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HomeMy WebLinkAbout0009 ENGINE HOUSE ROAD - Health 9 Engingh®use-Road • Hyannis r A= 32.3 -204 e i Date: i / 11 / 1`4 TOWN OF BARNSTABLE TOXIC AND HAZ ARDOUS MATERIALS R FORM NAME OF BUSINESS: ev�C.e. Q, , BUSINESS LOCATION: °l_ kA0\)5.e1 INVENTORY MAILING ADDRESS: TOTAL AMOUNT- TELEPHONE NUMBER: 5,000 -11 `S y l2 Z, I CONTACT PERSON: 5 Yc&.kk EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: W Do INFORMATION / RECOMMENDATIONS:1 Fire District: Waste Transportation: Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division, LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive ❑ NEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants 2 Motor Oils �. Pesticides ❑ NEW ❑ USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene,#2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives (creosote) 5 Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform, formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) S Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes Laundry soil &stain removers (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initials L rt f� TOWN OF BARNSTABLE I LOCATION �I'� �(. ^�+^� h0vcL RED _ SEWAGE # S- 31� VILLAG ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO.�^^- e�: - xnso� .SeP�z� 5��.�►ct R�3T22��2'� SEPTIC TANK CAPACITY LEACHING FACILITY: (type) E X SDo bm4 j edl (size) /Qx t5-Xa SrOctcrd tJ_ NO.OF BEDROOMS BUILDER OR OWNER AeO tai2fe ECAC-0. PERMTTDATE: 7 JS COMPLIANCE DATE: Separation Distance Between the: �/ Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility 13 Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) U Feet Edge of Wetland and Leaching Facility(If any wetlands exist -- within 300 feet of leaching facility) Feet' Furnished by TOQ &is W W � � Q., G.7 � � L �. �� � � �� � �� .r iS a Q , . _ �1 � Z � � n � 1 c c � 0 Pl �p W � S.� �����G �dT F t { No. Oleo 5 13 L911, _ Fee$1 0 0 . 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: .4 PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Yes ZppYication for �3*ozar bpgtem,Con!trurtion Permit Application for a Permit to Construct( : Repair( Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Loclon Address or Lot No. Owner's Name,Address and Tel.No. 7 7 5—41 2 6 414— Assessor'smap1pncet 1n2hOL1Se Rd, Hyannis 39--g ;1LC5Sr 11 Enginehouse Rd, Hyannis Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No. 3 6 4—0 8 9 4 Wm E Robinson Sr Septic Eco-Tech PO Box 1089, Centerville 43 Triangle Cir, Sandwich Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Install a new Title 5 septic system to plans of Eco—Tech. Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of thnvironmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issue by o of health. Si ned ✓ Date V Application Approved b Date Application Disapproved for the following reasons Permit No. `J Date Issued No. l C1 6 �g, * Fee$1 0 0.V r THE COMMONWEALTH'OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS . Zipplication for 3Dikogar *pgtem Construction Permit Application for a Permit to Construct( Repair( Upgrade( )Abandon( ) El Complete System ❑Individual Components LocaNgn Address or Lot No. Owner's Name,Address and Tel.No. 7 7 5—41 26 Enc ,nehouse Rd, Hyannis, Assessor'sMap/Pacce 1 `t1 l.n�l3a �' C� Installer's Name;Address,and Tel:No. f/c� 0 7 7 f Designer's Name;Address and Tel."No. 36 0 4 Wiu E Robinson Sr. Septic' Eeo-Tech - PO Box 1089, Centerville 43 Triangle Cir, Sandwich Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures rl Design Flow gallons per day. Calculated daily flow gallons. Plan 'Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs