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0880 WEST MAIN STREET - Health
--880'WES'1' MAIN S'1'KE:E,l';HYANINIS A t.249-089; THE Town of Barnstable • y Department of Health, Safety, and Environmental Services �B"MSTAB Public Health Division i639• ArFD^"�A 367 Main Street, Hyannis MA 02601 Office: 508-790-6265 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Director of Public Health August 21, 1997 Robert Goodwin, Trs. Goodwin Family Trust 830 W. Main Street Hyannis, MA 02601 RE: Underground Fuel Storage System located at 830 W. Main Street, Hyannis and listed as Assessor's Map 249, Parcel 105 Dear Sir: Enclosed is a completed Registration card and your tank tag #1308. The tag shall be attached to the filler pipe/cap of the underground tank. Please send us any evidence of the date of purchase and installation, a copy of the permit from the Fire Chief, and a sketch map showing the location of such tank(s) on the property. If you have any questions, please telephone (508) 790-6265 for Donna Miorandi or myself during office hours. Office hours are Monday through Friday from 8:00 - 9:30 a.m. and 1:00 - 4:30 p.m. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean Director of Public Health 3261 Main Street Route 6A Barnstable Village MA 02630 E:�Sc December 12, 1985 617 362 8133 Barnstable Board of Health Town Hall 367 Main Street Hyannis, MA 02601 RE: Hyannis Porsche-Audi West Main Street, Hyannis . (Our File No. 3-1550.01) Members of the Board: - This letter is to inform you that the septic system at the above referenced location has been constructed in substantial compliance with the plans. When the holding tank for the service area floor drain is completed (i.e. float switch and alarm installed) we will . notify you. If there are any questions or comments, please do not hesitate to contact me. Very truly yours, BSC/CAPE COD SURVEY CONSULTANTS Engineers Surveyors St hen A. Wilson, P.E. 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A 4 f. • , '., ,$. ;i*.s' ` "t 1 ^e n r 3 ri f a5•. w ,t. *r •#. f. Y e � an,fit^ J'.., 4 .i "t, Dear bit. William8s ,�r 6�`:,, '_ 4 t' , .-1 s; . Y +r�,y s; 4°M.}f , 'f " Y ��~, `! r .y 1v • 47Jf l t. L ,f'' * .. C. ..i, . ipw '#r°'''. . r to ?, °S f i X ?``'` „1^i ,' ',,tx $ ; . Y.J - IA, �:'t"f w�.- ,<X `� r"+r -'7i tr'" ...e raz;,µ a f ,"" e.: ; Arti ` .,. +: ,� '�l- p • ", ' F t X I..i}.,",S c .It4 P,,,! f:'r-,J' ?,4 � , r.,X 15%:.,,�3.v .g.r 4 '`•'!`,,�' -a.<t ttu.r t,.'a'� t,9. 7?±•4.'+ .4 t.c� ,,�. Z'' a,?Krk--;.•� 4'�, ' i .`You�are„grantedF.conditional.,:v lances to;install aa' on site sewage disposalrsystem for t ` .{ ram, >a'< �`'� ,>.a}�new:'sbuilding on the';Hyannis p Porsche�Audsite West Main Street, .Fiynnis'� The + ` s r' . f, .,. .. A- �.. r , + ;: ,r4 " variances granted are:�:T e�3 Q 'oIeet,f Tpwn Sewei regulation an ?the 31.30+maximum' {� Y �, i rf. daily.sewage.Plow In lone of ContHbut1bh�3. AZ`he following conditions apply., , z� +'� ;.? #` � i ,,R"t ki y`"€. awe n t: 1 .r ti'5+::.r n, .bra",:h 73#7 7'P .. +�1 -r l•. °at. �i 'i .t:` �".., Yy ' 3' - w '.". ,.-i . ,x.•, ' i.L r r f ,,= 441 ' 'V ?' ..-,.,q4 ., F -«r y i ;rs;M.:t�z ,A f, /"-,,�, r"^7,1'.Jr, lea-fit:, ,,?. <z 1 , r je y .,T, £^t ;.'.i ;} W $> . .1* p, "a, ,.mod (I) rThe on,site °:system> must be ,designed,<rb}r a,.professionaly.engiri�er and,the plans; p• r �, . ,x ` �'' t >� 'r.It�'`tpprovgd`by the,lbardr"oP FIealth. The:Boaro= of "Health;will specify, theme n'critefa Y' r. _' 1` s, 2. •r Y. '1• r1, a ti..-r ,r3i P . ,.:y,' >< t .j..� ,aY o-A - x ,,, `<, x. "'- b t 1 -used 'in dete rring flow later d,,the°size of the sgstem. �. h -� m �;, g'f"',a - ! r •,. 4 x ifi, ,1 � fT� rt ,%7't t •t;.ii d ask,a e "}7�'r. i 3S . ^ r r 'A �.t.:5 e 4,,. ib,�; f q''. ,,, �•r• '..�yqy r 4"k,W, *'1 s y .0rw A.<.x �,;. f * �. - fir. 5; i s x `Y ,i '? 24h t.``�r { fii, "iU a... r, r•n f. RM�t �` �_ �< r 4 " {" t, L.? i- -A S .1X e¢(2) rThe i esigz ingxeriginieer muetYbe on gito::And�stet I se,construction tof�.th'. ." tics ,,,`", f �'. rf �re�+ i &' i h:. rR�,;,.: .� `a' E';.• s. r' -ps '. t ;. �jl r e. Ay,{ ��,LI" 't ` z ,,rsystem and certify. In writing to�the Board oP'Health'that his design has been sttictly,�, '}a s �'^ 1 a a adhered�io Frlor.ta the issuance of+e:'Certificate:6i�tompliance. , ., , :_ , '� ,rt �3 `. '. .. .+'t w`.,f,v r 1S.i . - t{'6 r,,;.- 9' }.,,4 t' ♦. :,�ji-.x,,a 1- & 4..y.c `. , k,s �. '1ja'v y,°. a {` . ' ..;+' ta' tzJ, : 1 .c+ i , rt R, f s4 ,,.r f i a ti n " r• 1rn 4 �r . ,fa. ,., f f='* ",s ae- r ;I. , t �"d a.f `s,.: �;;""a a� ..,, �a,. x� I.j�,.F ;{^ # �'I e = a ,4 }'.t'. <*". ,^ F ;X�•-- .f' {3) .'1`he'designing engineer,must submit a plan forapprovai specifying the meth1.od used; �; '+ * A!,i,t;t 4 - a <' Oreventir g automotive flut$s'and othe� toxic materials'fioin entering<the,groundfi � , ., `�t'w:watet rThe To11 wn 8.r+, t r5 ;` .. "x^ i i Hpaza d and Toxid.Material By-law mustrbe st ictly'observed' r�. ,f Lv'z r '"a,." , �.".d X,- .t 'q. A `r•F': �_,6sI `,L° ,e:,SR"C' t ?r�.^f �'?'i.:"".�` '� F e,+fr ' �, `'#''< ',r� f i� 4 .. �' -(` ... a ,. 3 ,t „i da r i- It, f-- ,. }, t , r f ` r: t { r; ,� X r: k, (4) You,must connecttto Tt�wn-sewer,immediately when it'becames.available. ' w'+ tir , w t r". < .f�.a t '1 .i • ,, Y J -III', l rt �' a Y�. i"'"e r } r. 'ry' - > ,-. "r.,d •'*.�qZ,�„ ,;,,,..,r! t,•.`. f.'E,°.'f,#:r1! ' '`X.l ;+f �'�,� w. E k,II . t -.:t dr�x _.Xi 4-a"`.,'',,'/ 4 r Y 'tit *;:a'. _ '.., teems fik ', r f } e ^, Y . ;` +, �', (5) aThis variance,is invalid,should the?property be sbid,Nleased, ter~if.a change'of-use -t';':= '.) ft ` e p 4J tis.i;; ". Z .+ r ,..., ,y� r p, € 4;:. __�_, M*, ". , r y'. a -,. r e(�',3i Y:Y�:. foccurs• . r 5h b L `'AX pi:t. ��, �k'P�1 ,,}" 2 aY 'i`"Y'Af *k p, ,r' ^� E..,.. r 'i '.'r {f i,;t_< ,*S'. 1t,., 1. 'I. ..S. .f'�F"" !1 ,. C" .4, .,lb'*N �" `1,10 rM,, lry.`A ..S.dr�tA' '^Y,4t �k >+R p43 +.1.�1' �.t, t, r .£.i,.K �,t, # • �2 t lap k ",s r 3�; ' #> 'r.i < f * r,#t �e 4 i.. r ,r'° 3, 4 i ,Y#". r�F 14" tf, * r� } i + % ;This'veiianceis` iantecl=be`canse theDeiC neat"of:`Public,Wc%rks�wilt:`not'11llow=`a.. ewex ' ' ' �'` ° ' +py ."s a•cori'�ection 1n addit `,. .. ,. p ..$,, , .� ...,; . ,. .,. , .#„-. t f i;III,,+ i n 4. , . ion,zt1.Ah `;estirs aced sewage}Plow;wQuIdxnot`be'significantly_averrfi33fl I "I: allons }��pW&re.tor this three acres arCel' Eki�w r #'{�< ," `r "f ', �. -n -. `� ,g� Yvr..*; " `'FY.j' r +r`<.1 d"t' <'�'7' P , r. 3 i�..r. (.1 I� ,� -' 1T'�" �rn v7. ! .f r �, - ., § 7 "H, 3u j= ;?`:. a } 'a,$y 6 �...a.la^�! +ak` •. +Vi` '^$+a],.', ♦ ' t r'ti{ X',.< € , jt q . ... f•; Y^.�Y{' ,Ot4 sr,' iy i P+' ,,fit is u 9 + _ k. ' ♦ j r .Lr+.; #. 11, ♦ 1- ",4 , . A ,f`.' 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G ,,� w.. fir., - .... ..q. �, e . ,4` i„'+` °_ 's,r ax.. 1 y. ,k' ,, ' $ .) {. � e <{p"'�'f. " +'^ k ; 4, i"` ' a', n 3j !'y!.'y# *,rt• r'aiY %i�, a^, f fyk - , .f, �'T''R •fr d p`� <.4 ?a'FF /'t IR:t i +'S, J' ""E +r'a Are T; r• f roi " t. ,,,�.. v r Y R. ; eta _.f¢ k 7�t':�a r g ".aa s' aS, : -...s< r yam.f , A 'r' r .;. .:Y �a 7 i v I 't + ., F r , rP n z i w i , fi'y # �, ?r � ° ,s .1 , n-, : a 6� r *. ,c+£,'.. r f!r v y,, y. , ,1 '*. t r t t "' y,;,}ry ai hr.