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0436 YARMOUTH ROAD - Health
436 YARMOUTH". RD, HYANNIS MAP- 344, PAR— 009 o � t j/ L r y i �4 0 {J I k TOWN OF BARN T BLE &6� 3 LOCATION Nffi SEWAGE# 2_ VILLAGE ASSESSOR'S MAP&PARC INSTALLER' A E&PHONE NO.RPXV- S''t� -� '`f SEPT�C TANK CAPVITY to 1006 QOJ 166- 46y,_�7 , LEACHING FACILITY:(types (size) _'X °Zx -7®` NO.OF BEDROOMS LLL OWNER PERMIT DATE: CO ' LIANCE DATE:Ut Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY 'Rma,r N G. 6 a. I4�l`q IO©a.1�r bal � 1 i tBi I o -�loq`-" r®�a; Town of Barnstable Geographic Information System February 1,,44,�,2013 A f3 r 329003 `P— — aC 6�r '� #ago � S4 �7 71 -FP 1 = 7 ` (05 4 'p-3 '7 f Sig' 328183 #0 344009 #•436 344084 t: a• #431 , . 1��0 •nh •.�'. ydi M x a14010 344044 #16 344008001 #216 n #ZD8 344045 #209 344011 0426 � 344040 $. #43 344O46 t1 #50 344021 0 19t 344022 #164 DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:344 Parcel:010 boundary determination or regulatory interpretation. Enlargements beyond a scale of Selected Parcel 1'=100'may not meet established map accuracy standards.The parcel lines on this map OWrlef:499 ROUTE 6A 1NC TR Total AS505Sed Value:S321500 ,,��,,,, are only graphic mprosantations of Assessot's tax parcels. They are not true properly Co-Owner:700 PROVIDENCE HWY REALTY Acreage:0.54 acres Abutters E boundaries and do not represent accurate relationships to physical features on the map Location:16 FERNDOC STREET r' � such as building locutions. Buffer le'`E S BEEP OBSERVATION RULE LOG; Hole#`<<' 1n,- Dcpth from Soil Horizon Soil9'exteue Soil Color Soil - Others ' surface(in.) (USDA) (hfunscll) Mottling (StnnXuee,Stones,Boulde®. Consist.. %4avel) O-30 F I t.I- -- -- i 30-3q AP loytz2/I Ncile Fr��btz 34-6O 6 Lol n (;r*WD toYP-4•/4 �)o-Ae Ft;atble Gb-lag G U,,e ` w5e- UBSERVATtON HOLE 't)d Depth from soil Horizon Soil Texture soil Color soil Other Surface(in.) (USDA) (munsell) Mattlin s (sbneivre,sconce,Bounden. Cc,a,is ten M%Gravel) 30-50 g Wtl', SWO WYIZ 4A I)oNti Nibble C,0-150 C iAi: M GWD 10%(1Z(5/ N(�N� Layse DEEP OBSERVATION �.._:. . Depthtrom soiltlarv�n'- 'Sail ... - SoAcolor Soil other Serface(ia.) (USDA) (Nliu I) Mottling (Shuctumg Stones,Booldets. — - Coroistenw°'Giac^It 0-2-q- FILL _ 2i-30 �n Lorin (C)W-h 100"C IFciglole 50 5& a [-&RtA� S AWD iD Y17+4 V301le 10010A SAD .OPC-/4 DEEP:QBSERVATION HOLE IOG FIole# Depth form -Soil Horton Soil Tenure sod Color 4ci1 Surface(M). (USDA) (munselp Alottling (Structure, 'st 06 Q-2g F I Ll- -- 2 3td RP LoAm 10(fRz/I Wile Fr��tbip .56 62 P LORM`( 5A\0 t 0`f R 4/4 N�9e Ft��lb ip C�2-.t4�b C MEDIVIA SQW0 I0KIZ4/3 tvo,�e Loose Flood Tnsurnnce Rate Map: // Abovo 500 year food boundary No Yes v Within 500 year boundary No Y Yea_ Within 100 year flood boundary No Yes! - Depth of Naturally Occurrth pervious Material Does at least four feet of naturally occurring peryic»ts material exist in all areas observed throughout the area proposed for the soil absorption system? E$ If not;what is the depth of naturally occurring pervious material? Certification W S I certify that on k�e'r oi4r (date)I have passed the soil evaluator examination approved by the Department of Environmental protection and that the above analysis was performed by me consistent with the requirc traimn xpetti eepenenc{e described in 310 CMR 15.017. Signature R, Date Fen) 14., ZOI �a1tt OF ZW '�tq o� DAVID c�c Q'.%EMCe>'EItCFOeM)OC D. " COUGHANOWR " SOft�OENSEO 0� # FVALUI� t No.6;2e tJ &P 1 FEE COMMONWEA LT14 ®F MASSAC14USETTS Board of Health, �a r✓15-M bl e , MA. APPLICATION FOP, DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct( Repair( ) Upgrade(,/AbandonO - hd Complete System ❑Individual Components Location 4 3 to ya r>ovu d Owner's Name y9 9 Rqtti'fe &A Tr, Map/Parcel# Address PO 60X R6(, }1 ^4 oaGo Lot# — C? Telephone# 7 S I _a Cl U- 6100 Installer's Name -_ Designer's Name A-f 1G,"4-,C Address 0, (o � t re,1 Address PQ fjOX 105-1 Telephone# ,� �� Telephone# Type of Building CO m'P�C 1 Gi Lot Size q! /7L/Ll sq.ft. Dwelling-No.of Bedrooms LL Garbage grinder ( ) Other-Type of Building A tit h/7 DeGI 1 e�S��,t4 No.of persons Showers ( ),Cafeteria ( ) Other Fixtures Design Flow (min.required) /V gpd Calculated design flow!jf 3 p� d Design flow provided 1 19 0 I gpd Plan: Date Number of sheets (9 it Revision Date Title lac e,-77 e,,7 1 5eyhc s /?/?'7 De IW-7 POr eldW o f Description of Soil(s) /vl edl �44 5� /I Soil Evaluator Form No. 3 �,S.S Name of Soil Evaluator 0a j,e CUuAH r1UW/'Date of Evaluation I l 13 MOF DESCRIPTION OF REPAIRS OR ALTERATIONS Wks The undersign ee�instaH ove described Individual Sewage Disposal System in accordance AbyWth. LE 5 and further agree no in operation until a Certificate of omp' nce has been issued Signed Date x 3 Inspections No. Q FEE V d r ` _ y COMMONWF-A T14 01 MASSAC14USETTS ' S Board of Health, 4 tGt b/e ; MA. Application for a Permit to Construct Repair(-) U rade Aband on( /C..PleteSystemonents❑Individual Com PP ( ) tiP ( ) Pg (�A on( ) P Location 4 3l0 YCJ r Y"01-4 t{9 CJ a j 5 Owner's Name 44 9 RUl u e &,All In c- T/', Map/Parcel# -3 Address Po fox 4g(, d titres 1'5 lkl,4 oa_(o Lot# —I 'R 0 . Telephone# 7 _a Gj:0_ 61 0 0 Installer's Name J Designer's Name 910ytC ��irIFP�S Address are V1�Yt Address Pa OX )05-1 �4,1 tvl ck,AI14©a,%!3 . t Telephone# J 3 _V,k _� r Telephone# ya — — � co�-1�Y/�,�c 1 1 ad 7 Type of Building Lot Size / y y sq.ft. Dwelling-No.of Bedrooms f Garbage grinder ( ) Other-Type.of Building 14 1.1 T(7 No.of persons Showers ( ),Cafeteria O Other Fixtures A Design Flow (min.required) /V�� gpd Calculated design flow L, 13 7WO d Design flow provided 19 U 1 gpd Plan: Date 0(.1,S//-3 Number of sheets d C Revision Date Title AfrA&(ec//7,0.171Smyh*C 5V5 fiP"7-) D1.51QQn PIA✓i por ✓LJU) L1 Ic Description of Soil(s) IA4 o / ( I'/ / `l' fi(� n I 4 rSoil Evaluator Form No. ! �,5_5 Name of Soil Evaluator O�+V�001W Date of Eval on 11 /3 DESCRIPTION OF REPAIRS OR ALTERATIONS The undersigne. grees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and �. further agre t no ace the system in operation until a Certificate of Comp pane has been issued by the Board of Health. Signed Inspections i 1 ` _ w ,\ T No. law FEE C®MMONWEALT14 OF MASSAC14USETTS ✓� ` Board of Health, g r►7 5 1 c,bi a MA. , Of COMPLIANCE Description of Work: ❑Individual Component(s) Complete System The undersigned hereby certify that the Sewage Disposal System; Constructed ( ),Repaired ( ),Upgraded (/Abandoned ( ) by. \, 1 at J4 V(, '-ro5t), Qe Q P r 5 has been installed in ac or©da/nce with the provision of 310 CMR 5.00 (Title 5) and the approved design plans/as-built plans relating to application No. j/! /S lP , dated �i '� Approved Design Flow /R3 2 (gpd) Installer Tom 44C k u h r Designer: A 6,14 t( De5lem En6i+iW/ltwnspector: Date: The issuance of this permit shall not be construed as a guarantee that the sysiem will function as designed No.r-C.�'F' ycr°'� FEE / V .o COMMONWEALTH OF MASSAC14USETTS Board of Health, I� � MA. DISPOSAL SYSTEM CONSTRUCTION PERMIT �f Permission is hereby granted to; Construct( ) Repair( Upgrade(%6 Abandon( ) an individual sewage disposal system at q.3(i Y 41 I``'�,OC,d, as described in the application for Disposal System Construction Permit Now'/'S dated .3 11q Provided: Construction shall be completed within /three years of the date,of�hpLrif. All local conditions must be met. r Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date l� ,/ /-. Board of Health 7�own Of Barns"k O�tNEt�iy.' ,Q y e It00 Serv><ce s i . Rieha td:V.Scab,Tt>teriM Dit eetar � uvsr,�eLE, •: Publ><c Ifealhivson �w Thomas 1VIeX601t,Director 200 Maiia.Street,ily.ihn;s,MA 26.01 Office:: 5084624644tat:; 508-=790.G3f)a Itiistaiter&:Desi>=ncr Certifeaton Form' . Date: J� �./ 71 '_ 3�' ! Se►vage�P+ermii#' _ �lG 3..4 4i(� Assessor's Map1I?�►i ect...���'/.. :�-� `1�lI� Resigner Ailanfic DC' pl cini%g15 ✓,f �tstaller , eVj� Address: Po dox L)51 Atll,'ress PO &OX -- — datel.. tas ►sstled a pernitt to;install a: (installe septic s <stenl..at. �a Gt//'d'�C�1,f �'J :based on a den gci drawn by (address) n6-6 tan, 6,Y �d:ated (M-Vi9.4orf) (desifgpe) I c�rtlfy that tf a septic s}�stt♦iia rderenced above was:installed'.:substalitiall ac eordind to the des i,�vhiclt may include fniiiof approved changes 41ell as 1atenaf reloeation.>ot the dictrfbution box andlo septic(ank. Strip out: (ifi required} vas:inspected ar7d tfie sails: Nvere found satisfactory. I:ce-itifk that tilt; septic system referreneed:above was installed:"with ttta�oa° .�l�anges (�✓;:. greater than I t)'lateral ieloca'ttt5n oE'the SAS or any vertical relpeation of any compenerat ta.f the sepia system) but 1rt accQrda ice waif State& Local Reg�11aticins. Alan°revfsiof or cert)fied as built by destgtaet to folioW. Strip out Vf rgcltiir"d)was.to pected and tfie soils sW=fOUnd satisfactory: 1:certify-That tl �system referencet above was cortstructcd of the MA a s yah tlic teirs. pp.^a 31 l :ttm(.f apptiCA1.ej s9c RICHARD " s J. s� Q, TABACZYNSKI N (Installer'"s Slgnatgre! CIVIL a No.33146 STER�q��� NAL (DeSIg 'S. IIIilltUre� ( tltx'Desi "Op Here): PLEASE. RETURN TO BARNSTABLE,PUBLIC 14EALTH DIVISION":. CERJ'IFI'CATE Of COMPLIANCE WILL; 1\�OT:BE XSSUED Ul1TTIL BOTII TIffS FORM AND 'AS BUILT CART ARE"RECrI K THANK YOU. BY THE'BARNSTABLE PUBLIC I•IEALTII;DIVISION. .. QASepticWesignerCertifieation Form Rev.8-14-11dw Town of Barnstable 'ra Department of Regulatory Services I ? t Public Health Division Date 0-5 i f t"96 200 Main Street,llyannis MA 02601. Date Schedule) �✓ Time / Fee Pd. Soi`l�Suitability Assessment for SewW Disposal Perfornxd By.'O ltl1(� D, t/d i/i1[�UG1,0 Witnossod BY;far _ 1 `LOCATION&GENERAL INFORMATI Location Address _.._.ownee._.,�,. (p'l�G(G'{" Y3C• Yr��.nevd�l Roy:[•,' Owner'aNamcyRQ 45vjp Lr.grl g 4!c Ferndur 51"e-4 C Aamesa 7s°Pruv,dP,tct'ri Y if�,l S�! fFr t9 fQi(L�Girl 9a`t Old YG:�17f/fl l Pc�a�ox 7 %�cCrc c(SL% A{{caf--c P p bfYq�r''S AU.7G�1 Assasor'a htaplpuccl:�Viq I�Fa R Isscer F+l V in 's 3y� cce�55•f, l�l'S'y SU� r ! ip NE4CON SRCON ✓ REpAR Tehphcnc9 Glitrq-�oS5 gq + /t� 1< w Land Use Co ea%1Q l^Gi ct t Slopes(%) v Surface stones 4 y K/pR Distateesfrom: Open Water Body tDa R possible Wet Area 100-V R Dtinlang Water Well 4/i 0+ It Draiaego Way d* a Pru"Unc JOT -.R Other p SKETCH:(street names dimensions of lot,exact locations of teat holes&perc tests,locate wellsmis in proximity to holes) SQL ui E pared material(geologie) �1'O CICl�.1 ®V i o✓ S'I Depth to Bed,k. haw( Depth to Groundwater:Standing Water in Hole: Weeping from pit Face h.©„•l;. psthwtedScasmedHighG=ndwata 6tegkr til4h tSo ikclle$ ih K DETERMINATION`FOR SEASONAI`I3IGHWATERTABLE " Methodllscd QM;•ri ,;x Chcx ob.;evea Ih"Yp.2) -R Depth Observed standing inobs.hole 1y 0^e- in. Depa'to coil moulo:'ftl C n a G 1 S0 is 1 h Ta`z Depth to weeping from aide of obs.hole ty c,'A e. in. Groundwater Adjustment Index Well O Reading Date: Index Well level Adj.factor.Adj.G;i-.Ted taL-rLccel FN...k II /-y� / Ttmcd9" �/H h/Ifq �8��{� f�"(baf) Tmrcat6" tl�6l 11 A!�"bt7 0`L)0 Tune(9"-6^) f1��i �Cl .End pre-soak 1b-34 .7 60 Rate Mialinch Lt:55 thAtJ 21 PT ih C Svi15 Site Suilability Assessmeml Sitepmed e5 Sitc Nilcd: JO Additional Testing Needed(YIN) Original:public Health Division Observation Hole Data To Be Completed on Back- *** If percolation test is to be conducted within 100'of wetland,you must first notify the Barnstable Conservation Division at least one(1)week prior to beginning. Q:ISEMCMCFORe d.DOC 1 I • 0 Town of Barnstable OFTHE t Regulatory Services Thomas F. Geiler,Director Public Health Division * ReARMW ns[.E, Thomas McKean,Director 9 z6 g .9 200 Main Street, Hyannis,MA 02601 ♦0 ArfD MA'l A Phone: 508-862-4644 Email: health@town.barnstable.ma.us Fax: 508-790-6304 Office Hours: M-F 8:00—4:30 NOTES TO THEFILE Mr.Peter Cutler RE: Toxic and Hazardous Materials Hyannis Auto Center/Town Taxi On-Site Inventory and Inspection, 436 Yarmouth Road Hyannis Auto Center/Town Taxi, Hyannis,MA 02601 436 Yarmouth Road, Hyannis On June 5,2008 a follow up inspection was performed at the above facility.Following is/are the corrective actions required from the original inspection of April 24,2008 and the actions taken since. CORRECTIVE ACTIONS TO BE TAKEN: The Material Safety Data Sheets are to be made available for review. The Material Safety Data Sheets were in a binder and are available for review. Cynthia A.Martin Hazardous Materials Specialist °Fz„E r°w� Town of Barnstable Barnstable P Board of Health 'All-Amedea w BARNSTABLE, 9 MASS. m 200 Main Street, Hyannis MA 02601 O° 1639. �m AlfO MA'S A. 2007 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi BOARD OF HEALTH MEETING AGENDA Tuesday, October 9, 2012 at 3:00 PM Town Hall, Hearing Room, 2ND Floor 367 Main Street, Hyannis, MA I. Clarification of Bedroom Count, Interpretation of Disposal Works (Cont.) Construction Permit # 87-805: Sam Naoom, representing Georgia Marmanidis — 9 Beth Lane, Hyannis, Map/Parcel 273-199, 16,651 square feet parcel, number of bedrooms. II. Variance — BodV Art: Mark Corliss, owner, Spilt Milk Gallery, is requesting transfer of apprenticeship for Maria Ires Todd from Black Pearl Tattoo to Spilt Milk Gallery. Ill. Variance — Septic (Cont.): A. Steve Wilson, Baxter Nye Engineering, representing Barbara Rosiello, owner— 60 Winfield Lane, Osterville, Map/Parcel 116-101, 1.05 acre parcel, multiple variances, house renovations, failed septic. B. Matthew Eddy, Baxter Nye Engineering, representing Joyce Angelo, owner — 280 Long Beach Rd, Centerville, Map/Parcel 185-026, 7,038 square feet parcel, requesting multiple variances. C. Glen Harrington representing 1892 Investments, LLC, owner—455 Bridge Street, Osterville, Map/Parcel 072-035, 1.79 acre lot, three variances requested to repair failed septic system. D. Steven J. Pizzuti, Esquire, and John Holmgren, J.K. Holmgren Engineering representing Cummaquid Golf Course, owner— 35 Marstons Lane, Barnstable, Map/Parcel 350-001, 110.62 acre parcel, requesting Board support for a DEP appeal for a reduction in the design flow. IV. Variance — Septic (New): A. Darren Meyer, Meyer & Sons, representing Judith Savery, owner—490 Putnam Avenue, Cotuit, Map/Parcel 038-021, 24,975 square feet parcel, multiple variances for setback to wetlands due to limited lot size. Page 1 of 2 BOH 10/09/12 B. Michael Pimentel, JC Engineering, and Richard Capen, Capewide Enterprises, representing David Jackson, Trustee of Jackson-Malden Realty . Trust, owner— 85 and 95 Huckins Neck Road, Centerville, Map/Parcel 252- 014 and -015, 2 lots totals 22,084 square feet. V. I/A Monitoring Plan: Winston Steadman, All Cape Environmental Services, representing Thomas and Rosemary O'Keeffe, owners — 22 Clamshell Cove Road, Cotuit, Map/Parcel 006-009, requesting reduction in monitoring plan. VI. Food Variance (New): Fablo Hauch and Cristiana Rezende, owners, Brazilian Grill Butchery— 674 Main Street, Hyannis, Map/Parcel 308-047, reduced-oxygen packaging method - specialized processing methods for packaging foods. VII. Subdivision#822 (Preliminary Plans): Dan Ojala, Down Cape Engineering representing Edith Frei and William Riley; owners, Preliminary Plans at 2519 Main Street, Barnstable, Map/ Parcel 257-010, on public water and possibly private wells, on-site sewerage disposal system and is not in a Groundwater Protection Overlay District. Vill. Old / New Business: A. Regulation Revised: Mobile Food Units, No. 2012-02 B. Regulation Revised: Catering Requirements, No. 2012-003 C. Regulation Revised: Time as a Public Health Control (TPHC operations), No 2012-004. D. Regulation Revised: H-10 Components Discovered Beneath Parking Areas and Driveways during Septic Inspections, No. 2012-005. E. Article by Edward J. Zimmer "Refresher Course: Prevention Rather Than Cure" regarding grease removal from grease interceptors. Page 2 of 2 BOH 10/09/12 -\ CMONWEALTH OF MASSACHUS hOS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS - - DEPARTMENT OF ENVIRONMENTAL PROTECTION David B. Mason,R.S,Certified Title V Inspector,508-833-2177 TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A YYCERTIFICATION Property Address: 436 Yarmouth Road,ILI table,MA SYSTEM "A" Owner's: Nuovo Family Limited Partnership Owner's Address:P.O. Box 1487,Sagamore Beach,MA Date of Inspection: 7,2009 Name of Inspector:(ple print)David B. Mason Company Name:—N.A. Mailing Address:4 Glacier Path East Sandwich,MA 02537 Telephone Number:508-833-2177 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: .,.. _X_ Passes ,;,r,.� ;„ :i"t 0 Conditionally Passes _ Needs Further Evaluation by the Local Approving Authority Inspector's Signature: I Date: The system inspector shall submit a copy of this inspection report to the Approvin thQ(Board of Health or DEP)within 30 days of completing this inspection.If the system is a shared system or has a design flow of 10,0( gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving authority. Notes and Comments: System as inspected is operational. Tank needs maintenance pumping.The information as identified represents only the condition of the system on July 17,2009 at 9:00 AM. This inspection does not imply a warranty or guarantee of the useful life of the septic system or its components. ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page 1 Page 2 of 11 0: OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address:436 Yarmouth Road,Barnstable,MA Owner's: Nuovo Family Limited Partnership Date of Inspection:July 17,2009 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: _X I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to be replaced or repaired.The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements.If"not determined"please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box.System will pass inspection if(with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced (THIS IS REQUIRED TO BE COMPLETED) ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s).The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS .SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Title 5 Inspection Form 6/15/2000 2 Page 3 of 11 PART A CERTIFICATION(continued) Property Address: 436 Yarmouth Road,Barnstable,MA Owner's: Nuovo Family Limited Partnership Date of Inspection:July 17,2009 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CNIR 15.303(l)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: _ Cesspool or privy is within 50 feet of a surface water _ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well".Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS.,.,.. