The URL can be used to link to this page

Home My WebLink About1194 IYANNOUGH ROAD/RTE 28 - Health 1194,Iya.nnough Rd Hyannis (Old Candle Factory) A= 274-026—H00 0 I I i Commonwealth of Massachusetts 100026522 r' Asbestos Notification Form ANF-001 Decal Number Important: . When filling out i'A. Asbestos Abatement Description forms on the computer,use 1. a. Is this facility fee exempt-city, town, district, municipal housing authority, owner-occupie only the tab key residence of four units or less?❑Yes ❑✓ No to move your cursor-do not b. Provide blanket decal number if applicable:use the return Blanket Decal Number key' 2. Facility Location: l(/1�VLv�-- o Eli STRUCTURE ll94 RT132 _ a.Name of Facility b.Street Address _ BARNSTABLE 102601 (508)775-3716 —� _ c.City/Town d.State e.Zip Code f.Telephone Number INSTRUCTIONS 3. Worksite Location: a 7 " 1.All sections of this STRUCTURE 1+13ASEME form must be a.Building Name/Building Location b.Building# c.Wing d.Floor e.Room ��— completed in order to comply with 4. Is the facility occupied? ❑Yes ❑✓ NoQ� DEP notification requirements of 310 CMR 7.15 5. Asbestos Contractor: and the Division of Occupational JAEROJECH ENVIRONMENTAL 38 MAIN STREET Safety(DOS) a.Name b.Address notif requiretments of 453 NORTHBORO 01532 19783759534 CMR 6.12 c.City/Town d.Zip Code e.Telephone Number AC'OOR0558- f.DOS License Number g. Contract Type: ❑✓ Written ❑Verbal f FED LAMBERT SUPERVISOR h.Facift Contact Person— I.Contact Person's Title ~�GREGORY W HARDING I JAS000278 6. a.Name of On-Site Supervisor/Foreman b.Supervisor/Foreman DOS Certification Number 7. ROBERT GRAVALLESE I JAM060919 a.Name of Project Monitor b.Project Monitor DOS Certification Number 8' Al SPECTRUM SERVICES I IAA000132 a.Name of Asbestos Analytical Lab b.Asbestos Anaillical Lab DOS Certification Number 12/07/2005 12/14/2005 9' a.Project Start Date mm/dd/ b.End Date mm/dd/ �0 6AM 5PM I 16AM 5PM =N c.Work hours Mon-Fri. d.Work hours Sat-Sun. I C�o 10. a.What type of project is this? a �o ❑✓ Demolition ❑ Renovation ❑ Repair ❑ Other, please specify: b.Describe Q 11. a. Check abatement procedures: t -r ❑Glove bag ❑ Encapsulation CD �o ❑ Enclosure ❑Disposal only z �" =LL ❑ Cleanup ❑Other, specify: �4 0 Full containment b.Describe •- Z — r =Q 12. Is the job being conducted: ✓❑ Indoors? ❑Outdoors? 13 anf001ap.doc•10/02 Asbestos Notification Form•Page 1�1oo'f 3"El Commonwealth of Massachusetts 100026522 F y - { Asbestos Notification Form ANF-001 Decal Number A. Asbestos Abatement Description (cont.) 13. Total amount of each type of Asbestos Containing Materials(ACM)to be removed, enclosed, or encapsulated: 330 460 a.Total pipes or ducts(linear ft) D. I Otal Other su aces square c.Boiler,breaching,duct,tank d.Insulating cement surface coatings Lin.ft. S ft. Lin.ft. Sq.ft. e.Corrugated or layered paper f.Trowel/Sprayer coatings pipe insulation Lin.ft. Sq.ft. Lin.ft. Sq.ft. � g.Spray-on fireproofing Lin Sq� h.Transite board,wall board Lin qS ft. i.Cloths,woven fabrics � I.Other,please specify: � 460 Lin.ft. S .ft. Lin.ft. S .ft. k.Thermal,solid core pipe 330 IFLOOR TTILE insulation Lin.ft. Sq.ft. I.Specify 14. Describe the decontamination system(s)to be used: 3 CHAMBER SHOWER 15. Describe the containerization/disposal methods to comply with 310 CMR 7.15 and 453 CMR 6.14(2)(g): GAYLORD BOX 6 MILL DOUBLE BAGS 16. For Emergency Asbestos Operations, the DEP and DOS officials who evaluated the emergency: ANDREW COONEY IDEPINSPECTOR a.Name of DEP Official b.Title 12/06/2005 1 ISE-05-248 c.Date(mm/dd/yyyy)of Authorization d.DEP Waiver# e.Name of DOS Official f.DOS Official Title SE-05-248 �N g.Date(mm/dd/yyyy)of Authorization h.DOS Waiver# �0 17. Do prevailing wage rates as per M.G.L. c. 149, §26, 27 or 27A—F apply to this project? ❑Yes❑✓ No O B. Facility Description �N �o 1. Current or prior use of facility: CAR WASH �o ❑ 2. Is the facility owner-occupied residential with 4 units or less? ❑Yes ✓ No �T CAPE COD AGGREGATE PO 96 3' a.Facility Owner Name b.Address 0 JHYANNIS I 02601 1 15087753716 ®o c.City/Town d.Zip Code e.Telephone Number(area code and extension) FED LAMBERT PO 96 4' a.Name of Facility Owner's On-Site Manager b.On-Site Manager Address �Z HYANNIS F0260 15087753716 �Q c.City/Town d.Zip Code e.Telephone Number(area code and extension) anf001ap.doc•10/02 Asbestos Notification Form•Page 2 of 3 Commonwealth of Massachusetts -�-_ 100026522 Decal Number Asbestos Notification Form ANF-001 B. Facility Description (cont.) AERO TEC ENVIRONMENTAL 38 MAIN ST 5. a.Name of General Contractor b.Address NORTHBORO 01532 9783759534 c.C' /Town d.Zip Code e.Telephone Number area code and extension GRANITE STATE f.Contractor's Worker's Comp.Insurer g.Policy Number h.Exp.Date mm/dd/ 6. What is the size of this facility? 