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HomeMy WebLinkAbout4738 FALMOUTH ROAD/RTE 28 - Health (3) 4738 Falmouth Rd 010-002 Cotuit Massachusetts Department of Environmental Protection . Bureau of Resource Protection Well Completion Reports Ll Well Driller Please specify work performed: Address at well location: Decommissioned Street Number: Street Name: 4738 FALMOUTH ROAD Please specify well type: Building Lot#: Assessor's Map#: Monitoring Assessor's Lot#: ZIP Code: , Number Of Wells: Cityrrown: Well Location BARNSTABLE In public right-of-way: GPS (GPS for the deepest well) G Yes r>No North: West: 41.38236 70.27180 Subdivision/Property/Description:, Mailing Address: EJ click here if same as well location addres Property Owner: Street Number: Street Name: " 1 ROBERTS ROAD City/Town: State: Engineering Firm: PLYMOUTH MASSACHUSETfSI� FST ZIP Code: 02360 Board of health permit obtained: Q Yes r!� Not Required Permit Number: Date Issued: i Massachusetts Department of Environmental Protection Bureau of Resource Protection—Well Driller Program Well Completion Reports(Decommission) t Well Driller - Decommission Form WELL INFORMATION Date Decommissioned 4/28/2014 Depth of Decommissioned Well 29 ADDITIONAL INFORMATION(IF AVAILABLE) Original WCR#for Well ended in formation type tJ Overburden Bedrock Decommissioned Well Was a new well drilled? r Ye WCR#for New Well DEP 21 E Site# DEP Groundwater Discharge# CASING Casing Type jPolyvinyl Chloride Casing Diameter 2 Was casing ripped or Was Casing left in place? r Yes (, No perforated? r Yes r�No Were obstructions left in the well? Yes ri No If yes,what type? Choose Description-- Surface Seal Type DECOMMISSIONING MATERIAL From To Material 1 Weight Material 2 Weight WaterBatches Method Of Placement _ (gal) 0 20 Cement/Bentonite Grout Choose Material_ Gravity WATER LEVEL Date Measured Static Depth BGS (ft) Flowing Rate (gpm) 4/28/2014 15 COMMENTS i Massachusetts Department of Environmental Protection a Bureau of Resource Protection—Well Driller Program ` Well Completion Reports(Decommission) WELL DRILLERS STATEMENT This well was drilled or altered under my direct supervision, according to the applicable rules and regulations,and this report is complete and accurate to the best of my knowledge. NEWSHA Driller DARWIN NEWTON Registration# 606 ' Monitoring 1M] Supervising Driller PETER,W TECHNICAL Signature DRILLING Date Job Complete Firm SERVICES,INC. Rig Permit# 65 4/28/2014 NOTE:Well Completion Reports must be filed by the registered well driller within 30 days of well completion. G7 U coxeo.aahENviaOIIMMALAonSO.RS IHc Consultants Engineers Contractors Sent via Certified Mail#03091830000023025651 November 5,2009 Board of Health,Tom McKeon Town Hall 200 Main Street Hyannis,MA 02601 RE: Notification of Immediate Response Action Completion Statement Former Santi it Xtramart,4738 Falmouth Road,Santuit,Massachusetts 7 MADEP RTN 4-21779 - CEA Project#6816-09 To Whom It May Concern: On behalf of Drake Petroleum Company, Inc.(Drake) and in accordance with 310 CMR 40.1403 (3)(c)of the Massachusetts Contingency Plan(MCP), this letter serves as notification that an Immediate Response Action (IRA) Completion Statement has been submitted to the Massachusetts Department of Environmental Protection(MADEP). IRA activities were initiated in response to a release of an unknown quantity of diesel fuel and gasoline which was discovered on February 4, 2009. A comprehensive evaluation of the Site has been conducted in accordance with the IRA Plan. Currently, there are no Critical Exposure Pathways or conditions of Substantial Release Migration related to MADEP RTN 4-21779. IRA activities related to the release have been completed and no further response actions are warranted. A copy of the IRAC and related reports may be obtained and/or viewed at the MADEP Southeast Regional Office, located at 20 Riverside Drive, in Lakeville,Massachusetts. Sincerely, Corporate Environmental Advisors,Inc.. ✓/ Lauren S.Russo Scott E. VanderSea,LEP,LSP Environmental Scientist 11 Principal Hydrogeologist Pc: MassDEP SERO Michele Alabiso,Drake Petroleum Company, Inc. M. CEA File No. 6816-09 ADDRESS Hartwell Business Park 127 Hartwell Street,West Boylston,MA 01583 TEL 508.835.8822 1 800.358.7960 FAX 508.835.8812 WEB www.cea-inc.com Massachusetts Connecticut Rhode Island New Hampshire r �\ COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENERGY & ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION " SOUTHEAST REGIONAL OFFICE 20 RIVERSIDE DRIVE, LAKEVILLE, MA 02347 508-946.2700 DEVAL L.PATRICK IAN A.BOWLES Governor Secretary TIMOTHY P.MURRAY LAURIE BURT Lieutenant Governor Commissioner URGENT LEGAL MATTER: PROMPT ACTION NECESSARY June 1-1,2009 Drake Petroleum Co. RE: BARNSTABLE—BWSC Ms.Michelle Alabiso,Environmental Assessment Mgr. Santuit-,Extramart 221 Quinebaug Road �4738 Falmouth R ad North Grosvenordale,Connecticut 06255-1123 RTN#4= 55 219 NOTICE OF RESPONSIBILITY M.G.L. c. 21E,310 CMR 40.0000 ATTENTION: Ms.Michelle Alibiso On May 21, 2009 at 8:57 am the Department of Environmental Protection ("MassDEP ") received oral notification of a release and/or threat of release of oil and/or hazardous material at the above referenced property which requires one or more response actions.Benzo(a)pyrene was detected at 0.21 ug/L within 500 feet of a private well exceeding the Reportable Concentrations for Groundwater Category 1 (RCGW-1)per 310 CMR 40.1600. This constitutes a 72-hour reporting condition in accordance with 310 CMR 40.0313(3). The Massachusetts Oil and Hazardous Material Release Prevention and Response Act, M.G.L. c.21E, and the Massachusetts Contingency Plan(the "MCP".), 310 CMR 40.0000, require the performance of response actions to prevent harm to health, safety, public welfare and the environment which may result from this release and/or threat of release and govern the conduct of such actions. The purpose of this notice is to inform you of your legal responsibilities under State law for assessing and/or remediating the release at this property. For purposes of this Notice of Responsibility, the terms and phrases used herein shall have the meaning ascribed to such terms and phrases by the MCP unless the context clearly indicates otherwise. MassDEP has reason to believe that the�release and/or threat of release which has been reported is or may be a disposal site as defined by the M.C.P. MassDEP also has reason to believe that you(as used in this letter, "you" refers to Drake Petroleum Co.)are a Potentially Responsible Party(a "PRP")with liability under M.G.L.c.21E §5, for response action`costs. This liability is "strict", meaning that it is not based on fault, but solely on your status as owner, operator, generator,transporter, disposer or other person specified in M.G.L. c.21E §5. This. liability is,also "joint and several", meaning that you may be liable for all z response action costs incurred at a disposal site regardless of the existence of any other liable parties. This information is available in alternate format.Call Donald M.Games,ADA Coordinator at 617-556-1057.TDD#866-539-7622 or 617-574-6868. DEP on the World Wide Web: http://www.mass.gov/dep Z"J Printed on Recycled Paper :o tq 2 MassDEP encourages parties with liabilities under M.G.L. c.21E to take prompt and-appropriate actions in response to releases and threats of release of oil and/or hazardous materials. By taking prompt action, you may significantly lower your assessment and cleanup costs and/or avoid liability for costs incurred by MassDEP in taking such actions. You may also avoid the imposition of, the amount of or reduce certain permit and/or annual compliance assurance fees payable under 310.CMR 4.00. Please refer to M.G.L. c.21E for a complete description of potential liability. For your convenience, a summary of liability under M.G.L. c.21E is attached to this notice. You should be aware that you may have claims against third parties for damages, including claims for contribution or reimbursement for the costs of cleanup. Such claims do not exist indefinitely but are governed by laws which establish the time allowed for bringing litigation. MassDEP encourages you to take any action necessary to protect any such claims you may have against third parties. At the time of oral notification to MassDEP, the following response actions were approved as an Immediate Response Action(IRA): • Continued assessment. t • All Remediation Waste must be properly stored/handled and disposed of within 120 days from the date of generation per 310 CMR 40.0030. ACTIONS REQUIRED Additional submittals are necessary with regard to this notification including, but not limited to, the filing of a written IRA Plan, IRA Completion Statement and/or a Response Action Outcome (RAO) statement. The MCP requires that a fee of$1,260 be submitted to MassDEP when an RAO statement is filed greater than 120 days from the date of initial notification. Specific approval is required from MassDEP for the implementation