�,Yr' .i._, ,y3 %� Y � `<rf . s u a...: ��ti -?., S,'.' cr_..4` ., +.,.:'�. •-fj 4 r> .j, '"+. {1 p. `i?'.. "f - _. fr.r Al,kwu.. t,sK,� S ' No. 7:7f DATE y F THE t /`1 TOWN OF BARNSTABLE FEE P � OFFICE OF NASL a,a . BOARD OF HEALTH riva i639- 367 MAIN STREET �D M k. HYANNIS, MASS. 02601 VARIANCE REQUEST FORM All variance requests must be submitted five (S) days prior to the scheduled Board of Health meeting. NAME OF APPLICANT /��Ci�/Z /� �-�-� �l S TEL. NO. ADDRESS OF APPLICANT %G/ NAME OF OWNER OF PROPERTY SUBDIVISION NAME DATE APPROVED LOCATION .OF REQUEST 'R)�AV /5 IDC>R�"15_1 _140D, VARIANCE FROM REGULATION (List regulation) VARIANCE REQUESTED (Specific request) A)67 REASON FOR VARIANCE (May attach letter if more space needed) C55T 14 -7— PLANS - Two copies of plan must be submitted -clearly outlining variance requested. VARIANCE APPROVED NOT APPROVED REASON FOR DISAPPROVAL Qr\1 Tow,o`r�ra+-F-'r1CZ Ij l9LS�t. 1 [JUL! 8 1985 Robert L.. Chi-lds, Chairman -Ann Jane Eshb-augh _ j Grover C.M.. Farrish, M. D. BOARD OF HEALTH ' FRI aqh nHAmhr inc. October 17, 1985 Hyannis Porshe-Audi West Main Street Hyannis, MA 02.601 Attn: Jim Conroy Dear Sir: Clean Harbors, Inc. is pleased to offer our services to remove liquid from your 1 ,500 gallon holding tank at your facility in Hyannis, MA. It is our understanding that this liquid generates from the floor drains in your garage and consists mainly of water with trace amounts of oil/grease and anti-freeze. Firm contractible agreements can be established after a "waste material Profile Sheet" (enclosed) has been completed and an analysis of a representative sample has been confirmed. If I can be of any further assistance, please don't hesitate to call me at (617) .269-5830. Sinc ly, ,Rfchard C. Analoro Manager Customer Service Field Operations RA/ams I 24 HR.SERVICE (24 HR.RI OFFICE) 617-585.5111 P.O.BOX 193•KINGSTON,MA 02364 401.438.5600 E P _100.06 • ;, lrjeadarborSWASTE MATERIAL PROFILE SHEET profile Sheet Number A GENERAL INFORMATION GENERATOR NAME: CUSTOMER NAME: ` (IF DIFFERENT FROM.GENERATOR) FACILITY ADDRESS: CUSTOMER CONTACT: ; CUSTOMER PHONE: - GENERATOR USEPA I.D. ' ' ' ) ' ) a TECHNICAL CONTACT: TITLE: PHONE: -- - 5 NAME OF WASTE: PROCESS GENERATING WASTE: - B PHYSICAL CHARACTERISTICS OF WASTE DESCRIPTION AND COLOR ODOR PHYSICAL STATE @ 70°F LAYERS FREE LIQUID ❑ NONE ❑ MILD ❑ STRONG El SOLID ❑SEMI SOLID - ❑ SINGLE PHASED ❑BILAYERED ❑ YES ❑NO ❑ LIQUID DESCRIBE El LIQUID ❑ POWDER WITH SLUDGE ❑ MULTILAYERED ❑ N/A VOLUME Wo fir, i. PH SPECIFIC GRAVITY FLASH POINT ff) - r El<2 ❑ 2-5 El 5-9 ❑<.8 El :8-1.0 El1.0 ❑ <70 El 70-100 ❑ tOt-139 1 ❑ 1.0-1.2 ❑ 1.2-1.4 ❑ 140-200 ❑ >200 { ❑ EXACT ❑N/A ❑ 1.4-1.6 ❑>1.6 ❑ EXACT_ ElNO FLASH ❑ EXACT_ C CHEMICAL COMPOSITION(TOTALS MUST ADD TO 100 i)* D METALS ❑ TOTAL(PPM) ❑ EPA EXTRACTION PROCEDURE(mg/L) � % ARSENIC(As) SELENIUM(Se) BARIUM(Ba) SILVER(Ag) CADMIUM(Cd) COPPER(Cu) % CHROMIUM(Cr) NICKEL(Ni) MERCURY(Hg) ZINC(Zn) % LEAD(Pb). _ TIN(Sn) % CHROMIUM HEX(Cr 6) OTHER % E OTHER COMPONENTS-TOTAL(PPM) CYANIDES PCB'S *RANGES ARE PERMISSIBLE:BUT MUST BE NARROW SULFICES PHENOLICS. F SHIPPING INFORMATION G HAZARDOUS CHARACTERISTICS D.O.T.HAZARDOUS MATERIAL? ❑YES ❑ NO REACTIVITY:❑ NONE ❑ PYROPHORIC ❑ SHOCK SENSITIVE El EXPLOSIVE ❑WATER REACTIVE ❑OTHER PROPER 0.0 T.SHIPPING NAME - OTHER HAZARDOUS CHARACTERISTICS: D.O.T.HAZARD CLASS R.O. ❑ NONE ❑ RADIOACTIVE ❑ ETIOLOGICAL UN/NA 1.0 NO. - SHIPMENT METHOD:❑ BULK LIQUID ❑ BULK SOLID ❑ DRUM(SIZE) ❑ PESTICIDE MANUFACTURING WASTE ❑ OTHER ANTICIPATED VOLUME: GALS. CUBICYARDS USEPA HAZARDOUS WASTE? ❑ YES ❑ NO DRUMS OTHER USE?A NUMBER(S) PER: ❑ ONETIME ❑WEEK ❑ MONTH STATE HAZARDOUS WASTE? ❑ YES ❑ NO ❑ QUARTER ❑ YEAR ❑ STATE NUMBER(S) - H SPECIAL HANDLING INFORMATION/OTHER COMMENTS . L ADDITIONAL PAGE(S)ATTACHED I HEREBY CERTIFY THAT ALL INFORMATION SUBMITTED IN THIS AND ALL ATTACHED DOCUMENTS IS COMPLETE AND ACCURATE AND THAT ALL KNOWN OR SUSPECTED HAZARDS HAVE BEEN DISCLOSED. AUTHORIZED SIGNATURE TITLE DATE BSC JOB NO. 0 SUBJECT: SE�?-nc S'�S-rj5R1 CALC. BY: . REFER TO: AvJ1 DATE: 9-ZS- FlS LOCATION: CHECKED BY: DATE: sko 25� x 7Q' 1 7SQ. sF Oicc3 !L' k It, IZ' X ► I� 13L 34o Ste' ` �Z, x le - .. �yW}Gi�I✓�/�sqr✓icc,.ZS 'X 12 scr���cc ��rt 7a' x (00 ' 70co si-- 5�L-aA6e .FhovJS Vr�-�cE 3Go Y. � _ �°T .0 P/� Dry Cx>aGl®c IO'O - &Ifl riA✓(,';le/7 y act ShD,� 7.1 Zo x Sc w�c� pc�Pr ® .hGY�S+O�7tl1l��. �A�zs ►rt�sz � * 1�ts`l.PLrfL . E�7a G PI) V s r E r-i�.� 2 4'�irs c✓%3 57r��/E '. 7;W.K 3G -s CALC. SHEET OF SHEETS: :1 7i"2: � � tC_2cuGiiug C�. rca clVfz Notification for Storage Tanks Ae uiated Under nder 527 CiyfA 9.00 �f orNard i camcieted corm, i r s C ur c' ,ccsl ire decarlrrlent, to: Mass. UST Program. Oeet U Fire Services, One 4sh6urtcn Pface-r?eam 1370, Bastian, MA 021 08-1 61 8 Use Form Fes• a 5 290P, to notify or tank removals or c:osures in place. Date Received: Telephone (617) 727-85(30 I (Fire Department retains one COPY of FP 2g0) Fire Dept. ID# I _ Fire Dept. Sig. A. New Facifity(see instructions. .;t) f 8. Amended _ C. ,Renewal swe _ I INSTAUC770NS: :pith F?•290(Notification far Abovtrgrou and Underground Storage'anxsl s to oe camolered tar each ampl t cantalning underground or aboveground storage tan awned at this Idcatidn,pnotoccoy the followingg tanks regulated under.27 CMR 9.00. If more man five tanks are cdmpletea in duplipte. AlthoughpagAs and stable continuation sheets to the farm. The FP•290 must be A. Facility Number Ole farm re be hbtOdpcieG,the facility owner or owner's representative must sign each copy separately;pnotocepied signatures are not sufficient Rath coares Cif the F?-290 are to be farwartied co the local fire department,who will crieat all information and certify the tarma. Ttte lire department will retain one cloy of the F1 I 8. Oate 'Entered 2W for its records,and the facility owner shall be rasp onaibb tar forwardinghe ti the other espy to the Services at the address above 'he local Are department will issue(tie permit pdrnon tit the F?•290;hoDwevet.rf r gistradoh i C. Clerk's Initials s not complete until the F?•?c0 is received and checked by the UST Regulatory Compliance F;1 All questions on this farm Iare to be answered.Incomplete forms will be returned. 1•New Facility'means a tank or tanks located at a site where tanks have not been previously located. I O CJR1fT1enIS 2•Faality street address".trust include oath a street number and a street name. Post office box numbers are not acoentable, , i and will cause a registration to be returned.If geographic ovation at.tacnlrty snot prdvtded,please indicate distance and j (ine rsen from dosast intersec3pn,a.g., (facility at 199 Nona Street is located)100 yards sou*«eaer of mmana Rand (intersection). I � �• rM01,1111LIL81% Nctfficatlon Required -re Prevention Form F?