20000 2 a.Square Feet b.Number of floors C. Asbestos Transportation and Disposal - 1. Transporter of asbestos-containing material from site to temporary storage site(if necessary): AERO TEC ENVIRONMENTAL Note:Transfer a.Name of Transporter 1 b.Address Stations must comply with the c.City/Town d.Zip Code e.Telephone Number Solid Waste Division 2. Transporter of asbestos-containing waste material from removal/temporary site to final disposal site: Regulations 310 CMR 19.000 RED TECHNOLOGIES 10 NORTHWOOD DR a.Name of Transporter b.Address BLOOMFIELD CONN 06002 (860)218-2433 c.City/Town d.Zip Code e.Telephone Number 3. a.Refuse Transfer Station and Owner b.Address c.City/Town d.Zip Code e.Telephone Number 4. IMINERVA ENTERPRISES INC a.Final Disposal Site Location Name b.Final Disposal Site Location Owner's Name 9000 MINERVA ROAD I IWAYNESBURG c.Final Dis osal Site Address d.Ci /Town OH I44688 e.State f.Zip Code g.Telephone Number �o e D. Certification �N The undersigned hereby states,under the IGREGORY HARDING penalties of perjury,that he/she has read the a.Name b.Authorized Signature Commonwealth of Massachusetts regulations JOWNER 12/06/2005 1 for the Removal, Containment or c.Position/Title d.Date mm/dd/ Encapsulation of Asbestos,453 CMR 6.00 and (978)375-9534 JAERO TEC 310 C M R 7.15, and that the information contained in this notification is true and correct e.Telephone Number f.Representing ° to the best of his/her knowledge and belief. 138 MAIN ST �o a.Address �a NORTHBORO 01532 ® h.City/Town i.Zip Code -Z anf001 ap.doc•10/02 Asbestos Notification Form•Page 3 of 3 M Log Number: Bottle # I Date: 1/2IG3 04 SqR� sa BARNSTABLE COUNTY HEALTH DEPARTMENT SUPERIOR COURT HOUSE v BARNSTABLE, MASSACHUSETTS 02630 o • SAS$ DRINKING WATER LABORATORY ANALYSIS PHONE: 362_2311 EXT. 331 Client: Old Harbor Candle Co. Collector: John Koch Mailing Address: Route 132 Affiliation: Fay:. Fna Hyannis. MA, 02501 Time & Date of Collection: 1/28/,Rr 7.4�i Telephone: 775-3150 Type of Supply: town water Sample Location: Rte. 132 rear Well Depth: Hyannis Date of Analysis: 1/24/HS PARAMETER SAMPLE RESULT RECOMMENDED LIMITS Total Coliform Bacteria/100 ml 0 0 H 5�5 Conductivity (micromhos/cm) 500.0 Iron ( m) D t16 0.3 Nitrate-Nitrogen ( m) 0 : 10.0 Sodium ( m) 20.0 I. xx Water sample meets the recommended limits for drinking of all above tested parameters. II . Based only on results of the parameters tested for this sample, the water is suitable for drinking but may present the problems checked below: A. P 9 9 Water sample has higher than average levels of Nitrate. Future monitoring is recommended (2-3 times per year) to establish any upward trends. B. The low pH of the water may shorten the useful life of the house's plumbing. C. Water may present aesthetic problems (taste, odor, staining) due to D. Water sample has high levels of sodium. Persons on low sodium diets should consult their doctor. III. Due to one or more of the reasons checked below, this water sample is unfit for human consumption: A. High Bacteria B. High Nitrates REMARKS: C Uarnstable boerd of Health C r;arnstable t:atcr Co Laboratory Director 7/17/R4 Explanation of Test Results Total Coliform Bacteria Coliform bacteria are an indicator of the sanitary quality of a water supply. Water supplies may become contaminated from malfunctioning septic systems,cesspools and surface runoff. A total coliform count of zero indicates that your water supply is safe and approved for human consumption. A total coliform count of greater than zero is most often the result of accidental contamination of the sample bottle through improper sampling methods. For this reason, it would be advisable to retest any well water that is not approved. pH pH is the measure of acidity or alkalinity of the water. On the pH scale, the number 7 is neutral,less than 7 is acidic and more than 7 is alkaline. The pH of water on Cape Cod tends to be acidic in the range of 5.Ato 6.5 Conductivity Conductivity is a measure of the dissolved salts in solution. Amounts in excess of 500 micromhos 1cm are generally considered unacceptable and may have a laxative effect upon users. Iron The presence of iron in water in concentration of .3 ppm or greater may: give the water a bittersweet astringent taste, cause an unpleasant odor, often gives the water a brownish color and