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HomeMy WebLinkAbout0973 IYANNOUGH ROAD/RTE 28 UNIT UNIT 1 - Health 973 IYANOUGH RD." HY WEST MARINE an ly i � r u as Date: —7 TOWN OF BARNSTABLE �- TOXIC AND HAZARDOUS MATERIALS ON SITE INVENTORY NAME OF BUSINESS: Ocvf t% anite Pryd L�-� BUSINESS LOCATION:` 173 c7-",d h_A oun a • -ttUd nnw:7 INVENTORY MAILING ADDRESS: to U /' U TOTAL AMOUNT: TELEPHONE NUMBER: J�Vg' OW — CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: 944a j INFORMATION RECOMMENDATIONS: r Fire District: VIA,) ill Pasy dQIL,3� -,e ra*_41A' � -ems r Vi a Transportation: _ Last shipment of hazardous.waste: Name of Haulere Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials 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) _ Misc. Corrosive NEW USED Cesspool gleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides .[�NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers rJ Misc. 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 (inc. carbon tetrachloride) NEW USED Any other products with "poison" labels Paint &varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables hydrochloric acid, other acids) Floor &furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers If �04 (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS r Town of Barnstable RECEWED 1���Regulatory Services Thomas F. Geiler,Director RAMWABIX KAMLPublic Health Division 16g9. •�� Y Thomas McKean,Director �Q 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $1.00.00 26` 2 DATE ASSESSORS MAP AND PARCEL NO. ' q4- 1*-026-OCR$ APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISHMENT �r�5� Mo.Ytrte, ADDRESS OF ESTABLISHMENT C TELEPHONE NUMBER g 2=�- oo SOLE OWNER: ' YES K NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS 09ILL PARTNERS: m IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. q+ STATE OF INCORPORATION CA FULL NAME AND HOME ADDRESS OF: PRESIDENTu\(Va, L� C. TREASURER CLERK -e- n)o1/1 60 1`-0 CZ4 . TUBE OF APPLICANTtt - � ,�OLbr�d�l RESTRICTIONS: HOME ADDRESS JUDO W?e9tK 6 W Wi l -9T F- HOME TELEPHO # Haz.doc/wp/q �827, 12 410 +J �j(o f \ w Town of Barnstable-Health Department Page 1 HAZARDOUS MATERIALS INVENTORY SITE VISITS DBA: West Marine Products Fax: 508-862-0603 _ Corp Name: Mailing Address , _........_ ........._.__ .... ............. ......... Location: 973 lyannough Rd.,Hyannis Street: 973 lyannough Rd. mappar: City: Hyannis Contact: Steve Whitmore State: Ma G�YQ Telephone: 508-862-2700 Zip: 02601' Emergency: Person Interviewed: Steve Whitmore Business Contact Letter Date: 00 Category: Miscellaneous Inventory Site Visit Date: 7/27/2005 .......... . Type: :Retail Follow Up/Inspection Date: NAM .._..... .__...._.. N IA,�X/l public water ❑ indoor floor drains ❑ outdoor surface drains ❑d license required ❑ private water ❑ indoor holding tank mdc ❑ outdoor holding tank mdc ❑d currently licensed d❑ town sewage ❑ indoor catch basin/drywell ❑ outdoor catch basin/drywell expir - -- - -- El on-sitesewage Elindoor on-site syste El outdoor outdoor onsite system -------- - -.6/30/2006------ --- REMARKS: 6/11/98-MSDS available through 1-800#. Retail sale of compliance: marine boat products. All products inside on metal shelving. No bulk Satisfactory storage. No repair work performed on-site.ORDERS: Maintain set of material safety data sheets on- site. 717/04 Onsite inventory. Has MSDS access through their internet site. Self-hauls waste thinner and antifauling waste to landfill HW collection. Has first aid and items are stored properly. Hazwastes are contained in rubbermaid totes. i ORDERS: label all HW containers"toxic"and"hazardous waste". Renew hazmat permit. �C. I► i17iC. Cam ✓ tw6C �C a oruna.�v�e✓ �� n ex5 �_ ao t I I 5 3 � d� a l9 10 � mI . ��'asi t,�s adtiw� ►�sc p-. 0 Gu ca-� �P i•h � I L Page 2 Town of Barnstable-Health Department HAZARDOUS MATERIALS INVENTORY Chemicals: ❑ Zero Toxic Waste Materials ❑ gty's>25 Ibs dry or 50 gals liquid but less than 111 gals d❑ gty's 111 gals or more i ti descnptignu0nitofn?easure motor oil 348 Gallons _._..__ _ __.._.._...._............_...._.._....._._._......._................................................._...._-......_..._............_................_____....._.._....._._.__._.._.._._..___........................__....... other cleaning solvents 25 gallons Misc.paint product 360 gallons misc.petroleum products:gre..................... .. .... -..._ ..-. - .......... - . . . . ._ .. .................... .__................_..................... - _.._......... automatic transmission fluid _ 2 gallons antifreeze(for gasoline or coolant systems) - 5 gallons hydraulic fluids(including break fluid) 2.25 gallons Misc.Combustible - 77 gallons ............_......__...__...__...................._...__.._...__.._.._.............___.___._...____.._.._.__....._............._._....._.__.__.____ new lacquer thinner ( 42 gallons Misc.Poison { 56.25 gallons _.__.._......__..... __._._ _...._...____......_._.__...._{._....__.._____. __...._..m.._..._________ _._...._ Adhesives 8 gallons Sealant 40 gallons car wash detergents 205 gallons car waxes and polishes 60 gallons .__ ____.._ _.____.____._____..._...._....___.._..____ .____.. ___.__...._.............__ 9 Misc.Flammable 46.5 allons Misc.Corrosive 31 gallons Batteries 100 gallons disinfectants 33 gallons Waste solvent 4 gallons Waste Transporter: ' Fire District: ;Hyannis Last HW Shipment Date: 6/16/2004 Waste Hauler Licensed: No __ _......... .................................... __ r s Town of Barnstable-Health Department Page 1 HAZARDOUS MATERIALS INVENTORY SITE VISITS .... DBA: West Marine Products Fax: 508 862-0603 Corp Name: Mailing Address _._ ......... Location: 973 lyannough Rd.,Hyannis Street: 973 lyannough Rd. mappar: City: Hyannis Contact: 'Steve Whitmore State: Ma Telephone: 508-862-2700 Zip: 02601 Emergency: Person Interviewed: Steve Whitmore Business Contact Letter Date: 5/31/2005 Category: Miscellaneous Inventory Site Visit Date: 7/27/2005 Type: :Retail Follow Up/Inspection Date: ..................................................................................................... ........... ❑� public water ❑ indoor floor drains ❑ outdoor surface drains 0 license required ❑ private water ❑ indoor holding tank mdc ❑ outdoor holding tank mdc ❑d currently licensed ❑� town sewage ❑ indoor catch basin/drywell ❑ outdoor catch basin/drywell expir ❑ on-site sewage ❑ indoor on-site syste ❑ outdoor onsite system date: 6/30/2006 _.........................................................._........ REMARKS: 6/11/98-MSDS available through 1-800#. Retail sale of compliance: marine boat products. All products inside on metal shelving. No bulk Satisfactory storage. No repair work performed on-site.ORDERS: Maintain set of material safety data sheets on- site. 7/7/04 Onsite inventory. Has MSDS access through their internet site. Self-hauls waste thinner and antifauling waste to landfill HW collection. Has first aid and items are stored properly. Hazwastes are contained in rubbermaid totes. ORDERS: label all HW containers"toxic"and"hazardous waste". Renew hazmat permit.7/27/2005 alp obtain msds hard copies,not just avail on internet,post contingency plan. Page 2 Town of Barnstable-Health Department HAZARDOUS MATERIALS INVENTORY Chemicals: ❑ Zero Toxic Waste Materials ❑ gty's>25 lbs dry or 50 gals liquid but less than 111 gals ❑d gty's 111 gals or more . `clescn Sill on _ '� 9tyC. 6. uni Hof measure ;.: motor oil 139Gallons _._.....__...___....._.._..._..........._..__._._.____._..._____.__......_._........_....................__.....__..__..__.....___._...__........._._..._.____._......___...._..................................__...........__.__ misc.petroleum products:grease,lubricants 15 gallons automatic transmission fluid [ 2 gallons Misc.Combustible — 45 gallons _.._.__._._._.......__...._._____._........_......__....._....._....___...................._._....__......__.._..._....._................._......__.._ ....._....___._..___..__..__..___...... _.. Misc.Poison 19 gallons Adhesives 2 gallons car wash detergents 40 gallons Misc.Flammable 43 gallons Misc.Corrosive 30 gallons Batteries 50 gallons ................_...._........._...._._...___ paint,varnishes,stains,dyes 292 gallons Kerosene — 5 gallons Waste Transporter: Fire District: Hyannis Last HW Shipment Date: Waste Hauler Licensed: No I Date: 7 III / Zdak TOWN OF BARNSTABL tip TOXIC AND HAZARDOUS MATERIALS ON-SIT INVENTORY NAME OF BUSINESS: �f��I1 r udu BUSINESS LOCATION: 47,E �a Kn UAA Rb GL INVENTORY MAILING ADDRESS: I' u TOTAL AMOUNT: TELEPHONE NUMBER: 60 F— /9,e 31QL) CONTACT PERSON: Z� lA ail) C+ w P rb EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: 0- INFORMATION/RECOMMENDATIONS: Fire District: b t li b LA,;N M10 1)-11014 1 evaladj h Ak k4S n n 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 materials 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 Ob erved/Maximum Antifreeze (for gasoline or coolant systems) — Misc. Corrosive NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) r I Hydraulic fluid (including brake fluid) Refrigerants 9 Motor Oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Misc. 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 (inc. carbon tetrachloride) NEW USED Any other products with "poison" labels Paint & varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables hydrochloric acid, other acids) Floor& furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers (including bleach) • S �uJ Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS OIL WASTE OIL OIL FILTERS ANTIFREEZE WASTE Y ANITFREEZE it - 1�, 1 G SOLINE WASTE GAS DIESEL FUEL W/W FLUID ATF 2 HYDRAULIC/ MISC. Na MISC. MISC. MISC. BRAKE FLUID COMMBUSTI FLAMMABLE CORROSIVE PETROLEUM K k Pam, iy�c K (GEAR OIL/GREASE/ !,'�^ t�'`h �1� LUBRICANTS) FREON ACETYLENE CAR WASH CAR WASH PAINTS/ WAX/ DETERGENTS THINNERS, i o� (JE ANT CLEANING BATTERIES/ POISION/TOXIC CAULK/GROUT SOLVENTS BATTERY ACID � I� FERTALIZERS WASTE SOLVENT MSDS MANIFESTS ,I T� Town of Barnstable OF1HE T Regulatory Services Thomas F.,Geiler,Director Public Health Division BARNSTABLE, Thomas McKean,Director MASS. Gb 1639. 200 Main Street, Hyannis,MA 02601 Phone: 508-862-4644 Email: health(a)town.bamstable.ma.us Fax: 508-790-6304 0li Office Hours: M-F 8:00-4:30 August 9,2005 Mr. Steve Whitmore West Marine Products 973 Iyannough Rd. " 7691 -q47 O Hyannis,MA 02601 Dear Mr. Whitmore: Thank you for your time and cooperation during the hazardous materials inventory and site visit at West Marine Products on July 27,2005. This letter contains information from that visit that will help you become compliant with the Town of Barnstable Ordinance: Chapter 108: Hazardous Materials. �1'S•' Enclosed are copies of Chapter 108: Hazardous Materials, a copy of the Toxic and Hazardous Materials On-Site Inventory form from the visit to your business, and a sample contingency plan. Q Please note the problems identified at your place of business during the hazardous materials inspection and their corresi)ondijjjz recommendations listed below: V1 cter -gob CMA) Dt;- PROBLEM: M` ,,( • No Material Safety Data Sheets on location. �({��'f"p V�i�- "*- ORDER: �j(}{ • Please obtain Material Safety Data Sheets immediately for all haCard s teria s stored on site. These are used for your protection and safety to provide you with information on each toxic or hazardous material in the workplace. • Shall not be available only via internet. PROBLEM: j1J� 0 0 ojA • Contingency plan not posted in areas throughout the facility. ORDER: ®� • Please refer to the Town of Barnstable General Ordinance: Chapter 108: Hazardous Materials, Section 6(A-H). Reviewing your contingency plan for hazardous materials spills and related emergencies (and its location throughout the store)is highly recommended at this time. ti On Site Inventory Total The Toxic and Hazardous Materials On-Site Inventory from July 27, 2005 shows that you have approximately 682 gallons of toxic and hazardous materials being used, stored, generated and disposed of at West Marine Products, 973 Iyannough Road,Hyannis (Please see enclosed Toxic and Hazardous Materials On Site Inventory sheet). Why are these recommendations being made for West Marine Products? • This information is intended to educate you, a business owner/operator in the Town of Barnstable,in order to keep your business operations in compliance with local, state and federal toxic and hazardous materials laws so that you can avoid future regulatory problems. • Complying with the Town of Barnstable General Ordinance: Chapter 108: Hazardous Materials can prevent contamination of Barnstable's existing and future drinking water supply,prevent environmental contamination which can bankrupt site owners, lower or destroy land values,drive out residents and industry, depress local economies and endanger public health. A representative from the Public Health Division will re-visit your business during the next 30 days as a follow up to further advise you on your compliance. If you have any questions about these problems,the recommendations, or you need further information, guidance or assistance,please do not hesitate to contact the Public Health Division. Sincerely, Alisha L. Parker Hazardous Materials Specialist All orders to correct violations of Chapter 108 of the Town of Barnstable Ordinance: Hazardous Materials shall be completed upon receipt of this letter. Dale Saad,PhD Coastal Health Resource Coordinator Enc. On-Site Inventory(copy) Chapter 108 (copy) Contingency Plan(copy) est . , n - Ii-la.