Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0083 CORPORATION STREET - Health
183-CORPORATIONPRU ,liYANiVt5 ^A ANCHOWAUTO BODY . - hl�` • f� n if' o A ° I s t l s 1 I' t` n - i N + t Number Fee 1002 THE COMMONWEALTH OF MASSACHUSETTS 100.00 Town of Barnstable Board of Health This is to Certify that Anchor Auto Body 83 Corporation Rd., Hyannis, MA P .. As Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2015 unless sooner suspended or revoked. --------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2014 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health i I g Town of Barnstable Barnstable VEr Regulatory Services Department A&AflMd1MCftV Public Health Division 1 BMWSPABUE 16`'9. � 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT k7aga&Cr2A S. FL404,l q q NAME OF ESTABLISHMENT 4&tC-� Xy ADDRESS OF ESTABLISHMENT G::�eq't o Ro!&Q ,1 (-��AS#S.WI/ TELEPHONE NUMBER SW- '774�:-• &2-C; SOCK- -T37- 6(3S T- SOLE OWNER: YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO: C%43.4.)p STATE OF INCORPORATION (MASS 64D4�,5 -r7 5 FULL NAME AND HOME ADDRESS OF: PRESIDENT a V u TREASURER CLERK sla( � r. SIGNA OF APPLICANT RESTRICTIONS: HOME ADDRESS So S�[4�; HOME TELEPHONE# EM - -737 6(�!Q ; J:\inspection handouts\Haz Mat Application2008.DOC z MAIL-IN REQUESTS Please mail the completed application form to the address below. Also include a copy of your contingency plan (to handle hazardous waste spills, etc.) In addition, please include the required fee of$100. Make check payable to: Town of Barnstable. Allow time for in-house processing. Our mailing address is: Town of Barnstable Public Health Division 200 Main Street Hyannis, MA 02601 - FOR FAXED REQUESTS Our fax number is (508) 790-6304. Please fax a completed application form. Also, please fax us a copy of your contingency plan (to handle hazardous waste spills, etc.) In addition, please mail the required.fee of$100. Please make the check payable to: Town of Barnstable. The check must be mailed to the address listed above. All time for in- house processing. For further assistance on any item above, call (508) 862-4644 Back to Main Public Health Division Page JAinspection handouts\Haz Mat Application2008.DOC TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM4Z NAME OF BUSINESS: 4V_ �O v- opj Mail To: BUSINESS LOCATION: CA �� Board of Health MAILING ADDRESS: a,:"G1/1 R a �� m Town of Barnstable P.O. Box 534 TELEPHONE NUMBER: Hyannis, MA 02601 CONTACT PERSON: eS�-��yc3 • ��-eXY�� 5� � I/I� 1/ �` rp EMERGENCY CONTACT TELEPHONE NUMBER. 50$_) /I/ a Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your 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: Quantity/Case Quantity/Case 02:9`A ifreeze (for gasoline or coolant systems) O Drain cleaners l.0�549" Automatic transmission fluid d Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) O Disinfectants Motor-oils/waste oils "` *' _ Road Salt (Halite) `O Gasoline, Jet fuel 0 Refrigerants Diesel fuel, kerosene, #2 heating oil d Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) O Degreasers for engines and metal Photochemicals (fixers and developers) C Degreasers for driveways & garages © Printing ink O" p Battery acid (electrolyte) O Wood preservatives (creosote) �a t Rustproofers _(-�> Swimming pool chlorine 0 Car wash detergents 1�) Lye or caustic soda ��. Car waxes and polishes O Jewelry cleaners Asphalt & roofing tar D Leather dyes �aints, varnishes, stains, dyes Fertilizers (if stored outdoors) �q(Spaint & lacquer thinners (� PCB's C9 Paint & varnish removers, deglossers Other chlorinated hydrocarbons, b Paint brush cleaners (inc. carbon tetrachloride) C� Floor & furniture strippers CO Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Q' Laundry soil & stain removers hydrochloric acid, other,acids) (including bleach) Other'products not listed which you feel may C� Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) � S .Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners 7 White Copy- Health Department/ Canary Copy-Business • • • ' Stations, •. 1 �1) satisfactory 3.Auto Body Shops unsatisfactory- 4.Manufacturers • � �� I ill "Orders") 5.Retail Stores 6.Fuel Suppliers 7.Miscellaneous 1 f � • ... • ... Case lots Drums Above Tanks Underground Tanks J r 1 . , elk 11 , . y ..�. 410 Name of Hauler Destination Waste Product Licensed? wo it• 1J� L i�l �-�-�► 1��.1/�/� � � ���GAL /! � ,��. ��� iME>Olr TOWN OF BARNSTABLE OFFICE OF t Bsa ,NABL BOARD OF HEALTH rasa. GD 1639. 367 MAIN STREET Fa YAY k\ HYANNIS, MASS. 02601 August 14, 1987 Richard Flemming i Anchor Auto Body �3 -- Corporation F,ead ' " Hyannis , MA 02601 Dear Mr. Flemming: You are reminded that State regulations require periodic pumping and , or, cleaning of all MDC traps (Metropolitan. District "Commission,'"' gas and oil separator tanks) . - You are directed to contract with a licensed hazardous waste i transporter\contractor to perform the required pumping and' or cleaning of your MDC trap by September 11 , 1987 , or provide proof of such maintenance performed within the past three months . I You are further directed to have your MDC trap inspected. ,aid cleaned if necessary, by a licensed hazardous waste contractor every three months . Written proof from a licensed 1 . contractor will be required. Inspections will follow by the Health. Department to verify compliance. You are reminded that failure to comply could result in a , fine of $200 . 00 daily under the Town of Barnstable Toxic and Hazardous Waste By-law. Very Truly Yours , &hnM. Kelly Director Barnstable Health Department ti �D. 3r f —BAR AD � o v 2. Printers BOARD - OF ,�A LT H O satisractory 3. . Auto Body Shops f -7yJ" 6 a/$ Q unsatisfactory- 4. Manufacturers (see"Orders") S. Retail Stores COMPANY 6. Fuel Suppliers � ADDRESS Class: 7. Miscellaneous C A rn gg�a►5 QUANTIW- ES AND STORAGE (IN=indoors; OUT=outdoor: MAJOR MATERIALS Case lots Drums �J AboveTanks Underground Tanks IN 10DUT IIN IOUT IN UT 0 & g2llonse Test Fuels: Gasoline, Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: } degreasers T Miscellaneous: �,,A C Q 06 k�0 W� DISPOSAL RECLAMATION REWORKS: + 1. Sanitary Sewage 2. Water Supply. 0A0wn Sewer_ �ublic OOn-site Q Private ,I La 3. Indoor Floor- Drains: YES NO r T TA �PS -- , - -- o O Holding tank: MDC ELF NO OIL OCatch basin/Dry well I j A O On-site-sy.s-tem VVA'ZC �I v J �. I� I ,..4-:Outdoor Surface drains:YES Nk a6mh �aVGda Fir 0 Holding tank: MDC O Catch basin/Dry well OOn-site system r ___._ ------r- --- S. Waste Transporter Licensed? ame of Hauler- _Destination- Waste Product YRS NO 1. ° V.04 17)X)L fils MA-6 2 23 81 1 Number Fee 1002 THE COMMONWEALTH OF MASSACHUSETTS $10o.00 Town of Barnstable Board of Health This is to Certify that Anchor Auto Body 83 Corporation Rd., Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ------------------------ -------------------------------------------- ----------------------------- ----------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2014 unless sooner suspended or revoked. - -------------------------=------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2013 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health f Town of Barnstable ' .of IME Regulatory Services °- Thomas F. Geiler,Director p.R„ARN Public Health Division 1659. Thomas McKean, Director 200 Main Strut, Hyannis, MA 02601 Office: 508-862-4644 Fax: 50S-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE �xo^a� ao13 APPLICATION FOR PERAIT.TO STORE AND/OR UTMIZE MORE THAN 111 GALLONS OF HAZARDOUS MA.TERL LS FULL NAME OF APPLICANT NAME OF ESTAB7-7SHi41ZN'T ADDRESS OF ESTABLTSEBi i TELEPHONE NUM3ER SV� ':g • 77';- • 6a('B �c7g-'`7377' 6(3q SOLE OWNER: (/ YES No IF APPLICANT IS A PARTNER�7�,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. 0y"3 STATE OF INCORPORATION '�� �� �� FULL NAME AND HOME ADDRESS OF: rn PRESIDENT ?—:Ux-gAez 53 � OWCj S-0 S*wC.e6QC -- PO-4 0 ,< AAC- 8IGNATURE OF APPLICANT RESTRICTIONS: HOMT ADDRESS '90 - HOME TELEPHONE# �(3 Hazdoc/wp/q I"'r t ANCFfbR AUTO BODY 83 CORPORATION ROAD HYANNIS, MA 02601 508-775-6218 HAZARDOUS WASTE CONTINGENCY PLAN 1) We have converted to waterborne paint, thus eliminating 60% of hazardous waste produced. 2) We are contracted to have any remaining hazardous waste removed by Auto Body Solvent Recovery, who in turns recycles thru Clean Harbors, Inc. 3) Any hazardous waste produced is safely stored in steel drums, which are kept in a concrete block, cement floored room. There are no floor drains in the room. The drums are emptied every three months and are inspected for any leakage or deterioration prior to reuse. 4) A spill kit is readily available in the storage area and all employees are trained in its proper use and disposal of any by products. 5) The operations manager is OSHA certified and if a spill of any magnitude were to occur, he would contact any relevant agencies, i.e. the Fire Department, the Board of Health, and the EPA. We hold EPA permit #MAD981215283. 