cause staining of laundry and porcelain. The average concentration of iron in Cape Cod's water is .2 - .6 ppm. Although the presence of iron in water may cause the problems listed above, it is not considered deleterious to health. Iron may be removed by use of an iron removal system. Nitrate-nitrogen The Massachusetts Drinking Water Regulations have set a maximum contaminant level for nitrates at 10 ppm. Excessive concentrations may cause methemoglobinemia (an infant disease) and have been suggested to form potentially carcinogenic nitrosamines. Contamination sources include-fertilizers, cesspools and industrial wastes. Copper Due to the acidic nature of the water on Cape Cod, copper tends to leach from pipes. This normally does not present a health hazard; however, concentrations in excess of 1.0 ppm may cause a metallic taste and/or a bluish green stain on porcelain fixtures. Sodium A concentration of sodium over 20 ppm is only of concern to people who are on a low sodium diet. If the water supply has more than 20 ppm sodium, it is up to the people who are on such a diet to find another source of drinking water or contact their doctor to determine if consuming the water is advisable. Concentrations exceeding 50 ppm indicate that there may be ocean water or road salt runoff water vetting into the well. Log Number: Bottle # BHD 56 Date: 1/29185 04 $AR.�. BARNSTABLE COUNTY HEALTH DEPARTMENT .Z SUPERIOR COURT HOUSE V - BARNSTABLE, MASSACHUSETTS 02630 o • ' wss DR;INKISNG; WATER LABORATORY ANALYSIS PHONE: 362-2511 -/' EXT. 331 Client: Old Harbor Candle Co. Collector: John Koch Mailing Address: Route 132 Affiliation: rac• Eng. Hyannis, MA 02601 Time '& Date of Collection: 1/28/85, 7:45 a.m. Telephone: 775-3150 Type of Supply: Keo rcu t ateo water T6r- C:oul i i,g Sample Location: Rte. 132 rear Well Depth: Ca tic F F 5Ids Hyannis Date of Analysis: PARAMETER SAMPLE RESULT RECOMMENDED LIMITS . Total Coliform Bacteria/100 ml 0 0 H 6.6 Conductivity (micromhos/cm) 117. E 500.0 Iron ( m) 0.23 0.3 Nitrate-Nitrogen ( m) 0.30 10.0 Sodium ( m) 15. 20.0 I . Water sample meets the recommended limits for drinking of all above tested parameters. II . Based only on results of the parameters tested for this sample, the water is suitable for drinking but may present the problems checked below: A. Water sample has higher than average levels of Nitrate. Future monitoring is recommended (2-3 times per year) to establish any upward trends. B. The low pH of the water may shorten the useful life of the house's plumbing. C. Water may present aesthetic problems (taste, odor, staining) due to D. Water sample has high levels of sodium. Persons on low sodium diets should consult their doctor. III. Due to one or more of the reasons checked below, this water sample is unfit for human consumption: A. High Bacteria B. High Nitrates REMARKS: RESULTS OLLY Barnstable Board of ;teal �trt CC: Barnstable '.•later Cc. �r 7/17/84 Laboratory Director Explanation of Test Results Total Coliform Bacteria Coliform bacteria are an indicator of the sanitary quality of a water supply. Water supplies may become contaminated from malfunctioning septic systems,cesspools and surface runoff. A total coliform count of zero indicates that your water supply is safe and approved for human consumption. A total coliform count of greater than zero is most often the result of accidental contamination of the sample bottle through improper sampling methods. For this reason, it would be advisable to retest any well water that is not approved. pH pH is the measure of acidity or alkalinity of the-water. On the pH scale, the number 7 is neutral, less than 7 is acidic and more than 7 is alkaline. The pH of water on Cape Cod tends to be acidic in the range of 5.0 to 6.3 Conductivity Conductivity is a measure of the dissolved salts in solution. Amounts in excess of 500 micromhos 1cm are generally considered unacceptable and may have a laxative effect upon users. Iron The presence of iron in water in concentration of .3 ppm or greater may: give the water a bittersweet astringent taste, cause an unpleasant odor, often gives the water a brownish color and cause staining of laundry and porcelain. The average concentration of iron in Cape Cod's water is .2- .6 ppm. Although the presence of iron in water may cause the problems listed above, it is not considered deleterious to health. Iron may be removed by use of an iron removal system. Nitrate-nitrogen The Massachusetts Drinking Water Regulations have set a maximum contaminant level for nitrates at 