HomeMy WebLinkAbout0536 COTUIT BAY DRIVE - Health 536 Cot ,it,,BayDrive �, {
C6tuit -- -- ---
- - --- - A', 6S 5 -042
r Town of Barnstable
�FIKE T Regulatory Services
Thomas F. Geiler,Director
Public Health Division.
BARNSTABLE, Thomas McKean,Director
.y MASS. �a
0o i639, �m 200 Main Street, Hyannis, MA 02601
.orFD MA'1 A
Phone: 508-862-4644
Email: health(a,town.barnstable.ma.us
Fax: 508-790-6304
Office Hours: M-F 8:00—4:30 PW
(x-J
May 12,2009
Neil and Susan O'Connor.- RE: Underground Storage Tank Removal
536 Cotuit Bay Drive Order,536 Cotuit Bay Drive,Cotuit,MA
Cotuit,MA 02635 Map Parcel 055042
Tank# 1 Tag#00082
Dear Neil and Susan O'Connor:
The Barnstable Public Health Division is in receipt of a copy of the tank removal Application and Permit
issued by the Cotuit Fire Department,and the"tank yard"receipt demonstrating that the above referenced
underground storage tank was removed on or about July 27, 1994.
The Public Health Division appreciates your attention to this matter and has updated its data base to
reflect this fuel tank status change. Should you have any further questions please contact Cynthia Martin of
this office at 508-826-4645.
s
i A. c ean,RS,CHO
Director of Public Health
05-11-2009 09:45 PAGE1
Town of Barnstable aarnsweic
Regulatory Services
UlMfr„Ma Thomas F. Geiler, Director I'
!sass.
Public Health Division 2007
Thomas McKean, Director
200 Main Street,Hyannis,MA
Office: 508-862-4644
Date:.April 1, 2009
Neil & Susan O'Connor
536 Cotuit Bay Drive
Cotuit, MA 02635
RE: Underground Storage Tank at:
536 Cotuit Bay Drive
Cotuit, MA 02635
Map Parcel: 055042
Tank NO: .l
Tag NO: 00082
Our records indicate that your underground fuel (or chemical) storage tank is over 30
years old, and has not been removed as required by section 326-3: subsection 2 of the
Town of Barnstable'Code regarding fuel and chemical storage systems.
You are directed to reI-nove this tank within sixty(60) days from the date of this notice.
After your tank is removed, please furnish this office evidence in the form of a permit
from your local Fire Department within ninety(90)days of the receipt of this notice.
You may request a hearing provided a written petition requesting same is received by the.
Board of Health within ten (10) days after this order is served.
Per Order of the Board of Health
Thomas A. McKean, RS, CHO
Health Agent
0.5-11-E009 09:46 PAGE2
RM F.P. 292
-rA� '
rev. 9/80) affl"01Q (�antninnwfult I h of Mom}
g
Department of Public Safety
Division of Fire Prevention and Regulation
%PPLICATION FOR PERMIT, AND PERMIT, FOR REMOVAL AND TRANSPORTATION TO APPROVED TANK YARD
FDID# 01921 Permit Il Date7":�i -
Cotuit
City.Town or District C . e z 0 . 40 11 . 0 . l .
DIG SAFE NUMBER
Fee Paidt
start date
In accordance with the provisions of Chapter 148, Sec. 38A, Mom`. r
527 CMR 9 . 00 application is hereby made by: '�r� � --•-�-��
Street Address & City or Torn t jd k-
Signature of applicantt
Appl icahts name printed t
For permiesi n to remove and transport one underground storage tank from.
Owner: o Street Address:,135
Firm transporting waste: '"% A�
P 9 State Lic. N_
Hazardous waste manifest (I E.P.A. #
Approved tank yards ' 0Z14a5 c$ L,1 06� 6 OS (o
Tank yard Address t L16
Type of it-Art gae t Pf*z-i � UL tank f :
Tank capacity: Substance last stored: ' �
Date of issi!e t 19 gam. Date of ex r ion t Q�
j Signature/Title of Officer granting permit:
KEEP OR►CINAL AS APPLICATION AND ISSUE DUPLICATE AS PERMIT
05-11-2009 09:46 PAGE3
NAME AND ADDRESS - - & c a- F44.. .r 0• Q •r t yG
OF �•
APPROVED TANK YARD -42 aAAdl,4 r/ d .4"012, !—
APPROVED TANK YARD NO. —?- -
Tank Yard Ledger 502 CMR 3.03(9) Number:
I certify under penalty of law i have personally exaained the urderqruud steel storage tx*
delivered to this approved tank yard" by f izm, Corporation or partnershipA— & 2.—.7 t- :,O_ - ...