6) Our paint supplier holds yearly seminars at Cape Cod Technical Regional High School which our shop management, including paint department employees, attend. i AsBuilt Page 1 of 1 �a'7 TOWN OF BARNSTABLE LOCATION SEWAGE a VILLAGE A/Y/.0[,D ASSESSO ' MAP&LOT jNSP&C-W9'S NAME&PHONE NO. 02 SEPTIC TANK CAPACITY LEACHING FACII.PIY: e) C (size). YOUO NO.OF BEDROOMS BUILDER PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by t 30 1, 7 t 23 http://issg12/intranet/propdata/prebuilt.aspx?mappar=293013&seq=1 10/28/2011 i Town of Barnstable Barnstable Board of Health i a" ``$ 200 Main Street, Hyannis MA 02601 I t639 �m 2007 FD MA'1 s Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi April 9, 20,1 4 Mr. Richard J Fleming Anchor Auto Body, Inc. 83 Corporation Road Hyannis, MA 02601 g RE Extension of Tine to Connect Buff in toxPubhc Sewer s 83 Corporat>o`n Road Hyannis, Anchor Auto Bodyr Dear Mr. Fleming: You are granted an extension of time, until July 1, 2014, to connect your building located at 83 Corporation Road Hyannis to public sewer. You testified that you recently expended more than $21,000 to redo asphalt work in conjunction with Corporation Road improvements. According to your letter, you were also experiencing some personal health issues, therefore the building was not connected to public sewer at that time. This extension is granted to allow you some time to get through the winter frost and to get other affairs in order. Sincer y yours, A / Wayn Miller, M.D. Chairman Board of Health Town of Barnstable I .. Q:\WPFILES\SewerExtensionFleming2014.doc -1T1 's P I P -- F i c cyv,-,e_- - cif— S r eCP-e , Town of Barnstable Barnstable a 0 IKEty� Board of Health . � 1 N SS. 200 Main Street, Hyannis MA 02601 I I Qj 039. �0 pTED MAt a 2007 OFFICE: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi Richard Fleming, Anchor Auto Body, Inc., 83 Corporation Road, Hyannis, MA 02601 ACKNOWLEDGEMENT OF RECEIPT: December 18, 2013 We have received your submission to ,the (Board of Yfeafth. Re: 83 Corporation Woad; �f annis — asking for an Extension On Deaddfine to connect to the town sewer. Thankyou. Your item will be heard at the Board of Health Meeting on the: Date of. Tuesday, April 8, 2014 You, or a representative for you, is expected to be present to answer questions the Board may have. Meeting Location: Town Hall, 367 Main St, Hyannis Hearing Room, Second Floor Time: 3:00—6:00 P.M. Approximately three days prior to meeting, an agenda will be sent out to you— once it is available. It will also be available on line at the town website: www.town.barnstable.ma.us Go to ..."Boards & Committees > Board of Health - or- Go to Official Agendas QAAGENDAS BOH\let Receipt of BOH Submission 83 Corp Rd Hy APR2014.doc y Town of Barnstable Barnstable Board of Health 1 eriea�j ? IIARMASS. 200 Main Street, Hyannis MA 02601 Y MASS. A - 039. `0m prEo MAt 2007 OFFICE: 508-862-4644 -Wayne Miller,M.D. FAX: '508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi Richard Fleming, Anchor Auto Body, Inc., 83 Corporation Road, Hyannis, MA 02601 ACKNOWLEDGEMENT OF RECEIPT: December 18, 2013 We have received your su6miss ' n to the Board of Nealth. 12e: 83 Co oration oad� �f annis — asking for an Extension On Deadline to connect to the town sewer.. 2-hankyou. Your item will be he/dat he Board of Health Meeting on the: Date of. Tuesday, Marc , 2014 f • You, or a representative for you, is expected to be present to answer questions the Board may have. Meeting Location: Town Hall, 367 Main St, Hyannis Hearing Room, Second Floor. Time: 3:00—6:00 P.M. Approximately three days prior to meeting, an agenda will be sent out to you— once it is available. It will also be available on line at the town website: www.town.barnstable.ma.us Go to .:."Boards & Committees > Board of Health - or = Go to : Official A endas . QAAGENDAS BOH\let Receipt of BOH Submission 83 Corp Rd Hy MAR2014.doc _T Richard J. Fleming Anchor Auto Body, Inc Anchor Auto Body,Inc. 83 Corporation Road 83 Corporation Road Hyannis,MA 02601 www.anchorcollision.com annis MA 02601 ww.anohoroollision.00m � I y CY Ow 12/11/2013 Attention: Thomas A. McKean Town of Barnstable Regulatory Services Department Public Health Division 200 Main Street Hyannis, Ma 02601. Dear Mr. McKean; I am in receipt of your notice to connect Parcel 293-013 to the sewer system. The notice states that I must have such work done before March 1 , 2014. 1 most respectfully request an extension to June 1 , 2014 as to get through the winter frost and get other affairs in order. I just spent over $21000.00 to redo all the asphalt work in conjunction with the Corporation Road improvements. Although the prudent thing would of been to connect the sewer while the Corporation Road Work was being done, my personal health issues got in the way. Please notify me if I need to attend a hearing to formally make the request, if not could you please respond to me personally that my request is acceptable. Sincerely: Rich rd J Fleming i ric @anchorcollision.com 508-737-6139 cm -� w -E. h-, 4Ae a za NO -l7 Ln W �7 N r- I Ric-'hard J-. Fleming Anchor Auto Body Inc Anchor Auto Body,Inc. 83 Corporation Road 83 Corporation Road "` Hyannis,MA 02601 www.anchorcollision.com Hyannis, .MA 02601 12/11/2013 Attention: Thomas A. McKean Town of Barnstable L Regulatory.Services Department Public Health Division '200 Main Street Hyannis, Ma 02601. Dear Mr. .McKean; I am in receipt of your notice to connect Parcel 293-013 to the sewer system. The notice states that I must have such.work done before March 1 , 2014. 1 most respectfully request an extension to June 1 , 2014 as to get through the winter frost and get other affairs in order. I just spent over $21000.00 to redo all the.asphalt work in conjunction with:the Corporation Road improvements. Although the prudent thing would of been to connect the sewer while the Corporation Road Work was being done, my personal health issues got in the way. Please notify me if I need to attend a hearing to formally make the request, if not could you please respond to me personally that my request is acceptable. Sincerely: Rich rd J Fleming i rid @anchorcollision.com 508-737-6139 i-J rT CD 1 Postal �CERTIFIED MAIL. RECEIPT m (Domestic Mail • Provided) Er, Ln For delivery information visit.- OFFICIAL� ul co 'Postage $ ' R1 Certified Fee ,�\5 hi O CPostmark �� O Retum Receipt Fee Here 0 (Endorsement Required) r O r Restricted Delivery Fee DEC-9 2013 , O (Endorsement Required) rl M Total Postage&Fees $. p R C, s r1.1 Sent To i�h d p Street.Apt.No.; — tti PO BoxNoa. ------------------ City,ware,zIP+a�----n----�--s-'C- .Q�!�-c-T-`--e-`---i---- ' 5) --- ----------- fYl 0Irr" Certified Mail Provides: ■ A mailing receipt r' ■ A unique identifier for your mailpiece ■ A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First-Class Mail®or Priority Maile. ■ Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. ■ For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPSe postmark on your Certified Mail receipt is required. ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". ■ If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT.Save this receipt and present it when making an inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 9! S • • • • DEL ■ Complete items 1,2,and 3.Also complete (A:Signature 1 item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse \X ❑Addressee so that we can return the Card to you. B'Res ' d b (Printed Name) C Date of Delivery 0 Attach this card to the back of the mailpiece, or on the front.if space permits. D Is delivery address different from item 1? ❑Yes 1. Article Addressed to" If YES.enter delivery address below: ❑ No c_hc�-v- d F l mr•� I I I Sk, I _ I f'1 r,1 5 j I{�� 3. Service Type f Certified Mail ❑Express Mail I O-2—�D O ( Registered El Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(F tra Fee) ❑Yes + 2. Article Number 7 012 1010 0000 2.851 1593 I (Transfer from service/aben PS Form 3811,_February 2004 Domestic Return Receipt 102595-02-M•1540 ' 1 _ I UNITED STATES-POSTAL SERVICE, First-Class Mail Postage,&Fees Paid LISPS I Permit No.G-10 _ I •,Sender;Please print your name,.address, and ZIP+4 in this box • I I kl I 4 Town of Barnstable , Health Division 200 Main Street Hyannis,MA 02601 Barnstable a�'THE Town of Barnstable Regulatory Services Department j"mMcaC j + BARN8TABLE ' I 9� 039. �0� Public Health Division 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Richard Scali,InterimDirector FAX: .508-790-6304 Thomas A.McKean,CHO 12/9/13 Richard J. Fleming Anchor Auto Body 83 Corporation Street Hyannis, MA 02601 IMPORTANT NOTICE Re: 83 Corporation Street, Hyannis, MA. 02601 Map & Parcel: 293-013 Dear Property owner: According to our records, your property at 83 Corporation Street, Hyannis, MA has two cesspool and is not connected to the public sewer system. Public sewer lines have been available in your neighborhood since 2000. You have been previously notified of the obligation to connect to town sewer and establish a sewer account with the town. This letter directs you to connect your building located at 83 Corporation Street, Hyannis, MA to public sewer on or before March 1, 2014. Sewer connection permits are available from DPW-Water Pollution Control Division, 617 Bearse's Way, Hyannis - call Dave Anderson, (508) 790-6244. The old cesspool system must be either removed or filled in with sand to avoid the tank collapsing over time. This may be done by the same contractor who connects you to the sewer. Septic Abandonment Permits ($ 25) are issued at the Public Health Division, 200 Main Street, Hyannis. You may request a hearing before the Board of Health. If you would like a hearing please send a written petition requesting a hearing on this matter within seven (7) days of receipt of this letter. If you should have any questions, please call 508462-4644. PER ORDER OF THE BOARD OF HEALTH ' � V 1 tJ-Zi►�1 JL�-t--2i►'��jt �►�1 � - Thomas A. McKean, R.S., C.H.O. , cStSY k_0 Agent of the Board of Health Postal ti (Dome'stic Mail Only;No Insurance Coverage Provided) ti - -B For delivery information visit our website at e �r^ f1J 0. FFICIAL . E Ln Postage $ ra Certified Fee O Return Receipt Fee ` Here O (Endorsement Required) Fee M (Endorsement Required) O Total Postage&Fees $ a nt o41 r=1 t� Sweet,Apt:No.j--- ------------------ or PO Box No. .... �- Co� ------------------ PSaY-cLv`C1 city-score MP+4 - a :rr2006 See Reverse for InstrUCtiOrIS Certified Mail Provides: ■ Amailing receipt ■ A unique identifier for your mailpiece ■ A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail®. ■ Certified Mail Is notavail_able for any class of international mail. ' • NO INSURANCE COVERAGE IS PROVIDED with Certified Mail.