of all Immediate Response Actions (IRAs)pursuant to 310 CMR 40.0420. Release Abatement Measures may not be conducted until a RAM Plan is submitted pursuant to 310 CMR 40.0443. Assessment activities, the construction of a fence and/or the.posting of signs are actions that are exempt from this approval requirement. In addition to oral notification, 310 CMR 40.0333 requires that a completed Release Notification Form(BWSC-103,attached)be submitted to MassDEP within sixty(60)calendar days of May 21,2009. You must employ or engage a Licensed Site Professional (LSP) to manage, supervise or actually perform the necessary response actions at this site. You may obtain a list of the names and addresses of these licensed professionals from the Board of Registration of Hazardous Waste Site Cleanup Professionals by calling (617) 556-1091 or visiting http://www.state.ma.us/isp. MassDEP has Mr. Scott Vandersea of Corporate Environmental Advisors,Inc.as the LSP of record for this release. Unless otherwise provided by MassDEP, potentially responsible parties ("PRP's") have one year from the initial date of notification to MassDEP of a release or threat of a release, pursuant to 310 CMR 40.0300, or from the date MassDEP issues a Notice of Responsibility,whichever occurs earlier,to file with MassDEP one of the following submittals: (1)_a completed Tier Classification Submittal; (2) an RAO Statement or, if applicable, (3) a Downgradient Property Status. The deadline for either of the first two submittals for this disposal site is May 21, 2010. If required by the MCP, a completed Tier I Permit Application must also accompany a Tier Classification Submittal. 3 This site shall not be deemed to have had all the necessary and required response actions taken unless and until all substantial hazards presented by the release and/or threat of release have been eliminated and a level of No Significant Risk exists or has been achieved in compliance with M.G.L. c.21E and the MCP. If you have any questions relative to this Notice, please contact Jaime Goncalves at the letterhead address or at (508) 946-2773. All future communications regarding this release must reference the following Release Tracking Number: 4-21955. Very truly yours, This final document copy is being provided to you eteitrouically by the Departmentof Environmental Protection.A signed copy of this document is on file at the REP office listed on the letterhead. Daniel Crafton;Acting Chief Emergency Response/Release Notification Section C/JG/re \\dep-fp-lak-001\jgoncalves$\SERO ER\4-21955-Bamstable-Santuit Extramart-GW 1 Exceedance\NOR.doc Attachments: Release Notification Form;BWSC-103 and Instructions Summary of Liability under M.G.L.c.21E cc: Board of Health Board of Selectmen Fire Dept o C-� © 'Consultants Engineers , Contractors CORPORATE ENVIRONMENTAL ADVISORS,INC. Sent via Certified Mail#7007 2560 0001 61 78 1566 April 6,2009 Board of Health,Tom McKeon Town Hall 200 Main Street Hyannis,MA 02601 RE: Notification of Immediate Response Action Plan Santuit Xtramart,4738 Falmouth Road, Santuit;Massachusetts' MADEP RTN 4-21779 >,_ f CEA Project#6816-09 To Whom It May Concern: On behalf of Drake Petroleum Company, Inc. and in accordance with 310 CMR 40.1403 (3)(h) and 40.1403(3)(b) and of the Massachusetts Contingency Plan (MCP), this letter serves as notification that a Release Notification Form (RNF) and an Immediate Response Action(IRA)Plan and have been submitted to the Massachusetts Department of Environmental Protection(MADEP). IRA activities have been initiated in response to a release of an unknown quantity of diesel fuel and gasoline which was discovered on February,4,2009., IRA activities conducted to date include: •,.;; A complete review of municipal and state records,to;determine potential sensitive receptors in the vicinity of the Site, including private,drinking water wells; • Monitoring well installation, soil sample collection,field screening and laboratory analysis;and, • Monitoring well gauging,groundwater sampling and laboratory analysis. Future IRA assessment activities include: • Quarterly groundwater monitoring well gauging, sampling and analysis;and, • Determine if a critical exposure pathway (CEP) or any other conditions of Substantial Release Migration(SRM)exists. ; The results of IRA Assessment will be evaluated to determine whether any additional Respons'Action' 'rder;z• the MCP are warranted or necessary. A copy of the reports may be obtained and/or viewed at the MassDEP Southeast Regional Offieal located 20 Riverside Drive, in Lakeville,Massachusetts. c Sincerely, co p Corporate Environmental Advisors,Inc. Bethany A.Ellis. ,, :Matthew.D.Young Environmental Scientist I Senior Geologist cc: Ms..Michele,A.Alabiso—Drake Petroleum Company(electronic file) ADDRESS 1725 Mendon Road,Suite 201 Cumberland,RI 02864 TEL 401.334.3313 FAX 401.334.3312 WEB www.cea-inc.com I Massachusetts Connecticut . : Rhode Island I_ New Hampshire ✓� '17 �> 1/7 �� 3 y l i oil � TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH O satisfactory g.A to Body Shops O unsatisfactory- 4.Manufacturers COMPANY. (1( C (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS Class: 7.Miscellaneous QUANTITIES AND STORAGE (IN= indoors; OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground Tan s IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) A),06C)ba)U V Diesel, rosen #2 B ICE IrS Heavy Oils: u waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: DISPOSAURECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply '0 1--6)0 0 a — Town Sewer OPublic I i r On-site vprivate . )1 3. Indoor Floor Drains YES N04 O Holding tank:MDC c O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MDC I V""S O Catch basin/Dry well ;.� C O On-site system 5.Waste Transporter ` S Narne of Hauler Destination Waste Product 1. YES INO 2. n M � )-// bka(s) Interviewed Inspector Date Y William5on i r Environmental LL.0 14 Monument Square, Suite 303 Leorninster,;MA 01453 • 978 840-2500.• Faz: 978=840 8901 s 40 June_ 7, 2001 � f�/ G 06 Town of\Barnstable ': �} ":'f• _ De artm nt of Public Health .. •Town Hall P.O. Box 534 f '.Hyannis,MA �02601 , , Town of Barnstable g `' Town Manager Town Hall P.O: Box 534 5 Hyannis, MA.. 02601: ' Subject:' Notification of Response Action Outcome` RTN 4-16184 - Release of Diesel'Fuel 4738.Falmouth Road '''—bar nstablelCotuit, MA % Dear'Director'of Public Health and T,,own Manager. y p y• RI�Williamson Environmental LLC,(Wiilliamson,. + r°On behalf of.Ken on Oil Com an of Providence; � • Environmental) is providing notice that a,Class A-1`Response•Action Outcome`(RAO).has been h submitted to the Massachusetts Department,of Environmental,Protection(MADEP)-for'a release;of diesel fuel,at the above-referenced location as,per.-310 CMR 40:1403(3)(0. `Diesel.fuel was released to'-the ground dueao an ove`rfll at the=property on April 11, 200:1.and resulted in Release Tracking' number(RTN)4-16184.-Absorbent material was applied'to.the spill 'andthe spilfwas cleaned up by Western Oil; nc..of,Providence, RI.' A'co of the RA re port e ort- r.can.be obtained ,ob a ned at the Iv1ADEP Soothe. ast Rein•P o al Offs Y P ce located in Lakeville,Massachusetts. Please call the undersigned,if you have.any questions.. ! yr Sincerely, `. a Williamson Environmental LLC r Lj a 'Heidil M. RescaC._T r $enior•'PrOj2ct:Manager�° 1 s �� t, � t ' . ` 7..raj:! < St• '7 +i. ,S �.._1 C,wr�)! 9_ •• s k: - rl - � L. •i .. • lam, t - , Tier Two / Emergency and Hazardous Chemical Inventory Page 1 of 1 Facility Identification... Owner / Operator Name... Name SANTUIT XTRA MART Name KENYON OIL COMPANY, INC Street 4738 FALMOUTH RD Phone (860)974-1400 Mail 4738 FALMOUTH RD Address P 0 BOX 866 COTUIT MA 02635- N. GROSVENORDALE, CT 06255- City . COTUIT State MA Zip 02635- Parish/County BARNSTABLE Emergency Contacts... SIC Code 5541 Dun & Brad Number 095540407 Name JIM BLACKWELL Title ENV CONTROL Official Use.. Phone (860)974-1400 24Hr Phone (860)974-1400 ID Number 040133 Name ART HURLEY Title R & M t; Phone (860)974-1400 24Hr Phone (860)974-1400 Date Received Reporting Period: Jan. 1 to Dec. 31, 1997 Check if information below is identical to the information submitted last year: Chemical Description Physical and Health Hazards Inventory CAS 68476346 Trade Secret NO Y Fire Max. Daily Amt. Code 04 Chem. Name DIESEL FUEL _ Sudden Pressure Release Avg. Daily Amt. Code 04 Reactivity # of Days On-Site 365 Y Immediate (Acute) State Code Y Delayed (Chronic) _ Y _ Y Pure Mix Solid _Liquid Gas EHS EHS Name ' Storage Code Location (NON-CONFIDENTIAL)' ' B14 FACING PROPERTY ON RIGHT SIDE OF BUILDING OPTIONAL: CAS 8006619 Trade Secret NO Y Fire Max. Daily Amt. Code 05 Chem. Name GASOLINE _.Sudden Pressure Release Avg. Daily Amt. Code 04 Reactivity # of Days On-Site 365 Y Immediate (Acute) State Code Y Delayed (Chronic) _ Y _ Y Pure Mix Solid Liquid Gas EHS EHS Name Storage Code Location (NON-CONFIDENTIAL) B14 FACING PROPERTY ON RIGHT SIDE OF BUILDING OPTIONAL: Certification: I certify under penalty of law that-I have personally examined and am familiar with the information submitted-in pages one through 1, and_that_based on my.inquiry-.