_-a and accepted same in aonfoanance with t3nssachtwetts Fire Prevention
Regulation 502 GMR 3.00 Provisions for Approving Urdergxuu d Steel Storage Tank dismantling yards.
A valid permit was issued by LOCAL Head of Fire Departmnt FDM I -0 1��� to transPort
this tank to this yard.
Aisne o i e of approved tank yard ovner or obffwxs authorized rePr'esentative-
IQJAILII� Tr= DA'!E SIQ�D
'his signed receipt of disposal nest be returned to the local head of the fire departaie-nt
t-DID1 L,c.` Pursuant to 02 Q� 3:00. (Ft TANK �!l.ST H11VE A RQEiYP OF DISFt76AS.)
FORM F.P. 291 (rev. 9/85) MLccACffijWM STATE Fin M*-giAL'S �
DIMENSIONS Tank Removed From
Width Length
(no. street)
Tank 1 QS9X Cr/ _. -- -----C=�_/_"-�i---- --lt�_��------
Tank 2 ----- X ----- (city or town) [f a 7 �' T
Tank 3 ----- X ----- Fire Department
Permit # ---------
Tank 4 ----- X -----. (if applicable)
Tank 5 ----- X -----
(feet) (feet)
t
No................ .... YER ..............
71COMMOBOF MASSACHUSETTS
,o BOARDAQ? �-1 L.,� .--......OF....... !1/1---- -------- -
�A1trtttii$lt fxhina1 Works Cn #inn rruti#
(��
(. Application is hereby made for a Permit to Construct,(-�) r Repair ( ) an Individual Sewage Disposal
System at
�d ation-Addr or Lot
...../... -- •....... -t-.........^'�: , .......... ........... •�//c✓ ., ................� --
n + / Address
................................................. ---. :. ..............._........... !.._.... .........-----...•--.....•-••-•-•-•--......._......_.........----^-----............--
Installer Address
UType of Building Size Lot....� M0.....Sq. feet
Dwelling�No. of Bedrooms.......... ......................./erday.
a.sion Attic ( ) Garbage Grinder (� �
Other—T e of Building
a Other—Type g ____________________________ No. os. .......................... Showers ( ) — Cafeteria ( )
d Other fixtures .........---•-----
.
Design Flow___________�J...:..:...................gallons per person otal dail flow....._.__..._.__..__._.....................gallons.
WSeptic Tank Liquid capacity.L 4icQgallons Length................ Wi th...---.. .... Diameter--..--:_-----_. Depth..........--.---
x Disposal Trench—No..................... Width.....�.__.�j....... Total Length................... Total leach' g area....................sq. ft.
Seepage Pit No.................... Diameter....... Depth below inlet'................. Total leach' area..................sq. ft.
z Other Distribution box ( ) .. Dosing tank
'_4 Percolation Test Results_ Performedkby...: , .viti'L.,Z.-•.. �rB,_ .E....•.................
,al Test Pit No. 1....Fe .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........................
x � � e* _........_........___a _•____Y.7...._....EL._.... ¢ ........._.................
o
Y � s-Descri tnf Sol / _ l •-�-i -- ...............
•----•----------- ----------•-•---------------•-----------------------------------•-------------•-•--------•-----------------------•----------------------------•-----•-•---------------•-............--
V Nature of Repairs or Alterations—Answer when applicable...............................................................................................
-----------------------------------------------•-•--------•------------•--..................._.................------------------------------------------ ............................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TIME 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.
Sg e ---- --- -.................................................
Date
Application Approved By._..____; a...... . .......... . .. 7 7
Date
Application Disapproved for the following reasons-...................................-------..........................................-.......Da.-•--.....------
..................................................... ------............--------............------....-------•----------------------------------------------------------------------------------------
Date
PermitNo....................•--------------•-----•---•-••-•_.... Issued........................................................
Date
t�S�
tf
No.................... .:_...............
THE COMM TH OF MASSACHUSETTS
BOARD
L.
n -
....... . .. � '�.... .. OF........ ... ---- .." ......... ...
App iration for Disposal Works Tonv�t union rrmit
Application is hereby made for a Permit to Constract ( ) or Repair ( ) an Individual Sewage Disposal
System at•ILA
�xrx
r: '" / .
........................
�...........
