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Home My WebLink About0084 BARNSTABLE ROAD - Health 84 BARNSTABLE RD. ,HYANNIS A= i e I i 1 Commonwealth of Massachusetts Executive Office of Environmental Affairs Department of Environmental Protection William F. Weld Governor Trudy Coxe Secretary,EOEA Thomas B. Powers Acting Commissioner FORM WS1 Notice of Plumbing Inspector Approval to Seal Floor Drain April 1992 I • Note: This Application Does Not Apply To Any Facility Whose Floor Drain Is Connected To A Municipal Sewer System. To: Plumbing Inspector for the City/Town of Company Name: Nature of Business: Mailing Address: Location: Phone Number: Facility Owner: /67��;y requests to seal / floor drains. # of drains Any additions or alterations to the system are not permissible without the approval of the local plumbing inspector. All seals must be in compliance with 248 CMR.. This form must show both signatures before copy may be filed with DEP. Upon approval„a conipieted copy of th:Is notice shall', ut iled immediately vJitii 1.17e DAEP Under- ground Injection Control Program (C(i•617/556-1165) at the address below. Upon completion of all work, the applicant shall file the DEP UIC Notification Form to the same address. v` _Signature of Faci lity Owner Dat �I Approval.'Signatw Local Plwnbing Inspector Dad Plumbing Permit # Owner sliall send a completed DEP/Division of Water Supply copy of this form to: Underground Injection Control Program One Winter Street, 9th floor Boston, MA 02108 One Winter Street • Boston, Massachusetts 02108 • FAX(617)556-1049 • Telephone (617)292-5500 p:inui» un'form..forw ..1 rrc 7 TOWN OF BARNSTABLE ��•� PLUMBING PERMIT 061 GEOBASE ID 24172 BARNSTABLE ROAD PHONE `.YANN I S ZIP - LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 39968 DESCRIPTION APPROVAL TO SEAL FLOOR DRAIN PERMIT TYPE BPLUM TITLE PLUMBING PERMIT CONTRACTORS: GAGNE, DENNIS M. ARCHITECTS: TOTAL FEES: $20 .00 BOND $ .00 CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE DATE ISSUED 07/26/1999 EXPIRATION DATE Department of Health, Safety and Environmental Services of IHe jr, yo y � * BMMSTABLE, MASS. o► i639• BUILDING DIVISION BY: �' ., 2.Printers c Auto Body Shops • ,' ,•� •unsatisfactory- 6.Fuel Suppliers 7.Miscellaneous • 1 s") 5.Retail Stores Case lots Drums Above Tanks Underground Tanks motor Nt �► a r1i i SEEMENIME Name of Hauler Destination Waste Product Licensed? -� =-- 1� TOXIC AND HAZARDOUS MATERIALS REGISTRA*O'N FORM NAME OF BUSINESS: 01 FF S AUTO IWNS Mail To: BUSINESS LOCATION: �y �>��SI �� Board of Health S�4�c IF of Barnstable MAILING ADDRESS: P.O. Box 534 TELEPHONE NUMBER: 7> Hyannis, MA 02601 CONTACT PERSON: Fj) k),*A A F 6,4 9ALL EMERGENCY CONTACT TELEPHONE NUMBER: Does your firm store of the toxic or hazardous materials listed below, either for sale or for your own use, YES VNO 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: " Quantity/Case Quantity/Case ?,CAL Antifreeze (for gasoline or coolant systems) Drain cleaners j l �A Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants 3 Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel 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)9 9 es ( P ) Degreasers for driveways & gara ges 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 11V_111 r 'f r Town of Barnstable i Department of Health, Safety, and Environmental Services r �"�e Health Division 03? 367 Main Street,Hyannis MA 02601 Office: 508-790-6265 Thomas A McKean FAX: 508-775-3344 Director of Public Health Mr. Charles Mitchell June 30, 1995 c/o BiII's Auto Repair 84 Barnstable Road Hyannis, MA 02601 Dear Mr. Mitchell, On June 8, 1995, Donna Miorandi, Health Inspector for the Town of Barnstable,performed an on-site inspection for Toxic and Hazardous Materials at Bifl's Auto Repair located at 84 Barnstable Road, Hyannis and known as Assessor's Map 327, Parcel 061. The floor drains in the building were connected to an MDC trap (Metropolitan District Commission gas and oil separator tanks). However, it could not be determined whether the outlet pipe is connected to the public sewer system or to on-site leach pit. You are directed to provide documentation to the Health Division relative to where the outlet pipe terminates