- _.._._._._ Site-Plan Attached of those individuals responsible for obtaining the`information, I believe t t th ubmitted I _ Site Coordinates Attached information is true, 'accurate, and complete. I _ Dikes & Safeguards ARTHUR R HURLEY, PROJECT MANAGER B 2 0 19981 Name and official title of owner/operator OR Signature Date signed owner/operator's authorized representative 1- F TOWN OF BARNSTABLE e CPMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair c�satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops GROP-dnsatisfactory- 4.Manufacturers COMPANY �,�� (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS Class: C7 7•Miscellaneous S QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS IN OUT IN OUT IN OUT #&gallons Age Test Alf 71t Fuels: G Gasoline,4et� oo Diesel, Kem3ge # ) ( v11 ,04 Heavy Oils: waste motor oil (C) �s new motor oil (C) transmission/lyAcawlir,. Synthetic Organics: degreasers Miscellaneous: ml DISPOSALIRECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply 5'f®d ��� '� -)-45,0V.�?J%,-; O Town Sewer OPublic �Ejs c 99 On-site OPrivate 3. Indoor Floor Drains YES----NO 0 Holding tank:MDC_ qq�� 0 Catch basin/Dry well 60vd-.201 0 On-site system a/ 4. Outdoor Surface drains:YES NO ORDERS: 0 Holding tank:MDC O Catch basin/Dry well 0 On-site system 5.Waste Transporter icense Name of Hauler Destin tion YES NO IL dT �. 2. 7 Person(s) Interviewed Inspector Date TOWN OF BARNSTABLE OMPLIANCE: CLASS: 1.Marine,Gas Stations,Repai satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops 0 unsatisfactory- 4.Manufacturers COMPANYS r✓` strw (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS AiA Class: ?.Miscellaneous elo_111 Pr QUANTITIES AND STORAGE (IN= indoors; OUT=outdoors) MAJOR MATERIALSUnderground IN OUT IN OUT IN OUT #&gallons Age Test Fuels: G¢1/' 1 Gasoline detXuei A) 00 Diesel, , Heavy Oils: waste motor oil (C) new motor oil(C) transmission/hydraulic Synthetic Organics: degreasers zU Miscellaneous: f2a �2 i c� DISPOSAURECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply c3y�t O own Sewer Oublic `try VOn-site 0Private 3. Indoor Floor Drains YES NO !/ 4*7 0 Holding tank:MDC_ O Catch basin/Dry well 0 On-site system 4. Outdoor Surface drains:YES—NO—Z ORDERS: 0 Holding tank:MDC O Catch basin/Dry well 0 On-site system �s 5.Waste Transporter Name of Hauler Destination Waste Product YES NO 1. ,d 2. --f" r i r erson(s) n Inspector Date Date: I TOXIC AID HAZARDOUS MATERIALS REGISTMATION FOR NAMEOFBUSINESS '� BUSINESS LOCATION: c ©�& J <D MAILING ADDRESS: Mail To: TELEPHONE NUMBER: �0 U f3� a Board of Health Town of Barnstable CONTACTPERSON: P.O. Box 534 EMERGENCY CONTACT ELEPHONE NUMB Fj. �fJ ��� Hyannis, MA 02601 TYPEOFBUSINESS: Does your firm store y 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 nti!rOeze(for gasoline or coolant systems) 4aArain cleaners —I*e /O NEW USED Cesspool cleaners 9� Automatic transmission fluid l) Dis'nfectants Engine and radiator flushes bad Salt (Halite) Hydraulic uid (including brake fluid) Refrigerants, to s 0 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 942_ Wood preservatives (creosote) Battery acid (electrolyte) Swimming pool chlorine © Rustproofers Lye or caustic soda Car wash detergents 0 Jewelry cleaners Car waxes and polishes 0 Leather dyes Asphalt & roofing tar () Fertilizers r� in' rnishes, stains, dyes PCB's La-c�r thinners Other chlorinated hydrocarbons, y NEW USED inc. carbon tetrachloride Paint & varnish removers, deglossers (7 Any other products with "poison" labels Paint brush cleaners (including chloroform, formaldehyde, Z� 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) Pam_ Other cleaning solvents _Q Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS y1;u -�_epc,WS o vi S' TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.b4arin`e tas Stations,Repair T j satisfactory 2.Printers BOARD OF H T 3.Auto Body Shops Bk O unsatisfactory- 4.Manufacturers COMPANY 3 dco (see"Orders") 5.Retail Stores / 6.Fuel Suppliers ADDRESS �� �`�'� (;lass• 1 � 7.Miscellaneous � QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground'TdAsA IN OUT IN OUT IN OUT 1#&gallons Age Test Fuels: t y orc), Gasoline,Jet Fuel (A) f 4 Di esel, rese�rf�) Heavy Oils: waste motor oil (C) new motor oil (C) . transmission/hydraulic U Synthetic Organics: degreasers Miscellaneous: OAAk Ise. ka,j,t4�e 1 L.110V IGd� CA,, waif I w 00- qAJ C ki ,- ` - /� 0 L6a 4�,� 1 L DISPOSAL/RECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply O Town Sewer Public Ron-site OPrivate 3. Indoor Floor Drains YES NO O Holding tank: MDC O Catch basin/Dry well O On-site system '; . 4. Outdoor Surface drains:YES x NO ORDERS: O Holding tank:MDC )W'Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product YES NO 1. 2. Person (s) Inte ewed Inspector Date 1 THE FOLLOWING IS/ARE THE BEST � IMAGES FROM POOR QUALITY ORIGINALS) Im ^�c� C DATA � TOWN OF BARNSTABLE ,;COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH o satisfactory 2.Printers � 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY �) O (see"Orders") 5.Retail Stores �' �' 6.Fuel Suppliers ADDRESS �I. ! I'r� I '�'�` Class: . 7.Miscellaneous ' I—QUANTITIES AND STORAGE (IN= indoors; OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground IN OUT IN OUTI IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) 1 transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: • E 1�I DISPOSAL/RECLAMATION REMARKS: 1. Sanitary Sewage 2. Water Supply O Town Sewer OPublic O On-site Private 3. Indoor Floor Drains YES X NO O Holding tank: MDC I �' r O Catch basin/Dry well Y.4' . f �� �.rl f� �rl'� E"� �F �_ .�J{✓ ( � 'r` r� 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 Hauler Destination Waste Product 2. Person (s) Interviewed- Inspector Dates' TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail To: NAME OF BUSINESS:- 1 Board of Health MAILING ADDRESS: �� �,r , t Town of Barnstable TELEPHONE NUMBER: �,' ,7 06, Z P.O. Box 534 CONTACT PERSON: Hyannis, MA 02641 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? 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 characteristics and must be registered when stored in quantities totalling more than 50 gallonsliquid volume or 25 pounds dry weight. Please put a check beside each product that you store: v - Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils 1N't Road Salt (Halite) Gasoline, Jet fuel P Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business • + f- 4 � � �W:..,RD%� �ra6 ^-. x �� , g�S.z �; •+ r �r _,rek,r ,'` r a, .. s t...-.« �, ".`:M. 'Ss•,?TRR .a,,,,,...��., :.... .,,v: ¢i...,.:�5 A?., - �' er: .. .:ffi..,ry. TOWN: OF BARNSTABLE 7777777E: CLASS: 1.Marine,Gas Stations,Repair a Q satisfactory 2.Printers BOARD OF HEALTH ' 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY, � 1{�=Gj O (see"Orders") 5.)Retail u�6.Fuel Suppliers ADDRESS 4-7 If IVY4 ZIP Class: t17 7.Miscellaneous /7/QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Undeivound Tanks IN• OUT IN OUT IN OUT #&gallons Age Test •• ,Fuels: "T 41V*r Gasoline,Jet Fuel (A) : c , 07 Diesel, Kerosene, #2 (B) Heavy Oils: ' waste motor oil (C) new motor oil(C) transmission/hydraulic -:` Synthetic Organics: degreasers Miscellaneous: 1 ' DISPOSAIJRECLAMATION REMARKS: 1. Sanitary Sewage 2. Water Supply O Town Sewer ®Public Y. (90n-site OPrivate 3. Indoor Floor Drains YES NO O Holding tank: MDC O Catch basin/Dry well :O On-site system r> 4. Outdoor Surface drains:YES NO •• ORDERS: Q Holding tank:MDC O Catch basin/Dry well x, O On-site system t. 5. Waste Transporter Name of Hauler Destination Waste Product 1 YESt N0 2• '_ " Person (s)`Iriterviewed, Inspeetor 'DateF F n i DRAKE PETROLEUM COMPANY, 1 ' r.: 13Lr SEL=.. 355 ALLENS AVENUE PROVIDENCE, RHODE ISLAND 02905 '89 FEB 28 All :38 TELEPHONE 461-5500 February 24 .1989 State Emergency Responce Commission In accordance with Section 313 of the Superfund Amendment Reauthorization Act (SARA) , Drake Petroleum Company Inc. is submitting a list of Emergency Hazardous Chemical Inventory - Tier II Report for those chemical at the facility in excess of 10,000 Pounds. Please feel free to call me at 401-461-5500 if you have any questions. Sincerely, Francis R. Bley Operaions Manager ,J O H N 1D. T ESSA(G ffAA ASSOCIATES AacCH 17]EcC7S 840 SMITHFIELD AVENUE LINCOLN, RHODE ISLAND 02865 1 12 January 1989 Health Department Town of Barnstable, MA Re: Sewage Disposal System Sunoco, Route 28 Santuit, MA To whom it may concern: The septic system at the above referenced location has been installed according to the plans and specifications by the sub-contractor John Fein Co. , and the system has been inspected by the Board of Health official prior to backfilling. S' erely,j RED ARC JOHN D.'iTESSAGLIA ASSOCIATES ,G�� 7Ess c�T�c� � •/ c o. 2369 y �, LINCOLN, o D. Tessaglia oy R. I• J DTI j �Fq�jH OF MPSSPG Yamnlryx uvc ••n .r. n• •.,c � Facility Identification Ow114v10PI-Aalot IJanlo rake Petroleum Co. Inc. Phone 1401 1461-5500 Tier Two Name Santuit Sunoco (Drake Petroleum) Nan•e D_ Street Address 4737 Falmouth Ave. out Re i128 Mall A•ktres. 