. D. System Information (cost.) Last 0te of occupancyluse: Date Other(describe below): General Information Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes No if yes,volume pumped: gallons Now was quantity pumped determined? Reason for pumping: Type of System: ❑ Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool Privy ❑ Shared system (yes or no)(if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ®�"�"Tight_t�ink`Attach`a copy of the'DEP^appr'oval� ❑ Other(describe): I:wn.•0910H ;mr.5 official 1mgX:41iuN f-orm:"Usumm suwaoO Paw 0 4 1 Rug 06 10 10: 36a p, 9 Commonwealth of Massachusetts } ha Title 5 official Inspection Form Subsurface Sewage Disposal Systom Form Not for Voluntary Assessments 380 Yarmouth Road Property Address Gilly Wood, Property Owner,David Almeida, Business Owner Owner Owner's Name —; information is requirad for /Hyannis MA 02601 ugust 6, 2010 every Page. Oity[Town estate Zip Ccxlo Date of Inspection D. System Information (coat.) Approximate age of all components,date installed(if known)and source of information: Were sewage odors detected when arriving at the site? ❑ Yes No Building Sewer(locate on site plan): 2 Depth below grade: t,�pt Material of construction: ❑cast iron 0 40 PVC ❑other(explain): Not Applicable DistancF from private water supply well or suction line: feet Comments(on condition of joints,venting,evidence of leakage, etc_): Appears in working order Septic Tank(locate on site.plan): Depth below grade: feet Material of construction: ❑concrete ❑ metal ❑fiberglass ❑polyethylene ❑other(explain) If Wnk is metal, list age: years Is agc confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No Dimensions: Sludge depth: U: ris•Owe Title 5 Official!ncprxdiurl rcar!1:sumirforo Sowaaa Ihsrimal!,plem-1'4pn!3 of 11 Aug 06 10 10: 36a P. 10 Commonwealth of Massachusetts Title 5 Official Inspection Farm _.: Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 380 Yarmouth Road Property Address Gilly Wood, Property Owner,David Almoida, Business Owner Owner Owner's Name information is MA 026i01 AU ust 6, 2010 required for Hyannis g ovary page. Ciry(Towrt State Zip Code Date at Itttipuction- D. System Information (cant.) Septic Tank(cont,) Distance from top of sludge to bottom of outlet tee or baffle Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom or scum to bottom of outlet tee or baffle How were dimensions determined? Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage,etc.); Grease Trap(locate on site plan): 4 Depth below grade' feet Material of construction: C7 concrete ❑metal ❑fiberglass ❑ polyethylene ❑other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: malt, t5in9•fP.Ultti TiUO 5 Official In,pciminn ruurl.Subsulteco%magu Din;;usa1 Sy,Wm•tlogn IO of 17 Rug 06 10 10: 36a p. 11 wt� Commonwealth of Massachusetts Title 5 Official Inspection Form $ubsurfacc Sewage Disposal System Form Not for Voluntary Assessments s;r• "" 380 Yarmouth Road Property Address Gilly Wood, Property Owner, David Almeida, Business Owner Owner Owners Name intormation Hyannis MA 02601 August 6, 2010 for required state Zip C)dC Date of Inspection every page. City(rownD. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): Tight or Holding Tank(tank must be pumped at time of inspection)(locate onysite.plan) Approx. 12 inches Depth below grade: Material of con;;truction: concrete, ❑ rnetal ❑fiberglass ❑ polyethylene ❑other(explain): Typical H2O Dimensions: 1000 Capacity: gallons Approx_75 gallons per day Design Flow: gallons per day Alarm present: ❑ Yes ® No Alarm level: Alarm in working order. ❑ Yes ❑ No July 26,2010 Date of last pumping: Date Comments(condition of alarm and float switches,etc.): No information on file regarding the tight tank. 1000 gallon concrete H2O Tight Tank connected to floor drain in garage bay. No pumping contract, but arrangements exist between business owner and ACE Pumping. Heavy Duty Cast Iron Cover to Grade. Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ® No i ifln S OIhPN In�luu;G0i1 Fnrm::wL9v�r�rn:,�vup0 f H:�IK�.31 tiy;l�yn•Ib�,�71 cA 17 Aug 06 10 10: 36a p. 12 Commonwealth of Massachusetts -- ~ Title 5 official Inspection Form _ Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 380 Yarmouth Road Property Address Gilly Wood, Property owner,David Alrneida, Business Owner Owner Owners Name information is Hyannis MA 02601 August B, 2010 ann required for y State Zip Code Date of Inspection (-very page. Cityrrown — —• —. D. System Information (cont.) Distribution Box(if present must be opened)(locate on site plan): Depth of liquid level above outlet invert Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover,any evidence of leakage into or out of box, etc.): Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): Soil Absorption System(SAS)(locate on site plan, excavation not required): If SAS not located, explain why: I:um•OOtrta T I r,Offidgl InSprvaim corm•fuhsurlaco Snwayu vinrnanl hyAnt•Pap 12 of 11 Rug 06 10 10: 37a P. 13 <, Commonwealth of Massachusetts 7 - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 380 Yarmouth Road Property Address Gilly Wood, Property Owner, David Almeida, Business Owner Owner Owner's Name infomlation is Hyannis MA 02601 August 6, 2010 roquired for State zip Code Dato of Inspection _ every page). City(rownD. SyStem Information (cont.) Type: El leaching pits number: leaching chambers number: 0 leaching galleries number: leaching trenches: number,length: Cl leaching fields number, dimensions: [] overflow cesspool number: El innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp:,oil,condition of vegetation,etc.): Cesspools(cesspool must be pumped as part of inspection)(locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids Dyer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes No jwn-011W.. I iee S Ufliodl Impeo4on e-nrm:Sub6Udnrc Saw9fM Ui:am:;:d$ysd:rn-Pa!1n 11 of)/ Rug 06 10 10: 37a p. 14 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 380 Yarmouth Road Property Address Gilly Wood, Property Owner, David Almeida, Business Owner Owner Owner's Name information is required for Hyannis MA 02601 August 6, 2010 every page. citylrown state Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vecgeUltion, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetatior7, etc.)- I:dn;•09/00 [We 5 Ulficial A»pecuun rwm.3uUmurfmx rewuyu rfisFxe;.,d;ystrin•pno m nt I i Aug 06 10 10: 37a P. 15 a _ Commonwealth of Massachusetts } :- Title 5 official Inspection Form r Volunt r Assessments Subsurface Sewage Disposal System Form-Not fo Y �;; -•;'' 380 Yarmouth Road t Property Address Gilly Wood, Property Owner, David Almeida, Business Owner Owner Owner's Name intorma6on is Hyannis MA 02601 August 6, 2010 required for y State Zip Code Date of Inspection every page. Cityrrown - - — — -- -- --D. System Information (cost.) Sketch Of Sewage Disposal System:Provide a view of the sewage disposal system, including tics to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building.Check one of the boxes below: ❑ hand-sketch in the area below ® drawing attached separately 1 - � - IA4 tans•09108 Title 5('IPoanl h%peaon f rnm:SuUwr10rP Nrw;jue DSOxnl Sy!ltuO•Pxjn 16 ur 17 Rug 06 10 10: 37a p. 16 Commonwealth of Massachusetts 1, Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 380 Yarmouth Road a �I` Prc)perty Address Gilly Wood, Property Owner,David Almelda, Business Owner Owncr pwner's Name information is Hyannis Ennis MA 02601 August 6, 2010 required for State Lip Code Date of Inspection every page. cityl-rown _ _ _,_ .— .—. —. — — — — -- — —D. System Information (coat.) Site Exam: Check Slope ® Surface water Chock collar ❑ Shallow well; 30 Estimated depth to high ground water: feet Please indicate all methods used to determine the high ground water elevation: n Obtained from system design plans on record If checked,date of design plan reviewed: Date Observed site(abutting propertylobservation hole within 150 feet of SAS) Checked with local Board of Health-explain: Engineered plan on file ® Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation, Used engineered plan on file based on test hole data. Before filing this Inspection Report,please see Report Completeness Checklist on next page. [Ain 5 Official UmPecDon ro,m:$ubra,rfaco.wrwaga Ikr-N."41 5;ysu:111•IWO If rJf 17 tSins-Wh1h Aug 06 10 10: 37a p, 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments — 380 Yarmouth Road Prop"Address Gilly Wood, Property Owner,David Almoida, Business Owner Owrlw owner's Name Information i5 Hyannis MA 02601 August 6, 2010 ann rKuired for y State Zip Code Date of Inspe(:tion every page. CirylTown -. -. E. Report Completeness Checklist ® Inspection Sumrnaryi A, B, C, D,or E checked Inspection Summary D(System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file Vann•o9/0e min 5 Official tnspr:r7ux1 I offn SubsurMeo;nwage IAwpn!Li1 ISy::mo,n•Rage 17 n1 1 I ,„.� .% �i *".d'rseF"zc'' K _ - N .,fir. ..q� ,`��,u..� _ (��• /��j M1 C./ I�, /�� n# fie. �,`� �a �. r �yt ,a �r�l�`'���.k?�"�a.� ��"s,�" ty X� �* '` f �" * �,. ...r r � a ,� `fk'a+1` •�' '�vr; i Y>• s � tea; f'j' 3 �„�','�' r qW` $ � r� °' z .e y'ka, . _ - M1d •,� M17 3 'L�s�.++ a `• ,�y +� i A a' 5sw`'` i R �? 1 iWA r t . _—.,r�...,.�' — •ems t4r w N ` c� .tx L F k � 7t � � ,`? k. ° '�r _ '� y„"&y "rC�^1"',�} ..rm� �C a u.a: ♦'__.J� V 1, .ice �hP = s� t j QUICI IIGH G OSHA FINISH � (Clear Coat Safe) DIRECTIONS r'r « For Professional Use Only Tr a Spray sparingly onto entire painted surface. Use terry cloth towel to buff to a super high , gloss finish � t �° Wash car Rinse car thoroughly. Do NOT dry car. Spray SPEED GLAZE directly onto _ w 3 �^° wetpainted surface. Use terry cloth towel to dry and buff car to a super high gloss shy CAUTION: EYE IRRITANT. �a .,Avoid'contact.with_eyes. Keep out of reach of children. Protect from freezing , We Co� rt . ntains W ate r,(7732-18-5),'Polydi met hyIsiIoxane (63148-62 )) HMIS Ratingt K'cr - FIr- Aitl''Eyei06htact - Flush eyes with plenty of water for 10 .minutes �rphyslcian "¢ ` h "` }.>, ° a� Ac 41 i p� •gar NET CONTENTS GALS - k .a G - h. �'; a'�e^y'9Yy "an'M r. �4 s✓d, 'tz }'"h 'S'�, � w1 f' �. � "i'�u,�. '� tag �" '.'9r� i 1 / 4 REVISION DATE: 07.05.2009 POLYDIMETHYLSILOXANE MSDS Polydimethylsiloxane I IDENTIFICATION OF THE.SUBSTANCE/PREPARATION AND OF THE COMPANY/UNDERTAKING; PRODUCT NAME Polydimethylsiloxane SYNONYMS,TRADE NAMES Rhodorsil Huile 47 V 100 - APPLICATION Lubricant Additive for paint Thermostatic Fluids Water Repellent SUPPLIER Abbey Chemicals 27-30 North River Road Great Yarmouth Norfolk NR30 1SH Tel:+44 1493 850303 Fax:+44 1493 330909 www.abbey-chemicals.co.uk Emergency Contact Number +44 1493 8 503 03 . (Office Hours) SDS No. R060 2 HAZARDS IDENTIFICATION ' CLASSIFICATION 3 COMPOSITION/INFORMATION ON INGREDIENTS CAS-No. 63148-62-9 4 FIRST-AID MEASURES INHALATION - -- -- Move the exposed person to fresh air at once. Rinse nose and mouth with water. Get medical attention if any discomfort continues. INGESTION NEVER MAKE AN UNCONSCIOUS PERSON VOMIT OR DRINK FLUIDS! Rinse mouth thoroughly. Get medical attention if any discomfort continues. . SKIN CONTACT - Remove affected person from source of contamination. Remove contaminated clothing. Wash the skin immediately with soap and water. Get medical attention if any discomfort continues. EYE CONTACT - Make sure to remove any contact lenses from the eyes before rinsing. Promptly wash eyes with plenty of water while lifting the eye lids. Continue to rinse for at least 15 minutes. Get medical attention if.any discomfort continues. 5 FIRE-FIGHTING MEASURES,,, EXTINGUISHING MEDIA - Use fire-extinguishing media appropriate for surrounding materials. Extinguish with foam, carbon dioxide or dry powder.Do not use water jet as an extinguisher, as this will spread the fire. SPECIAL FIRE FIGHTING PROCEDURES Water spray should be used to cool containers. I_. 2 / 4 REIVISION DATE: 07.05.2009 Polydimethylsiloxane SPECIFIC HAZARDS Carbon monoxide(CO). Carbon dioxide(CO2). PROTECTIVE MEASURES IN FIRE L Self contained breathing apparatus and full protective clothing must be wom in case of fire. 1 6 ACCIDENTAL RELEASE MEASURES PERSONAL PRECAUTIONS Wear protective clothing as described in Section 8 of this safety data sheet. ENVIRONMENTAL PRECAUTIONS Do not discharge onto the ground or into water courses. SPILL CLEAN UP METHODS Stop leak if possible without risk. Absorb in vermiculite, dry sand or earth and place into containers. Flush contaminated area with plenty of water.Do not contaminate water sources or sewer. 7 HANDLING AND STORAGE USAGE PRECAUTIONS Avoid spilling, skin and eye contact. STORAGE PRECAUTIONS Store in tightly closed original container in a dry, cool and well-ventilated place.Keep in original container.Use container made of: Plastic lined steel drum. Suitable plastic material. Avoid contact with oxidising agents. 8 EXPOSURE CONTROLS/PERSONAL,'PROTECTION PROTECTIVE EQUIPMENT PROCESS CONDITalONS Provide eyewash station and safety shower. ENGINEERING MEASURES - Provide adequate ventilation.Observe Workplace Exposure Limits and minimise the risk of inhalation of vapours. RESPIRATORY EQUIPMENT No specific recommendation made, but respiratory protection may still be required under exceptional circumstances when excessive air contamination exists. Wear respiratory protection with combination filter(dust and gas filter) during spraying operations. c HAND PROTECTION Use suitable protective gloves if risk of skin contact. Use protective gloves made of: Polyvinyl chloride (PVC). Nitrile. EYE PROTECTION If risk of splashing, wear safety goggles or face shield. OTHER PROTECTION Wear appropriate clothing to prevent any possibility of skin contact. HYGIENE MEASURES - DO NOT SMOKE IN WORK AREA! Wash at the end of each work shift and before eating, smoking and using the toilet. Wash promptly if skin becomes wet or contaminated. Promptly remove any clothing that becomes contaminated. Use appropriate skin cream to prevent drying of skin.When using do not eat, drink or smoke. 