•2g0 is o call used a$Notification,i istrapbn,and Ps Exc=dtidn a a farm or residential tank at 1,100 allons ar less cape 1 ( ! g dry used for storing motor abovegrouna and underground storage tanks and tank facilities requ awc under 527 use an thepremises where stored are hat wired to be e4 Permit fuel tarn°ncommerCialpurposas.or(b).atankusedforstoringheaUng oil farcansumptive Code of Massacnusetts Reguiadoris 9.00.:vo regulated aoov required registered under 527 C.MR 9.00. storage tank sari shall be egrourtq or underground g facility installed.maintained•rebtama.;uostandallymodifiedor P'^�:i'Any ownerwho knowingly fails tonodty°rsuomds false mformationsnattbesublec; emoved without a permit(F?•290)issued by the head of Me local Are°e°artment. to a Civil penalty not to exceed 525,000 for each tank tarwhich rid ! ate owner of any storage aCitiiy shall within;even wonting days notify the Head of the which else information is submitted.(MGl Chapter 148,section 38H notification CAR given)or for i local tire aeeartment and the Cam of Fre Services of any change in the name. ! address,or telecnone number or the owner or operator or a storage lac:Iity suoiee,to Aboveground Storage Tanks tto reguladan by Chapter 168,Mass.mineral=w and t7 527 C.L!R 9.00 requires the registration or any aboveground storage tank which meets the t Y:27 C.AA 9.00. !slowing definition:a nonzontai ar vertical tank,equal to or less man 10.000 gallons ! Underground Storage Tanks t cnstal acn owner at an underground tank first out into oceradon on or after.lan. 1,1991, capacity, hat is i ge Ot azafdOenced UBl1 latian tana wlthOs. i back All llabovestes,or below ammao a orand is snall,•Within thirty days after the tank o used for the story ! Fire Services(the departinent Cif Arse ut into°beratian,notify the Ceoartment tit combustible liquids. %mown,the owner of the rank.) he existence of suet tank speci ying,to the extent F date of instadadon, aoaary,;ype.Ioaition,and uses of —Edon3 :Ab°vegr°undtan saimoretnan 10,0oogallonsppadtyregulatedby52oC�tR j swan tank.3y no later than .an 31 1991 aac-I owner or an underground storage tank 12.00(Requirements for the Installation of Tanks Containing Ffurds other Than Water in :hat was in ooeradon at any time after Jan. ;, 197 a, g g ucri czcess of 10,000 Gallons)are not requireq to be registered under 527 C Y1R 9.00. j tanK was removed.`torn beneath the surface or the ground at any time,r;nad notifr or not y he ----2' )a larm or residential.ank of 1,100 gallons or less cacao used far storing department or 'he existence of such `Y�dnOn a ,a , tanK.;oec Ying,;o Ole extent known.the owner at motor vei for noncommercial Ourcbses. or (b) atank Used !or stcnng heating all for the tank.date Of installation•caoacty,;ype,and Iodation of me tank and the.type and consumptive use on me premises.vnere stated are not required to be registered under SZ7 euantity of substances storea in sucn;anx,or wnicn were noted in such tank before CMR 9.00. Me tank ceased being in operation 11 the tanK was removed from beneath the surface C at the ground poor to the submittal of such nonce to the department.Such notice shad ^ .>ny person who knowingly violates any rule or regulation made oy ne_bard of Fire also spec:ry,to the extent known.The date the tank•Nas rem ove°from beneath he Prevention Regulations snail,except as atherNis2 drovrdea,be punisned oy a fine of not less surface at the ground prior to the submittal of such notice tb me department.The than one nundred collars not more than one thousand dollars. (MGL.C.lacter 148,section acera[or of any tank;War has no owner or whose owner cannot be definitely t 0e,and 527 CMR 9.00) ascertained,shall notify me department of the existence of such tank seed:' in Where to Notify?Two completed notification forms should be signed by i om the tank owner ascent known,any ratify relaDar rY 9.!o the installation,caoad: to°�'°^ersnip Of the:anx.and da[@ of and the local Are aedartment.one baby'Niil be retained by the Are department.and tre tank f ty•type,and ldcatk)n at the tank.ano 1te type and Quantity at owner shall send a separate copy!a the address at the top of this page. suostances storea,n sUCn tank,or wnicl were scared in suet;ank cercre me tank ceased being in oceranon it the tank was removed tram ceneath Ole surface at the When to Notify?1,owners of s crage tanks in use Of that have been taxen out of coeraticn ;round prior to the suom!rtal of such notice ro the ceoarment.If the tank was must,otify within thirty days. abandoned peneath the surface at he ground pndr to the sucmiRal of such notice to he ra'a'-Cleca ent.suca,notice snarl also specify,to the sxtent known to the owner or coertifying wners t atoall leak detection,inventory control and tightness eating requirements Operators of Regulated Storage Tank Systems must maintain records doeraror,the case me rani was abandoned m the ground and all methods used to staollize me tans aver the tanK c g for the Regulated Storage Tank System are current These retards must be readily ea,so bein in operation. available for inspection. I. OWNERSHIP OF TANK(S) II. LOCATION OF TAN Owner Name(Corporation,Individual,Public Agencj,or Other Entih K S Xn j 1) If known,give the geographic location of tanks by degrees,minutes,and f rl I S FAT(°/ (SeS seconds. Example:Lat. 12,36, 12 N Long.85.24, 17W j Latitude�� Longitude 'L Zit( address 0otance and air Cn Tom Ci0.10� 831 x1lerseman tsee,nsttic.cns,z,e H ~� Fil iry Name or Camoan S-1e a"e"nim^. y er acaieap}e a.x f"Y � �?!na•t•�.r--d l tz•V'ST� state :° ode Steer Atltlre33(PA O P .Box not acceode •t;f�,,. r S�� 8-� � _ H►cH rMErvj g n� �y/9 , C SCHOQ1 tin t�wx t !L / ! _O 7Q�J CY h YH1�lVJs Sfaie 02601- r I:o Cane �10ne NumOer IneiuOe.Vey Caeel r ,eYyy Cwnert Emcfover Fecerai 10 County •_SO(re Asec 11,QF) III. TYPE OF OWNER IV. INDIAN LANDS _ Fe--eraf Government i -- Commercial _ Tanks are located an land within an Indian Reservation or on = State Government I (storage and sale) . I other trust lands. i VPrivate Local Government I (storage and use) I — Tanks are awned by native American nation. tribe. or indivicual. V. TYP£ OF FACILITY Select the Appropriate Facility t7escription: (check all that apply) Gas StationManna Truckinc(Transport Petroleum 01sttibutcr Railroad Utilities Airport Federal - Militarl Residential i Aircraft Owner Industrial Farm Vehicle Dealership Contractor Other(explain) V1. CONTACT PERSON 1N CHARGE OF TANKS i Name: (FNI'AA),ss�OO ce Address: Phone Numberp(inc:ude area code): Job Title:�C�►Jf e t d rn Home: VII. FINANCIAL RESPONSIBILITY i S I have met the financial responsibility requirements in accordance with 527 CHR 9.00. ——— CheckallInatapply: —————— --------------T-------------- SelI .t nsurance I = Guarantee I = Letter of Credit i Ccr*;mercial Insurance ' I = Surety Bong I = Trust Fund Risk Retention Group I State Fund I = Other Method Aliowed - Specify I j I I i I I VIII. Evv 1RON MENTAL S!T i E INFORM ATION This information should be available from local health agent, ccnser,(ation commission, or planning department. 