10 ppm. Excessive concentrations may cause methemoglobinemia (an infant disease) and have been suggested to form potentially carcinogenic nitrosamines. Contamination sources include fertilizers, cesspools and industrial wastes.. Copper Due to the acidic nature of the water on Cape Cod, copper tends to leach from pipes. This normally does not present a health hazard; however, concentrations in excess of 1.0 ppm may cause a metallic taste and/or a bluish green stain on porcelain fixtures. Sodium A concentration of sodium over 20 ppm is only of concern to people who are on a low sodium diet. If the water supply has more than 20 ppm sodium, it is up to the people who are on such a diet to find another source of drinking water or contact their doctor to determine if consuming the water is advisable. Concentrations, exceeding 50 ppm indicate that there may be ocean water or road salt runoff water vetting into the well. LOCATION AGE PERMIT NO. VILLAGE I N S T A LLER'S AfME i ADDRESS d U I L D E R OR J 0`NINER +v ,S DATE PERMIT ISSUED J � � �C► yvlll DAT E COMPLIANCE ISSUED __ -_ � y ,.�. A I' t; r,� F �, �" 5 �� L �� ,� �`� an k� `� Fy. No. Qy�fTHEr OFFICE OF THE BOARD OF HEALTH OF THE 0 31"NST"Lx 0. TOWN OF BARNSTABLE, KASS. 1A11. Ar- 9 4 e M ":;X-�� -5-1 -,EWAGE DISPOSAL PERMIT 01 to construct Permission is granted --- —- ------------------I -------- -------------------------------- Sketch 4p6'n.;"t h� P re'rqK -,of I 1�e--village of,n 00 or more feet from any source of water supply 20 feet from building 10 feet from property line Healtli--t Off icer. No...8D.-f ..:� Fxs....... .00........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ....... .......... .Town_......OF.....Barnstable.......................................................... Applira#iou for Uiipn,ial Workii Towuur#iou amit Application is hereby made for a Permit to Construct ( ) or Repair ( x) an Individual Sewage Disposal System at: ..1182..Re�r Route2,_..HXaCi �. __Q2 Q1........ ..............•-......•-•.......--•----•-•••••••-•........-•-••••••-•-••----..._.................. Location-Address or Lot No. -old Harbor..Can �..Co. ,---.XA.....Q?6-Q...... Owner Address a A & B Cesspool-Service.• ],28•-Bishops-Terrace...HYamis.,.._MA.___0260 . Installer Address Type of Building Size Lot.................. ........Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) P4 Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) P4 g ............................................ Other fixtures ......................................................-••-- •---•-•-•---...._.. ....---••-------•-----••---------•...............•-- ....--•- W Design Flow__________________ __ _ _..............gallons per person per day. Total dailyflow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter---------------- Depth............... x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by........................... .............................................. Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ G Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 ----------------------------------------------------------- ------- .. ---------•---•-----------•------------------------------------------- ----------------- 0 Description of Soil--------•---•.Sand------------------------------------•------•----•-•-----------------=-------------------------•-------------•-----------------------._.._...._.. V ......--•.....--•----------------------•--•-•--••-•-------••--•---,---•••-•--••----•---------.....------------••-------••--------------•-•------•-•-----•----•••------••-•......-•--•-----•--•----•-•--- ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- U Nature of Repa'rs or Alter tions—Answer when applicable.._____._Installation.-of..a j,000..gallon_.�re-cast leach pit overflow with extra stone. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of:T' p 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed. z. � _ •--312�80---•--- • . ,�q � == D to Application Approved By.-� _.. .' { .........3 � . ............ Date Application Disapproved for the following reasons-----------------------------•--•--------------------------------------------.._..--------------------------••--. ....------•------------------•---•-••-----------....-----•---.....--------------------------------------------••---•--••--•-••-------------------•-•-----•-------•--•-•--------....-•--•--------------- Date Permit No......80-..................•• 21 80.... --......-•---•-------- Issued_--•------•3--- --- ------------•----•------- Date r No..80=111...