- i . s B I „i► tuse EMERGENCY RESPONSE PLAN RETAIL STORE OPERATIONS Risk Management Department Watsonville, CA A EMERGENCY RESPONSE PLAN RETAIL STORE OPERATIONS I. Requirements ➢ Each company retail location shall have pre-planned emergency procedures to minimize potential injuries to customers and associates. ➢ Each location will have plans for the following emergencies listed below. See the appropriate subsections listed below for emergency guidelines. Subsection Subject Page A. Bomb Threat 2 B. Earthquake 6 C. Evacuation . 7 D. Fire g E. Flood g F. Hazardous Chemical Spill 9 G. Power Failure 10 H. Wor lace Violence 11 ➢ These plans must be written, communicated to all associates,reviewed and updated annually. II. Emergency Procedures A. Bomb Threat 1. Discovering Party—If you receive a bomb threat, keep the caller on the line and obtain the following information: -2- EMERGENCY RESPONSE PLAN RETAIL STORE OPERATIONS BOMB THREAT CHECKLIST Time/Date Call Received Time Call Terminated Your Name Phone No./Extension 1. When is bomb going to explode? 2. Where is it right now?- 3. What does it look like? 4. What kind of bomb is it(explosive, incendiary)? 5. What will cause it to explode? 6. Did you place the bomb? 7. Why? 8. What is your address? 9. What is your name? 10. EXACT WORDING OF THREAT: 11. Sex of Caller? 12. Race: 13. Age: 14. Number at which call was received 15. Caller's Voice: Calm Angry Excited Slow Rapid Soft Loud Laughter Crying Normal Distinct Slurred Nasal Stutter Lisp Raspy Deep Ragged Cracking Disguised Accent Familiar 3 a EMERGENCY RESPONSE PLAN RETAIL STORE OPERATIONS Bomb Threat Checklist continued If voice is familiar,who did it sound like? 16. Background Noises Street Noises Crockery Voices PA System Music House Noises Office Machines Factory Machines Animal Noises Clear Static Local Call . Phone Booth Long Distance Airplane Train Bus Other 17. Threat Language Well spoken Incoherent Foul Irrational Taped 18. Other Pertinent Information: EMERGENCY RESPONSE PLAN RETAIL STORE OPERATIONS 2. Notify the store manager of the threat. 3. Store Manager ➢ Notify the West Marine Risk Management at(831) 761-6994 or(831) 761-4179. ➢ Call 911 (Police) ➢ Check with associates to see if any suspicious people have been in the immediate area during the day. ➢ If evacuation is necessary, proceed to your designated evacuation assembly area, take a headcount of your store associates and report this to your supervisor. 4. Associates ➢ Upon hearing the evacuation signal or instructions from your store manager, evacuate all customers and yourself by using your assigned/designated route and exit. If your designed route is not accessible, take the nearest accessible route. ➢ Keep to the right in any stairways, grasp handrail,walk quietly and follow the store manager's instructions. ➢ Go to the evacuation assembly area outside of your facility. Do not leave this area or return to the facility until instructed to do so. -S- EMERGENCY RESPONSE PLAN RETAIL STORE OPERATIONS B. Earthquake 1. Before the shaking starts: ➢ Know the safe spots in your facility: under sturdy tables,desks or counters, supporting doorways or against inside walls away from glass. ➢ Know the danger spots: windows,hanging signs, merchandise and paints on shelves that could fall and cause injury. ➢- Know who is certified in First Aid and CPR. ➢ Know the location of fire extinguishers and how to use them. ➢ Know the location of first aid kit in case of emergency. ➢ Know the facility's evacuation plan for earthquake. 2. During the shaking: ➢ REMAIN CALM! ➢ If indoors, stay indoors! Get under a desk or table or stand in a doorway or corner. Stay away from windows. ➢ If outdoors, get into an open area, away from trees,buildings, walls and power lines. ➢ If you are driving,pull over to the side of the road and stop. Avoid overpasses and power lines. Remain inside the vehicle until the shaking stops. ➢ If you are inside the building and it is crowded, do not rush for the doors. Move away from shelves containing objects that may fall. 3. After the shaking stops: ➢ Check for injuries to self or others. Apply first aid if needed. Do not move injured unless they are in immediate danger. ➢ Follow the instructions from your manager. -6- .j EMERGENCY RESPONSE PLAN RETALL STORE OPERATIONS ➢ Do not use telephones unless there is life-threatening injury or fire. ➢ Follow proper clean up procedures for chemical spills, if any occur. ➢ Lend a hand to any customer or associate in need. Try to calm customers or co-workers. ➢ Management should check for any gas or water leaks,broken electrical wiring or sewage lines. If there is damage, turn off utility at the source. ➢ Be prepared for after shocks. C. Evacuation 1. All emergency exits and aisles must be unlocked and kept clear at all times. 2. "FXT"sign lights must be lit and visible. 3. An evacuation plan for each facility should be developed,written, rehearsed and implemented. 4. It is the responsibility of the store manager to determine if the facility should be closed. 5. If the decision to close the facility is made, customers, visitors and associates should be evacuated as soon as possible. 6. The management staff should implement the evacuation procedure. 7. Evacuation should be conducted as if it were a routine fire drill. One associate should proceed down each aisle, ushering customers and associates out of the facility via all available exits (front exits preferred). Customers and associates are to be ushered a safe distance away from the building, and are to await further instructions from management. 8. As the evacuation is taking place,back doors, shipping/receiving roll-ups, and office doors are to be secured.. Safes and registers i 7 EMERGENCY RESPONSE PLAN RETAIL STORE OPERATIONS should also be secured. As soon as everyone is out of the building, the front door must be locked until the proper authorities arrive. D. Fire 1. All fire extinguishers should be properly located, visible and accessible. 2. Fire extinguishers shall be inspected monthly, serviced annually and immediately after use. 3. The telephone numbers of Fire,Police and Ambulance shall be posted near each telephone. 4. Exits must remain clear and unblocked when customers are present. 5. Establish a fire plan and familiarize associates with their duties. 6. Associates should be familiar with the location of fire extinguishers and their proper use. E. Flood Flooding may occur from inclement weather,weather in the mountains that doesn't normally directly affect your locale,broken water pipes and backed up drains. The store manager should recognize or understand the potential flooding exposures in store's locale and develop a plan to minimize damages. 1. Before a flood: Generally, you don't know when flooding will occur, unless experience in your area has demonstrated that it will,or the weather service has issued a flash flood warning. ➢ If flooding is likely and time permits,move essential items and supplies to upper floors, or up off the ground to higher shelves. ➢ Provide sand bags around exterior doors and areas where flood waters may enter. ➢ Move to a safe area before access is cutoff by floodwaters. -g_ i EMERGENCY RESPONSE PLAN RETAIL STORE OPERATIONS 2. During a flood: ➢ Stay on higher ground. Avoid areas subject to sudden flooding. ➢ Do not attempt to cross through an area of_flooding water if it is above your knees. ➢ Do not attempt to drive.over a flooded road. You could become stranded and trapped. ➢ If your vehicle stalls while traveling through floodwaters, abandon the vehicle immediately and seek higher ground. 3. After a flood: ➢ Do not drink any water in the area until health officials have said it is safe to do so. ➢ Do not handle electrical equipment in wet areas. Electrical equipment should be checked and dried thoroughly before using. ➢ Do not enter build ings until proper authorities give the approval to do so. To examine buildings,use a flashlight,not open flame. Flammable vapors from broken containers or ruptured gas lines may be inside. ➢ Report broken utility lines to the utility company. ➢ Report any water damage to Risk Management and Store Facilities following proper reporting procedures. F. Hazardous Chemical Spills l. Where potentially hazardous chemicals are present or used, inform all associates of the hazards and post instructions for responding to an emergency(Hazard Communications). Include telephone numbers of agencies prepared to respond. The local Fire Department can be a source of information for reporting _requirements and assistance. -9 - EMERGENCY RESPONSE PLAN RETAIL STORE OPERATIONS 2. If a spill or release occurs: ➢ Notify the store manager. ➢ Call the Fire Department, if necessary. ➢ If there are noxious vapors, evacuate the facility and report to the evacuation assembly area outside of the store. ➢ Obtain and consult the Material Safety Data Sheet (MSDS)of the substance for emergency spill/release procedures. 3. If a person is contaminated: ➢ Remove clothing and shoes from exposed individual and place clothing in a plastic or metal container for proper disposal. ➢ Consult MSDS. If substance could react with water,DO NOT USE WATER, follow the recommended decontamination procedures on the MSDS sheet. ➢ If the substance cannot react with water,wash entire body. If eyes are exposed, flush well. ➢ Seek appropriate medical attention immediately. G. Power Failure 1. All West Marine and Boat US retail stores should have emergency lighting in case of power failure. 2. Flashlights should be provided in each area listed if emergency lights do not exist: ➢ offices ➢ point of sale counters ➢ break rooms ➢ stock rooms 3. These flashlights should be maintained in working order. Batteries should be replaced when needed. - 10- EMERGENCY RESPONSE PLAN RETAIL STORE OPERATIONS 4. In case of power failure, the store manager shall immediately instruct associates to move all customers to the front of the facility where lighting is more adequate. Associates should monitor all exits to direct customer traffic and to deter any unlawful acts. 5. If possible, registers should be operated manually in order to check out customers. 6. If power is out for an extended period of time, contact the West Marine Help Desk for further instructions on store operations. 7. All registers and safes shall be kept locked with the exception of registers being operated manually for customer checkout. H. Workplace Violence 1. Violence towards Associates and Customers If an associate or customer receives a verbal or written threat, or persons are engaging in behavior that is intimidating, threatening, harassing, coercive or abusive, the store manager should be contacted immediately. The store manager should immediately investigate the matter and in conjunction with the District Manager and Human Resources, develop an appropriate plan of action. It may be necessary to call the police at the outset of any verbal or physical threats. 