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Title 5 Inspection Form 6/15/2000 3 Page 4 of 11 0 0 PART A CERTIFICATION(continued) Property Address: 436 Yarmouth Road,Barnstable,M.A Owner's: Nuovo Family Limited Partnership Date of Inspection:July 17,2009 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No _X_ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool _X Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool X Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool _X_ Liquid depth in cesspool is less than 6"below invert or available volume is less than'/z day flow XX Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped _X_ Any portion of the SAS,cesspool or privy is below high ground water elevation. _X Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. X Any portion of a cesspool or privy is within a Zone I of a public well. _X Any portion of a cesspool or privy is within 50 feet of a private water supply well. _X Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. (This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form.l _NO_(Yes/No)The system fails.I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd• You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no the system is within 400 feet of a surface drinking water supply _ the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes"in Section D above the large system has failed.The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Title 5 Inspection Form 6/15/2000 4 Pag e5of11 PART B CHECKLIST Property Address: 436 Yarmouth Road,Barnstable,MA Owner's: Nuovo Family Limited Partnership Date of Inspection:July 17,2009 Check if the following have been done.You must indicate"yes"or"no"as to each of the following: Yes No X _ Pumping information was provided by the owner,occupant,or Board of Health _X Were any of the system components pumped out in the previous two weeks? _X_ Has the system received normal flows in the previous two week period? _X Have large volumes of water been introduced to the system recently or as part of this inspection? _X _ Were as built plans of the system obtained and examined?(If they were not available note as N/A) _X_ _ Was the facility or dwelling inspected for signs of sewage back up? _X_ _ Was the site inspected for signs of break out? _X_ _ Were all system components,excluding the SAS,located on site. _X_ _ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? _X _ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes no _X_ _ Existing information.For example,a plan at the Board of Health. —X_ _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CMR 15.302(3)(b)] OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Title 5 Inspection Form 6/15/2000 5 Page 6 of 11 0 0 PART C SYSTEM INFORMATION Property Address: 436 Yarmouth Road, Barnstable,MA Owner's: Nuovo Family Limited Partnership Date of Inspection:July 17,2009 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): Number of bedrooms(actual): DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms):( ) Number of current residents: Does residence have a garbage grinder(yes or no): (Not Allowed) Is laundry on a separate sewage system(yes or no): [if yes separate inspection required]Per owner Laundry system inspected(yes or no): Seasonal use:(yes or no): I Water meter readings,if available(last 2 years usage(gpd)): Zpp,: C3 2 *;U75D Sump pump(yes or no): f Last date of occupancy: COMMERCIAWINDUSTRIAL Type of establishment:Bathrooms based on garage. Design flow(based on 310 CMR 15.203): None available gpd Basis of design flow(seats/persons/sqft,etc.): Grease trap present(yes or no):NO Industrial waste holding tank present(yes or no):NO Non-sanitary waste discharged to the Title 5 system(yes or no):Unknown Water meter readings,if available: Last date of occupancy/use:Current OTHER(describe): GENERAL INFORMATION Pumping Records Source of information:Not available Was system pumped as part of the inspection(yes or no): No,but recommended maintenance If yes,volume pumped:_gallons--How was quantity pumped determined? Reason for pumping: Maintenance pumping is recommended. TYPE OF SYSTEM Septic tank,distribution box,soil absorption system _Single cesspool _Overflow cesspool —Privy _Shared system(yes or no)(if yes,attach previous inspection records,if any) _Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) —Tight tank _Attach a copy of the DEP approval —Other(describe):Primary cesspool used as septic tank with overflow pre-cast 4'pit with 2 feet stone. Approximate age of all components,date installed(if known)and source of information: Unknown Were sewage odors detected when arriving at the site(yes or no): NO OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Title 5 Inspection Form 6/15/2000 6 Page 7 of 1 I PART C SYSTEM INFORMATION(continued) Property Address:436 Yarmouth Road,Barnstable,MA Owner's: Nuovo Family Limited Partnership Date of Inspection:July 17,2009 BUILDING SEWER(locate on site plan) Depth below grade:Approximate;24 Inches Materials of construction:_X_cast iron _40 PVC_other(explain): Distance from private water supply well or suction line:_NA Comments(on condition of joints,venting,evidence of leakage,etc.): Appears in good condition. No evident leakage. SEPTIC TANK: N.A.(locate on site plan) Depth below grade:Cast Iron Covers to Grade. Material of construction:X_concrete_metal_fiberglass_polyethylene_other(explain)_ If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of certificate) Dimensions: Typical Sludge depth: 11" Distance from top of sludge to bottom of outlet tee or baffle: 14" Scum thickness: 10 inches Distance from top of scum to top of outlet tee or baffle: 15" Distance from bottom of scum to bottom of outlet tee or baffle: 12.5" How were dimensions determined: Actual measurements with tape and scour stick. Condition of tank(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.) PVC inlet tee in good condition,Concrete outlet tee in good condition,Effluent level with outlet pipe. In need of Maintenance Pumping. No evident structural issues. GREASE TRAP: N.A. Depth below grade:_ Material of construction:_concrete_metal_fiberglass_polyethylene_other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Title 5 Inspection Form 6/15/2000 7 Page 8 of 11 PART C SYSTEM INFORMATION(continued) Property Address:436 Yarmouth Road,Barnstable,MA Owner's: Nuovo Family Limited Partnership Date of Inspection:July 17,2009 TIGHT or HOLDING TANK:—N.A.—(tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: concrete metal fiberglass_polyethylene other(explain): Dimensions: Capacity: _ gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX:_YES_(if present must be opened)(locate on site plan) Depth of liquid level even with outlet invert: liquid level even with outlet pipe Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): Stone filled dbox. Stoned needs to be cleaned out. PUMP CHAMBER:,(locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Title 5 Inspection Form 6/15/2000 8 Page 9 of 11 PART C SYSTEM INFORMATION(continued) Property Address: 436 Yarmouth Road,Barnstable,MA Owner's: Nuovo Family Limited Partnership Date of Inspection:July 17,2009 SOIL ABSORPTION SYSTEM(SAS):_X_(locate on site plan,excavation not required) If SAS not located explain why: Type _X leaching pits,number 1 6'x 6'precast pit with 2'stone _leaching chambers,number: _leaching galleries,number: leaching trenches,number,length: leaching fields,number,dimensions_ _overflow cesspool,number: innovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation, etch Leach pit is 24"below grade. 12"of effluent in the leach pit. Staining indication 2'from bottom of pit.No damp soil or excessive vegetative growth. CESSPOOLS:_(cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth—top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): PRIVY:_N.A._(locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Title 5 Inspection Form 6115/2000 9 1 ' w Page 10 of 11 PART C SYSTEM INFORMATION(continued) Property Address: 436 Yarmouth Road,Barnstable,MA Owner's: Nuovo Family Limited Partnership Date of Inspection:July 17,2009 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks.Locate all wells within 100 feet.Locate where public water supply enters the building. o � 101 Y 0 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C Title 5 Inspection Form 6/15/2000 to ' Page 11 of 11 SYSTEM INFORMATION(continued) Property Address:436 Yarmouth Road,Barnstable,MA Owner's: Nuovo Family Limited Partnership Date of Inspection:July 17,2009 SITE EXAM Slope Surface water Check cellar (crawl space) Shallow wells Estimated depth to ground water_25_feet Please indicate(check)all methods used to determine the high ground water elevation: _X_Obtained from system design plans on record-If checked,date of design plan reviewed: _X_Observed site(abutting property/observation hole within 150 feet of SAS) _X_Checked with local Board of Health-explain:Recent Test Holes, Existing engineer records with BOH Checked with local excavators,installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: Utilized the Town of Barnstable Groundwater Contour Map. Ground water approx.25 feet below grad.. I Title 5 Inspection Form 6/15/2000 11 at " AMONWEALTH OF MASSACHUSE r 17S EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION David B.Mason,R.S,Certified Title V Inspector,508-833-2177 TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address:436 Yarmouth Road,Barnstable,MA SYSTEM "B" Owner's: Nuovo Family Limited Partnership Owner's Address: P Box 1487,Saga�moore Beach,MA Date of Inspecti 79 2001re � � J Name of Inspector:(plea rint)David B.Mason Company Name:—N.A. Mailing Address: 4 Glacier Path East Sandwich,MA 02537 Telephone Number:508-833-2177 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: X Passes _Conditionally Passes Needs Further Evaluation by the Local Approving Authority : ail .k {. ZZ Co Inspector's Signatur • Date: c The system inspector shall submit a copy of this inspection report to the Approving Aut on y(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design,flow of 1"00 M. gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office oche DEP.The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving '' authority. Notes and Comments: System as inspected is operational. Tank needs maintenance pumping.The information as identified represents only the condition of the system on July 17,2009 at 9:00 AM. This inspection does not imply a warranty or guarantee of the useful life of the septic system or its components. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page 1 Page2of11 t OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address:436 Yarmouth Road,Barnstable,MA Owner's: Nuovo Family Limited Partnership Date of Inspection:July 17,2009 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: _X I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to be replaced or repaired.The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements.If"not determined"please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. "A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box.System will pass inspection if(with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced (THIS IS REQUIRED TO BE COMPLETED) ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s).The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Title 5 Inspection Form 6/15/2000 2 Page 3 of 11 PART A CERTIFICATION(continued) Property Address:436 Yarmouth Road,Barnstable,MA Owner's: Nuovo Family Limited Partnership Date of Inspection:July 17,2009 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water _ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone I of a public water supply. _ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well".Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Title 5 Inspection Form 6/15/2000 3 Page 4 of 11 PART A CERTIFICATION(continued) Property Address:436 Yarmouth Road, Barnstable,MA Owner's: Nuovo Family Limited Partnership Date of Inspection:July 17,2009 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No _X_ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool —X_ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool _X Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool X Liquid depth in cesspool is less than 6"below invert or available volume is less than''/Z day flow X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped _X Any portion of the SAS,cesspool or privy is below high ground water elevation. X— Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. X Any portion of a cesspool or privy is within a Zone 1 of a public well. _X Any portion of a cesspool or privy is within 50 feet of a private water supply well. —X Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form.] _NO (Yes/No)The system fails.I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd• You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—1WPA)or a mapped Zone 11 of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes"in Section D above the large system has failed.The owner or operator of any large system considered a ' significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR- 15.304.The system owner should contact the appropriate regional office of the Department. OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Title 5 Inspection Form 6/15/2000 4 i ' Page 5 of 11 PART B CHECKLIST Property Address:436 Yarmouth Road,Barnstable,MA Owner's: Nuovo Family Limited Partnership Date of Inspection:July 17,2009 Check if the following have been done.You must indicate"yes"or"no"as to each of the following: Yes No _X_ _ Pumping information was provided by the owner,occupant,or Board of Health X Were any of the system components pumped out in the previous two weeks? X Has the system received normal flows in the previous two week period? _X_ Have large volumes of water been introduced to the system recently or as part of this inspection? _X_ _ Were as built plans of the system obtained and examined?(If they were not available note as N/A) _X _ Was the facility or dwelling inspected for signs of sewage back up? _X- _ Was the site inspected for signs of break out? _X_ _ Were all system components,excluding the SAS,located on site. _X_ _ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? _X_ _ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes no _X _ Existing information.For example,a plan at the Board of Health. _X_ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CMR 15.302(3)(b)] OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Title 5 Inspection Form 6/15/2000 5 Page 6 of 11 46 PART C SYSTEM INFORMATION Property Address: 436 Yarmouth Road,Barnstable,MA Owner's: Nuovo Family Limited Partnership Date of Inspection:July 17,2009 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): Number of bedrooms(actual): DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms):( ) Number of current residents: Does residence have a garbage grinder(yes or no): (Not Allowed) Is laundry on a separate sewage system(yes or no): [if yes separate inspection required]Per owner Laundry system inspected(yes or no): Seasonal use:(yes or no): Water meter readings,if available(last 2 years usage(gpd)): ZDp,: r 1 tz zpog Sump pump(yes or no): Last date of occupancy: COMMERCIAL/INDUSTRIAL Type of establishment:Bathrooms based on garage. Design flow(based on 310 CMR 15.203): None available gpd Basis of design flow(seats/persons/sqft,etc.): Grease trap present(yes or no):NO Industrial waste holding tank present(yes or no):NO Non-sanitary waste discharged to the Title 5 system(yes or no):Unknown Water meter readings,if available: Last date of occupancy/use:Current OTHER(describe): GENERAL INFORMATION Pumping Records Source of information:Not available Was system pumped as part of the inspection(yes or no): No,but recommended maintenance If yes,volume pumped:_gallons--How was quantity pumped determined? Reason for pumping: Maintenance pumping is recommended. TYPE OF SYSTEM _X_ Septic tank,distribution box,soil absorption system _Single cesspool _Overflow cesspool _Privy _Shared system(yes or no)(if yes,attach previous inspection records,if any) _Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) _Tight tank _Attach a copy of the DEP approval Other(describe):Primary cesspool used as septic tank with overflow pre-cast 4'pit with 2 feet stone. Approximate age of all components,date installed(if known)and source of information: Unknown Were sewage odors detected when arriving at the site(yes or no):NO OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Title 5 Inspection Form 6/15/2000 6 'Page 7 of 11 • PART C SYSTEM INFORMATION(continued) Property Address: 436 Yarmouth Road,Barnstable,MA Owner's: Nuovo Family Limited Partnership Date of Inspection:July 17,2009 BUILDING SEWER(locate on site plan) Depth below grade:Approximate;24 Inches Materials of construction:_X cast iron _40 PVC_other(explain): Distance from private water supply well or suction line:_NA Comments(on condition of joints,venting,evidence of leakage,etc.): Appears in good condition. No evident leakage. SEPTIC TANK: N.A.(locate on site plan) Depth below grade: Cast Iron Covers to Grade. Material of construction:X_concrete_metal_fiberglass_polyethylene_other(explain)_ If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of certificate) Dimensions: Typical Sludge depth: 11" Distance from top of sludge to bottom of outlet tee or baffle: 14" Scum thickness: 10 inches Distance from top of scum to top of outlet tee or baffle: 15" Distance from bottom of scum to bottom of outlet tee or baffle: 12.5" How were dimensions determined: Actual measurements with tape and scour stick. Condition of tank(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.) PVC inlet tee in good condition,Concrete outlet tee in good condition,Effluent level with outlet pipe. In need of Maintenance Pumping. No evident structural issues. GREASE TRAP: N.A. Depth below grade:_ Material of construction:_concrete_metal_fiberglass_polyethylene_other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Title 5 Inspection Form 6/15/2000 7 Page 8 of 11 �' • PART C SYSTEM INFORMATION(continued) Property Address: 436 Yarmouth Road,Barnstable,MA Owner's:Nuovo Family Limited Partnership Date of Inspection:3uly 17,2009 TIGHT or HOLDING TANK:—N.A.