• For valuables,please consider'Insured or Registered Mail. • For an additi n&fee a Return Receipt maybe requested to provide proof of delivery.To obtain bum,Receipt service,please complete and attach a Return Receipt(PS Form 3bl;t)to the article and add applicable postage to cover the fee.Endorse mailpiece Return Receipt Requested".To receive a fee waiver for a duplicate return receipt;a LISPS®postmark on your Certified Mail receipt is required. rt,Y; ■ For an additional-fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement'Restricted Delivery°. in If a postmark on the Certified Mail receipt is desired,please present the arti. cle at the post office for postmarking. If a postmark on the Certified Mail I receipt is not needed,detach and affix label with postage and mail. IMPORTANT-Save this receipt and present it when making an inquiry. PS Forth 3600,August 2006(Reverse)PSN 7530-02-000-9047 , .SENDER: COMPLETE THIS SECTIOI� COMPLETE THI.S SECTION ON DELIVERY-`.* ,.," ■ Cori'Fplete items 1,2,and 3.Also complete A. item 4 if Restricted Delivery is desired. X ®agent ■ Print your name and address on the reverse �� ❑Addressee so that we can return the card to you. B. Received by(Printed Name) C. Dat of elivery, ■ Attach this card to the back of the mailpiece, / or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item 1? Yes If YES,enter delivery address below: !a.❑No I I �$ 3 Cov—fa rm f 3. Se ce Type CL Pl(� I S 1 ��/��.. IrCertified Mail ❑Express Mall 1 ❑Registered ❑Return Receipt for Merchandise Z(oG ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number : 7Q]�]� 0470 0001 4525 .6225' ;"M ,r I- (transfer from service labeQ 'PS Form,3811.4Fetiruary�2004' Domestic Refum Receipt tozsss oz M�5ao i _.,154 UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid LISPS i Permit No.G-10 I • Sender: Please print your name, address, and ZIP+4 in this box • I t Oil& Publicl-iealth Division;Town of Barnstable ��00 Main Street _Viyahnis; MA 02601 if.iri�t�i�i�Iit.,ii►��,��ii�i�,iii�,riil���Fi�iii,f���„�,i,i,i THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M ^C&L DATA TOWNNOF �BARNSTABLE BAR=Wji �` Ordinance or Regulation WARNING'..,NOTICE, NOTICE Name of Offender/Manager ' ,� :,$ ' Y.' :'#"W"" E .z•. Address of Offender v ;x ti +" ` F MV/MB Reg.# Village/State/Zip A. ,} z. ;. . - Z C!7,4- Business Name cl am/pm, on 20 ,. . Business Address ,_. ;•� � , -� a+ Signature of Enfoic.ing. Officer Village/State/Zip %�. Location of Offense Enforcing Dept/Division Offense ;t Fa., C-J-) t Facts .-i: -'": k I "" r a.ba, p i .,� .,; This will serve only as a warning. At this time no' legal action has been taken. It is the goal of Town agencies to achieve'' voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE` OFFENDER CANARY ORDJREG PROG PINK,'ENFORCING OFFICER- GOLD-ENFORCING DEPT.. •..sie&3,+v+.».:.:.� <._ . .v-. ,.:,r. Postal 0 (Domestic Mail Only, 1 For delivery U ur website at www.usps.con'to Ul l information •ru i.r . r1 M Postage $ t C3 O Certified Fee Mp Return Receipt Fee - } Po (Endorsement Required) r3 Restricted Delivery Fee \ A r a (Endorsement Required) co 0 Total Postage&Fees $ USQy O Sent To ..... $Yreet,Apt No.: - ^( --------- or PO Box No. �h� r �✓T U `-'c .................y, tr P+a4 - :t-Co.�f�e- /.- .� G(._.:..... o ��� Certified Mail Provides: ia�e�aa oo r'OOPq mad Sd • A mailing receipt ._ • A unique identifier for your mailplece • A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail& • Certified Mail Is not available for any class of international mail. rl� • NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. • For an additional fee a Return Receipt may be requested to provide proof of delivery.To obtain Re{um Receipt service,please complete and attach a Return Receipt(PS Form 38111 to the article and add applicable postage to cover the fee.Endorse mailpiece Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a LISPS®postmark on your Certified Mail receipt is required. • For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Resfdcteeiivery". rr If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. 1. U IPORTANT:Save this recel,t and present it when making an Inqulry. Internet access to delivery information is not available on mail addressed to AM and FPOs. ,R: QOMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complet ReEns 1,2,and 3.Also complete A I Rem 4 If Restricted Delivery is desired. ❑Agent Print your name and address on the reverse i ❑Addressee yso that we can return the card to you. B. Re slued by(Printed Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. D. Is delivery address different from Item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No Ay-) Ko-y- /'ti b 3 CO-y-P dy 3. Service Type 16 Certified Mail ❑Express Mail (-, - �n n 1 5 ' �� ❑Registered ❑Return Receipt for.Merchandise r' ❑Insured Mail ❑C.O.D. �i190 ( 4. Restricted Delivery?(Extra Fee) ❑Yes 2. ArtIcleNumtier 1 i } iiY7006 O'81,O1 000� 3525" 507Y1 (Transi'er ft"M service labeO PS Form 3811,February 2004 t i= Domestic et Receipt tozsss oz M tsao I UNITED STATES POSTAL SERVICE � First-Class,Mail I, PSPost??&fees maid � I; Permit No.G-10 r Sender. Please print your name, address, and ZIP+4 In this box I Town of Barnstable Health Division 200 Main Street Hyannis,MA 02601 f 'I1l3lf�tlf�llil�Yit1lil�l�ifll�ift1111t1i�1�111i-1�111lfl�71li f4��1i j I 11ME try Town of Barnstable Barnstable Regulatory Services Department ANnoft0j BAMgrABMMASS I . i639�q. Public Health Division Cb �0 � m 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean;CHO 3/30/11 Richard J. Fleming Anchor Auto Body ; 83 Corporation Street Hyannis, MA 02601 IMPORTANT NOTICE Re: 83 Corporation Street, Hyannis, MA. 02601 I Map & Parcel: 293-013 Dear Property owner: According to our records, your property at 83 Corporation Street, Hyannis, MA has a cesspool/septic system and is not connected to the public sewer system. Public sewer lines have been available in your neighborhood since 2000. The property owner was previously notified of the obligation to hook up and establish a sewer account with the town. This letter directs you to connect your building located at 83 Corporation Street, Hyannis, MA. to public sewer on or before September 30, 2011. Sewer connection permits are available from DPW-Water Pollution Control Division, 617 Bearse's Way, Hyannis MA 02601 (508) 790-6335. i You may request a+hearing before the Board of Health. If you would like a hearing please send a writtenlpetition requesting a hearing on this matter within seven(7) days of receipt of this letter. If you should have any questions, please call 508-862-4644. t PER ORDER OF THE BOARD OF HEALTH i i } Thomas A. McKean,-R.S., C.H.O. Agent of the Board of Health i I i Number Fee 1002 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that Anchor Auto Body 83 Corporation Rd., Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. p� ------------------------------------------------------------------- I I - This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 6/30/2012 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2011 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health c rY, Town of Barnstable 1D0.0-0 OF114E 1p Regulatory Services 20, ti Thomas F. Geiler, Director a"R `E ' Public Health Division 1639. `0� AtF 3 Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. � 3' ®1 DATE l 6' �t 1 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT 7'-=ems �► NAME OF ESTABLISHMENT ' �► '` �� � ADDRESS OF ESTABLISHMENT C� t3�Q TELEPHONE NUMBER SOLE OWNER: /YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: � � 0 IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. N STATE OF INCORPORATION FULL NAME AND HOME ADD RES OF: PRESIDENT . 