Alterations(Answer when applicable) Install a new Title 5 septic system to plans of Eco-Tech. Date last inspected: Agreements The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the nvironmental Code and not to place the system in operation until a Certifi- cate of Compliance has bee issue- by o d of Realth. Si ned Date Application Approved by Date Application Disapproved for the following reasons Permit No. pop J" © Date Issued '2. THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( ) Repaired (X )Upgraded( ) Abandon d( ll by, Wm 'E Robinson Sr Septic (1 Ez &inenouse oac, yannis at has been constructed in ccordance with the provision` Nof Title 5 and the for Disposal System Construction.Permit No.c9w 5 3/3 dated '7 �'2 -5 ic�b� ��.� Installer '� Designer---- The issuance of thijft/1y of be construed as a guarantee tha`�the sys W'sll n'tion as designed. . Date (� Inspector No. (�� i Fee` 1 0 0.0 0 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS 1Bi.5po!6a1 *pgtem Construction Vermit Permission is hereby granted to Construct( )Repair )Upgrade )Abandon( ) I' System located at 11 Enginehouse oa , Hyannis and as described in the above Application for Disposal System Construction-Permit. The applicant recognize_s his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Conssttlru-tion Viust be completed within three years.of the date of this pa Date:_._ / S Approved by Town of Barnstable oF1ME Regulatory Services • Thomas F. Geiler,Director • BARNSrABM * ' 9g,A 6'9. � Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: Designer: Eco-Tech. Installer•Wm E Robinson Sr Septic Address: 43 Triangle Cir Address: PO Box 1 089 Sandwich Centerville On Wm E. Robinson Sr SeptiWas issued a permit to install a (date) (installer) septic system at 11 Enginehouse Rd, Hyannis based on a design drawn by (address) E o-Tech dated (designer), I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. ~ ' greater than 10' lateral relocation of the SAS or any vertical relocation of any component v' of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. �P�10 OF iy qs v S .. � 9 DAVID cv = o D• ( aller's Signature) " COUGHANOWR C No. 1093 8TER� C � SgN1TAR\Pa F (Designer's ignature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE ; t OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BA.RNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form � IryNOL'�H PLAN REFERENCE . CONTOURS W 'QOAp �s LLX PLAN BOOK 564 PAGE 28 EXISTING -- - - - - - - 50 00 ASSESSOR'S MAP: 328 MINIMAL GRADING PROPOSED r HovSF R A W IL aa o<F LOT: 241 p 00 ° _ ' o WOO o W c Q LOCUS—� 4 w L^ 204.56 rt a _ N _p o J� ��� ��— — FIYANMS. MA co\ ~Z� q LL w o goZ Y LOCUS MAP 2 00 own ' PHASE l� + Q O NOT TO SCALE O wN �r� N <ho I AREA - 42417 sr •- Q I� Q\ V Lo O r w N- � z 3 P�1 VEp ° � W N V 3 W I W} V J > o I �� w d0 W < w Q =� W � , LEGEND w PA RKING v �GALLON �C� LL SEPTIC TANK D-SOX o ? % LI-' TEST PIT U (/� Z-3 , N + r EXISTING W LL ~' , _ > AREA cesspool 0 Z O LL vz � �� UTLITY POLE $ p V O Z v W z w VENT ® DRAIN O ~ C w W ~ `-O( PIPE I Q W� pJ <Ov~im 5Itx10ltxiff Lu � I LEACHING 1' J � r 'P (� '�` GALLERY � � uj a �h Cl. N , EX/S TING 2 o N , S TEEL J , BUIL DING )C J o Q M TOP OF PNDN SOIL Cv TP-I EL - 36.8 REMOVAL AREA L i W Z Y + 'EANDVT w W ¢ Q Z I SLAB FOU'VD;9TION � AT O �jFr LL 3 << w Q SEWAGE DISPOSAL SYSTEM PLAN Q o -J oc� v U. + GATE R — — �� -TO SERVE EXISTING FACILITY N O F— 3o4.oa rt Z RELIABLE FENCE COMPANY O I Q w OAS LItE �N OF M + �° �' PL N BENCH MARK ``A� Assgoy 9 ENGINE HOUSE ROAD HYANNIS. MA nrOTE TOP A WATER GATE �� °A�'° G� ECO TECH ENVIRONMENTAL g cNc. � SCALE: 1 in � 30 /�t SLEEVE WATER UNE W ELEVATION - 35.55 � D. Q lD VIUNITY OF SEWER LWE BARNSTABLE GIS DATUM N L- r7 PER TITLE 5. COUGHANOWR o ^ N No. 1093 43 TRIANGLE CIRCLE SANDWICH MA 0256 -� ° ° �� E��° 508 364-0894 LL ETE-2045 JULY 5. 