9 PHYSICAL AND CHEMICAL PROPERTIES APPEARANCE Viscous liquid COLOUR Colourless t 3 / 4 REXISION DATE: 07.05.2009 t Polydimethylsiloxane ODOUR Slight odour SOLUBILITY Insoluble in water Miscible with Ether. Aromatic solvents Hydrocarbons. MELTING POINT(°C) -- -55 BULK DENSITY 965 kg/m3 VAPOUR PRESSURE <0.01 kPa @ 20°C VISCOSITY. - 100 cSt @ 25°C_ - FLASH POINT(°C) 300 CC(Closed cup). AUTO IGNITION. >400 TEMPERATURE(°C) - 10 STABILITY AND REACTIVITY STABILITY /IStable tinder normal temperature conditions. �t - 4_ t CONDITIONS TO AVOID - - - - Avoid excessive heat for prolonged periods of time. : MATERIALS TO AVOID Strong oxidising substances.Strong alkalis. HAZARDOUS DECOMPOSITION PRODUCTS" ' Fire creates: Carbon monoxide(CO). Carbon dioxide(CO2). I T03CICOLOGICAI INFORMATION, TOXIC DOSE.I-LD 50 >2000 mg/kg(oral rat) INHALATION - In high concentrations, vapours may irritate throat and respiratory system and cause coughing. INGESTION May cause discomfort if swallowed. SKIN CONTACT Liquid may irritate skid ` EYE CONTACT, - - - - - Spray and vapour in the eyes may cause irritation and smarting. 12 ECOLOGICAL`=INFORMATION , ECOTOXICITY - Not regarded as dangerous for the environment. MOBILITY - The product is insoluble in water.- BIOACCUMULATION Will not bio-accumulate. DEGRADABILITY The product is not biodegradable. p I 13 DISPOSAL.CONSIDERATIONS _ r GENERAL INFORMATION - Do not puncture or incinerate even when empty: - - - DISPOSAL METHODS, ,.- Dispose of waste and residues In accordance.with local authority requirements. - -1 u sw t 14 TRANSPORT,INFORMATION GENERAL The product is not covered by international regulation on the transport of dangerous goods(IMDG, IATA, ADR/RID). . ROAD TRANSPORT NOTES - Not Classified RAIL TRANSPORT NOTES Not Classified. SEA TRANSPORT NOTES Not Classified. 4 / 4 REVISION DATE: 07.05.2009 Polydimethylsiloxane AIR TRANSPORT NOTES Not Classified. 15 REGULATORY INFORMATION RISK PHRASES NC Not classified. STATUTORY INSTRUMENTS Chemicals(Hazard Information and Packaging)Regulations. APPROVED CODE OF PRACTICE - ,Classification and Labelling of Substances and Preparations Dangerous for Supply. Safety Data Sheets for Substances and Preparations. 1 GUIDANCE NOTES Workplace Exposure Limits EH40. CHIP for everyone HSG(108). 16 OTHER INFORMATION ISSUED BY - - Abbey Chemicals REVISION DATE 0705.2009 REV.NO./REPL.SDS 01 _ GENERATED SDS NO. " R060 SAFETY DATA SHEET STATUS Approved. DATE 07.05.2009 SIGNATURE Thomas Tailford Town of Barnstable y0F THE Tp�L Regulatory Services y�P ti� Thomas F. Geiler,Director Public Health Division * BARNSTABLE, * Thomas McKean,Director 90o i639. � 200 Main Street, Hyannis,MA 02601 ArFD MA't a Phone: 508-862-4644 Email: health@town.bamstable.ma.us Fax: 508-790-6304 Office Hours: M-F 8:00—4:30 June 4, 2007 Mr. David Almeida David's Reconditioning and Repair 380 Old Yarmouth Road Hyannis, MA 02601 Dear Mr. Almeida: Thank you for your time and cooperation during the hazardous materials inventory and site visit at David's Reconditioning and Repair on May 1,2007. This letter contains information from that visit that will help you become compliant with Chapter 108 of the Town of Barnstable Ordinance: Hazardous Materials. Enclosed are copies of Chapter 108: Hazardous Materials ordinance,the Toxic and Hazardous Materials On-Site Inventory form from the site visit, and a copy of the vehicle washing policy. Please note the observations identified at your place of business during the hazardous materials inspection listed below. 013SERVATIONS: • Floor drain in garage empties into a holding tank. The tank is emptied every 3-4 months. Please maintain all receipts for disposal of the waste water. • Remove the 275 gallon tank if not in use to avoid accidental filling. • Label all products that are in containers other than the original container. • Order MSDS for all the products that are on site and keep in a folder or binder for easy access. • Review vehicle washing policy. On Site Inventory Total The Toxic and Hazardous Materials On-Site Inventory from May 1,2007 shows that you have approximately 174 gallons of toxic and hazardous materials being used, stored, generated and disposed of at David's Reconditioning and Repair, 380 Old Yarmouth Road,Hyannis,MA (Please see enclosed Toxic and Hazardous Materials On Site Inventory sheet). e If you have any questions about these observations, or you need further information, guidance or assistance,please do not hesitate to contact the Public Health Division. Sincerely, ACID Lalkor Ali sha L. Parker Hazardous Materials Specialist Al l orders to correct violations of Chapter 108 of the Town of Barnstable Ordinance: Hazardous Materials shall be completed upon receipt of this letter. Thomas A. McKean, RS, CHO Director of Public Health Eric. On-Site Inventory(copy) Chapter 108 (copy) Vehicle Washing Policy(copy) ya l r� Number Fee 1025 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that David's Recon and Repair 380 Yarmouth Rd., MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires June 30, 2008 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN SUMNER KAUFMAN,M.S.P.H. 7/9/2007 PAUL J. CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable oEz Regulatory Services °� Thomas F. Geiler,Director . Public Health Division ; i63g ♦0 Ca iDlka •+" Thomas McKean,Director _; -z 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790�6304 t5 N > Application Fee: $100.00 ' _ cz� cn r- cn M ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN I II GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT y NAME OF ESTABLISHMENT la- 's C ADDRESS OF ESTABLISHMENT..... �?D H C)(� - TELEPHONE NUMBER SOLE OWNER: VYES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS.-O PRESIDENT ;TREASURER CLERK­ SIGNATURE`O_F APPLICANT (� RESTRICTIONS: HOME ADDRESS Q C l C>0() HOME TELEPHONE# j C>� —J Number Fee 1025 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that David's Recon and Repair 380 Yarmouth,Rd., MA 02601 Is Hereby Granted.a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ----------------------------------------------------------------------------------- ------------------------------------------------------- ------- --------- ------- ------- -------- --------- ------- _--- ------- -------- -------- -------- ---- This license is granted in conformity with the Statutes`and ordinances relating there to, and and expires June 30, 2007 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN SUMNER KAUFMAN,M.S.P.H. June 27, 2006 PAUL J. CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable Regulatory Services Thomas F. Geiler,Director Public Health Division' Thomas McKean,Directore ,j u 9; �1 9- 54 200 Main Street, Hyannis,MA 02601 Zf Office: 508-8624644 Fax:.508-790-6304 . Application Fee: $100.00 - 3 IN ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT _T)AV ( Ot NAME OF ESTABLISHMENT I �5 i✓C; e� ADDRESS OF ESTABLISHMENT 38D ©(Ur- 'fQ r MD TELEPHONE NUMBER D -SOLE OWNER: V YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO: - STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE.# Hss..dor.'wp,1q f 1 T MAIL-IN REQUESTS Please mail the completed application form to the address below. Also include copies of your employees food sanitation training certificates. In addition, lease include the required fee p q amount (see fees at bottom of this page). Make check payable to: Town of Barnstable. Allow five to seven (7)working days for in-house processing. Our mailing address is: Town of Barnstable Public Health Division 200 Main Street Hyannis,MA 02601 s � T I n FOR FAXED REQUES t S Our fax number is (508) 790-6304. Please fax a completed application form. Also, please fax copies of your employees food sanitation training certificates. In addition, you must mail the required fee amount (see fees at bottom of this page). Please make the check payable to: Town of Barnstable. The check must be mailed to the address listed above. Allow up to four days for in- house processing. For further assistance on any item above, call (508) 862-4644 Back to Main Public Health Division Page - I� Town of Barnstable °FtWE r Regulatory Services Thomas F. Geiler, Director ' MASS. ' Public Health Division 1639. ♦0 AjEo ,�A Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Wayne Miller,M.D. Fax: 508-790-6304 Sumner Kaufman,M.S.P.H. Paul J. Canniff,D.M.D. NOTICE TO ALL BUSINESS OPERATORS WITH HAZARDOUS MATERIALS IN BARNSTABLE The Town of Barnstable Town Council adopted, Chapter 108: Hazardous Materials, a requirement for each business operator to obtain an annual permit and to"remit a fee of$100.00 if one-hundred and eleven (111) gallons or more of hazardous.materials are stored, transported, utilized, and/or disposed of at a particular site: Please complete the attached application form and submit it along with the required fee of$100.00 to this office on or before June 30, 2006. A late charge of$10.00 will be assessed if payment is not received by July 1, 2006. Checks should be made payable to the: Town of Barnstable. Upon receipt of the fee and a completed application form, an inspection will be performed by the Hazardous Materials Specialist to complete the Hazardous Materials On-Site Inventory. A permit will be issued once the inspection is completed and has passed. Please feel free to view the above Code, Chapter 108: Hazardous Materials on the Town Website, www.town.barnstable.ma.us , which is located under the.E-Code section°if you sh6uld have any questions or.concerns. Q:\Hazmat\Haz Mat Permit Letter.DOC TOWN OF BARNSTABLE Date: TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: BUSINESS LOCATION: 19INVENTORY MAILING ADDRESS: it IJ U TOTAL AMOUNT: TELEPHONE NUMBER: 50," '775-- &&2!� CONTACT PERSON: .AiV(d .���� EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? �1L TYPE OF BUSINESS: t DL-,iha AM INFORMATION/RECOMMENDATIONS: Fire District: D A9_9M `l.Q c, - �( �" �G�UdIG� Wasa �jj Transpor a ion: (A fi shipment of hazardous.waste: Name of Hauler@ Destination: Waste Product: — Licensed? Yes No -- NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum - Antifreeze (for gasoline or coolant systems) Misc. Corrosive NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Misc. Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) NEW USED Any other products with "poison" labels Paint &varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables hydrochloric acid, other acids) Floor &furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS F / OIL WASTE OIL OIL FILTERS ANTIFREEZE WASTE ANITFREEZE �o d GASOLINE WASTE GAS DIESEL FUEL ATF HYDRAULIC/ MISC. MISC. MISC. MISC. BRAKE FLUID COMMBUSTIBLE FLAMMABLE C OSIVE PETROLEUM (GEAR OIL/GREASE/ LUBRICANTS) FREON ACETYLENE C R WASH CAR WASH PAINTS/ AX DETERGENTS THINNERS ell IU lX" SEALANT CL G BATTERIES/ POISION/TOXIC CAULK/GROUT 1 }SOLVENTS BATTERY ACID uJ Puy FERTALIZERS WASTE SOLVENT BLEACH DISH WASH AND MSDS DETERGENTS NL)7- ti `- MANIFESTS Date: / TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: A BUSINESS LOCATION: INVENTORY MAILING ADDRESS: �� �� TOTAL AMOUNT: TELEPHONE NUMBER: 0,f- 175-- &&IT CONTACT PERSON: LKVid .1 � EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS:.—__ INFORMATION/RECOMMENDATIONS: Fire District: he ._ oafs � c K c� a v�5ic� Over 't�� � Pioanti' �fi O � r y' L tshipment. f h z r Waste rans6� a ��`�� aso a a dous waste: Pn Name of Hauler: Destination: Waste Product: — Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month re uir'es a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characterfstics and must be registered regardless of volume. Observed/Maximum Observed/Maximum _ Antifreeze (for gasoline or coolant systems) Misc. Corrosive NEW USED Cesspool cleaners Autpmatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) . Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW ' USED Misc. petroleum products: grease, Photochemicals (Developer). lubricants, gear.oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Misc. Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) NEW USED Any other products with "poison" labels Paint & varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables hydrochloric acid, other acids) Floor &furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers (including bleach) r Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS w-, % OIL WASTE OIL OIL FILTERS ANTIFREEZE WASTE ANITFREEZE Al GASOLINE WASTE GAS DIESEL FUEL ATF HYDRAULIC/ MISC. MISC. MISC. MISC. BRAKE FLUID COMMBUSTIBLE FLAMMABLE C OSIVE PETROLEUM (GEAR OIL/GREASE/ LUBRICANTS) II � FREON ACETYLENE C R WASH CAR WASH -PAINTS/ AX DETERGENTS THINNERS y SEALANT CL G BATTERIES/ POISION/TOXIC CAULK/GROUT SOLVENTS " BATTERY ACID FERTALIZERS WASTE SOLVENT BLEACH DISH WASH AND MSDS DETERGENTS MANIFESTS wy ----� ��; ICI ►'�� t�� � �c__ -- , ; �� J ` © C, Date: TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS: 3 Py BUSINESS LOCATION: /srd v`{f MAILINGADDRESS: Mail To: TELEPHONE NUMBER: -0 ? P_ Board of Health CONTACTPERSON: �gt/l!J ,�G �i/�9 ' Town of Barnstable P.O. Box 534 EMERGENCY CONTACT TELEPHONE NUMBER: Hyannis, MA 02601 TYPEOFBUSINESS: Does your firm stor!,aq 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: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Quantity Antifreeze(forgasoline orcoolant systems) Drain cleaners NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salt (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil NEW, USED Other petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Battery acid (electrolyte) Swimming pool chlorine Rustproofers Lye or caustic soda f 6W Car wash detergents Jewelry cleaners _ Car waxes and polishes Leather dyes Asphalt & roofing tar Fertilizers Paints, varnishes, stains, dyes PCB's Lacquer thinners Other chlorinated hydrocarbons, NEW USED (inc. carbon tetrachloride) Paint & varnish removers, deglossers Any other products with "poison" labels Paint brush cleaners (including chloroform, formaldehyde, Floor& furniture strippers hydrochloric acid, other acids) M olishes aund soil & stain re overs Other products not listed which you feel e�a9� ' may be toxic or hazardous lease list (including bleach) y (p ) Spot removers & cleaning fluids P (dry cleaners) S� Other cleaning solvents Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS (508)775-9537 George's Auto Repair Domestic,Foreign&Light Pick-up Repair George Norris 380 Yarmouth Road - Owner Hyannis,MA 02601 ) ,ram teMe&--M, -I so- TQWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTHA3.Auto Body Shops � unsatisfactory- 4.Manufacturers COMPANY ' c (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS .788 Class: 7.Miscellaneous 1 Cd� QUANTITIES AND STORAGE (IN= indoors;OUT=outdoors) MAJOR MA RIALS IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil(C) transmission/hydraulic., Synthetic Organics: degreasers Miscellaneo s: Oe- DISPOSALIRECIAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply O Town Sewer Public ,f'On-site OPrivate 3: Indoor Floor Drains YES NO ~ . O Holding tank:MDC O Catch basin/Dry well Z�4 O On-site system 4. Outdoor Surface drains:YES N0—Z ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system s 5.Waste Transporter Name of Hauler Destination Naste'Product Licensed? 