9 ESP 5b NN+4� - TREASURER `S� CLERK S PR4Q() MO QZgU,- SIG F APPLICANT RESTRICTIONS: HOME ADDRESS 5,0 HOME TELEPHONE# f5bZ7-7 7n • 6 L�� Haz.doc/wp/q U.S. Postal Service CERTIFIED MAIL RECEIPT (Domestic Mail 01,11y; No Insurance Coverage Provided) .A tl l Po � 0 � C3 CertHle Fee Ir Retum Receipt ee fy Postmark C3 (Endorsement Requl / '� Ct ' Here O Restricted Delivery Fee p (Endorsement Required) O Total Postage&Fees $ ,C._ 'pL Er Sent To r=1 _._.._.. ...............---- — — .........---... .-a Sheet Apt.No.; x O or PO Box No. J ''0 City State,LP+4 01 — �_ Certified Mail Provides: ■A mailing receipt ■A unique identifier for your.mailpiece ■A signature upon delivery , ■A record of delivery kept by the Postal Service for two years Important Reminders: ■Certified Mail may ONLY be combined with First-Class Mail or Priority Mail. ■Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. ■For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS postmark on your Certified Mail receipt is, required. ■For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery'. ■If aiostmark on the Certified Mail receipt is desired,please present the arti- cleat the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT;Save this receipt and present it when making an inquiry. PS Form 3800,January 2001 (Reverse) 102595-M-01-2425. SENDER: COMPLETE THIS SECTION COMPLETE THIS DELIVERY ■ Complete items 1,2,and 3.Also complete e item 4 if Restricted Delivery is desired. X -❑Agent ■ Print your name and address on the reverse ❑Addressee so that we can return the card to you. Received by(Printed Name) C. Date4of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. D. Is delivery address different from item 1? ❑ as 1. Article Addressed to: If YES,enter delivery address below: ❑ No Anc-bor Auto Body 83 Corporation Street Hyannis, MA 02601 3. Service Type ❑Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise �q�/► ❑ Insured Mail ❑ C.O.D. -Ir 1 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number ' ta'z (Transfer from'service label) PS Form 8811,August 2001 Domestic Return Receipt 102595-01-M-0381 � iI 1 i li i iili II � f 1 I' f UNITED STATES POSTAL SERVICE Mq 6 x .. first>ClasS�lVbaif 'hostage.&_-eas#Paid v >USP.S to .P-.ermit N6"-6: • Sender: Please pHntt y�ott3na; e, adaress,.and ZIP 4 'LD1his box.• Public Health Division Town of Barnstable 200 Main Street Hyannis, MA 02601 I i Town of Barnstable �. OF SHE l s o Regulatory Services : Thomas F. Geiler,Director + RARNSPABLE. 9� 1639.MASS. ,•� Public Health Division p�FO MA'S A Thomas McKean, Director 200 Main St, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 March 6, 2003 Anchor Auto Body 83 Corporation Street Hyannis, MA 02601 RE: Map & Parcel 293-013 Dear Addressee: You are directed to connect your building located at 83 Corporation Street, Hyannis, Massachusetts, to public sewer on or before September 6, 2003. The Department of Public Works, Engineering Division, has notified us that your property abutts town sewer lines. The lines were extended because of the density, and the size of the lots in the area, and the potential for serious health problems. Failure to comply with this order will result in a court complaint against you for failure to comply with a Board of Health Order. If you should have any questions, please telephone me at 862-4644. PER ORDER OF THE BOARD OF HEALTH �-T�00;!: sA. an, R.S. CHO Health Agent for: TOWN OF BARNSTABLE :BOARD OF HEALTH Wayne Miller, M.D., Chairperson Susan G. Rask, RS. Sumner Kaufman, M.S.P.H. Return receipt requested Cc: Barbara Childs, Water Pollution Control Q:Sewerorder.doc r, Postal (DomesticOnly; � 117- ru IQ" I~ Postage $ r 3 ru' Certified Fee � 02,/D Postmark .:a Return Receipt Fee Here fL (Endorsement Required) `r, 0 Restricted Delivery Fee p (Endorsement Required) �L C3. O Total Postage&Fees $ 3,g T - -0 Re 'ient s Name lease in Cleadyl(to be completed by mailer) C3 -- p S eet,Apt.N.; PO Box No. O, ry OCity Ste ,ZIP+b ------•--------------------------•---------••---------••--------•-- PS Form 3800,'February'` Q/Xiiuo /lf� o yGol 2000 See Reverse for 1= Certified Mail Provides: ■ A mailing receipt ■ A unique identifier for your mailpiecp ■ A signature upon delivery ■ A record of delivery kept by th�postal Service for two years Important Reminders: ■Certified Mail may ONLY be combined with First-Class Mail or Priority Mail. ■ Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. ■ For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece 'Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS postmark on your Certified Mail receipt is required. ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". ■ If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,February 2000(Reverse) 102595-99-M-2087 I — UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • Board of Healf Town of BamaMbN 200 Main SL Hyannis,MaasadnMft OW SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete iteTs 1,2,and 3.Also complete A. S' nature item 4 if Restricted Delivery is desired. R ❑Agent ■ Print your name and address on the reverse ❑Addressee so that we can return the card to you.■ Attach this card to the back of the mailpiece, E. eive by(Printed N e) C. Date"f D livery or on the front if space permits. 'L 1. Article Addressed to: D. Is delivery address different from item 1? ❑ es If YES,enter delivery address below: ❑ No ItWt��jij(�Gp� �YJCL 3. S¢rvice Type (//► �Certified Mail ❑ Express Mail ❑ Registered Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Ddivery?(Extra Fee) ❑Yes 2. Article Number i (transfer from service label) 11d0 G Qb oG oo �-Z 92-;C- PS Form 3811,August 2001 Domestic Return Receipt 102595-01 i ir. oFt ,, Town -of Barnstable j J r Regulatory Services • BARNSPABM • v MASS& �* Thomas F. Geiler, Director �ArEO MA'S `0 Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 April 12, 2002 Richard J. Flelming 83 Corporation Road Hyannis, MA 02601 RE: Map & Parcel 293-013 Dear Sir: You are directed to connect your building located at 83 Corporation Street, Hyannis, MA., to public sewer on or before lOctober 12, 2002. The Superintendent of the Department of Public Works has notified us that your property abutts town sewer lines. The lines were extended because of the density, and. the size of the lots in the area, and the potential for serious health problems. Failure to comply with this order will.result in a court complaint against you for failure to comply with a Board of Health Order. If you should have any questions, please telephone me at 862-4644. PER ORDER OF HE BOARD OF HEALTH Thomas A. McKean, R.S. CHO Health Agent for TOWN OF BARNSTABLE BOARD OF HEALTH Susan G. Rask, RS., Chairperson copy: Peter Doyle Sumner Kaufman, M.S.P:H. Return receipt requested Wayne Miller, M.D. sewe=2 i °FIME r Town 'of Barnstable Regulatory Services BARNSUBM v Mass, Thomas F. Geiler,Director 019. �0 Public Health Division Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 April 12, 2002 Richard J. Flelming 83 Corporation Road Hyannis, MA 02601 RE: Map & Parcel 293-013 Dear Sir: You are directed to connect your building located at 83 Corporation Street, Hyannis, MA., to public sewer on or before October 12, 2002. The Superintendent of the Department of Public Works has notified us that your property abutts town sewer lines. The lines were extended because of the density, and. the size of the lots in the area, and'the potential for serious health problems. Failure to comply with this order will result in a court complaint against you for failure to comply with a Board of Health Order. If you should have any questions, please telephone me at 862-4644. PER ORDER OF HE BOARD OF HEALTH Thomas A. McKean, R.S. CHO Health Agent for TOWN OF BARNSTABLE BOARD OF HEALTH Susan G. Rask, IRS., Chairperson copy: Peter Doyle Sumner Kaufman, M.S.P.H. Return receipt requested Wayne Miller,M.D. sewe=2 �oF'THE Town of Barnstable . Regulatory Services vB MASS.LEg Thomas F. Geiler, Director 1639. �0 �AIEo � Public Health Division Thomas McKean,Director 367 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax:,508-790-6304 July 11, 2000 Richard.Fleming c/o Frank J. Mason 100 Scudder Avenue Hyannis, MA 02601 RE: Map & Parcel 293 - 013 Dear Mr. Fleming: You are directed to connect your building located at 83 Corporation Road, Hyannis, MA., to public sewer on or before January 5, 2001. The Superintendent of the Department of Public Works has notified us that your property abutts town sewer lines. The lines were extended because of the density, and the 'size of the lots-in the area, and the potential for serious health problems. Acting under the authority of Chapter 83-11; of the General Laws of Massachusetts,.and Regulation 15.02, of 310 CMR State Environmental Code, you are hereby directed to connect to the town sewer system on or before January 5, 2001. Failure to comply with this order will result in a court complaint against you for failure to comply with a Board of Health Order. If you should have any questions, please telephone me at 862-4644. PER ORDER OF TH BOARD OF HEALTH Thomas A. McKean,.R.S. CHO Health Agent for TOWN OF BARNSTABLE BOARD OF HEALTH Susan G. Rask, RS., Chairperson Ralph A. Murphy, M.D. Sumner Kaufman, M.S.P.H. copy: Peter Doyle Return Receipt Requested sewe=2 Number Fee 1002 THE COMMONWEALTH OF MASSACHUSETTS $100.00' Town of Barnstable Board of Health This is to Certify that Anchor Auto Body 83 Corporation Rd., Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------=--------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires June 30, 2009 unless sooner suspended or revoked. . ------------------------- -------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/08 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health 1�r ' I 'Town of Barnstable _ •�'� Barnstable WE rti Regulatory Services Department o, AlAmedcaCft Public Health Division I V BARNSTABLE• v� b M 200 Main Street,.Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. -DATE— APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT Flet-'�OR Ao't'C7 GL NAME OF ESTABLISHMENT A01tC>W--Q- k-3"/0 l ADDRESS OF ESTABLISHMENT Cog lr P-OAJD ; %Atgmcs TELEPHONE NUMBER 'S-709 SOLE OWNER: V YES NO i IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL m C� PARTNERS: C- 2 C- r-1 <.' to m o IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. �� •�I�rlr rn STATE OF INCORPORATION (VNArS --S FULL NAME AND HOME ADDRESS OF: . PRESIDENT � `�T. P TREASURER I AAQ-0 - gam C- W� 1 CLERK S9QPA0rA MQQaea- SrGWATeRE OF APPLICANT ,1 RESTRICTIONS: HOME ADDRESS SO HOME TELEPHONE# 11�;'02? Q:\Hazmat\Haz Mat Application2008.DOC i ANCHOR AUTO BODY,INC. 83 Corporation Road . Hyannis,MA 02601 Contingency Plan: Regarding the containment of Hazardous Waste. Our contingency plan is follows: What Hazardous waste we have is stored in a concrete block room, concrete floor, and steel doors. Our plan includes the minimizations of hazardous waste storage due to careful use of our paint supplies and associated material. We utilize HVLP spray guns,spray gun cleaner that recycles cleaning material,use;of disposable plastic container in lieu of gun. cups. Weekly inspections of the paint and material supply room of cans and storage areas Absorbent material in case of minor spill. Regular scheduled pickups of hazard waste material by Auto Body Solvent Recovery System •^ •. Number Fee 1002 THE COMMONWEALTH OF MASSACHUSETTS Town of Barnstable Board of Health This is to Certify that Anchor Auto Body 83 Corporation Rd., MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111.GALLONS OR MORE OF HAZARDOUS.MATERIALS. ` - ------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------- ---------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires June 30, 2008 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN SUMNER KAUFMAN,M.S.P.H. 7/1/2007 PAULJ. CANNIFF,D.M.D. THOMAS A. MCKEAN,R.S.,CHO Director of Public Health l y��� '4•� ,ter �" ' ` Town of Barnstable Regulatory Services Thomas F. Geiler,Director P BARNB'I'ABLF, .. MAM 9� t6g9. ,0 Public Health Division 'rfD ME•�A Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT CJ►�C�\ �,v 1 ��� NAME OF ESTABLISHMENT --> C' -A ADDRESS OF ESTABLISHMENT Qu Y N� TELEPHONE NUMBER�f)(� SOLE OWNER: (----Y-is -- ,NO _ IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: N � o C7 r � :11 NC1 rnl O IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. N STATE OF INCORPORATION o m FULL I HCIII�E AD�S O ` 1 PRESIDENT �—�1 �\ TREASURER CLERK' .. : . SIGNATURE OF APPLICA , RESTRICTIONS: - HOME ADDRESS ' J HOME TELEPHONE 4 Number Fee 1002 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Anchor Auto Body '83 Corporation Rd., MA 02601 Is Hereby Granted a License. FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. -------------------------------------------------------------------------------------- ---- -------------------------------------------------------------------- -----------------------------------------------------------------------i------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutee7-s and ordinances relating there to, and and expires June 30, 2007 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN SUMNER KAUFMAN,M.S.P.H. May 8, 2006 PAUL J. CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health K ANCHOR AUTO B . CAPE COD,MA 025-026 ODY, I C. 83Corporation Ca��orporation Road HY ._02601" m - ��U 1 N i c ���Ca��tcsr>r�;t, LILui+rl+l+li+,l1+, lk,i ItIl1+„ll+,+il+l+l 1 MAIL-IN REQUESTS Please mail the completed application form to the address below. Also include copies of your employees food sanitation training certificates. In addition, please include the required fee amount (see fees at bottom of this page). Make check payable to: Town of Barnstable. Allow five to seven (7)working days for in-house processing. Our mailing address is: Town of Barnstable Public Health Division 200 Main Street Hyannis,MA 02601 FOR FAXED REQUESTS Our fax number is (508) 790-6304. Please fax a completed application form. Also, please fax copies of your employees food sanitation training certificates. In addition, you must mail the required fee amount (see fees at bottom of this page). Please make the check payable to: Town of Barnstable. The check must be mailed to the address listed above. Allow up to four days for in- house processing. I, For further assistance on any item above, call (508) 862-4644 - Back to Main Public Health Division Page Town of Barnstable �lq fp( • aFswEr�; :�. Regulatory Services Thomas F. Geiler, Director Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-8624644 Fax:.508-790-6304 . Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT Jf U J NAME OF ESTABLISHMENT CSY� 1"�� \ 1• c_ i i ADDRESS OF ESTABLISHMENT 6 - �U ( S TELEPHONE NUMBER `, I S-` (p A . ✓ ` . C7 1 SULE OWNER: YES NO !C; IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF Afl co PARTNERS: C), v . s M IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. zu V YK S STATE OF INCORPORATION SS ` FULL NAME��OMEADD SS OF: ; PRESIDENT e TREASURER CLERK SIGNATURE OF APPLICANT B RESTRICTIONS: HOME ADDRESS HOME TELEPHONE-#.SOS Haz.doclwplq I TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1. Marine,Gas Stations,Repair satisfactory 2. Printers BOARD OF'HEALTH . V 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY L PkA_O� (see"Orders") 5.Retail Stores nM' � � � 6.Fuel Suppliers ADDRESST��C 1 Class: �` i� 7• Miscellaneous 4 QUANTITIES AND STORAGE (IN= indoors;OUT=outdoors) MAJOR MATT IN OUT IN OUT IN OUT # gallons -777 Test Fuels: Gasoline Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C.) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers �1 NT Miscellaneous: DISPOSAI./RECI AMATION REMARKS: i 1 S itary Sewage 2.Water Supply —Town Sewer Sewer Public <� 0 On-site OPrivate 3. Indoor Floor Drains YES NO ^ Q 0. 0 Holding tank:MDC 0 Catch basin/Dry well 0 On-site system 4. Outdoor Surface drains:YES____NO—)—( ORDERS: 0 Holding tank:MDCt4J'� 11�J�L 0 Catch basin/Dry well 0 On-site system 5.Waste Transporter Name of Hauler Destination Waste Product Licensed?� ri YES NO 1• b I 1 2. L MAI, er (s) Interviewed Inspector Date TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2. Printers BOARD OF HEALTH 3.Auto Body Shops A AA unsatisfactory- 4.Manufacturers COMPANY l�W% b W&� O (see"Orders") 5. Retail Stores Q � 6. Fuel Suppliers ADDRESS t7 ��� �' ' °`�� BSS: 7.Miscellaneous QUANTITIES AND STORAGE (IN= indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drunis Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons IAge Test Fuels.- Gasoline,Jet Fuel (A) e, #2 (B) f Heavy Oils: ' waste motor oil (C) h: new mo J r transmission/hydraulic Synthetic Organics: '',• ; degreasers e �4; lietA As ellane. us:,fl ,. a?, 1, DISPOSALIR.ECLAMATION REMARKS: 1. Sanitary Sewage 2.Ygater Supply 0 Town Sewer APublic e.e On-site OPrivate 3. Indoor Floor Drains YES NO 0 Holding tank:MDC �� r 0 Catch basin/Dry well 0 On-site system 4. Outdoor Surface drains:YES NO ORI)ER.S: 0 Holding tank:MDC < - lkll 0 Catch basin/Dry well �c ` G` i 0 On-site system 5.Waste Transporter I Name of Hauler Desti nation Wastse Product LicensedT Person Is) Interviewed In pector Date TOWN OF BARNSTABLEWun OMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops �/ satisfactory- 4.Manufacturers fA COMPANYe�l1/A,� V//4 2&� (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESSzf��-�D �.'a,�� Class: 7.Miscellaneous �.1AAWANTITIES AND STORAGE (IN=indoors;OUT=outdoors) ,MANOR MA ERIALS IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline Jet-FaeL(A)L #2 (B) Heavy Oils: wcas r o' ) new motor oil(C) i transmission/hydrauli F " Synthetic Organics: S degreasers Miscellaneous: v 3 - v DISPO AL/RECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply O Town Sewer ,�Public Alon-site OPrivate , v � 3. Indoor Floor Drains YES NO O Holding tank:MDC O Catch basin/Dry well - O On-site system . 4. Outdoor Surface drains:YES____NO ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination, Waste Product _ YES NO 2. Person(s) Interviewed Inspector �p Date COMMONWEALTH OF MASSACHUSETTS i s EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS d DEPARTMENT OF ENVIRONMENTAL PROTECTION .� SOUTHEAST REGIONAL OFFICE ARGEO PAUL CELLUCCI TRUDY COXE Governor Secretary DAVID B.STRUHS Commissioner I OD C'ERTTFTEn MATT,, RETURN RECETPT REQ JERRT_FD October 27, 1.998 Anchor Auto Body RE: BARNSTABLE-BWSC 7 Corporation Road 7 Corporation Road Hyannis, Massachusetts 02601 Anchor Auto Body RTN# - 4-14148 . NOTT _ , OF RF.SpnNSTRILITY M Fes, 3l•0 CMR -40 - 0000 _.. — • - ATTENTION. ,Rick Fleming .On August.