2005 I/2 THS PLAN IS TO BE CONSIDERED A DRAFT PLAN UNLESS IT aA Y S, 2005 BEARS THE STAMP AND SIGNATURE OF THE DESIGN.ENGNEER ORIGINAL PLANS INTENDED FOR SUBMITTAL T0. THE BOARD OF HEALTH'WLL BE;SIGNED:IN BLUE AND STAMPED IN RED. SOIL TEST LOG DATE OF TEST: JUNE_.24. 2005 TIONS WITNEEVALUATOR:SS REQUI EMENTAWTAI WAIVED - NOD. HVARIAN, RS CES SOUGHT DESIGN CA LCULA NO GROUNDWATER TEST PIT I PARENT MATERIAL: P OGLACIALDOUTWASH ELEVATION - 35.6 +- PERC AT 50 in 2 MIN/INCH IN C SOILS DESIGN FLOW: 12 EMPLOYEES X 15 GPD - 180 GPD SEPTIC TANK: 180 GPD X 2 DAYS - 360 GALLONS DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER INSTALL 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED) (INCHES) HORIZON TEXTURE (MUNSELU MOTTLING 35.60 DISTRIBUTION BOX: USE 3 OUTLET D-BOX. 0-28 FILL 33.27 28-132 C MEDIUM TO 10 YR 5/4 NONE LOOSE SOIL ABSORBTION SYSTEM: A 15 ft x 10 ft x 2 ft LEACHING GALLERY CAN LEACH 24.60 COARSE SA Abot - ( 15 x 10 ) - 150 sf NO GROUNDWATER ENCOUNTERED Asdw - ( 15 + 15 ; 10 • 10 ) x 2 - 100 sf TEST PIT PARENT MATERIAL: PROGLACIAL OUTWASH Atot - 250 sf ELEVATION - 35.1 +- 2 MIN/INCH IN C SOILS Vt 0.74 x 250 - 185 GPD USE A 15 ft x 10 ft x 2 ft GALLERY. Vt - 185 GPD > 180 GPD REOUIRED DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING 35.10 0-102 FILL 26.60 102-156 C MEDIUM TO 10 YR 5/4 NONE LOOSE 22.10 COARSE SANDI GROUNDWATER ADJUSTMENT EXISTING GROUNDWATER LEVEL LEACHING GALLERY 500 GALLON DRYWELL BASED ON TOWN OF BARBSTABLE DIMENSIONS AND DETAIL GIS DEPARTMENT RFCORDS: CONSTRUCTION DETAIL USE H-20 (W INDICATED GW 13.00 YWELL UNIT INSTALL ONE INSPECTION STONE RISER TO WITHIN SIX INDEX WELL AIW-230 8'-6'x 4'-10-x 2'-9' INCHES OF FINAL GRADE ZONE C 2 (t EFF. DEPTH AND INDICATE LOCATION READING DATE MAY 2005 15 f t 4UNBUILT PLAN READING 21.6 NOTES ADJUSTMENT LI ADJUSTED GW 14.1 iv o OQ 34 pin 1) GARBAGE GRINDER NOT ALLOWED WITH THIS DESIGN v O pp�4n °p��A LINES TO BE SCH 40 PVC AND PITCH AT I/8 INCH PER FOOT MINIMUM. ooppo002 LL p3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REQUIREMENTS OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15) �� 4) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES 3.25' 8.5' 3.25' Gj BEFORE EXCAVATING FOR SYSTEM. IS f t NOT SCALE 142 in 5) EXISTING CESSPOOL PUMPED AND FILLED, 6) ALL STONE TO BE DOUBLE WASHED AND FREE OF IRON. FINES AND DUST IN PLACE 7) LINES EXITING D-BOX TO RUN LEVEL FOR 2'-0' BEFORE PITCHING DOWN 8) ECO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION OF LOW FLOW FIXTURES SEWAGE DISPOSAL SYSTEM PLAN AND APPLIANCES. AND BIANNUAL PUMPING OF THE SEPTIC TANK 9) SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR LOADING. DO NOT -TO SERVE EXISTING FACILITY PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM. 10) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE STARTING WORK. RELIABLE FENCE COMPANY 11) SEPTIC TANKS SHALL BE INSTALLED LEVEL AND TRUE TO GRADE ON A LEVEL 9 ENGINE HOUSE ROAD HYANNIS. MA STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON TO WHICH SIX INCHES OF CRUSHED STONE HAS BEEN PLACED TO MINIMIZE UNEVEN SETTLING ECO-TECH ENVIRONMENTAL 12) WATER LINE IN VICINITY OF SEWER PIPE IS TO BE SLEEVED PER TITLE 5. 13 UNSUITABLE SOILS ENCOUNTERED IN THE SOIL REMOVAL AREA ARE TO BE REMOVED 43 TRIANGLE CIRCLE SANDWICH MA 02563 DOWN TO THE MEDIUM - .COARSE SAND STRATUM. rEPLACE WITH CLEAN MEDUIUM SAND STRATUM AS.- PER TITLE 5 REGULATIONS. ETE-2045 JULY 5. 2005 4 12/2