Qt cation Addr1 ,M� or Lot
wrier Address
W
Installer Address
Type of Buildi Size Lot._. ',c ......Sq. feet
U Dwelling No. of Bedrooms..... ......... ____..__.Expansion Attic .( ) Garbage Grinder *}o"'
Other—Type T e of Building No. of persons......................_.__.. Showers — Cafeteria
a' Other fixtures . s
------------------•------------------------------.....--------
W Design Flow..... 5............ :gallons per person per day: Total daily flow.._..._ C ............gallons.
WSeptic Tank 10"�Liquid capacity f -gallons Length................ Width................ Diameter................ Depth................
x Disposal Trench—No. -------------- ... Width A....... Total Length .... ...Total leaching area....................sq. ft.
Seepage Pit No..................... Diameter....._ VL. ._. Depth below in t ..__ _.... Total leaching area..................sq. ft.
z Other Distribution box ( ) Dosing t ( 7"� '" " 1
aPercolation Test Resul Performed by.'"- #.- .._-- :>...................... Date........................................
a Test Pit No. I._..�..minutes per inch Depth of Test Pit.................... Depth to ground water........................
(i Test Pit No. 2.............:..niinutes per inch Depth of Test Pit.................... Depth to ground water........................
------------
es oD D nf Soil U -'>
i
W •------------- ----------------•------•------------------•--------------- -----•-•----•-----------•-----•------------------------•--...................................................... ---•
U Nature of Repairs or Alterations=Answer when applicable-----___________________________I_-I
......................................................
Agreement
The undersigned agrees to install the. aforedescribed Individual Sewage Disposal.System in accordance with
the provisions of TITI is 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 b the board of heatt
Signe --•-- - -------- --------- ----
� �t�
Application Approved By---• �'" ....... = . ....
77
Date
Application Disapproved for the following reasons-.........-..........-............................................................................................
_
.......................................................------------------------••----......•-------•------.....•----•-----••••-----•-•-••--------•-•-----•-•------••----•--•--•-------•-•-•---------•--
'' Date
PermitNo................................... '' --••••.. Issued.....----•-•......-- ---• -- .......................................................
Date
' rY. •�_
THE COMMONWEALTH OF MASSACHUSETTS
BOARD HEALTH
J, t:
0F........ :. .............:.::.........................:
TnrtifirFatr of To*ia trr
THIS IS TO CERTIFY That tVe Individual Sewage Disposal System constructed ( ) or Repaired ( )
--
by 4 nstaller
at r' 0 -i --1�e +---------------
has been installed in accordance with the pro sions o TI ,I,s o , h State Sanitary Cfn
e as scribe n the
application for Disposal Works.,Construction Permit 1 .... ----____-1!__......... dated---._ r'�._..-.-,,,-��_//.. ...........
THE ISSUANCE--OF.THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
j2
ector� ...
THE COMMONWEALTH OF MASSACHUSETTS
BOARD 01 HEALTH
C" FiE ...............
Disposal Vol Ili To uan rrutit
Permission�reby granted
'......... .
to Cons .at .. u t5. 1 "
- .
reet
Is shown on the application for Disposal Works Construction Per Dated.._.' '�Y...........
,} Board of Health •% _
DATE.. t�". '` Y. ,
FORM 1255 HOBBS & WARREN.;INC.. PUBLISHERS _ _ "
LOCATION ' 7oc � SE�iVOC,E PER IT 1�10.
v I l.L GE Ji
INSTNLL'ER5 U&ME F, ADDRESS
BUILDER 'S 1.1 &, E ADDRESS
— an�rort_- 007.er= — — — - - — — --
DATE PERMIT 155UED
DATE COMPLIANCE ISSUED : s w 1
�G�
1
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LOCATION SEWAGE PERMIT NO.
�vk ���1
VILLAGE , 0�
INS ALL LR' NAME ADDRESS
RUI*LDEq 0R ER
DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED -
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TOWN OF BARNSTABLE �
UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS
or
AS.SESSORS "MAP NO. PARCEL N0.
ADDRESS,' VILLAGE" C6
CONTACT PERSON kE.n�, t . ,�� rwp PHONE NUMBER
LOCATION OF TANKS:. CAPACITY: TYPE OF FUEL. AGE: TYPE: LEAK
OR CHEMICAL: DETECTION
1 /��, �.. 7• ����.� S� a § 4 ( �� 10 SYSTEM!
k b
DATE OF PURCHASE OF. EACH: 1. 2. 3. 4. S.
DATE OF FIRE DEPARTMENT PERMIT:
J
TESTING CERTIFICATION. SUBMITTED: PASSED : DID NOT .PASS
PLEASE PROVIDE A SKETCH SHOWING THE LOCATION OF TANKS ON THE BACK OF THIS' CARD.
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36
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