-251 I998 'the Department of Environmental Protection (the "Department") received a Release . Notification Form ( "RNF") which indicates that a` release of oil and/or hazardous material has occurred at the location referenced above. 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. The Depar.tment 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.' The Department also has reason •to believe, -,that.ryou.. (as used in this letter, "you" refers to Anchor Auto-``Body) "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 20 Riverside Drive•Lakeville,Massachusetts 02347- FAX(508)947-6557•Telephone(508)946-2700 This information is available in alternate format by calling our ADA Coordinator at(617)574-6872. DEP on the World Wide Web: http://www.niagnet.state.ma.us/dep ��Printed on Recycled Paper 2 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 response action costs incurred at a disposal site regardless of the existence of any other liable parties. The Department 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 the Department 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. The Department. encourages you_ to._ take any . action necessary to protect any such claims .you may have .:. against third parties. : >t SITE INFORMATION Information on file with the Department indicates. the following contaminant (s) "were detected - in groundwater' samples collected from the site at a concentration which . exceeded the Reportable Concentrations for Groundwater Category . l per 310 CMR 40'. 1600 . CHEMICAL CONCENTRATION RCGW-1 C11-C22 Aromatics 56G µg/L 200 µg/L Specific approval is required from the Department for the implementation of all Immediate Response Actions ( "IRA") , and Release Abatement Measures (RAMs) pursuant to 310 CMR 40 . 0420 and 310 CMR 40 . 0443 , respectively. Assessment activities, the construction of a fence and/or the posting of signs are actions that are .exempt from this approval requirement . 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 arid/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. Unless otherwise provided. by the Department, potentially responsible parties ( "PRP' s") have one year from the initial date of -notification to the Department of a release or threat of a release, pursuant to 310 CMR 40 . 0300, or from the date the Department issues a Notice of Responsibility, whichever occurs earlier, to file with the Department one of the following 3 submittals : (1) a completed Tier Classification Submittal; . (2) a Response Action Outcome Statement or, if applicable, (3) a Downgradient Property Status. The deadline for either of the first two submittals for this disposal site is August 25, 1999 . If required by the MCP, a completed Tier I Permit Application must also accompany a Tier Classification Submittal . The MCP requires that a fee of $750 . 00 be submitted to the Department when a Response Action Outcome ("RAO") statement if filed greater than 120 days from the date- of notification. You must employ or engage a Licensed Site Professional ("LSP") to manage, supervise or actually perform the necessary response actions at this site. ' The Department has Marta J. Nover of Key Environmental Services, Inc. listed as the LSP of Record. If you have any questions relative - to this notice, -please contact Tyson Rose at the letterhead address or at (508) 946-2743 . ' All, future communications regarding this release must reference the following Release Tracking Number: 4-14148. _. Very truly .ours, Richard F. Packard, - Chief Emergency Response / Release12 ; . Notification Section P/TLR/re CERTIFIED MAIL z 598":-884 180 RETURN RECEIPT REQUESTED Attachments : Release Notification Form; BWSC-103 and Instructions Summary- of Liability under M.G.L. c.21E CC : Board of Selectmen Town Hall ' 367 Main St . Hyannis, MA 02601 Board of Health Town Hall 367 Main St. Hyannis, MA 02601 Fire Dept 95 High School. Road Hyannis, MA 02601 X(509)7�153 PHONE(508)775 6218 PA ANCHOR AUTO ODY 7 CORPORATION ROAD HYANNIS, MA 02601 YOUR APPOINTMENT IS: DROP OFF HOURS BETWEEN^8.00 X.M.&9:00 A.M. UNLESS OTHERWISE PREARRANGED. • YY;J7 .,i. ,. ♦ -, v.T a -;: t r r r TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH Pisatisfactory 2.Printers 1 3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY Atc t k 904 (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS 7 Class: 7.Miscellaneous /0V'A QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Under6n-ound Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline Jet Fuel(A) Diesel, Kerosene, #2 (B) Heavy Oils: i waste motor oil (C) , i ®;h new motor oil(C) transmission/hydraulic �� Synthetic Organics: degreasers j n Miscellaneous: /Q 01k SS K DISPOSAURECLAMATION REMARKS: �4 Ug J� 1. Sanitary Sewage 2.Water Supply /r/2/S-2�o Q -f�-rs O�►-J'" O Town Sewer PWublic &e t,-wLvin of i 6 mot©, Qi f ai.P '�'� On-sites�' OPrivate ciJa�,Fe a-�� ,� �r a va-, Q/l Y-- ,, 3. Indoor Floor Drains YES NO_)!�_ r� �w Et/ w PJ,4 O Holding tank:MDC Q,(Q& �`�` � `� O Catch basin/Dry well &4t 1-t'- A4 i I /9LCG.�. � 41k �a i �V L,%z(O� O On-site system h Y.W d, j�0� - D 4. Outdoor Surface drains:YES NO X ORDERS: O Holding tank:MDC uhre i lte� t/2l�`ct �' /�. 30 O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler i Destination Waste Product YES N0 2. Pers (sT Interviewed V Insl Dat4 -- 1 j TOWW OF BARNSTABLE ,BAR-W 452 Ordinance or Regulation WARNING NOTICE0 Name of Offender/Manager 1V Uoe- A 90-D Address of Offender�� &A MV/MB Reg.# F Village/State/Zip dV/Y 15 © ® Y /^ Business Name . am/pm, on 19 Business Address Si4dalfure of orc ng Officer Village/State/Zip ; Location of ,Offense � � -� �Ddt//Division �ES0ofoing 0_ Offense �D romL �i/� D DV FactsQ6GT-<3reftr1b a0,ACOPMD rO/QnDV61Z- �� r's This will serve only as a warning. At thi time no legal 'a' tion has been taken. It is the goal of Town agencies to, achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to :gain voluntary. compliance. Subsequent violations will result in appropriate legal action by the Town. TOWN'OF BARNSTABLE BAR-W 42 Ordinance or Regulation ' . .WARNING NOTICE Name of Offender/Manager ,� i V CIVO Y • t Address of Offender ( � ( [ �/J , MV/MB Reg.# ' 6 Village/State/Zip �A ,//-S c 1 _ Business Name ' am/pm; on �/ 19 6 Business Address / �% Sign'a'ture of En`�fworcing Officer Village/State/Zip Location of Offense tIH�' / � - _ ro �rll ngdforcing Dep't/DivisionnOffense '0( 1.1r L1:-)114 (() �C/( .. 1V�L111���V� MAIL" Facts dV..G JI`:O �-o 0117 011?1 d f `f✓�C� �- 30 fA`t� ooffl A 6: This will serve only as a warning. At this tune no legal a tion' H s been taken. It is . the goal of Town agencies to achieve voluntary compliance of Town Ordinances,. Rules and Regulations. Education .efforts and warning notices are attempts to gain voluntary. compliance. Subsequent violations will result in appropriate legal action by the Town. TOWN70F BARNSTABLE BAR-W 452 Ordinance or Regulation WARNING NOTICE Name of Offender/Managerf � �' j �' - r Address of Offender— � l`� ^" fIj {t 1. MV/MB Reg.# Village/State/Zip E 4� C �+ , � � (.,'! Business Name ` '/,*� am/pm; on ..� t 19 (� ~ Business Address � � Signature of Enforcing Officer Village/State/Zip Location of Offense -� Enforcing Dept/Division Offense r:it1� 1 if" �' tom' �� f.,r ' �f �/( } / � Facts ♦ �" f' j' ' _ � � "``': � %( rC� r� lkleclv This will serve only as a warning. At this" time no legal action has been taken. It is . the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. . . . r . .FOB . ell y ou`• %6- . Path BORT6LOTTI CONSTRUCTION,INC KIN 765 WAKEBY ROAD,MARSTONS MILLS, .M °02� C� 508-771-9399 508428-8926 FAX: 508428•9399 g SUBSURFACE SEWAGE DISPOSAL SYSTEM INs PECTION FORM PART A CERTIFICATION Property Address: ° Date of Inspection: Inspector's iiw: Owner' ame and Address: — CERTIFICATION STATEMENT: I certify that I have personally inspected the sewage disposal system at this address and that the informa- tion reported below is true,accurate and complete as of the time of inspectun.The inspection was per- formed based on my training and experience in the proper function and nuuintenance of on-site sewage disposal stems. The System: Passes Conditionally Passes Needs Further Ev tion By lh Local.Aproving Authority. Fails Inspector's Signature: A/,V1061 ' �'' 7 Date: .