—(tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: concrete metal fiberglass_polyethylene other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX:_YES_(if present must be opened)(locate on site plan) Depth of liquid level even with outlet invert:liquid level even with outlet pipe Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): Stone filled dbox. Stoned needs to be cleaned out. PUMP CHAMBER:,(locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Title 5 Inspection Form 6/15/2000 8 Page 9 of 11 • PART C SYSTEM INFORMATION(continued) Property Address: 436 Yarmouth Road,Barnstable,MA Owner's: Nuovo Family Limited Partnership Date of Inspection:July 1.7,2009 SOIL ABSORPTION SYSTEM(SAS):_X (locate on site plan,excavation not required) If SAS not located explain why: Type _X_leaching pits,number 1 6'x 6'precast pit with 2' stone _leaching chambers,number: _leaching galleries,number: leaching trenches,number,length: _leaching fields,number,dimensions_ _overflow cesspool,number: innovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation, etc). Leach pit is 24"below grade. 12"of effluent in the leach pit. Staining indication 2'from bottom of pit.No damp soil or excessive vegetative growth. CESSPOOLS:_(cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth—top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): PRIVY:—N.A.—(locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Title 5 Inspection Form 6/15/2000 9 * i Page 10 of I 1 w PART C SYSTEM INFORMATION(continued) Property Address:436 Yarmouth Road,Barnstable,MA Owner's: Nuovo Family Limited Partnership Date of Inspection:July 17,2009 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks.Locate all wells within 100 feet.Locate where public water supply enters the building. of �2 ► ti {Jt t., ('p\(R5 --jb (,Vqx 0) F21 � , o 0 0 Q1 o Y O � yT� OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C Title 5 Inspection Form 6/15/2000 10 ."Page 11 of 11 PART C SYSTEM INFORMATION(continued) Property Address:436 Yarmouth Road,Barnstable,MA Owner's: Nuovo Family Limited Partnership Date of Inspection:July 17,2009 SITE EXAM Slope Surface water Check cellar (crawl space) Shallow wells Estimated depth to ground water 25_feet Please indicate(check)all methods used to determine the high ground water elevation: X Obtained from system design plans on record-If checked,date of design plan reviewed: _X_Observed site(abutting property/observation hole within 150 feet of SAS) _X_Checked with local Board of Health-explain:Recent Test Holes, Existing engineer records with BOH _X_Checked with local excavators,installers-(attach documentation) Accessed USGS database-explain: You must describe�how you established the high ground water elevation: Utilized the Town of Barnstable Groundwater Contour Map. Ground water approx.25 feet below grad.. Title 5 Inspection Form 6/15/2000 11 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION t David B.Mason,R.S,Certified Title V Inspector,508-833-2177 TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 436 Yarmouth Road,Barnstable,MA SYSTEM "C" Owner's:Nuovo Family Limited Partnership 4 � T Owner's Address:P. Box 1487,Sagamore Beach,MA Date of Inspection. 17,2009 Name of Inspector: (p print)David B.Mason Company Name:—N.A. Mailing Address: 4 Glacier Path East Sandwich,MA 02537 Telephone Number: 508-833-2177 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: X_ Passes Conditionally Passes 1 Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signatu Date: 9,00 The system inspector shall submit a copy of this inspection report to the Approving Au Qasa (Board of Heald orDEP)within 30 days of completing this inspection.If the system is a shared system or sigri flow of 1Il•,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regiori'aI office he DEP.The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving authority. Notes and Comments: System as inspected is operational. Tank needs maintenance pumping.The information as identified represents only the condition of the system on July 17,2009 at 9:00 AM. This inspection does not imply a warranty or guarantee of the useful life of the septic system or its components. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. -71O Title 5 Inspection Form 6/15/2000 page I ' Page 2 of 11 • OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address:436 Yarmouth Road,Barnstable,MA Owner's: Nuovo Family Limited Partnership Date of Inspection:July 17,2009 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: _X I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to be replaced or repaired.The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements.If"not determined"please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or „ obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced (THIS IS REQUIRED TO BE COMPLETED) ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s).The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Title 5 Inspection Form 6/15/2000 2 Page 3 of 11 PART A CERTIFICATION(continued) Property Address: 436 Yarmouth Road,Barnstable,MA Owner's: Nuovo Family Limited Partnership Date of Inspection:July 17,2009 C. Further Evaluation is Required by the Board of Health:. Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the, system is not functioning in a manner which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water _ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well".Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM I Title 5 Inspection Form 6/15/2000 3 I Page 4 of I I • • PART A CERTIFICATION(continued) Property Address: 436 Yarmouth Road,Barnstable,MA Owner's:Nuovo Family Limited Partnership Date of Inspection:July 17,2009 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No _X_ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool —X_ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool _X Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool _X_ Liquid depth in cesspool is less than 6"below invert or available volume is less than'/2 day flow _X_ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped _X_ Any portion of the SAS,cesspool or privy is below high ground water elevation. —X Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. X Any portion of a cesspool or privy is within a Zone 1 of a public well. _X Any portion of a cesspool or privy is within 50 feet of a private water supply well. _X Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form.] _NO_(Yes/No)The system fails.I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply _ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes"in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Title 5 Inspection Form 6/15/2000 4 Page 5 of 11 • • PART B CHECKLIST Property Address: 436 Yarmouth Road,Barnstable,MA Owner's: Nuovo Family Limited Partnership Date of Inspection:July 17,2009 Check if the following have been done.You must indicate"yes"or"no"as to each of the following: Yes No _X_ _ Pumping information was provided by the owner,occupant,or Board of Health _X Were any of the system components pumped out in the previous two weeks? _X Has the system received normal flows in the previous two week period? _X_ Have large volumes of water been introduced to the system recently or as part of this inspection? _X _ Were as built plans of the system obtained and examined?(If they were not available note as N/A) _X _ Was the facility or dwelling inspected for signs of sewage back up? _X_ _ Was the site inspected for signs of break out? _X _ Were all system components,excluding the SAS,located on site. _X _ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? _X_ _ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes no _X_ _ Existing information.For example,a plan at the Board of Health. _X_ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CMR 15.302(3)(b)] OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Title 5 Inspection Form 6/15/2000 5 f Page 6 of I I • PART C SYSTEM INFORMATION Property Address:436 Yarmouth Road,Barnstable,MA Owner's: Nuovo Family Limited Partnership Date of Inspection:July 17,2009 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): Number of bedrooms(actual): DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): ( ) Number of current residents: Does residence have a garbage grinder(yes or no): (Not Allowed) Is laundry on a separate sewage system(yes or no): [if yes separate inspection required]Per owner Laundry system inspected(yes or no): Seasonal use:(yes or no): Water meter readings,if available(last 2 years usage(gpd)): 2Z)0-7 541-[51D ZOD Cj (�7r,(� Sump pump(yes or no): (I Last date of occupancy: v COMMERCIAL/INDUSTRIAL Type of establishment:Bathrooms based on garage. Design flow(based on 310 CMR 15.203): None available gpd Basis of design flow(seats/persons/sqft,etc.): Grease trap present(yes or no):NO Industrial waste holding tank present(yes or no):NO Non-sanitary waste discharged to the Title 5 system(yes or no):Unknown Water meter readings,if available: Last date of occupancy/use:Current OTHER(describe): GENERAL INFORMATION Pumping Records Source of information:Not available Was system pumped as part of the inspection(yes or no): No,but recommended maintenance If yes,volume pumped:_gallons--How was quantity pumped determined? Reason for pumping: Maintenance pumping is recommended. TYPE OF SYSTEM _X Septic tank,distribution box,soil absorption system _Single cesspool _Overflow cesspool Privy _Shared system(yes or no)(if yes,attach previous inspection records,if any) _Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight tank _Attach a copy of the DEP approval Other(describe):Primary cesspool used as septic tank with overflow pre-cast 4'pit with 2 feet stone. Approximate age of all components,date installed(if known)and source of information:Unknown Were sewage odors detected when arriving at the site(yes or no):NO OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Title 5 Inspection Form 6/15/2000 6 Page 7 of 11 • PART C SYSTEM INFORMATION(continued) Property Address:436 Yarmouth Road,Barnstable,MA Owner's: Nuovo Family Limited Partnership Date of Inspection:July 17,2009 BUILDING SEWER(locate on site plan) Depth below grade:Approximate;24 Inches Materials of construction:_X_cast iron _40 PVC_other(explain): Distance from private water supply well or suction line:_NA Comments(on condition of joints,venting,evidence of leakage,etc.): Appears in good condition. No evident leakage. SEPTIC TANK: N.A.(locate on site plan) Depth below grade:Cast Iron Covers to Grade. Material of construction:X_concrete_metal_fiberglass_polyethylene_other(explain)_ If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of certificate) Dimensions: Typical Sludge depth: 11" Distance from top of sludge to bottom of outlet tee or baffle: 14" Scum thickness: 10 inches Distance from top of scum to top of outlet tee or baffle: 15" Distance from bottom of scum to bottom of outlet tee or baffle: 12.5" How were dimensions determined: Actual measurements with tape and scour stick. Condition of tank(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.) PVC inlet tee in good condition,Concrete outlet tee in good condition,Effluent level with outlet pipe. In need of Maintenance Pumping. No evident structural issues. Prior to the septic tank there is a former MDC trap which appears abandoned. GREASE TRAP: N.A. Depth below grade: Material of construction:_concrete_metal_fiberglass_polyethylene_other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM 7 Title 5 Inspection Form 6/15/2000 Page 8 of 11 PART C SYSTEM INFORMATION(continued) Property Address: 436 Yarmouth Road,Barnstable,MA Owner's:Nuovo Family Limited Partnership Date of Inspection:July 17,2009 TIGHT or HOLDING TANK:—N.A.—(tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: concrete metal fiberglass_polyethylene other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX:_YES_(if present must be opened)(locate on site plan) Depth of liquid level even with outlet invert: liquid level even with outlet pipe Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): Stone filled dbox. Stoned needs to be cleaned out. PUMP CHAMBER:,(locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Title 5 Inspection Form 6/15/2000 8 Page 9 of 1 I • PART C SYSTEM INFORMATION(continued) Property Address: 436 Yarmouth Road,Barnstable,MA Owner's: Nuovo Family Limited Partnership Date of Inspection:July 17,2009 SOIL ABSORPTION SYSTEM(SAS):_X (locate on site plan,excavation not required) If SAS not located explain why: Type _X_leaching pits,number 1 6'x 6'precast pit with 2' stone _leaching chambers,number: _leaching galleries, number: leaching trenches,number,length: _leaching fields,number,dimensions_ overflow cesspool,number: innovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation, etch Leach pit is 24"below grade. 12" of effluent in the leach pit. Staining indication 2' from bottom of pit.No damp soil or excessive vegetative growth. CESSPOOLS:_(cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth—top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): PRIVY:_N.A._(locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Title 5 Inspection Form 6/15/2000 9 r •" Page 10 of l l PART C SYSTEM INFORMATION(continued) Property Address: 436 Yarmouth Road,Barnstable,MA Owner's: Nuovo Family Limited Partnership Date of Inspection:July 17,2009 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks.Locate all wells within 100 feet.Locate where public water supply enters the building. o 0 o o 01 o Y O OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C Title 5 Inspection Form 6/15/2000 10 r Page 11 of 11 • PART C SYSTEM INFORMATION(continued) Property Address: 436 Yarmouth Road,Barnstable,MA Owner's: Nuovo Family Limited Partnership Date of Inspection:July 17,2009 SITE EXAM Slope Surface water Check cellar (crawl space) Shallow wells s Estimated depth to ground water_25_feet Please indicate(check)all methods used to determine the high ground water elevation: _X_Obtained from system design plans on record-If checked,date of design plan reviewed: _X_Observed site(abutting property/observation hole within 150 feet of SAS) _X_Checked with local Board of Health-explain:Recent Test Holes, Existing engineer records with BOH _X_Checked with local excavators,installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: Utilized the Town of Barnstable Groundwater Contour Map. Ground water approx.25 feet below grad.. i Title 5 Inspection Form 6/15/2000 11 Town of Barnstable oF'THE r, Regulatory Services yP� ti� Thomas F.Geiler,Director Public Health Division * BAMSPABLE, + Thomas McKean;Director 9 MASS. g 200 Main Street, Hyannis,MA 02601 Phone: 508-862-4644 O G Email: health aQtown.barnstable.ma.us Fax: 508-790-6304 Office Hours: M-F 8:00—4:30 May 1,2008 Mr.Peter Cutler RE: Toxic and Hazardous Materials Hyannis Auto Center/Town Taxi On-Site Inventory and Inspection, 436 Yarmouth Road Hyannis Auto Center/Town Taxi, Hyannis,MA 02601 436 Yarmouth Road, Hyannis Dear Mr. Cutler: On April 24,2008,a Toxic and Hazardous Materials On-Site Inventory and Inspection of the above referenced site was conducted by the Public Health Division(PHD).An On-Site Inventory and Inspection is a review of the sites storage,transport,utilization and/or disposal of toxic and hazardous materials as it relates to the Town of Barnstable Ordinance,Chapter 108:Hazardous Materials. This Ordinance was adopted to protect the public health and welfare,especially as it pertains to the public drinking water supply. The following is a description of the results of the Inventory(enclosed)and Inspection: MATERIALS INVENTORY AMOUNT AND PURPOSE: The Inventory of this site indicates the use or storage of approximately four-hundred and eighty-five (485)gallons of toxic and hazardous material. This material is used in vehicle repair and maintenance. Please be aware that the Town of Barnstable has determined that a minimum of one-hundred and eleven (111)gallons of toxic and hazardous materials requires an annual license. GENERAL STORAGE AREAS AND CONDITIONS: • All materials were stored in the garage which has a cement floor.Additionally the drums containing antifreeze,_waste antifreeze,windshield washer fluid,and used oil filters are stored on a grated containment tray and the waste oil is stored in a two-hundred and fifty(250)gallon tank. Virgin motor oil and automatic transmission fluid is stored in cases of twelve,one quart bottles. The general work area appeared clean and orderly. Oily rags were in a covered bin.The acetylene tanks were chained. SAFETY AND DOCUMENTATION: The Material Safety Data Sheets are reportedly on site in a binder but were unable to be located during the inspection. Hyannis Auto Center/Town Taxi is in receipt of a License for Storing or Handling of 111 Gallons or More of Hazardous Materials,Contingency Plan and Spill Kit. Manifest sheets for the transport of hazardous waste material was provided upon request. Murphy's Waste Oil/Safety Kleen is the licensed hauler of waste oil,N.E.Environmental Service hauls the used oil filters and waste antifreeze,care batteries are removed by Cape Cod Batteries Inc.,and the used tires are removed by Bobs Tire Company. SITE FACILITIES: There were no floor drains observed. The site building is served by an on septic system. Any deficiencies which were discovered in the course of this inspection with regards to the Hazardous Materials Ordinance are described below. CORRECTIVE ACTIONS TO BE TAKEN: The Material Safety Data Sheets are to be made available for review. The PHD appreciates your cooperation and acknowledges your intent to maintain compliance with the Hazardous Materials Ordinance.This office will conduct a follow-up inspection within four weeks to verify that all corrective actions.have been taken.Please contact me at the above telephone number should you have any questions or comments regarding the Inspection of your site. 4Ha y yours, r .Martin s Materials Specialist All orders to correct violations of Chapter 108 of the Town of Barnstable Ordinance:Hazardous Materials. ompleted u n receipt of this letter q7ZomasAcKean.PRS,CH0 Director of Public Health Enclosure: Toxic and Hazardous Materials On-Site Inventory 4 TO OF BARNSTABLE P� TOXIC AND HAZARDOUS MATE -MATERIALS ON SITE INVENTORY NAME OF BUSINESS: Al lS 417D owcl T x/ BUSINESS LOCATION: 36 A�2ttad �S'osl INVENTORY MAILING ADDRESS: As Agevg- TOTAL AMOUNT: TELEPHONE NUMBER: 57ASS CONTACT.PERSON: he_� &TLEIZ EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: 4a TD. S it Es <f tilb REj'A�n�� TAx i S EJ.✓/ /V11 INFORMATION/RECOMMENDATIONS: S&- A'17A6/71P LuSOE-"LAf. Fire District: Waste Transportation: YcS Last shipment of hazardous waster Name of Hauler,L��EA�/fNA/�l3oe!/Nf_EtirVS estination: Waste Product: W,s 57IL ZLe- /21-1172J Licensed? es No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. UST OF TOXIC AND HAZARDOUS MATERIALS The Board of.Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum K Antifreeze(for gasoline or coolant systems) Misc.Corrosive ANEW 5S USED Cesspool cleaners a Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides NEW_�)"V USED (insecticides, herbicides, rodenticides) Gasoline,Jet fuel,Aviation gas Photochemicals(Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. petroleum products: grease, Photochemicals(Developer) lubricants,gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives(creosote) Caulk/Grout .Swimming pool chlorine Battery acid(electrolyte atterie /S-uS&7j Lye or caustic soda Rustproofers Misc.Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt&roofing tar - PCB's Paints,varnishes, stains,dyes Other chlorinated hydrocarbons, Lacquer thinners (inc.carbon tetrachloride) NEW / USED Any other products with"poison"labels Paint&varnish removers,deglossers (including chloroform,formaldehyde, Misc. Flammables hydrochloric acid,other acids) - Floor&furniture strippers Other products not listed which you feel Metal polishes may be toxic-or hazardous(please list): Laundry soil&stain removers !{sE7j 0/L FiL7��S CcUjl�Jt7� /J (including bleach) Spot removers&cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash -' - WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS ��eQ Ut11 S U 9m e^°-IJ MW c 7-3 W.,J 7—Ai)'q ) TZ�� •'s� i ns/-e.-eoC /�•- /Z—uS 9/ . 34 yKQu Fffl j OIL TEQYWA4 OIL FILTERS ANFIf REEZE WASTE �3(0 /YC iv✓ ANITFREEZE o ss �. ��t/ems• �sv�e � -�i-� GASOLINE -A-%TE GAS DIESEL#UEL W/W FLUID F U o" , HYDRAULIC/ MISC. MISC. MISC. MISC. BRAKE FLUID COMMBUSTIB FLAMMABLE CORROSIVE PETROLEUM (GEAR OIL/GREASE/ UBRICANTS FREON ACETYLENE CAR WASH CAR WASH PAINTS/ ( W VTERGENTS THINNERS SEALANT CLEANING BATTERIES/ POISION/TOXIC CAULK/GROUT SOLVENTS BATTERY ACID FERTALIZERS WASTE SOLVENT BLEACH DISH WASH AND MSDS. DETERGENTS MANIFESTS qr&-vi / Snr-E `` t- ` e�5 �/ Way -�, ► t /- pvc 9 � i i . j s v Town of Barnstable oFtt�Tp Regulatory Services O C Thomas F. Geiler,Director Public Health Division BARNSTABM Thomas McKean,Director i639• �0 200 Main Street, Hyannis,MA 02601 Phone: 508-862-4644 Email: health(@town.barnstable.ma.us f Fax: 508-790-6304 { Office Hours: M-F 8:00—4:30 October 25, 2005 Mr. Peter Cutler Hyannis Auto Center 436 Yarmouth Road Hyannis,MA 02601 Dear Mr. Cutler: Thank you for your time and cooperation during the hazardous materials inventory and site visit at Hyannis Auto Center on October 12,2005. This letter contains information from that visit that will help you become compliant with Chapter 108 of the Town of Barnstable Ordinance: Hazardous Materials. Enclosed are copies of Chapter 108: Hazardous Materials ordinance, a copy of the Toxic and Hazardous Materials On-Site Inventory form from the visit,a sample contingency plan, and a list of licensed haulers. Please note the problems identified at-your place of business during the hazardous materials inspection and their corresponding recommendations or orders listed below: PROBLEM: • Hyannis Auto Center is in violation of Section 108-9 of Chapter 108: Hazardous Materials,which states, "The release of any hazardous materials and/or acutely hazardous materials upon the ground, or into any surface...within the Town of Barnstable, is prohibited." �;, • There was a release upon arrival in a service bay. Speedy dry was placed on the release and will be cleaned up immediately after absorption of the product. ORDER: . • Section 108-513 of the Town of Barnstable General Ordinance states, "Provisions shall be made to contain the product(i.e.hazardous materials)in the case of an accident 1 release." e -.� / Offer training on spill/release capture and containment due to the presence of t catch-Q basin that is located down grade from the facility's repair shop doors. 4, PROBLEM: . • A contingency plan is not posted in the facility. *� M r ORDER: • Please refer to the Town of Barnstable General Ordinance: Chapter 108, Section 6 (A-H). Reviewing your contingency plan for hazardous materials spills and related emergencies (and its location throughout the facility)is highly recommended at this time. • Please submit a contingency plan to the Town of Barnstable Health Department and post the plan in the facility for reference. e� PROBLEM: • Tire storage outdoors RECOMMENDATION: • Tire storage is limited to 10 when stored outdoors. Continue to remove tires on a regular basis to prevent the gathering of mosquitoes,which may carry the West Nile virus. f PROBLEM: • Floor is heavily stained from petroleum releases and spills. C/�.�. -2 RECOMMENDATION: I • Clean the floor with a biodegradable solvent and place the waste solve t i a storage drum. Have a licensed hauler pick up the waste solvent once drum is full. (See enclosed list of licensed haulers). On Site Inventory Total The Toxic and Hazardous Materials On-Site Inventory from October 12,2005 shows that you have approximately 691 gallons of toxic and hazardous materials being used, stored, generated and disposed of at Hyannis Auto Center,436 Yarmouth Road Hyannis,MA(Please see enclosed Toxic and Hazardous Materials On Site Inventory sheet). Please refer to the Town of Barnstable General Ordinance: Chapter 108,Section 6-5 (A-H). A Contingency Plan must be submitted. G\ A representative from the Public Health Division will re-visit your business during the next 30 days as a follow up to further advise you on your compliance. If you have any questions v- about these problems,the orders and recommendations, or you need further information, guidance or assistance,please do not hesitate to contact the Public Health Division. � inc rely, G� C Ali ha L. Parker Hazardous Materials Specialist 'Materials orders to correct violations of Chapter 108 of the Town of Barnstable Ordinance: Hazardous Materials shall be mpleted upon receipt of this letter. Thomas A. McKean,RS,CHO \� Director of Public Health Enc. Chapter 108 (copy) On-Site Inventory(copy) Contingency Plan(sample) Licensed Haulers List • e • a ) o o e o rIf It =_> FIRE DEPT.' STATE USE ONLY r pI 111T. Submit to: I.D.Number LOCAL FIRE DEPARTMENT Date Receiv e e Notification is required by Federal law for all underground tanks that have been 4. pipeline lacilities (including gathering lines) regulated under the Natural II used to store regulated substances since January 1,1974,that are in the ground as of Pipeline Satcq Act of 1968.or the Hazardous l.iquid Pipeline Satet t Act of 1979 of w May 8.1986,or that art brought into use after May 8.1986.The information requested hichisanintrastatc pipeline lacilin regulated undo SiatelaA,. is required by Section 9002 of the Resource Conservation and Recovery Act,(RCRA). 5.surface Impoundmenn.pits.ponds.or lagoons: as amended. 6.storm watch or waste water collection systems: The primary purpose of this notification program is to locate and evaluate under- 7.Ilow-through process tanks: ground tanks that store or have stored petroleum or hararduus-substances. It is 8-h4uid Ira ps orassociatcd gathering lines directly related to oil or gas production and ex ecteu that the information you rovide will be based on reiis'bnably available gathering operations: f P P records.or.in the absence of such records,your knowledge.belief,or recollection. 9. storage tanks situated in an underground area (such as a basement, cellar. mineworking.drift,shaft,or tunnel)if the storage tank is situated upon or above the Who Must Notify. Section 9002 of RCRA, as amcnded.:r'equires that. unless surface of the floor. exempted.owners of underground tanks that store regulated substances must notify designated State or local agencies of the existence of their tanks. Owner means— What Substances Are Covered' T he notification requirements apply to under- (a) in the case of an underground storage tank in use on November 8. 1984.or ground storage tanks that contain regulated substances.phis includes am substance brought into use alter that date,am person who ours an underground storage tank., defined as haiardous in section 101 (14) of the Comprehen,ne Eminromenial used for the storage.use.or dispensing of regulated subsiancesa bd Response.Cumpemal ion and Liability Act of 1980(CER CI.A).with the exapti,)n of (b) in the case of am underground storage tank in use before November 8. 1984. those substances regulated as haiardous waste under Subtitle C'tit RCRA, h ako out no longer in use onihatdate,any person whoowncd such tank immediately before includes petroleum.e.g..crude oil or an%traction thercol which is liquid at standard the discontinuation of its use. conditions of temperature and pressure(60 degrees Fahrcnh,:it and 14.7 pounds per ik hat Talks Are Iccluded7 Underground storage tank is defined as any one or square inch absolute). combination of tanks that(1)is used to contain an accumulation of-regulated sub- Where To Notify" Completed notification form% should be sent tat 1.the address matrices."and(2)whose volume(including connected underground piping)is 10fi or given at the top of this page. pore beneath the ground.Some examples are underground tanks storing:1,gasoline. used oil.or diesel fuel,and 2.industrial solvents.pesticides.herbicides or fumigants. When To Notify' 1.0wners olunderground storage tanks in use or that have been What Tanks Are Exetuded' Tanks removed Irom the ground are not suhjccvlo„ taken out of operation aficr January 1. 1974.but still in the ground.must notifi by notification.Other tanks excluded from notification are: May H.1986.2.Ow nen who bring underground storage tanks into use alter May 8. a.farm or residential tanks of f.100 gallons or less capacity used for storing motor fuel ' 198k must notil\within 30 days of bringing the tanks into use. 'or noncommercial purposes: Penalties: Any owner who knowingly fails to notify or submits false information T.tanks used for storing heating oil for consumptive use on the premises where stored: shall be subject to a civil penalty not to exceed SI0,000 for each tank fo: which septic tanks: notification is not given or for which false information is submitted. Please type or print in ink all items except"signature"in Section V.This form must by completed for Indicate number of each location containing underground storage tanks.If more than 5 tanks are owned at this location. continuation sheets n�hotocopy the reverse side,and staple continuation sheets to this form. attached Owner Name(Corporation,Individual.Public Agency.or Other Entity) (If same as Section 1,mark box here /F `O 11~eo e� Facility Name or Company Site Identifier,as applicable Street Address P s• 0JZV t/'it—, u.9 v o Ott'4 ✓A?ilt, 7-4 P_o . -)unty Street Address or State Road,as applicable �A2c,�ri.� ads C :y State ZIP Code 5. County .S1NYNl� A , OZ6e Area Code Phone Number City(nearest) State !'ZIP Code ep,/ 2 7 7r-- #0-3 f - TV pe of Owner (dark all that apply(j) . Current ❑ State or Local Gov't Pr t Indicate Mark box here if tank(s) oral number of are located on land within 0 Former ❑ Federal Gov't ❑ Ownership tanks at this. an Indian reservation or ❑ (GSA facility I.D.no. uncertain location on other Indian trust lands i` '+me(If same as Section I,mark box here ) Job Title Area Code Phone Number • ❑ Mark box here only if this is an amended or subsequent notification for this location. 'e I certify under penalty of law 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 information, I believe that the :submitted information is true,accurate,and complete. Name and official tittle/of owner or owner's authorized representative Signature Date Signed �2Rt><GC S l y v o vo Al eD4wT 6 x . z� e o • ;: rm r.D_ 90n Dart 7 ED— i Cromer Name(from Section 1) Location(from section 11) Page No. of Pagp Tank°ide�htification No.(e.g.,ABC-123),or- Tank No. ' Tank No., Tank No. Tank No. Tank No. bfrar�t�t Assigned Sequential Number(e.g.,1,2,3...) 1.- 1.Status ofTank Currently in Use [ C�(Mark allll that apply®) Temporarily Out of Use Permanently Out of Use C] Broudht into Use after 5/8/86 2.Estimated Age(Years) v 2- 3.Estimated Total Capacity(Gallons) p o o Q0 4.Material of Construction Steel (Mark one M) Concrete 0 Fiberglass Reinforced Plastic Unknown [ 0 0 O Other,Please Specify 5.internal Pralection Cathodic Protection (Mark all that apply®) O nterror Lining(e.g.,epoxy resins) 0 r� None Q C2n � �] Unknown Other,Please Specify S.External Protection Cathodic Protects n (Mark an that apply®) i d �] Painted(e.g asphaltic) Fiberglass Reinforced Plash^Coa4ed None Unknown LZ Other,PleaseSPjfy 7.Piping (Mark all fhat apply M) E qre Seel Galvanized Steil 0 Fiberglass Reinforced F'lestc Catholically Protected Unkanow n � Other,:PleasePecif y ii.substance Currently or Last Stored a. ER�pt>I — C� in Greatest Ouantlty by Volume (Mark all that apply M) Retro�ePm Diesel C"D Kerosene l Gasoline(including alcohol blends) Used Oil Other,Please Specify c. Hazardous Substance Please Indicate flame of Principal CERCLA Substance OR Chemical Aiact Service(CAS)No. Mark box M if tank stores;a mixture of substances d. Unknown Additional Information Por tanks permanently taken out of service) E a. Estimated date last used(mo/yr) 'I Estimated quantity of substance remaining(gal.) c. Mark box IN if tank Was filled with inert material (e.g.;sand;concrete) [_] The (f oramonf math of c46soadjusetto Department-of Public Safety—Division of Fire Prevention 1010 COMMONWEALTH AVE., BOSTON t v � REGISTRATION BARNSTABLE April 1, ........................................................ 19M... (City or Town) (Date) This is to certify that.........Cags... od..Ess.t..Cantxal,..Lnc_.....................has, in accordance with the provisions of Chapter 148, Section 13, of the General Laws, filed with me a certificate of registration set- ting forth that.................. ame..as...aboua..............................................is the holder of the license granted ..........................................Apri-L.21.......19..60.. for the lawful use of the building(s)•or other structure(s) situated or to be situated at................. AxII►4uzh..Koad...................................................................................... (Street and Number) as related to the KEEPING,STORAGE,MANUFACTURE OR SALES 'LAMV4PL R ............................................ ............................................ Francis A. Lahteine, Clerk &, Treasurer Note: A certificate of registration must be filed on or before April 30th of each year. Town. of Barnstable (THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES.) Form:-FP-5. 30H-3-75-109652 r • j . yr t� DEPARTMENT OF: PUBLIO SAFE"I'Y—DIVISION OF FIRE PREVENTION APPLICATION FOR PERMIT TO MAINTAIN AN EXISTING/NEW UNDERGROUND STORAGE FACILITY ' ' To: Head of Fire Department r- City or Town Date Application is hereby made for a permit to _mai-ntain an existing/new - .P. 290 underground storage facility as required by 527CMR9.00: Permits. Location of property: L�44 Y67r,At o,, 7-4 R 9 Street address Owner of property: /Cl�ar(< c?= ,/1/v o_—ea� (T 4o Pki, Lve>.4.T-,1,c /AG Full name of person, firm or corporation Signature of owner or authorized representative: „�Q� Fee:$140A (M.G.L.A. Chapt. 148 Sec, 10A) (Fire Department's Copy to be Filed with F.P.290 part 2) T4-r of RaBoar us 4a" DEPARTMENT OF PUBLIC SAF r-7 DIVISION OF FIRE: PREVENTION us P R p PA 2t Date F.P. 290 TO MAINTAIN AN EXISTING/NEW UNDERGROUND STORAGE FACILITY In accordance with the provisions of 527CMR9.24 this permit to maintain an existing/new underground storage facility is granted to: Location of property:, r_ A, o,7 �P Street address Ov., ,er of property: -- ,2Akk T. v . moo. (/ C V g 60oa Ph.,T (2o.a?a.� Full name of per irm or cacyoration Restrictions: O° c eg-Z Fee Paid:$ (M.G.L.A. Chap 148 Sec. 0 This permit will expire �2,}g Date S' u of ead f Fir Dept. or gin designee (Owner's Copy to be posted at the storage Tacili y with F.P.290 Part 3) ENVI •RO . SAFE _ C O March:181.1099 . Lt. Chase Hyannis Fire Department 95 Hi School Road:Extension Hyannis,MA.02001 RE: Certiftcate of,Underground Storage Tdnk Abandonment Bass River Motors;'436 Yarmouth:Road Hyannis,MA. Dear Ut Chase: This letter serves to notify':you.that on March 18; 1999,'Enviro=Safe Corporation of East Sandwich, Massachusetts(EWRo'S we)uncovered a 504 or 1000 gallon.heating oil storage tank .�.��.r._=— ...—::;...... ..�.:..r `•+.v,..�r•..�, .a.:--tom �•;•r" ,1 ,. '. ;located at Bass River Motors,r.43.6 Yarmduth:Road, Hyannis;,. MA A ;representative`of the' w�"'""�•:.�`_:_.�'.,�,�.=..►-_ ...,..�1:^.-..:s^-�.f,..._..--+,..a ,+.r-'1.,.•� Hyannis Fire DePwment was on site during fthiS process: Once this;tank was uncovered,'it was . determined.that it had previously been fined With sand Upon recommendatiion of the Hyannis Fire Department, EnnnRo-SAFe removed tlie'piping and capped this"tank.loth a:permariet seal. If you-have any questions regarding these matters,;please do not hesitate to call.me. Thank you �* rrely _ H er M. Atwood J. President HMA%dmh cc: Frank:Nuovo � -�- E20�m�nlkningion Barnstable,; .-Board o hZa th P.O. . BO.X 810 EAST-SAND-WICH; =MA 02,537 :(.508) 888.75478` FAX ..(50,8) 88.8-9093 . • Z 548 659 795 oF'WE. 'Town of Barnsta �F receipt for - Certified Mail Department of Health Safe and Environment No Insuraince Coverage Provided ty, VSTEDSTATES Do not use for International Mail i. VOSTAL SERVICE B" XAS& ' Public Health Division Lr(See Reverse) J� .. 1M ,�bp Sent io / �t ' ✓!i' 1/✓. Fvr °' P.O. Box 534, Hyannis MA 02601 t Street and N 100 " - P.O., Late and ZIP Code Office: 508-790-6265 1-77' FAX: 508-790-6304 Offertifiedd OD O LLr- - - October 30, 1998_ Restricted Delivery Fee - Return Receipt Showing to Whom&Date Delivered Frank J. Nuovo Return Receipt Showing to Whom, Date,and Addressee's Address - P.O.BOx 1487 TOTAL Postage Sagamore Beach, MA 2562 &Fees $ Z �7 Postmark.or Date i NOTICE TO ABATE VIOLA TIONS OF THE TOWN OF B ESTE REGARDING FUEL AND CHEMICAL STOP Our records indicate that you have an underground #2 fuel oil tank located at 436 Yarmouth Road, Hyannis, MA, and listed on Parcel 009 on Assessor's Map 344. This tank is located in a critical zone of contribution to our public drinking supply wells and is 20 years old or older. You must have your underground tank removed within 30 days from the receipt of this order letter. ; Before the removal of the tank, you must first obtain a removal permit from the Fire Department. I have enclosed tank removal information for you. Upon removal of your tank, please return valve tag#to the Health Department. You may request a hearing before the Board of Health if written petition requesting same is received within seven (7) days of receipt of this notice. i 1 also wish to receive the I Sincerely yours, o SENDERcomplete : and/or 2 for additional services. following services(for an j rn ■Complete items 3,4a,and 4b. extra fee): ai ! 