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Home My WebLink About0066 LEWIS BAY ROAD - Health �W 66 Lewi.s Bay Road Hyannis A-J 3271—220 ,,1 Town of Barnstable ' Department of Public Works ram , ; 382 Falmouth Road ; Hyannis , MA 02601 a � A www.engmeermg@town.barnstable.ma.us Office : 508 — 862 - 4090 Fax 508- 862 -4711 December 13 201.2 Subject : Disconnection from municipal sewer of 66 Lewis Bay Road Hyannis Map & Parcel 327 - 220 Dear Sirs ; This is to notify you that the property at 66 Lewis Bay Road ( Map & Parcel 327 - 220 in Hyannis village, MA was disconnected from municipal sewer on December.12tn 2012 The disconnection was inspected and accepted by the Construction Projects Inspector from the Town of Barnstable DPW—Admin. & Tech Support. A sewer,compliance record and a record drawing has been completed and filed in the Admin & Tech Support office. - If you haveany questions, or need additional information, please call Dave.Anderson at 508 — 790 6244. Sincere David Anderson ; Construction Projects Inspector Town of Barnstable DPW - Admin & Tech Support —_ LVI Environmental Services Inc. 401-S Second Street _ Everett,MA 02149 SERV�CES . Tel: (617)389-8880 Fax: (617)389-9502 www.lviservices.com July 15, 2008 ^' NOTIFICATION OF ASBESTOS ABATEMENT ATTENTION: Hyannis Health Department 200 Main Street Hyannis,MA 02601 . LVI Environmental Services Inc.will be conducting an asbestos abatement project at the following location. Please note the site and dates listed below,with the latter being subject to changes. Do not hesitate to contact our office for more detailed scheduling information at 617- 389-8880. BUILDING LOCATION Cape Cod-Hospital s 66 Lewis Bay Road Hyannis,MA 02601 Ground Floor W I;= START DATE: 7/29/08 t t END DATE: 8/1/08 Asbestos signs will be clearly posted in all areas where work is being conducted. Please take the necessary precautions in the event you are required to enter the building during an emergency. If you have further questions with respect to this abatement project,please do not hesitate to contact our office at any time at(617)389-8880. Thank you very much for your attention regarding this matter. Very truly yours, LVI ENVIRONMENTAL SERVICES.INC. 5 Sarah Marcone Projects Coordinator rC c , > ' -r) =o u N U7 rn �'+1 Commonwealth of Massachusetts _ ■ 1100075201 Asbestos Notification Form ANF-001 Decal Number Important:When filling out A. Asbestos Abatement Description forms on the computer,use 1. a. Is this facility fee exempt-city, town, district, municipal housing authority, owner-occupied 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: Blanket Decal Number use the return key. 2. Facility Location: CAPE.COD HOSPITAL 66 LEWIS BAY ROAD a.Name of Facilit• b.Street Address BARNSTABLE 102601� c.City/Town d.State e.Zip Code f.Telephone Number INSTRUCTIONS 3. WW'orksite Location: 1.All sections of this IGROUND FLOOR �� — ---� �� — —`�� 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 ❑No DEP notification requirements of 310 CMR 7.15 5. Asbestos Contractor: and the Division of Occupational LVI ENVIRONMENTAL SERVICES INC 401-S SECOND STREET Safety(DOS) a.Name b.Address notification EVERETT � 02149 6173898880 requirements of 453 CMR 6.12 c.City/Town d.Zip Code e.Telephone Number AC000097 g. Contract Type: ✓❑Written ❑Verbal f.DOS License Number TERRY WHITTEMORE CAPE COD HOSPITAL REPRESENTATIVE h.Facilit Contact Person i.Contact Person's Title DAMES D FULLUM I JAS061366 6' a.Name of On-Site Supervisor/Foreman b.Supervisor/Foreman DOS Certification Number DIVERSIFIED ENVIRONMENTAL AA000107 �' a.Name of Project Monitor b.Project Monitor DOS Certification Number YEE CONSULTING GROUP I IAA000145 8' a.Name of Asbestos Analytical Lab b.Asbestos.Anal "ca!_La,b DOS Certification Number 0 9 07/29/2008 08/01l2008 a.Project Start Date mml ld/ b.End Date mm/dd/ 0 7AM-3PM N/A c.Work hours Mon-Fri. d.Work hours Sat-Sun. N —0 10. a.What type of project is this? o ❑ Demolition ❑✓ Renovation — ❑ Repair ❑ Other, please specify: b.Describe 11. a. Check abatement procedures: _0 ❑Glove bag ❑ Encapsulation —o ❑ Enclosure ❑ Disposal only _L ❑Cleanup ❑ Other, specify: 0 Full containment b.Describe —z =Q 12. Is the job being conducted: ✓❑ Indoors? ❑Outdoors? ■ anfO01 ap.doc•10/02 Asbestos Notification Form•Page 1 of 3■ S fr Commonwealth of Massachusetts ■ 100075201 Asbestos Notification Form ANF-001 Decal Number LJ A. Asbestos Abatement Description (cont.) 13. Total amount of each type of Asbestos Containing Materials(ACM)to be removed, enclosed,or enca sulated: 10 1 500 a.Total pipes or ducts(linear ft) b. I otal Other surfaces square c.Boiler,breaching,duct,tank surface coatings Lin.ft. Sq.ft. d.Insulating cement Lin.ft. Sq.ft. e.Corrugated or layered paper f .Trowel/Sprayer coatings pipe insulation Lin.ft. g.Spray-on fireproofing � ((Sq.ft. Lin.ft. Sq.ft. ! h.Transite board,wall board Lin.ft. Sq.ft. (Lin.ft� q. i.Cloths,woven