1. Tank site located in wellhead protection area = Yes No — Unknown I i 2. Tank site located in surface drinking water supply protection area Yes = No = Unknown PP Y P • 3. Tank site located within 100 feet of a wetland = Yes = No = unknown 4. Tank site located within 300 feet of a stream or water body = Yes = No Z Unknown i III IX. DESCRIPTION OF STORAGE TANKS AND PIPING (COMPLE't E FOR EACH TANK AT THIS LCCAT;CN) Tank Identification Number , Tank No. Tank No. Tank No. Tank No. Tank No. 1. Tank status I i f � a. Tank mfrs serial T (if known) iy5S8 b. Currently in Use c. Temporarily Out of Use (Start Date) d. Permanently Out of Use e. Aboveground storage tank (AST) or Underground storage tank (UST) AST uST AST ,j UST AST LIST = AST UST ::AST UST 2. Oate of Installation (moJday/yr.) I (� 3. Estimated Total Capacity (gallons) L,� c; K icentificatiOn Numcer IccnT.) -anK No. Tank No, i ank No. ianK :Vo. 7ank No. i 1 Substance Currently or Last Stored ; a. Gasoline .; j 'r----- .1. Motor vehicle Or Orhtr JSc I �� - 'Manna ' _ ,MV = ,Manna _ :MV = .Manna I = :MV = Manna MV = ,Manna _ other = other I = other _.other = other i b. Ciesel l j Motor vehicle Or My Manna V Ma MV .Manna = MV = Manna.) = MV ._ ,Manna other other = other = other j = other c. Kerosene d. Fuel Oii' F , j r--- "Consumodve Use"tanks need not be 'Consumorive Use'fuel usad exclusively for area heating and/or hot,varer. e. Waste Oil f. Other, Please spe ——————— c:ry------------------- i —————————————————— Hazardous Substance I I ! other than 4- i ( a thru 4e above) i �_ ------- I I CERCLA name and/or I i I CAS number I -------------------- i -- j Mixture of Substancas Please sceciry i 5. Material of CcnsirL;c:fon-Tank(mark only cne) I i Bare steal (includes asphalt, galvaniz- and epoxy cCated) ' I Cathodicaily protected steel ---------------- Comeosite (steal with `ioerclass) Fiberg reinforced lass r ced plastic (F=P) ; I -- . Concrete I (_-- ,---1 e C n Unknown Other i I Please specify I i o. Type of Construction-Tank ' (mark only one) �-----; I Sincle walled Double walled Unknown I Other Please specity i Is tank lined? Q Yes No Yes = No - Yes t_ No ` Yes Na = Yas = No Does tank have excavation liner? = Yes = No C Yes = No C Yes No ^ Yes = No Ye I I s = No f 4 -ank Identification Number (cent.) - t M. 7 ank No. Tank No. Tank No. Tank No. Tank No: 17. '"atenai of CZrM.IC:icn-Piping (mark cnry are) Sore steel (includes aspnait, gaivanizSo , and epoxy coated) i � I ' i I Cathodical) rot y protected stet,e ) Fiberglass reinforced plastic (FF�P) I i Flexible � Copper � I i Unknown Otherr----- i Please specify 8. Type of Censtrucicn -Piping (mark only cne) i 1 Single walled Oouble Unknown Other (— I �— 'lease specify i Has pipingbeen repaired? I = Y es No I = Yes = No = Yes = No Yes = No = Yes = No Is pining gravity ;eed? i Yes = No I = Yes = No I = Yes = No = Yes = No ! = Yes No Date I i I X. CERTIFICATION OF COMPLIANCE installation A. Installer certified by lank and piping manufacturers I I I I l i B. Installer certified or licensed by the j I I I—� implementing agency I i C. Installation inspected by a registered n r---- engieer I 0. Installation inspected and approved by the implementing agency I I j i i=. Manurac;urers' installation checklists have been completed j Another method allowed by 527 Cy1R I 9.00. Please specify 12. Tank Leak Detection Tank Tank Tank Tank Tank ' (mark only one) I A. Double-wail tank - Interstitial monitoring 9 Q ❑ ❑ ❑ . iB. ,approved in-tank monitor (; ('� ❑ C. Soil vapor monitoring (check one below) U Ll Lr L Monthly Continuous ❑ ❑ E. Inventory record-keeping and tank testing � / ❑ ❑ � i F. Other method allowed by 527 CMR 9.00. — �— Please specify - ►ank Identification Numoerrconr.} - ank NO. rank ,vo• rank No. - _ ank ,Vo. -anK.vC. .. ::. Piping Leak Cetec:ion (mark Onlycne) ;Ctn 9 -Cin A.Pressurized a Interstitial so Ca ; / o. Product line leak detector — / / - I (mark all that apply below) ! Automatic flow restrictor' oo i j = Automatic shut-off device' Continuous alarm' ' Also requires annual test of device and /. piping tightness test or monthly vapor I monitoring of soil. S. Suction. Check valve at :tank oniv 1 (Requires interstitial space monitor cr line tightness test every n three ) e.. I ,Interstitial space monitor � I Line tightness test I C. Suction: Check valve at dispenser only (No monitor required) . // ;l f i� I j— i D. Other method allowed by 52 7 CMi i I ! 9.00. Please specify r'4. Date of last tightness test (tank & cioi Ald V�G i i i I ' I 5. Gravity feed piping 1 6: Spill containment and overfill protec;icn 'ank rank rank Tank rank I i A. Spill containment device instailec ! A --77 i S. Overfill prevention device installed7. Daily Inventory Control (mark only cne — i ) I / A. Manual gauging by stick and reccrds reconciliation I — a. Mechanical tank gauge and reccrds reconciliation C. Automatic gauging sv5ter- - ,� rank ?loin ranK Piptn rank Pining ank ?loin ar.x Piping 8. Cathodic Protection (if aoplicaoie) g g l i i g i p g A.I Sacrificial Anode Type f I ; i I j ! j i t I — I — I8. Impressed Current Type — I -- I —' I� I I I i l I l l i i C. Date of Last Test I ------- ----I--'-- - ' Certification of Compliance No.: Ix1. CERTIFICATION (Read and sign after comoieting all sections) NOTE.Both the copy being sent to the Oept.of Fire Services and the copy retained by the kcal lire aepartment must be signed separately. A Photocopied signature.rlii not oe acceoted on either document. I declare under penalty of Penury i P ry Pe u that i have cerscnaily examined and am famiiiar with the intcrmati suomitted in this and all attached doctments.and that basac on my a nauiry of thos8 individuals immetliatenr resconstble br ootalning the intormanon. �e:i hat:1^e d rted infdrrnation is true,accurate,and complete. Name and ottictal He of owner or owner's authorized reoresentative(Pnn,) sign r r '(late: s me d'-leit�e6 cellzecriGivee' ` . Nbtification for Removal or Closure of In Place Storage Tanks Regulated Under 527 CMR Forward.completed form,signed by local fire department,to: Mass.UST Compliant nit, Dept. of Fire Services,One Ashburton Place-Room 1310,Boston,MA 02108- 18 Telephone (617) 727-8500 Date Received: Fire Dept. ID# ©� (Fire Department retains one copy of FP-290R) Fire Dept..Sig. This form is to be used for notification for removal of Underground Storage Tanks/ State:Use,;Only, Piping. If a storage facility has UST's which are to remain in use, an entire amended FP-290 A. Facility Number (long form) must be filed. B. Date Entered Note: "Facility street address"must include both a street number and a street name. C Clerk's Initials Post office box numbers are not acceptable, and will cause a registration to be D. Comments returned. If geographic location of facility is not provided, please indicate distance and direction from closest intersection, e.g., (facility at 199 North Street is located) 400 yards southeast of Commons Road (intersection). I. OWNERSHIP OF TANK(S) II. LOCATION OF TANK(S) Owner Name(Corporation,Individual,Public Agency,or Other Entity) If known,give the geographic location of tanks by degrees,minutes,and iPk'Iras I�rZP2 �c. seconds. Example: Lat.42,36, 12 N Long.85,24, 17W Ew �rSeS � r Latitude Longitude Street A dress r Distance and direction from closest interseaton t see n7v aoove) Fauliry Name or Company Site identrfier,ars app oEable City tate Zip Code Street Address(P.O.Box not acceptaole•seen `� vJj ��� ounry Sy SFf C��6�/A City y Sntate` Fp `'erta,'Code AWN/S`y001 ,�RTi�1.