2. In the Event of Robbery If you are robbed,here are some suggestions to prevent violence: ➢ Cooperate—Stay Calm—Don't Resist ➢ Tell the robber what you are going to do—move slowly ➢ After the robbery, lock the door. ➢ Don't follow or chase the robber ➢ Call the Police ➢ Contact the District Manager ➢ Don't touch things the robber touched ➢ While waiting for help, write down everything you can remember ➢ Don't open the door until the Police arrive. - 11 - EMERGENCY RESPONSE PLAN RETAIL STORE OPERATIONS 3. Protecting against Homicide Workers in the retail industry are at increased risk of homicide. Factors that may increase the risk of homicide include: ➢ Exchange of money with the public ➢ Working alone or working in small numbers ➢ Working late at night or early morning hours ➢ Working in high crime areas ➢ Guarding of property or possessions The store setting should be evaluated and steps should be taken to - prevent potential homicides. Prevention measures may include: ➢ Make high-risk areas visible to more people ➢ Install good external lighting ➢ Use the drop safe regularly to minimize cash on hand ➢ Post signs stating that limited cash is available ➢ Avoid resisting during robbery ➢ Provide training in conflict resolution and non-violent response. - 12' V EMERGENCY RESPONSE PLAN RETAIL STORE OPERATIONS EMERGENCY ACTION PLAN FOR WEST MARINE/BOAT US Store# at (address,city,state) TO ALL ASSOCIATES: ➢ In case of emergency,the following guidelines have been established for your safety. ➢ When you become aware of an emergency(fire, chemical spill, customer or associate injury, etc.) contact the Store Manager. ➢ If you are asked to call Police,Fire or Paramedics,the number is 911 or The store address is: ➢ If the building is to be evacuated,please escort any customers and associates to the nearest exit and exit the building together. ➢ After you exit the building,you are to meet at the comer of the parking lot area and wait there so a headcount can be taken. This will ensure that no one is left in the building. b ➢ Remember to stay away from the building unless otherwise instructed. ➢ It is important that everyone cooperate with the management staff and with all Emergency Responders. The safety of everyone depends on you, so be alert and stay calm. -13 - �o Ii — Town of Barnstable Regulatory Services Thomas F. Geiler,DirectorC: health(a)town.bamstable.ma.us Public Health Division Thomas McKean Director 200 Main Street, Hyannis,MA 02Phone: 508-862-4644 Fax: 508-790-6304 Office Hours: M-F 8:00—5:00 Ms. Sylvia Jacobson/Current Manager rem6" August 13,2004 West Marine Products 973 Iyanough Road Hyannis,MA 02601 NOTICE TO ABATE VIOLATIONS OF THE TOWN OF BARNSTABLE GENERAL ORDINANCE,ARTICLE XXXIX,CONTROL OF TOXIC AND HAZARDOUS MATERIALS The business/property managed by you at 973 Iyanough Road,Hyannis,MA,was inspected on July 7,2004 by Amy L.Wallace,Hazardous Materials Specialist for the Town of Barnstable., The.following violations:of the Town:of Barnstable General Ordinance,Article XX)UX, Control of Toxic and Hazardous Materials, are observed: Section 6-2: The Health Department shall require, after reviewing the submitted registration information set forth in Section 4,an owner to obtain an annual license. Section 6-3: It shall be the responsibility of the owner and/or the operator to apply annually for such license. Section 6-5: The owner and/or operator shall submit a contingency plan prior to the issuance of a license by the Health Department. A contingency plan shall meet the requirements set forth in sub-sections A,B,C,D,and E of this section. You are ORDERED to correct the above listed violations within twenty-four(24)hours of receipt of this letter. You may request a hearing before the Board of Health if written petition requesting same is . received within ten(10)days after the date this order is served. Non-compliance could result in a fine of up to$500.00. Each day's failure to comply with an order shall constitute a separate violation. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean,R.S.,C.H.O. Director of Public Health Town of Barnstable ss -- - LA ; 0 Date: TOWN OF BARNSTABLE "MOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: LA )P.4--* :�naa, yL BUSINESS LOCATION: 923 INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: Sb 8- T6 2 ' 2760 CONTACT PERSON: .�,��l�I T�� SM- l� �O `T EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: �� INFORMATION/RECOMMENDATIONS: �6axu s Fire District: ' # — & vcJ• 30 Waste Transportation: Last shipment of hazardous.waste: 6-16-oq Name of Hauler- De6cW= Destination: Waste Product: Licensed? � No- MA 4a s _L,AW,4, 5-, oz NOTE: Under the provisions of Ch. 111, PectioZ1, of the General Laws of MA, hazardous materials 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) Z4 Misc. Corrosive NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) •a Hydraulic fluid (including brake fluid) Refrigerants ✓ Motor Oils Pesticides , � Z EW USED (insecticides, herbicides, rodenticides) GaS line, Jet fuel, Aviation gas Photoc"nemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED d. Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood :preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Misc. Combustible Car wash detergents Cboa-* ",P � j Leather dyes Car waxes and polishe��j0a>lIrto4-k/pe-" Fertilizers Asphalt & roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) `f 10ANEW USED S'6. 5 Any other products with "poison" labels CUB i Paint&varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables hydrochloric acid, other acids) Floor&furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers (including bleach) Spot removers &cleaning fluids lilt (dry cleaners) �✓ 4A Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS � � � � � � �I 3 . .� � `� �� �� � v� Z � 3 � a � �1 � � � � �i � � � � � � s v a �� � � � � � � � � � o � � o � M �� �M �- o � � � , i � � D � m � 4 . Oro- o.. � � � 3 3 � Town of Barnstable-Health Department Pagel 44 I0 HAZARDOUS MATERIALS INVENTORY SITE VISITS 110, DBA: West Marine Products Fax: 862-0603 7 Corp Name: Mailing Address 1� ; Location: 973 lyanough Rd.,Hyannis Street: 973 Lyanough mappar: City: Hyannis n� Contact: v I . sue'-. State: Ma Telephone: 508-862-2700 Zip: 02601 Lam" Emergency: Person Interviewed: 5CAA vl�- Business Contact Letter Date: 7/1/2004 Category: Miscellaneous Inventory Site Visit Date: 7/7/2004 Type: -/��c,r� T,4 7'X1 Follow Up/Inspection Date: 0 public water ❑ indoor floor drains ❑ outdoor surface drains license required ❑ private water ❑ indoor holding tank mdc ❑ outdoor holding tank mdc 0 currently licensed ❑� town sewage ❑ indoor catch basin/drywell ❑ outdoor catch basin/drywell expir - - - ❑ on-site sewage ❑ indoor on-site syste ❑ outdoor onsite system date: 8/8/200 REMARKS:6/11/98-MSDS available through 1-800#. Retail sale of all compliance: Marine boats prodducts. All products inside on metal shelving. No Satisfactory bulk storage. No repair work performed on-site.ORDERS: Maintain set of material safety data sheets on-site. Z Z��� 1 �' "__ �sr. _. 3 `�-•'�ram' �.�c_ ��„� � K6. l IV/ er+ Page 2 Town of Barnstable-Health Department HAZARDOUS MATERIALS INVENTORY Chemicals: ❑ Zero Toxic Waste Materials ❑ ty's>25 Ibs dry or 50 gals liquid but less than 111 gals gty's 111 gals or more description, .- : W, . . gtY-ks uULtoLmeasureu._. motor oil J allons _....._._..................._.._...._...__._._...___....__.._...._.._...._.._..._._....___._....____.......__...__._._......_... ...._. __._._......_......_.__...........__......................._..._........._....._.. road salt Waste Transporter: lA Fire District: ;Hyannis Last HW Shipment Date: �,� f,„�J Waste Hauler Licensed: �4 at ) A L"j cue. a✓m,.�Cv�, ►`� � (,, FAX 6 West Marine Date 19/9/20047 500 WESTRIDGE DRIVE Number of pages including cover sheet 3 WATSONVILLE, CA. 95076 TO: Amy Wallace FROM: Linda Citrin Town of Barnstable Financial Reporting Public Health Div Re ul tory Services Phone 508-862-4644 Phone 831-761-4059 Fax Phone 508-790-6304 Fax Phone 831-768-5059 [_REMARKS: ® Urgent ❑ Per your request ❑ Please Comment Amy - Sorry I didn't fax these to you earlier. The fees will be mailed today and as we discussed, our person who handles regulatory issues re: Hazardous Materials, Todd Nash, will write something that informs the town that we have a plan in place to handle apills and releases of hazardous materials, and that the stores are prepared to respond. If there's anything else we will need to do to bring us into compliance, please call me at the number above. Thanks for all of your patience and explanations. You have been very helpful. Town of Barnstable WE Regulatory Services ` Thomas F. Geiler,Director 9BARMA13M Public Health Division '0r6c rr►a+° Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 ,N Office: 508-862-4644 Fax: 508-790-6304 Application Fee:$100.00 ?A+- 0�6-00A 4,J ASSESSORS MAP AND PARCEL NO. I -Qf1'QQJ�) DATE I APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT f �G�rY[{�I �L �n5 ( {� , C NAME OF ESTABLISHMENT �l 15f n' & ADDRESS OF ESTABLISHMENT A15 T\I6.V%00gjj j�uGlyln 1S . L TELEPHONE NUMBER_��9) 9 01—;700 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. STATE OF INCORPORATION—CA FULL NAME ANP 4OMg ADDRESS OF: PRESIDENT fZ�l �(� YvQ�7r1�1( (�i �6/• (dilSG�{ '�� �QjC TREASURER CLERK rV3,N Gt�► L. lit vl`i�✓1 SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS 500 A25jh1Ckc e P 1�k[ Nf F3 HOME TELEPHONE# Haz.dadwp/q i Town of Barnstable Regulatory Services t Thomas F. Geiler,Director ?V�� Public Health Division ° Thomas McKean,Director / 200 Main Street, Hyannis,MA 02601 ao i y y Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. X74-C Oa'&G DATE D I APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT 11I Qt"t MrIV1e/ i"► (l 1�6 NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT l 10 I�JZ { Val LSMA TELEPHONE NUMBER L505� 7aQ- 1[z5 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. STATE OF INCORPORATION (�\ FULL NAME AND HOMg ADDRESS OF: PRESIDENT TREASURER CLERK AA SIGNATURE OF APPLICANT 15 trcI�' RESTRICTIONS: HOME ADDRESS 5oQ WQS tY te-L e Pi- MA , F3 P HOME TELEPHONE# 9 Haidoc/wp/q I Town of Barnstable DO 106r. . -STABLE Regulatory Services °s Thomas F. Geiler,Director 2(10 9' MAM41 (2: 04 Public Health Division i639� �� �1 'DTFD 39. Thomas McKean,Director - —�- ;,; 200 Main Street, Hyannis,MA 02601 DIVISION Office: 508-8624644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. 1a�-Q i'OOf2 DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT I Y C� Ey Y �(VI / 1 ► C5 i(�ri NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT A15 6LV^�MV l j�nannt5 TELEPHONE NUMBER (50g) go_-;2-700 SOLE OWNER: YES )( NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A.CORPORATION: FEDERAL IDENTIlFICATION NO. '�"�_3 STATE OF INCORPORATION Cam\ FULL NAME AND HOMF,ADDRESS OF: PRESIDENT f�1Ghd 1�eakt 50 V yQ5�� CJi V r��SGt �I1 Q C TREASURER CLERK `L, VZLA.,_C/I U SIGNATURE OF APPLICANT i�IZ(�r RESTRICTIONS: HOIVIE'ADDRESS �p ��5�y(& e Pr I vu� i jqv �T3 HOME TELEPHONE# ' :� 1-1 00 Hazdoc/wp/q 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 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 us a copy of your contingency plan (to handle hazardous waste spills, etc). In addition, please mail the required fee amount of$100.00. 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. For further assistance on any item above, call(508) 862-4644 Date: '7 / `7 / Dy TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS:_ A )ems-* BUSINESS LOCATION: 9 '73 —�d• �cU, ru INVENTORY MAILING ADDRESS: �, TOTAL AMOUNT: TELEPHONE NUMBER: SOS® g6 2- — 2760 S. axis CONTACT PERSON: `::a: lVo'�- • � EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS:_ZiLa�� INFORMATION/RECOMMENDATIONS: ; jae l m AA Fire District: Waste Transportation: Last shipment of hazardous,waste: Name of Hauler:_) c-eu P-uA Destination: _ Waste Product: 6cL)*6Us Licensed? es No 41VIA Y-n NOTE: Under the provisions of Ch. 111, ectio 1, of the General Laws of MA, hazardous materials 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 1 or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum ✓ Antifreeze (for gasoline or coolant systems) Misc. Corrosive �", NEW USED Cesspool cleaners 22j.) Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) •� Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides 3L(S EW USED (insecticides, herbicides, rodenticides) Ga line, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED o. Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Misc. Combustible Car wash detergents CbocL* w�1J Leather dyes Car waxes and polisheiAb ,4j0_k1P1*_" Fertilizers Asphalt & roofing tar PCB's (PO al Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) Lf Z 0",dVEW USED 5 6, 5 Any other products with "poison" labels Paint &varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables hydrochloric acid, other acids) Floor& furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers �Aatli.Pac Ac aa.