1. 5f �✓ L�4.f�Ad `3Yb A,1W �y � YES NO 2. rson(s) erviewed rispector Date TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH ' satisfactory 2.Printers 3.Auto Body Shops /� unsatisfactory- 4.Manufacturers COMPANY ? A-Z-a?nf O (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESW $!P Y,V,1?kk.&07_)�qqd Class: I Y'-' -7 7.Miscellaneous QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR&ERLARZS Case lots Drums Above Tanks Underground Tanks IN ' OUT IN OUT IN OUT #&gallons Age Test Fuels: Crtaso in'�,JetT--neK-M Diesel�er�sep.�e,-#2-f�B) . Heavy Oils: z waste motor oil(C) new motor oil (C) -7 transmission/hydraulic Synthetic Organics: degreasers e� Miscellaneous: DISPOSAL RECLAMATION REMARKS: .) 1. Sanitary Sewage 2.Water Supply Down Sewer Public 0 On-site OPrivate zs . 3. Indoor Floor Drains YES N0—J?� a 46 O Holding tank:MDC 0 Catch basin/Dry well 'a 0 On-site system 4. Outdoor Surface drains:YES N0 V' ORDERS: 0 Holding tank:MDCi 9 0 Catch basin/Dry well 0 On-site system 5.Waste Transporter Name of Hauler Destination Waste Product Yhb AU 2. '. lgrson(s_flfiterviewed Inspector Date S to 1` poaYV4 - , (508)775-9537 George's Auto Repair Domestic,Foreign&Light Pick-up Repair George Norris 380 Yarmouth Road Owner Hyannis,MA 02601 o TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair 2. nters BOARD OF HEALTH O satisfactory 3.Auto Body Shops unsatisfactory- 4.Manufacturers see"Orders") 5.Retail Stores COMPANY e d�e3 � 0 &P�. ( 6.Fuel Suppliers ADDRESS 3SCl�a yw�mJ`�-L-..�LGQ (;lggg; 7.Miscellaneous QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALSCase lots Drums Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons 7177Test Fuels: Gasoline,Jet Fuel(A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil(C) Zc,S new motor oil(C) cS transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: K t 30+ln 1a6t(&JJ e osed 5S LIJ(4k 00 DISPOSALIRECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply /V1 V t-CT 77 .S2 ( 4 6tt O Town Sewer Oublic S'v s" ez._ IkOn-site OPrivate 3. Indoor Floor Drains YES NO1 O Holding tank: MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES N0� O RS: O Holding tank:MDC �j� i ms O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product 7 P� (�,(9r YES INO 1. cle&� �-S lq7 Uo urn , bv, � 2. Pe on (s) In a ewed Inspector/ Date s _I • 1 - d-o Z7 AT. y ;� �� � �� TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH ®, satisfactory 2.Printers y 3.Auto Body Shops �4 unsatisfactory- 4.Manufacturers COMPANY fj`C� G f' O (see"Orders") 5.Retail Stores `� �' 6.Fuel Suppliers ADDRESS (r T �fc'y�I!I(��/ 1 * K--+-1 Class: 7.Miscellaneous 01` - QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks- IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils:__ waste motor oil new motor oil transmission/hydraulic � � Synthetic Organics: �} degreasers Miscellaneous: C � t J 'V C DISPOSAIJRECLAMATION REMARKS: , 1. Sanitary Sewage 2. Water Supply / # r� Y ' ii � ,�_ O,,Town Sewer OPublic •`O.On-site QPrivate 3. Indoor Floor Drains YES NO - O Holding tank:MDC V - / V7 ` O Catch basin/Dry well O On-site system ��a-/ � f ;1 ) ' fl,�l 4. Outdoor Surface drains:YES NO EWERS: } —4- 0 Holding tank: MDC O Catch basin/Dry well ' ' O On-site system 5.Waste Transporte ' of Hauler Destination , Product YES INO 4 , 2. , Person (s) Interviewed Inspector Date KELL�1� SPRINGFIELO - *� MID CAPE TIRE & AUTO SERVICE CENTER "HIGH PERFORMANCE FOR LESS" FRANK M..KLUCEVSEK President/Owner 521 NORTH STREET 380 YARMOUTH ROAD NEW BEDFORD, MA 02740 HYANNIS, MA 02601 (508) 999-3900 (508) 790-2400 i TOWN OF BARNSTABLE OMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops O unsatisfactory- 4.Manufacturers (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS f_ lags; 7.Miscellaneous QUANTITIES AND STORAGE (IN= indoors;OUT=outdoors MAJOR MATE S Case lots Dru Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Diesel, Kerosene, #2(B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: 411k Y 41 � l� 41�xf 'd 7 -1 . DISPOSAURECLAMATION REMARKS: 1. Sanitary Sewage 2. Water Supply O Town Sewer �'ublic On-site 0 rivate 3. Indoor Floor Drains YES N0I� O Holding tank:MDC_ O Catch basin/Dry well .O On-site system 4. Outdoor Surface drains:YES NO RS: O Holding tank:MDC ` r O Catch basin/Dry well - O On-site system 5.Waste Transporter Name of Hauler Destinaltion Waste Piodu*ct Licensed? V i , "W1_pp ow �c f YES NO - 2. rson (s) Interviewed Inspect or Date r TOWN OF BARNSTABLE MPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH satisfactory 2.Printers 3.Auto Body Shops O unsatisfactory- 4.Manufacturers C0MPANYA 9-�`fix (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS-FeO Class' 7.Miscellaneous pill 2 QUANTITIES AND STO GE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: G ) Die _Kmow e Heavy Oils: Jed waste motor oil (C) l/ new motor oil(C) o transmisg;;n ydraulic �. 5 Synthetic Organics: degreasers iscellaneous: V � DISPOSAL/RECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply t <S Town Sewer *Public j 0 On-site OPrivate 3. Indoor Floor Drains YES NO 0 Holding tank:MDC - r 0 Catch basin/Dry well 0 On-site system 4. Outdoor Surface drains:YES NO ORDERS: 0 Holding tank:MDC - 0 Catch basin/Dry well ✓- . 0'On-site system 5.Waste Transporter Name of Hauler Destination Waste Product •d -77 2. rson(s) Interviewed Inspector V Date �l v SPRINGFIELD MID CAPE TIREA AUTO SERVICEYCENTER ' "HIGH PERFORMANCE FOR LESS" FRANK M.KLUCEVSEK 380 YARMOUTH ROAD PRESIDENT HYANNIS,MA 02601 (508)790-2400 TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Rep BOARD OF HEALTH O satisfactory 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY/141�� T(141 4A40 (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS N,SC1ass: / 7.Miscellaneous QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline Jet Fuel(A) Diesel, Kerosene, #2 (B) Heavy Oils: 7.7� waste.motor oil (C) polo S Ls new motor oil(C) � e f transmission/hydraulic "Synthetic Organics: degreasers Miscellaneous: DISPOSALIRECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply 0U0 A"'Oy4r-t re.vj.ed 0'. 0 Town Sewer -Public S ¢— Us,r +'�` 94 AL 4L"'.^ h XOn-site OPrivate `` m . 3. Indoor Floor Drains YES---NO S 0 Holding tank:MDC_ el-99 a'' _P'A s �' V 1'-- 0 Catch basin/Dry well 10OL"'CIrl 0 On-site system 4. Outdoor Surface drains:YES NO ORDERS: l 0 Holding tank:MDC ®k I(,z— f ill k+�^ -44'0 x f-r0 �Ar J/ 4 O Catch basin/Dry well �,�� ��.., p�,d�d�;�✓d,.f �o✓�N t�ne� 0 On-site system , C�K � e��i �4&c'. C .ea_t ar-c d 5.Waste Transporter Al-d. —1e,1P44_a 1041f(11;t rVS j V411.11-1 Narne of Hauler Destina � � 1. C �. sf/� i/ c���: YES NO 2. /42 �- erson(s) Intervi d Ins ctor Date Date: M TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS: �- cAa T� A J,, BUSINESS LOCATION: a � MAILINGADDRESS: j� �` �^^� �- 6 1 Mail To: � 3�' -7 d-��CS� Board of Health TELEPHONE NUMBER: t Town of Barnstable CONTACT PERSON: P.O. Box 534 EMERGENCY CONTACT TELEPHONE NUMBER: 5b7 1`'l®'r}`'�6'8 Hyannis, MA 02601 TYPEOFBUSINESS: !`J�c��_ Does your firm store py 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: ADDRESS: _4k TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Quantity �,Wfreeze(forgasoline orcoolant systems) Drain cleaners ✓NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salt (Halite) 1 100i-6 1,H,,.ydraulic fluid (including brake fluid) Refrigerants c Rllolor oils Pesticides 'ANEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil NEW USED /�d/"'bther petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) 16&ry acid (electrolyte) Swimming pool chlorine Rustproofers Lye or caustic soda Car wash detergents Jewelry cleaners Car waxes and polishes Leather dyes Asphalt & roofing tar Fertilizers Paints, varnishes, stains, dyes PCB's Lacquer thinners Other chlorinated hydrocarbons, NEW USED (inc. carbon tetrachloride) Paint & varnish removers, deglossers Any other products with "poison" labels Paint brush cleaners (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 (dry cleaners) Other cleaning solvents Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS ,4 TOWN OF BARNSTABLE COMPLIANCE: CLASS: r`i.Marine,Gas Stations,Repair BOARD OF HEALTH satisfactory 2.Printers 3.Auto Body Shops unsatisfactory- 4.Manufacturers �B _,, ry COMPANY "` � `�. (see"Orders") 5.Retail Stores f 6.Fuel Suppliers ADDRESS _R�Pla Va 4 46 Class: 7.Miscellaneous QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS = J-0h4 KMt5,7�a.. IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) 7 transmission/hydraulic Synthetic Organics: degreasers L� 4 K c/ Miscellaneous: Avvi-o AvE S x s� Aso►- - s �� � DISPOSAURECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply Tlw O Town Sewer ublic S'` ok- 101On-site OPrivate I I r 3. Indoor Floor Drains YES NOX O Holding tank: MDC C O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO x ORDERS: O Holding tank:MDC & . O Catch basin/Dry well l/ov, y. f-v` O On-site system 5.Waste Transporter p fey' a- �►► S 4ACe, l vt G d I ll D� YES NO 2. f t-v - -mi-ez rV, L-4 44 Person terviewed Inspector Date 1 1 MID CAPE TIRE: & AUTO SERVICE CENTER "HIGH PERFORMANCE FOR LESS" KELL $VRINGFIELD 380 YARMOUTH ROAD FRANK KLUCEVSEK HYANNIS, MA 02601 PRESIDENT/OWNER (508) 790-2400 n 1 f AR Real. Estate Systr.,.--m-n General Property Inquiry Help .1 Id. '344 0 15-- A,-,:co-unt No'. C).L 6 P-r-,i t I o cF.-a t i o n YAF'I',,J0LJ-f'I--J RD Neighborhood: C 1.0 Fir e- Eli s t HY Devel Lot: (D t S i z e n 1. . 53:, Acre: CLArrent Own" JONES T FPI--I r.::*N C' T f R,-.3 State C.Ias= .",;.,1. CDAMP STREET TRUST No. Bl.(--IgsL Area: 1552 F, 0 B 0 x v Year Added,,, HYANNTS MA 26,ol. 0 ueed CJ 4()I E':*7 R e-F E.?r e ri c e 6 9,'--:' 12 nuary Ist . JOI-,JES., STEPIdEN C TF-a-3 Deed Deed Ref. Co m m n t s 1.1d 1-C)C. E ::-.-:t,--a Fea'(..Ures'- 9 o C) Va I UeS' L�--x rid Bui. ldirigs Road !":�Ystf:E�rn- C, Tnde::---.-' 189C (YARMOUTH ROAD ) Frntg',, .24o Tnde.--.---'-' 1. lEill (OLD YARMOUTH ROAD ) Frntg". Control Info" s t AUtO Upd- Status. C' Last TACE-3) Update. 0907::.-J,,-=, Land Reviewed By." )d Dat.e-' 0000 Bldgs Reviewed ByP Date". 00C C I T i t I e" Account Ta I-..-e n Accot-trit StatUl-i- Hold State-S' Ca n e I Press VIT' for more data Ne-Xt screen F I A R A(---t j.o i--i Owners Narne Road 'In(-Ie::.:-. Road 1\1 a ii-i Ea Parcel. Number, .,-.:44 016 ------------ ---- -------------- -------- ------ • PAR Real Estate System - General Property inquiry Help Parcel Id! 344 016- - Account No: 250025 Parent'.' Location: 362 YARMOUTH RD Neighborhoodn C010 Fire Dist: HY Devel Lot: I & 2 Lot Sizes 1 . 04 Acres Current Own: TIVEY, ROBERT C. State Class: 3 1".., 21 FOXHILL No. Bldgs2 I Area: 7000 Year Added: CENTERVILLE MA 2632 Deed Date: Referencem 2396/236, January Ist: TIVEY, ROBERT C Deed MMDD1 0000 Deed Ref: 2396/236. Comments.* Values: Land! 128400 Buildings: 100900 Extra FeaturesN 3400 Road System: 362 Indexg 1890 (YARMOUTH ROAD ) Frntgg 230 Indexg 1181 (OLD Y(?RMOUTH ROAD ) Frntg: 215 Control Info: Last Auto Upd! 091292 Status! C Last TACS Update: Land Reviewed By Date: 0000 Bldgs Reviewed By: Date: 0000 Tax Title! Account' Taken. Account Status: Hold Status: Cana-el Press XMT for more data Next screen PAR Action n ear Name Road 1 n de.--..:: Road Name Parcel Number 344 017 --------------- ----------- --------- SUBSURFACE SEWAGE . DISPOSAL SYSTEM INSPECTION FORM Address of property 3Bo�,CMoury /�drlO ,yyy,y,v�s Mq owner's name �/s/.vca,e',[. Date of Inspection 7-/Z ✓v.��,� / cgs' PART A CHECKLIST Check if the following have been done: ✓,Pumping ififormation .was requested of the owner, occupant, and Board of Health. • -None of the system components have been pumped for at least two weeks. a7+��oarco�.. L.� hoox_ r�roit iron nnrtn�l f� rtc.i r•��..e. .i.,..i�... T � 7 .pew od.- Large volumes of water have 'not been introduced into the system recently or as part of this inspection. As built plans have been obtained and examined. Note if they are not available with N/A. The facility or dwelling was inspected for signs of sewage back-up. ✓ The site was inspected for signs of breakout. All system components, excluding the SAS, have been located on the site. ✓^ The septic tank A meanhole$ wwe-Eat uncovered, opened, and the interior of the septic. tank was inspected for condition of baffles or tees, material of construction, dimensions depth of 1�quid de h of slu3Jge epth of scum p /c� Mgn-4s7� �0V4 mpeAed qs Cehc P)e gPpeli ex)xen deor over /-AE n7,rmAv/6, ✓4 The size and location of the SAS on the site has been determined based on existing information or approximated by non-intrusive methods. ✓* The facility owner (and occupants, if different from owner) were provided with information on the proper maintenance of SSDS. TH/s /S q p/fCVA1"0C-7.FD SY-S-7;F-^4 FvR- R CvMM,E,,e_UH�. ��•�v/�fG � � si��c,�• Ttf/s �'�s�v.�.vc,� /s ro �1., 'A 2 ow�v�JZ a t/Y.45R c- rya, 1,9y9. Gm .Im�YNt/�ND•�L Li2ANk �L v . / r rep e /O C). jmkV /6 �{yAN, ®24601 duzzs�,eo s ��Y� S ' ���mN.B,D of ��i7�-Tf/ .�A,C�rsTS.B►��J /li� SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION FLOW CONDITIONS If residential A//� number of bedrooms number of current residents garbage grinder, yes or no, laundry connected to system, yes or no seasonal use, yes or no If nonresidential, calculated flow: 7.iY/'r .SYSr.F/N .D/D /e z e'V/P,e f L d w j.,CO n t G o M M,E/C G/�q L. ,�5:►�9�,t./�yM�ENr' A /Sreve q r.6aA e q 6.6). sySr,�tic /3 O/S CV"Al.EC reD ANb ,vo Water meter readings, if available: Lay .SR /2.EC.F1P'1AeC. 191vy 0$:,4VW_r. Last date of occupancy GENERAL INFORMATION. Pumping records and source of information: No 2.V r_Q&&j ox P�vr+� IA16 XG Com AARm_SCr (!VA r.ER POLL vrlo" C~rme . ) a G dA4 Z?4 XA4"8AZ 25yMp of y,Ei�bc r/� A/o System pumped as part of inspection, yes or no / if yes, volume pumped Reason for pumping: Type of system Septic tank/distribution box/soil absorption system Single cesspool Overflow cesspool Privy Shared system (yes or no) (if yes, attach previous inspection records, if any) Other (explain) Approximate age of all components. Date installed, if known. Source of information: "\ /V& Sewage odors detected when arriving at the site, yes or no rt. SUBSURFACE 'SEWAGE DISPOSAL SYSTEM INSPECTION FORM i PART B SYSTEM INFORMATION continued SEPTIC TANK: ✓ /caw GA,G , (locate on site plan)✓ depth below grade: % 4 material of construction: ✓ concrete metal FRP other(explain) S.vr.E�/oR. y dimensions: 3� '�' .x B Z �',: .X ,4'� �Fi.FG/I�,� O.C'Pr�+•! .F t .3 -6 sludge depth ' distance from top of sludge to bottom of outlet tee or baffle �_L' scum thickness - distance from top of scum to top of outlet tee or baffle " distance• from bottom of scum to bottom of outlet tee or baffle . ear' .