��� Phone Numoer(InUude Area Code) Owners Employer Federal 10 K Couury U r r III. TANKS/PIPING REMOVED OR FILLED IN PLACE Tank Number Tank No.g;A Tank No. T No. Tank No. 1. Tank/Piping removed or filled in place (mark,ail that apply) �i i A. Substance last stored B. Tank-capacity gallons I C. Estimated date last used (mo./day/yr.) —————————————— ——— ——'————— ————— ———— D. Estimated date of removal (mo./day/yr.) %O 3 -rjb E. Tank was removed from ground F. Tank was not removed from ground Tank was filled with inert material Describe material used: —— ——————— ———— G.Piping was removed from ground. H. Piping was not removed from ground I. Other, please specify FP-29OR(revised 11,96) OVER <? i°masher(coot.) Tank No. � Tank No. Tank No. Tank No. T ani�Na. � 2. Tank closed in accordance i With 527CMR 9.00 �Yes -- No = Yes _ No C Yes _ No ❑ Yes No _ Yes. _ No A. Evidence of leak detected _ Yes No Yes _ No _Yes _ No ❑ Yes _ No _Yes = No i B. Mass. DEP notified Yes _ No _ Yes _ No _ Yes r No _ Yes "_ No Yes _ No i 1. Mass. DEP tracking number i i 2. Agency 9 Y,or company Y performingi contamination assessment *527 CMR 9.07(J),see"Commonwealth of Massachusetts,Underground Storage Tank Closure Assessment Manual"April 9, 1996 DEP Policy#WSC-402-96 I i I declare under penalty of perjury that I have personally examined and am familiar with the information submitted in this and all attached documents, and that based on my inquiry of those individuals immediately responsible for obtaining the informa- tion, I believe that the submitted information is true, accurate, and complete. Name and official title of owner or owners Signature: Date: authorized representative (Print) i,JE P)pw 5 o-ck-, OWLW4_11u, i FP•29OR(revised t ti96) P 4 THE BAR HSTABLE, o° 1 fAAS3. a NAY�`��� a, .�aaa ua a 02601 COMMISSIONERS: (617) 775-1120 Ext. 123 KEVIN O'NEIL, CHAIRMAN JOSEPH J. CAMPO. P. E. JOHN J. ROSARIO, VICE CHAIRMAN SUPERINTENDENT THOMAS J. MULLEN PHILIP C. McCARTIN May 29, 1985 . H. TERRENCE SLACK To: Board of Health From: Superintendent, DPW Subj: Hyannis Porsche Audi Inc; Request for Sewer Connection The DPW Commission at its meeting on May 21, 1985 received a request from The Williams Company on behalf of subject corporation to connect the latter's proposed new building on West Main Street to the Town sewer. The request was denied. The connection would require the installation of a line in West Main Street extending approximately 1,000 feet from where the sewer line presently terminates in front of the High School. The line at the terminus is a 12-inch line and the Master Plan calls for a line of the same diameter to be eventually extended along West . Main Street to serve areas beyond Old Strawberry Hill Road. Therefore, if the line were to be extended to serve Hyannis Porsche Audi or any other single property beyond its present terminus, it would require a 12-inch pipe .as well as ser- vice connections for all other properties which then. could be served by the line. The cost of this particular extension would be inordinately high not because of the pipe size but the depth which it would have to be installed in the ground. In some locations it will re- quire a depth of 16 feet. However, the Commission voted unanimously to deny the exension for a reason other than cost to the owner. The flow estimated to be generated by Hyannis Porsche Audi would be so small that it would create a flushing problem in a pipe of the size required. WAdo' SS perinte JJC/RLO/bw cc: Rick Jones The Williams Co ti 10'-O" P"MPOSED 10"DUCTILE PIPE • SEDIMENT _ EXISTING IC ' EXISTING 10" ZONE -I OIL/WATER V.C. PIPE V.C. PIPE VOL.=450 GAL. - SEPARATION ZONE - INV=132_ INK=132.63 r -- ,� / �+ VOLUME=1000 GALS ( 1- --- _ / ` \� a N1. FLEXIBLE COUPLING FERNCO OR 6„DIA - EQUIVA-EWr HOLES(4) N PLAN VIEW PRECAST TANK GRAVITY OIL/WATER ROTUNDO ST 5 x 10 OR EQUIVALENT SEPARATING CHAMBER NOT TO SCALE CAST IRON MANHOLE PROVIDE NEOPRENE 24"DIA. FRAME 9 COVER TO RAISE BOOT OR EQUIVALENT COVERS FINISH GRADE (TYP.) FOR WATER TIGHT JOINT(TYP.) . -_-- ---! ADJUST FRAME .TO GRADE WITH BRICK MORTAR OR PRECAS, 10°DIA.DUCTILE - - RISER SECTIONS IRON INLET .o ' • 6„ .' 6° 10"DIA.DUCT:' OIL ZONE = IRON OUTL.E- 6 (TYP) WITH TEE " W 3-0 > • r• Hf � !7 1 .. W � C ♦. A Won) • SEDIMENT ! J TRAP ' i a BAFFLE _ a -i 12"MIN.COMPACTED GRAVEL (TYP.) UNDISTURBED MATERIAL OR i COMPACTED CROSS SECTION VIEW BACKFILL MOTES: - I 1, CONCRE+E MINIMUM STRENGTH—5,OOd P.S.I.A 28 DAYS 2. STEEL REINFORCEMENT-ASTM A-615-75,GRADE 60,I"MIN.COVER. 3, DESIGN LOADING - AASHO HS20-44. 4. CONSTRUCTION JOINT- SEALED WITH 1"DIA. BUTYL RUBBER OR EQUIVALENT. 5. INSIDE a OUTSIDE SURFACES OF TANK TO BE COATED WITH COAL TAR EPDXY OR EQUIVALENT WATERPROOFING. 6. ALL UNUSED CHAMBER KNOCK OUTS TO BE SEALED WITH CONCRETE MORTAR, 7. PERIODIC REMOVAL OF OIL DEPOSIT TO BE 'ACCOMPLISHED BY SKIMMING, TANK MUST NOT BE PUMPED DRY. &^ el DUNS NO 05106-0408 F )H SERVICE CALL! FED.ID NO.39-6090010 a,' ( L ,g,: 7 +• x , k t::." , SCHEDULED fR SERVICE RTORY� fF ?. NUMBER .I BIG,, • £ LL O&OD120� r lI ..}M$Q#�OAD E�GIN,I IN I .~s.r 1 rA�•py1„ It 4 {C } .. .t ,� ; ,,tIs 617-697-4648 ys � ', HAND SY � ' ` �#YAN Is PORSCH ,A tD EAlC w qp' aH 1S�,@YA'.,, >\ Y CS t� 7 1 G n:1 T}} i'..0 G P V� I :��F '-�^H phi U 4f A, �8� 0 i .c. •,y'1 + ,� 1 "} ,. Ha V6 tV i0A J MA J[�ESYYNG SURCtiA�t��t ,`. -' ']'HANDLING CREDIT r o - Y SERVICE DATE' SAt ESMANS NO gpyT"SALES4i SALES TAX EXEMPTION NUMBER yVAF ` PREVIOUS PORTION CODE CODE BALANCE OVER 60 DAYS Bus f l CUSTdAAFA P O NUMBER GENERATOR/CUSTOMER PHONE» MAJOR 610: SVC P/S PROD.P/$ , SERVICE TAX , CO;M S.TAX PRODUCT TAX 'INDUSTRIAL ?' 'i f a WINn £s/In '� + r '.' >,: s ni: I r M1 xr . lbtACHINE SERVICE' SALES +; TOTAL SERVICE I ' CHANGE • .r MACHINE INSPECTION SECTION YaIL1MBEA'• CHARGE TAX CHARGE TERM SERICE TQ REMARKS , i, (R 'E CHECK AP OP4G.Tc GO,t-S. 4.t GDDD POOP56653 a' t slit. t. , ♦i LAMP ASSEMBLY$ . CONDITION S 4 f iJ f^y .i J•a' S 11 �5 �. •( F I '+ .DECAL$IN PLACE / YES NO,' Cx TL4 J 1 yt AND LEGIBLE ❑', `1/ FUSIBLE LINK .(ate ❑,. [ INSTALLED L�. ' . EMERGENCY CLOSING ,(� n WIC { LIO UNOBSTRUCTED IJ I•-,J � ' MACHINE PROPERLY s � :GROUNDED Lu J LOCAL PHONE NO `r t i1d AFFIXED STICKER /R a' P7 , r .. TO MACHINE .• c ' I EN USA EP D NO. GENERATOR STATE ID NO. pp T T��At�[Lp��tpp►�g�99 ®. :VE @W ttYlt Yr,: 3! >; ;L •+ N'4*"[ +.} .1,,45'fn'�y; TS { - n , � {., x.;. 1 .rf. •s"' (`f.tt , s y•.... ..,..-..,. _.' i' +'I u r" x a. r � 'PARS ,18.Om SD GAL _ +.+}o DM No.oM No.DM ,'US DOT Description(Including Proper Shipping Name.Hazard Class,and ID Numbed L '` ` J f - y _ Waste;Petroleum Naphtha,Combustible Liquid UN•1255 $} Waste.Compound,.Cleaning;.Liquid,Corrosive Material,NA 1760 } 13 174 .. '. - 'e 11 Tdtai Quantit• =Number of Drums x Ave.Wt/DrUm of:Pails'- 16 Gal. 30 Gal. 4t DESIGNATED FACILITY NAME AN, ADDRESS"`SAFETY KLEEN CORP.• £ USA EPA ID NO x STATE-ID NO."' .. ' x "/` ¢ 1. q y,,yr�k�rAt�. ti y tt�•� mFR �, `•�?'", ®r ., ', ,- T, .' •2 a.... t� ., F�'.,. u.d a .,.:..� s�G;�{.icr>< �`�as�, < ,rt:b,. ^,". M �aF �- r�� dl PRODUCT DAtLLER ' QUANTITY SALES - LINE' PRODUCT DEALER m QUANTITY 'SALES' '" LINE* >i'. x NUMBER EIIVERE -AMOUNT TAX TOTAL•;. NUMBER PRICE U/M DELIVERED,.:AMOUNT T '1 , TOTAL'' kA.."