��V/_j The System Inspector shall submit a copy of this inspection report to the Jpproving huthority within thir- ty(30)days of completing this inspection. If the system is a shared systen j cn has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the repori to the appropriate regional office of the Department of Environmental Protection. The original shoueJ spa sent to the system owner and copies sent to the buyer, if applicable and the approving authority. INSPECTION SUMMARY: A)SYS M PASSES: 1 have not found any information which indicates that the sy�a a violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria no:evaluated are indicated below. B)SYSTEM CONDITIONALLY PASSES; One or more system components need to be replaced or rep,-,,-reel. The system,upon comple- tion of the replacement or repair, passes inspection. Indicate yes,nor,or not determined(Y,N,OR ND). Describe basis of deiermination in all instances. If "not determined",explain why not. The septic tank is metal,cracked,structurally unsound,show:;:su ustantial infiltration or exfiltration,or tank failure is imminent. The system will pa ., inspection if the existing sep- tic tank is replaced with a conforming septic tank as approvr;d 1r f The Board of Health. Sewage backkup or breakout or high static water level observed iit the distribution box is due to broken or obstructed pipe(s)or due to a b-nken, settled or on.ven distribution box. The system will pass inspection if(with approval of The Board(j-I.ealth): - 1 - SUBSURFACE SEWAGE,DISPOSAL SYSTEMJNSPECTION FORM PART A • CERTIFICATION (continued) Broken pipe(s)replaced Obstruction is removed Distribution Box is levelled or replaced The System required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of The Board of Health): Broken pipe(s)are replaced Obstruction is removed C)FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: Conditions exist which require further evaluation by The Board of Health in order to determine if the system is failing to protect the public health,safety and the environment. 1)SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 Feet of a surface water Cesspool'or privy is within 50 Feet of a bordering vegetated wetland or a salt marsh. 2)SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER,IF APPROPRIATE)DETERMINES THAT THE SYSTEM IS FUNCTION- ING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND.SAFETY AND THE ENVIRONMENT: f The system has aseptic tank and soil absorption system and is within 106 Feet to a surface water supply or tributary to a surface water supply. , The system has a septic tank and soil absorption system and is with a Zone I of a public water supply well. The system has a septic tank and soil absorption system and is within 50 Feet of a private water supply well. The system has a septic tank and soil absorption system and is less than 100 Feet but 50 Feet or more from a private water supply well, unless a well water analysis for coliform bacteria.and volatile organic compounds indicates that the well is free from pollution from the facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than-5•pFm• D)SYSTEM FAILS: ; I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. Discharge or ponding of etluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. Static liquid level in the distribution box above outlet invert due to,an_.ove_rloaded or clog- t ,gdd SAS or cesspool. Liquid;depth in cesspool,is less than 6"below invert or available volume is less than 1/2 ., day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped -2- SUBSURFACE SEWAGE'DISPOSAL SYSTEM°INSPECTION FORM PART A CERTIFICATION'(continued) Any portion,of the Soil Absorption System,cesspool or privy is below the high groundwater elevation. ithin lUU Feet of a surface water supply or tributary to Any portion of a cesspool or privy is w a surface water supply. Any portion of a cesspool or privy is within a Zone I of a public well. Any portion of a cesspool or privy is within 50 Feet of a private water supply well. Any portion of a cesspool or privy is less than 100 Feet but greater than 50 Feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable,attach copy of well water analysis for coliform bacteria,,volatile organic compounds,ammonia nitrogen and nitrate nitrogen. E)LARGE SYSTEM FAILS: The following criteria apply to a large system in addition to the criteria alx)ve: The design now of a system is 10,000and the a enor vironment ionment becausereater(Large one or more of the followi vmd the system is a significant threat to public health and safety a conditions exist: The system is within 400 Feet.of a surface drinking water supoil, •The system is-within•200 Feet of a tributary to.a•surface drinking water supply The system is located in a nitrogen sensitive area Interim We.'3,hea, Protection Area (IWPA)`or a�mapped Z.one.11 of a public water supply well The owner•or operator of any such system shall bring thesystem and.66.1itiP it to full compliance with the groundwater treatment.program requirements of 314 CMR 5.00 and 6.00. Fle_ise consult the local regional office of the Department for further information. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Check if the following have been done: ("Pumping information was requested of the owner,occupant,and Board of Health. _ ,,LNone of the system components have been pumped for atleast two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been AnUoduced into the system recently or as part of this inspection. As-built plans have been obtained and examined. Note if they are not available with N/A. ✓The facility or dwelling was inspected for signs of sewage back-u). The system does not.receive non-sanitary or industrial waste floci.. he site was inspected for signs of breakout. , All•system components,excluding the Soil Absorption System,`l+ave;been located on site. The septic tank manholes were uncovered,opened and the interi.ar of the septic tank was in- u spected4or condition of-baffles or tees, material of constructiori,d mansions,depth of liquid, depth of sludge,depth of scum. The size and location of the Soil Absorption System on the site has been determined based on" existing information or approximated by non-intrusive methods.. -3- ., t e ji t.y4 dpi1 g r • ` I SUBSURFACE SEWAGE DISPOSAL SYSTEM;INSPECTION FORM PART B CHECKLIST(continued) l/fhe facility owner(and occupants, if different from owner)were provided with information on the proper maintenance of Subsurface Disposal System SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C - - SYSTEM INFORMATION t ,/l FLOW CONDITIONS RESIDENTIAL N v Oesign Flow: gallons Number of Bedrooms: Number of Current Residents: Garbage Grinder: ILaundry Connectcd To System: Seasonal Use: Water Meter Readings, if available: Last Date of Occupancy: COMM gCIALf]NpU Type of Establishment: Design Flow: ` allonstday Grease TrAo Present: (yd or no) Industrial Waste Holding Tank Present: _- Non-Sanitary Waste Discharged To The Title V System: Water Meter Readings,If Available: Last Date pf Occupancy: 6 OTHER: Describe) -- - Last Date of Occupancy: GENERAL INFORMATION PUMPING RECORDS and source of informa ion: System Pumped as part of inspection: If yes,volume pumped: gallons Reason for pumping: TYPE OF SYSTEM: Septic Tank/Distribution Box/Soil Absorption System Single Cesspool Overflow Cesspool Privy Shared System(if- s,attach previous inspection rec ds,if any) Other(explain): d�/�1.tY� \/QS- APPROXIMATE AGE of all components,date installed(if known)and source of information: Sewage odors detected when arriving at the site: -4- l I ' "' f SUBSURFACE SEWAGR-DISPOSAL SYSTEM-'E SPECTION FORM PART C GENERAL'.IN FORM ATION (continued) SEPTIC TANK: �y Depth below grade: Material of Construction: concrete metal FRP—Other (explain) — Dimisions: Sludge Depth: Scum Thickness: Distance from top of sludge to bottom of outlet tee or battle: _.._ Distance from bottom of scum to bottom of outlet tee or baffle: Comments: (recommendation.for.pumping,,,condition of inlet and outlet teei or baffles,depth of liquid level in relation to outlet invert,structural integrity,evidence of leakage,etc.) GREASE TRAP: Depth Below Grade: Material of Construction:—concrete__metal FRP_Other (explain) Dimensions: Scum Thickness: _ Distance from top of scum to top of outlet tee or baffle: Comments: (recommendation for pumping,condition of iiret ind'outlet toys or baffles,depthof•liquid levei in relation to outlet invent;structural integrity,evidence of•leakage;,c1M.).' TIGHT OR HOLDING TANK: Depth Below Grade: Material of Construction: concrete—metal FRP—Other(explain) Dimensions: Capacity: gallons Design Flow:__ gallons/day Alarm Level: Comments: (condition of inlet tee,condition of alarm and float swi(ches,dc.) DISTRIBUTION BOX:/VC Depth of liquid level above outlet invert: Comments: (note if level and distribution is equal,evidence of solids cam{ov-er,evidence of leakage into or out of box,etc.) . .PUMP:CHAMBER�C/.__ ._ _ ._...- - •- -. •_: • '- . 