fabrics j.Other,please specify: L_J 500 Lin.ft. S .ft. Lin.ft. S .ft. k.Thermal,solid core pipe ILINOLEUM GLUE insulation Lin.ft. Sq.ft. I.Specify 14. Describe the decontamination system(s)to be used: 3-CHAMBERED DECONTAMINATION FACILITY WITH SHOWER 15. Describe the containerization/disposal methods to comply with 310 CMR 7.15 and 453 CMR 6.14(2) (g): ACM WILL BE WET(HAND TO BAG)ACM WILL BE LABELED, PACKAGED&TRANSPORTED 16. For Emergency Asbestos Operations, the DEP and DOS officials who evaluated the emergency: N/A a.Name of DEP Official b.Title c.Date(mm/dd/yyyy)of Authorization d.DEP Waiver# N/A e.Name of DOS Official f.DOS OfficialTitle g.Date(mm/dd/yyyy)of Authorization h.DOS Waiver# �N o 17. Do prevailing wage rates as per M.G.L. c. 149, §26,27 or 27A—F apply to this project? ❑Yes❑✓ No B. Facility Description �N 0 1. Current or prior use of facility: HOSPITAL 2. Is the facility owner-occupied residential with 4 units or less? ❑Yes FV No CAPE COD HOSPITAL 27 PARK STREET 3' a.Facility Owner Name b.Address _� HYANNIS, MA 02601 508-774-3982 o c.City/Town d.Zip Code e.Tele hone Number area code and extension �LL 4 TERRY WHITTEMORE 1 127 PARK STREET a.Name of Facility Owner's On-Site Manager b.On-Site Mana er Address Z HYANNIS, MA � 1 102601 1 1508-774-3982 Q c.City/Town d.Zip Code e.Telephone Number(area code and extension) ■ anf001 ap.doc-10/02 Asbestos Notification Form•Pa e 2 of 3■ k{ Commonwealth of Massachusetts �'` 100075201 n Asbestos Notification Form ANF-001 Decal Number f B. Facility Description (cont.) N/A 5' a.Name of General Contractor (( b.Address c.City/Town d.Zip Code e.Telephone Number area code and extension) f.Contractor's Worker's Comp.Insurer g.Policy Number h.E�(mm/dd/yYY 6. What is the size of this facility? 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): LVI ENVIRONMENTAL SERVICES INC. 401-S SECOND STREET Note:Transfer a.Name of Transporter b.Address Stations must IEVERETT, MA 102149 1 1(617) 389-8880 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 SERVICE TRANSPORT GROUP 58 PYLES LANE a.Name of Transporter b.Address NEW CASTLE, DE � 19720 (877) 999-9559 c.City/Town d.Zip Code e.Telephone Number 3. N/A a.Refuse Transfer Station and Owner b.Address c.City/Town d.Zip Code e.Telephone Number 4. A&L SALVAGE INC a.Final Disposal Site Location Name b.Final Disposal Site Location Owner's Name 11225 STATE ROUTE 45 ILISBON c.Final Disposal Site Address d.City/Town OH ^7 44432 e.State f.Zip Code g.Telephone Number .� o D. Certification The undersigned hereby states, under the ISARAH MARCONE o penalties of perjury,that he/she has read the a.Name b.Authorized Signature o Commonwealth of Massachusetts regulations PROJECTS COORDINAT 0 7/1 512 0 0 8 for the Removal,Containment or c.Position/Title _ d.Date mm,dd/vyyy) Encapsulation of Asbestos,453 CMR 6.00 and 310 CMR 7.15, and that the information (617)389-8880�! LVI contained in this notification is true and correct e.Telephone Number f.Representing to the best of his/her knowledge and belief. 401-S SECOND STREET - �o .Address �� EVERETT, MA —] 102149 h.City/Town i.Zip Code Z anfO01 ap.doc•10102 Asbestos Notification Form•Page 3 of 3 TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: Mail To: BUSINESS LOCATION: 'Cu Ce r Board of Health -MAILING ADDRESS: 14 and is Town of Barnstable � �-� � oQ— �-� ° P.O. Box 534 TELEPHONE NUMBER: ,50 9' 775-,5(, 7 Hyannis, MA 02601 CONTACT PERSON: Tr,c ce EMERGENCY CONTACT TELEPHONE NUMBER: /5 aX) 27J--7 '7R' o Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store: Quantity/Case Quantity/Case Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid 1 P;!3 Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) iQJ- Disinfectants Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, i Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers % Pa i hfi Any other products with "Poison" labels Metal polishes pb`'"4�'°� (including chloroform, formaldehyde, j , Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) Other cleaning solvents Bug and tar removers 1 can Household cleansers, oven cleaners C-0me."}- C�e�ih5@r White Copy- Health Department! Canary Copy-Business TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail To: NAME OF BUSINESS: C.J. soulris, M.D. butte Board of Health MAILING ADDRESS: Cape Cod Medical Center #203/Lewis say Rd. Town of Barnstable TELEPHONE NUMBER: 508-775-8036 Hyannis,MA 02601 P.O. Box 534 CONTACT PERSON: C.J. soulris, M.D. or Kay Davis , secretary Hyannis, MA 02601 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totalling, at any time, more than 50 gallons, liquid volume or 25 pounds dry weight? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous characteristics and must be registered re . ease put a check beside each product that you store: Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) /I%/Kdles Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business