01 ■Print your name and address on the reverse of this form so that we can return this o card to you. I ■Attach this form to the front of the mailplecp.or on the back if_space does not 1. ❑ Addressee's an d d permit. .. ■Write'Return Receipt Requested'on the mailpiece below the"article number. 2. ❑ ReSiriCted Delivery o I mas A. McKean t ■The Return Receipt will show to whom the article was delivered.and the date Consult postmaster for fee. " delivered. 4a.Article Number a, Director of Public Healt o ` Q 3.Article Addressed to: �A l0 S 7q r- a i�Gyvlr� ///,( 4b.SOrvice Type d E Ate, ❑ Registeredertified rn Enclosure: Tank Remo 11� ' ❑ Insured Q,.� El Mail w CI� � 1!1)�etumiRecelptformerchandise ❑ COD o. O 7.f]1ate o Delivery, ` o 402 Z ddresse s Address(Only if requested 5.Received By: (Print Name) �a d ee fs aid) w c 6.Signature:( ddress rAgent) '' Domestic Return Receipt =t 0-41 —hor lAg4 st Date: /� / 4r TOWN OF BARNSTAIE P� TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: A1Vk41A11S G17-P omjAJ TA-x1 BUSINESS LOCATION: 36 "aYod llf,94 INVENTORY MAILING ADDRESS: As Agog E- TOTAL AMOUNT- TELEPHONE NUMBER: 1-0 off- 7_V- ,575-1,3- �ud�1S CONTACT PERSON: 119en-k- &e 7-1- EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: 4a n Sit-LES 11AJ2> 104 INFORMATION/RECOMMENDATIONS: 5&— A-�A�k z1L,'6` 77"1 Fire District: LErir_-7e D jfEb LY* T LA1A//f Waste Transportation: YLES Last shipment of hazardous waste: Name of Hauler: N 20a,es11v6_EA1VS estination: Waste Product: /'s eIL- Licensed? s No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. UST OF TOXIC AND HAZARDOUS MATERIALS " The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum Antifreeze (for gasoline or coolant systems) _ Misc. Corrosive 5-� NEW 56' USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants D Motor Oils Pesticides 0 NEW,_�' USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED 3 " Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED , Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Caulk/Grout /o Swimming pool chlorine Battery acid (electrolyte atterie /6-us Lye or caustic soda Rustproofers Misc. Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) f4O- NEW -/ USED Any other products with "poison" labels Paint &varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables hydrochloric acid, other acids) Floor &furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers S5 Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Date: TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: BUSINESS LOCATION: ✓ l MAILINGADDRESS: S54 ,44 11E� Mail To: TELEPHONE NUMBER: 150e'. 27-1 ��S� Board of Health Town of Barnstable CONTACTPERSON: to&e�'/7 _Adee=,2siD P.O. Box 534 EMERGENCY CONTACT TELEPHONE NUMBER: 9?41 913 _ Hyannis, MA 02601 TYPEOFBUSINESS: kro &-polt �mlp Does your firm sto a ny of the toxic or hazardous materials listed below, either for sale or for you own use? YES T 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: 5-' 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. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Quantity A tifreeze(for gasoline or coolant systems) Drain cleaners NEW USED Cesspool cleaners O Automatic transmission fluid /Z eZ46,-/5 Disinfectants Engine and radiator flushes Road Salt (Halite) 1 ydraulic fluid (incI in brake fluid) Refrigerants Motor oils ��/ lQ�)j� Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil NEW USED Other petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Battery acid (electrolyte) Swimming pool chlorine Rustproofers Lye or caustic soda Car wash detergents Jewelry cleaners Car waxes and polishes Leather dyes Asphalt & roofing tar Fertilizers Paints, varnishes, stains, dyes PCB's Lacquer thinners Other chlorinated hydrocarbons, NEW USED (inc. carbon tetrachloride) Paint & varnish removers, deglossers Any other products with "poison" labels Paint brush cleaners (including chloroform, formaldehyde, Floor & furniture strippers hydrochloric acid, other acids) Metal polishes Laundry soil & stain removers Other products not listed which you feel (including bleach) may be toxic or hazardous (please list): Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS BILL PEAR DABS RIVER MOTORS O F.HYA1 NIS Quality Pre-Owned Automobiles and Trucks Tel. 508-775-5185 508-775-5489 436 Yarmouth Rd. ' Fax. 508-775-4560 Hyannis,MA 02601 4t� TOWN OF BARATABLE MPLlANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops 0 unsatisfactory- 4.Manufacturers COMPANY 6.4. �i!/�� lili� (see"Orders") 5.Retail stores 6.Fuel Suppliers ADDRESS lass: .rvl- 7 7•Miscellaneous -, •-� QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) , MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: ue s , Heavy Oils: tj waste motor oil (C) new motor oil(C) transmission/hydraulic Synthetic Organics: degreasers p - Miscellaneous: 1 7 &�_z �. 10 ,Z� .V DISPOSALIRECLAMATION REMARKS: 1. unitary Sewage 2.Water Supply i Town Sewer )Public4 _ ilk O On-site OPrivate 3. Indoor Floor Drains YES—ZNO O Holding tank: MDCy ^_ O Catch basin/Dry well O On-site system f/ - 4. Outdoor Surface drains:YES l� NO ORDERS O Holding tank:MDC Catch basin/Dry welr,� /On-sites stem Y _. 5.Waste Transporter Name of Hauler Destination Waste ProducLicensed? 2. Person (s) Interviewed Inspector Date TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair 2. nters BOARD OF HEALTH 0 satisfactory 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY t 94) ply 4 O`VY5 OK (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS q16 %&i 1.L�1.o�1 Y /� Class; 7.Miscellaneous U--'t(I«(Uf jfilptij QUANTITIES AND.STORAGE (IN=indoors;OUT=outdoors) MAJOR MATE IALS / Above Tanks Underground IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel(A) Diesel, Kerosene, #2 (B) Heavy Oils: K waste motor oil (C) Uf 40 S GS new motor oil(C) l c_ivl 6zc�.^ "s rz transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: b�/ DISPOSALMEC;LAMATION REMARKS: j 1. Sanitary Sewage 2. Water Supply �`W o b , i -e�C'�f G 0 Town Sewer public gon-site OPrivate �"�G�� f=1���� �. /`"�-/�✓ �vYl r mot?t� 3. Indoor Floor Drains YES_�—NO i _ � ��Vr 3v /t � v+ .4" �_/_�, zR KHolding tank: MDC �S i+�34a(6 CA '�'�`�`^ `, 0 Catch basin/Dry well Vt (��ikjC�, 0 —, /v C.A 1`lt 4/,w, 6v' CAX,(, 0 On-site system OJA-9,_' Z 0 4. Outdoor Surface drains:YES N0—�(,_ O ERS: 0 Holding tank:MDC (/Y , 'I/ V4W C,4,6,6 14-94.0 O Catch basin/Dry well 0 On-site system 5.Waste Transporter Name of Hauler Destination Waste Product YES N0 1. 1'd S l,-a►� /rd� C�i Li 2. 14 erson(s Interviewed Inspectf6r Date . , I Date: 5Ls oy �24MOL/ alut Z0_Z;>: TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAMEOFBUSINESS: BUSINESS LOCATION: �'I 3 6 �(� ,n-��y�}�, R � N-v� ctMrri s MAILINGADDRESS: �� A/ INVENTORY TOTAL AMOUNT: TELEPHONE NUMBER: 5-03 --771 6.3 5"5 CONTACTPERSON: .?.G�Gt•G�-co �' -os 33�-1 �. ,�s EMERGENCY CONTACT TELEPHONE NUMBER: TYPEOFBUSINESS: Z4U_*a Ra�ctr:�, Fl�{E Dls ICT OTHER INFORMATION: T6W7» 0id,i ncvn-c_ _ n e k44,a4•n94,'Z e1A-L w;4-i I l I a a ar"s rrz n�� o7 l-�rr.,z a�c�u s /Q 1'Yt a e.•,u l s -r0 SCE _ I e ct/.�•e A./b✓� .a,1A �rTC h&jgCM al crt�•s wcr. e, atir�tc rH S "f�AZ,�q Gty�O d.S w.95 ram' Ale Waste Transportation: Ur a6-Ct 5-+ : rag s -Pewde4-Gaz�c s Name of Hauler: � ni 1 Destination:- Waste Product. �) _ c-i4 4t Licensed? Yes No 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. . NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Observed (gallons): Antifreeze(for gasoline or coolant systems) Drain cleaners 2$.�JNEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salt (Halite) K Nan Hydraulic fluid (including brake fluid) Refrigerants _� Motor oils Pesticides 220 / NEW ' USED (insecticides, herbicides, rodenticides) asoline Jet Fuel Photochemicals Fixers .Diesel fuel, kerosene, #2 heating oil NEW USED `3 Other petroleum products: grease, Photochemicals (Developer) lubricants, gear oil , NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) ' Battery acid (electrolyte) Swimming pool chlorine Rustproofers Lye or caustic soda Car wash detergents Jewelry cleaners Car waxes and polishes Leather dyes Asphalt& roofing tar Fertilizers Paints, varnishes, stains, dyes PCB's Lacquer thinners Other chlorinated hydrocarbons, NEW USED (inc. carbon tetrachloride)- Paint &varnish removers, deglossers Any other products with "poison" labels Paint brush cleaners (including chloroform,formaldehyde, Floor&furniture strippers hydrochloric acid, other acids) Metal polishes Laundry soil &stain removers Other products not listed which you feel (including bleach) may be toxic or hazardous (please list): Spot removers & cleaning fluids Misc.: (dry cleaners) Other cleaning solvents Bug and tar removers Date: TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS: NAo v o (2 A BUSINESS LOCATION: z/36 YqMmoQfWW II w s1. MAILINGADDRESS: S/-1 tv, L Mail To: TELEPHONE NUMBER: &3 55 Board of Health Town of Barnstable CONTACT PERSON: �U i A iV .5 spiv oS P.O. Box 534 EMERGENCY CONTACT TELEPHONE NUMBER: 50 N-36_+- Y,? 00O Hyannis, MA 02601 TYPEOFBUSINESS: ,f}y�o (2 e pa, 2 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for you own use? YES X 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 arp stored at a site o ertha your mailing address: ADDRESS: r 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. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Quantity 5S' Cs. Antifreeze(for gasoline or coolant systems) Drain cleaners NEW X USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salt (Halite) ox � ' Hydraulic fluid (including brake fluid) — Refrigerants �r Motor oils -A Pesticides C 4s -- >�' NEW ' X USED (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil NEW USED Other petroleum products: grease, — Photochemicals (Developer) Lubricants, gear oil - NEW USED Degreasers for engines and metal '— Printing ink Degreasers for driveways & garages -- Wood preservatives (creosote) �—` Battery acid (electrolyte) Swimming pool chlorine Rustproofers r— Lye or caustic soda Car wash detergents Jewelry cleaners Car waxes and polishes Leather dyes Asphalt & roofing tar Fertilizers Paints, varnishes, stains, dyes PCB's Lacquer thinners Other chlorinated hydrocarbons, NEW USED (inc. carbon tetrachloride) Paint & varnish removers, deglossers Any other products with "poison" labels Paint brush cleaners (including chloroform, formaldehyde, ` - Floor& furniture strippers hydrochloric acid, other acids) -r" Metal polishes Laundry soil & stain removers Other products not listed which you feel (including bleach) may be toxic or hazardous (please list): Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents �-- Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS 1 • Date- J Zs o y/ COPY Y TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY. NAMEOFBUSINESS: Sa�r&+gn . A Re-Qa" BUSINESS LOCATION: 1q.Q;A S G MAILINGADDRESS: �� 4' INVENTOR TOTAL AMO TELEPHONE NUMBER: 5-0 S --7 71- 6 3 5-5 CONTACT PERSON: tTl"e 'ctrao sa,"�.s 33 y �s J EMERGENCY CONTACT TELEPHONE NUMBER: Ft�E p157IGT TYPEOFBUSINESS: zlzt.?& RPM. OTHER INFORMATION:-TOTAM "_ncu4%,c-R- n �; C&�-u •s 1 s • e .Q 0OOAA �I s o Waste Transportation: VrU&i�7c 7+: ra Name of Hauler: �� Lei 1 Destmatio _Ag Waste Product: ca,_ o� e_ iC 4 Licensed?�Yes No 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. . NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Observed (gallons): Antifreeze(for gasoline or coolant systems) Drain cleaners 2 3 # .VEW USED Cesspool cleaners ,[1^c.[ Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salt (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor oils Pesticides 22p / NEW ' USED (insecticides, herbicides, rodenticides) asoline Jet Fuel Photochemicals Fixers Diesel.fuel, kerosene, #2 heating oil NEW USED v�u�l.Other petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote) ' Battery acid'(electrolyte) Swimming pool chlorine Rustproofers Lye or caustic soda Car wash detergents Jewelry cleaners Car wakes and polishes Leather dyes Asphalt& roofing tar. Fertilizers Paints, varnishes, stains, dyes PCB's Lacquer thinners Other chlorinated hydrocarbons, NEW USED (inc. carbon tetrachloride)- Paint&varnish removers, deglossers Any other products with 'poison" labels Paint brush cleaners Floor&furniture strippers (including chloroform,formaldehyde, Metal polishes hydrochloric acid, other acids) Laundry soil &stain removers Other products not listed which you feel (including bleach) may be toxic or hazardous (please list): Spot removers &cleaning fluids Misc.: (dry cleaners) Other cleaning solvents Bug and tar removers Town of Barnstable-Health Department Page 1 HAZARDOUS MATERIALS INVENTORY SITE VISITS DBA: Santo's Auto Repair Fax: Corp Name: Mailing Address _... Location: 436 Yarmouth Road(Willow Street) Street: 436 Yarmouth Road __.._.. _........_.... ........ mappar: City: Hyannis Contact: :Juliano Santos State: Ma Telephone: .508-771-6355 Zip: 02601: Emergency: 508-367-8880 Person Interviewed: ......... _...... Business Contact Letter Date: 5/21/2004 Category: Vehicle Maintenance Inventory Site Visit Date: 5/28/2004 Type: Auto Repair Follow Up/Inspection Date: public water ❑ indoor floor drains ❑ outdoor surface drains license required ❑ private water ❑ indoor holding tank mdc ❑ outdoor holding tank mdc ❑ currently licensed town sewage ❑ indoor catch basin/drywell ❑ outdoor catch basin/drywell expir -- ---- - - ❑ on-site sewage ❑ indoor on-site syste ❑ outdoor onsite system date: 5/28/04 Onsite inventory to update records and inform him to obtain a compliance: license. License was due in September,2003. Needs to pay for fiscal incomplete year 2004 and 2005. i i` Page 2 • Town of Barnstable-Health Department HAZARDOUS MATERIALS INVENTORY Chemicals: ❑ Zero Toxic Waste Materials ❑ gty's>25 Ibs dry or 50 gals liquid but less than 111 gals gty's 111 gals or more de'scripfion $qty, unit,gf,measurew waste antifreeze ( 55 gallons __._.. ...__.._- .__._.__.___.. ._ ___..._. _.__... _ _ _._ __ ___. ...... _ automatic transmission fluid 55 gallons hydraulic fluids(including break fluid) 4.5gallons motor oil _............_......... 6gallons ...._...._ _ _._......_____..._..._......._____...... ..._........ [waste oil 1659allons .........._ Waste Transporter: / Fire District: Hyannis Last HW Shipment Date Waste Hauler Licensed: Ll &t�A ( �—>e.4-y � t L� _ R �6 Y Hazardous Materials On-Site Inventory/Inspection For ALL Shops and Businesses: Physical Features to Inspect: 1. Hazardous waste generation sites (production/manufacturing areas): 2. Waste storage areas: a 3. Satellite accumulation points throughout: l� 4. HazMat container storage area: 5. HazMat generation points: 6. Shipping and receiving areas: 7. Run down of shop activities: 8. Housekeeping practices: Ne4M I d • HazMat On-Site Inventory/Inspection: Records to Review for SQGs and CESQGs • Hazardous Waste Manifests: • Employee training documentation: ^j A • Hazardous substance spill control'and contingency plan: CA-re • MSDS on site? ^ / I *w • HazMat Inventory records (if applicable): c� • HazMat Shipping documentation: • Spill records (if applicable): ('41v s 07o t 3 i TOWN OF BARNSTABLE OMPLJANCE: CLASS: 1. Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS �` � ass• 7.Miscellaneous n , QUANTITIES AND STORAGE (IN= indoors;OUT=outdoors) (/ MAJOR MATERIALS :Underground IN OUT IN I OUTI IN OUT #&gallons Age Test Fuels: Gasoline Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) 0 7 new motor oil(C) transmission/hydraulic Synthetic Organics: degreasers �6 Miscellaneous: M ' �112 DISPOSALIRECI AMATION REMARKS: 1.,Sanitary Sewage 2. ater Supply IVX .� 'Town Sewer OPublic O On-site Private 3.Indoor Floor Drains YES NO O Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS- 0 Holding tank:MDC A�70 1 O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product YES I NO 1. 2. Person(s) Interviewed Inspector Date TO ALL NEW BUSINESS OWNERS Fill in lease: APPLICANT'S YOUR NAME:,r:�C1W�;,- k,(.") b ,uif 11% _ ZZ BUSINESS YOUR HOME ADDRESS: one Nu TELEPHONE p a T ephmber (Home) �77 NAME OF NEW:BUSINESS TYPE OF BUSINESS S IS THIS A`HOME. OCCUPATION? ADDRESS OF BUSINESS v ' MAP/PARCEL NUMBER��, 0 When starting a new business there a several things you must do In order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. Once you have obtained the required signatures, listed below, you may apply for a business certificate at the Town Clerk's Office (Ist floor- Town Hall). 1. GO TO BUILDING INSPECTOR'S OFFICE (4TH FLOOR TOWN HALL) This individual has been informed of any permit requirements that pertain to this type of business. Authorized Signature. COMMENTS: 2. GO TO BOARD OF HEALTH (3RD FLOOR TOWN HALL) This individual ha e n informed the ermit rerfre ent that pertain to this type of business. Authorized Signature COMMENTS: 3. GO TO CONSUMER AFFAIRS (LICENSING AUTHORITY) - (3RD FLOOR SCHOOL ADMINISTRATION BUILDING) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature COMMENTS: After obtaining the required signatures you must return to the Town Clerk's Office to obtain your business certificate (cost $20.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town (which you must do by M.G.L. - it does not give you permission to operate - you must get that through completion of the processes from the various departments involved. ��� � _ _ . v��-�� . a0 q� Date: 'fl f TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM } I NAMEOFBUSINESS: A L►(7n rnEA_rS PLUS BUSINESS LOCATION: `+3(,, JA A ►'no vTH Rd, MAILINGADDRESS: Sam Mail To: Board of Health TELEPHONE NUMBER: 4v2o -33g(o Town of Barnstable CONTACTPERSON: �o8£KT c�2 G.iw��1 ��Z.o�n P.O. Box 534 i EMERGENCY CONTACT TELEPHONE NUMBER: Hyannis, MA 02601 TYPE OF BUSINESS: AI i.,h ic 0001 nPae r SA�e Does your firm store py of the toxic or hazardous materials listed below,;either for sale or for you own use? YES NO is This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed E envelope for your convenience. r If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ! ADDRESS: j TELEPHONE: f ' 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 i you store. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Quantity al• f� Antifre ze(for gasoline or coolant systems) Drain cleaners t NEW USED Cesspool cleaners caS� Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salt (Halite) Case- Hydraulic fluid (including brake fluid Refrigerants Y ( g ) 9 s caScS Motor oils Pesticides EW USED (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil NEW USED M \15c- Other petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Battery acid (electrolyte) Swimming pool chlorine Rustproofers Lye or caustic soda r �. Car wash detergents Jewelry cleaners Car waxes and polishes Leather dyes Asphalt & roofing tar = Felizers Paints, varnishes, stains, dyes PCB's _- - Lacquer thinners Other chlorinated hydrocarbons, NEW USED " .. o (inc. carbon tetrachloride) Paint & varnish removers, deglossers Any other products with "poison" labels Paint brush cleaners.- r (including chloroform, formaldehyde, Floor & furniture strippers - hydrochloric acid, other acids) Metal polishes Laundry soil & stain removers. Other products not listed which you feel (including bleach) j may be toxic or hazardous (please list): Spot removers & cleaning fluids�., ��. u (dry cleaners) ci Other cleaning solvents Bug and tar removers I WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS TO ALL NEW BUSINESS OWNERS Fill in please: YOUR NAME: APPLICANT'S '' YOUR HOME DDRESS: ds BUSINESS Telephone Number Home ZLI d — 2L TELEPHONE TYPE OF NAME OF NEW BUSINESS �.'� �Z�'�/�,n BUSINESS 1S THIS A HOME OCCUPATION? - MAP/PARCEL NUMBER ADDRESS OF BUSINESSs and startin a new business there are several things you must do in order to in incmpliace Once ytou havee obtain d the regulations eq�ired e own When 9 of Barnstable. This form is intended to assist you in obtaining the informati y ou listed below, you may apply for a busi ness certificate at the Town Clerk's Office (Ist floor - Town Hall) or if you get the business signatures, certificate first you MUST go tot a following office to make kStreet)yand you will hf ndQhe folpowmng offits s licenses.. GO TO 200 Main St. — ( ner of Yar outh Rd. & Main J. BUILDING SPECTO 'S O F10E This individua has bee nned of a , p mit r ements that pertain to this type of business. Autho ed Signature `~— COMMENTS: 2. BOARD OF HEALTH hat This individual h en informed o t e requirements t `pao / . ,? Authorized Signa re /wo, � COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature COMMENTS: Business certificates (cost$20.00 for 4 years). A business certificate ONLY REGISTERS YOU R NAME in the town (which you must not give you permission to operate -you must get that through completion of the processes from the various do by M.G.L. - it does departments involved. TOWN OF BARNSTABLE C PLIANCE: CLASS: 1. Marine,Gas Stations,Repair BOARD OF HEALTH satisfactory 2.Printers 3.Auto Body Shops `� O unsatisfactory- 4.Manufacturers COMPANY IACWo6b p t 1JS�-[A� (see"Orders") 5.Retail Stores �,� 6.Fuel Suppliers ADDRESS q A 1a c Alh (2b Class: _ 7•Miscellaneous PrNNls QUANTITIES AND STORAGE (IN= indoors;OUT=outdoors) MAJOR MATERIALS IN OUT IN OUT IN OUT #&gallons Age Test Fuels: 7 Gasoline Jet Fuel (A) % Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil(C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: DISPOSALIRECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply IO �P_f1Ct O Town Sewer OPublic O O On-site OPrivate 3.Indoor Floor Drains YES NO O Holding tank:MDC_ (Zt�T S�L�S O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: Q Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter nie of Hauler YES NO 1. 2. q 0.-) Person(s) Interviewed Inspector Date dC r Massachusetts Department of. Conservation and Recreation Mnssncfiuserts Office of Water Resources Well Completion Report 14-OCT-09 11:55:30 WELL LOCATION 265278 GPS North: 410 39.959' GPS West: -700 16.262' Address: 436;YarmoutZRo- add Property Owner/Client: c/o Green Seal Environmental Subdivision Name:4Hyannis Mailing Address: 114 State Rd Ste B1 City/Town:Barnstable City/Town, State:Sagamore Beach MA Assessors Map: Assessors Lot #: Permit Number: Board of Health permit obtained: N Date Issued: Work Performed Proposed use Drilling Method Overburden Drilling Method Bedrock New Well Monitoring - 3 wells at this location. Auger CASING From (ft) To (ft) Type Thickness Diameter .00 -14.00 PVC Schedule 40 2.00 SCREEN From (ft) To (ft) Type Slot Size Diameter -14.00 -24.00 Continuous Wire PVC .010 2.00 WELL SEAL / FILTER PACK / ABANDONMENT MATERIAL From (ft) To (ft) Material Description Purpose -10.00 -12 Bentonite Chips/Pellets Seal WELL TEST DATA (ALL SECTIONS MANDATORY FOR PRODUCTION WELLS) �. Date Method Yield Time Pumped Pumping Level TimeC Recove Rec��ry (GPM) (hrs & min) (Ft. BGS) (He ,l& Min) "O(Ft.;BGS) C STATIC WATER LEVEL (ALL WELLS) PERMANENT PUMP (IF AVAILAB�E) Date Depth Below Ground pump Description: . Measured Surface (ft) _ P Tyre: �:.t '.e D r l 10/08/2009 16.5 Nominal Pump Capacity: Hor epower:N WELL DRILLER'S STAWMEN ADDITIONAL WELL INFORMATION Driller: Thomas E Desmond III Developed: No Fracture Enhancement:No Supervisor: Thomas Desmond III Rig #: 100 Disinfected:No Well Seal Type:Concrete Firm: Desmond Well Drilling Inc. Total Well Depth: 24.000 Depth to Bedrock: Registration #: 764 Date Complete:10/09/2009 Comments: OVERBURDEN From To Description Color Comment Water Loss/Add Drill Drill (ft) (ft) Zone of Fluid Stem Drop Rate .00 24.00 Fine to Coarse Sand Brown Yes N/A BEDROCK From To Code Comment Water Drill Extra Drill Rust Loss/ # of (ft) (ft) Zone Stem Large Rate Stain Add of Frac Droll per ft 1/1 6}5 v,al a° rq vvouc Go.00 vvidr ,Q 0 A 0 r �D YARM O U TH H,2 Q 26.65 Z Z i rk to lzll�it Ilk � m � Oro n lril J .4 J Y a T `- TOWN OF BARNSTABLE LQ!:'ATION ' � � c�r���.AR � SEWAGE # 13 —70 i VILLAGE ASSESSOR'S' MAP & LOT - L' 007 INSTALLER'S NAME & PHONE NO.CQst ,,, 11�a��-c�l<s: 477-0-344 SEPTIC TANK CAPACITY 0 00 LEACHING FACILITY:(type) S (size) a NO. OF BEDROOMSVJbKH, PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER 4 VA q b F DATE PERMIT ISSUED: q3 DATE COMPLIANCE ISSUED: f VARIANCE GRANTED: Yes s No ' t w ♦ t A � __ .� O = � .... G � ���.. � P •• .rY � �. G�. } .: ldf�� f� �� liti �� t • • � (// • f/ �'✓�a �/ ��" TOXIC AND HAZARDOUS MATERIALS REGISTRATION FO M c/ NAME OF BUSINESS: CV m o4wz,5 Mail To: BUSINESS LOCATION: _a ...- Board of Health Town of Barnstable MAILING ADDRESS: P.O. Box 534 TELEPHONE NUMBER: Hyannis, MA 02601 CONTACT PERSON: L4,L( aA1^ eat C _fie— ►P�9� EMERGENCY CONTACT TELEPHONE NUMBER: 'ZED 0 f R S l Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in qua s 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 Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants 20 1--5 Motor oils/waste-vtP�s Road Salt (Halite) 34t�Gasollne,JJet 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) C(ealer� Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy- Health Department/ Canary Copy-Business TOXIC AND HAZARDOUS MATERIALS REGISTRATION FO M r/ NAME OF BUSINESS:��. e - M b -5 Mail To: BUSINESS LOCATION: L3 _arM5�& e,„ , Boarcrof Health Town of Barnstable MAILING ADDRESS: P.O. Box 534 TELEPHONE NUMBER: 77 S Hyannis, MA 02601 CONTACT PERSON: _ ( ; aM ear C12 :T�e K Pc EMERGENCY CONTACT TELEPHONE NUMBER: 7 1� l �3 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in qua s 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: g 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 Toilet cleaners i l Engine and radiator flushes Cesspool cleaners I Hydraulic fluid(including brake fluid) Disinfectants -- -- �Z `�i". ©r'oits/ JeN I Refrigerants Diesel fuelE kerosene, #2 heating oil Pesticides (insecticides, herbicides, ,Other petroleum products: grease, lubricants rodenticides) 4 Degreasers for engines and metal Photochemicals (fixers and.developers) Degreasers for driveways & garages Printing ink 4 . 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 removersi 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) _fte waC( CLe Other cleaning solvents Bug and tar removers Household cleansers oven cleaners -,f White Copy- Health Department/ Canary Copy-Business .p r c t&I/qW TOWN `OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH o. satisfactory 23..Printers ody Shops unsatisfactory- 4.Manufacturers COMPANYg�u a ryLa4-oi,--s (see"Orders") 5.Retail Stores n 1 6.Fuel Suppliers ADDRESS Class: 7.Miscellaneous `s QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks IN OUT IN OUTI IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) 7S K new motor oil (C) 4 5 X transmission/hydraulic Synthetic Organics: degreasers - 4 �t Miscellaneous: LX446*Ve-? - 1/0 v G ` oe dd DISPOSAURECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply C,&— b a e O Town Sewer PVublic 9--On-site OPrivate r q 3. Indoor Floor Drains YESNO O Holding tank: MDC O Catch basin/Dry well S O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MDC oor K111h` Catch basin/Dry well O On-site system 5. Waste Transporter Name of Hauler Destination Waste Product YES NO 2. U awry Person (s) Interviewed Inspector Date TO N DF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair 0 satisfactory 2.Printers BOARD. OF �IEALTH 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY PTV (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS C la S• 7.Miscellaneous �IfQ N 16 QUANTITIES AND STORAGE (IN= indoors; OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) avy waste motor oil new motor oil (C)� transmiss' ydraulic Synthetic Organics: degreasers Miscellaneous: zao)' tom/ a �I Dgy DISPOSAURECLAMATION RE S: 1. Sanitary Sewage 2.Water Supply Lz J O Town Sewer Public / VI-On-site Opriv to 3M14AS oor Floor Drains YESNO olding tank:MDC O Catch basin/Dry well O On-site system - r' 4. Outdoor Surface drains:YES NO ORD RS: O Holding tank: MDC ✓ 6 o Catch basin/Dry well On-site system c LL 5.Waste Transporter m Name of Hauler Destination Waste Product 1. YES NO � 2. L_olve `on (s) Interviewed InspW7 (;D/(-ajt� TOXIGAND HAZARDOUS MATERIALS R GISTRATION FORM NAME OF BUSINESS: 0> SS (t?;,jef rn S Mail To: BUSINESS LOCATION: q1, (D LA pTrCOU Board of Health Town of Barnstable MAILING ADDRESS: �►�^� G _ P.O. Box 534 TELEPHONE NUMBER: Sb8 ��� _s i�S Hyannis, MA 02601 CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: 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 ntifreeze (for gasoline or coolant systems) Drain cleaners /Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners /ydraulic 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 JPaints, 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) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy- Health Department/ Canary Copy-Business Date: TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: (;5R IJUIQ PE 106 I',S BUSINESS LOCATION: INVENTORY MAILING ADDRESS: S AM TOTAL AMOUNT: TELEPHONE NUMBER: _� 09 �1 63 cJ CONTACT PERSON: U6 I �Z ftT I n/ C ' f-F rL/LL II YZ^ EMERGENCYCONTACT TELEPHONE NUMBER: 17 81 YO6 _Sg9j MSDS ON SITE? TYPE OF BUSINESS: nQ TO RE_ Ptt I r� INFORMATION/RECOMMENDATIONS: Fire District: Waste Transportation: Last shipment of hazardous.waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. /Observed/Maximum Observed/Maximum 1 _ Antifreeze (for gasoline or coolant systems) __ Misc. Corrosive NO NEW USED Cesspool cleaners) C Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) 1 G L N Hydraulic fluid (including brake fluid) Refrigerants � _ �X Motor Oils Pesticides NEW USED _ (insecticides, herbicides�odenticides) Gasoline, Jet fuel, Aviation gas Photochemicals1(Fixers)`_0 rn Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Misc. Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) NEW USED Any other products with "poison" labels Paint &varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables hydrochloric acid, other acids) Floor &furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS HYANNIS AUTO CENTER, INC. SPILL CONTINGENCY PLAN 1) Evacuate the immediate area, if necessary 2) Shut off valve,pumps, and electrical equipment as appropriate 3) Restrict or remove any potential ignition source from the area if the material is flammable, 4) If not already covered, cover or dike all existing sumps and storm drains. 5) Contain the spill by used of absorbent socks/booms,then apply appropriate absorbent material or additional absorbent socks/booms. Contact spill response firms in Appendix E, if necessary to assist in these activities. 6) Remove all absorbed material or contained liquid and package in DOT approved Container. Used absorbent materials should be packaged separately from liquids. 7) Label all containers with the type of waste and the start date of accumulation. 8) Notify the appropriate agencies and JLI corporate eontacts as prescribed in Section IV. 9) Once the spill has been controlled and material collected and secured, inspect the area for cleanliness and decontaminate all equipment used in the clean up. 10) Replace all used materials and ensure all response equipment is in good working Condition 11) Manage and dispose of collected absorbents and liquid in accordance with Federal and State environmental regulations. 12) For any spill greater than the reportable quantity (see Section IV) or 25 gallons, Which ever is less,this plan shall be implemented and proper records of action Shall be kept on-site as prescribed in Section IX. 13) Spill cleanup equipment is located in the garage, in the yellow tub, in the spill tray area 14) The following is a list of the spill equipment on site: a. Spill response kit capable of containing a spill of at least 25 gallons. This kit includes absorbent spill pads, socks, and/or booms b. An adequate amount of nitrile gloves,nitrile or rubber boots and other Personal protective equipment. c. First Aid Kit d. Eye wash e. Fire extinguishers HYANNIS AUTO CENTER, INC SPILL CONTINGENCY PLAN APPENDIX E EMERGENCY SERVICES PHONE NUMBERS FIRE DEPARTMENT 508-775-2323 POLICE DEPARTMENT 508-775-1212 AMBULANCE SERVICE 508-775-2323 NATIONAL RESPONSE AGENCY 800-424-8802 ENVIRONMENTAL PHONE NUMBERS LOCAL DEP OFFICE 508-946-2850 ADVANCED LIQUID RECYCLING 203-238-6771 CLEAN HARBORS 617-849-1800 617-935-9066 JIFFY LUBE CORPORATE OFFICE 61 7-878-9121 GAPNER ENVIRONMENTAL 800-442-7637 PENNZOIL INCIAENT REPORTING 800-848-7525 JLI ENV1 QN NTAL COORDINATOR 713-546-8512 JLI PUBLIC RELATIONS(MICKEY GENTRY) 713-546-8538 P339 578 738 US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for Intemational M it See reverse Sent to ,/"r_ / "10-10 Street Nbey,� i' - Pqn,Qffice,State,&ZIP ode 4 ��SJ _ p / J/ % Postage C� $ ( Certified Fee Special Delivery Fee Restricted Delivery Fee Ln Return Receipt Showing to Whom&Date Delivered Return Receipt Showing to Whom, Date,&Addressee's Address 0 TOTAL Postage&Fees $ 2 th Postmark or Date Stick postage stamps to article to cover First-Class postage,certified mall fee,a charges for any selected optional services(See front). 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached, and present the article at a post office service m window or hand it to your rural carrier(no extra charge). ai 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the Q) return address of the article,date,detach,and retain the receipt,and mail the article.. LO 3. If you want a return receipt,write the certified mail number and your name and address rn on a return receipt card,Form 3811,and attach it to the front of the article by means of the _ gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article _ RETURN RECEIPT REQUESTED adjacent to the number. 4. If you want delivery restricted to the addressee, or to an authorized agent of the C addressee,endorse RESTRICTED DELIVERY on the front of the article. M 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. N return receipt is requested,check the applicable blocks in item 1 of Form 3811, 5 6. Save this receipt and present it if you make an inquiry. n. i d SENDER: I also wish to receive the , v ■Complete items 1 and/or 2 for additional se as ■Complete items 3,4a,and 4b. following services(for an 0 ■Print your name and address on the revere.*form so that we can return this extra fee): card to you. ■� ?this form to the front of the mailpieoe,or on the back if space does not 1. ❑ Addressee's Address ■Write'Retum Receipt Requested'on the mailpiece below the article number. 2. O Restricted Delivery fn d ■The Return Receipt will show to whom the article was delivered and the date delivered. Consult postmaster for fee. AL 0 3.Article Addressed to: 4a.Article 4 r I ��/ P -2 "AF E C/ 0 /V l Wlvo 4b.Service Type $ D ❑ Registered Certified °C to ❑ Express Mail ❑ Insured ¢ ❑ Return Receipt for Merchandise ❑ COD o n-�-/2 � 7.Date of Delivery - 5 5.Received By:(Print Name) S.A dyes e s Address(Only if requested e L and fee is paid) Si ure:(Ad ee or Went) 0 ry 381 December 1994 ia2595-97-B-o»9 Domestic Return Receipt IFirst-Class Mail UNITED STATES POSTAL SERVICE Postage&Fees Paid USPs Permit No.G-10 O Print your name, address, and ZIP Code in this box C Pd, biic Health Division Town of Barnstable PO Box 534 Hyannis, Massachusetts 02601 Fax(508)775-3344 Phone(508)7W6265 Town of Barnstable Department of Health, Safety, and Environmental Services 9B"M.�'" �' Public Health Division Q, s6 9. ,0 �FDMAYA P.O. Box 534, Hyannis NIA 02601 Office: 508-790-6265 Thomas A McKean,RS,CHO FAX: 508-790-6304 Director of Public Health January 28, 1999 Mr. Frank J.Nuovo. P.O. Box 1487 Sagamore Beach,MA 02562 RE: 436 Yarmouth Road,Hyannis ORDER TO REMOVE UNDERGROUND FUEL STORAGE TANK Enclosed are documents on record provided by the Hyannis Fire Department and a picture providing evidence that an underground storage tank is present at 436 Yarmouth Road. One underground storage tank was removed at one time, however another fuel oil underground storage tank is documented to still exist. Due to the fact that the existing underground storage tank is greater than 30 years old and is located in a zone of contribution to public water supply wells, the underground storage tank must be removed within 60 days of the receipt of this order letter. Please contact the Public Health Division with your intentions within seven days of the receipt of.this letter. If you should have any questions or comments, please do not hesitate to contact our office at (508) 790- 6265. You may request a hearing before the Board of Health if written petition requesting same is received within seven(7)days of receipt of this notice. Sincerely yours, as McKean, Director of Public Health FRANK J. NUOVO ` POST OFFICE BOX 1487 SAGAMORE BEACH,MA 02562 November 4, 1998 (508) 888-6502 Mr.