'Pump is in working order: Comments'(note condition of pump chamber,condition of-pumps and appuE.ienances,etc.) f , SUBSURFACE'SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C f :►. SYSTEM INFORMATION (continued) SOIL ABSORPTION SYSTEM(SAS): 1� (Locate on site plan,if possible;excavation not required,but may be approximated by non-intrusive methods) If not determined to be present,explain: Type: Leaching pits,number: Leaching chambers, number: Leaching galleries,number: Leaching trenches,number, length: Leaching fields,number,dimensions: Overflow cesspool, number: Comme ts: (note condition of soil,signs of hydraulic f dure lev of pondin condition of veg on, et .) D ., CESSPOOLS: , Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer:• Dimensions of Cesspool; '4 ► Materials of construction: " k ,Indication of groundwater: Inflow(cesspool must be pumped as part of inspection) Comments: (note condition of soilk, signs of hydraulic fa' ure, lev of pondingi,.condition of ve tation, 0 e - AV PRIVY: Materials of construction: Dimensions: Depth of Solids: Comments: (note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation, etc.) a -G I KEY Environmental Services, Inc. 379 LIBERTY STREET ROCKLAND, MA 02370 TEL 781/871-8552 FAX 781/871-0612 I December 17, 1998 Board of Health Barnstable Town Offices South Street Hyannis, MA 02601 Re: 7 Corporation Street Hyannis, Massachusetts MADEP Tracking Number 4-0014148 KEY File F642 Board of Health: As required by the Massachusetts Contingency Plan (MCP) 310 CMR 40.0000, KEY Environmental Services, Inc. (KEY) is hereby notifying you that the following documents are available for review at the MADEP Southeast Regional Office in Lakeville, or by contacting KEY in relation to property referenced as 7 Corporation Street in Hyannis, Massachusetts. ° Phase H Comprehensive Site Assessment Report, dated 12/17/98 ° Response Action Outcome (R.AO) Statement,Transmittal Form BWSC-104 ° Comprehensive Response Action,Transmittal Form BWSC-108 If you have any questions regarding the enclosed information, please do not hesitate to contact our office. Sincerely, KEY Environmental Services,Inc. Marta J. Nover, LSP Executive Vice President CONSULTANTS CONTRACTORS ENGINEERS SUBSURFACE.SEWAGE.DISPOSAL,SYSTEM.INSSPLCTION FORM PA R7,C., SYSTEM INFORMATION (confined) SKETCH OF SEWAGE DISPOSAL SYSTEM: Include ties to atleast two permanent references, landmarks or benchinarks. Locate all wells within 100 Feet. i DEPTH TO GROUNDWATER: Depth to groundwater: /S Feet Method of Determination or Appro 'oration: -7- g� TOWN OF BARNSTABLE LOCATION SEWAGE # VILLAGE �/�1.0 ASSESSO ' MAP & L.,,TotQ3— V� -]U SPEC M9 S NAME&PHONE NO. 02 SEPTIC TANK CAPACITY /000 LEACHING FACILITY: type) / (size) X%000 cglz . NO. OF BEDROOMS BUILDER 0 (0) PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site,or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) ` Feet Furnished by . lS` c WO TOWN OF BARNSTABLE LOCATION SEWAGE # VILLAGE Y1 A l ASSESSOR'S MAP & LOT, 3 " ® 3 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY _� " l�•1- ) LEACHING FACIL=: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER S C `1—! eCh M l n�q PERMII'DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by J �v � \ 01 ' ,e.? �' f� �, °�_ � �� OWN F B ABLE LOCATION 49 SEWAGE # 9/- �� VILLAGE ^1 ASSESSOR'S MAP & LOTc2�Z- - 0/.? INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY" /� LEACHING FACILITY:(type) JC>,7- Cd1 (size) NO. OF BEDROOMS PRIVATE WELL OR WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: I - � - qz VARIANCE GRANTED: Yes No I I �� �� �� . �� �� �` � � P 4 � Qu�1 ^�. V 19Y� �'I i ® / ) ~ No....71:SY�.. Fss..L.-�'.�...-...._ APPROVED THE COMMONWEALTH OF MASSACHUSETTS Barnstable Conservation Department BOARD OF HEALTH 1;— L/-0p'TOWN OF BARNSTABLE si9 VVtirati�R for 11hyasal Works Tnnitrur#inn tirrutit Application is hereby made for a Permit to Construct ( ) or Repair P-�) an Individual Sewage Disposal System at: ............................. ...................... ----•--•-- • .�9 �Loc ion Ad ress t No. -•- -- .._..v%�......3a,Q Y .... pc►? '�ati/ .......� .. 1 !S....... ...... ...-•-•----------------- ------------ Address 7�— '4,11ZZ's ,.a Installer Address Type of Building Size Lot&)_ ...-..Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons........................---- Showers ( ) — Cafeteria ( ) Other fixtures -------•---•------------------- W Design Flow.................Z.7..__...............gallons per person per day. Total daily flow.......... ...... . WSeptic Tank—Liquid'capacity .gallons Length................ Width................ Diameter.........--..... Depth................ x Disposal Trench—No. .................... Width.................... Total Length............. Total leaching area....................sq. ft. 3 Seepage Pit No............,1... Diameter...../d....-. Depth below inlet.....(_.......... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed b Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water......................--. (X4 Test Pit No. 2................minutes per inch Depth of.Test Pit..._................ Depth to ground water..--.................... a' •-•----•----•...............•••-•----....•-•--•--•---....-------•---.-----..---------- -------------- O T.... rr Description of Soil Q. ��.�' it,ScSCJi�, - f` D- 'C'0 W ....................................... .F ¢ -------------------------•------.....------•-----•-----•--------....--•---------------------....--•-----•--...-•-------....-------••----•--- x -•--•••------------------•--•••......•-----..... ---------•-------•-------------•------•-•-----...•---••-•------•••----•-----•-----•- ----••-••---•-•--------- U Nature of Repairs or Alterations—Answer when applicable-----'4 -....-/.�o , ---e" o? �'_M*4f ................�0....--•.-�x�sST� 1��^J..... ..................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Complianc as een iss ed))y the board of health. Sig ned .... /' �.. .. ............................................................... ,�.. Dare Application Approved By ...........C�' J.. .....------------------....................------............................. ....f...'�.-.-..�F.--�/.. Dare Application Disapproved for the following reasons: ...................................•--------...........-----......----••--------------.......--•--------------.......................... ........................................ Dace PermitNo. ...........71.......5 ....I.................... Issued ...................................---............--------.......... Dace } 04 -�- Fns k 5 THE. COMMONWEALTH OF MASSACHUSETTS , BOARD OF HEALTH' L 9 TowN OF BARNSTABLE J r, Avo irFatwu for Dig os al Murk, �Cnayntr�r#ern rruti� Application is hereby made for a Permit to Construct ( ) or Repair ('N<) an:Individual Sewage Disposal ,fi 'systein at 4 Loc tion-Address -- t NoT` ...... OQL�1 owner GC %- /� /G� — D f j Installer -Address Type of Budding Size Lot`Z?z),-----------:___._.Sq. feet Dwelling=No. of Bedrooms...................:___-------,-------------Expansion Attic '( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons_............................ Showers ( ) Cafeteria ( ) dOther fixtures " W Design Flow................._____..___________gallons per person per day. Total daily flow__::_.: � .............gallons. ,P q P y - g .............:_ Depth................ W Septic Tank,—Liquid ca ac>t •��_ adlYhns /Len • Total Length , ( - - - Diameter x - Disposal Trench—No g Total leaching area:....................sq. ft. Seepage Pit No------------- Diameter ..,ZD_.__._ Depth below inlet____ ....... Total leaching area................__sq. ft> zOther 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..................... LL, Test Pit No. 2._____ minutes per inch Depth of.Test Pit :-.,Depth'.to ground water _____________________ ----------------•-•--- ----•-•. Description of Soil------. -•-•- �cQ6P. A� • _._.. .....--- 0 • 4 FTI 11 ................ .... -.--:. 5.. --'- ' W . r =....................................... --- --------------------- ----------------------------•----- x ----•- U Nature of Repairs or Alterations—Answer when applicable____:• _ _ T__- �/a `vS ?J •--------- ------- >c i -ri ---- i.�J...:.CSsRXL Agreement: The undersigned agrees.to install the.aforedescribed Individual Sewage Disposal System in'-accordance with' the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the Y P P s stem in operation until a Certificate of Compliance-has Peen issued by the board of health -;. .: Signed !/..C--.- 7 t/ r / `-/ g •. --•-•f z- - Dare Application Appiroved.By �. 14 9.✓.- r.. U ...... f •� � .-._ ,. �' Date Application Disapproved for the following reasons:' -------------- --------------------- - - ---------............................................................. � , . q ,i .. '. ' Dare i Permit No. /�... , . .L(------- ............. Issued .............................. ----- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH' TOWN OF BARNSTABLE - . THIS IS TO CERTIFY, That the I dividual Sewage'Disposal System constructed ( ) or Repaired ( ) by - ------- --- 'CG7 .............UZc/GF 'TUnI -------------------------- .............. -----.- Installer at �� ' � `I Ji7� - 22v�TTQ�1.... �2� . . .�J.J�J�S ----- has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No- -.__.91-.:�.�i :- ' dated _._.._--------------------- THEYISSUANCE OF THIS CERTIFICATE SHALL-NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. 1 y-- q Inspector . - DATE-- ........1. ...1 . 1 - THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH " TOWN OF BARNSTABLE 13isp sal nrko,Tonstr Uan Permit Permission is hereby granted----------------------•_----- DG� CG�5�_ U__ _C _G___'__J k to Construct O or Repair ( an.Individual Sewage Disposal System at No %4fUG � � �y GD26�0/ C/iv / i1-----41AJ.S j$ ------- Street t ���_ _,Dated as shown'on;theapplication`for Disposal Works Construction Permit No. _____ -- --- -- - � •tx Board of Health �t ti -. � '4`•er��`s"^a,,ice" s� Y�,.'�e x _r :, � � '3nn�'^� +"FORM 38308 HOBBS Ee WARREN INC. PUBLISHERS �"' �` �. �f.x