�1 � E y� L } _ :.Zo f•�• b•I l- t VI Q "4 •''y � 'dt 4.'•.; $, I � ,i c A, kanf r ,77,77, s t,. H t iti,• d a>,i'7-i 9 ; r; ,.,C' Tk.Bl '�' ,Lt+ ,I is b r +ry `F ax" x �Y XrrfSj^ T ! •� ! i f•y. g fk7 t �+.ads: �✓d Ram+ / r ,. :/y Y I S rti - i - .. u y '• J , , x -hJy`t x tM�,✓'kG., Y -�} � ps•1 yg t Y::.Y si „ti',.r :4. s ... ....- t rc x,:.M ?scar-;, '. ! ` v .4 TOTAL PRODUCT AMOUNTS ..,>� Y' •'. S E: 9 ,.� ¢ 9 d�t-�y''yt+ ..�'�#.} �"'� d � 3 � - ., r ,�9t �t �Li P^PC ,. .'� fi ��; �' N''� ` ~ TOTAL RECEIVED r APPLY PAYMENT TO CASH. } CHARGE MY ACCOUNT FOR THIS TRANSACTION UNLESS OTHER TOTAL SERVICE AMOUN CHECK ❑ TODAYSSERVICE/SALE WISE INDICATED IN THE PAYMENT (FROM ABOVE) RECEIVED SECTION. ALSO I HAVE ' " ' ❑ PREVIOUS BALANCE'AS FOLLOWS + NOTED'THE MACHINE INSPECTION m d n aI SECTION ABOVE AND THE PRES- ENCE OF MACHINE SOLVENT'AND AMOUNT$' GENERATOR'S CERTIFICATION IN ;_•w•,< -+_ I ¢ a }z.....i ,.,r {, - SIDE.MATION ON THE .REVERSE IN THE EVENT OF DEFAULT,SAFETY-KLEEN SHALL BE EN- INVC,.# ^ TITLED TO RECOVER COSTS OF COLLECTION,INCLUDING. AMOUNT,$. REASONABLE ATTORNEY'S FEES. ' a THE ABOVE AMOUNT IS SUBJECT 8 INV # L AMOUNT TO AN INTEREST CHARGE OF THE LESSOR OF 11/s°% PER MONTH (18% >"', ± $,g,a+t ,.a g•e NOTE '03. ^ �t 4 t2i a 746 I ` ' PER ANNUM) OR THE MAXIMU yv Ili RATE ALLOWED BY LAW ON A " O CORRESPONDS TO RESPECTIVE ITEM INFORMATION UNPAID INVOICES THAT ARE N LL' REQUIRED ON UNIFORM HAZARDOUS WASTE MANIFEST PAID WITHIN 30 DAYS. �' GENERATOR/Cu O ER SIGNA RE F(`�R IrVIPC1RT:ANIT INIF(`RtLt1A'i1nt—I { ',, dam,:. -yt, w .- -- �waaaut� ....... _ ...... . .. +Ck+atra+*wc+.,.7�g.Ji-".'"e..:•.�,�i0 \ ) *' l'tl,ls Y S �tl.- �x : F..1 �T •ZR+ (800 r) 27 1333 . 1 N�4 CORPORATE HEADAtJAIftjk ,Nri 5305 LEE HIGHUVAY Ni '11 ARLINGTf? V4 22207 ' NORTHEAST REGIIQN F'1 ) 100 TRAVIS ROAD y: ° r'i�ePi101/�Bfg Pant Thinner kazards HOLLISTON,MASS 01746 s (617)429y6777 4 ai ll 911PAr't }� • r yte t•'' r ''FEDERALYEPA HAZARDOUS WASTE TRANSPORTED I.D. # VAD 980 831580 ;z r L f Lf 14x, .VERIVICE CONTRIACT *i Y r n5 General `r Hazco will collect hazardous waste, as described in sectioni 2 below, accumulated by the M1 ,,{l ignatory to';this tcontract at the indicated location, and dispose of same in: accordance with A,r •;; plicable.federal and state regulations. Service will be rendered in accordance with the schedule°" 'bg 1 and fee indicated in section'. Hazco service will be covered by appropriate insurance and bond. k t: �2�'Hazardous,Waste: . The waste covered by this contract shall consist of Waste Paint Related .M Material.. .Other waste materials shall not be mixed in containers designated for Hazco Service P A 3:Storage Containers: Hazardous waste covered under this contract will be accumulated and stored x "' on the customer's premises in designated hazardous waste containers. The customer will provide _sufficient`container ' in serviceable condition, minimum size 55 gallons,.to store waste according to. the`agreed.pick-up schedule. Hazco will provide appropriate labels to identify the hazardous waste ` containers: The customer is responsible for insuring that only waste covered by this contract is ',')� placed in the designated containers: F ' fix- ✓ ., � \ Y'4`Schedule/Fee:. (check•one) HAZCO will make wasje•coldections approximately every 6 months for a total of 2 service calls over 12 + months or collections of 300 gallons, whichever occurs first. The contract fee for this schedule is., r $250.00 payable in_advaace.o'AJ ' LIAZCO will make waste collections approximately every 3 months for a total of 4 service calls over 12' months-or collections totalling 600 gallsons, whichever occurs first. .The contract: fee for this Schedule of service is$395.00, payable in advance. y HAZCO will make waste collections approximately every 2 months fora total of 6 service calls over 12"- = months,or;collections totalling 1,000 gallons, whichever occurs first. The contract fee for this schedule of service is $595.00, payable in advance. PROGRAM � SELECTED it FEE DUE -==' "" 1st PICKUP MONTH !^ Date P.O. # Payment Received yCUStOmer Name: °'? J-t/?r °59i".1 /j`nn`Kf`f'P;G 0l i 3- _J- rL/ , () Address: ✓i� {i" l te r' '/ 1-b ;City 8 t.f ,n1olu; State r 1,r° Zip r r " Pick-up Site: i�pr3 •!✓Ontact: gxj< it° «a Telephone r + f� �r Signature: �Jt. ` Print Name: rrEr° i "r "aU ='r err ' Hazco Signature: ... -• _.,>. .;�._.y:.y.. y. w:.: ^• 7- ,,¢.. a. ,_ -o." ._.� }"*.. 't,:Q' ..'.. ^' ,k"c" .. .Fcer�.d t= f._<;�,.. sea :;a. r,. ,..:ram ..,: w -y,.rr :;':.n -..,f. ;*, a.-. .S. -!'-. • k., t2 4 ,r_* - :Yf-, ti�"'s- - ..y: -,:.'. �Y=3 .'�..,..Y.-; Y•" ,.: :;,:.'b '.,._.-: j`.,.�: '..-..- <.. .�... ...-::. . tY-_- ,- 1-: 'k •l f Y f ,�.�T ,kr - " =:a�9 :?, 1.. ':'s, .. L� .,t :.� i �'.. a3.:. Sr. s-.rr,+.., - ..r,.. f Rz.. ..�s.... :r.. r_n. -f u., t: -. , "=r. •� :��' a _r. k -�r _::*,;,r �£ ......'T ..'rc,-:• �ik=.. r _t. r - - 1=: 't♦ .� � ..,r � r .:k ,A :# ..�: e°S_ w J i[zy v 1 r 12. , ACKNOWLEDGEMENT OF NOTIFICATION thIM.WWI OF HAZARDOUS WASTE ACTIVITYEPA `r^ This is to acknowledge that you have filed a Notification of Hazardous Waste Activity for : 1 the installation located at the address shown in the box below to comply with Section 3010 - of the Resource Conservation. and Recovery Act (RCRA). Your EPA Identification Number � �I for that installation appears in the box below. The EPA Identification Number must be in- cluded on all shipping manifests for transporting hazardous wastes; on all Annual Reports that generators of hazardous waste, and owners and operators of hazardous waste treatment, storage and disposal facilities, must file with EPA; on all applications for a Federal Hazard- " ous Waste Pen-nit; and other hazardous waste management reports and documents required under Subtitle C of RCRA. EPA I.D. NUMBER - MYANNIS pnRSCHE4 AUDI; Z^fC p 0 SCX 977 h6YANNIS N& 02601, _ INSTALLATION ADDRESS R T 1 3 2- E- P M I N'�AS E Y S L A NI F, H Y A N I.IS. ?JA 02E, 1I � EPA Form 8700-12A (4-80) # �Y H - h z7r :..�,..:.- r ..:- -..1. w.,. .. ...�f .:�: . • . -. Y Yi'3- h y%+k :;.c.:' +r.. t.°`c^ - - : ,r. .,.-. s st:•c:" ,.:..r ., ., ^c , -p, _ k .✓'.�..<.s-. _ t v x, ..hwt ...''+<.r .. f?�f* .-:_. -�r-- "_' .:. r ^if:a,.'i'§'.. 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F. �1 J $- �. _ _ ;aP •a{-f *r; a4�'-, ,eta,. ?iu 'Mp, 4 °ate tie Ple or type~~(Form designed for use on elite(12-pitch)typewriter.), Form Approved.OMB No.2000 0404.Expires 7 3t-86t kw HAZARDOUS I Generator's US EP ID'No.` Manifest Document No. s T t rc p /3 2. Page T lnrformation in the shaded areas sU MANIFEST r t"'j 4,,'� '�' ?t�% ?': J a a` =� o• is not required by FeG f s a " r V` of , 3 Generators Name and Mailing Address L 5`' �s, Mate yii3#nifespocument Ngmtr4 n t f,xr �.i � aQ�b�•� , �• �i uy c Y��,� ��r JCs �� �t4 ,�,�$ Y Y. F is,,• 4.'` Generator's Phone,( ?'S,, { 5 Tra ns orter 1 Company p, Name, 6. ' US EPA ID Number C State Transporters IQ t .:a.+ 4 . .