� (including bleach) Spot removers & cleaning fluids (dry cleaners) yJ 4A Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair 2.Printers BOARD OF HEALTH 0 satisfactory 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY Waf �l✓I�tR..�� (see"Orders") 5.Retail Stores r` ne7.Miscellaneous iers ADDRESS �� 1 .��c�� �� Class: j 0,.,iZ* QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERTQT,S Case lots Drums Above Tanks' Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: es D< Gasoline Jet Fuel(A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) 2 cY c.Qo., 1J1 iC new motor oil(C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: r6- v-c s►,.•��i o� .� G� a E K p,eA,;, -4 l DISPOSAURECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply ./tI s pS aVat (a,6 Town Sewer P&ublic S 4 d-1 OL// 70,&-1< k-)1 Co 0 On-site OPrivate w I D t-, 0.e 1,14 3. Indoor Floor Drains YES N04,_ S Al w 0 Holding tank: MDC_ ��/ �-. 0 Catch basin/Dry well dvi - 0 On-site system 4. Outdoor Surface drains:YES NO ORDERS:s ,. 0 Holding tank:MDC � � O Catch basin/Dry well 0-on-site system 5.Waste Transporter Name of Hauler Destination' Waste Prod luct Licensed? YES NO 1. 2. f2:Y y � lr r P rson(sTffiterilbwed nspecto Date JAN-10-0AA2 0^9: 10 AM WEST MARINE HYANNIS 056 15088620603 P. 03 o Town of Barnstable t D Regulatory Services SS Thomas F. Geilcr,Director MASS' Public Health Division Fob" Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Officze 508-862A644 Fax' 508-790-6304 Application Fee: $100.00 ' r /� i ASSESSORS MAP AND]PARCEL NO. DATE � v APPLICATION FOR PERMIT TO STOI2.1_ AND/OR UTILIZE MORE TUAN I I I GALLONS OF HAZARDOUS MATERIALS FILL NAMT OF APPLICAN 1 / +a Po NAME OF ESTABLISHMENT LIZ ADDRESS OF ESTABLISHMENT 9-12 TFLEPH.ONE NUM73Elt SOLE OWNER: YES V NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME;ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL TDENWICATION NO. / 7 o?2 / Y" STATE OF INCORPORATION FULL NAME AND,HOMp DRESS O. • �l �` �n if i C/ITZ PRESIDENT M Ov 47(o RESTRICTIONS: HON1E ADDRESS(-S— HOME,TELEPHONE 4 �} q,q7b Har.Anclwp(q 4 FAX 6/20/2005 B West Marine Date 500 WESTRIDGE DRIVE Number of pages including cover sheet 3 WATSONVILLE, CA. 95076 TO: Town of Barnstable FROM: Linda Citrin Public Health Div Financial Reporting Regulatory Services Phone 508-862-4644 Phone 831-761-4059 Fax Phone 508-790-6304 Fax Phone 831-768-5059 REMARKS: ❑ Urgent ❑ Per your request ❑ Please Comment RE: Application for Permit to Store and/or Utilize More Than 111 Gallons of Hazardous Materials E&B Marine - 1166 Route 132 West Marine - 973 lyanough Rd. Attached are the applications for the above-referenced stores - E&B Marine and West Marine. Both stores are owned by West Marine Products, Inc. The original applciations and the fees will be sent to your office prior to 7/1/05. If you have any questions, you can contact me at the number listed above. KtL;EYVLD Town of Barnstable =R 2 Regulatory Services Thomas F. Geiler,Director SABLE. Public Health Division 1c ter• Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304, Application Fee: $1.00.00 ASSESSORS MAP AND PARCEL NO. ' q 026-00k DATE Ia+-026-000 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT _UVe'�t M6LY-Lae,f yatkc iS' �V C NAME OF ESTABLISHMENT e5 d Yi�Pi ADDRESS OF ESTABLISHMENT q.1 TELEPHONE NUMBER SOLE OWNER: YES x NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: ig-/ IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME` ADDRESS OF: PRESIDENT TREASURER CLERK ` ,UY� v 7 . r; TqL V I�P.Y1 5Do 2 A ( W.W.%TURE OF APPLICANT�C�G�� � RESTRICTIONS: HOME ADDRESS 500 W1'5V1 Pkr N A'd � F- HOME TELEPHO # Oi Ui lle, Haz.doe/wp/q RECEIVED Town of Barnstable AN 2 - 2oo5 Regulatory Services Thomas F. Geiler,Director WANff"LE. Public Health Division prFD MA'S 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.;,l+-00"ftO DATE 1?7 lot APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT W?,V� f"lam{Ole,,TWO" NAME OF ESTABLISHMENT `i ADDRESS OF ESTABLISHMENT —it i4'0� 1 N- NSA 026 --8 ab TELEPHONE NUMBER L,�0g) SOLE OWNER: YES_C NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: Z6 ` IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION &A FULL NAME AND HOME ADDRESS p PRESIDENT 1( G 00 LSi"�tGY �! Oy1d, t4A TREASURER �CLERK u E Vl�(� q�0'76 ,_J, aO JC� SI TUItE OF APPLICANT , Lu RESTRICTIONS: HOME ADDRESS. 0O Wt t1�( i✓-py M�j HOME TELEPHO .Q 50 i No. DATE of 7Nr ro TOWN OF BARNSTABLE FEE OFFICE OF STAJM S&Aua i BOARD OF HEALTH � q $39. � 367 MAIN STREET -OYAYA" HYANNIS, MASS. o26oi VARIANCE REQUEST FORM All variance requests must be submitted five (5) days prior to the scheduled Board of Health meeting. NAME OF APPLICANT The Shields Company TEL. NO. 508-771-3400 ADDRESS OF APPLICANT 973 lyanough Road, Hyannis, MA 02601 NAME OF OWNER OF PROPERTY Frank McDonough SUBDIVISION NAME Plan of Land in Barnstable, MA DATE APPROVED 276-89 ==-4 57 acre lot, south of Route 132, at the Hyannis/Centerville,line LOCATION .OF REQUEST.. - _ That all new commercial structures within a VARIANCE FROM REGULATION (List regulation) Zone of Contribution--axed within 3;000 -feet-of--a- sewer line connect to the sewer. VARIANCE REQUESTED •(Specific request-) ---To-allow on-site subsurface sewerage disposal. systems in lieu of connecting to town sewer for a proposed 27,060 s.f. retail/office building.within . 3,000 feet of the sewer. REASON FOR- VARIANCE (May attach letter if more space needed) - -See- - attached- .- - - - - PLANS - Two copies of plan must be submitted clearlyoutlining variance requested. VARIANCE APPROVED NOT APPROVED ASON FOR DISAPPROVAL - 1 F E 1 F �r E. C;r..I.l; �L T t fl`",.i ��l T i, iC1"��'i The proposed Designer Place Shopping Center is located on Routt=. 172 at the Hyannis-Centerville line. The Shields. Company is proposing a M unit center gith one limit of of.f ice __pace and the remaining units retail space. The 4. 57 acre Site lies within tit `one of Contribution to a public supply well and partially within a CIF' Overlay District Zone as per the Town of Barnstable Zoning Bylaw, Ti'ZF:e uses proposed for the site will be compatible with the permitted uses in this district , The nearest iPun.icipai sewer lines are the force mains that coffee from Barnstable Village down Phinney ' s Lane, Old Route 1•'.. to Bearse ' s Lane. This line is in excess of 2,200 feet from the site. The closest gravity sewer line is approximately 4, }(i feet from the site. It is the current policy of the Department , of Public Works to deny a. permit for a sewer construction for this situation. The estimated Title V sewage flow is 15435 GPD which r-el atceE to 314 GPD?acre. The proposed septic =_.::s.tem for the building consists of three separate systems with capacities of 396 GPD, 599 GPD, and �.�.1 GPD each. The _systems are spread c.(cross the site parallel t-o ,a � .'-�5 feet from the edge of Shallow Pond. and In excess o�r• _ ,_, � Q .,�; The agreement between The Shields Company and the' c:rre!-t owner includes tiff:' current owner- forfeiting he permit for the Li J seat restaurant known as The Rainbow Cafe, with the space being converted to retail space. This will result in _. reduction •O'r C? 1_ _ - GPD in the estimated sewage flow for the building. Overall there will be :=i reduction of the estimated sewage flow y 100 GPD as f: result of this proposal . Also Life project ec will l include ud extension L ' "g p'-_ _. ._ 4�d 7. the F_. G� c=t� 1..._ water main from Phinney = Lane approximately 1 , 700 feet to the site. This will provide the opportunity ty for the motels to the west of the site (Country Lake and Presi dential ) to also connect to public Water. The drainage system for `_'.he 11'6 car parking lot is designed to contain all -Mori water- runoff on-site, There will be no direct runoff from the building or parking areas into Shallow Pond. All catch basins are designed with sumps and hoods for oil and sedimentation separation. The parking lot. will be salt_=•r1'C.lvr.c...t. me:i rf=t=l%i. dl•_ly which will help maintain 'i:ile (__•.f_i.icienC of t - - the drainage system along with regular r1 cleaning; the drainage systems't:.em_ themselves. __=i-iH /fiefi...b J t .r t .. i. t s �± s +,4 '{. x 'i; , �.a.* '�"s X ".rt ,. `t. sp-.;d�.,yxa .+ r *_.- r:` ,C._r� ° .x:, h .c �,:} - 'a: Je ,, ,.'fi .;t,' ,#s..a^ ++.�L '' "g i'•7`.,li`w i Jos *.*,,t,.7�"�, L,,.mm- :t�_,��;,--�­l,1r�, .,­..,,��- ..�,.�, , ai'max'". y ",,. '` �• --A. s, _ „ , ""!,y s`. v _• ,Ir .s. a E i #p' i?r '� 3 r _.i rr:e „S r+q. f+Y,1 I. ask '.i _'+� J tr pit' i'e '' - - y, .{,.. i - , R�.° r h h "' �{,n m ..: '�, ;:p y ;rT�a +,S ro a v by-vy.,� aess .+. 4.,.' s ;, , 7 r t t°:; c .. n ' A dn+ , r� z sty J #� .fY�3 e;s* a? a r' - i ".4- r .t .:.y + 3_ +�.:,� 1 4 s� .c,. yi •,°3' +v.= -t., € v-# `t a.V� ,'-wfi;. i"s t + a i ri- s k `r d..t twt.. s "e A i IC F.S # '-+ } „ { ." 3 -- 7a o- w ¢` 5 x + .> !'.+ ?. `• .. ai r° +°` .`a " r• , 4 '-bf d `:k,5'`'t'' ,� f iX ,,:..y .n . J, a+ ! ^4{ w. . t '. e 9 j. *' s a n S k, fr � .?} -�. 3'. °, r-F '�.3'!kkc� e,kA t RR > .C3 .r °' ~,s �.�.re t 7s 5§ r «I. .4, J.r T Et 4 t. -. -1 Q y •Y.. 'a" S.' 1 r( 'T �. 1 S. hq t FiT r ''ti�3 �.>tk.,',p t-4 " a x r-... w ,' ,=y'. .; r . i'_ E r ..- a :''s i fI . 3 Y ns,i''',c`w#� : a:; l+ .f ! �,s 4- , +st rw g4$ cx.iw;, ,,,.,'"fi•Y (,I '� .- y.� • t 4+ T' .., .+ '�.y ..". 'i 's "p"'F: ; r u 1 r s p a y, _,*v'., ^ 1 +� s .yam ».7 t ';�.,,, #•; 's?. y h �6 3: .'-m:-kr�w,.3,s•, p .&_�,� S,•,t ` F�, r 4 t y- r xre..19 t"P+ . y, A3-L'psy3:`.,,, j,; ,'rr « } '1` f ` ^1'P Yd J .1 f.. 1/' f I a Y 4k .,�.'F ,e1',Sf�Sr�. 1 y }rR (r 1 C �f� S- J I I ti �qe!'�x. ,Y d"?'f s. l .i s'• tt ,I,- ♦ F -''t ki 5 { �4' 1, .-p J J. E ,Fi * S'°r-, { - .9, ! it Z .^ j, sm" r }. aJa• �±. i,p r ei � z + n t si1,,r w1 A k t ` b.Y° .a •,. ,f t .P �,t a? J ! P ,k ,�:,. a ^;, ..f.� v� ".i SL r 4 4, \-.e, e s r;.,t 'i' t �` '" iw9 3 n- 'r. q f ww^ 4' t a ' 3 . , .S e .1;) !: G r=•.� .a, .�` >i. f a-ryy.� `?i p, ,^• ! i e.z € � ar ,z .r �1 r 5 .,. t.x f r n tF ,a �,. -r: rs-, r -s! � Si r t... t sw s �s °n� cr xr.,p�«� .5 a ai r .� 1`1 a t r. «� .. ',.:' dr '" .r,. !s,`r' n t : �'° • a 4 d {:,� ` :' Cr•- ,.,.. t'`- 1,; Xt `' � �'` x` a t. s c . a y i% <. a i s °tip x L S�A .f,S ti ;,"t.k y.G t'r,i a v` ! •:: 3 R 7 ; n ..-F a ,C. +� ,March 20, 1985 f ,e.� �` �;.t r- k_l-, z4�' 1 ,t :f e ,' w,.`, . r r 4h� - - f , a +. s {. '3 t J .; a y..� a• 3 .A. zr. k > • v` ., S '. 4,r f J O". h A•' , y..�yr,}- P'ii_i g L r;Eg a i � r 'f".a. , ,V Yr�`..3 ,a'•w P1� .n*y j- �' .i ,"1 �P 1 ..'i� z� �'€ r .€.. a ' A _,f` y _.' ; t ra' ! .-(q Pad i, I ' ,,b.." �Y '.;�y yr ,, k-, -­ '`&w f.�sr ;,V?..}g� p^5:�i r i, r ,# V , �..,".I ri'�+ . y F r .R^ ':t 7: .,t ey..�. +a Y ,-6( { #�'3� •"` . . '3,� ," ... 4 .t ;t' }s i, ' _ -ro ,�i. -, ` ` °3 '.' ;c f' t. ',. ? i ' ° 6 'F �"r,.. y SA..I f r y- j •T� 1�"a+'M a •d < `S.w a}" czar 7 .,y,`$s4.�•4 'C,,.r... .' x e �. {: s .,ic rr ' ,yf ;. _ !i. tar .ar £ ..rs , _ r fir. Robert Shield`s; Jr ,Trustee 4 � 3 * „' ;�; r 4 ., - . :r ..e:::ir 2"r' t �.;."}'^: r.,�?T;•, u t r:i. �'.'� ,- ,, x .€. e E .t ,�.' y. -r }M. Longboat Trust Y:J> r i a? ' r i r 5 ,ti z i i.. :t 8 lk`, ar' v b '.Fv� zi tn+r�r^ y#fit 4 k�.. =' ° '..s,c/o,Cape;Cod SurveyrConsultants . �°:- - '� t4 � y :t ( ., ,, a : sro * e a _ �r+V.3xr. .hit- z' '.>y, Z. a" >�. Y r ^+f "' .'t <,'�4, as .. d "Y 3261 Main StreetF, "Rte.ff6A .� M ,.ray -t-r i �,f ..£s ti t�r r�, q- "4 r . y Barnstable,MA 02630 ;r V4# v ` �'F , u r,�= � �r4t: `� '�� t t =.5 rt ';�,.i.' T 4. { "r k'�`,-�.+ #4- 'k.+ Y:: h- Sr re !�' s rs ,� 2 t, war?g"+: '5 ;. ! 3•`S, ?a s ' !" '"� .."cr .=>• F'" .`",,. z"r 3p -,+{i-_i,~y. &.xrJ.t a+tr r I.° $a: r. e.:''r?. r -, at- i•. ^i i yx"s. ^`R� s �`... -r.; )r'%• ,4. '- a"> `�' # a' a .ar. r , _ y '7 r. Y r;. T .0 �.� , s." .4' °k. fi. „c` ;+ A r h r. + ¢ T a;g r,,. '� Y,i, ,'•• c .'_� L'_ .y - ` r . , Dear r ii Shields. 4 J k, r ;.t y t �. r p+ .c.s t...J ?i,' s _ Z4 ,o};, a ,r Fier, ,yYi .", ." t-y, .,i ,, `r.a } x t4Y s b, i k '- w'. - y '°i q j r a R ty syca + P 'S/: r ti g+ a v `. T - You are igranted°a'r*variance from`th'e Board of Health ulgtion.1requ i all.commercial buildings ^_ t`}i,•Fn, �' a :«,, f"i i v ^3.. t y... d ,.,,< r .y i'.`:T., `� a . to connect to Town sewer if withfn 3000 feet of `r lines.. Tfi 'posed office and retail,' �:._ 4 ,,,,,�� ,.,.,* ,f t s � �bulldirig is located off`Route`431- Hyannis,'ae .r wn'on plan r*preps b' Cape aCod Surveyywa # - ` * ��Consultants,,Job&. 03-1414-01J •,The*foilowi and Lions ly ; r �E k;� ' � ¢� R {.ii.`„^ '',,;`+F`* 7"t -,, n v } .F+ rt sw, }y ..,, .! 1 7 = # }R• — e . ^4., .aw° �,- +- s,e x`,.;w r. .. 