355 Al].ens Avenue Providence Rhode Island 02907 EMERGENCY �02767 AND cloy Cotuit State Ma• ZI Emergency Contact HAZARDOUS CHEMICAL NameFrancis R. Bley Title Operations Manager INVENTORYSpecific sic code 5 9 9 5 Dun Q Urad LO 1 1 9 8 - 0 4 5 phone 1401 1 4 61-5500 24 11. Pl. 1 401 1461-5500 Ncrmber Information tr by Chemical FOR OFFICIAL Richard Bronson Title Asst.Operation Manager Narlse — OUSE NLY Dal•necelved Phone 1_401 1461-5500 24W Phone 1 4011461-5500 Important: Read all instructions before cons letinR form Reporting Period From January 1 to December 31. 19 88 Physical Inventory Storage Codes and Locations and Health Max. Avg. No. of (Non-Confidential) Chemical Description Hazards Daily Daily Days Amount Amount On-site (check all that apply) (co(le) (code) (clays) Storage Code Storage Locations CAs S�rade — B 1 4 Facing property on right side of 8 0 0 6 1 Q9 Q X Sudden — _ —_ Srrcklen Release Chem. Name Unleaded Gasoline _ no Fressu,a — — — _ neacuvny 0 4 F01-111 3 6 5 —— — Immediate (aculel Delayed (chrorilc) _ Check all that apply: Pure MIN Solid Liquid Gas Tra CAS IA Secret Fire — --— Chem. Name — Sto of dcen elease — Ileacllvily M M F_.�D — ImmeJlalo (aculel Delayod (chronic) Check all --- that apply. Pure MIN Solid Liquid Gas m Trade o Fire. CAS L-1J Secret I—) — -- — — Sudden Release Chem. Name — of Pressure — ncacllvlly �U Imnnedlate (aculel Delayed (chronic) — — Check all -- — — $hat apply: Pure MIN Solid Liquid Gas Certification (Read and fiats after competing all ,ection,) Optional Attachments (Check one) 1 certify under penally of law that 1 have persorsally examined and am familiar wills Ilse Information sulmillled In Ills and all altactred documents, aril that based on my Inquiry of those Individuals responsible I«obtaining live Inlormallon, 1 bellove that the submitted Inlornsallon Is 110e6 accurate. le, aoQ cwnplate. 1 have attached a site plan -, L� ' .a ` 1�.%/Qy �_;Z (/-- 8 I have attached a list of silo Francis R. Bley Operations Manager Name and olllclal title of own /operald r'on owneriopecatos authorltprl representative Signature Dale signed r Coordlnale abbreviations er WN Ord A}�9 pcoss J3� Q � B?}.R�N,�SnT�ABLE LOCATION �"^�° � "�� EWAGE # VILLAGE S6Nf"u I Co'rU� ASSESSOR'S SAP LUT � - I INSTALLER'S NAME & PHONE NO.-r_�_1_10UTi�,�/ SEPTIC TANK CAPACITY _/'000 q'Jo LEACHING FACILITY:(type) a/$CJ�� NO. OF BEDROOMS N A' PRIVATE WELL OR PUBLIC WATER Wle BUILDER OR OWNER Y-.r V 00 DATE PERMIT ISSUED: - c DATE COMPLIANCE ISSUED;_�.� i VARIANCE GRANTED: Yes No CD 2"OUS,E X09 -c 0 O � eta` �(us'��o► s , Is "':> Q � egg 2 s .w ' TOWN'Q_F_: f`�N8TABLL era lL�-.� po.ss R+13o �Ca , r�o�s 240�, pirloin LOCATION--, -�'-- A9-FCIdUUwn0�EWAGE # VILLAGE SAN�c t I / _ ASSESSOR'S MAP & LOT6ti INSTALLER'S NAME Si PHONE NO yT1,ew — 7l'3 3 3s""7 _ SEPTIC TANK CAPACITYoo� 9 LEACHING FACILITY:(type) LglC AJ _.�(sl'-�')_I _ S NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER Well GUILDER OR OWNER I�ArrE_M a� DATE PERMIT ISSUED: 2 c DATE COMPLIANCE 1831JED: / — /? VARIANCE GRANTED: Yes -- —No �� Y ROUTE 'Zq z CL Vi 0 Pu m PS o .� 4n x C-a � a � -Z • o � 8 � TO WN'OF.13A.RNSTABLF LOCATION ��"` jJ�utr��a�cr � SEWAGE # (5 VILLAGE SA M+(A;4 _ ASSESSOR'S MAP tCt LOT_Oft�jma INSTALLER'S NAME & PHONE NO. -:J Oh IV ��� ►v _ SEPTIC TANK. CAPACITY 0 0 O 9 14110 t4 LEACHING FACILITY:(tvpeL I ehCl" T (size) a �L'_X NO. OF BEDROOMS_ PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED- DATE COMPLIANCE ISSUED_ Ile VARIANCE GRANTED: Yes i __No _ W��� � vJ�6t i � ' /S'r �� ..--- i � 1� �h5 I�i St�j eOq► 2A �� r 4 � ._�� . ?- z$ _. No ..... .� /. t. Fizic .. 75.00...... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH -"""" Town.""...............OF............Barnstable (Santuit) ........................................................................... ApplirFafinn for Uiipu,iagl Works Tnnitrurtinn nutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: Rt. 28- 4738 Falmouth Road, Santuit, MA Assessor's Map No. 10 - Lot 2 ................-........_...................................................................... _....-•--------------•--•---•••-••••-••----•--•--•-----•----•-•--•-••--•-••--......---•--••--•---- Location-Address or No. Alcott Management Co. 355 Allens Avenue, rovidence, RI ...-------•-------•-..... ..............................•---•-•--•--•.... -•...................................................................................... � to be determined Owner Address Installer Address Type of Building Size Lot...27,.921..--.___..Sq. feet Dwelling—No. of Bedrooms-__---NJA..............................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building C-store No. of persons......... ................. Showers — Cafeteria Q' Other fixtures -____ tainle s steel sink •••- ------ � 600 30D---x islands �f`--��t --------------------------------600-------------------------------------- W Design Flow. -----------------------------••..gal ons £ . Total daily flow---- - .gallons. WSeptic Tank—Liquid capacity.1.000.gallons Length-_- Width 6.'-O--___- Diameter---VA----- Depth....... x Disposal Trench—No. ------.-........... Widih..._oi...-..... Total Length......._.......__• Total leaching area.li3---bo'rY i►ft(sq.ft) Seepage Pit No_____________________ Diameter____ __.__..__. Depth below inlet.......__-________.. Total leaching area_9.6._&j_d_sq. it. Z Other Distribution box (- ) Dosing tank (- ) Grease trap ( ) 1000 gallon precast Percolation Test Results Performed byAy_oub... ngineering_._(Larry_-Bassickjate.......3/29/88 Test Pit No. 1................S r� teayer inch Depth of Test Pit___...._Ol�..... Depth to ground water----12'-0-- (s Test Pit No. 2....1.5.......QMRs per inch Depth of Test Pit.................... Depth to ground water........................ a' -------••------------------•-•--....••-•••-•-------••-••.....-••--------••--•--............--......................................................... O Description of Soil....0-18"-----sandy_••topsoil-_-----;8" to 9'-0" med. to fine yellow/brown sand. x • ..................... U -----------------••--------------------------------------------------- --------- -------------------------------------------------- -------------------------------- ------------------ W -----------•--------------------------------------------------•••-..........•---._...•-----•--...----...---......__....---...•-•--------•------••-••-••--•••-••--•••------••-------•----••---•-------... UNature of Repairs or Alterations—Answer when applicable........N/A -- .......................... Agreement: The undersigned agrees to install the aforedescr' e Indivi ual Sewage Disposal ystem in accordance with the provisions of iITIi; 5 of the State Sanitary C e ersigne her agr snot to place the system in op�rat' n ' ertificat of Compliance has bee i y boar o ctx Signed...... ........ -------- ngineering, Inc - �:--_A:--Ayoub-/en te_ A ica ion Approved ..... .. . :__ - - � .v_-•-__•_Agent for Wael Co. .� Application Disapproved for the following reasons:........................................................................--------------.... --------•------------- .....•-•...-•-•••-•••--------•-•------•--•-----------•••-•---.....---••••-----•---------•--•-•--........................................................................................................ Date Permit No........-��5��------------ �� Issue(L....................................................... Date No �S.._..�. 1 F�s..... 75..00....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......... -T .....................OF............liarnstable (.Santuit) AppfirFatiou for Dhipos al Works Tomitrurttou Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: Rt. 28- 4738 Falmouth Road:, Santuit, MA Assessor's Map No. 10 - Lot 2 ................................•--•----•---•---•-------.....-----......--•-•---•-•---•---•-----•- ••.....-•-----•---•-------•----•--•-•-•-•--------...•---....----•-....._..._..---•---•------••---• Lo ation-Address 3S5 A11enS Avenue r Wdvidence RI AlCott IKanagement �O. s »._.. 0 -----------•-----------------•--•----•--•-------••--------•-•----....._._.................__...-- a W to be determined Owner Address Installer Address Type of Building Size Lot:__ -----------Sq. feet Dwelling—No. of Bedrooms......N__/A______________________________Expansion Attic ( ) Garbage Grinder (_ ) aa Other—Type of Building --C-store . of ersons________ _________________ Showers Cafeteria•-- No Other6�iatures _... nle S ee sink-_T .d $ t1e �) _ 600Design Flow............. ............................gallon . ( ) Total daily flow...................•------••-•-•-----•••• 10os. WSeptic Tank—Liquid capacity 1000 gallons Length__6_._"��'__ Width6_'_'�_'.___ Diameter-_NlA_____. Depth_.