� - � y - ,a .; a t., D Ttansporter's Phony a � 7 � 7'` Trans orter 2 Company`Name r 4 P 8. US EPA ID Number E State Transporters i c _ zi, F Transposers 9 Designated Facility,Name and Site Address 10. US EPA ID Number G' State Facii1tys IpR 3 * 4 f SAETYr Ki,Egi1{CQRP w re;3 tra ,t k a rt 4 faCllity s Phone g7'ZY #; t�yx `tS, x �. A(rs y " f'.x r (t:# `, i ,h,�:'.`f _�.D t•� �,� 5 Y 5 a 12. Cont8lners #13 14 7 , ( un Ft tb. : 11`?US DOT Descripbon()ncluding Proper Shipping Name,Hazard Class and ID Number) Total Unit a Waste No 3 k �� o No. Type Quantity t/Vol + E a: 4 4 N �a rat' E t Waste Petroleum Naphtha, Combustible Liquid, UN 1255 DM A D001r ; T b: k 4}p a a Waste Compound Cleaning, Liquid,.Corrosive Material, NA 1760 DM r ` 1 F002-F004 C. n,Waste Perch loroethylene,ORM-A, UN 1897 DM R t' d. k , x J gzr'Adit)onalflasorsphons for Materials Listed Above K Handling Codes for Wastes Listed Above i; Ursa i3x ah .� r " r.. r b t i VA � •� k'`'�`e�y z 7b � #* 4 `fir� �� j'Y'�"t�; ' , ` ,� � 4 ,,r � � 'r r :� l r b R 4 °''�G��� �'fi 3�K,�i$�'..p�.,yd�k�k;-r`�i u i 3- `� � •.(.�+�2 F t i. � d 15. Special Handling Instructions and Additional Information .y as r 18.r GENERATOR'S CERTIFICATION:I hereby declare that the contents of this consignment are fully and accurately described f1 µ above by pproper shipping name and are classified,packed,marked,and labeled,and are in all respects in proper condition for r ",,..transport by highway according to applicable international and national governmental regulations. ?" t Date iV a .Pnnted/Typed Name F Signature } Month Oayy Year,- f s T 17.j Transporter 1 Acknowledgement of Receipt of Materials Date R $_. �a Printed/Typed Name n �� ,„_ Signature �' �` f �' Mgon h 1Day S ,,/q ''Efyf ,fi,,f ��� ,.,,,.'�f f�,;...! �^a'•'.';., /1 �l..J i r e .7r /1 j'�./�-'rc Il`, ...,,...—... L X(�r�, t',: f n`. ' 0 18. Transporter 2 Acknowledgement of Receipt of Materials ," ( T Date Printed/7 r' E yped Name' Signature Month Day Year R ', 19. Discrepancy Indication Space y: Ph ZV 4 p )"' A c i a T 20. Facility Owneror Operator.Certification of receipt of hazardous materials covered by this manifest except as noted in Item 19. �# N7 r Date t Printed/Typed Name Signature Month Day Year Er' EPA'Form 8700-22(3-84) 1 GENERATOR COPY DUNS NO.05106-0408 LI, ' r"SCHEDULED scHEOULEO' orp DEPT. i=OR SER`VIC,E CALL SERVICE WEEK SERVICE TERRITORY NUMBER 4 PAINT REFINISHING SERVICE$ a 777B1GT{MBERROAD ELGIN ILLINOIS60120 GARY NALTAIS' 01 85=32 '$4 549513r`� q • ,"', 617-697-4648 v�•, ° O22 4'3Y 1326�-3,log, L v a� po Sax 4iYAiN��i #!A flz601 r S VI E DATE• S • SMAN'S'NO sALEs SALES TAX EXEMPTION NUMBER HANDLING CREDIT PREVIOUS PORTION SPECIALIST CODE CODE -WAF- BALANCE OVER 60 DAYS ' 37.80 . CHAIN` CUSTOMER PA.NUMBER CUSTOMER TELEPHONE NO. O.C. PAD PIS PROD.P/S PAD TAX PRODUCT TAX SERVICE CHANGE > _ INTERVAL SERVICE Y 0 00 .05000 04 :Y r MI!, .173uuw try °'i,. ,CONSIGNED CLEAN AI DIRTY LOST/DAM TOTAL +/— NEW INVENTORY )) Y r PRICE DIRTY SALE QUANTITY AMOU '-y NEW + j + _ 0 _ + 35 r TOTAL 3S PAD CHARGE + W EXCHANGED ON PREVIOUS SERVICES PREV.TRIP L&D REMARKS SUGGESTED 2PRIOR PRIOR LAST INVENTORY COST. SLS.REP. AP 03-84 ON FILE TAX � Y(J ,� { I O Q r TOTALLU d: 2Q�{ aO1 PAD CHARGE 1 ! 'J }, cl L E 1e�r . i4' i . ..9 •..``"�> s r +yr � ! sT�a r� s OLD ON PREVIOUS SERVICES PRODUCT DESCRIPTION PRICE U/M QUANTITY INV. $ALES _Y t 2 PRIOR PRIOR LAST NUMBER DELIVERED CODE AMOUNT Q vi LU 1`s"I d a 1 { 9 n ILV JLY 1 - 4 (fin , SM.♦, � ,05. J S. TITLE SIGN NAME(CHANGE) TITLE SIGN PRODUCT TOTALS�+ 2 } PRODUCT TAX CHARGE MY ACCOUNT FOR THIS TRANS- ACTION UNLESS OTHERWISE INDICATED TOTAL PRODUCT CHARGE ( IN THE PAYMENT RECEIVED SECTION. I {� TOTAL RECEIVED APPLY PAYMENT TO: HAVE ALSO NOTED THE NUMBER OF. CASH CJ PADS CONSIGNED BY SAFETY-KLEhN CORP. ABOVE AND ACKNOWLEDGE TOTAL PAD CHARGE - CHECK NUMBER - C)TODAYS SERVICE/SALE THAT THEY ARE IN MY POSSESSION. FROM ABOVE L^—J PREVIOUS BALANCE AS FOLLOWS THE ABOVE AMOUNT IS SUBJECT TO.AN F`. INTEREST CHARGE OF THE LESSOR v 1yz% PER MONTH (10% PER ANNUM) O TOTAL DUE INV,# _ A AMOUNT$ THE MAXIMUM RATE ALLOWED BY LAW a CCJJVVV y ON ANY UNPAID INVOICES THAT ARE NOT PAID WITHIN 30 DAYS. - INV.# AMOUNT$ - IN THE EVENT OF DEFAULT, SAFETY- < - ""'"'""'"""'•""'"'""'°' T'--'�' K-BEN SHALL BE ENTITLED TO RE- •m, �+ ^`� INV.# '.',AMOUNT$ COVEi,,,. COSTS OF COLLECTION, IN- - .. - - CLUDIN' REASONABLE ATMRNEY'S•r FEES R SIGNAI' y <ty. a LGCATION NO.-EL4 a 7 VILLAGE DATE APPLICANT FEE ?j 5 ADDRESS /Q/9 SXe-,10 I9/► /�o ao/ , f/c TELEPHONE NO. 778, Non-refundable) ENGINEER Ca�� f LV COA4;9 � n+Ec _TELEPHONE No._362- DATE SCHEDULED QZr _a�q�� O (Applicant' s signature SOIL LOG SUB-DIVISION NAME DATE 9 AP.�iL /9�S TIME ,'3 D EXPANSION AREA: YES.4 No ENGINEER TOWN WATER.&_PRIVATE WELL �rn �oaG.o,J BOARD OF HEALTH A?rU09 S&War. FSo.t/S EXCAVATOR SKETCH: (Street name,etc. ,dlmensions of lot, exact location of test holes and percolation tests, locate wetlands in proximity to test holes) NOTES : T-PVAt 1`p P 14, its Q `•T ilk tc!�Sp" 4r!/9//t/ S77rCL T PERCOLATION RATE: , TEST HOLE NO: ELEVATION: TEST HOLE NO: 2 ELEVATION• $r ��c►ve�.- �i►.L 1 2 SANO /'icL 3 3 5 � 4idg To Psoi c. . Go'� 5 Sul35o/L 6 �6 7 s T,1r7�It A Sit�l o 7 - 8 �.e.�v��. 8 SANv 9 9 10 10 11 11 /99;2 �� �R . 12M (,vo tan rage 13 /3cr, o.V- Pir 13 oar, 14 14 15 15 16 16 / SUITABLE FOR SUB-SURFACE SEWAGE: LEACHING FIELD LEACHING PITS v LEACHING TRENCHES UNSUITABLE FOR SUB-SURFACE SEWAGE. REASONS: NOTE: ENGINEERING PJ,ANS MUST SHOW NUMBER ASSIGNED ON PPRC TEST APPLICATION ORIGINAL:' COMPLETED IN ENTIRETY BY P AND •3=j BOARD OF HEALTH COPY: RETAINED BY APPLICANT . M Q TNP ro . 9af&4 a &7/1WVlaV le asanTasr. rAsl left 02601 COMMISSIONERS: (617) 775-1120 Est. 123 KEVIN O'NEIL. CHAIRMAN JOSEPH J. CAMPO. P. E JOHN J. ROSARIO. VICE CHAIRMAN SUPERINTENDENT THOMAS J. MULLEN PHILIP C. McCARTIN May 29, 1985 H. TERRENCE SLACK ' r To: Board of Health From: Superintendent, DPW Subj: Hyannis Porsche Audi Inc; Request for Sewer Connection The DPW Commission at its meeting on May 21, 1985 received a request from The Williams Company on behalf of subject corporation to connect the latter's proposed new building on West Main Street to the Town sewer. The request was denied. The connection would require the installation of a line in • West Main Street extending approximately 1,000 feet from where the sewer line presently terminates in front. of the High School. The line at the terminus is a 12-inch line and the Master Plan calls for a line of the same diameter to be eventually extended along West Main Street to serve areas beyond Old Strawberry Hill Road.' Therefore, if the line were to be extended to serve Hyannis Porsche Audi or any other single property beyond its present terminus, it would require a 12-inch pipe as well as ser- vice connections for all other properties which then could be served by the line. The cost of this particular extension would be inordinately high not because of the pipe size but the depth 4/hich it would have to be installed in the ground. In some locations it will re- quire a depth of 16 feet. However, the Commission voted unanimously to deny the exension for a reason other than cost to the owner. The flow estimated to be generated by Hyannis Porsche Audi would be. so small that it would create a flushing problem in a pipe of the size required. JOSEPH J-CAMPO, P-E. J ,N `.. Superintendent JJC/RLO/bw n�=C I C C S C cc: Rick Jones The Williams Co I �; r / U a ,gip✓_ ``` ���`I �\I \ W �-� Q � �_. _ Nefl3CO � • =�1 yam\ r; \ `fir O as •• . Pi31 v a o -� •; 1 � ofla•. MI It QA t� / ••• • to It fir: • � • •— %� • • •` I I • • •• • • O • ° Itto • • •• • • • •• 4 ••• • I, • •• • • •• • � • • tT • am 10 Lv • zz ,,io figIt .. It 0 • ! qt lg 40 zt It to IT tn •��O O •. + y 1 . / :� �.'c �'>:Ni JJj :,�J>- 2t "Y�YM1 y � G. / .