't.' a •xa,. 'Mi-' vr:"K. d "! '€ 'w2'" fst,as 'r. k "C «. J 'r`# T ;J7 lrs t t s L @f . ,.4 C__ aF � r <; e ; �n s' E is I P; �Construction =oP• `the on®its tsewage .di 1 syet must`A e}•supervisedE by the tdesigningt k . % g,enginee ;.,-Prior to *the tifssuance 2oP ,a.Cer` f Compliance-sand occupancy,.;permit,E the S I T a, a designing ;engineer :must ;certify ii writing , o e Board thatF his'design.-has been'Estrictly ,, , zµ t a, :, adhered to _t *:'A� ti J �- � P Au . ,` °+ ' J, stk ' „a,. ,',p ,s. r i ! .Yt ,,v ._w� +*4,,ax ; 3 .r aw, ,i'A `t ' xr axe,z s 4 . Ir.ri -� x'$ ti rz E._ r -- .. .i ' ! +h '..i, '4Sir •+ M •'°' '�"x J; '`4%,,_ , :» em s•- S ':Y g . �- a +€� vw, t , g .. $F, .i, } E"i `R } J% x 1t 3 2. The proposed septic_ syste ust be ;insta e'iri�s t accordance with,the>6ubrriitted.plan:, r•Pd]rV,! -:Y a ' , . ,.e, "" . ti- 3 ,t3 n F - , s '7, = r:. p 4 C_ .v +,-. . -_} -.= The water mains must be` i stalledlasr to p vide future e'x'tension,of water lines°'and water , ;' __., . Az �� - ^providedtiby the Barnstable ater�Compariywt djacent`�properties.ri, p ,, , ,T . ' - .;� ,44; j 7� . i .v x. '' r+',r z a.-r-a _V ,* $ .{ .-,a, +f: t .M,..r� - r4 #" ,t j,{,r ! ,+} „C,%'iii N f'w , ++, s ,, :� _ .'a tt , d: iy , ',.cfy4 u r,k. ;. ryc­ y,^ .tM v e .r� k +§, ''a]_ •� iti Seen 4 3f } -. l,P " No-:food.service establishme t 'or food rei stores wilt'Ve allowed: : g f - .,-A� �i ! c 3k i F _i. M'3 ? _- Tt�,' p4._ E 3r�.•. .a y? 'S3..t *. t i.. ^Y.'; t -^y-, y Y�, �� a,,y tR 4 ..i9 .p kag # r rkTr 't_ .,+.. t �7„y' :.a,:s �;t`w!aP'.p}• v -"",.`a t ro y°-�.s-0 awl •`'.,t.z.? �� r at, � " "L a ,dl` kr '..'d:. The building t be connected tp sewer when thetBoard determines its availability Mtn; , �L " �� ,` y,,e.a t _ ' s'� �" 'p JY sz `y a �.F rS' .+M X:-•F.,;� „7„ .,,., th ; •r rZ $'. . ,r t' ,Y,. r' t 4 ,, » P '.L Z a .yr Y, - .I r 'r.Y z- 9� :♦a wi.+' r .++eP' f7 )�. Y ,dYe ., €._td l P_: n hkt #, '�; «;F by r- {r -. , r O ti p7-«..: is ad• .P.� s_f.-F.r fi. r `# This`.variance i , ranted,because he gallons per:day of waste water.wih be=decreased."Continued ` 'I iLie use of the rnot 'would»result''in' flow rate higher than"the`new use. An°additionI the:-Department { g . `ofP Public Woiks ill not`a ' rove wer exCenslons at_tt is time ° , ­ t s Y z,r 1«,A. why, ''. +,r, 9 1, a - r .A} :: .. :t% j t r 4 ��.a.� ~'t + i , L <'� _"_-,e,,' ,t:s .a. 4"' , 4, +.sf :,z' ",";..r+l�.X'. ". w tti " 0 w;PF-"•''.g'"� ew.r)1 1 U,, ,4 I a��, p., . r '? - yr. ,t -.. r }:s_ Y,.ps,P ' •n �i ♦ v 'i� i m`': •' F. Therplans were a' A bmit tior;to the,Board'stadoptioTnoP an Interim GroundWatei�Protection `- Al- t s Regulation. r* , -,h . �- , :;, r ,� E.:x " { 'C +":j ,;s , '.. °' e . 1 �� •�` , mt .. ; c, } ! �$-,% ,>...d �,. c .S, t ,� '' " ,°t a r' L�,! 4 �..�4 t 'T''s rt.v _ A s . 4.,7 ,r1. r'r r;. x t,..i... M tµ g ♦ to -. <y r ..i, f . ..F fif� a t a !" Y - �a t e_ CF s Z ' fr_. .r,Z; : �, 'a,. a� '." x. ', �s�„'a�' i 45+d.' .s . 5 ,, ,.J ,r-,} r ... . a's :r "y a "°j tir}3r !N ,.r >>#2", This variance.expires April i, 1186 .,.:` �, :4 +�- S r .,. }.,.' .1,I`-al ..' s -4 f'�, t+rf,ri'^r * . 'r ma`s ,4 aK a-. ,k'�'+y„t.y : � it 'mow 4. ,},r �. 't ate.eI, s.,;. a... '4' „ •4 rz #,.+ i ,E F4yw k. s t . �,- c e y, ,� p s ,'. ¢ • t 7' u. Very truly your- . i°h, .,`y zS "­�, s„#1 e$J t : . ,i-: €-1, d_ y� i`4 y 'r y r a s s at.`t)» " f�ro te° "s , C c.. P s �,, r k* . f ?•vr .t,. a -, t. w 3 Ls �' : ,+ i T,c..l �" .s," ! * Y r f z<`; ^, .Y,. .� f 7 £t.� , ,.'' ." ,,<,- 4-"r'`�,,.'t r,."1 lvs t'." w R ¢Y`j 1' ��� _".'""�,� �� ,,�;r 4� . :J�Al, a,�'r 'I .: -ask$. ,tr .F,4 is t t«_9 s s`ti Z k- :t'� �'"54,t,11 g,'1':" �. pA .e Y b € " x , Y-rie.• r ti ?� p,J^. r., .-71 w ya. -z J k sq •' ! i wiS.}..a 4.,"v-,� $ i x �" y 7 .:a a �yt,".1r..r..;-a �' F ` :8 n a = w 7 €, �r ..,. 4 Ann Jan ltbaugh,ti. ' .-.,,, { s s i. y s: L €' fr ! , 7 A { _ �f •" x ,. }s 4s' c<?,' rb :a'r k�e#'4 5:L} r.s, .. ^Fg t' .n, -+ d - i:tr 1 Q,u i .._ i i *f yfl tc *. 9 ,T ^" ., Actin Chairman f r �,: r ; _�r �,. _, . .,.°?,.BOARD OF I3BALT'H `f, << Tf s'�.4 - q , 411 r. ,ram a *= w y ;T,,1, f- a''}i.f k,-� TOWN'FUF BARNSTABLE t „� a„z } - ' , ' =;t" ., `; } <a : y - to r -�' �-g .+,, ? 't Y a 'q.i., 4.f a 3'g„ " ,S4'Y E� }!E,` , d7x J car {Y. .a.•,tCst c j Y- r�r t „fA' ' Tt.� � ,, x--`4.t 4'. %}..J_MK/m_m # ., ".' . v e Y`':.W _ q" � ^ y_� 4,'A E K "'a; v. t#4 I 4f 4 sf.i'f ._,;ak t�,., ". "1 ,.f,, .a , 'r. "- ^ti. a s-ya . >b -xJ -.r ,. r } ::� � _,t , j a ,r t.i sat.•dam i -.,t x r '+. a°?: ,, S.. r .{ ie r . e. l i ,��cc: f Cape Cod Survey Consultants x M , r r ; ,t t �' , '. .# r .e^,,.. s. a" x*- . ,,,4 _: t, r. �,; ,.,.. t ':,, ! s,t ti i "+ ; , a 1 y A, Y a, >7,:i, } ''„�. �5.-.. r,b r z : Y . • Y + z i ,, � .+'Y. ,a:t f ,. q ri€` y ;r,, y 5 ,sx+z i ', '� ¢- .4'3 °- t s.- w?d,?, _ �"w' r.i ,,� ' .� 'r^ P 3.` !;;,- k 11 I . A °`i'v� v, i" 1 n ;JA . S� Y ed5� ,} , , r # aJ. .t.. 4 .S ." 4 - y - �. `S a`'�h's')> - &�,t 3T'n �' es.:r_ t`9° -zP v t, ,+ s .— ` , ¢ 'a: r, y.•la s is 't `_ ,. S; - -' ­ J,i a',l A d,°�. .r' j I� g:. 4 *.. •. k r .,;, r^.,+c-'_ 'aD `. ,. r .tom J y.:�I ^f a. 7 ) `ri i -, e..'�r - ; '4p L; ' - '° _ ,. ",,, " �� I a _ - °, a:. ,.s ifi 1 . . 1 r s t# B I J_O B N_O. 0 3- I_4_1_4 o I 1-titi- I s s s i ' I I PREFER TO: ` SUBJ'E_CT: A�K w_G/nor CIALL. BY: S_r_'FW _ IV V�V� DT T E: LOCATION: H-1> CHECKED BY: DATE: i 22. } i ' 72 v1'1.1�1�IMC4l 'I O� S �.��F J m = Al-�tl 1 ;L - - 3 C> a SHEET � OF /7 SHEETS tJ-C a- III � i � I - � � � � -j--sH CALO. B�Y- , � REFER TO: I r ID1ATE: !2�?%S LOCATION: 1-1 T� CHECKED BY: DATE: Mr: +v to ,.s� - N ` ` ?Imp I IJ fi *7 rill I t I I 11 1 IA- -01 3� x Ito 3p� e 4,3 fi s/76 + I CIA C.I f. SHEET N OF SHEETS 1 C J_OrB PNOtC3 �i IA s i SUBJECT:, CLC. BY: S ,,v REFER TO: DATE: LOC,4T1'O'N: . y//_N-N_[5 CHECKED BY: DATE: . _� bra__ ,N o2:Z ter ' I IT 1 11 1 1 1 1 1 1 1 C 60 Ls � c 7t ZTo- LL— J. t , � 1 i CALK. SHEET T OF 7 SHEETS -,- Bsc-- JOB N_O �A_ o Ih SU�BJEECT: �,I&INS sr III CGG LC. BY: S A_ REFER TO: I DATE: a/,�/�. LO'CAT1011: /y1 a/45 CHECKED BY: - DATE: ( 12 rriiZ2G e � 1 E.. _. p E. .2 x i 5 2Sj ZI _ r i 7�T�L �'2. _ cQ3�_/_Tf l mow(_ t <1 S_2q �2- .,.• p - a3I1 a31I7 i f CALC. S'HEE T F SHEETS TMI SUBJIE_CT �D�2 �.N. G.� ClAC. BY: REFER TO: D A T�E, LOCATIiON:_H�A,J,,��5 CHECKED BY: DATE: i IB P IT s 9 ra, -IW. ; �Too (ir o I.5 �i i 2 S' 3 x 42 i /�.2_ ` xT . _ 8o 330 fqt 1 0-0 — g II Z 3 T lit t ; ; I- CIA LC.E - SHEEI OF SHEETS 'lot 1 i silqt 3J0 . / /�4�0/ I _ fii � SUBJECT:.� 2,9,,,,,, G CA L�C. BY: �'f_ ( REFER TO: i D�A T E; _, LOCATION: / �// CHECKED B I DATE: Tf I T- U-5) L I t +- tC"i r i ' s 001 CA C. — 1 SHEET = OF _7j SHEETS FTHf o BABHSTABLE, i 9 MASS. 00 i639. a MAY k- +�aovncd� a6daohu9e 02601, COMMISSIONERS: (617) 775-l 120 Ext. 123 KEVIN O'NEIL, CHAIRMAN JOSEPH J. CAMPO. P. E. JOHN J. ROSARIO, VICE CHAIRMAN SUPERINTENDENT THOMAS J. MULLEN PHILIP C. .McCARTIN H. TERR"CE SLACK February 19, 1985 John M Kelly, Dir of Public Health Town of Barnstable Hyannis, Mass 02601 Re: Assessor's Map 297, Lots 26 and 27 Dear Mr Kelly: Please be advised that the DPW Commission has voted to deny sewer connections for areas north of 132 until the sewer master plan has been updated. Although. said lots are south of Route 132 there is presently no feasible sewer system into which a connection can be made; conse- quently, said lots are not feasible to be'sewered under the existing sewer system. Sincerely, OSEPH//J�AMPO, P.E. Superint�dAt JJC/bw D N=DeptTawn oolym F E 9 1 9 1985 BSCCALCULATION SUMMARY JOB NO. 14 14, 0 l REVISIONS PAGE / OF CLIENT / PROJECT Sh«lc2s m'lcA,no�cw6er�'� Cprlc /Q ca old, it/z 2. SUBJECT / TITLE /Ja�.�j� �oT ?�icaincz OBJECTIVE OF CALCULATION ��s<ylJ �GI'/�/I7q •�lJ� q�ia�rea9G. CALCULATION METHOD / ASSUMPTIONS � rQv�lo�� s-/ic /crecdr �i�s - Tu�r! o��✓•r✓rrrs��/c �1�or� SOURCES OF DATA / EQUATIONS CONCLUSIONS CALC. BY �$/ DATEa���85 CHECKED BY DATE r- o TEST PIT LOG TEST PIT. NO. 4- Project No.&3-1414 DateA Al 84 Vegetation Grade Elevation Location H14AA LS Weather C..Lo y►7 Geomorphic Feature Client;,--SH.Ib-LS JM46lyrr Z"G BSn _S;A j (Z L.anAl Inspector G, F0 a-R,Q C m c C 10 c c c H C Cd h o vi w E o c, eo x ° E ° m 2 m co Co w w w C7 C7 w a F- ] U C7 U TD Aso 4- 3 4 5 8 _ G 2/4-✓CZ, - 7 — 7a /4"D1, a — _ 10 — - .11 — - Legend Percolation Teat Time Percentages: Remarks: Start Presoak Ground Water And-35-50% Wlth-,25-35% End Presoak V Seasonal Max. Some-15-25% Time at 12" or ( ) Observed Elevation Little-5-1596 Time at 9" or Excavation E Trace-0-5% (fort Time at 6" or ( ) E-Easy Pere. Test: Elapsed Time 9"-6" M-Moderate D-Difficult Elev. of Test Bedrock:. or ', :{ W Milli_, iMINERRate Min/in C D TEST TEST PIT NO. So PIT LOG ' Project No.Ob-1414 Date 4 vegetation Grade Elevation Location 140*110IS Weather _ C—LOOX4 Geomorphic Feature Client Skim-L= M161'1tT. Z�G BSc .5, A Inspector � m c c c fC 3 O O H m p r 07 C e0 O y y O. v� m E U O O a p y eo x f 0 E 0 m 2 ai to cn LU LU ( f- C7 w a D U (ry V 1 — . - G•z a y�< 7 L 2 ova S u45 4. 4 G A¢ q-vEL 8 7 ��O�Vrr7 .sAnlD tv�Sn��t[. coB,t3,t.�s a — n7 o 10 12 Legend Percolation Test Time Percentages: Remarks: Start Presoak Ground Water And-35-50% With-25-35% End Presoak V Seasonal Max. Some-15-25% Time at 12" or ( ) Observed Elevation Little-5-15% Time at 9" or ( ) Excavation Effort Trace-0-5% Time at 6" or ( ) E-Easy Perc. Test:. Elapsed Time V-6" M-Moderate Elev. of Test or D-Difficult Bedrock: Rate Min/in 1 Q TEST PIT LOG TEST PIT NO. 3 o Project No.03-1414 Date 21114124 Vegetation Grade Elevation Location NVhNNrS Weather C-.-004)y Geomorphic Feature Client 51-IILfLnS MC.Mr =P- BSC S% W1ISOel Inspector S{, CnifiDrd c C f 3 0 o ti o E o 0 0 > eo x � � E � yd c d rn w w C7 ►= C7 w a ►- - U C7 Cj Svasot L 2 Z 3 E � ICYC013t6Lt s up -rep i411 4 6 — _ g — M _ ►JdtE: sroPPp DrGGrNG _ o'3trc�°rvat OF GRUSHtt� SroNC �►.Scoc,anrt•ti IRL'b oN Orv>r 7 SIPE O>: PIT — QR01af9r,aVY 7M-Y ev—/sir 61I/0 G<J�IT7rR, 10 — — 12 Legend Percolation Teat Time Percentages: Remarks: Start Presoak Ground Water . And-35-50% End Presoak With-25-35% V Seasonal Max. Some-15-25% Time at 12" or ( ) Observed Elevation Little-5-15% Time at 9" or ( ) Excavation Effort Trace-0-5% Time at 6" or ( ) E-Easy Perc. Test: Elapsed Time 9"-6" M-Moderate o Elev. f Test or D Rate -Difficult Bedrock: e = Min/in - � BSCCape Cod Survey Consultants 3261 Main Street/Route 6A Barnstable Village, Massachusetts 02630 (617) 362-8133 Water Quality Information Longboat Trust Rt. 132, Hyannis Job No. 03-1414 Prepared by B&C/Cape Cod Survey Consultants The BSC Group of Companies Planning Surveying Design Engineering HYDROGEOLOGY The site lies in a district mapped as a Zone of Contribution by the CCPEDC 208 . It is, however, presently developed and served by on-site septic system. To determine the difference in groundwater impact between the existing and proposed uses , nitrate loading calculations were performed for the existing motel and the proposed office/retail building using standard formulas from the CCPEDC 208 1979 update report . The two small existing retail buildings were not con- sidered. he existing motel can be shown to have a nitrate loading of up to —5 7 .2 ppm, The proposed use will have a loadinq of �_ 15.6 prsn; a. reduction in loading of just over 70%(calculations attached) . Percolation tests have been performed at the site in anticipation of on-site septic system design. The soils are suitable for this purpose ( test logs attached) . It has been assumed that on-site septic systems will be used at the site because the Town DPW has refused others the right to construct a gravity sewer to service the site and has enforced a policy of refusing tie-ins to force mains. Groundwater flow access to the site based on CCPEDC mapping appears to be southeasterly . The Town ' s hydrogeologic study presently being performed by S.E .A. projects that when the well fields in the Mary Dunn Road area are fully developed and pumping at design capacity the flow may turn toward the north-northeast . The site will be serviced by public water. Cape Cod Survey Consultants 3261 Main Street Route 6A Barnstable Village, Massachusetts 02630 The BSC Group of Companies Planning • Surveying • Design • Engineering A .____ 1 � � ���/ .._ �.V ALL*!_� I��}r. `�esL !.��i.�. � ���'.+�Sj• '"' h�,,?t `_�.""'f j`1�� s.e`�C:+� ���1µ/f..�. 