____-____... x Disposal Trench—No..................... Wi ithy_oii___--______ Total Length__,.,_�27T------ Total leaching area_1g3__b�.ot-6 f(sq.ft) Seepage Pit No_____________________ Diameter__._._____---------- Dept11 below inlet.................... Total leaching areaJ6___sidesq. ft. Z Other Distribution box (- ) Dosing tank (' )) Grease trap (. ) 1000 gallon precast yA Ayoub Engineering (LarryBaesick- 2/29/88 W Percolation Test Results Performed b .--- --------------............._.___.._'___ _________ ____.____._____._ ate------________________________________.. 0 Test Pit No. i___15__--___ dgerinch Depth of Test Pit__9i___�i'...___ Depth to ground Water---tl1_g0n__.__.. L%4 Test Pit No. 2...._______..... *KMs per inch Depth of Test Pit.................... Depth to ground water........................ D Description of Soil....0-18" sandy topsoil - ;8" to 9Y-0" med to f xie j' ow/orown sand: x -------------------------------------------------------------------------•-••-------------••- v ---••-•-•---•-•-•--•-•--•-•-•--•••-•-•---•••---•--------•••••--•••••--•-•••--••-••--•---------------•••-•--••--•-•••-•-•------•--•----•---•----•-----•-•-------•-•-•---•--------••--••---•------••------ W ------------------------------------------------------------------•-------•---- V Nature of Repairs or Alterations—Answer when applicable.........jA ----------------------------•---•------------------------------------------------------........._...•-••_•-•--••••••••. •••-••••••-•-----•-••••----•---•-----•----•-•-•-•••---•••••-•••-•---••---•_-•--- Agreement: The undersigned agrees to install the aforedescrib dividual Sewage Disposal System in accordance with ("1 T t•.1 f�. the provisions of :T . _ 5 of the State Sanitary Cod — e un ned fur grees to p(thstem in opera 'o unol-a-Certificate of Compliance has been sue y t d of al L f-< Signed. / -pication Approved !" _ gent for Wa1 l.'o. Application Disapproved for the following reasons------------------------------------------------------------- ------------------•- -•...._-•---- ..............•-•---...._....-••--•-•-----••---•••-------•----------•------••---••-•••-------•-••---.......----•-•-------------•--•-----•---•----•---••----••--=......................................... Date PermitNo.----- . ..-------.I..... .............. Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS r" BOARD OF HEALTH p;n� - . t Cwrrtgfiratr of Toutpliaurr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by..................................................................................................................................................................................................... / �-- Installer has been installed in accordance with the provisions of TI i T,"; 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No___-___`e"b----1_15_77........ dated-_ z -� THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUI�AN EE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...........................................•-•-------------••--•-------------•_. Inspector................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No.................. FEE ... . � �tu�o��1 ork� �oatu�riou rruti� Permission is hereby granted................................................................................. ........................................................... to Construct ( ) or Repair :) an I divi al Sewage Disposal S stem atNo. / _=��'___- v ...-'-- ��--------------------•----•-•-----..•-.-.•..-•-•---------•--•-._...--------•-- treet as shown on the application for Disposal Works Construction Permit --^� Dated----�. -r�� `�'-�............. DATE_ / -_- �-----------•-_-----•____ Board of Health FORM 1255 HOBBS & WARREN. INC., PUBLISHERS BOARD OF HEALTH - TOWN OF BARNSTABLE 367 Main Street - Hyannis, MA. 02601 PURPOSE Food Service Establishment Regular ..... . 29-1 inspection Report l � "'J. , Follow-up,,,,,,, 2 SAS(C i-) Complaint....... 3i ' Investigation ..... 4 Based(in an Inspection this day,the items circled below identify th Matrons in operations or facilities which st be corrected by Other .......... 5 the next routine inspection or such shorter period of time as may be specified in writing by the regulatory authority.I-allure to com- ply with any time limits for corrections specified in this notice may result in cessation of your Food Service operations. OWNER NAME iL ESTAB MENT NAME _ Un(�L0 ADO ` ` ZIP CODE - EST. ESTAB.NO. <: SANIT.CODE z<s YR. MO. DAY ::::TRAVEL TIME '# INSPEC.TIME, ; STATE COD z' INSP.PROCESS I.D. 1-7 11-16 ? 17-19 ( ) oL/ WT.CO L. O WT. CO L. FOOD SEWAGE Source;sound condition,no spoilage EfB ; 30 ! ; Sewage and waste water disposal ?rlk 57 'M Original container;properly labeled <.'; 31 PLUMBING FOOD PROTECTION ;;fig;;€ Installed,maintained 58 >% Potentially hazardous food meets temperature requirel Cross-connection,back siphonage,backflow 59 uring storage,preparation,display,service,transporta ' TO[LET& HANDWASHING FACILITIES,II� Facilities to maintain product temperature Thermometers provided and conspicuous :1<` mbar,convenient,accessible,designed,installed`y'J E':¢ ;; 60 Potentially hazardous food properly thawed T filet rooms enclosed self-closing-doors fixtures,good ^3 ,>< air, ea ,a`psl_esanitarytowelsMand-drying 61 Unwrapped and potentially hazardous food not re-served de ice.pyo tied—o�¢�rv�aste_r_ecepSacles Food protection during storage,preparation,display,service trans o tion AGE & REFUSE DISPOSAL tainers or receptacles,covered: equate numberIn use,food(ice)dispensin utensils roperly stored > 62 g p ins t/rodent proof,frequency,ties Outside storage area enclosures properly constructed, '`:: PERSONNEL » clean;controlled incineration s3 14CPF ersonnel.with infections restricted :: `? 40 ands washed and clean,•.good hygienic practices :g 41 INSECT, RODENT,ANIMAL CONTROL lean clothes,hair restraints 4 "''` Pr)bd ce of insects/rodents—outer openings protected, nos,turtles,other animals / :4 64 FOOD EQUIPMENt & UTENSILS 1 ` Food(ice)contact surfaces:designed,constructed,main- FLOORS,WALLS.& CEILINGS ;> tained,installed,located """' Floors,constructed,drained,clean,good repair,covering ''' ?: installation,dustless cleaning methods 65 Non-food contact surfaces: designed,constructed,main- ``> 9 tained, installed,located Walls,ceiling,attached equipment: constructed,good66 Dishwashing facilities: designed,constructed,maintained, repair,clean,surfaces,dustless cleaning methods installed,located,operated 45 Accurate thermometers,chemical test kits provided,gauge `'•'<% f>< 46 LIGHTING cock 0/4"1PS valve) ?%>:• Pre-flushed,scraped,soaked. 47 wLighting provided as required,fixtures shielded Wash,rinse water:clean,proper temperature 48 VENTILATION Sanitization rinse:clean,temperature,concentration,ex- "` Rooms and equipment—vented as required ti 49 't; i :> 68 posure time;equipment,utensils sanitized ' wiping cloths: clean,use restricted ; '`: 5o DRESSING ROOMS Food-Contact surfaces of equipment and,utensils clean, ` ? free of abrasives,detergents 51 ?+A`: Rooms,area,lockers provided,located,'used z? 69 Non-food contact surfaces of equipment and utensils clean 52 OTHER OPERATIONS Storage,handling of clean equipm,ant/utensils `:`:`< 53Toxic items properly p p y stored,labeled,used ? 70 Single-service articles,storage,dispensing ,f?;s_ 54 Premises maintained free of litter,unnecessary articles, No re-use of single service articles 55 :!°4: cleaning maintenance equipment properly stored. Author-':> <#; 71 >ized personnel WATERComplete separation from living/sleeping quar rs.Laundry. s> 72 er source,safe: h d under pressure Clean,soiled linen pro ! ��`'• 3;: 56 73 Received by: name a ~-FOLLOW-UP RATiNG,$CORE 75-77 ACTION Yas .....:.74-1 100 less welght of Change..... 78-C title No':...'...... 2 Items violated♦ Delete.........D — � -- 1 Inspected by: name i'.Cr tical•Items Requiring Immediate.Attentlon. Remarks on back(80-1) i FORM FDA 2420(8/80) PREVIOUS EDITION MAY BE USED 7 USE REVERSE FOR REMARKS ITEM NO. REMARKS I , CORRECTED 8V CL 8 s 1 dv\ "" LOCATION SEWAGE PERMIT NO. VILLAGE s��- T Olv�cx�a INSTA LLER'S NAME i ADDRESS BUILDER OR OWNER D - R� r�� ems.4 avus lwc- Raw. DATE PERMIT ISSUED DATE . COMPLIANCE ISSUED RVA4 R -tb U LM t►o 52. � v�15f'R.tG `iT �'f Lug �n� P D►�►o o�► ` PI ,gyp 7 Ic 4W tl No.... ......�q 2 Fimiz .:............... THE COMMONWEALTH OF MASSACH.USETTS BOAR® OF HEALTH ...... O F................ ApplirFation for 11wp ii al Workii Taymuurtion Vamit Application is hereby made for a Permit to Construct ( ) or Repair (116 an Individual Sewage Disposal Syst t .. .................................. - ....._....... _i dares f J ►�• or L o. ---------------------• ._..........--. er ress�J X// c- /�/ ---------------.._.•----'............ ....•-•-- ......_..--•---•-•-----... ........ ..... .......---""""--••I`,F.........-(-••- ---...------Installer A dressType of Building Size Lot.•.................. .....Sq. feet Dwelling—No: ofeclroorrrs...... .................... xpansion Attic ( ) Garbage Grinder ( ) Other—Type e of Building ..._..... No. of persons............................ Showers t� YP g •-------•----•----• P ( ) — Cafeteria ( ) Q' Other fixtures -------------------•-----------•--•-----•--•.. 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.......................................................................... Date....................................... Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ f14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water....................... •---------------------------------------------------------••--•-•-------.......----•---•----------- ------ -•---------•-----------•--•-------- •----------- .... 0 Description of Soil................................................................................................. ----------------•---------------------------•-•----------------------- x ----------•--- -----------k------ / .. ..... .... ------------------•--•-- U Nat df Repairs. Altera ' s—Answer en a li `�I.................. :..� ............................. (� --- -------------•-----•--•--------•----•-••---•--••------. --------------- Agreement: z The undersigned agrees to install the afored ribed Individual S a e Disposal System in accordance with r the provisions of TITLE. 5 of the State Sanitary de— The undersi urther agrees not to place the system in operation until a Certificate of Compliance has be issued by e b -rd o health. Ined........ -----•--•--••---------- � � ..._ w Application Approved BY -- ......................................................... Date Application Disapproved for the f ollo ' g reasons-------------................................................................................................................. .............................................=.................................................................................................................................................... 4 Date PermitNo:......................................................- Issued....................................................... Date No.----- --- ......... FE$... .�............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......... �.K-----------------OF................ j SQ L ._............_......_. Appliratiun for Disposal Works Tonstrur#iun Vantit 5 Application is hereby made for a Permit to Construct ( ) or Repair (>e� an Individual Sewage Disposal System- ys�� z8 - .�-r� i �r7/rl" '-/ ort _ / ��-�i � ddress� �A 7..� y��'G.iu ) •-----•-----••---/.._ ».. ram— ,/ �,�`J �f}� ................................. ......•-----.... .... ...............................................!1................................................ Installer Address Type of Building - Size Lot............................Sq. feet U Dwelling—No. of bedrooms..........:.....:........ ..... 'I ansion Attic ( ) Garbage Grinder ( ) a+ Other—Type T e of Building ..._..... No. of persons............................ Showers P� yP g ---•--------------- P ( ) — Cafeteria ( ) p-I Other fixtures ...................................................... 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.......................................................................... Date-....................................... Test 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........................ ----•-•-------------------------------------------•---------.---------------...........".-------------------------- ---.... --------- •------------------------ 0 Description of Soil........................................................................................................................................................................ V .-----------------------••-•------------•-•---•-----••-----------------------------.............-----.......--••--. ----------- / -- W ---------- - - ---------- ....__.........._......_..._......------....--.--..---........._......_............. .. w ---'r----._..... _..............._..... U Nat of Repairj. Alterat' s—Answer w en ap icable _. .-.._.. �.�.`� -- ......-- ...-- • -------- ---------------------------------------------------•--•--•--.---- Agreement: The undersigned agrees to install the afored ' ibed Individual Suva e Disposal System in accordance with the provisions of L I?.j 5 of the State Sanitary de—The undersigGfri d rther agrees not to place the system in operation until a Certificate of Compliance has be issued by t e bo do ealth. Application Approved BY `` — ................................................. ------------- Date Application Disapproved for the f ollo 'ng reasons--------------------------------•----------------------------•-----------------------...----•------=--.........._ I -----------------•--••-----•---------------------------------•-•-•--••---•-••-----------•-••-•-•--------.---••••--..........--•----•----•----•--...------•-----------•---•------------------••---------- Date PermitNo...............................••••----•-•-------- Issued-.....----......-•--•------------•••----._...--•--•----- .... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEALTH ....../ ...............I.OF..................................................................................... Trrtifiratr of TuntpliFatta THIS IS CF TIFX, That the kdivi4ual Sewage Disposal System constructed ( ) or Repaired (j�} by--- ...--- ------------------------------------•••......-----..-- �C�.,. �'. / - staller gn ..t at --------- ---------•-- •---------- ------------------------- ---•-- . . has been installed in accordance with the provisions of TIT of The State Sanitary Code as descri ed in the application for Disposal Works Construction Permit No. ..................� da.ted_....__ _ t( �'"�_.__..... "z THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARA TEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. � 4 DATE..............-------_- --•-•---•••-••-•----•-••-•-•-- Inspector------.f� �_11C ........ �'_1. (_f THE COMMONWEALTH OF MASSACHUSETTS BOARD 0, HEALT - t--�.� �rf G ..........OF.. ......... ............................................ No... .: ..... �...... FEE.....:........... .... QC- --------------- �unu�r iun .rrnti� ,.x Permiss>on is hereby granted. ••••.----•----- ---------------1�/..........------•--------•-------.....-------••-............. to Constr ,I ( ) or Repair j-an Indivi al Sewage Dispos st /� at No. 2 `2 V � ✓! _. /��' --- —z%�'G--�3!---�.._t -U,�(UCO. Street . _*ati 2 ... as shown on the application for Disposal Works Construction Permit No. ._ Da}/ted....�41/ ...... f .....................................8'�z.._'_..�_l-__-_ ...... 'O^�.........--...............» Board of Health DATE------ -; .................................... FORM 1255 HOSES,& WARREN. INC.. PUBLISHERS - r r. -7z IC- 7- ��✓V Y U/7 S S 'Service t ei 9 aL r Re cj e c ia� Yq 0 C,j e 014-16 &4Ce Pled L z o% - a „y„r. Lowest Prices On . . . MICHELIN — GENERAL COOPER —SONIC.— DUNLOP TIRES . CALL . . . 775-6066 a (CAME a BRANDS TOME Co. 730 BEARSES WAY REAR OF CAPE COD MALL HYANNIS, MASS. 02601 TEL. (617) 775-6066 0/0/002 No. _ .. T" FsR.... :........... .... THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEA TH - ...OF..'..... ........ . . ' � .. .... .............:.........._. ......- .......... Application -for Uhipmal orku Towitrurtion Vrrmit Application is hereby made kr a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System at s . CdW a - Lo io - ddress or Lot No. .1 .... . . •-- •--- . �9: = a,_X,`------------------------------------------------------------ er Address 1 .............................•-•--.......--- nstaller Address UType of Building Size Lot----------------------------Sq. feet Dwelling—No. of Bedrooms---------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons..____-_----____-_----__-- Showers ( ) — Cafeteria ( ) Otherfixtures ----------------------------------------------------------------------------------------------------------------- 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 leachin rea------------------sq. it. Z Other Distribution box ( ) Dosing tank ( ) � - aPercolation Test Results Performed by-------- ---------------------------------- ....... Date............-------------- ------------ ,� Test Pit No. 1................minutes per inch Depth of "Pest Pit.................... Depth to ground water.__.__-.__.__.__._.___-- f4 Test Pit No. 2___-.________-_minutes per inch Depth of Test Pit.................... Depth to ground water------------------------ 9 ....................................•--- -----------•----•------------------------------------------------------------- 0 Description of Soil-------------------------------------------------- `-------------------------------------------------------------------------- x �., ----------------------- ------------------------------------- -- ------ ---------- PP ---- - ------------ ---- 01 U Nature Repairs Alt ations Answer hen a livable...__ _ j.....................__._. - _. .�.... ------�ir.-G. ..... 16 ...........