- •� - ' �./ J,... �. •S,r �+17� ! -�r ;� S ti+'tS'.aT �-- y .F t ai -.a -j•N •% ; .ram �, f � a ^•y.�f' .� l��'' < ,' x 3 LJ j ! 'mac » 't — _.ss. .. .�� z; �.n. ! •t�Y} (' 7�'�s�Y�,3'41 itt��r z?Y'�1 -7� �t' "�'•y / N � ;>;-t C e`lT:.Y^' .r ! �s' l { � s ,< r'w .+•� .i�y'•�'r�.-a �+-!cc� ce "L�`' a .o _ r y- f / _ r j1 ' 7''( y re• t +L'y !'fir +'r { `- �$�Y •" +�>� ♦'~ P � ! ��.' � z17T. -t`j,' i�h jam/ � / (:.r '7`) s��,�y�a4:p�f 9�,,,.'r`�F :4'. "f �•..3 y �, -�Ts _ *� ':� y � � : /j •r `�Y- ! fY 't+'!� `F''--•'� 3���l�S SG�I`�• r 3'J'`t` - ..� w'^ 4 N� ��;.-�ML- !a-,..r-vi --ss'/ •+rh-: � '�_ ,i:�� /'��'�� C x-c ����•airs_ -^7 f rikl,,.• �,rt�•ri al �„� �s� 'r x '�' i-� '�rd �k tiw �`.! _,.'� !'�/ _ `,. %� >.. Li ,yu .F,�`Y�.j.3v. X��}}b A ri�.,� s''r r-, 1 t _t ,!, tz, ✓. �'� - ! fy �r�• ).� ! .y�%. rt ._ � -1 3 - �. , jam_♦ / .. .:S � -a 7Y� LK•V �t 41.--:.F` { _�fi y '� 1 _ F T" b"'. •�`. - / -. 1 '.� '- 4 •, O `- - K � 4.e"•'4��.i � ? { 1,f - 's �a'� -.•- �/ � }'�� a`� _ - �- \ 1•. i� � '- � J ! `1.jr - - 7 o, f" r / r r ! / 1 a mJf S C Cape Cod Survey Consultants .15 3261 Main Street/Route 6A Barnstable Village, Massachusetts 02630 (617)362-8133 April 29, 1985 Mr. Joseph J. Campo, P. E. , Superintendent Department of Public Works Barnstable Town Hall Barnstable, MA 02601 RE: Proposed .Automotive Facility Hyannis Porsche Audi , Inc. West Main Street, Hyannis, MA Our File No. 3-1550. 00 Dear Mr. Campo: On behalf of our client, The Williams Company, we are requesting permission to connect to the existing sewer line in West Main Street . The purpose of this request is to comply with the Barnstable Board of Health Regulation requiring that commercial structures within a Zone of Contribution to a public supply well within 3,000 feet of a municipal sewer line shall connect to the public sewer. Enclosed please find the location plan for this proposed project. We would appreciate your review and approval of the enclosed criteria so that we may proceed with the final design. We are available any time at your convenience to discuss this project. Very truly yours, CAPE COD SURVEY CONSULTANTS og- er P. Michniewicz, P.E. Enclosure The BSC Group of Companies Planning Sunveving Design Engineering S C Cape Cod Survey Consultants 3261 Main Street/Route 6A Barnstable Village, Massachusetts 02630 (617)362-8133 May 1 , 1985 Mr. Roger P. Williams, President The Williams Company 1019 Iyanough Road Hyannis, MA 02601 RE: Proposed Auto Sales Building Hyannis Porsche-Audi Site West Main Street Hyannis, MA Our Project No. 3-1550. 00.) Dear Mr.. Williams: Based upon our preliminary investigation of this project, we have determined the following - parameters for the design of a new sewer between the site and the existing town sewerage system. �. Estimated average daily sewage flow based upon Title 5 guide- lines will be about 650 gpd. 2. Distance between the proposed building and the closest exist- ing town sewer (gravity line in West Main Street in front of the high school ) is approximately 1000 l. f. 3. The proposed new sewer will be an eight (8 ) inch (min) dia- meter gravity sewer pipe constructed in West Main Street. ( The existing sewer invert at the High School manhole is about 16 feet below grade. ) Please contact us at your earliest convenience should you have any questions regarding this information. Very truly yours , BSC/C COD SURVEY CONS LTANTS Roge P. Michni wicz, P. E. Project Manager i The BSC Group of Companies Planning Surveying Design Engineering t %5 C Cape Cod Survey Consultants 3261 Main Street/Route 6A Barnstable Village, Massachusetts 02630 (617)362-8133 Hnilh cant U Town o`Ea:es" ble i July 1, 1985 F Elf FT GG Board of Health `JUL' g 1985 Town of Barnstable 367 Main Street Hyannis, MA 02601 RE: Request for Variance Hyannis Porsche-Audi Site West Main Street, Hyannis Project No. 03-1550 .01 Members of the Board: On behalf of our client, The Williams Company, we are requesting a variance from the Board' s Groundwater Protection Regulation that all new commercial structures within a Zone of Contribution to a public supply well within 3 , 000 feet of a municipal sewer shall connect to the public sewer. Our request to connect to the existing sewer in West Main Street has been denied by .the Department of Public Works. (Copies of correspondence attached) . Therefore, we are requesting permission to construct an on-site subsurface sewage disposal system which will conform to Title V and the Town of Barnstable regulations. We have recently performed soils exploration and percolation testing at the site and have included the results with this sub- mittal. If you have any questions or comments please do not hesitate to contact me. Very truly yours, BSC/CAPE COD S RVEY CONSULTANTS! 41, f7111, oger P. Mic niewicz, P.E. Project Manager Enclosure CC: Roger Williams RPM/sll The BSC Group of Companies Planning Surveying Design Engineering h S - Cape Cod Survey Consultants 3261 Main Street/Route 6A Barnstable Village, Massachusetts 02630 (617)362-8133 July 1, 1985 Board of Health Town of Barnstable 367 Main Street Hyannis, MA 02601 RE: Request for Variance Hyannis Porsche-Audi Site West Main Street, Hyannis Project No. 03-1550 .01 Members of the Board: On behalf of our client, The Williams Company, we are requesting a variance from the Board' s Groundwater Protection Regulation that all new commercial structures within a Zone of Contribution • to a public supply well within 3 , 000 feet of a municipal sewer shall connect to the public sewer. Our request to connect to the existing sewer in West Main Street has been denied by the Department of Public Works. (Copies of correspondence attached) . Therefore, we are requesting permission to construct an on-site subsurface sewage disposal system which will conform to Title V and the Town of Barnstable regulations. We have recently performed soils exploration and percolation testing at the site and have included the results with this sub- mittal. If you have any questions or comments please do not hesitate to contact me. Very truly yours, BSC/CAPE COD S RVEY CONSULTANTS fogzr P. Mic niewicz, P.E. Project Manager Enclosure ' CC: Roger Williams RPM/sll The BSC Group of Companies Planning Surveying Design Engineering LOCATION SEWAGE PERMIT N0. tjtf 73 `2 eq 7 VILLAGE INSTALLER'S TAME ADDRESS - Kw — i3az,,r,4 f21 1--&I,I� J b 0 R UILDE R OR OWNER DATE PERMIT ISSUED D A T E COMPLIANCE ISSUED 3i� 4 V`4^^�� _ 6 `1� �„� � a' �` � � � � '�' �! � 2 \ � � � J r en ��A`. � a � o ` �- - < l- ��y /i�/� �����M��s