0 7 � / r e CA C;trl o),o v 1 �' � '"iOT, S, <o � I /71.e_ • _ a> • 1 1 S C Cape Cod Survey Consultants 3261 Main Street/Route 6A Barnstable Village, Massachusetts 02630 (617)362-8133 Water Quality Information Longboat Trust Rt. 132, Hyannis Job No. 03-1414 Prepared by BS:C/Cape Cod Survey Consultants The BSC Group of Companies Planning Surveying Design Enoinaering d HYDROGEOLOGY The site lies in a district mapped as a Zone of Contribution by the CCPEDC 208 . It is , however, presently developed and served by on-site septic system. To determine the difference in groundwater impact . between the existing and proposed uses , nitrate loading calculations were performed for the existing motel and the proposed office/retail building using standard formulas from the CCPEDC 208 1979 update report . The two small existing retail buildings were not con- sidered. he existing motel can be shown to have a nitrate loading of up to -5 7 .2 p pm, The proposed use will have a loading of � 15.6 pTlm; a reduction in loading of just over 70%(calculations attached) . Percolation tests have been performed at the site in anticipation of on-site septic system design. The soils are suitable for this purpose ( test logs attached) . It has been assumed that on-site septic systems will be used at the site because the Town DPW has refused others the right to construct a gravity sewer to service the site and has enforced a policy of refusing tie-ins to force mains. Groundwater flow access to the site based on CCPEDC mapping appears to be southeasterly . The Town ' s hydrogeologic study presently being performed by S.E .A. projects that when the well fields in the Mary Dunn" Road area are fully developed and pumping at design capacity the flow may turn toward the north-northeast. The site will be serviced by public water. I Cape Cod Survey Consultants, 3261 Main Street/Route 6A Barnstable Village, Massachusetts 02630 The BSC Group of Companies Planning Surveying • Design • Engineering. P'`. Y; 777 4 4 7!� trio ,� ° v 4M,B , i POP ^ L i� • a.tN.� f l _ .. _. iIL V oL.i 4vio^4:/ �a0i► dl fll- p f _7 . -- �� 14 .r NY f006c� y ' ,L PI 12 � 0 rl fit' l si lJ i ,3— / f f -- L a_A Z lu%5 C Cape Cod Survey Consultants 3261 Main Street/Route 6A Barnstable Village, Massachusetts 02630 (617)362-8133 February 19 , 1985 Board of Health Town Hall Hyannis, MA 02601 RE: Variance from Sewer Tie-In Requirement Assessors Mag 297 , Lots 26 and 27 (Our File No. 03-1414-01 ) Dear Members of the Board : On behalf of our client, Robert Shields, Jr. , Trustee , Longboat Trust , we are hereby requesting a variance from your requirement to tie in to the municipal sewer. Attached is a copy of a letter form the Town' s DPW Superintendent Mr. Joseph Campo stating that it is not feasible for this project to tie in to the sewer. A copy of this letter is already in your files as are the site/septic design plans for the project. On the site presently are the Hyannis Star Hotel and two small/retail office buildings. We believe that the proposed use will have a nitrogen loading of approximately one-third ( 1/3 ) of the existing use. We would appreciate it if you could notify us of the date and time this variance will be heard. If you have any questions or require any additional information, please don' t hesitate to contact our office. Very truly yours, BSC/CAPE COD SURVEY�C NSULTANTS D Heatth Dept. Tour.of Bamstahle O Arlene Wilson Project Manager cc: Robert Shields, Jr. , Trustee Longboat Trust rrEB' 1 9 1985 v0 V Wd 6 T 83J S8, 'SSGW '319t1MOR The BSC Group of Companies Planning Surveying Design MTAB ring PROF THE 7.0�y &/_ • JG�/1�JZ��C� i Y� i BARNSTABLE, i �i� v/ � � u GZt�i 9'�,4A y MAD& 1639' 'f0 MAY a� �C unnct� ✓ aaJao/:uJe 6 02601 COMMISSIONERS: (617) 725-1120 Ext. 123 KEVIN O'NEIL, CHAIRMAN JOSEPH J. CAMPO, P. E. JOHN J. ROSARIO, VICE CHAIRMAN SUPERINTENDENT THOMAS J. MULLEN MIMEMIMM PHILIP C. McCARTIN s. FENCE SLACK, February 1.9, 1986 John M Kelly, Dir of Public Health Town of Barnstable Hyannis; Mass 02601 Re: Assessor's Map 297, Lots 26 and 27 Dear Mr Kelly: Please be advised that the DPW Commission has voted to deny sewer connections for areas north of 132 until the sewer master plan has been updated. Although said lots are south of Route 132 there is presently no feasible sewer system into which a connection can be made; conse- quently, said lots are not feasible to be sewered under the existing sewer system. Sincerely, JOSEPH,.1'CAMPO, P.E. superintendent i �— JJC/bw j.i F E B 1 a 1985 r �}* r i t � '•,j ' .* T S;; f p'.rt Y� � {., '., a� Jlt , ti` r St 1r ' 47, Juna 18, 1986 Mr. Robert if.'$hfeldQ, Sr - L s':• � A;+ Shield Management Corporationr ' 2q:Afiport Road .: H'yant}is,'&i . (i2601 �ti �� 4 h•.`�eei"b1�, �hiet`�s: ` - y,, ,' �, `- J �" <"'"w t amour c��rlance �h�t a pi ed 1��ril 1,4986�-Ib.dXtended to.eipire NoVembei 1, r kt6s� extensio{i kq 'contingent upon meeting th "conditions 'outlined in;our A Copy of the fetter of.cori�'itlon is enclosed ve truL 98bert 4 mai► f R .6'i4-RD'QF H9 TH T01'OTtARNSTABI.E ' .k x A.f ��� �f-� .-Yr. i. �•, 1 Y I. t � r i r "B `. .` i ♦fir 'f r 74 ��t �+,iy, i -x., � .�. i� g� i` �t'� - 1 '; i r No. 7 DATE T E TOWN OF BARNSTABLE FEE S �pf M TOI► OFFICE OF sAEasTssL i M�.. BOARD OF HEALTH Epp s63q. `� 367 MAIN STREET - �•0 YAY k' HYANNIS, MASS. 02601 VARIANCE REQUEST FORM All variance requests must be submitted five (5) days prior to the scheduled Board of Health meeting. NAME OF APPLICANT Cape Cod Survey Consultants on behalf of TEL. NO. Robert Shields, Jr. ADDRESS OF APPLICANT 3261 Main Street - Rte. 6A - Barnstable, Ma. NAME OF OWNER OF PROPERTY Robert Shields, Jr. _.. _.._ SUBDIVIS.ION._NAME ."'-` - DATE APPROVED" '> LOCATION,-OF.;REQUEST .:. _. VARIANCE FROM REGULATION- (List regulation).=, . VARIANCE REQUESTED:"`(Specific--request-)---:=_'-:' REASON FOR.-VARIANCE_XMay. attach,-letter_.if. more space =needed.;) PLANS :- Two copies_-o.f. plan must- be- submitted- cl-early'outlining variance_requeste&_- _= - VARIANCE APPROVED NOT APPROVED REASON FOR DISAPPROVAL Robert L. Childs, Chairman " Ann Jane Eshbaugh Grover C.M-.. Farrish,- M.- D. BOARD OF HEALTH TOWN OF BARNSTABLE G' APPLICATION FOR PERCOLATION TEST AND OBSERVATION PITS OCAT I ON Ve X ,� N0._p-- 358 5. , ILLAGE DATE $y PPLICANT Si`f/fLOS.. .rl �7T caR/� %, 'FEE �1 DDRESS 10/7 o?r /32 TELEPHONE NO.7.71- 2917A(Non-refundable NGINEER_G�PE C0,0 .Su,zUscy' GD�L�fJLT.HNTS _TELEPHONE NO. 77�-7/� ATE SCHEDULED 9. y (Applicant' s signature) . . . O O O O O O . O . O O . O O . . O O . . . O . O . O O O . . . . . . . . . . O . . . . . . . . . O . . . . . . • . . O . O . • . O O . O . . . . SOIL LOG 9B-DIVISION NAME DATE_/�} S��j /�j�i¢ TIME /0 �q�J KPANSION AREA: YES NO S, A . W ENGINEER ? r)WN WATER.X­PRIVATE WELL Q. � ;:f�32,d BOARD OF HEALTH T)wl G Z c vz l e,PCM c...1+ EXCAVATOR KETCH: (Street name,etc. ,dimensions of lot, exact location of test holes and percolation tests, locate wetlands in proximity to test holes) NOTES: a3,v .J sm' 2 70' W AO 0 -tPs W o � Q ? n y z a _ b N � 4 N M ly ►;RCOLATION RATE: 7-P '02 F,ST HOLE NO: ELEVATION: TEST HOLE NO: Z ELEVATION: 2 2 SEA ATTr�CMt 3eoi� 3 S s►-t E-rs Fo r2 5 .��.�.. 5 s►Qsw� S 6 6 7 _WrLI 7 g GpRDED 8 9 W�►� 9 10 10 " 11 11 BoT a r ell- CNO W,9 raw 12 12 13 ecsr. OF 13 -- 14 pro 14 15 -- 15 16 16 UITABLE FOR SUB-SURFACE SEWAGE: LEACHING FIELD LEACHING PITS LEACHING TRENCHES fISUITABLE FOR SUB-SURFACE SEWAGE. REASONS: `)TE: 'ENGINEE'RING PLANS MUST SHOW NUMBER ASSIGNED ON PERC TEST APPLICATION QIGINAL: COMPLETED IN ENTIRETY BY P. E. AND RETURNED TO BOARD OF HEALTH ,)PY: RETAINED BY APPLICANT .FERN, ANDERSON, DONAHUE, JONES & SABATT, P- A_ ATTORNEYS AT LAW DANIEL J. FERN P. O. BOX SIB RICHARD C.ANDERSON 435 MAIN STREET ROBERT J. DONAHUE HYANNIS, MASSACHUSETTS 02501 STEPHEN C. JONES March 18, 1985 AREA CODE 617 775-5625 CHARLES M. SABATT DHealth Dept Town of Barnstable �N I LE C CE OTC. i 'MAR' 1 Board of Health Town of Barnstable Town Hall Hyannis, Massachusetts 02601 Re: Robert M. Shields, Sr. et al, Trustees of Long Boat Trust Dear Sirs: Please be advised that I represent Robert M. Shields, Sr. et al, Trustees of Long Boat Trust. I am advised that a request for approval for an individual sewage disposal system has been submit- ted which complies in all respects with the state and local regu- lations, but that the Board has raised a question as to whether the new regulation entitled "Interim Regulation for the Protection of the Ground Water Quality within Zones of Contribution to Public Supply Wells" applies to this project. It is submitted that the regulation is not applicable because Long Boat submitted a plan under Section 81 P of. Chapter 41 prior _. to the adoption of the new regulation. Under Massachusetts Gen- eral Laws, Chapter 111 , Section 128A, whenever a plan has been submitted under Chapter 41 , the land shown on such plan shall be governed by the provision of local board of health regulations which are "in effect at the time of first submission of sia plan." Moreover, such provisions shall apply "for a period of three years from the date of the endorsement " ; Since my clients are governed by the regulations in effect prior to the adoption of the above regulation and since Town Sew- age is not available, it is submitted that the Board should approve their plans. Very my yours, Step e C. Jon SCJ/nef tt- TOWN,.0 nPARI dSTABLE LOCATION &-t aG O ® • SEWAGE # VILLAGE 1"t **Afjdj ASSESSOR'S MAP & LOTAq °� z INSTALLER'S NAME & PHONE NO.fIZWQW XtYAOCS Zot &Z"ll SEPTIC TANK CAPACITY 3 - S e ,0,1%c LEACHING FACILITY:(type) prce t (size) 601 NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER z Gl�� e ' DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No .�. � ��� �� �pG �� . �l�' � �� ��� �' �g g 3,3"�a��� ��wt�i 0�j-icC 717 /�f �wiTs GGLGs S 1 p THE COMMONWEALTH OF CHUSETTS 1" EALTH BOARD OF _ .....O F................................................................: .L..In,7 I /.tw. .Qrs a6/ Q ...... cbl. V Appliratiun for Disposal ,arks Tonstr i r tt�f Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal System at: 8 ...............................................r .214M 19$5..................... Location_Address or Lot Nw n -.... R r E....l. �...:..sY.!f/V..ouG../--..Rom.............. Owner Address a -•••--•....................................................................•----•-•-•---•------•-- ............ .............................. Installer Address Type of Building Size Lot----- s�3/..� .Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder (A16 A4 Other—(T�ythpe of Building _S7�s���!Z�A.i1 No. of persons............................ Showers ( ) — Cafeteria ( ) der fixtures ..O0icc..._!?1000..A ._.x75 ............................... Design Flow.-_--/4p8:Q•x S6�'o �7g P P P Y Y WF_ allons per person per day. Total daily flow-.___.._l7_�..................gallons. WSeptic Tank—Llquid capacity 5rS_ ?.gallons Length Width_2_-4_.__. Diameter................ Depth 7_-..Z._.... x Disposal Trench—No_____________________ Width.................... Total Length..................... Total leaching area...................sq. ft. 3 Seepage Pit No....... Diameter..../}./....... Depth below inlet..-V'.cla_l...... Total leaching area../49.9.._.sq. ft. Z Other Distribution box (--c) Dosing tank ( ) aPercolation Test Results Performed by.Cap_e._:_Cack....69_cS v� .__ c1xt�_sz.1. 4►�fs... Date._,�c�rt...l�.�.1.4$�_... ,.a Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........._ r= Test Pit No. 2...... ,.......minutes per inch Depth of Test Pit_..._.A0. Depth to ground water... .fN of al -- - --------------------••-----•-------..... ...__..............-•--•--•---...---•----••----•-----------------...----•••--_.... ............. O Description of Soil......A'jfre_----.:6---. ..-........................................................... . .... EHEN s ALLYN ................. ............------ ...------------------ ___ ........__.------___ _---------------------------- ................--. -•--•----•---_-_...... ..---- .. §di `fNfL$bN � ............................•-•-----••-•----._._....--••-•---•-•-•-•------•-.._.....----..-.__-_.._.._._.._._.-..--•-•---._........__..._--------.._......._....._._........ _A•;¢•tiv:80216 y U Nature of Repairs or Alterations—Answer when applicable...................................................................... ----------------------------••----...........-...------------•--........_::_-..--------..._.._......------....._....------------•----.._._.....-•----....•--•......-•-•---_._... Agreed ent: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System i or c i tiC,,vlG the provisions of TITI.I 5 of the State Sanitary Code— The undersigned further agrees not to place a system inW lq pS- operation until a Certificate of Compliance has been ' ued by th r of health. i"� Sube.vVi1C— ed"drfe. a /►�J C.triot/ /k wk I rI Y h", Signed :. ... ...................