- Thomas A. McKean Director of Public Health Town of Barnstable Post Office Box 534 Hyannis , MA 02601 Re : - 436 Yarmouth Road Previously removed tank Dear Mr. McKean : - Immediately upon receipt of your letter dated October 30th, I telephoned your Department , and spoke to a young lady . I advised her that approximately ten years ago , the oil tank in question , was removed from the property located at 436 Yarmouth Road by Clean Harbors . The girl checked the computer , and advised me that she could not find any indication that there. was any tank on the property , which would be correct , to the best of my knowledge . Supporting paperwork for the removal of the tank cannot be located - at this time . I believe that all documents pertaining to the tank removal were given to the Buyer at the closing on the property . I subsequently acquired back the property through foreclosure . I can assure you that at the time of the tank removal that the Hyannis Fire Department was present as were several others including myself . During my conversation with your staff member , I was advised that "Glen" would call me , as he is the individual working on this matter . As I have not heard from him, and I would like to resolve this situation , please have someone in authority within your office contact me . I expect to be away several times during the next month and I will be leaving for Florida at the end of the year , and wish to conclude to everyone ' s satisfaction , that no tank exists at the Yarmouth Road property. AS I previously stated , to the best of my_ knowledge no underground tank is on the property . Yours very truly , FRANK J. N 010 FJN:jam } Z 348 659 795 Receipt for Certified Mail s No Insurance Coverage Provided eDo not use for International Mail (See Reverse) Off Sent to / Street and o Np. ivy ItO7 2 P.O., tate and ZIP Code p l yy C 00 Postage N! E Certified Fee O V' Special Delivery Fee ra� f i rReslricted i l)eliveryrFae rAeturn'Receipt,Showing to Whom&Date Delivered Return Receipt Showing to Whom, Date,and Addressee's Address TOTAL Postage &Fees Postmark or Date 17m,"ESTE11 OSTICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES(see front). t. lu want this receipt postmarked,stick the gummed stub to the right of the return address leajrq�nq,the receipt attached and present the article at a post office service window or hand it to yotloral carrier(no extra charge). R 12. J1ou do not want this receipt postmarked,stick the gummed stub to the right of the return rn add q&s of the article, date,detach and retain the receipt, and mail the article. _0) A r 3.Jfj1ou want a return receipt,write the certified mail number and your name and address on a ret rn receipt card,Form 3811,and attach it to the front of the article by means of the gummed 0 en space permits.Otherwise,affix to back of article.Endorse front of article RETURN RECEIPT RE�&ESTED adjacent to the number. OC 4. ou want delivery restricted to the addressee,or to an authorized agent of the addressee, M enddrrse RESTRICTED DELIVERY on the front of the article. 0 5.CJr fees for the services requested in the appropriate spaces on the front of this receipt.If LL retreceipt is requested,check the applicable blocks in item 1 of Form 3811. a 6. Save this receipt and present it if you make inquiry. 105603-93-13-0218 d SENDER: o ■Complete'items.1 and/or 2 for additional services. I also wish to receive the rn ■Complete items 3,4a,and 4b. following services(for an y ■Print your name and address on the reverse of this form so that we can return this extra fee): card to you. ai m ■Attach this form to the front of the mailpiece,-or on the back if,space does not 1. ❑ Addressee's Address dpermit. Y,:.a-,rr",,. ._ . d d ■Write°Return Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery W ■The Return Receipt will show to whom the article was delivered.and the date a delivered. Consult postmaster for fee. 0 3.Article Addressed to: 4a.Article Number d �rGle� 4b. ervice Type o Q _X ,��7 ®�j ❑ RegisJte ed Certified Cn '��J Q ❑ Expr-gss Mail ❑ Insured SCt g� 07� C�ii w CJ um ❑Receipffo*Merchandise GOD a1,7,4 o2-.s-6 2 p 7.fate of Deliverjr�> Z p 5.Received By:(Print Name) e-lkdMessiek's Address(Only if requested `� w 'd,ee isaid) t ¢ � 6.Signature: ddress rAgent) T X H m4PS or 81 e Domestic Return Receipt UNITED STATES POSTAL SERVICE First-Class MailPostage&Fees Paid USPS Permit No.G-10 • Print your name, address, and ZIP Code in this box • ftblic Health Division Town of Bamstable PO Box 534 Hyannis,Massachusetts 02601 Fax(508)775-3344 Phone(508)190-6265 tNE Town of BarnstaAe �s • Department of Health, Safety, and Environmental Services MMAS&IMNSTABM ' Public Health Division 16 9. A P.O. Box 534, Hyannis MA 02601 Thomas A.McKean,RS,CHO Office: 508-790-6265 Director of Public Health FAX: 508-790-6304 October 30, 1998 Frank J. Nuovo P.O.Box 1487. Sagamore Beach, MA 2562 NOTICE TO ABATE VIOLATIONS OF THE TOWN OF BARNSTABLE REGULATION REGARDING FUEL AND CHEMICAL STORAGE SYSTEMS Our records indicate that you have an underground #2 fuel oil tank located at 436 Yarmouth Road, Hyannis, MA, and listed on Parcel 009 on Assessor's Map 344. This tank is located in a critical zone of contribution to our public drinking supply wells and is 20 years old or older. You must have your underground tank removed within 30 days from the receipt of this order letter. Before the removal of the tank, you must first obtain a removal permit from the Fire Department. I have enclosed tank removal information for you. Upon removal of your tank, please return valve tag#to the Health Department. You may request a hearing before the Board of Health if written petition requesting same is received within seven (7) days of receipt of this notice. Sincerely yours, mas A. McKean Director of Public Health Enclosure: Tank Removal Information to f11 kA ..e--�-------�--�-,., . -_� t ' •'• f � _� ally �` ��i U�i:� 1 U& 'I "/:i 1 � � u+fi�F:U+U"3 1� '� �r PAR Real k Oate System - General ProP Y Inquiry] Help [ 1 Parcel Id: 344 009- - Account No: 249957 Parent : Location: 436 YARMOUTH RD Neighborhood: HY10 Fire Dist : HY Devel Lot : Lot Size : . 56 Acres Current Own: NUOVO, FRANK J State Class : 330 P 0 BOX 1487 No. Bldgs : 1 Area: 6628 Year Added: SAGAMORE BEACH MA 2562 Deed Date : 060193 Reference : C130323 January 1st : NUOVO, FRANK J Deed MMDD: 0693 Deed Ref : C130323 Comments : Values : Land: 95000 Buildings : 132200 Extra Features : Road System: 436 Index: 1890 (YARMOUTH ROAD ) Frntg: 165 Index: ( ) Frntg: Control Info: Last Auto Upd: 102895 Status : C Last TACS Update : 102595 Land Reviewed By: Date: 0000 Bldgs Reviewed By: ML Date : 0694 Tax Title : Account : Taken: Account Status : Hold Status : Cancel [ ] Press XMT for more data Next screen [PAR ] Action [ ] Owners Name [ ] Road Index [ ] Road Name [ ] Parcel Number [344] [010] [ ] [ ] [ ] Z0C J °-7 It) aax"f �i1iC WC�J �" W a--L� -(- 0-41J S �w�� vc� �� o � •�C� �a-f9..3 woo... � � � G ` i r Health Complaints 18-Aug-98 Time: 3:37:47 PM Date: 8/18/98 Complaint Number: 1508 Referred To: GLEN HARRINGTON Taken By: LS Complaint Type: ARTICLE XXXIX HAZARDOUS WASTE Article X Detail: Business Name: TOWN TAXI, BARGAIN RENT A CAR Number: Street: E. MAIN STREET Village: HYANNIS Assessors Map-Parcel: Complainant's Name: ANONYMOUS Address: Telephone Number: Complaint Description: THERE IS WASHING OF CARS, DEGREASING AND OIL WORK BEING DONE OUT OF THIS BUILDING. WASTE IS RUNNING INTO STORM DRAINS AND THERE ARE PUDDLES AROUND. COMPLAINANTS DOG GOT VERY ILL FROM DRINKING FROM THE PUDDLE. HE SAID THEY DO THIS WORK ALL DAY LONG. THERE IS A MECHANIC SHOP THERE ALSO. Actions Taken/Results: Investigation Date: Investigation Time: r / f i 1 -� Health Complaints 09-Jun-98 Time: 9:00:00 AM Date: 5/22/98 Complaint Number: 1375 Referred To: GLEN HARRINGTON Taken By: DONNA MIORANDI Complaint Type: ARTICLE XXXIX HAZARDOUS WASTE Article X Detail: Business Name: N. E. Auto Polishing Number: Street: Thornton Drive Village: HYANNIS Assessors Map_Parcel: f . R 1 TOWN OF BARNSTABL' SITE PLAN REVIEW DATE: May 20, 1998 TO: TomMcKean FROM: Anna Brigham, Site Plan Review Coordinator RE: SPR-038-98 A&A Auto Rental, 436 Yarmouth Road, Hyannis (344/009) Proposal: New auto rental business. (See SPR 30-89) PEA r- � On the agenda for 5/28 MAY 20 1998 OF BA TABLE r Please submit this form, with any comments or additional requirements you may have regarding the above referenced application, to the Building Commissioner's office by May 27, 1998. I have the following/attached comments/requirements regarding this application for Site Plan Review . I do not have any comments/requirements regarding this application for Site Plan Review at this time. (Signature) McKean Thomas From: McKean Thomas To: Brigham Anna Subject: A & A Auto Rental/ SP #38-98 Date: Wednesday, May 20, 1998 3:43PM I am in receipt of a site plan review application regarding 436 Yarmouth Road Hyannis. I submit the following questions/ comments: 1) Is the applicant proposing to use the service bays ? If yes, for what purpose? 2) The site is located within a WP District. Condition #4 of the Board of Health variance decision letter (dated November 28, 1989) specifically states "vehicle washing and painting activities are prohibited at this site. Page 1 Town of Barnstable IT Application for Site Plan Review - 03898 Location _ Business Name: Assessor's Map and Parcel Number: ✓fit AP q /CGI OD Property Address: ` Lift/mp Owner of Property Applicant Naive: F(A 'S.to V 040 Name: re-,J —,0 • PCf9fZ- Address: �sz —'1 g7 Address: A/-Cl nc L SA(i'A Y►1D(E �A�c`�251e2 (JJ• 14/MDIN' 1'N►/ •o Zlo7 3 Phone: Phone: s b - 3 99 FAX: -775 • y36o TOWN OF BARMSV�BLE Ent,�incer Agent BUILDING DEPT. Name r N 1IC' SSG Naine r I Address: �— Address: BIZ mAtl) 5t- J /�5�-t'/✓�I�L mA 02�55 Phone: 9 7,8 `J/ Phone: Storage Tanks Utilities Zoning Classification Existing 000 Proposed t.J0t,10- Sewer District: b Number: 'Number: Public Flood Hazard: Size: Size: Private Groundwater Overlay: _ Above Ground: Above Ground: Fire District Lot Area: y'J ' - Fl; tnderground: Underground: Water Number of Buildino Contents: Contents: Public: Existing: y Private: Proposed: Parking Spaces Curb Cuts Fire Protection: Demolition: Required: gO Existing- Electrical / Total Floor Area Provided: go Proposed: Aerial: Residential: On-Site V/ To Close: tnderground: Mice: /3.39 S.F 01l=Site: Totals: Z Gas Medical Office: Natural: Commercial: 0?o14 S.r Propane: (Specify Use) Wholesale: In Area ol'Critical Environmental Concern Institutional: (E.O.E.A) Yes/�o Industrial: 35\I SCE 1�>"S ,� Project%vitlun 100' ol'Wetland Resource Area: Yes/1 49 Old King's Highway Regional Historic District: 0 Approved? Yes/No Zoning Board of Appeals action? Mo 4 Listed in National and/or State Register of Historic Places: Perimeter setbacks: Front: ' Side: Rear: L %Lot Coverage: �© 6� fJ {�U I 3 op CJe gal bg A vetnenf Number of Floors: Floor Area lo.50�7 S Ceti First: Second: Other (Specify): Parking Requirements: Required: Provided: 0 Handicapped Spaces: Are there Accessory Buildings? � Accessory Building Floor Area: Please provide a brief narrative description of your proposed project. p SE `�O v D`S �t- VoG s wk vJ So �ecec� V\6 vnsu e. e-S �rr -�E Peak Se-,950 - I.zssert that I have completed(or caused to be completed)this page and die Site Plan ReviervApplication and drat, to the best ol'myknowledge, the information submitted here is true. Si�6a/e/ Date 5 4 Date: R - 0 TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS: BUSINESS LOCATION: !A) MAILINGADDRESS: 17/ Mail To: TELEPHONE NUMBER: � �—'7?/ d, � Board of Health Town of Barnstable CONTACTPERSON: P.O. Box 534 EMERGENCY CONTACT TELEPHONE NUMBER: ����l��I Hyannis, MA 02601 TYPEOFBUSINESS: VX/ Does your firm store aW of the toxic or hazardous materials listed below, either for sale or for you own use? YES i/ 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. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity / Quantity Antifreeze(for gas line or coolant systems) _ �) Drain cleaners V NEW ✓ USED Cesspool cleaners Automatic transmission fluid Disinfectants 4 Engine and radiator flushes Road Salt (Halite) Hydraulic fluid (including brake fluid) Refrigerants M / Pesticides Moto EW S E D �7�� (insecticides, herbicides, rodenticides) N4 Gasoline, Jet Fuel Photochemicals (Fixers) /(10 Diesel fuel, kerosene, #2 heating oil NEW USED Other petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED AID Degreasers for engines and metal Printing ink a Degreasers for driveways &garages Wood preservatives (creosote) Battery acid (electrolyte) Swimming pool chlorine D. Rustproofers Lye or caustic soda Car wash detergents Jewelry cleaners f Car waxes and polishes Leather dyes 0 Asphalt & roofing tar Fertilizers Paints, varnishes, stains, dyes PCB's Lacquer thinners Other chlorinated hydrocarbons, NEW USED (inc. carbon tetrachloride) Ne Paint & varnish removers, deglossers _� Paint brush cleaners Any other products with "poison" labels (including chloroform, formaldehyde, Floor & furniture strippers hydrochloric acid, other acids) JO Metal polishes Laundry soil & stain removers Other products not listed which you feel (including bleach) may be toxic or hazardous (please list): 06 Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS it c) s% TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMP i (see"Orders") 5.Retail Stores ` 6.Fuel Suppliers ADDRESS / �° Class: 4- 7.Miscellaneous QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lot Dr Above Tank IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) � new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers 4V� ' I x Miscellaneous: DISPOSAI✓RECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply lb% Town Sewer Public O On-site OPrivate S f 3. Indoor Floor Drains YES NO O Holding tank:MDC O Catch basin/Dry well O On-site system Y. 4. Outdoor Surface drains:YES NO ORDERS: - �� O Holding tank:MDC 12 O Catch basin/Dry well J= AW-fly S_ ' �' lee i d' � O On-site system _ k\\\V 5.Waste Transporter 1� Name of Hauler/ Destination Waste Product DC / C YES NO 2. C P erson (s) Inte " 'e ed Inspector Date iv t C� I•-{'�v r vl 1.U o1 ���'.t�-�' s . CAN co&, SERVICE! x LLION MI�eES pF f* pV ON..... TpWN (86g6�p 1-888"771- CAS!—T 24 HOURS ° t r TOWN OF BARATABLE COMRUANCE: CLASS: 1.Marine,Gas Stations,Repair 2.Printers BOARD OF HEALTH Q satisfactory 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY �� ylT 6 (see"Orders") 5.Retail Stores _ 6.Fuel Suppliers ADDRESS I. 3 Ada Glass: 7.Miscellaneous Nl QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline Jet Fuel(A) i Diesel, Kerosene, #2(B) Heavy Oils: 33 C7 X waste motor oil (C) :SAS new motor oil (C) transmissi=yy�drau ic I c S Synthetic Organics: degreasers Misc llaneous:,t,,,,, x A-vv,tf -tom /-TY X ®d I-S " oe DISPOSAL/RECLAMATION REMARKS: _ 1. Sanitary Sewage 2.Water Supply S <F ��..� �" � 014111 &j kltek Town Sewer JN13ublic � j _�,� ?M-R- d,y(fP VWJ O On-site OPrivate 3. Indoor Floor Drains YES N0A— O Holding tank:MDC_ O Catch basin/Dry well �' c�rr3 .S' 1s r Cl Sc+" Sr✓� O On-site system �� Co.- 6vC-S 6 4. Outdoor Surface drains:YES N0-P'(— ORDERS: O Holding tank:MDC C&0-4. O Catch basin/Dry well f t�.yL O On-site system 5.Waste Transporter Name of Hauler Destination, Waste:Product .Licensed? �_�.�/ ,/ YES NO 1. 4%Ca v✓�.Z� �✓ or lgldl�ti �Ua 2 9y. W e <;C`L— _ 41f7 � Person(s ewed Inshectoi Date hyannisautocenter.com AUTO CENTER P /ion Cutler 436 Yarmouth Road•Hyannis, MA 02601 PH:508-771-7122• FX:508-771-5149 Pecs5e4Date: /Ul Ah 06- OrOWN OF BARNSTAFE TOXIC AND HAZARDOUS MATERIALSON-SITE INVENTORY NAME OF BUSINESS: BUSINESS LOCATION: IN MAILING ADDRESS: OC�TAL AMOUNT: TELEPHONE NUMBER:' 77/- 7f 2-dt (Y CONTACT PERSON: atz �i Le,r r EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON TE? TYPE OF BUSINESS: ! U Kv_xliz INFORMATION/RECOMMENDATIONS: ld Fire District: , 111 Y �" Waste Transportation: Last shipment of hazar ous.waste: Name of Hauler- 11A Destination: "— Waste Product: Licensed? Yes No --- NOTE: Under the provisions of Ch. 1 rl, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. i Observed/Maximum Observed/Maximum Antifreeze (for gasoline or coolant systems) Misc. Corrosive NEW 615- USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides NEW AD USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Misc, petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda c Rustproofers Misc. Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) NEW USED Any other products with "poison" labels Paint &varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables hydrochloric acid, other acids) Floor&furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers (including bleach) Spot removers &cleaning fluids bw - 71,D a&I rs (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS • • Town of Barnstable-Health Department • age 1 ' HAZARDOUS MATERIALS INVENTORY SITE VISITS DBA: Hyannis Auto Center(Town Taxi,Inc.) Fax: 508-771-5149 ` Corp Name: Mailing Address - Location: JqAjcp4TRbad,HyWnis Street: mappar: 6 001-000 City: Hyannis Contact: el( ) r John_Cutler,Managers State: Ma Telephone71-7122 Zip: 02601. Emergency: i I Z� Person Interviewed: Peter Cutler Business Contact Letter Date: 711,10 Category: Vehicle Maintenance Inventory Site Visit Date: &112004 Type: Auto Rental Agency Follow Up/Inspection Date: 79242004- d❑ public water' ❑ indoor floor draiSoo ❑ outdoor surface drains ❑d license required ❑ private water ❑ indoor holding tank mdc ❑ outdoor holding tank mdc ❑d currently licensed 777 ❑ indoor catch basin/drywell ❑ outdoor catch basin/drywell expir - 6/30/2006 on site sewage El indoor on-site syste Eldate outdoor onsite system - - Anonymous complaint about their site in May of 2004. No compliance' License. 5111/04 On site Satisfactory v �� inventory. Town Taxi is not a separate company. It is part of Hyannis Auto Center. Manager was cooperative,honest and did not know many compliance issues. Staff is uninformed about spills,proper o,/► housekeeping practices and preventing fire hazards. I went over thesef ` '1 things with Peter Cutler,Manager. NEED TO GO BACK to see if he �/V y Y t v` v V w✓ q becomes compliant. Batteries: hauled by Interstate Battery. Tires: ` J hauled by Bob's Tiire(bi-monthly). "Cyntas": hauls shop rags,uniforms, fender covers. NES: hauls used oil filters and antifreeze. Waste all: bumed:in waste oil beater in cieawer waste / shop. A�euous�Pa�ls. ✓ VV hauled by Safety K uJ i rn it m ,. &vm 'b-GLITZ. T et.(I d h � O W)o af rk- )y(t. 1111 / 1l,,e. Jac � Cev�► �A�c,iU CrLt.P'Lik 7 . I . ��O? � i biv J SPA 0-h- of UrSc Jv�y rc Cu it w/,CI` &n/3wre s p2.epy sekjok k-t. - . 