within ten (10) days of your receipt of this notice. You are filrther directed to comply with the following within fourteen (14) days: If the pipe is connected to sewer, you must comply with the Town of Barnstable's Sewer Connection regulation which requires proof of less than 10 ppm discharge to the sewer. If the pipe is connected to an injection well such as a leach pit, you are required to comply with the Department'of Environmental Protection (DEP) Underground Injection Control (UIC) regulations (310CMR 27.00) and to seal the floor drain in accordance with the state plumbing code, 278 CMR 2.00. Please telephone Health Inspector Donna Miorandi (at 790-6265), if you should have any questions. . Sincerely, Thomas McKean Director of Public Health cc: Ed Jenkins, Town of Barnstable Plumbing Inspector Enclosures: Industrial Floor Drains Floor Drain Checklist Town of Barnstable Sewer Connection Regulation I WHILE YOU WEREAWAV FORS+ DATE �'�7 M 3 TI M E--- P.M. OF _ �J� PHL4V""'C. REYU(NED E / � 7 Ste- � ?•s Y A CALL ESSA EXTENSION 'C17C� E NLEASE CALL � 8 X CALL F a•. AGAIN SIGNED 'WAI.08, SEE YOU , TOPS FORM 4002 (�101 � ®1 tT1 r Y/V X. v ai SENDER: I also wish to receive the v ■Complete items 1 and/or 2 for additional services. H ■Complete items 3,4a,and 4b. following services(for an d ■Print your name and address on the reverse of this form so that we can return this extra fee): card to you. v j ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address d permit. y Write Return Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery ■The Return Receipt will show to whom the article was delivered and the date a �., delivered. Consult postmaster for fee. o ° 3.Article Addressed to: 4a.Article Number t w o� 4b.Service Type ❑ Registered Of Certified rn N ❑ Express Mail ❑ Insured N ¢ ❑ Return Receipt for Merchandise ❑ COD C 7.Date of Delivery ° i w n 5.Received By:(Print Namo 8.Addressee's Address(Only if requested W and fee is paid) t g 6.Sign e: ddresse orA ent) i X ✓ N PS Form 3811, December 1994 Domestic Return Receipt UNITED STATES POSTAL SERVICE First-class Mail Postage&Fees Paid USPS Permit No.G-10 • Print your name, address, and ZIP Code in this box c I Health Department Town of Barnstable P.O.Box 534 Hyannis,Massachusetts 02601 Fax(508)775-3* Phone(508)790-6265 E� 1 ZA 348 651 015 Receipt for Certified Mail No Insurance Coverage Provided UIRTED STATES Do not use for International Mail POSTAL SERVICE (See Reverse) OMi Sent to t r t an� rJ l0 P.O.,State an ode O Postag M E Certified Fee `0 1 LL Special Delivery Fee N a IHesir"R! 8§ly, ry ale i Mq i4 f Pmiw 9JP ISI� 4o Whom&-Date Delivered Return Receipt Showing Who _ .51 Date,and Addressee's qre TOTAL Postage;- &Fees Postmark or Date d�.4g0 ,�, I I I STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, CERTIFIED MAIL.FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES(see front). �� m 1. If,you'want,this,receipt postmarked,stick the gummed stub to the right of the return address leaving'the receipt attached"and present the article at a post office service window or hand it to your rural carrier(no extra charge). IC 2.ilf you do,,not,want thisjrecept postmarked,stick the gummed stub to the right of the return address of thiT article,date,detach and retain the receipt,and mail the article. t 3. If you wan(, return,receip write the certified mail number and your name and address on a return receipt,ccaard`Fp m 3811,and attach it to the front of the article by means of the gummed ends if space permits.Otherwise,affix to back of article.Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. OC 4. If you want delivery restricted to the addressee,or to an authorized agent of the addressee, M endorse RESTRICTED DELIVERY on the front of the article. E. 0 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt.If LL return receipt is requested,check the applicable blocks in item 1 of Form 3811. W a 6. Save this receipt and present it if you make inquiry. 