- Agreement: The undersigned agrees to install the aforede cribed Individual Sewage Disposal System in accordance with the provisions of Article NI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued. e boar of /Ith.ned----- .•... -- ----- ---- -- -------------- ------------ ----------- Date Application Approved By--------- ---d.� �. �. D Application Disapproved for the following reasons------------------------------------------------------------------------------------ ...................... Date f - Permtt No......................................................... Issued...... . Date A � - No...... ................. THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEA TH OF - ,...: ApVftrtttioo -for Uii witt1 Worka Tomitrortioo Vrrmit Application is'hereb made r a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal Syst at• { ` �, e ... ` -- - - ---- ------ 'c�"� - -•--- Lo io ddress or Lot No. ----------- ...................................................... er Address J'---•------ ----•- ---------•-----------------•••-----•- nstaller Address d Type of Building Size Lot................._----------Sq. feet U Dwelling—No. of Bedrooms.--__,_:______________________ -._-.Expansion,Attic ( ) Garbage Grinder ( ) a Other—Type of. Building --------................... No. of persons.--------------------------- Showers ( ) — Cafeteria ( ) QOther fixtures ------------------------------------------------------- -------------------------------------------------•------•---••---•---•------------------------ 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 leachifi rea------------------sq. it. z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by •Date------------------------------- •-•-- Test Pit No. 1-----------------minutes per inch Depth of Test`P,it.................... Depth to ground water-..-----_-.----___-.--. 1:14 Test Pit No. 2----------------minutes per inch Depth of Test -,. Depth to ground water------------------------ 0 Description of Soil.. - ----- U ................................. -------------------------------- UW ---- --------------------------• ---------------- ----- --------------------- ---------- - ��' " �' �� Nature P.epairs Al ations Answer hen applicable._.:.. (i :___:: :, _______________ _ ____ ... �L�E jf'_ s ". --------------------- Agreement: i The undersigned agrees to install the aforede 'ribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code— The undersigned`"f frther agrees not.to place the system in operation until a Certificate of Compliance has been issued e boar of lth. ned -• -------•---- --•-•-•-- ..__ ...• ----•-- -. Date Application Approved By........ ----- ---- •• .... f r --- - — I) e Application Disapproved for the f ollowiny reasons------------------------------------------------------------ Date PermitNo................................... •-••--. .K='. y Issued........................................................ . " ' Date .. THE COMMONWEALTH OF MASSACHUSETTS BOARD HEALT .. . ..... . ... 1�1. ........-OF..... .... .. .. ...... ........... ... . , W"'Irdifirttte of Brut iittnrr T 0 CERTIFY at v•dual Sewage Disposal,LSystem constructed ( ) or Repaired w by -•• - - ---- ---- ---- - --- - - - x has been installed in accordance th the provis ons'of Article Xlnof Th tate Sanitary Code as escrib in the application for.Disposal Works Construction Permit No........... -..�__._.._._ dated...___ . /..d /' ____ HE_ISSUANCE OF.THIS CERTIF;CATE-�'5HALL NOT BE CONST E4ASAGRANTEE THAT THE SYSTEM WILL FU CTI N SATISFACTORY DATE---` � PI�d C ------------•--- -� Inspector:--- ---- ---•-- THE COMMONWEALTH OF MASSACHUSETTS BOARD HEALTH' Q O F w FEE_ ,, -------•-- �t� o tt1 Cnonii fiogt iatt't Permission is kiereby grante -- ----- - ....................................................... to Construct r.. an Indiv al ge y tem ' a . at No. A.Ir ------•---- -------------- ---- Street as shown on the application for Disposal Works Construction Per No , .. :_m__: --_ _- DATE _ Boar o ealt /Y I-- ------ •--- FORM 1255 H BS & WARREN. INC.. PUBLISHERS - �— � � d Y L n�y. ,.._�._:e,W„�..._., w�.k,.....,�,.:._,..�� .,�m.�,.�. ..�:.,�.,��,....�,:,. .,.;���:ti�,._,_. �_ .s.._ �,.ti.: _._ ,..,`....��_ .,___.�...��_._...�.,�:,�_...w,.�_---__.._... _a.�_�.,G�;.,��...._..�..�.�._,..,.__b.a...�.,��_:,s.,�.,�.....���,..A..:::n�.,��.,,�„�,.�,�.�,_�,.�_w..�. ..,;. 1 TOWN .OF BARNSTABLE �� IAC9 UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS I ASSESSORS MAP NO. 0 10 PARCEL N0. 00 2— ADDRESS: � �� L4 FAA McuIt 2j VILLAGE: c64Ll,-+ II P rdAME:_ r . __�Ia_�..���,� Cd __3ss /�-�.l-�vcs ...._ ✓-e �c�r�.� 1 B�.9C►S ' CONTACT PERSON 11) 1p.ip'r-Af Q� j� ��j��l�{li��� PHONE NUMBE k�o) 0 '\LOCATION OF TANKS, CAPACITY: TYPE OF' FUEL AGE: TYPE: LEAK OR CHEMICAL: DETECTION 1 4. L `-, �1h Ii' SYSTEM kla CtaoiA rl Q -`� DATE OF PURCHASE OF EACH: 1. �� 2. / ® �6 3. Y A`' f4 4. 5. L DATE OF FIRE DEPARTMENT PERMIT: f t �� ��R�ac lz`T� Nwiu" � �xtsr7i TESTING CERTIFICATION SUBMITTED: 8 PASSED ' DID NOT PASS PLEASE PROVIDE A SKETCH SHOWING THE LOCATION OF TANKS ON THE BACK OF THIS CARD. VENTS R Ji r :_N 3-E BLOG� B R B .'3 ROUTE 28 SITE PLAN SCALE. W=201 s ' 4 T r r f TOWN OF BARNSTABLE '!�LV_y UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS y ASSESSORS MAP NO. 0I0 PARCEL NO. 00Z- ADDRESS: ��-P � L41W i"Almc.- Qd VILLAGE: C04L' ji tdAME:_..�.Ir _f��.� , � P� - Ca . . ..._..3ss /�I��. s ....... ✓e P jyjJ—, .,, � CONTACT PERSON PHONE NUMBER LOCATION OF TANKS: - CAPACITY: TYPE.-OF* FUEL. AGE: TYPE: LEAK �/ 2Q O/RJ CHEMICAL: DETECTION / JO �f�lY% . �0 1VWet10AIt SYSTEM! 4 mla,coo )ATE OF PURCHASE OF EACH: 1. 2. 3. 4. 5. )ATE OF FIRE DEPARTMENT PERMIT: I I gfc> FfAsuitTv o,*Ai l*b 61617AY,Sidi' `,rut/ du 'CEHTING CERTIFICATION SUBMITTED:.< $ 7' 5T pr�l jj45T-A 1d7t/J PASSED DID NOT PASS '?'LEASE PROVIDE A SKETCH SHOWING THE LOCATION OF TANKS ON THE BACK OF THIS CARD. i 1 VENTS R -E N 3 TH BLCG B R B ROUTE 26 SITE PLAN SCALE: W=201 t 1 , I Pat Lit art ` FETY—DIVISION OF DEPARTMENT OF PUBLIC SA FIRE pR)�/EAITION E M � � DECEMBER 1 19 86 Date i R- i I Form F.P. 290 TO MAINTAIN AN EXISTING/NEW UNDERGROUND STORAGE FACILITY Part 4 In accordance with the provisions of facility is �eormit to maintain an i existing/new underground storage fac Y j Location of property: Rte. 28 Falmouth Avenue, Santuit, MA- Street address I Inc. Owner of property: Alcott Management Company,corporation — fir+a or torpor Full name of person. Restrictions: i MAINTENANCE AND TESTING IN ACCORDAN 527 CMR 9.00 and LOCAL REGULATIONS AS PNIMENDED Fee Paid:$ (M.G.L.A. Chapt. 148 Sec. A) 1211 19 1991 This permit will expire nature of xead of Fire or appointed designee Date Sig PAUL A. FRAZIER (Owner' s Copy to be posted at the storage facility with F.P.290 Part 3) j f o 1 � d 110 fog F^c�r1�o1 �1 a r SMEA0 KEEPING YOU ORGANIZED No.10334 2453L WME IN USA GET ORGANIZED AT SMEA®.COM 4 t�I' k s POND cl11. CONTRACTOR IS TO RROVIDE ALL PRE-CAST UNITS, PIPING, ETC. IN ;P� • tF � ACCORDANCE. W1111 TOWN STANDARDS. CONTRACTOR IS TO PAY ALL I ... P r ' , •j �� - t! �,' tZ� Q CHARGES INCURRED AND 1'0 U13"PAIN AI,L NECESSARY I'f.RMITS AND ' �' r 5 �1 ;`�� � ` j' a APPROVALS. CONTRACTOR IS TO DO ALI, WORK IN ACCORDANCE WITH 4' 11 R`3�' r; �� �* a , PUBLIC WORKS DEPARTMENT STANDARDS. "\\�'• ' t1 u�T r b 12. CONFIRM AND COORDINATE THE LOCATION OF UTILITY SERVICE ENTRANCES \ V 01AT TII1: BUILDING FOUNDATION BY CONSULTATION WITH TIIE OWNER. � � SEWAGE DISPOSAL SYS'rF.h1 DESIGN DATE: P `Mr✓:��� SITE ' � ',.. ('� ------- ----- ■r't►�9 MA55. NwY P�OtJ1.10 �� �,, F 13. DESIGN FLOW "Q": 600 GPD (BASED ON A 5F,RVICF STATION WI"I11 2 PUMP it R / ISLANDS PER TITLE V SECTION 15.02). - EXIyT11JG COOTIOUCZ , - - �39� rwoposoo COIJToue'e, �o u 14. SEPTIC TANK CAPACITY V= 600 GPD x 1.5 = 900 MIN. USE - 1 ,000 GAL. j �XIc>�I y t -F STA h11NIMIIPI ALLOWABLE SIZE,.``' // � �7,-? PIZDP1vE I? f.1C�V G2Ar7E-I 15. DESIGN PERCOLATION RATE: 2 MINUTES PER I.NCII (BASED ON -TES'T HOLE .. GX15TlIJG ti7(XItAgC Fl~1KE �•.//�. K I -7106 CATCH 12A6611J , �` ' 3/29/88) ® G(3, EX 4 < < - �xI�YI�I� 12 c�aY Plvc ((XZAi0 N - Papp�sE �CN,A PVC. ocA(� f�� .0� REC I NC 16. A1.LOlJABLE SOILS APPLICATION RATE: q� C EFFECTIVE BOTTOM AREA: 1.00 GPD/SF 4 EFFEC"TINE SIDEIJAI,L AREA: 2.5 (:PD/SF ,o A .4nD, i o; Roo 17. ASSUMING CONSIP�uc'rlON O ONE LEACIIINC PH ll V1lrG AN EFFECTIVE BOTTOM 1FR OF -Q1 llIAF1 W M Q \ a �•d. BOTTOM AREA APPLICATION RAKE: S.F. x 1.00 GI'U/S.F.= rtli�.ii• GALS. G B,�(FOCJifp� SIDF.WALI, AREA APPLICATION RA"IF 3. 14 x x 2.5 GA,S. ? \ ,i 1 • J - - -- R �y1t _ GALS. �' �.Xt��T11JC� .i1.1�E�LG�UNG - oor S �?f7(2AC,E TA►,1K" Cr?JC¢F:T?'_ - f fi00 GALS. RF.(1'D -'11F .4_GALS. PROVIDED ��• �+ `33 MAT- To 2EMI�1►J _ __-.------�. /� 19 ,.J I , �I y I Y CONSTRUCTION NOTES: y� 9� 1i I t X y I ��^�- -_ I•� v � `< i �1 18. TIIE SI111DING SANIFARY WASTE PIPING FROM ALL FIXHIRES EXCEPr 3 COMP. S1'AINLFSS �¢� U M art , I I I \KI S � HOOPER S \r '"'�'C;1Y11" c "'''r '' 'r 1R .i BEACH STE•.EL SINK, SHAIA, DISCIIARGE DIRECTLY INTO TIIE PROPOSED 1,000 GAL. SEYTIC TANK. \ \ �7 /(�), '2Qo.5 ^ `� �E.WCH MA2K y 19. THE 3 COMP. STAINLESS STEEL SINK WASTE SHALL DISCHARGE INTO THE 1.,000 GAL. 4� P � � � 51 6��AC)F F � 13M. 4/vv COR CJNG.