�T AlOr RCC.E.S_SIB4,5 Comments: (recommendation for pumping., condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence .of leakage, recommendations for repairs, etc. ) --2�, /S TO AW 198A"z>V'V EO-, t.,5CeAIMO JD PVA1P :S.EPr/C TA�,VI< AN D _ FD.�-LmW P�OG�dtJ .S IN 3/O 3V /S A�A'�cH,ED� _ .. 7-oP of D/Sr.C/Bur/On./ BOX- /S / � Br6Locv 'DISTRIBUTION BOX: ✓ G�eo�,vo SW.erAc,E, 7`/iE.GE IS BLr�clt ,Cis-.ER wiry C�,►sy- //P,a�t/ ��M syivG Cmv,E.e CToP /`r60�T S' " BELmW (locate on site plan) ,/ �,��o 3 7A IC CcovcR.-7T,G' M 1A depth of liquid level above outlet invert F • i Comments: (note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box, recommendation for repairs-,- etc.-) .uo Evic �vc.F of L X,9 A mac SoL-iDS G 41 ZY0 6 PUMP CHAMBER: N/o4 x (locate on site plan) pumps in working order, . yes or no `. Comments: (note condition of pump chamber, condition of pumps and appurtenances, recommendations for maintenance or' repairs,etc. ) • 1 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION continued SOIL ABSORPTION SYSTEM. (SAS) : (locate on site plan, if possible; excavation, not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: ' o�v.� �i) LEf;ay�a/G ,oir � wiTs�r sYvN.� . TbP alfeac of Pi r • 9 B��w 4Ro v�v sv�eFA c r wl TM chin its and number ItISE�C wed TF Cove�L ND iq N d Ti�/C7� ing chambers an number GVco v leaching galleries and number Bo r,r;�_,�_,, ,� ,��—oTs ,, leaching trenches, number, length , C2, -6,4 �� �.�1 leaching fields, number, dimensions overflow cesspool, number, Comments: note condition. of soil signs of hydraulic failure level of ondih , ( 9 Y � P 9 condition of vegetation, -recommendations for maintenance or repairs,etc. ) CESSPOOLS (locate on site plan) :, ^//A number and configuration depth-.top of liquid to inlet invert depth of solids layer depth of scum layer dimensions of cesspool materials of construction indication of groundwater inflow (cesspool must be pumped as part of inspection) Comments: (note condition of soil, signs 'of hydraulic failure, level 'of ponding, condition of vegetation, recommendations for maintenance or repairs,etc. ) PRIVY: �4lan) (locate on, si materials of construction dimensions depth of solids Comments: (note condition of soil, signs of hydraulic failure, - level of ponding, condition of vegetation, recommendations for maintenance or repairs,etc. ) _. r i' SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION continued SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks ' locate all wells within 100 ' 7-A a4E'38� , f c e � ,,r�' �isteiBVTyo� Box R1 T- a q- G 7.1 a ,C,E'T- q Q" Gaew,�ieTR� G��eAG A- 30. 6 -- ------ ----- ---- - T�Nk A i P�7- ,DEPTH TO GROUNDWATER depth to groundwater ` method of determination or approximation: d,s. 6.s. f,/YA�vvis li<Joe �.c.E Twv mf �H.�/S/iJ�l.� "oB-s.E�lio�D k/N7'.FiQ �� vti� /99.2 ' • /993 �/.S.�i9. N.so�t..svcr,�y of 13A,e�vsTAB.(,�' SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM ' PART C FAILURE CRITERIA Indicate yes., no, or not determined (Y, N, or ND) . Describe basis of determination in all instances. If "not determined" , explain why not) N0 Backup of sewage into facility? Discharge or ponding of effluent to the surface of the ground or surface waters? N o Static liquid level in the distribution box above' outlet invert? Liquid depth :n cesspool <6" below invert or available volume< 1/2 day flow? NO Required pumping 4 times or more in the last year? number of times pumped ND Septic tank is metal? cracked? structurally unsound? substantial infiltration? substantial exfiltration? tank failure imminent? Is any portion 'of the SAS, cesspool or privy: •'U� below the high groundwater elevation? n14 within 50 feet of a surface water? JVO within 100 feet of a surface water supply or tributary to a surface water supply? /yC within a Zone I of a public well? lVe within 50 feet of a bordering vegetated wetland. or salt marsh (cesspools,-and privies only, not the SAS) ? )/O within 50 feet of a private water supply well? /-/10 less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis? If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. r r - t _ I TOWN OF j84t _,VrA 4,,C BOARD OF HEALTH q SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM - PART D .- CERTIFICATION -TYPE OR PRINT CLEARLY- PROPERTY INSPECTED • �CoMM�Ie C I/► ,p STREET ADDRESS /&,9,A//V/S �8� }�nieMocsfH /�mAO� ' ASSESSORS MAP, BLOCK AND PARCEL # XRP 3y4 P,91eCV. 15-- z OWNER' S NAME JONA-1 /ys3�l�oFrC, PART D - CERTIFICATION OF M,�ss9c NAME OF INSPECTOR DonaldVV. Moncevicz o� pONALDW. �c Civil Engineer MokEVICZ COMPANY NAME 40 Pond Street CQ West Dennis, MA 02670 .o� E`G�s �V COMPANY ADDRESS e Street Town or City r LIP COMPANY TELEPHONE (S'67c9 ) 39¢ - mSo q FAX CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported is true , accurate, and complete as of the time of inspection . The inspection was performed and any recommendations regarding upgrade , maintenance , and repair are consistent with my training and experience in the proper function and maintenance of on- site sewage disposal systems. Check one: y System PASSED The inspection which I have conducted has not found any information which indicates that the system fails to adequately protect public health or the environment as defined in 310 CMR 15 . 303 . Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form. System FAILED* The inspection which I have conducted has found that the system fails tc protect the public health and the environment in accordance with Title 5 , 310 CMR 15 . 303 , and as specifically noted on PART . 0 - FAILURE CRITERIA of this inspection form. N nnnn , Inspector Signature � dG� 91 Date 7. One copy of this certification must b rovided to the OW , the BUYER ( where applicable ) and the BOARD OF H LTH. * If the inspection FAILED, the owner or operator shall upgrade ' the system within one year of .the date of the inspection, unless allowed or required otherwise as provided in 310 CMR 15 . 305 .. partd.doc r r� 310 CMR: DEPARTMENT OF ENVIRONMENTAL PROTECTION 15.353: continued (b) repair or replacement-of one or more structural components p cots of a system which is otherwise in compliance with 310 CMR 15.000, such as a clogged building sewer or distribution line, damaged building sewer, septic tank or distribution box,or broken tee which is determined to be the probable cause of the system failure and for which no modification or alteration of the system design is required; and shall be completed within 30 days. (2) All emergency repairs other than pumping shall be followed within 30 days of the emergency repair by an application for a Disposal System Construction Permit,local upgrade approval, or an application for a variance,.if needed,pursuant to 310 CMR 15.411(2). The applicant may backfill any excavation required for the emergency repair unless directed otherwise by the approving authority. Pumping shall be reported to the local approving authority. (3) Any upgrade or expansion of a system which is not an .emergency.repair shall be designed, approved, and constructed in accordance with 310 Cb1R 15.000. 15.354: Abandonment of Systems (1) Whenever the use of a system is discontinued following connection to a municipal or private sanitary sewer or,following condemnation or demolition of a building served by the system,the system shall be considered abandoned and any further use of the system for any purpose shall be prohibited unless, after inspection, the approving authority determines the system is in compliance or can be brought into compliance with 310•CMR 15.000. .(2) Continued use of aseptic tank where the tank is to become an'integral pan of a sanitary sewer system requires the prior written approval of the Department (3) The following procedure shall be used to abandon a system: (a) The facility owner shall apply to the approving authority to abandon the existing system citing the ttason(s)abandonment is necessary,and where connection to municipal or private sanitary sewer has been made, a copy of the sewer connection permit shall.be submitted with the application; (b) Upon receipt of the approving authority's written approval to abandon the system, the septic tank shall be pumped of its entire contents by a licensed septage hauler;and (c) The tank shall be excavated and removed from the site, or the bottom of the tank shall be opened or ruptured after being pumped of its content so as to prevent retainage of water and the tank shall be completely filled with clean sand. 15.401: General Provisions (1) Except as set forth in 310 CMR 15.401 through 15.422,every application to construct, upgrade or expand a system shall be prepared,and the work therefore authorized pursuant to a Disposal System Construction Permit shall be conducted, in full compliance with the procedural and technical requirements of 310 CMR 15.100 through 15.293. (2) In general, full compliance'with the provisions of 310 CMR 15.000 is presumed to be necessary for the protection of public health, safety, welfare and the environment . Any requests to vary from the standards of 310 CMR 15.000 by means of a local upgrade approval or a variance shall be carefully reviewed by the approving authority and, when required, by the Department 9/23/94 310 CMR - 320.39 �-� LiO--C A T ION p� SEWAGE PERMIT Na VILLAGE I N S T A L R NAME & DDRESS 0 U 1 L D E R OR OWNER DATE PERMIT IStU [ D DATE COMPLIANCE ISSUED L ��. � v �"" "�, v l . �� �h�. �� - h� � � \� �� t�� �� � �° �, -. /'J _ L . _. � ,. G { . r 1 t I No. 3....=/.y Fes$ .......... THE COMMONWEALTH OFV MASSACHUSETTS BOARD OF HEALTH ` ......................OF..........................................................--------------....... z� lirttiaayt fuzintti nrk C �nrnriun rxnti# A-pplication.is hereby made for a Permit to Construct ( ) or Repair l an Individual Sewage"Disposal System''at:' ?0.......� .........................................� ........... ......................... ... ------............--_---------.........._. Location Ad ress Lot No. ..--.--•..................................... O ner Address a K�.Ie..,f...--•--..... ...ltC�_. ..Lo......--•...................... .........................••-•---......----•-•-•---••----............... Installer Address Type of Building Size Lot............................Sq. feet V Dwelling—No. of Bedrooms..........1................................Expansion Attic ( ) Garbage Grinder ( ) '4 Other—Type of Buildin No. of persons............................ Showers — Cafeteria a Other fixtures -------------------------------- - W Design Flow............... . . . ___...33 .__._-____._.D......-.._.gallons. .... .......g pp per al . allons Length__...._p---- .Width ....._.._ Depth................WSe tic Tank—Liquid ca acit� - Diameter_ Disposal Trench—No. .....................Width rr_._._.............. Total Length.................... Total leaching area....................sq. ft. Seepage Pit No----------1-_------- Diameter..... ....:...... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results ' Performed by.......................................................................... Date.....................-------------- aTest Pit No. 1................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........................ G4 0 Description of Soil........................................................................................................................................................................ x W ------••----------------•------•------------•-•----------------------------------•----•--•-•-- ---- ------------... ...... ------- ...... ••---•---- -------- U Nature of Repairs or Alterations—Answer when appl' ble_- ___.. G1.l,S.---J.D. ...... -----------------------------------------------------------------��._.........._.b.��.V ` ' -•---- --••-•---......................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed....................................................................................... ................................ Date ApplicationApproved BY..........................._....................................................................... ........................................ Date Application Disapproved for the following reasons---------------.................................................................................................. .........-•---------------------------------------•----------.....------....--------------................---------------•---•-•-.....•--••--•---...-------•----........•••---•-•-•-••--•---•---....-•--- Date PermitNo......................................................... Issued_..............................•...--------...---------- Date No..m................... F E Al................. THE.COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................ . .....OF .........I....... Appliration for Di.-apotial Works Towitrurtion runfit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: L _,Aid,d or Lot No. er . ................ . ­ ­ ----------- --------- _-------- --------------­*......"............... .............................. ...........I...................................................................................... Address ...'..es.............. n .I.... ................. .................................................................................................. ...... Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms...........I...............................Expansion Attic Garbage Grinder Other—Type of Building .......... No. of persons............................ Showers Cafeteria P4Other fiatures ...................................................................................................................................................... Design Flow............... 'ga. ........... Ilons per person per day. Total daily flow.........?..3.Zx.......................gallons. 1:4 Septic Tank—Liquid capacit,. _qgallons Length____.._.__._ Width.......7...... Diameter.47. .......... Depth________________ W — Z Disposal Trench—No..................... Width____._..__.___._._._ Total Length.._.__.__.__._..____ Total leaching area....................sq. ft. > Depth below inlet.................... Total leaching area..................sq. ft. Seepage Pit No-___._..__I I....... Diameter_..._4----------- Z Other Distribution box ( Dosing tank Percolation Test Results Performed by.......................................................................... Date_______......._.