`. FEB....... 5_,Ot}........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .................... owr.........0FinesZgt=aF Ue........-----...------------•-•........................... Appliration for Dispoltal 10orkii Tonotriir#ion .ernii# Application is hereby made for a Permit to Construct ( ) or Repair ( x) an Individual Sewage Disposal System at: 118? :ftear "N'.----•-........................................................... Location-Address or Lot No. Old Harbor ual�.dle Co. '...._..... 2 1R .: tlte..?,32.,... .�mn.,s,.. 9A....A2 4Z. < Owner Address a A & B Cesspool Service ?8 Bishops Te �cc .._.Q� . Ql � Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) aOther fixtures ...................................................................................................................................................... W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity------------gallons Length................ Width---------------- Diameter---------------- Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No----------_-------- Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water-.___....__.__-__---.--- 1� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ •--•-----------------------------------------------------------------------------------------------•......................................................... and O Description of Soil-------------�q ------------------.._....-_.....---.........-------•----------------------------------------------------------------------------......---------- x c, -•-------•••-••---•-•--•--.....•---------••----••...•••--------------------------------------------------------------------------------------------------------------------------•-•----•••--•--•---•--- w -------------------------------------------------------------------•------------...-------------------------------------------...------------------------------------------------......_..........--•- UNature of Rep irs or Alter tions-Answer when applicable.._....Instaliatf_on__of__a__1_6E3G'__I a'1_on---ore•-Cast leach pit -�overflow� with extra stone. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with nrn-^ the provisions of : I7 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed----•-•-•_--•------------•--�----_:--- -._._:..�.--=-�---•:-=1------- --- -- .._ ............. Application Approved By__ c�/t- D to 3! .......................... .... . 7 ------------- Date Application Disapproved for the following reasons_....................................... _...................................................................... _ -----------------------•---•---------•---•----------------------•--•--.........-----••--------------•-•--•-••••-•-------•-------•-----•-----••-•--------------------•---------•-----•-------•-•--------- / Date Permit No.....80.............................................. Issued-.........3 -?�'1 0---------- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .....................T own...........OF........ ta011�.................................................. Tnrtifiratr of Tourplianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (x ) 0GPM Y by.A & Cesspool Service, 123 I3ishons TezracQ-=---Hy_ann ss_.r1A....Q2bQ�..................7?.5 62 ......._ y.... Installer at_.1182 Bear Route 1. 2, Hyannis,t N'A 02601 Old_Haxbor_C�n ,1 ._Co has been installed in accordance with the provisions of TITL=; 5 of The State Sanitary Code as described in the r` application for Disposal Works Construction Permit No---- ................. dated------�/.21 0.........._fi............ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE-THAT THEE SYSTEM WILL FUNCTION SATISFACTORY. � DATE............ Z 6�0 Inspector . Nf Ji�rl --- ............................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .....................Toni..........O F..--.--.......Barnstable ............. .---............ K No._.gD.- .... .._. FEE.. ✓•CO...._..... �i��a��l or�� on��rnnriion rrnti# A & B Cesspool Service, 128 Bis ops Terrace, Hyannis, I-TA 02601. Permission is hereby granted--------------------- --------------•-----••--.-••••---•••-•-••---•--•-•••-•-•••-•----••••••••-•••-••...................--....---.......--•••- to Construct,(_ ) or Repair (x an Individual Sewage D•sposal System at No..-----11 !dear Route 132, Hyannis, MA 02601 -- Old- Harbor Candle Co. Street as shown on the application for Disposal Works Construction Street No �0 ....._..... Dated.._. 3�?1/eo , ' ------------------ Boar Health e FORM 1255 HOBBS & WARREN. INC., PUBLISHERS -