105603-93-13-021e - Town of Barnstable �. Department of Health, Safety, and Environmental Services Public Health Division 367 Main Street, Hyannis MA 02601 office: 508-790-6265 Thomas A.McKean FAX: 508-775-3344 Director of Public HeaM October 5, 1995 Mr. Charles Mitchell c/o BifTs Auto Repair 84 Barnstable Road Hyannis, MA 02601 SECOND NOTICE TO COMPLY WITH 310 CMR 27.00 On June 8, 1995,'Donna Miorandi, Health Inspector for the Town of Barnstable, performed an on-site inspection for Toxic and Hazardous Materials at Biff's Auto Repair located at 66 Barnstable Road, Hyannis and known as Assessor's Map 327, Parcel 061. The floor drains in the building were connected to an MDC trap (Metropolitan District Commission gas and oil separator tanks). However, it could not be determined whether the outlet pipe is connected to the public sewer system or to on-site leach pit. 1). - On June 30, 1995 were directed to provide documentation to the Public Health Division relative to where the outlet pipe terminates within ten (10) days of your receipt of this notice. However, the documentation was not received at this office. 2) On June 30, 1995, you were also directed to comply with the following within fourteen (14)days: a) If the pipe is connected to sewer, you must comply with the Town of Barnstable's Sewer Connection regulation which requires proof of less than 10 ppm discharge to the sewer. b) If the pipe is connected to an injection well such as a leach pit, you are required to comply with the Department of Environmental Protection (DEP) Underground Injection Control (UIC) regulations (310 CMR 27.00) and to seal the floor drain in accordance with the state plumbing code, 248 CMR 2.00. However, none of the above was completed as of this date. You are directed to comply with 310 CMR 27.00 by (1) submitting documentation to this office relative to where the outlet pipe terminates, and (2) providing test results of sewer discharge concentration or sealing the floor drain within ten (10) days of your receipt of this notice. PER ORDER OF THE BOARD OF HEALTH as McKean Director of Public Health cc: Ed Jenkins, Town of Barnstable Plumbing Inspector J o.� Town of Barnstable • Depart o ealth, Safety, and Environmental Services .Ah ASS. j co�� Health Division 367 Main Street,Hyannis MA 02601 Office: 509-790-6263 Thomas A.McKean FAX: 309-773-3344 Director of Public Health Mr. Charles Mitchell June 30, 1995 c/o Bill's Auto Repair 84 Barnstable Road Hyannis, MA 02601 -��0 6*X. 7-7,9D ll, 4 On June 8, 1995, Donna Miorandi, Health Inspector for the Town of Barnstable, performed an on-site inspection for Toxic and Hazardous Materials at Biff's Auto Repair located as,�&6C A Barnstable Road, Hyannis and known as Assessor's Map 327, Parcel 061. The floor drains in the building were connected to an MDC trap (Metropolitan District Commission gas and o separator parator tanks). However, it could not be determined whether the oullet i e is connected to the public sewer system or to onAiwtejeach pit. fA Yo directed to provide documentation to the'He th Division relative to whey the outle pipe terminates Ivithin ten (10) da s of your receipt of this notice. f.0v_r Wf_,_ You 3r directed to comply with the following within fourteen (14) days: If the pipe is connected to sewer,you must comply mid, the Town of Barnstable's Sewer Connection regulation which requires proof of less than 10 pphn discharge to the sewer. r If the pipe is connected to an injection well such as a leach pit, you are required to comply with the Department of Environmental Protection (DEP) Underground Injection Control (UIC� regulations (310CMR 27.00) and to seal the floor drain in accordance with the state 4=g AQL !h code, CMR 2.00. , nor,(- op Va G.-, z9 Ines 3►ons. y Sincerely, �.o�,v -t�-i p 49 r SB I is 0 n Director of Public Health ' , ;,, n `" cc: l?,d Jenkins,Town of Barnstable Plumbing Inspector —>v` o�., ,,5- n a Enclosures: Industrial Floor Drains ' R «b Floor Drain Checklist ug Town of Barnstable Sewer Connection Regulation •'" `�'�` _ } W s ,1Jr5@ Irt C/O � NF�✓u/ A IC6, r(7 rh JP�li w /Tfl 3iocmEa70(90 Alvt) ��n ��12a soo OA1 UZ)M63, O) #��o @moo • 1 d SENDER: 1 also wish to receive the H • Complete items 1 and/or 2 for additional services. • Complete items 3,and 4a&b. following services (for an extra 41 H • Print your name and address on the reverse of this form so that we can V fee): d return this card to you. d • Attach this form to the front of the mailpiece,or on the back if space 1. ❑ Addressee's Address N Y does not permit. +, r Write"Return Receipt Requested"on the mailpiece below the article number. 