�Al GREASE TRAP. fJ \ ��.1 l`�M4i)1 �'"C� y\'� EL 39.►'i► MS,L._ l r 4 LOCUS PLAN 20. SEPTIC TANK: 1,000 GALLON WITH 4" PVC OUTLET TEES AND ACCESS MANHOLE.TO GRADE. ' TOP OF ELEV. : 40.11 5t> Ali � I~ X �•+. M.W. (EX/STING (3'-O"DEER o anc 400o S,Ooo - INNS. 1-N 38.69 _MODITpR/1V6 WELL> - s INV. OUT: 38.44 k ._-..._.1 ... ` c-a�E 1=1<E7 BO'T'1'OFl OF 'TANK ELEV.: 33.94 -_ _ �v '� q� ` h EX I�73G co►J Of T 1(.71�;•i,,,4- 7-0 12F itAA 1►.I 3 ' _ �e�ei;�T.:_*_ >` �- - s - , / ( --•C71IEw fSlTr.lM;ftiJ(`'l1 `.U(1P; 21. GREASE TRAP 1,000 GALLON W/4" PVC TEES AND ACCESS MANHOLE TO GRADE. �� �2 TOP OF TANK: 40.43 \ �• \ �� ' Q�*, . t� �" w - 41 f ,(�►jr., P-,�t•,!! '•r.�(':r GENERAL NOTES: O INV. IN: 39.01 INV. OUT: 38. 76 'FFXI�`Ll 'flog --z� � F GENERAL CONTRAC"fOR SHALL: BOTTOM OF TANK ELEV. : 34.26 ` ` 1 PLAC ' F-- 22. LEACHING PIT (I RF.( 'D) (ROTONDO Atli) SONS DWSHD) PRECAST DRYWELL IIEAVY DUTY 1. PERFORM ALL WORK IN ACCORDANCE WT I II ALL LOCAL, AND STATE CODES, ) \ \t � 6 NEV.' F -1 I\ �: I \�' q,p1+�-E�j T P + J 1 I '! LAWS AND ORDINANCES. IIS20-44 DESIGN LOADING WITII ACCESS MANHOLE TO GRADE. `r , > �� �-) ) hd j+ ��Q i7( �Pj; � ' � ,� �/ /� y / \ r 3 ci n - = �. �� i, +_ CArJ TOP OF PITS 38.9 / . 2. VISIT THE. SITE AND T110R000III,Y FAMIL1A1,1'/,F HIMSELF WITII 'TIIE, ` ` �v' A�' I �Lf?E " �> ' F ! EXISTING CONDITIONS AND THE PROPOSED WORK INDICATED ON THIS INV. IN: 37 .6 I- i +'� ? C A' `1 "�''~� !' PLAN. IF 'fIII:RE 1S ANY DISCREPANCY OR QIII:S'fION RF.GARllING THE BU'r'I'OM OF FITS: 30.9 �' 1 �1 W 2 1 1. ~`i" _ /')% j� i 1 e� �K✓r i>t=✓ �E1�/ t�l1M( Ir'`..�1AJj �. ,� h -,,,r2 -�; �f �' ,> r cv ` ('L)- �'-! '"�d1UE K �4 U1LDN PROPOSED WORK, THE CONTRACTOR SHALL COrIM(INICATE WITH THE OwmF:R'S \ F i �� \` (� y '�'- r co 0 ` (2 (79oi f C I.i �'1!% ' i %, `l►r" ?�D`1 n' 1 } on ! r N i',t: �J I H 4 tJE rJ F.NGINEF.R FOR CLARIFICATION ANU RESOLUTION BEFORE SUBMITTING HIS 1 ! q 23. PROVIDE AND INSTALL ACCESS MAN1101.ES TO GRADE W1111 HEAVY DI)1Y C. I . COVER \ \ \ I _•- i.� 1 Q O 1 y PROPOSAL. `- h75. `. i�r: � � � '4 (a AND FRAME - WATERTIGirr - TYPICAL, 5 PLACES - SEE PI AN. ` � 3 � F2 J A . t~11.1, FL.. L�C� 14U• �'- L -I 3. trasrnLL 1-g-o" DIA. x 6"-6" DEEP PRE-CAST LEACHING ITT (Rorc)Nno �*� i �k.% ::� t2 ►Jl;ly COIJ�PTE �4. EXISTING WELL- EU�E (7F IJ�\�f �A'JEr�.gr.. ( r' ' r�77.,, 39 1 t r, , ti. { - -. .l? t- , • `l. ► lt,'A I IIJi"� MAT' FLU>r- \J���12AGc DW611D OR E( 1UA),) WI'111 24" II.D.C.I. MANHOLE COVER TO GRADE (NEF,NAII ty / OR EQUAL). YROVLDF. 2'-0" MIN. OF CRUSIIF.0 STONE AROUND ALL SLUES. ^fl \ \ a \ \ I „ . �• O 'I \ j r o f r r I7)� r �.11✓rJ 1'�17!)ti1lr 1r:`:.)�. �A'JENe�, I, STONE SHALL BE 3/4-1- 112 IN. SIZE. ( HiSTALL 2" OF PF.ASTONE AT , Lic- 0 f 0,1h "' ! � y� TOP OF CRUSHED S"I'ONF: AS DETAILED. \ �AQ A��� _ •� F _ �' I d, i ' r °4 e err A ,FX16T. M 0I►Jr1TA;_L_ IJEW Col P.VG. .SC+i Q•: j �' \ 4, y� (y�J'• J�- ' f , C•A1,39PY k'ULTF 4. INSTALL 1 - 1 ,000 GAL. PRECAST CONCRF�E GREASE TRAP (GT 6 x 6-1) i` T HEAVY DEITY SF,'rWC.F.N 3 COMP. STAINLESS 'S1EF.I. SINK AND SEPTIC TANK. ^ ` Mi IIJT> EXIy, ltJ� CATCH �AI►J, ( 22� Q �•.. `4, D tier nu. utV �.' (64 tW /()�7co 5. INSTALL. 1 - 1,000 GAL. PRECAST CONCRFFF, SEPTIC TANK (ROTONDU ` , � ` ,(C ' 9 P[ ' , - - 501 �u '�' q �1 ST 6 x 6-1 HEAVY DUTY OR E(1UAL) WITH /1" SDR 35 PVC (ASTM 3034)PIPING. \ ��i `� _ �� O\ ► ' a`{ 0 Pv "'��q� * (L�y� E#46T. C.P. 6. REGRAUE AND PAVE "rHE AREA AS SHOWN ON DRAWING. --- a 7. FIELD VERIFY ALE, EXISTING AND PROPOSED CRITICA[ ELEVAIIONS(I .F "'+- i + •~~_ z.r_ p, 24" 0 ACCESS (� ' p, c4uop BUILDING FINISH FLOOR, WALKS, CURBS, RAMPS, WAr,I,S, DRIVEWAYS, 24 DIAM q G.I. MANHOLE-�VATEP-TIUNT- M•H TO GRADE Grp" C Y t. CULVERTS, SEWERS, EEC.) AT GROUNDBREAK. NOTIFY CONS'TRIICTION BC//ZD/AlC uj T� Ol? 7RAo TO BLL GOVE125 Q F¢AmE5,5.(TYP �7?LACES) J \ �.- ENGINEER OF ANY DISCREPANCIES BETWEEN FIELD Atli) PLAN INFORRAFION. 7 -� M��7�I�I2y,(TyP 8. EROSION AND SEDIMENT CONTROL: E4-40.67 GIRAOE PAOEMEII I 1'�vCME►JT / `��� �v `t '�\ - �97 ^�`` _ •.\` � � 1 _„ '1'` PROVIDE AND MAINFAIN A TEMPORARY HAY BALE SEDIMENT BARRIER AROUND _ (47Lc.O } ` t\ ' �9!V PROPOSED STRUCTURES AND ALONG 'IIIF BOTTOM OF PROPOSED SLOPES. 7HE - --- ti �I M•H, T GIZ6715 ��ITH > 10 BARRIER SHALL BE LOCATED AT SUCH DISTANCE AS TO NOT IN"I'ERFERE W1111 J N. �, C,•1, Wrr+►QT' fC TIGHT O p `° > !r 1 ' I C � ) -__.._ i rQ ,� ��vFe�j � rI2A{ML�.(TY cJl � l� ` 1J t' � �. r .. PENDING CONSTRUCTION OPERATIONS. HAY BALF,S SIIA1.1, BF, ALFQIATELY . 1AKL1 � / it G © A 4" ScNED 40 -- - PLACES) / L n't,:- , Ep1 �E AND WIREDTO RESIST MOVEMENT. 'TIIE BARRIERS SHALL BE PROVIDED IN AD- - �F h S, y� VANCE OF F.AR'THWORK ACTIVITIES ACID SIIALI, BE MAINTAINED UNFIL DRAINAGE 4'5cH.4o p / \ \� �� JA✓(J, � CONSTRUCTION AND EMBANKMENT Sl1RFACF. STABILIZATION HAS BEEN COMPLElEU, PV.C. PIPS (5aL ip) PAC _ 2 FEASTooE c` ! Vr_ PI F . o (TYC'.) v� U _ PRC�O� G /DESERVE �1 REA 10/T IAJ - 37.Col OOo 41_ . O Fl1 T 9. BEFORF BEGINNING ANY EXCAVATION OR DEMOLITION, GIVE A MINIMUM OF � C � � 1000 GAL- � A n 1 FORTY-EIGHT (48) HOUR NOTICE. EXCLUDING SATURDAYS, SUNDAYS AND INV =37$(o Caf2EA5E M N SEPTIC O LE CHIijQ PIT- 3/ TO Iy2 :7 HOLIDAYS, '10 ALL UTILITY COMPANIES WITHIN THE AREA. ALSO, CALL TrzaP K TANK it/✓•=3� 2 D�� B ND \VA5HE� "DIG SAFE" AT 1-800-225-4977 'I0 NOTIFY MEMBER UTILITIES. CONTRACTOR m cn (l j 11 I I I �ToNE T`(P� SHALL ALSO CONFORM TO TIIE GENERAL LAWS OF THE STATE OF MASSACHUSET'TS, 'O ;• � -Q I _ �• �. ) _ •O PROAOSED /ODO GAL. P-2ECAST 10. THE LOCATION AND DEPTHS OF EXISTING UTILITIES ARE. APPROXIMATE, AND HAVE - � � � I II GREASE TRA A . SEE DE TAIL BEEN PLOTTED FROM THE BEST AVAILABLE INFORMATION. CHECK AND VERIFY TO \ I -O 171�N1, - __ �� _ Q V) , 1 CONFIRM TIIE LOCATION AND DEPTHS OF ALL UTILITIES, BOTI1 UNDERGROUND AND I� �°� = Ill OVF.RHF.nU BEFORE BEGINNING ANY EXCAVATING. CONTRACTOR SHALL EXERCISE ° 11 ! /?OPOSED /000 GAL. /RECAST v l EXTRENF, (:ARE, WHILE WORKING 1N T'IIF. AREA OF EXISTING UTILITIES, INCLUDING ril_lr,l, ' M� SEAT/C T)4NK . SEE JETA/L y �t� 1 S1 i E_ PLAN HAND EXCAVATION TO AVOID ANY DAMAGE. CONTRACTOR SHALL REPAIR AND PAY FOR BC 7 / ��''� EL 3U.9 V ANY DAMAGE T6 EXISTING UTILITIES. /0RO/�DSED 5"0 01PEC4ST --� SC41..E 11 = 'Lo - 0 yS T E /1!` P4D 0 /c / L. E LEACHING P17- W124 1.ICTt�' >~x1�,711Jt1 �vltr[71 �� A,►Jr) 5T0�/E. t�U�P I���.A+•1r,;) fi� �G q. SCQ_ = ti / = 4 0 - VE4 /"=g-0 QEM�vE D r F T P = TEST /D/7 L 06 4 T/0IV5 err>Ct 9 - -- r `=�- - - - - - I-- r ='- - - - - - AP' I I I 1 i - - I ��4-6"KNOCKOUTS it - - I 4-B.. KNOCKOUTS 01. - 2 JS• DIA.COVERS, I I 2-18' DIA COVERS r I I I I M.H To- Hp. C.{- �ti/p,T�RTtGHT I I I I TeST PiT Loos, E <c .varnN oAra: 3/19/6B ------ rtc !t '+2KL' E - -J L L - - - - - - - J ENGiNdO! /aVUua ENG'G /N:••�AwTy�UL6T,A /.-(CA?RY SAS5IGIG) T� � T c C�2AOE - 0 6GrS - - - - - - - ._, - - - CVO I E• 1 In /a.�.0 E/ 40-LO -' EwG.4vA'•0/Z: Cio V°N/'C--ST,=iw_UCce STL`2,•'"I� A•11Pvr_-5cw. QO N6ALTI/OEP7, DONN4 M/J.['A/JD/ Z"vlo a w L 50LI D PIPE a ❑ o o o r4`F- j B„ 8..--►� I� 5..� (� ` T•P. 1 7.P, P M.W. UN1Pji✓e 15 Co �j O 8 - <7ATE� 3�29 �8g. al ,_, I �wALLS I I t WALLS 40.6 9,5 39.4 5,A n/D Y .Sn N o r o ❑ o c o o 0 o a 1 7 1 0 10" { -__ �t ^t U t0.. `y; n4 I � ---- -� ' TO P-30 L 'rap30 o 0 0 0 0 0 ❑ o � �i I _ 12'17.. I t3 L ,-. 1 37• - [/ 14„ 2_o e- o 2 0' =Cj .� W G T-6 X 6 -/#D, ' 10 ST_ 6 X 6-1 hiG_ HEN+SIGN uA'F DESCRIPTION BY - 4 0.. 4 2.. ~'� ❑ o o 0 0 ❑ 0 1 _ , 9 p / uo 11D /000 GAL uou1D /OOC7 GAL, LEVEL MEJ7R/M TU MC G.7+Gl Nf o a o o c o 0 ❑ a I� z - IFVEL L RG70A10C yztL.OW -4d. - - . .•... ,,�/.vG yj LLOiV- S01vS, /NC. 10TE PP1mEQT`( LINE AiJC1 B co s4A/n fa �T H 1 IF�1Ff11�'1 IH►t 1(%1.f �IC /I'` r1 t.. 4� :.._ �_ ,oa o ❑ o o c o �� . -- -------_._ , ' ORE Uf;L. _ - ' 1 �N OMtJ Otit T'N I ,.,'RA�'`1 I t`I C•) WA''� OP✓TAI�•1GQ E 3D.9 f G (?_ A ptZAOI"r? ritirl TLEr� I N DEPEW D EN T5EVAGE DI5P05AL 5Y5TEM �`� PMLIP r9°yam D\�/ 8 HD � C� _ ? _ DET� %! _ S� ^ �" ;'� T,IV,--' DETAIL IE T-OP�C�w'4DtitG �'E¢IhtiETEt1 St��VEY OF �Y '`, A. s � � AYUU3 LOT 1J 1 *Ljo A_ IO - LQT 'Z/ 2CUTE fJo. 2l 28 { urvl r s�a>zTA E3rvE�- M4gh", C� E f�l C I I� C.� C: . ��� R O&TE O• 1/S/r 9 e,7, 5C 4 LE 1 I - P20j. ►.0, Ile- /ST SPECIFICATIONS - FOR ALL U-G. STRL'CTU�E� � , E�� QQ ps G CONCRETE MINIMUM STRENGTH - 5.000 P.S.I. C 28 DAYS 3/.6 3❑S 103 7'1, t7QI�t11A1 RY AYOUb hl►J L'f�2i Nt? NOG. �1�Q STA Q L_ � (e�JTUIT) ) �,/�MASS. /Ot qtVE STEEL REINFORCEMENT - ASTM A-615-79, GRADE 60, 1' MIN. COVER Rio woTCe ND WA7'dg S EEP,4 GE P T DE TA L DESIGN LOADING - AASHTO HS20-44 PL•lLCUL97/ON TEST 0T T)� Z DA`, L EARTH COVER - 12 M IN. s/z_t/8ao w.�. <" �QCN JV Cr �] l ` �-!- SCALE CONSTRUCTION JOINT - SEALED WITH 1" DIA. BUTYL RUBBER OR EQUIVALENT R-Qrd : /SSSC//N4H S -Z74 LA F� 1 ;. T E M P) Q0F IL F_ A5 NOTED (U36 2N7)AIli"4H Foe s�c,N� IC 9 MOTES PROJECT NU. DWG NO. AQu DE-T4,, 1L"& , TES T P' 7 L � GS N.7 ' 'AYOUB ENGINEERING INC. PAWTUCKET R • I . �'