____................._.. Test Pit No. I................minutes per inch Depth of Test Pit_.._.._.__.__.______ Depth to ground water_._.__.___.._.______.__. Test Pit No. 2................minutes per inch Depth of Test Pit.____._____________. Depth to ground water._._____._.______._____. .............................................................................................................................................................. 0 Description of Soil....................................................................................................................................................................... U -------;.................................................................................................................................................................................................. I................................................................................ .............. ........�;�................ ---------------------------- r Nature of Repairs or Alterations—Answer when app§cable.. .. .. .. ........uw J ................................................................ ............ ............................................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with L the provisions of'I'LL 1 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed...:............. ­ -----------7------------- -­­ ­__ _1 .........­­­- ..............777,7'. Date ApplicationApproved By........................................................................................I.......7­ ....................................... Date Application Disapproved for the following reasons:................................................................................................................. ......................................................................................................................................................................................................... Date PermitNo......................................................... IssuedL...................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................................. .......OF..................................................................................... (9rdifiratr of Tompliaurr THIS IS TO CERTIF by.......................... ha _ndivid al Sewa 'isposal System constructed or Repaired ......................... ... ... JL . ........ ................................................................................................... at................................................... ................I..i Installer ...................................................................................a.......................................... has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.___._.... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUJJD AS A GUARANTEE THAT THE t SYSTEM WI FACTION SATISFACTORY. DATE ... . .. .. ......................................................... Inspector ,----/--------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........................................OF.......................................................I............................ No.f.3-111) , FEE... /I................. Ehql. at kii Tono ion "Pamit - ------------ Permission is hereby granted-- ------- ­_ .. ... ......................................................................................... to Construct ( ) or Repair ( an Individual Sewage Disposal System atNo................................................................................................................. ............................................................................. Street as shown on the ap, caltJon for Disposal Works Construction Permit No.. ... ..........F ........................................ 4c 0 ,,,Pated.. ...................... ...................................................................... DATE...... Board of Health .. ..... ............................................... FORM 1255 A. M. SULKIN, INC., BOSTON President: Member of: ROBERT BRUCE ELDREDGE,R.L.S. CAPE COD SOCIETY OF PROFESSIONAL Office JOHN R.ELLIy,R.L.S. ELDREDGE ENGINEERING MASS.ASSOC.OF LAND SURVEYORS Associates: AND CIVIL ENGINEERS ALBERT A.MORSE,P.E.,R.L.S. COMPANY, INC. AMERICAN CONGRESS ON PHILIP WEINBERG,P.E.,R.L.S. SURVEYING AND MAPPING AMERICAN SOCIETY FOR CRE9 LIEEZEa G!\E(�111`EZER TESTING AND MATERIALS -fand 712 MAIN STREET cSuzvEt�ozs . >°° �n9inEEzs HYANNIS,MASS.02601 TEL.(617)775-2244 November 10, 1983 Mr. James Driscoll. Box 573 Marstons Mills, Massachusetts RE: 1.32 Acres at #380 Yarmouth Road, Hyannis, Ma. Dear Mr. Driscoll: A soil test was done November 4,. 1983 on the. above mentioned land under the supervision of. the Town Health Agent, John Jacobi and myself. The results are as follows: 0 to 12. feet Medium sand and gravel (No loam or subsoil) No ground water was encountered. The percolation rate of the soil was less than two minutes. (2) per. inch drop (excellent) . There is no known reason why a sub-surface sewage disposal system could not be installed on this lot in accordance with the Title V State Sanitary Code. Sincerely., ELDREDGE ENGINEERING COMPANY, INC. 01 Robert B. Eldredge, R. L. S. President RBE/etb 1 No................a..... w Fes$ .................... 3a v THE COMMONWEALTH-OF MASSACHUSETTS BOAR® E HEALTH .............. �✓. ....OF......... ApplirFation for 11ispoo al Works Tonstrnr#iun rantit Application is hereby made for a Permit to Construct ( ) or Repair (� Individual Sewage Disposal System at: ..... ...° .. _t� l �� ....................... V ...... ............ L �� - -Locat' ddress or Lot No. Jff�� - .�.1.� .: ................................... ..........--.................................. ........................................... ..... Owner ddress ---•--.._.....-----------------------------•-------.....•---•••--••-............................... . ....................................................................... Installer Address f Type of Building Size Lot...........................S q. feet .r Dwelling—No. of Bedrooms.__ ................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Buildin p� g 4h_________ ___________ No. of persons............ Showers ( ) — Cafeteria ( ) Other fixtures ..........1..... ell " - W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid'capacity......_.....gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.....................Total leaching area___.................sq. ft. Seepage Pit No..................... Diameter................_--- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by----------------------- ----------------•----------------•= Dafe........................................ Test Pit No. 1................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........................ - O Description of Soil J � ............................ ...... - - - - - - -- - x F -------------------------------------------------------------------------------------------------------------------•I---------------------------------------------------------------------...----------- U Nature o Repairs or Alterations—Answer when applicable--�---,1��-�-�:---5=--�.. .�,�� -------------------------------------------------------------•--•---------------•-•-----------------•---------------------------- Agreement ,l The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE: 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee is ed by the board of health. > Si ` . ------- ------ ate Application Approved B Date Application Disapproved for the following reasons-------------•-•--•---------•---------------------------------••---------------.....-•---•-•-...--------••••----- ....--•••-•------•--------------------•-•-------------------•-------------•••-••----------•--•---------•------------•-------•--•-------•-----•------------•- -----••-----•---------•------•..----- Date PermitNo......................................................... Issued... ............................. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......... .� ....OF.......... ........... .................. . �prtifirttte of f ompliFana � S IS TO CERTIFY That the Individual Sewage Disposal System constructed �r Repaired ( ) by... ----•.--------• ••• ---------•-- --••- ---......--••••-•--•------•................ nstall - at. 1 ,..- r' A_. ����t... ------------------------- has )en installed in accordance with the provisions of T . LW 5 of The State Sanit y C de as descri in the application for Disposal Works Construction Permit No......................................... date ............ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...... ` +� •--•--•--•------. Inspector /� - F ........---•- -- No..'. .......... .,, . �....................N� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............ .... ..............+....i:..S..}j.. X OF -...'.'.d. a� 6 1.,�J ...e..... ,.._..'------------------------------•-•---.------ Appliratiun for Di-spuual Worbi Tonutr7an rrutit Application is hereby made for a Permit to Construct ( ) or Repair ( dividual Sewage Disposal System at: --....�•... _ ...... .. --•••-. ........................ - ..... - ...................... �� Loc ti ddress or Lot No. .....................................•...• ..........--................................. . .............-. .Owner Address . ., a Installer Address €' Type of Building /�/ Size Lot-------------------- -----Sq. feet Dwelling—No. of Bedrooms -l------.-----•-•-----------------------Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building 3 .._...... No. of persons............... Showers ( ) — Cafeteria ( ) ad Other fixtures ..,,5�J .�-----S/?/6--•----- �.... ���' w Design Flow............................................gallons per person per day. Total daily flow............._..............................gallons. WSeptic Tank—Liquid*capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ ,.� Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2........ ..minu es per inch Depth of Test Pit.................... Depth to ground water........................ a0 CJ�ai' Description of So>1--------------•-----••••-------------•--••----------•------•----•--•-------•-------------------•---------------------•---------------------•-------------•----••---•--- x U .............................................................----•---------------•--...........---•-------•-•----------------......-----•-----------•---------------•--------------••-•-•......----•---- F ...................................................................................................................I................................................................................. U Nature of Repairs or Alterations.—Answer when applicable.---- •1-. =P----.r° =�- - r .-. Agreement: J The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITI.L 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed ._.. ---•------------- ............. ----•............ ......................I..._.... Date Application Approved BY �, ' -- , , ,--------------------- Date i � _ ------- -=�'- -- ------=-------- F., Application Disapproved for the following reasons-------------------------------•-•-••--••----•-••-----•-•-----•-•--------------•-------------•--------•••••••••- Date PermitNo.......................................................- Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS •�``" BOARD OF HEALTH x s f �lOF � - C�rr�ifirtt�r of �L1Dtt�rli�nrr �:..y-" ., THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (-"I—or Repaired ( ) by•••• C= ••••.............. --------- ` ynstaller at........ ---... ............ ---- -....--•--------•----•-•. ........... ------------------------- has been installed in accordance with the provisions of TI7L`, 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No......................................... dated_... ............................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE: SYSTEM WILL FUNCTION SATISFACTORY. DATE............... ................................ Inspector.... " ................................................. THE:COMMONWEALTH OF MASSACHUSETTS. t f BOARD OF/--HEALTH za ........................... OF.. /.._ No.....~.... FEE.........._ - �iu�uu�1 ur�u �un�#rtr#iun rrnti� Permission is hereby granted......1 .. . -a - a * ? AI to Construct ( f) or Repair ( ,$)-an Individual Sewage'ge'Disposal System/ - at No ` I. -- "` 'y = =` •.... r`1, / ----------- .•--- . . f Street 'Y J - ' as shown'on the application for Disposal Works Construction"Permi?No.......__2.�.....I Dated............................................ ----.......-•--••-------•-------------•---------------------------------•-.....------.__..--•-•.....-•-- Board of Health DATE------------------------------------------- .............................. FORM .1255 HOBBS & WARREN. INC.. PUBLISHERS - rl 9 T , ,06 lt] 10: 37a p. 15 i # , `N Commonwealth of Massachusetts }`-_ Title 5 official Inspection Farm SubsurF Not for Voluntary Assessments ace Sewage Disposal Systern Form 4 380 Yarmouth Road Property Address Gilly Wood, Property Owner, David Almeida, Business Owner Owner Owner's Name MA 02601 August 6, 2010 information is Hyannis required H for y State Zip Code Date of htspectia1 y every Page. city/TownD. System Information (cost.) Sketch Of Sewage Disposal System:Provide a view of the sewage disposal system, including tics to' at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below, hand-sketch in the area below Y j ® drawing attached separately (� I --, � _ l TWO G rH6rUal Ui.p& ion Fnim:£,uhsurla6n:—9ts OiSDornl;yalLYn•V s,gn If, Van,09108 1 , LOCATION SEWAGE PERMIT NO. v I L L A G E INST A L R NAME i DDRESS I. t 8 U I L D E R OR OWNER DATE PERMIT IS DATE COMPLIANCE ISSUED � J _1 i4ocl, l f i .S l t L ® CATI®N SEWA GE. PERMIT NO. 3 SsJ ' i92ryl VILLAGE I N 5 T A LLER'S NAME i ADDRESS es t U U ®E R OR OWNER ® ATE PERMIT ISSUE ® ® AT E G ® PLIANCE ISSUE ® o 1 7-0 1/.l a �3 . I i - � 07 TOWN OF BARNSTABLE COMPLIANCE: 1.Marine Gas Stations Repair CLASS. P satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY C f (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS 39 Y car c. Pz�10, Class: 7.Miscellaneous uyr, .W rJ QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS 1 ,• , Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel(A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil(C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: DISPOSAL/RECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply S v41 O Town Sewer OPublic O On-site OPrivate i'14_0Lie-- �►—. 