2. ❑ Restricted Delivery " The Return Receipt will show to whom the article was delivered and the date c delivered. Consult postmaster for fee. d I -0 3. Article Addressed to: `` 4a. A icle Number E 4 Service Type 0 El Registered El Insured A Certified ❑ COD � y c El Express Mail ❑ Return Receipt for X LE cc Merchandise LU 7. Date of Delivery ° O 0 a 5. Signature (Addressee) 8. Addressee's Address(Only if requestedcc Y and fee is paid) ,j 6. ure (Ag I yPS Form 3811, December 1991 pus.GP 1ea3--as2.714 DOMESTIC RETURN RECEIPT l UNITED STATES POSTAL SERVICE Official Business PENALTY FOR PRIVATE USE TO AVOID PAYMENT US AIL OF POSTAGE,s300 I`I � I y Print your name, address and ZIP Code here Health Departmen$ Town of Barnstable Pt . Box 534 Hyannis, Massachusetts 026M � P 4102 500 662 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) e Sent to N m Street a d No. a i a P.O.,State and ZIP Code c� N a Postage S Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt showing to whom and Date Delivered Ln Return Receipt showing to whom. Date,and Address of Delivery at j TOTAL Postage and Fees S � ^ S 0 Co Postmark or Date cif E 0 LL N a i I STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES.(see front) f 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached and present the article at a post office service window or hand it to your rural carrier. (no extra charge) 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the return address of the article,date,detach and retain the receipt,and mail the article. 3. If you want a return receipt,write the certified mail number and your name and address on a return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends if space per- mits.Otherwise,affix to back of article.Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. 4. If you want delivery restricted to the addressee,or to an authorized agent of the addressee,indorse RESTRICTED DELIVERY on the front of the article. 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. If return, receipt is requested,check the applicable blocks in item 1 of Form 3811. 6. Save this receipt and present it if you make inquiry. *U.S.G.ao.1e8e-234-,sse ` , 8 Town of Barnstable Department of Health, Safety, and Environmental Services t BARMABU, MASS' Health Division 439. �,� p 367 Main Street,Hyannis MA 02601 Office: 508-790-6265 Thomas A.McKean FAX: 508-775-3344 Director of Public Health Mr. Charles Mitchell June 30, 1995 C/o Bitl's Auto Repair 84 Barnstable Road Hyannis, MA 02601 Dear Mr. Mitchell, On June 8, 1995, Donna Miorandi, Health Inspector for the Town of Barnstable, performed an on-site inspection for Toxic and Hazardous Materials at BifPs Auto Repair located a �' Barnstable Road, Hyannis and known as Assessors Map 327, Parcel 061. The floor drains in the building were connected to an MDC trap (Metropolitan District Commission gas and oil separator tanks). However, it could not be determined whether die outlet pipe is connected to the public sewer system or to on-site leach pit. You are directed to provide documentation to the Health Division relative to where the outlet pipe terminates within ten (10) days of your receipt of this notice. You are further directed to comply with the following within fourteen (14) days: a If the pipe is connected to sewer, you must comply with the Town of Barnstable's Sewer Connection regulation which requires proof of less than 10 pprn discharge to the sewer. I • If the pipe is connected to an injection well such as a leach pit,you are required to comply"Aith the Department of Environmental Protection (DEP) Underground Injection Control (UIC) regulations (310CMR 27.00) and to seal the floor drain in accordance with the state plumbing code, 29-86CMR 2.00. µ Please telephone Health Inspector Donna Miorandi (at 790-6265), if you should have any questions. Sincerely, Thomas McKean � Director of Public Health cc: Ed Jenkins,Town of Barnstable Plumbing Inspector Enclosures: Industrial Floor Drains Floor Drain Checklist Town of Barnstable Sewer Connection Regulation raw C loc�rz ��o> c� 2a �- '��' c�1,� a� ao .