••--•---•. ... ...................... ram 3 bCC- Cory i L& ir4 EE (/�.f ic4.et �Rew Date Application Approv y__ J Date Application Disapproved for the following reasons:................................................................................................................ ....................................................••---•--•....._...---••..._.._--------.............---•------•-----...•-••--....--•-----•-----•--•--•------...._......-----........._..._........._ Date Permit NON py---- ................._.._ Issued--------------�`k/�-^---.. .....! Date a � , No... ":...�'e 3 Fps... THE COMMONWEALTH OF MASSACHUSETTS BARD OF " HEALTH _70-40.01..................OF.....ea r���-Aa._6--/�....-.. _ ........................ Applirafinn for Uispnsal ,,, rks Tonstrurtion Errant Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal System at: �oT a6 Location-Address or Lot No. ......3'!rra/1..�Jl�A.Nrt s��!',flY .. 0r,& ..------•----•---•- .._._.....IQT L, �.e �eT'1!!f/IlllV ...IQ! ......... Owner l► " Address W .------------------ --------•- /.HIV.Ise'.............................. Installer Address UType of Building Size Lot---7(ot_`- t e....Sq. feet �.,. Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder (A6 pa-I Other—Type of Building _Q {te��F2rbgsJ No. of persons____________________________ Showers ( ) — Cafeteria ( ) d 1�Other fixtures���f�7Oa4��oO+A-5 ---ic_7.as6810//Am.�F._._._: .._! _2�--l�iP�''---••-------------------------- Design Flow.... S!_x.s...P-p gallons per person per day. Total daily flow..._._._1J._�7Q_...................gallons. W Septic Tank=LigtfYd cap ac s O�Q_gallons Lengthl7°'0_"_ Width.?�_4~._ Diameter________________ Depth_7�4&._. x Disposal Trench—No ____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No......,.1---________ Diameter....14...__.___. Depth below inlet_41.67°....... Total leaching area__/.--9'a_9....sq. ft. z Other Distribution box (-A Dosing tank ( ) aPercolation Test Results Pe ormed by.,Capt---Cad...Syrvc.4.Cons.o_I:kni-9__ Test Pit No. 1________________minutes per inch Depth of Test Pit.................... Depth to ground water_______________ a, �-4 T Qr f=. Test Pit No. 2_____�....4tnfinutes per inch Depth of Test Pit...../ __...... Depth to ground water_________ �FMq -------------------•-•••••••••--...... ----------..._.....-------•---..........-------•-----•--...--------------••-----..__._.... S' Description of Soil.__.__�rr...�e6.___aTE(?HEN x -- •-..TIC_E�,..................................................-............... :..... �G = ALLYN ------- , •1LS W ........................=............-............................................................................................................................................ Wo:'302 E b y U Nature of Repairs or Alterations—Answer when applicable__________________________________________________+_,:_. ......,......... ,'0 -�`�lS7E�``� ------------------------•-------------------------------•------•----•_..._._..-•-•- - Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in acc �w�G the provisions of Ti T i E 51 of the State Sanitary Code— The undersigned further agrees not to place the stem in,z operation until a Certificate of Compliance has been • tied by t r of health. rAit—✓ ' //!J i� ' cc Signed.....---- --•--- '-=-�-•--••-•-R•-ld---••••--- riR f1«Ea l�cys rEtf iri, Date Application Approved fiy . t✓� ''� �G+ . ,�./(�/Zy'�i t v Date Application Disapproved for the following reasons: --...•.-- -----•------------ = _ ....-•-•--•--•.............•-•---•----------•------••---------------------...----•---------•-----•-------.•-.----•----------------------=-------------------------------------------------------...__..__ Permit No _--- - Issued D �, Date, =- d. r .. A� " ate THE COMMONWEALTH'Of MASSACHUSETTS t ` BOARD OF HEALTHY _ :.N...........OF.......... .� . ........... _- . : . THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( u46rRepaired ( ) by.......................................................................................................................................................................:............................ _ f Installer ... . : ---�- -------'/----------- —�........................................ has been installed in accordance with the provisions of j of The State Sanitary Code as described in the application for Disposal Works Construction Permit No----------__.=______. -.?______.____ dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL UNCTION SATISFACTORY. DATE............._j, _ ._. Inspector....- P ' ~` ,. THE COMMONWEALTH .OF MASSACHUSETTS _,<.1n%c►d S ...�.--- BOA F HEALTH T ...............OF... ....... ...... _ Nab FEE... ......-- ........--- 'isposal works Tomitrudion Vanfit Permission is hereby granted.... / t = . r.................................. to Construct ( ) or Repair an ndividua Sewa e, Disposal System _. �. Stre as shown on the application for Dis osal Works Construction Permit Ni r _ D ted....... - - pp p =-ice'`+''= ` :.:::.. e�- ——' Board of Health ^- DATE.,_7*1.. �. FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS --- -- •-��- - 7 3261�Main Street Route 6A Barnstable Village MA 02630 E3� July 15, 1986 Barnstable Board of Health s Town .Hall- 367 Main Street Hyannis, MA 026016�17 362 8133 Re: Septic System- Construction Newmarket Project Route 132 and Pineneedle Lane Hyannis, MA Members Of The Board: This letter is. to inform you that the above referenced project has been completed. The original plans submitted were modified during construction to adjust to a change in the invert elevation of the soil pipe at the foundation. Instead of 3 - 6 foot pits with 4' feet of stone; 4 - 4' foot pits with 4 feet of stone were installed. The bottom of the leaching pits have remained constant at elevation 42.10. A copy of the revised plans are attached to this letter. If you have any questions or comments, please do not hesitate to contact me. Very truly yours, BSC/CAPE COD SURVEY CONSULTANTS Engineers Surveyors Stephen A. Wilson, P.E. Scientists cc: J. Burke _ Architects R. Shields, Sr. Landscape 2saw31/mbg Architects Planners • Cape Cod Survey Consultants ofTNE; TOWN OF BARNSTABLE OFFICE OF = Is 3T BOARD OF HEALTH r�sR y� i639• �� 367 MAIN STREET �0 YAY M' HYANNIS, MASS. 02601 March 20, 1985 Mr. Robert Shields, Jr.,Trustee Longboat Trust c/o Cape Cod Survey Consultants 3261 Main Street - Rte. 6A Barnstable, MA. 02630 Dear Mr. Shields: You are granted a variance from the Board of Health regulation requiring all commercial buildings to connect to Town sewer if within 3000 feet of Town sewer lines. The proposed office and retail building is located off Route 132, Hyannis, as shown on site plan prepared by Cape Cod Survey Consultants, Job No. 03-1414-01. The following conditions apply: 1. Construction of the onsite sewage disposal system must be supervised by the designing engineer. Prior to the issuance of a Certificate of Compliance and occupancy permit, the designing engineer must certify in writing to the Board that his design has been strictly adhered to. 2. The proposed septic system must be installed in strict accordance with the submitted plan. The water mains must be installed as to provide future extension of water lines and water provided by the Barnstable Water Company to adjacent properties. 3. No food service establishments or food retail stores will be allowed. 4. The building must be connected to Town sewer when the Board determines its availability. This variance is granted because the gallons per day of waste water will be decreased. Continued use of the motel would result in a flow rate higher than the new use. In addition, the Department of Public Works will not approve sewer extensions at this time., The plans were also submitted prior to the Board's adoption of an Interim Ground Water Protection Regulation. This variance expires April 1, 1986. Very truly yoursIOLA�- R F(I F Vf-: D Ann.Jane Eshbaugh Acting Chairman r BOARD OF HEALTH MAR 23 1J. J TOWN OF BARNSTABLE JMK/mm cc: Cape Cod Survey Consultants No— • Pate =a�-S'� e . Fee �S a i fTNET TOWN OF BARNSTABLE �. p�. OFFICE OF = "$='TL BOARD OF'HEALTH 11 -7 a r�aa ' 367 MAIN STREET HYANNIS, MASS. 02601 ,•' VARIANCE REQUEST FORM All variance requests must be submitted fifteen (15) days prior to the scheduled Board of Health Meeting. NAME OF APPLICANT MR ROBERT M. SHIELDS SR TEL. NO. 771-7200 ADDRESS OF APPLICANT SHIELDS MANAGEMENT CORP 129- Airport Road Hyannis, MA 02601 NAME OF OWNER OF PROPERTY Longboat Trust SUBDIVISION NAME DATE APPROVED i ASSESSORS MAP AND PARCEL NUMBER 297 Lots 26 and 27 F LOCATION OF REQUEST Route 132 & Pineneedle Lane, Hyannis, MA J VARIANCE FROM REGULATION (List Regulation) Variance issued on March 20, 1985. Regualtion requiring all commercial buildings to connect to Town Sewer if within 3,000 feet. REASON FOR VARIANCE (May attach letter if more space is needed) Building permit issued based on previous variance/project status! Commenced on Sept. 1 , 1985 Expected completion Sept 1 1986 Currently "weather tight shell " with rough mechanical & electrial . (Attached materials) PLAN - TWO COPIES OF PLAN MUST BE SUBMITTED CLEARLY OUTLINING VARIANCE REQUEST. * On File/No Changes " VARIANCE APPROVED NOT APPROVED REASON FOR DISAPROVAL ii Robert L. Childs, Chairman Ann Jane Eshbaugh Grover C.M. Farrish, M.D. BOARD OF HEALTH TOWN OF BARNSTABLE March 18, 1985 Board of Health Town of Barnstable.'= Town Hall Hyannis; Massachusetts 02601 Re: Robert M. Shields, Sr. et al, Trustees of Long Boat Trust Dear Sirs: . Please be advised that I represent Robert M. Shields, Sr. et al, Trustees of Long Boat Trust. I am advised that a request for approval for an individual sewage disposal system has been submit- ted which complies in all respects with the state and local regu- lations, but that .the=Board has raised a question as to whether the new regulation ,entitled, "Interim Regulation for the Protection. of the Ground Water:.Quality within Zones of Contribution to Public Supply..Wells"-..applies;to.-this project. It as submitted ahat..the regulation. is not applicable because Long Boat submitted``'"plan under Section 81 7 of -Chapter 41 prior to .the adoption'-of:-the. new regulation. Under Massachusetts Gen- eral' .Laws, Chapter.,A 11., Section 128A, whenever a plan has been submitted under .Chapter 41 ; the land shown on such plan shall be governed by the provision of local board of health regulations which are "in effect '.st the time of first submission of sia plan." . Moreover, such provisions shall apply "for a period of three years from the date of the endorsement . . . " Since my clients are governed by the regulations in effect prior to the adoption of the above regulation and since Town Sew- age is not : available; :,it is submitted that the Board should approve their plans. Very truly yours, Stephen C. Jones SCJ/nef Cape Cod Survey Consultants 3261 Main StreeuRoute 6A Barnstable Village, Massachusetts 02630 (617)362-8133 February 19 , 1985 Board of Health Town Hall Hyannis , MA 02601 RE: Variance from Sewer Tie-In Requirement Assessors Mag 297 , Lots 26 and 27 (Our File No. 03-1414-01 ) Dear Members of the Board: On behalf of our client, Robert Shields , Jr. , Trustee , Longboat Trust , we are hereby requesting a variance from your requirement to tie in to the municipal sewer.. Attached is a copy of a letter form the Town' s DPW Superintendent Mr. Joseph Campo stating that it is not feasible for this project to tie in to the sewer. A copy of this letter is already in your files as are the site/septic design plans for the project. On the site presently are the Hyannis Star Hotel and two small/retail office buildings. We believe that the peoposed use will have a nitrogen loading of approximately one-third ( 1/3 ) of the existing use . We would appreciate it if you could notify us of the date and time this variance will be heard. If you have any questions or require any additional information, 'please don' t hesitate to contact our office. Very truly yours , BSSCC/CAPE COD SURVEY CONSULTANTS Arlene M. Wilson Project Manager cc: Robert Shields , Jr. , Trustee Longboat Trust 1`: z -T- :7 U i DO V Nd 61 831 S F E B 1 9 1985 TI;'? jj��` l.tli)Ilt�tit l,Jll!";1111c`$ Mall:l' .'i Ur:'t".' '.. h:".,(liY�d] f i'• �Fl���}`r��?