3. Indoor Floor Drains YES—NO- 0 Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank: MDC O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler1 'roduct License YES NO 1. 2. ZIX Person(s) Interviewed Inspector Date - -TOWN OF BARNSTABLE _7..-COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair 2. nters BOARD OF HEALTH O satisfactory 3.Auto Body Shops y f p O unsatisfactory- 4.Manufacturers ' COMPANY 6' UAgA� ✓�.C� (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS 300 Y0- -Owola &-f Class: 7.Miscellaneous QUANTITIES AND STORAGE (IN' indoors;OUT=outdoors) ,MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks IN. . OUT- IN,, OUT IN. .OUT #&gallons Age Test _- -Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic - Synthetic Organics: degreasers Miscellaneous: ti ,J DISPOSAT✓RECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply Sa,& mn /c/o ut-(n i G 6A b�vw•� O Town Sewer OPublic tea 6,2aaU t G .f O On-site OPrivate --,(Jo v !-c fie- -C a- Gt Z /lam!C4.f 3. Indoor Floor Drains YES NO O Holding tank:MDC O Catch basin/Dry well 0.On-site system 4. Outdoor Surface drains.YES NO ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product YES NO 1. 2. Person (s) Interviewed Inspector ' , Date t . d YA2.M ou -rH - , 9 4-9 Go u r.�TY L-,Yo u•r- O A D L9 • Z9 Io 38G. IZ' -1 Z. OG' 'r � r r .. N. •• ' F7771�� w � C TIvE`( .n T-1-A,Iw-z LcT 2 F�. Z-s� D, l..o-r- 1 o v J 0 0 vl 9'. 1p.,.w l 2 Z.:'1 8'. ..:. Y Eyq s iN N. PS . � C3ui�,DiiJG a�e,c3,�p 23g gar ' 4(`� •` 5 3v• Zy • 34 , W WipE H 19 '13 LAYOUT„ Owne in"fo a io �-�.•., �,.,.�,� _Prd`a Infotmaion WOOD, GILBERTC x �,� .°" ..a, • 730 BEARSES WAY Parcel ID: 344-015-002 HYANNIS MA 02601-2258 Location: 380 YARMOUTH ROAD Class: 3320 Acres: 0.990 ` 4 �W- �RoPoS SI�E� 11JST1i' L&no� T�'Is�� p,tgb� �� ►fro �� ���r���ac�/g��. Fb��-�• '��� ��� � �� ,ter y � ,�,�� �o� u ��°�� � �T ���� � J2C��G��` �� � � ��-�}� r ���, 3� The Town of Barnstable Health Department t ""'T"` ' 367 Main Street, Hyannis, MA 02601 ru• g Office 508-790-6265 Thomas A. McKean FAX 508-775-3344 Director of Public Health January 19, 1993 Mr. Stephen Jones Camp Street Trust P.O. Box V Hyannis, MA 02601 NOTICE TO ABATE VIOLATIONS Dear Mr. Jones: On Wednesday, January 13, 1993, Donna Miorandi, Health Inspector for the Town of Barnstable Health Department performed an on-site inspection of your property listed on Assessor's Map 344 and known as Parcel 015. While on site the following violations were observed: ARTICLE XXXIX. CONTROL OF TOXIC AND HAZARDOUS MATERIALS. Section 4 (a) . The discharge of toxic or hazardous materials upon the ground or into any surface or groundwaters within the Town of Barnstable is prohibitied. Section 4 (b) . Outdoor storage of toxic or hazardous materials is prohibited, except in product-tight containers which are protected from the elements, leakage, accidental damage and vandalism, and which are stored in accordance with all applicable requirements of Section 5 of this bylaw. MASSACHUSETTS HAZARDOUS WASTE REGULATION: 310 CMR 30.680, 30.690. Each container and tank must be clearly and visibly labelled. . . Each container must be in good condition. Observed were several unmarked 5 gallon containers, full of unknown substance. MASSACHUSETTS HAZARDOUS WASTE REGULATION: 310 CMR 30.351 (8) Above ground containers must be on a surface which does not have any cracks or gaps and is impervious to the hazardous wastes being stored. Area must be secured against unauthorized entry. An outdoor area must have secondary containment. Any spillage must be promptly removed. Observed were batteries stored outside, an engine on the ground and much evidence of spillage of toxic or hazardous materials on the ground. You are directed to correct these violations within forty-eight (48) hours of receipt of this notice. Please be advised that failure to comply with an order could result in a fine of not more than $200. Each separate day's failure to comply with an order shall constitute a separate violation. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean Director of Public Health Enclosures: Article 39 Massachusetts Hazardous Waste Regulations HOUSMgMING Accumulation Area Standards ( 310 CMR 30. 351[8) ) fo' lowing Your a cc unulation or storage area must meet the - conditions for both ,containers and tanks: st be on a surface * Above-ground tanks and containers ma not have any cracks or gP s and is impervious which does to the hazardous wastes being stored; * Area must be secured against unauthorized entry; or * Area must be clearly marked (e.g. , by a visibleine of tape, or by a fence) and be separate from any po generation; * Area must posted with a sign: "HAZARDOUS WASTE" in be capital letters at least one inch high; nt such as a * An outdoor area must have secondary containme berm or dike, which will hold any spill or leaks at: r - 1 of the total volume the containers , - 110% of the voumofhlargest container, whichever is larger. Any spillage must be promptly removed. eneral, if the hazardous waste being stored has no ( In g ad or berm is required, provided that free liquids , no P is or the containers are the accumulation area is slop ed,elevated. ) 30. 690) Standards for Containers and Tanks ( 310 CMR 30.680, * tank must be clearly and visibly Each container and the period of accumulation with the labeled throughout following: - the words "HAZARDOUS WASTE" waste oil, acetone) - the name of theg i nitable , toxic , - the type of hazard( s) (e•g• ► dangerous when wet, corrosive) - date on which the accumulation began. * Each container must be in good condition. must * Wastes of different typesbe segregated. For fuel or used example , this includes not mixing waste oil ut incompatible fuel l oil with other wastes . Be careful not to p wastes in the same container or inco astir inwasteshed containers that previously he 8 J. t .7,•'�.;' .'( ' 1.'"'1 . ln. f :,'f'••I�,,fit l•�'11,�'d'..1{;1�1 ''`;``;, .,, •,. - Y 1 ARTICLE RRX1X. CONTROL OF TOXIC AND HAZARDOUS MATERIALS.. Section 1. Findings : ar stable finds that: Th e Toan of B n . . . (1) The groundwater underlying this town Is the sole source of Its ea- �'•� • Istlitg and future water supply, Including drinking water; Q) The groundwater aquifer Is Integrally connected with, and flows In- to, the surface waters. lakes, streams and coastal estuaries which constitute `7'�►?. • '. significant recreational and economic resources of the loan used for bathing •':1'.�:••':t . . i and other water-related recreation, shellfishin6 and nB Iishi i ,.• (3) Accidental spills and discharges of petroleum products and other .,try;t•i•1,`,•:�:,.,:. ,• ,.. ; • toxic and hazardous materials have repeatedly threatened the quality of such �;;..� ,� ;,;:: 1 •'�i , . groundwater supplies and related water resources on Cape Cod and In other ; Massachusetts towns, posing potential public health and safety hazards and tL'ireatening economic losses to the affected eommunitles; (4) Unless preventive measures are adopted to prohibit discharge of lox. ' "`l'''''.'` • le and hazardous materials and to control their storage within the town,further + spills and discharges or such materials will predictably occur, and with greater • frequency and degree of hazard by reason of Increasing construction,eommer- cia)and Industrial development,population,and vehicular traffic In the Town ` of Barnstable and on Cape Cod; (S) The foregoing conclusions are confirmed by findings set forth In the Environmental Impact Statement and Water Quality Management Plan for `'• ' ' Caps Cod (September, 1978). prepared by the Cape Cod Planning and Economic Development Commission pursuant to Section 208 of the federal Clean Waters Act;by the report entitled Chemical Contamination(September, 1979),prepared by the Special Legislative Commission on Water Supply,Com• :v; monwealth of Massachusetts; and by the report, Chemical Quality ofCrvund �2', :: ''_ ; {.;,.• Water, Cape Cod. Massachusetts (1979), prepared by. the U.S. oeolo Ica) `+;'!'�►'j�`'' 'f "` .' Survey. t.+jy;•'1 •1 .: r i Sectl„n 2. Authority a,. i The Town of Barnstable adopts the following measures under Its home rule •�;,r:. ; powers, Its police powers to protect the public health and welfare, and Its i {tlliax :`•:: .' ' authorization under Chapter 40, M.t3.L S.21. Section 3. Definitions • (a) The term,"discharge",means the accidental or Intentional spilling, .:�.•�, ,r:., , _ leaking, pumping, pouring, emitting, emptying or dumping of toxic or hazar• 0. - dous matrrl_I .1pnn or Into any land nr "!er! of the Town of Batttstable, ' • Discharge Includes,wlthotj4 limitation,leakage of such materials from felled or • �,,,�,• ,:;;I t:•.� + discarded containers or storage systems,and disposal of such materials Into an on-site sewage disposal system, drywell; catch basin or unapproved landfill. ; • + i va �.,•'.F.:: PP The term "discharge", as used and applied In this bylaw.does not In- clude the following: •'';h -►�,Y��:s_l1�:•..*,.:,ti..;•. .• . (1) ptoper disposal of any material in a sanitary or Industrial landfill that has received and maintained all necessary legal approvals for that purpose; tY;' irk, `.4 41;. t.1 1". I • Separate contd . c' similar structure.°f lncom .:b ,. Pam- le wastes Each containeres b�. a the swdste rOughou holding the hazardous 'ke is being added Period°d °f accumul Must be - least Containers holding i r removed, at1On, excephtWhen not Possible ng ignitable or ` in compliance or prdcft) from the reactive avast laws. Pliance with tical You mus PrOPert.V lines must be at * Inspect all applicable tlocastoi or uch econ dines is Your acc d!nances and by- leakin umu ensu enough aisle space °n area o at ctio a between°your r cOntai nce a week f ns: een conta ne eS s. You must ora n�• aglow for �e DRLq4S MJST BE. STE- WA i Y/ HANOI[WI[II CAAI, 441111 1;�� 7 • ..toj.1. �. lode Ko. 1 9 1�!,.." ��/..: i ..�tip.•; • .. , ' ` (2) application of fertilizers and pesticides In accordance with label recommendations and with regulations of the Massachusetts Pesticide Control Boardl (3) application of road salts in conformance with the Snow and Ice I Control Program of the Massachusetts Department of Public Works; and (4) disposal of "sanitary sewage" to subsurface sewage disposal. systems as defined and permitted by Title S of the Massachusetts Environmen- tal Cc (b). he term, "toxic or hazardous material," means any substance or maxi such physical, chemical or infectious characteristics as,to pose, In ' the Board of Health's judgment, a signincant actual or potential hazard to water supplies,or other hazard to human health, If such substance or mixture were discharged to land or waters of this town."Toile or hazardous materials" Include, without limitation, organic chemicals, petroleum products, heavy metals, radioactive or Infectious wastes, acids and alkalies, and Include pro- ducts such as pesticides,herbicides,solvents and thinners.Wastes generated by the following activities, without limitation, are presumed to be toxic or hazer- dous, unless and except to the extent that anyone engaging In such an activity can demonstrate the contrary to the satisfaction of the Bosrd of Health: Airplane, boat and motor vehicle service end repair Chemical and bacteriological laboratory operation Cabinet making ' Dry Cleaning Electronic circuit assembly Metal plating, finishing and polishing Motor and machinery service and assembly , Painting, wood preserving and furniture stripping • Pesticide and herbicide application Photographic processing, Printing ' Section 4. Prohibitions I ;1 (a) The discharge of toxic or hazatdous material:upon the ground or Into any surface or groundwaters within the Town of Barnstable h prohibited. I (b) Outdoor storage or toxic or hazardous materials Is prohibited,except In product-light containers which are protected from the elements,leakage,at. ' cidental damage and vandalism, and which are stored In accordance with all applicable requirements of Section S of this bylaw. For purposes of this subsea. tion. road salts and fertIlizer shall be considered as haurdous materials. Section 'S. Storage Controls (a) Except as exemptedpelow,every owner and every operator other than an owner of a site at which to Ic or hazardous materials are stored In quantllites } totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight shall register, with the Board of health the types of materials stored, t quantities, location and method of storage. The Board of Health may require that an Inventory of such materials be maintained on the premises and be reconciled with purchase,use,sales and disposal records on a monthly basis,in t order to detect any product loss. )registration required by this subsectloa shall i as ,, • ..t: f be submitted within 6o dart of enactment of this ordinance, and annually -; ,- thereafter.Maintenance and reconciliation of Inventotla shall begin within the same 6o-day period. Exemptions:.Registration and Inventory requirements shall not apply to the following: ; (1) Fuel all stored in" conformance with Mass. Fire prevention Reguis- dons and regulations of the Barnstable Board of llealth for the purpose of :.�4.R 1;j1.�;;� ;•- heating buildings located on the site;or ;r '•''';'�! materials at a single family or (2) The storage of toxic and hazardous d for use associated materials ate store II dwelling. where such :.�:'•::.�.; ):��•- ,• , am g of of 12 two tta. !.J ion 1 Section '�. b S . us e as defined P with a professional of home occupation y the Zoning By-Laws of the Town of Barnstable. (b) Wastes containing toxic or hazardous materiels shall be held on the %T Z•,a:�{.`•:�0 premises in product-light containers and shall be removed and disposed of In '•,';• y.�� `.:t accordance with fife Massachusetts Waste Management Act. Ch. 704 of the Acts of 1979. �,.,• 'I (c) Ihe Board of health may require that containers of toxic or hazardous materials be stored on an Impervious, chemical resistant surface compatible 1 with the material being stored,and that provisions be made to contain the pro- duct in the ease of accidental spillage. Section 6. Report of Spills and Leaks (a) Every person having knowledge of a spill,leak or other loss of toxic or f. heigrdous material believed ht shall report e spill tlf same to the Board of health within ono be In excess of 5 gallons or 25 pounds e wag th p oro s o . '• :. ': hour of detection. A ^,W • . Section 7. Enforcement (a) The provisions of this bylaw shall be enforced by the Board of Health. The agent of the Board of llealth may, according to law, enter upon any : ;-f: t:::•, premises at any reasonable time to Inspect for compliance. �..