1,� �' �)oovE t��t es. j _'� Uq I a N 4' ALLSTE OIL OIL FILTERS ANWREEZE WASTE J ANITFREEZE GASOLINE WASTE GAS DIESEL FUEL FLUID JTF HYDRAULIC/ MISC. MISC. MISC. MISC. B FLUID COMMBUSTIBLE FLAMMABLE CORROSIVE PETROLEUM / (GEAR OIL./GREASE/ 11J LUBRICANTS) FREON ACETYLENE CAR WASH CAR WASH PAINTS/ WAX DETERGENTS THINNERS SEALANT CLEANING BATTERIES/ POISION/TOXIC CAULK/GROUT SOLVENTS BATTERY D FERTALIZERS WASTE SOLVENT MSDS ZO Du:4-doo Y", MANIFESTS = ! Town of Barnst�& °FTME ram, Regulatory Services J ti Thomas F. Geiler,Director MASS. ' Public Health Division .� 9Q 16 9. ,0� O'°TEo rna+° Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. 24� —009 DATEZ d APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT ,�Y'G as e L4c / — NAME OF ESTABLISHMENT dU1.S Aw-0 ADDRESS OF ESTABLISHMENT /fi&'00:1 . LZ 64v/jC TELEPHONE NUMBER -7 SOLE OWNER: ' YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME HOME ADDRESS OF ALL PARTNERS: J IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. �to 7-? 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' Aw41 yy a � 1 W� r %pr trn raX i le Ck TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH r Ax 3.Auto Body Shops L O unsatisfactory- 4.Manufacturers COMPANY [() ��[ �� (see"Orders") 5.Retail Stores �/`I n 6.Fuel Suppliers ADDRESS '�3/ �M-f'�'Y��-Y0_Vl� Class: 7.Miscellaneous v4 k1 QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALSlrums Above Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel(A) Diesel, Kerosene, #2 (B) Heavy Oils: Z" waste motor oil (C) (OW)o DrAl 47 Pll , • 77S" K new motor oil(C) ),at 0� k i-Zd �( transmission/hydraulic y#' Synthetic Organics: degreasers Miscellaneous: eeL�S e40 3S— 1 DISPOSAL/RECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply u k 6'1 —16W30 ti, 71 S. — a�vea 1444 O Town Sewer Public 1 )$(On-site OPrivate GAS rmi atAd C) 071 s X44 00000/707 3. Indoor Floor Drains YES NO 0 Holding tank:MDC Tl �4.0_ rewciclow ' 0 Catch basin/Dry well 0 On-site system ACA-CA W el-ve-t- AA�. 4. Outdoor Surface drains:YES NO ORDER 0 Holding tank: MDC 0 Catch basin/Dry well 0 On-site system 5.Waste Transporter DestinationName of Hauler I � YE NO Sd -J o 2. 6izLfY f2 Z_ /'W— Y Person(s) Interviewed Inspector Date (508)790-1911 1-800-750-1971 ALIT® TECK Service Center Foreign•Domestic Diagnostic&Repair JAY FABBIO 436 Willow St. Hyannis,MA 02601 r . Date: , a h U Si f y 31 117 7 7 TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS: '00fo - Ie C r _ Se,Y-v "C g Ce,n flr BUSINESS LOCATION: `( 3 b i' l l o w Sr*f H Y g n n j `S. mg , a ab61 MAILING ADDRESS: S g mQ G S 4&0V P Mail To: TELEPHONE NUMBER: C,c--,�) 79 0 -11 7 ) Board f Health Town of Barnstable CONTACT PERSON: e,� O S 2 Q� M. q 9,blb I'D P.O. Box 534 EMERGENCY CONTACT TELEPHONE NUMBER: &OS S Ya -a-67 7 Hyannis, MA 02601 TYPEOFBUSINESS: A010 ry o ft VQ i2.0-g l" r Does your firm store any of the toxic or hazardous materials listed below, either for sale or for you own use? YES v---- 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. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity / Quantity S Antifreeze(for gasoline or coolants stems Drain cleaners -�� Y ) NEW, ✓USED Cesspool cleaners q I • Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salt (Halite) i v f- Hydraulic fluid (including bra ) Refrigerants S O, G91 Motor oils Pesticides ✓NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil NEW USED 3o G /_ Other petroleum products: grease, Photochemicals (Developer) lubricants, ear o' NEW USED o G<?i Degreasers for engines and meta Printing ink Degreasers for driveways & garages Wood preservatives (creosote) J/ Ra00"ta(ery acid (electrolyte) Swimming pool chlorine Rustproofers Lye or caustic soda Car wash detergents Jewelry cleaners Car waxes and polishes Leather dyes Asphalt & roofing tar Fertilizers Paints, varnishes, stains, dyes PCB's Lacquer thinners Other chlorinated hydrocarbons, NEW USED (inc. carbon tetrachloride) Paint & varnish removers, deglossers Any other products with "poison" labels Paint brush cleaners (including chloroform, formaldehyde, Floor & furniture strippers hydrochloric acid, other acids) Metal polishes Laundry soil & stain removers Other products not listed which you feel (including bleach) may be toxic or hazardous (please list): Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS 1 7y0 - 1Y11 TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH satisfactory 2.Printers O 3.Auto Body Shops � unsatisfactory- 4.Manufacturers COMPANY cc¢o 14'4 (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS Class: 7.Miscellaneous miff QUANTITIES AND STORAGE (IN= indoors; OUT-outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks IN OUT IN I OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) 5rr }� ---0 G - 3 0 new motor oil (C)= ' �4iSGiK Elroy transmission/hydraulic Synthetic Organics: degreasers �e tzaj..O�d10, ice Miscellaneous: I X DISPOSAL/RECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply Ceti,d,( 2e_ O Town Sewer Public �p4� , 0', 1 On-site OPrivate _ - - I 2r 3. Indoor Floor Drains YES-NO i O Holding tank: MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES�NO OR DKRS: O Holding tank:MDC .Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product 1. 3/ v P&4 12d d4a4A41- a e YES No 2. Person (s) Interviewed ` Inspector Date III TOWN OF BARNSTABLE OMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops O unsatisfactory- 4.Manufacturers i COMPANY A ' O � (see"Orders") 5.Retail Stores —' 6.Fuel Suppliers ADDRESS r y/ m Class: 7.Miscellaneous YAM AS QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALSUnderground Tanks A IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) j waste motor oil C new motor oil (C it Ltr:ansji�ssio- ydraulic Synthetic Organics: degreasers Miscellaneous: ANIC � as tk) s � Nrem 9 DISPOSAURECLAMATION REMARKS: MA / SDS ONS �� f 1. Sanitary Sewage 2.Water Supply C Town Sewer Public m. e ENV L J� On-site rivate 3. I door Floor Drains YES_kNO Holding * mr tank: MDC)C 0 . I . 0 Catch basin/Dry well r k— WA O On-site system N S J 4 A zo, by A-pell,I 4. utdoor Surface drains:YES NO Holding tank: MDC Catch basin/Dry well � ° On-site system62 o 5.Waste Transporter Name of Hauler Destination Waste Product ,.� i L YES NO 1. � L✓' 2. G Persons nterviewed Inspe ate i • TOXIC AND HAZARDOUS MATERIALS EGISTRATION FORM NAME OF BUSINESS: ���� �ecK 5e f- V `c� c e r\l--- r Mail To: BUSINESS LOCATION: `f 3 b p;As Board of Health Town of Barnstable MAILING ADDRESS: P.O. Box 534 TELEPHONE NUMBER: `� 7 7 0 - 1 4 `i Hyannis, MA 02601 CONTACT PERSON: Q b br EMERGENCY CONTACT TELEPHONE NUMBER: Does your firm store any of the toxic*or hazardous materials listed below, either for sale or for your own use, in q��NO— Thisties totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES 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 Toilet cleaners Engine and radiator flushes Cesspool cleaners GqL, Hydraulic fluid (including brake fluid) Disinfectants 3 7J—GP�dvlotor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, e,*S/e Other petroleum products: grease, lubricants rodenticides) :3 Degreasers for engines and metal Ph-otochemicals (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 cfv-J 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 mayk ' Spot removers & cleaning fluids be toxic or hazardous (please list): r (dry Cleaners) r Other cleaning solvents ) Bug and tar removers Q oCiL Household cleansers, oven cleaners White Copy- Health Department/ Canary Copy-Business _R a r.' fhd r " r. v k•x e - r x, !�r V (SUMS t D iF e`i. r�:E r,r+•r mYr -5 s..� F tF -;.,i ,.T.{ � .s, w..» ? ...,y...� `�n�a.,?�x.n.«r+P3� �kj�-,gip•.�.,t�# -:�4�. , , C N a 1 ; :f •ti — •"•k•'w .'a° y, u+Ya+�a�w`r• Fyag-w.....,+. w'Y,r;.• ..c.. ..� ti t A." 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JtiWhr, dnce 4. te ds r,t� ly.+',;+•c+%•^C° �+`,�;'*4 �.�L1Y •'.'?"L r' ?i3�'-+)-!.'n q'''jy.:iti .7•.`F. ., .. a.. , + . . with the-ipump;and regulator faarigyou 4 fi -this u�pmezt.gt se of'other'chemxcals ma void = rx w " b �• w. ., .,t .7.. r•lc-,�..�. t•AiR ,...4 H +nw. a•,...,r «Ytt t'�a..�„+.� 4° _ ,-P` `' It '` �, urtant, F '� z4 ?; 3 To attach1the'basin/slid!assembly tothedrum,�begin' .} ' a�"� ''' ;;�,,. _ •.. 3 ,; . �. placing�youi,�lefthand°inscie4the:ibasineicertiri •' Zi"`?o, mnc;okhech micalsiRbestosBrake t� ' �tl`res ure'downward�At'the same rime;user ourri htX waSlteL'COnceilt[ate. v rt r ? . p r" y� .� g ,,y g J ,, haxdltograspttleDend�,of�thebla ck and ull it s` s d rtoV e-the x�Lc�wasli�er.fo co'llect o 'dis ose f W �* µi >'out awaVfrom Erie drum Youewallfeel the=rid slide AP...b "nI ,r r•+�,x... t.__... :a.Y� p v. ` } } t; y`J..; 3 y�..t..,�,,. a+.ya.,,�+v: •w..- ,,^ .a"�,,.-• .} ,;�'.' prake fLud.m o "erteiemxcats ;rr onto the•drurnReleasesthering �. ; 1 Wr �� w�ij e"n t k t tj� �'ih'Pr* m i' 2oil' y` rX „., :a•t , aS { a eu t J SS ,1N�'1►$T 11StOthF��5OLPeittS t0 CLedriTaLC@SaYld'1LLpwAk .. =y &em W r collet#e44ifi -Abrake"W her*; s r M qp� 4 r yD S mow an"d undexstand rdxsposalregulahofis "- s gone nxxtg3'o}ur, pop:f0�beyall�su r�gulattxons., 34& S 1'o4ohop xs tkEYgenerator of;*A§te products and3isVVI S tlierefoxre res�o isxbleyfor properfdIs'posa'1 ofAsame:t? in�i7 3 "�.:y d 2 <",•.f.+p�,ur.... 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'f+ {,� ;}t'+' �Cn.++.. _ „"• :� � '.+�� )a ',"Y ''� :'Y." s "t�,} �., t,�p '•!. z-M1 .3 i '(a �'` 'Isla$Ce4tl{eadttigh ' the,flobxetdabeg�in '* sr� s'>' Ig '° A.�, S ,r`:,ti" e+•,,•K. ,•• aa.»wF ., ,. s. �� +tt }' 3t ?`5 �`�tXt« +rr>� i $'- -t �« to R T UC@A Illy If.( sItepeat;tfus pr'.ocedixreto the;left,usin our n ht 1 � .ate oveF t nut a>t d t al rrom th'�b� ckarirtg}arounc ,; . .g Y:. g. Dhand+to.press'down on the li 1 f =d and. our e t hand•#o t.�. �q the�lsxitJlyd asenibly,;.utlme:rnachines,maV=have . y *ie a ✓d,r r r Y. r , i' epull the nng .(See�Ftgure 3)i, e end bolt alreacl r�emaved t� k , hk r • Y r 3 i fx�nd xt;nithe plastic bag hold ►g t,,he caste thardwa e , y 3 _ - • ` _�,_ _=x fi A 7' 4 Fgaar>�„ e:3} ' `i,T =,y ,t 's``Z}"i� *is ,°_! '+ a<rr.•:�s r kn aa!' •ti Irk� i' AT�`4CILNC',CHI$ASIN TO THE�DRI r ` � `tS1ide#hetbla�ck in a ti ndithe !A�so that 4the ends?$f' a `' '�1G ,� '� s"' ':: $ .E"-;.""'r �.i'• c.•F "y,"""�.�i'�v»* �,��,.,x., ,t, , ti * thelnng=#%I*tween=the,pump ant ,the regula#or t� a1i, # s3 € � "`wx q,,, .�•.•..�°^�'c g,,, Fr xf'v�V w•"'""f '°`t� x x, 117 � ids«b •A� ,,�t'' �.''� fi. y .r � „"��,rC�t+n��;���.s s�z� ��'9''! ��F� .fi +�� r'r ,�.{,r• � �, �r. ...,ram a '. ' xs .•'3+$ ;_ { '"'� _' �� � X�. i +'� tt , `i +,'i�°" ,. r � f' 11 �°'�` h "'i. 4`. �.�s �y3d^'r�` 1sf t ���r�,f��*r,D3��� ,*,��"Mi �Ey x s h w.w•Xy --. s �1•�^'.'"ta vy r}X} t+s'` .. ��1 �� ' � ya•; ,,+•�,y. 1� +t 1aie�v .�'�,. G�� 5.�'•N�'� iY' YFkI•,w`$ Yrw� '' �q�� ��s.�: "' M1+"� "::�.- tY �°' '""may"' �- '���� � � . •- Y�'.r �.""',�'�?`� `,y'� ����a4'°"�g " �BPD00811'� , � ..��� 'y.-.. ,�9 :.�.r '�.,f � �,y r ��,M1 ,+t}^txx`� `4 u. �' �t 3�•,3, w``t .4�.ya � ?t �.� P.. .�ta r3asr>F�.,rtr r x s'�t'a'�k xt�-'�' '",� ��!'`��' '� � t +��, ���,,,��..� .y�r, F..°uut w,� ',,:.,D �b.i? �'`.: ;vY,„`�,��t�°f'r „'{'v'W:.,t��# �,��'pa`x r�'{;, •���,. ,..i'1 ["r ,ge � ,f� l�" ct . y�� � J �1 �; ry�E n. " Y �'.. ,y1W?j •..,r� �i ,�-/j I.fd d�" ?��.�f' k�, �'�"�"B� IJ� h:,.y$'2'k�tu� =J ..f�l _�:.a.,�?�.i.-a `� :.C�,i�.�� ��_:r_. �_ :$ ax�€�1�T�'��+���a�`�_•Y #►3=§,.>.�'i�. -�.� � � w ry.m.t �.k. kS. "" ,r..P�n} ',a 4'q,`.--tom^, ,.L ►11t`Q ex�f e,clri m You,,K►sit, Lieel . the Iid YO- to place as uFd'a�t2us�l Figure 4) ; , 'Tow, ' th�lu►l� 06 dbwn tFi F, } Kdvicedlese#support sf S x * 1 t ifjltd � ,�,.�. 4, .M It :,'�'i,� y.�ti�• UCT)N pe iguie �` de 6 ;. � e ce the' d tt a lisureon td'rtim,Iio1c.'�tth�`fronfi { oxthe dzmwhere:Rabi estos.3spnd .Center e. �, f f e_ 2.,Attach th :caste .•Pl rt gafcF€the�[ear;andsec�uretheblack rin rs a the �basm fthe f r _ g ;e to rein,orce I e plastic iisu�gthentiattt 'botgp;ovided' '. , +�` t c-,• % e i` K y G THE TANK F LLIN = t + a y * ..•s, .iSa,w.., w ' r a t (�'L ,5;!" °`a!' } 3 tg` f'thak Kam'•• "5E ` `I3TIv�G�`I TP THE=PU %Pd1�TD.;REGiJ1rAF_® '. e�Oi1 SongeoT,ab Fien1 e,the$biideii hose'from tle'regclat�rxaiidinsert 'y ;; po ►,PI'acesi inotlie F the�t►d�uto�tlieup; (therecep`ta{cle des grated as " • ' ` removing o�tefr�ms#he deanii _ FFF %`GS;IN. fShc'tefhe_stab;inprace�to:.securethe`fittin i Pour (- .., �Fi e�5 „� x '2ten(10}galIoris of, a e r `- � '� a' �. 'r }... - x g 3 AMbhe(1) uart'of Ita besi -=z�,t• ., .+,a-.<,a�..u. .ems . ..f i -•. ..w.. -x" -.,:.,c- .:'i.n."_"` �"_£.�'t�.`*":a,.:•:x ` t ;Uro r. ,,,;. .. :.r x °-'.- :vim, •y .�� ram�- v . +• '"" Fb tCoIlCentra In r > x,,., x , i• . ,. t�i � 7 A M r -�.�,, e#.:�to tk a drum.. ,- -'.,:A,a` �. }."a: , -g>-r.FS,. U E ,;" �, ,:.j•� tia-.�x ,' "*�.`q- •-<v.»� ^K«. ». �r�:.: .•. _e•. ;.54,.. 'p}, .'.rE. `3' „AY i v." ..h 'A9 ., P Fr •Q.,Yn' .d,.k ,.r1,; •.'El A7 & a-,u 1' f i+ks" '+ 'r'.w •r".�'i.a. ey - ,Y` '"" s:=,+�:...a rl..f::*.•�.„..X- k � ..R. 4 <M. • w, µ m = ._ ° Ey�;N 'Alwa .swear' o fl { .:. ... OT'E� ., ��, _ tip,^ �S.tgB � -, � .r 'F � :�.. , �, .- .ate*' 3.Iilser nd'of%thethose'`su ^l. .ri.� c , ';tha lui Y 4a wtith � PP Yl g tools i11h d $Ray '-. to e. bestos rak, y ...s-.,�,' ,.-�✓_ f- x t�..,x` a "F�t d ti= '£ is „+..� t ev an J9'b yreceptacicle designated�'`PRODtC'TOUT"(See ` ' "' xI'la f rc { ,, •�., E .�. ce the filteFin'µto�the bOt}o� _ 1~i e:8�.SIiderthe tab int lace.,Wgecure thetfittin �' h �';: _ S,u �. e� �P g f , the metal stralner�o'ver thesfil c I n%• 9. E ts k" £ s..aE, -.,,.#•• `tt� r _ C EANING . E 'F n•i! g n. M 4 :' '� 9 ^L� .:f ^h h4Mw•wkF+4+ M.-{.FG.tSn.�1i*.%- Hits TE 'E RAKE AT'URA BE TTi B Sn %THE DRUM ON BRAKE INSI MORK 14 4 £ 1 kUse the Pinpoint Fle ble No ;be ore;rimoving he loin I the�adlustme] the,." :� *� rumor backing plate' ;F�gr reF5' 771 �,�� a. r ` the d � It gaP ' . F 4 t Frump roughtle ;be - �� £ •t _ , �; baclang late Rotating th�e�di 1 ' P .E W.', a ,2.Take,the:supply hose from0.the s of„(See A re,6} t = 'the solution TIM - ¢-.,.•.�• •ti.b.,�, �,;,..... ........,.�.-�+..,..a,. ,. • ; a �Y'�"��` •w a. -*�tt,,--W-+'"+tr.-+ra7'y°�"'.-M.�» yp.+->,..�ys.w*---•.w �r- �.t! ;. nsertEa'c uck-disconnechplug irito,theLend of the 2 MIf�you�must,stnke� drum to'loosenTTit lie�sure to ' -'.-.Y fir'-..- ^ N •......wr...✓• W.� » : .� 'tY a„+ k • z�w w z + gray Bose so,you ran attawyour shop'c�oflmpr ` thoroughly saturate=the'drumbefore doing so �- airac Shderu paialyofftherake tinuei r 0. A /'� F `..- " } _w:,• ` to,flood the'brakes,to_ completdly,�satit'rate any.., • ATTACHING'rCAS�'ERS ,,i• `i II m 4 t,, ,.•We3^a?�.. '. fi }. .= iemaimng.dust Slf�you�want4to�keep the�whe 1 '1 urn. unit:p side$down Two smetal`su is area 't" '` ""°" "" "� ° _T? x � ,•� ''�:Pl . ; .gip tclyrieir,dry;tg rcheckfOrlealangSeals„IuStwetthe ' , ., piovndedY'These sup; orts7stengthenthedolly Place.z , +brakes alongtkhe std'es9 r: theaiin an=�C"aligning the`holes,with the7holesm e s' +- •^ "r• z, RAN ry c u k ✓r• f t u 5 w tthedollyfor the casters�(Seeigure��) rTHE7Es ADS R rwrr " ? 4r r, x''i our�can�cont nn ue tb uµse�the ex ble Nozzl kwet kthe�brakestftus�hxngdrtfrom cracksancicrevices ,. f Youma}+also usethecFlowThroughBr`ushto scrub. " r M,Aheybr�akesand drum .For�lieaW deposits-of4aneci(gearto�l;mix a 12" > ' ?^>: z+ , n rc - 1ru. r+r.;.•+. "JJ�„M*` Y ..�F+..r .y�..y,. ,;.. solution�of,�RaYbestos�Mtdke;Wa�sherr Concentrate,and l < ., wate�, riggers spray bottle f tlus�stronger,so�lu { a 'Rion to,�pretreat the4oily areas beforewsing the brush y ytooltQ;Scrub surfaces clean S` kj bR�Y GI{ EiS A. ES Y a` k AFTEIt4�TI ExBR'AICES,AIZE i OROUGHLY �V.` JGLEANa,u the blog�un}odry the t keS a d` 4; Figure 9 s� s backingTlate&soyou can apply lubrican ' 'f. s ,✓ �4 ""`_ ."" v.,•,* :ae• +.J _ r^' '^:�krt• *`';;• �x "Y�c,�"`""""Yq?" s°'F { 2' Aftach>the casters.'Place the�washeFt n the3do11y side RUSE THE LOW GUN•UN DUSTYx` y r ,,.- ca i I '.a a ry-rs. Yww, x+y ••:,; '"' ' apra ygw,w.a: '"'+'i„_.,'`s`°"e'r�i ,.g.: "�.'N"H,. . :>x .. reinforce<the lastc. BRAS KE5 4B1`owngtduty brakeswith compressed �n �. . �? . #� a b . f n..',�.c P afety and ffi a isa violationofderaloccu ational>s e J � � i IFIL G.-THE:t"N 4 WTt CCLEANING,S�OL Y:� ONE,.` x�lth+regulatlons � � ; ex + '�. t'•-C 'white,' s f•a ,� Y .:r•?+�+�c . .� ``a .-. � `����� r n1.The:O�:vSponge}oil absorbent isdike a long�lyw�hite .. t s t :�'•t a a s sR''+ J i •'01S.C'"rB, ZAICES ,.y<'fi +�t,te3 ,i jti; •. kY ` , 'pilloµr(JPlaceit into;tlte tank tTt>wllfloatsin the''drum " . a- Y � _ 1,�Disc bra akes�canbeeasil cleanecitusin theFsFlexible+: r: =fig o a cleaiungsolutton. �� r, z ' Y, ♦�� Nortile and the Flow Through Bnzsh+Noispecial F , t ten kj& allons of waterRiiitq theaclrum � � ,`t � �` � , ��.} � pAl+¢•' • .,.r. R rocedures ors recautions�are recommended:+ ` "" i43:Add'one(1) .uarti.o£Ra •bestos Brake Washe = t pr } q q Y. Y # 2' After cuttingRrotors;use tl a brake washer to.can '- ` <Cbhcentrateyinto4the-dium. , - ^ any,-metalfilings'fromtthe'+'rotor before installing new,,+ N° �'�L r J•: r. a > s %.av, r 4 $ Yw:.«yy3nu,..- fl$4. '4rw:� .tz w.„v,r: y t;� 5.t .-4Ce- tOTE A�ways wear goggles gloves<when �� brakes*Thi-, *11 " tly minimize the.�likeli ood" f; :r:• dli cg Ytaybestos Bz Q;W lier oncentratee e-squeal wlucl �can�'ibe caus ed b x these iruriubP 4:Place=the filter into:the,botto the basin and place. ' e >g p r . �[q x fil s lecorrun embedded<in new,�brake, ads ° a ..x, i ,.syh v,R+•-t•+t 't•• +y _- -.L pgw..�.k Y 4 °x" lqv kt. ^ing er :r sa :•j riy `the metallstriiner-over th,flter ,, �, a Y` �. y� y�* w -lo-`*'ra' °.'r, s d Rjr:�]�. (� P�T�" Yx� ► ; �Q9�-rA�a �v. C T1 f N, klill\lT} £ kl*EiW Cll\L :►✓Otun, ON, k F wt f s? P c t-� m •' r ��` "��� LEAN "NGf��a.L���.UV•o v•� !'��n°� ; 'MSy �S TILTERS+ ° r �._r x;' a�•. "'.}� p. a.,..- ,w, ',E"d "",�`�{ vs 8 .! a"�i'"' dw , xt� ,<*"`; ` , s} ,s.. w•_ ,^,t a k c. #4s ..� w c rP a ' ' a SAT;tJRATE=TIEBRAKSS;BEFOREREMQVING,,� 1 T'hefiltersloul`dbechangedafterevey125to`150 . - s, v ;Y �;d .- �.' .•� --'i- u -a-=•a4•,«tt> ww,rynrYt+ .w- $ : ' ' , ., r. •1:'^ , .,,#... a fiHE OTt JhI'ON T AA INSPECTIONS ORt=REPAIlY; � : vehiclesX or whenever it isdfilled,clogged;,when the ,r-tw' t...w r'.:'.+ - ;"!"M .�,�, .� s ,i ;�,k- t- ,' , * �x s `3WORICw .� ; , i , Tsoluton is changed,#oriwhichever occurs�first. � , r,fw •*.:-tom fa , tY1• ,6•,W'F.'.' '�'.a'"d .' ,N 1.;'eN rc+ 3 c ,Y?. r 1:Useb+{etPin` w'�nt l 9'ble` v oz�I to flood thebrakes t 2�'S mply remo-kijhe;filtex fromtthe•machine.and place- F,�„!., iPO -l. - r r ' o _1�s: a.'+,n^, ."• Y.r;c r•C`, 9 .•.Y..q �.a- .rcr+• " x ,,.,a.:, i' `beforh�reamovin then{drurn�`Insert tl�eh to f the; ` ` g P1a ag�pr y r ,a. �.. $ ..,v. bw _p ,° to theft sh c b wthth :mot it ui self7,sealin o�nded e a 4�F,x„ yr- r_ll1 ;1, k•.w '*k„° x ,4"� �' "" ,. ..+nozzte41thzough the ac��