{; IIIIiII�- � .....I ,, � ►iII�gIIi�II�I. SHIELDS MANAGEMENT IIIIIIIIIII' '/ 111 ���II � 1111111 1111� 1III1111IIIII[GROUP 129 AIRPORT ROAD, HYANNIS. MA 02601 617-771-7200 III May 22, 1986 John M. Kelly Director of Public Health Board of Health, Barnstable 367 Main Street I Hyannis, MA 02601 I Dear Mr. Kelly: This is a formal request for the granting of an extension of the variance issued by your department on March 20, 1985 to Longboat rTrust.' At that time permission to vary from the Board of Health Regulation requiring all commercial buildings to connect to Town Sewer if within 3000 feet of Town sewer lines was given based on plans and format submitted by Cape Cod Survey Consultants, Job No. 03-1414-01. The variance expired on April 1 , 1986. Inclement weather factors over a120 day period created delays in our construction program, consequently resulting in a postponement of the construction of the onsite sewage disposal system. We therefore request an extension to July 30, 1986 of the allowance to install the previously reviewed system in accordance with .the submitted specifications. We appreciate your consideration of our existing situation and are grateful for any efforts you can make to assist us. Sincerely, Robe Shields, Sr.� ,�1C/Bilk GEMEr HYANNIS, MA 02601 617-711-7200 111111� III1111IIIIII'GROUP 129 AIRPORT ROAD, % 4 j May 22, 1986 John M. Kelly Director of Public Health Board of Health, Barnstable 367 Main Street E Hyannis, MA i x Dear Mr. Kelly: s is a formal request for the granting hf 2an 198en i on5 to o of the variance our department on M variance issued by y March the Board of Health Trust: gboat At that time permission to vary Regulation requiring all commercial buildings to connect to Town given based feet of Town seweeCod�Ses urveysConsultants, Sewer if within 3000 on plans and format submitted by Cap 'Job No. 03-1414-01. The variance expired April 1, 1986. on Apr Inclement weather factors over a120 day period created delays in our construction program, consequently tlresulting in a postponement of the construction of the onsiteon o sewage e ag di sp86aofstheeallowance therefore request vi uslyexte reviewed system in accordance with to install the previously the submitted specifications. We reciate your consideration of our existing situation and ar e grateful for any app efforts you can make to assist us. ar Sincerely, Robe Shields, Sr. Cape Cod Survey Consultants P (617)362.8133 • y 3261 Main StreetiRoute 6A Barnstable Village, Massachusetts 02630 Bebruary 19 , 1985 w rd of Health _Hall " yannis, MA 02601 �tB ` ariance from Sewer Tie-In Requirement '`Assessors Mag 297 , Lots 26 and 27 �4 (Our File No. 03-1414-01 ) ,e embers of the Board.: behalf of our client, Robert Shields , Jr. , Trustee , Longboat we are hereby requesting a variance from your requirement ». O«tle,;tin to the municipal sewer. _4�.�isr 1. 1'g,�-� •�' ' ad edois a copy of a letter form the Town' s DPW Superintendent Joseph Campo stating that it is not feasible for this project , O• tie.<An to the sewer. A copy of this letter is already in your k ite is -are the site/septic design plans for the project. tittihrese presently are the Hyannis Star Hotel and two & etail office buildings. We believe that the p-ploposed use , shave'. a -nitrogen loading of approximately one-third ( 1/3 ) of MK xistinguse. „1dappreciate it if you could notify us of the date and time mince will be heard. If you have any questions or require Iallf oral information, please don' t hesitate to contact our • y*yours, B='CODSURVE Y'CONSULTANTS F �t��IF;i#lson� �r�sd _hi@lds, Jr. , Trustee J% Tevr.rte :s,�Eie 1f rat Trust �`: �z Ff-0C'(s y` DO dNd 6T 831 58, ;A FEB 1 9 1985 .�t+lj11111t� sC*s�Y Pl.11l.'1" :1 '!f`:i., i• l�.'�.i(1:1 �,���i��1�,fj.j /lll!: f n March 18, 1985 .L ` } ?i �VI� } Board of Health of Barnstable.,. � Town Hall l == 4 Hyannis, Massachusetts 02601 y � 4 Re: Robert M. Shields, Sr. et al, Trustees of Long Boat Trust �" , Dear Sirs: . Please be advised that I represent Robert M. Shields, Sr. et • :�t t. .; al, Trustees of Long Boat Trust. I am advised that a request for approval for an individual sewage disposal system has been submit- ted which complies in all respects with the state and local regu- lations,�. : •." , but that the'-Board Board has raised a question as to whether j' ; ,• the new regulation entitled "Interim Regulation for the.Protection. 4` r , of the Ground Water Quality within Zones of Contribution to Public Supply.Wells" applies,to:-this.project.. 7. It :is submitted_that •the regulation. is not applicable because Long Boat submitted a"plan under Section 81" P of .Chapter 41 prior to .the adoption'. f Tthe. new regulation. Under Massachusetts Gen- 0 eral' .saws, Chapter". 11% Section 128A, whenever a plan has been s"„� submitted under.Chapter 41 ; the land shown on such plan shall be ItpP, .,governed by the provision of local board of health regulations which are "in effect '.at the time of first submission of sia plan." j_ ,Moreover, such provisions shall apply "for a period of three years the date of the endorsement " Since my clients* are governed by the regulations in effect prior to the adoption of the above regulation and since Town Sew- 41 ,�* �"age . is not : available it is submitted that the Board should approve their plans. �,� ;• Very truly yours, R B1 Stephen C. Jones N 1 t it �F7Mf l0 TOWN OF BARNSTABLE OFFICE OF trot t BOARD OF HEALTH mop 039. ` 367 MAIN STREET or�Y�" HYANNIS, MASS. 02601 March 20, 1985 a Mr. Robert Shields, Jr.,Trustee Longboat, Trust c/o Cape Cod Survey Consultants 3261 Main Street - Rte. 6A Barnstable, MA. 02630 Dear Mr. Shields: You are granted a variance from the Board of Health regulation requiring all commercial buildings to connect to Town sewer if within 3000 feet of Town sewer lines. The proposed office and retail building is located off Route 132, Hyannis, as shown on site plan prepared by Cape Cod Survey Consultants, Job No. 03-1414-01. The following conditions apply: 1. Construction of the onsite sewage disposal system must be supervised by the designing engineer. Prior to the issuance of a Certificate of Compliance and occupancy permit, the designing engineer must certify in writing to the Board that his design has been strictly adhered to. 2. The proposed septic system must be installed in strict accordance with the submitted plan. The water mains must be installed as to provide future extension_of water lines and water provided by the Barnstable Water Company to adjacent properties. 3. No food service establishments or food retail stores will be allowed. 4. The building must be connected to Town sewer when the Board determines its availability. This variance is granted because the gallons per day of waste water will be decreased. Continued use of the motel would result in a flow rate higher than the new use.. In addition, the Department of Public Works will not approve sewer extensions at this time., The plans were also submitted prior to the Board's adoption of an Interim Ground Water Protection Regulation. This variance expires April 1, 1986. Very truly yours, 0-1�-I aALL r--. I V L D Ann Jane E hbaugh Acting Chairman MAR 2 1�uJ BOARD OF HEALTH TOWN OF BARNSTABLE JMK/mm cc: Cape Cod Survey Consultants No.-�IU--I- Fee- --_�— BOARD OF HEALTH TOWN OF BARNSTABLE Applitat ion Ar Well Con5trurtion Permit q` 3 QdA �W. Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair ( 7)an individual Well at: Location — Address Assessors Map and Parcel ���Ly � Np� � �y Nr� NQ«► K- PL4' Owner Address -' _ -- --'V-------------------- ----------------------------Y -- ° = - --------- Installer Driller. Address Type of Building Dwelling1 r t T a�_____ ------------------- Other - Type of Building St`- -----Q No. of Persons-.--------------------------------------------------- L1 LI `ZU►`�`-- - -------------------- Capacity - ----- Type of Well------------------ P Y----------------------- - -�--- ---------------- ------------ Purpose of Well --LR2( °E- ° --- - ------- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation until a Certificate .of Compliance has been issued by the Board of Health. Signed-- -l -- = G --- - ---`---L � - date Application Approved By- date Application Disapproved for the following reasons:-------------------------------------------------------------------------------------------------- ----------------------------- --- -----------—----------------------------------------------------- date (p - Issued —-- - _ Z--------------------------- Permit No.----- ------ ------------ - date BOARD OF HEALTH TOWN OF BARNSTABLE Certifitate ®f Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) bY------------ c E - ��n BLS- - --------------------------------------------------------------------------------------------------------- Installer at------ — -------------------------------------------------------------------------------------- --- has been installed in accordan with the p isions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No.Wr-?-6-I---?Dated 4L 24------�6 THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTIOpN SATISFACTORY. o DATE------ Inspector--- - f ------------- - ------------ )x-•. .r .,. .. .. - �.�,s Yr 1..�lv'�•t✓ y.rT T'•�72'i� .r •' r r^ . _yi�.._r 9•a.vMl+t`l}yp1�+w•y,�...Ar. .i`w 6-.'li+.�'t�'•'t.all.d..�nfY+'arw�tlf)3V�✓'®w1Y+YMt""�v,'it>�''hl�itf Fee-��------._...-- BOARD OF HEALTH TOWN, OF BARNSTABLE �p�Cication,�or�eCC �on�truct�ion�ermit �'�� 3 �' Ci'1�1 �`Y � ►2cc�C� Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair ( )an individual Well at: ------- s-- ,e/✓ — —- -- - — �—� —D o?�4�- ---------------------- --- v --- ---- A --- - - Location — Address Assessors Map and Parcel yo L L I rY,4 Nj-ft4 f ew-r N *lv&�f N -M 14 le lc_-e y' -P 0.c 'e---------------------------- - -- -- ---------- - --- ---- - --— Owner Address eX ✓d rv7'/e Vcp It 0Q/u-1 _ 97 3 r -i-n- o � /eD -------- - ------ - ----------------- ------- ------------------y-----------------------I----------------------------------------- Installer Driller Address Type of Building Dwelling -te,1'_/ �4 7,16 Al ---- --------------- Other - Type of Building O C!f St �(Q _! �p No. of Persons--------------------;----------------------------- YP g-------------- l f. Typeof Well- --y -n - ------------------ Capacity------------------------ ------------------------------ Purpose of Well tN----------- - ------- Agreement: < , The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board 'of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation until a Certificate .of Compliance has been issued by the Board of Health. Signed-_ - --'T--1---- - date qq — — — Application Approved By �� ------------- �--` ate -• Application Disapproved for the following reasons:-------------------------------------------------- - ---- -- - -----------—-- ---- -----_ - -------------------------------------------------------------------------------------------------- date �/ =- ---—__----------- Issued - -- -�--------� ----� -------------------------- Permit No. ----- - - date �71 = :nisi=ia..cs�s:;.�:�a�:,.nia:'.:....�.rva.=+�..wq.....w:r....-++s��;®.�..•.�.-rn...w.•.nr�._.ir.r�rN:+n.14��4'�� -�P-eYerr���MWrris:�Y•is��ti+�W:A::r•"..,.,. �._<_ ..,....�:._..... -�._... ..... BOARD OF HEALTH TOWN OF BARNSTABLE Certificate (Of (Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) by------------ - -----Z� ^----Insta-------ller-----------------------------------------------------—--------------------------------------- ` at --- �__ �- ------------------------------------------------------------------------------------------- has been installed in accordanle with the paisions of the Town of Barnstable Board of Health Private Well Protection .Regulation as described in the application for Well Construction Permit No.-?,6-70-?Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL-FUNCTION SATISFACTORY. - Inspector- - - ;- --------------------------------===------ DATE------8�-'-�----`—��----{---�---------- V BOARD OF HEALTH TOWN OF BARNSTABLE Vell Con5tructionpermit No.U-1_6" _a� Fee ,--�.`- Permission is hereby granted---�.� - — - ------------------------------------------------------------------------ to Construct (�, Alter ( ), or Repair ( ) an Individual Wel at: No. --— -- - - -� -- --------------------------------------------------------------------------------- Street as shown on the application for a Well Construction Permit No. -- - -- --- -- -- - ---- - Dated--- —�" - 1 �r ______________________________ _______{!__ ___________-___�-----._--_--___.-._-..-. .......... 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