•';. •(b) Upon request or an agent of the Board of llealth, the owner or . T •.; . . operator of any premises at which toxic or hazardous materials ate used or stored shall Furnish all Information required to monitor compliance with this b3lza, Inc(nd!^g _ evmplete list of all chemicals, pesticides, fuels and other , .. toxic or hazardous materials used or stored on the premises, a description of measures taken to protect storage containers from vandalism, corrosion and spillage.and the means of disposal of all toxic or hazardous wastes produced on , the site. A sample of wastewater disposed to on-site septic systems, drywalls or sewage treatment systems may be required by the agent of the Board of health. (c) All records pertaining to storage, removal and disposal of toxic or 1• •,..•. ...,, hazardous wastes shall be retained for no less then three years, and shall be made available for review�y the agent of the Board of Health upon request. r (d) The Building Commissioner of the Town of Barnstable shall condition 'yi '. rf.i''i •, •' Issuance of construction and occupancy permits upon conformity with the re- .,; i Zn�;:�`:;t�t•.;..; quirements of this bylaw respecting any toile or hazardous materials to be used ;I���,• I In the course of suet construction or occupancy. Section 8. Violation `�*;t:�Y'' 1 •'•:.:i'f ' (a) Written notice of any violation of this bylaw shall be given by t.:a agent IY• r�'= 1 <•'�? \�: , Sri '. i , �} '►I�'� ;,., 44! r• i 16kift air- 4 of the Board of health, speclfying the nature of the violations any corrective measures that must be undertaken, Including containment and cleanup of t discharged materials; any preventive measures required for avoiding future . ! violations; and a time for compliance. Requirements specified In such notice shall be reasonable In telation to the public health hazard Involved and the dif• 1 ficulty of compliance,The cost of containment and cleanup shall be borne by the owner and operator of the premises. Seetlnh 9. Penalty Penalty for failure to comply with any provisions of this bylaw shall be S200.00 per day of violation. ; Section 10. Severabilify Each provision of this bylaw shell be construed iqs separate,to floe end that If any part of It shall be held invalid for any reason, the remainder shall con. o _ tinue In full force and effect. Adopted November 1, 1980. Approved February 27, 1981. ARTICLE JCJC X RAFFLES D BAZAARS Section 1. No person shaallll`operate a raffle ce,bezear In the Town of \Barnstable except l accordance witivectlon 7A of ClApler 271 of the general . aws,961 Code of Maksachusetts Regul lions,sections 4. 4.05,and this attl• Section 2. Each ap�,)icatton for a pe It to operate tattles and bazaars , shal be accompanied by a*cumenl selling'forth the tollowlr Informations I the evidence on which the applicant telles In order to uglify. 2� The names, addresses and phone numbers of thte officers or membe s of the organizati:ewne-,%t hhall be reasoni ble for the oper, llon of the Bauer ok Raffle. 3 3. 71t uses to which oceeds will be a lied; D , o and � AN' ,. Na�es and addresses and phZhNoraga"InIzation no nuber of p rtons leasing g Ing equipment to the organization. S. A cu nt list of members of tog er with their dresses. No person of EEr than an officer or a specifically thorized to do to shill sign an appl cation for a permit to oper le raffles and baz an on behalf of an organization. Section 3. No erson holding a permit to perate rattles o bazaars shall operate any pattQ(ar such event unless wtitte�notice has been Yen to the Chief of Police, not le s than 30 days prior to the!vent,of the date, ime, + and piece of the event on, any deviation from the 1t6 tmallon contain In the applicatlon for the pe t to operate the same. Section 4. Any person folaHng any provisions o[ atdcie shall b .' punished by a fine of not more an S300.00. , Adopted Jan.2S, 82.Approved May 20,.198 TQWN OF BARNSTABLE 3EWY VILLAGE A6/2AN/S ASSESSOR'S MAP &LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) 'P/T (size) 6 w/r/!Syew.6 NO.OF BED ROOMS OOMS G®M�e'/eG/�4L �['roRltf.�7►'CVCAC.�a��!/eA6r�s" R BUILDER O OWNER PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: ��� p.� Troy/ /1;E, -@Y 93' Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist / within 300 feet of leachin facility) Feet Furnished by � ;� ....,� �,� Ltl.Lar�clNls Ahlk '1-71 r SysT,��c viscv.�.^a,Ecrt�j 7/7�q�' .p v Y. r Y v - _ r � wo o� C3�AWa�w o n . y i All" LOCATION 7w SEWAGE PERMIT NO. VILLAGE INSTALLER'S NAME A ADDRESS' D U I L D E R OR OWNER DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED l , � � `� � , n � �1 Q I� � � i � �- � 1 � o ,� � � r. f� E111TH 51%, 5 A Jr C� f P No. Revision/issue D®te Flan No. and Addrw PRIGGEN STEEL BUILDING 133 FRANKLIN STREET WRENTHAM, MA PLAN ProJoot Name and 11 *d 380 YARMOUTH ROAD HYANNIS, MA AA i� H Pmjmd Shoot OF FLOOR i o o I Dote o a U REENLAW . 7/22113 `c. o NO.29093 v SwN S mw2 °FEssk°`,��'�a 1/8" = 1'-0° r y 9�Q S TRUCT��P��� � �� 30 6 E k x E i F F 1 p s o F O 0 0 f j i i 6 CC 3 a s ai Pow X waiPOOR 14"xw ai DOOR 'F T h WALL t C EACH SIDE l F ?R PLAN s gT�.gg+a�S4yiA' > dw Gam : Nt a. IL T q fit^ k tt if y. 10, Nin 94, FRI" xi r 6 t n M er' V. Up hx x x f �w, a W 1 �.::, r � � �-c n$A.. .�'�.` ''3.. � 4� 1 VA t, ¢ V , R S . lv5 �w�i..". ,,<. .. �r. 3�Aa.,r4�a� � c �`'�'',�•. v 7="X'9"F� ,,,xe,'�� 14 '° �'" w°',: y �;_ �' Y�i x 3H � " lY S'X'tik ':1..�,8'��"...F ,:.v'-`.' ...`53- a � F �� 1'<-5 'l�i� 'Q-k :`" °.:F'F��w•. ';�'{�ni:'rxTiiN•ue¢aa2#1v5.:�4 �} �` � A .f t;°F:�€ h .r2>^ � L. r � S s o',� s j VMMA s, �ty4 y� t - rt tl yyy S k DESIGN" �'' ALL SYSTEM COMPONENTS SHALL BE VENT WITH NOTES k� SYSTEM SYSTEM PROFILE END NOTE: FORMER 3 BEDROOM k , • LEG GARBAGE DISPOSER IS NOT ALLOWED MARKED WITH MAGNETIC TAPE OR CHARCOAL FILTER 1. DATUM IS HOUSE, 4 BAY BAY GARAGE. COMPARABLE MEANS FOR FUTURE LOCATION. ASSUMED (NOT TO SCALE) 99 - EXISTING CONTOUR DESIGN FLOW: 4 GARAGE BAYS ® 150 GPD = 600 & AUTO SALES WITH AN CONCRETE COVERS TO WITHIN 3" GRADE , X 99 EXIST. SPOT ELEV. 4000 S.F. AUTO SALES EXISTING DESIGN FLOW OF H-20 CAST IRON COVERS 2" PEASTONE OR GEOTEXTILE 2. MUNICIPAL WATER IS AVAILABLE (� 50 GPD/1000 S.F. = 2OO GPD 1130 GPD FILTER FABRIC OVER STONE 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. -��}-- PROPOSED CONTOUR USE A 800 GPD DESIGN FLOW PROPOSED DESIGN FLOW I 37.0 MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM 35.5' (NOTE: EXISTING AUTO DETAILER TO USE 800 GPD OK �`~.4�SCtM PVC 4. DESIGN LOADING FOR ALL PROPOSED PRECAST UNITS ��� ." 198.41 PROPOSED SPOT EL. EXISTING TIGHT TANK FOR WASH WATER) BLOCKS OR ZQ e , o t ° *THE INSTALLER SHALL VERIFY TO BE AASHO H- \e K� TH 1 4"OSCH40 PVC PRECAST RISERS P`'`O P`KQ THE LOCATIONS OF ALL MORTAR ALL H_2©, oK o TEST HOLE SEPTIC TANK: !'IDES LEVEL 1ST 2 3' COMPONENTS 5. PIPE JOINTS TO BE MADE WATERTIGHT. � y r- 1 s• 1 s" 34.61 1 �ENDS. .. �P•) QUTILITIES AND ALL BUILDING �' EL. 33.5 SIDES 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH 00M. 1st COMPARTMENT 800 (200%) = 1600 GPD 34.86 =o" 2� SLOPE OF GROUND USE A 2000 GAL. 1st COMPARTMENT O.K. SEWER OUTLETS AND �4.69 .°v 310 CMR 15.000 (TITLE 5.) 00 100% = 800 GPD ELEVATIONS PRIOR TO 2194 GAL °.° Enginehouse ° ° 3 2nd COMPARTMENT 8 ( ) COMPARTMENT 954 °°°°°°°° °°°°°°°° 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO Rd Locu 19 TEE °o°o°o°o°; >°o°o°o°o >°o°°°o°o UTILITY POLE INSTALLING ANY PORTION 0 GALLON 19' TEE °000°0000°°° o ,°g°°°o°° 999999WRI °°°°Qo°o BE USED FOR LOT LINE STAKING OR. ANY OTHER USE A 953 2nd COMPARTMENT O.K. �':': W/ GAS BAFFLE GALLONTME W/ GAS BAFFLE °°°°o°o°°°o° °°°°°°°O °ONO°O°O°O SEPTICSYSTEM �;;:, N '°O°O°O°O °O°O°O°O FIRE HYDRANT 1600 + 800 = 2400 GPD 33.56' 3.39' °°°°°°°° PURPOSE. •0000p000 USE A H-20 3000 GAL. DUAL COMPARTMENT SEPTIC TANK ° °o _ `" >; , o ° o o ° ° 1J , EL. 30.5 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. tr o � �So WATER SHUTOFF LEACHING: 0.5' " H-20 500 GAL LEACHING CHAMBER BY ACME PRECAST OR EQUAL. 3 1 11.5' 5.0' 3/4 -1-1/2" DOUBLE WASHED STONE 3' MIN. 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED a DEPTH OF FLOW 4 ALL ROUND PRECAST STRUCTURES (6) UNITS REQUIRED WITHOUT INSPECTION BY BOARD OF 'HEALTH AND \ SIGN SIDES: 2 (66.5 + 11.83) 2 (.74) = 231.9 GPD 17 p, TEE SIZES: OVERALL DIMENSIONS TO OUTSIDE OF STONE: 58.00' X 10.83' PERMISSION OBTAINED FROM BOARD OF HEALTH. BOTTOM 66.5 x 11.83 (.74) = 582.1 GPD I INLET DEPTH s �" 3000 GAL H-20 SEPTIC TANK �� ACME 6X11 OR APPROVED EQUAL tO 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING ♦ CATCH BASIN TOTAL: 1100 S.F. 814 GPD OUTLET DEPTH 19 6" CRUSHED STONE OF MECHANICAL DIGSAFE (1-888-344-7233) AND VERIFYING THE COMPACTION. (15.221 [2]) LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES USE (7) H-20 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL) ( 5 % SLOPE) ( 5 % SLOPE) (3 7 % SLOPE) 24.5' BOTTOM TH-4 PRIOR TO COMMENCEMENT OF WORK. LOCUS MAP WITH 3.5' STONE ALL AROUND LEACHING NO GROUNDWATER FOUND 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE NOT TO SCALE REMOVED 5' BENEATH AND AROUND THE PROPOSED FOUNDATION- 10' SEPTIC TANK 21 D' BOX --- 24' FACILITY LEACHING FACILITY. ASSESSORS MAP - 344 PARCEL 15 2 p LEACH PIT •'`' SEE PAVEMENT SECTION " 12. EXISTING LEACHING FACILITY SHALL BE PUMPED AND HEAVY DUN H-20 COVER 8 H-20 F&C RIM LISTED MA LABELED "DRAIN" F O REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. LOCUS IS WITHIN FEMA FLOOD ZONE C AS SHOWN COMPACT BACKFILL IN 6" DRILL (2) 1"0 HOLES IN COVER NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING APPROVED DATE BOARD OF HEALTH , LIFTS (TYP. ALL DRAINAGE) (4) TOTAL ON DRAINAGE ON COMMUNITY PANEL #250001 OOQ5 D DAT ( 13. EXISTING 1000 GALLON TIGHT TANK TO REMAIN. AUGUST 19, 1985. MIRAFI 140N FABRIC OVER H-20 BUILDING AREA PLANTING SCHEDULE DEDICATED SYSTEM UNDER PLUMBING CODE. COORDINATE PRECAST PIPING WITH PLUMBING DRAWINGS. VENT THROUGH ROOF. '� ri RISERS SLOTTED 12"0 HDP ��� FABRIC LINE ALL SIDES OF DRAINAGE R REQ ADS N-12 OR EQ. DRILL (2) t"a o �BRI ADJUSTING COURSE SYMBOL PLANT NAME SIZE QUANT. 14. BUILDING WALLS WITHIN 5-10' OF LOT LINE TO BE 1 ZONING SUMMARY ,� S L INV. (TRT R S' RED MAPLE HOUR FIRE RATED FOR EXPOSURE FROM INSIDE, VERIFY 0ACER RUBRUM 3" CAL. 12 CODE REQUIREMENTS WITH BUILDING COMMISSIONER. ri 10' BUFFER WITH a ; " PROPOSED 2.0' ( P. N Q SITE IS LOCATED WITHIN THE WELLHEAD PROTCT, r, GRASS AND OTHER ,,'' i SHAMROCK INKBERRY 24-30" 6 OVERLAY DISTRICT. .: �u' PLANTINGS AS q / PROPOSED H-20 12"p HD PE PIP EXMR GLABRA 'SHAMROCK' 6" LOAM ac SEED DISTURBED AREAS LEACHPIT INV. .• ' rr SHOWN (TYP.) ri , / ROCK WALL LISTED NORTHERN BAYBERRY ZONING DISTRICT: B BUSINESS DISTRICT r 2 6 8' H-20 FecC /RIM 33. 6-0XV-8" SHOREY :' ' 1 #� (�J 3" CAL RED ; INV. 30.1 H-20 LP OR EQUAL INV. LISTED w g MYR/CA PENSYL BAN/CA FlLTER FABRIC UN R GRATE UNTIL LAWN MIN. LOT SIZE N/A q ` H-20 CATCH BASIN STABILIZES ii r [33 .ST.OtJE.,... . 4 MIN. SUMP 20' MIN. LOT FRONTAGE M PLE (TYP.) „ , \ MIN. LOT WIDTH A N/" i ' RAIN 4•"•MII� AROU D PIT AalusnNo eLocKs/H-2o RISER MIN. FRONT SETBACK 20 q SHRUB SE �� GARDEN rr PLANTING a' SCHEDULE ��/ NEW (SEE DETAIL) BASN H 201'OREQUAL soup •' ' ' �, TREE MORTAR ALL COMPONENTS MIN. SIDE SETBACK N/A 3" CAL. MIN. 'S MIN. REAR SETBACK N A � © DRA AGE TRAPROCK 6" STONE UNDER 4' I.D. ECCENTRIC TOP RED MAPLE / Q © SWALE 3/4"-1-1/2" DOUBLE WASHED STONE (TYP.) ACER RUBRUM MAX. BUILDING HEIGHT 30' SECTION TH R U DRAINAGE DR EQUAL o ° ° \ WP REGULATIONS: 50% IMPERVIOUS MAX., ° oOOOgO °o o°O°o°°o°°0 4• MIN. PEASTONE o AND MIRAFl 140NS EXISTING o°°°O°°°° 30% NATURAL STATE MIN. GRAVEL 6'•SDR-35 PVC AT 2% MIN. o ° ° ° ° °°°°°°° PROPOSED 38.9% IMPERVIOUS \ \� FROM ROOF DRAINS 1.00°logo°° ° ° ° ° o°o°oo o° o 0 o FABRIC OVER STONE Q.- S 7 INv usreD ° ° ° ° H-20 °°°°°°°o° 11.4% EXISTING NATURAL STATE TO REMAIN ADDITIONAL PAVED S a°°log ° ° / \ !y TEST HOLE LOGS °°° a°000000o NOTE: FRONT YARD LANDSCAPED SETBACK r APRON & ENTRYWAY q °log lo g LEACHPIT o o o - ., RIM 34.5 OFF �°°°o logo SHOREY OR EQUAL 000°000go FROM THE ROAD LOT LINE:ZONE 8 1 p FEES 57 0°�°°�lo°o o°o°o°a°° v r INV. 30.0 oc000Q000 oo�000yao EXCEPT AT ENTRANCES. REINFORCED NEW BLACK RUBBER ° o °log �w` i cam CF --� C? . ( / ) ENGINEER: ARNE H. OJALA, PE, PLS _ LOT 2 PROPOSED GUARDRAIL HOSE t 2• ID a°aoa aoa °`° ° AUTO 1 SALES E 4 BAY AUTO SERVICE o °°° °°°°o°o°o°o°o°o°o°o°oo, °,o% °°°o°°°°°o°o° J ; 43,012f SF (SEE RAILING DETAIL) DOUR STRAND 12 GA WITNESS: DON DESMARAIS, RS 3/4• - 1 1/2- PROPOSED USE - NO CHANGE \ GALV ANNEALED TWISTED MARE \ DOUBLE MIN.WASHED STONE 0.99 ACRES EXISTING SEPTIC SYSTEM DATE. 5/7/12 EXISTING CAR SALES TO BE REMOVED TREE WRAP. LAP ENDS DOWN 10 BUFFER NTO O REMAIN IN THIS PROPOSED RIM 35.8 Do NOT STAPLE PERC. RATE _ < 2 MIN/INCH ' e' UNDER PIT F�OOF D I�� SECTION OWNER OF RECORD INV. 32.4 .L3.a�.�-.�..�..�...-- / ` 3 STAKES EQUALLY SPACED [ � SCALE SPACED 1'-W FROM TRUNK, NOT TO S GILBERT C. WOOD k 35 2� AROUND TREE 2 1/2"x2 t/2'xto' CLASS I SOILS P 13630 OLD SE NK PROPOSED STAINED U%RK BROWN. 730 BEARSES "'WAY 1 L 1 ELE-I ;:�.. " 2 ". ELEV.,. �' 3 ELEV. 4 ELEV. HYANNIS MA 02601 B 0rK WALL \ STAKES DRIVEN AT ANGLE MID _,�! , GFNCHIA(1RK ' r,CSERv� X�YX4' \ / ' I PULLED VEFtfKA�. WITH t/IRE ;_ .�. .. . T E E - �. ,� 0 B REMOVE . .: r E WA IN41 l ,,�a .., ,• �:;; °, 3 °� R -;- _ n 36 r� 36 35 2 35.72' `': `• 25.0 RIM 36.2 \ +'-4' MIN 3" DEEP SAUCER 1 �' iAGES � D __L MIN FILL FILL FILL FILL c INV. 32.4 \ 3' DEPTH SHREDDED BARK MULCH 6 DEED BOOK 9936 PAGE 78 ` PLAN BOOK 487 PAGE 69 10" 35.17' 10" 35.17' 10" _ 34.17' 10" 34.17' [37 - - �''- REMOVE BURLAP FROM TOP Bw R.. R R r C? ''W WV ''W RIM 35.8 `- HALF of Rootea L rya Z \-COMPACTED SUB-GRADE ( _ INV. 31.0 LS LS LS LS o• , , � � `'.- PARKING CALCULATIONS: SOIL MIX 10YR 5/4 10YR 5/4 1 OYR 5/4 10YR 5/4 , 20" 34.33 20'� 34.33' 20" 33.33' 20" 3.3.33 AUTOMOTIVE SERVICE BAY: 3 SPACES/RAY = 12 SPACES i VENT 0 3 _p ' \,, n , ' r / 6.. RO-p r f \,:.4 . �' ,r ,r C C C C AUTOMOTIVE '.:;ALES: EXISTING CESSPOOL 0 BRAIN (TY ) \ �O� ��'� ��/ ,' MIN MIN PERC 1 SPACE/76u SF OF FLOOR AREA STEEL LANDSCAP - , (DEMO) �,3 .9 0 . `, �, ° 5°" 0E48" 4000/700 = SPACES EDGING ON IN E --- r �,�/ RIM 36.6 ' 3' WIDE GRASS MCS :S MCS MCS 18 SPACES RE( �':RED ISLAND (TYP. Eg `� \ ' INV. 31.0 , WI�5WALLTREE P I_AN TI N G DETAIL ,8 SPACES PROUiDED INCLUDING 1 HANDICAP 3S. PROPOSED WHEELSTOPS �r ) RIM ' .16 i r~ , FORMER HOUSE LOCATION PER i o \ INV. 1.0 W ^��^� , CAPE COD BERM 1OYR 6/4 1OYR 6/4 ;OYR 6/4 1OYR 6/4 SPACE (VAN ACCESSIBLE) �7 1992 PLAN BY DOWN CAPE i 'c J �� , 12"X3" IH EXISTING W'TH TOP COAT ENGINEERING INC. REMOVE ANY i cd` � TO MATCH EXISTING ;NOT APPLICABLE THIS SITE) REMAINING FOUNDATION AND ; r B LLA S 1.0" TOPCOAT MASS DPW UTILITIES ' \, TYP. 3 WIDE R`ASS \ TYPE II / } r' a ( �) �,' LINED SVjYALE 2.0" BINDER .01 n \ �' ,' 120" 26' 120" 126" 2 126" 24.5' EXISTING BUILDING f �� ° ° ° ° ° °°°°°°°°°°o°Q°o RAIN GARDEN TO BE DEMOLISHED r \ /� °°'°°°°°°°°°°°°° NO GROUNDWATER ENCOUNTERED } / r EXISTING BUILDING � 8" REPROCESSED ASPHALT GRAVEL EXTEND GRAVEL 6" Mi 1. EXISTING 1000 GALS. �o TO BE DEMOLISHED PAST EDGE PAVE COti;, :.F SUBGRADE MDPW SPEC. VIB. ROLLER COMPACTED TIGHT T NK SEE WTE 13 I o- ' LANDSCAPE & CIVIL i BENCHMARK 48' O.C. MAX. HYDRANT TAG BOLT, P A VE 114 E" r CROSS SECTION \ RIM 37.11 H� , ,� NOT TO SCALE 1/2" GALV. 1 CHAMFER - P.T. TIMBER RAIL SITE PLAN INV. 34.11 ' ,' " __4'� T16' LONG T K ��. �►/ \\ v o 4"X10 RAIL BOLT LONTG ) P.T. TIMBER " io of OF �. o C ♦ 3" CALIPERr'ACER RUBRUM (TYP.) T o o �PREFINISHED METAL CAP 1 #380 YARMOUTH ROAD HEX NUT W/ "I " WASHER FLUSH 8"X8" POST 8 P.T. I POST HYANNIS, MA WITH POST (TYP.) P.T. TIMBER . N0.2 TIMBER D \ O RAILING PLAN -I � PREPARED FOR ,�� ,� � r -SLOPE BASE TO DRAIN � I I RIM 37.6 ` NOT TO SCALE ! o `/ }�� , \SEE PAVEMENT SECTION HEX NUT W/ I L B E R T WOOD dNV. 33.3 BIORETENTION SHRUB PLANTING SCHEDULE s �v 1-3/4 WASHER ROUNDED END CYI 307A OR EQ. RIM 37.3 1 ' J J�v �� \�` at GRAVEL COMPACTED SYMBOL PLANT NAME .SIZE QUANT. �. INV. 34.3 0' O Q ' r i �� 6" LOAM & SEED � �' �,' DISTURBED AREAS- AD `t DATE: 3-21 -2013 BLACK CHOKEBERRY 2 3 0 ,�. �r �. a REV: 5-2-2013 (SPR COMMENTS) ARON/A MELANOCARPA # D ^� , R 6-13-2013 (SPR COMMENTS) REDOSIER RED TWIG DOGWOOD 2 11 \ 0 0 QOF `','�}�'\ '' H 18" DIA. CONC. BASE 6" MIN' - %rF M * ,y,���ZH OF Mgss�c off 508-362-4541 CORNUS SER/CEA 1, R ,� 1 , "� r �,I - 7., s� # 8 \ 6 \� / ao �DANiELS9 'G` �\ OOJAI`A, \� fax 508-362-9880 2 \ RP ,�• , , d��, ��s o -A -4 downcope.com ARROWWOOD ,' z �U\ A. N " CIVIL Cn WBURNUM DENTA TUM #2 4 ^'\ ,,'\'� ( 8"X8" POST _ G.IP,LA No.46502 S�• � �� $ PER LANDSCAPED ARCH. SPEC.,�ND PAINTED P.T. NO.2 ° 0" °� °c STe- • \ down cope eng,,ne,�r�ng Inc WINTERBERRY HOLLY # � '�} O� Z FILL W/CONCRETE SOUTHERN YELLOW -I I I I � \� fss °`� FSS� NAL \ /q/�q� suvil rveyors /LEX I�ERTIC/LA TTA 2 3 _ PINE OR EQ. 7PI Al - y RIM 37.1 �,,;� �� INV. 34.3 939 Main Street ( Rte 6A) Scale: 1"= 20' �, RAILING SECTION B RAILING SECTION A DATE DANIEL A. OJALA, P.E., P.L.S. YARMDUTHPORT MA 02675 LICE #95-407 _ _ - , BOLLARD DETAIL NOT TO SCALE o 0 20 30 40 5o FEET NOT TO SCALE NOT TO SCALE PERMIT SET NOT FOR CONSTRUCTION 95-407 WOOD.DWG LEGEND SYSTEM DESIGN: GARBAGE DISPOSER IS NOT ALLOWED NOTE: FORMER 3 BEDROOM SYSTEM PROFILE ALL SYSTEM COMPONENTS SHALL BE VENT WITH NOTES HOUSE, 4 BAY BAY GARAGE, MARKED, WITH MAGNETIC TAPE OR CHARCOAL FILTER 99 EXISTING CONTOUR DESIGN FLOW: 4 GARAGE BAYS 0 150 GPD 600 & AUTO SALES WITH AN (NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. 1. DATUM IS ASSUMED = � � / X 99.1 EXIST. SPOT ELEV. 4000 S.F. AUTO SALES ' r EXISTING DESIGN FLOW OF ✓ H-20 CAST IRON COVERS 2" PEASTONE OR GEOTEXTILE CONCRETE COVERS TO WITHIN 3" GRADE 2. MUNICIPAL WATER IS AVAILABLE ® 50 GPD/1000 S.F. = 200 GPD �b� ��c,�1 5vt 1130 GPD s9 PROPOSED CONTOUR USE A 800 GPD DESIGN FLOW ✓ PROPOSED DESIGN FLOW I SLAB EL 3s.o �' FILTER FABRIC OVER STONE 37.0 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. '' MINIMUM .75' OF COVER OVER PRECAST 2� SLOPE REQUIRED OVER SYSTEM U vvv 198•41 PROPOSED SPOT EL. NOTE: EXISTING AUTO QET ASH W USE = (j 800 GPD OK a•scHao PVC - J�\c �XISTING TIGHT TANK FOR WASH WATER) (�(�0 4' �0 4. DESIGN LOADING FOR ALL PROPOSED PRECAST.UNITS � TH1 *THE INSTALLER SHALL VERIFY BLOCKS OR / TO BE AASHO H-2Q TEST HOLE SEPTIC TANK: THE LOCATIONS OF ALL 4"0SCH40 PVC MORTAR ALL PRECAST RISERS / �ylobP�t9 PIPES LEVEL 1ST 2' COMPONENTS H-20 5. PIPE JOINTS TO BE MADE WATERTIGHT. goy you 1st COMPARTMENT 800 (200%) = 1600 GPD UTILITIES AND ALL BUILDING 34.86 10 ENDS (TYP.) INV' 32.5 3.5' 2� SLOPE OF GROUND USE A 2000 GAL. 1st COMPARTMENT O.K. SEWER OUTLETS AND 19" 34.69 19" 34.61 EL 33.5 SIDES 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH 2nd COMPARTMENT 800 (100%) = 800 GPD ELEVATIONS PRIOR TO 2194 GAL ; 310 CMR 15.000 (TITLE 5.) En inehouse o UTILITY POLE COMPARTMENT 954 » ;°000°°°° ®®®® F= ® ®®®® -�®®® o 0 0 o T 9® Rd.USE A 953 2nd COMPARTMENT O.K. INSTALLING ANY PORTION 0 1s/"���TEEp��✓ GALLON 1s" TEE ✓ °oo°o°°°o ° 0, °°°° ®® ®®®®®®®® ®®®®®®®®®®® ° ° ° ° 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO �o�u ••!1F�;.: W/ GAS Of'Irf LE ° °°O°°°O°O° ° >°�°,,,00°°O ®®�®®®®®®®® ®®®®®®®®®®® '°O°O°O°O 0 0 0 0 0 0 0 0 ° ° ° ° ° ° ° BE USED FOR LOT LINE STAKING OR ANY OTHER FIRE HYDRANT 1600 + 800 = 2400 GPD SEPTIC SYSTEM COMPARTMEN W/ GAS BAFFLE o 0 0 0 0 0 °°°°oo° ®®®®®®®®®®® ®®®®®®®®®®® ° ° °°O •yY - o°o°o°o° o°°°o°o° USE A H-20 3000 GAL. DUAL COMPARTMENT SEPTIC TANK ° a°fib ° o°fib o� a°04b 33.56 33.39 °°°oo°°o _ ga0000go PURPOSE. �So WATER SHUTOFF LEACHING: p.5• » EL. 30.5 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4 PVC. o 0 oc 4' 11.5' 5.0' " H-20 500 GAL. LEACHING CHAMBER BY ACME PRECAST OR EQUAL. Z Q 0-0 SIGN SIDES: 2 (66.5 + 11.83) 2 (.74) = 231.9 GPD DEPTH OF FLOW = 3/4 -1-1/2 DOUBLE WASHED STONE 3 MIN. (6) UNITS REQUIRED 9.. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED 3 .t Bk�� TEE SIZES: 17•p• ALL AROUND PRECAST STRUCTURES WITHOUT INSPECTION BY BOARD OF HEALTH AND cl BOTTOM 66.5 x 11.83 (.74) = 582.1 GPD INLET DEPTH = 10„ OVERALL DIMENSIONS TO OUTSIDE OF STONE: 58.00' X 10.83' PERMISSION OBTAINED FROM BOARD OF HEALTH. 3000 GAL H-20 SEPTIC TANK o O CATCH BASIN TOTAL: 1100 S.F. 814 GPD OUTLET DEPTH = 19" ACME 6X11 OR APPROVED EQUAL 6" CRUSHED STONE OR MECHANICAL t° 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING COMPACTION. (15.221 I!21) DIGSAFE (1-888-344-7233) AND VERIFYING THE USE (7) H-20 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL) 5 LOCATION of ALL UNDERGROUND & OVERHEAD UTILITIES WITH 3.5' STONE ALL AROUND ( � SLOPE) ( 5 SLOPE) (3.7 9; SLOPE) PRIOR TO COMMENCEMENT OF WORK. 24.5' BOTTOM TH-4 LOCUS MAP p LEACH PIT FOUNDATION- 10' SEPTIC TANK 21' D' BOX LEACHING NO GROUNDWATER FOUND fr 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE NOT TO SCALE 24 FACILITY REMOVED ' BENEATH AND AROUND THE PROPOSED - ASSES SEE PAVEMENT SECTION ASSESSORS MAP 344 PARCEL 15-2 HEAVY DUTY H-20 COVER 8" H 20 F&C RIM LISTED 12. EXISTING LEACHING FACILITY SHALL BE PUMPED AND MA COMPACT BACKFILL IN 6" LABELED "DRAIN" F&C VED OR PUMPED AND FILLED WITH CLEAN SAND. NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRANANG APPROVED DATE BOARD OF HEALTH # LIFTS (TYP. ALL DRAINAGE) DRILL (2) 1"0 HOLES IN COVER LOCUS IS WITHIN FEMA FLOOD ZONE C AS SHOWN (4) TOTAL ON DRAINAGE 13. XI STING 1000 GALLON TIGHT TANK TO REMAIN. ON COMMUNITY PANEL 0250001 0005 D DATED // vV MIRAFI 140N FABRIC OVER H-20 AUGUST 19, 1985. PRECAST BUILDING AREA PLANTING SCHEDULE ICATED SYSTEM UNDER PLUMBING CODE. COORDINATE r --t FABRIC LINE ALL SIDES OF DRAINAGE RISERS SLOTTED 12"0 HDPE PIPING WITH PLUMBING DRAWINGS. VENT THROUGH ROOF. AS REQ. ADS N-12 OR EQ. DRILL E(2) 1"0 �BRI ADJUSTING COURSE SYMBOL PLANT NAME SIZE QUAINT. - I 10' BUFFER WITH /i / SET L INV. MORTAR 14. BUILDING WALLS WITHIN 5-10 OF LOT LINE TO BE 1 ZONING SUMMARY (TYP.) RED MAPLE 3" CAL. 12 ; HOUR FIRE RATED FOR EXPOSURE FROM INSIDE, VERIFY GRASS AND OTHER �// ' PROPOSED 2.0' ( P.) N ACER RUBRUM CODE REQUIREMENTS WITH BUILDING COMMISSIONER. /i PLANTINGS AS /r PROPOSED H-20 SHAMROCK INKBERRY SITE IS LOCATED WITHIN THE WELLHEAD PROTECTION r SHOWN (TYP.) �/i / ROCK WALL LEACHPIT INV. " C.B. TRAP ILEX GLABRA 'SHAMROCK' 24-30" 6 OVERLAY DISTRICT. /RIM 33. r a LISTED 12 0 HDPE PIP ,/ / ® ® INV. 30. I H-20LP8OR EQUAL INV. LISTED NORTHERN BAYBERRY 2 6 s" LOAM DISTURBED AREAS ZONING DISTRICT: B BUSINESS DISTRICT 3" CAL RED /i ' � '' MYR/CA PENSYL VAN/CA # a" H-20 FdcG FILTER FABRIC UN R M PLE (TYP.) r/ / \ r H-20 CATCH BASIN GRATE UNTIL LAWN MIN. LOT SIZE /r i' ' RAIN ST.oN1E.;... . :: 4' MIN. SUMP STABILIZES N/A PLANTING ' / GARDEN MIN. LOT FRONTAGE 20' SHRUB SE r 4. MII� AROJJ D PIT MIN. LOT WIDTH N/A /i SCHEDULE ��; NEW (SEE DETAIL) AorusnNc BLocKs�H-so RISER MIN. FRONT SETBACK ' .� '• • ' 6'-6" X 4' I.D. SHOREY SOLID DRAI AGE STONE BASIN HCC OR EQUAL TREE MIN. SIDE SET 20 i SWALEOCK 3/4"-1-1 2" DOUBLE WASHED STONED TYP. 4' I.D. ECCENTRIC TOP 3" CAL. MIN. MORTAR ALL COMPONENTS BACK N/A O - / ( )� _ RED MAPLE - (TYP.) MIN. REAR SETBACK N/A SECTION N TH R U DRAINAGE' ACER RUBRUM EXISTING � OR EQUAL MAX. BUILDING HEIGHT 30' ' \/ O I ^ 000°o 0 4" MIN. PEASTONE IMPERVIOUS MAX:, O GRAVEL °o°o° WP REGULATIONS: 50� i 6"OSDR-35 PVC AT 2R MIN. o°g0000°° oa°000 000 AND MIRAFI 140NS 30% NATURAL STATE MIN. ADDITIONAL PAVED FROM ROOF DRAINS 000000 oo"000000 FABRIC OVER STONE IMPERVIOUS i \ S6' °°°0 4-11" x s'm °°°° PROPOSED 38.9% INV. LISTED ° °°°°° H-20 �, a000 11.4% EXISTING NATURAL STATE TO REMAIN o°°oo°g°° ° 000°°°° �� APRON & ENTRYWAY RIM 34.5 �q�� w TEST HOLE LOGS °o1.00°°go soo GAL %gogog°oo °°°o°°°°° \ °°°°°° ° n LEACHPIT 0000°000° NOTE: FRONT YARD LANDSCAPED SETBACK / aj O oo°gog%o° SHOREY OR EQUAL °° °°a°o FROM THE ROAD LOT LINE: ZONE B - 10 FEET °°°° ° EXCEPT AT ENTRANCES. INV. 30.0 °°o°°°°°° ° °° °°°o / LOT 2 F `'� '/ REINFORCED NEW BLACK RUBBER r HOSE (1/2' ID) ARNE H. OJALA PE PLS o°°°°° /\ o °oo°°° °°° EXISTING USE - 4 BAY AUTO SERVICE & Q r PROPOSED GUARDRAIL ENGINEER: I o°°°o°°°°°°°°°°°°°°°°°°°°°°°°°°°o-�o�o�o�oo AUTO SAL 43,012t SF (SEE RAILING DETAIL) l DOUBLE SIRED TWISTED WIRE DON DESMARAIS, RS 3�a" - , 1/2" ES 0.99 ACRES WITNESS: 1 EXISTING CAR SALES EXISTING SEPTIC SYSTEM DOUBLE WASHED STONE / PROPOSED USE - NO CHANGE DATE:- 5/7/12 4' MIN. AROUND PIT 10 BUFFER TO REMAIN IN THIS AREA TO BE REMOVED TREE WRAP. LAP ENDS DOWN NO CHANGES PROPOSED RIM 35.8 DO NOT STAPLE < 2 NuIIN/INCH 67 UNDER Prr \ INV. 32.4 PERC. RATE _ ROOF DRAIN SECTION OWNER OF RECORD [35] 2 7 3 STAKES EQUALLY SPACED 13630 NOT TO SCALE AROUND TREE 2 1/2•x2 1/2•x10' I OLD SE INK \ /� CLASS. SOILS P# PROPOSED SPACED 1'-0• FROM TRUNK, GILBERT C. WOOD / BENCHMARK TO BE REMOVE vE B O K WALL STAINED DARK BROWN. % WATER SHUTOFF �/ �'�.'-<.. . 0%.RESER 2�X2YX4' \ STAKES DRIVEN AT ANGLE AND, ELEV. ELEV. ELEV. ELEV. 730 BEARSES WAY EL: - 35.72' , ._ PULLED VERTICAL WITH WIRE' „ 4 , 2 6 �. » - 4 3 � 4 HYANNIS MA 02601 . �< MIN 4' -0 BURIED 0 _ 36 » _ 36 RIM 36.2 V-4 •k I MIN 3" DEEP SAUCER / • � \ ., . ..• ,..... ' �� � / V. 3 MIN • 3 _ `........ IN 2 4 REFERENCES 3• DEPTH SHREDDED BARK MULCH L FILL FILL FILL 10" » DEED BOOK 9936 PAGE 78 T _ , `': 35 17' 10 35 17 10 34 17' 10" 34.1`7' PLAN BOOK '487 PAGE 69 REMOVE BURLAP FROM TOP oT 3 N RIM 35.8 f HALF of ROOTBALL gvr gBw%/ �� .\ / _ y v / �\\\f,/ INV. 31.0 t� \ % n COMPACTED SUB-GRADE LS BW \ LS LS LS SOIL MIX PARKING CALCULATIONS: 20 10YR 5/4' ' 34.33 10YR 5/4 10YR 5/4 10YR 5 4 i ��� T'y ,• ,.� :.,,.., '• '••••'�•`.,. `��' � -� 20 34.33 20 " 33.33 off/ VENT AUTOMOTIVE SERVICE BAY: 33 p ♦ . , 3 SPACES/BAY = 12 SPACES T RO o ::: :' AIM : Aj,, .;:'. '� , 12• h EXISTING CESSPOOL TY � , MIN MIN C C AUTOMOTIVE SALES: STEEL LANDSCAP � / •� =: .:1-•: i C C 1 SPACE 700 SF OF FLOOR AREA EDGING ON IN I E ____-----_,_ ' (DEMO) o �3j9 0 ` r ` '� ^ 0 50" ISLAND (TYP. 693 \�`� �� � � NV. 3RI 6.0 '' 3' WIDE GRASS MCS ®E4e" 4000/700 = 6 SPACES NWI SW RA TREE PLANTING DETAIL S PROPOSED WHEELSTOPS , d- r MCS MCS MCS 18 SPACES REQUIRED , RIM ;-7.16 , FORMER HOUSE LOCATION PER o � f / 0 9 IN 1.0 C4 ^��^� ,' / CAPE COD BERM 18 SPACES PROVIDED INCLUDING 1 HANDICAP 3� 1992 PLAN BY DOWN CAPE / ' �, �/ , 12"X3" INTERGRAL WIT'I TOP COAT 1 OYR 6/4 10YR 6/4 10YR 6/4 1 OYR 6/4 SPACE (VAN ACCESSIBLE) ENGINEERING INC. REMOVE ANY \ � ' / TO MATCH EXISTING (NOT APPLICABLE THIS SITE) REMAINING FOUNDATION AND , - BOLLA,. S ' 3' WIDE ASS 1.0" TOPCOAT MASS DPW UTILITIES \ o (TYP )- /' LINED SWALE � 2.0" BINDERNPE II r •0, / \f A) , r RAIN GARDEN % EXISTING BUILDING - 120" 26' 120" / 26 126 24.5' 126" 24.5' TO BE DEMOLISHED '"�,.'r,. :,� ,� ,•' / o�°o°o°o°°2°o9o� / A) NO GROUNDWATER ENCOUNTERED �, / EXISTING BUILDING < < J rE & CIVIL / TO BE DEMOLISHED EXTEND GRAVEL 6" MIN, 8" REPROCESSED ASPHALT GRAVEL EXISTING 1000 GAL. 7O / PAST EDGE PAVE COMPACT SUBGRADE MDPW SPEC. VIB. ROLLER COMPACTED TIGHT T NK SEE DOTE 13 / o' ' .' R� 4j / BENCHMARK 48' O.C. MAX. �^^ r/,'�� // � / „ �,' HYDRANT TAG BOLT, PAVEMENT C R O S a c EL. = 37.37 S SECTION LANDS "' AP RIM 37.1 , 1 CHAMFER „ `-�,,' '>'O►�� \ , � t NOT TO SCALE1/2" GALV. " /-16' P.T. TIMBER INV. 34.11 " / i i BOLT (TYP.) �� 4 X10 RAIL SITE PLAN 4"X10" RAIL d LONG TYP. 12" LONG 1 o o I O F 3" CALIPER/'ACER RUBRUM (TYP.) P.T. TIMBER I I y` ♦ to of PREFINISHED METAL CAP ° f #380 YARMOUTH ROAD HEX NUT W/ r7 �8"X8" POST / \ WASHER FLUSH 8"X8" POST WITH POST (TYP.) P.T. TIMBER P.T. NO.2 TIMBER HYANNIS, MA RAILING PLAN. i- 1"=10' RIM 37.6 •• � '���/'h � '' � 2 0' SLOPE BASE TO DRAIN - PREPARED FOR BIORETENTION SHRUB PLANTING SCHEDULE GA, aINV. 33.3 a `�}^j'� SEE PAVEMENT SECTION NOT TO SCALE G'1 �\ HEX NUT W/ PLAN RIM 37 � ' 1-3/4 WASHER ROUNDED END GILBERT WOOD 3 '� / � J i `. `- CYI 307A OR EQ. COMPACTED SYMBOL T NAME SIZE QUANT. �. INV. 34.3 6" LOAM & SEED _ DISTURBED AREAS • u GRAVEL ,a« { } BLACK CHOKEBERRY #2 3 \O ` �� i ,' ZN of ARON/A MELANOCARPA \ 'p �'�' / , sqo A S ZHOFM DATE: 3-21 -2013 \0 ` �. %� i b 4.4. ,tea )�,NIEL �' AN•- 5-2-2013 (SPR COMMENTS) REDOSIER RED TWIG DOGWOOD / / o C DOSIE SER/CEA #2 11 \ /�? P 18" DIA. CONC. BASE " �� :.ram' a G �6-13-2013 (SPR COMMENTS) 7 \ R / / a 6 MIN. �HOFM ARROWWOOD \ �P �,�, a » ` �a ss :� 0 e yG off 508-362-4541 WBURNUM DENTATUM #2 4 ` ,��' �,,'� /' _ -'�3-1 �o, �sT ', �� fax 508-362-9880 Z SURD ° NAL I downca e.com o x w m 0 P O 6" STD. STEEL PIPE PRIMED ''AIJD PAINTED ' `�• '~j ` . ( „ _ *`!� f i..At_A � u. 46502 down ca a �!! inee�i� inc /-� OV $ PER LANDSCAPE ARCH. SPEC.,) PpT.8N0.2ST �O w;; ? A p g 81 ILEX 14BERCIL HOLLY #2 3 ' �� FILL W/CONCRETE SOUTHERN YELLOW - I r'� �" ,�o�Fs sTEF��a`6 ILEX 1/ERT/C/LA TTAs s f r C%V%l engineers 37.1 PINE OR EQ. o s AL 9 NV. 34.3 = G_13_�� / .%���-� •� land surveyors Scale: 1 = 20 i `° RAILING SECTION ON B �' f 939 Main Street ( Rte 6A) BICE #95-407 :� BOLLARD DETAIL RAILING SECTION A DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675 0 0 20 30 40 5o FEET NOT To SCALE NOT To SCALE NOT To SCALE PERMIT SET NOT FOR CONSTRUCTION 95-407 WOOD.DWG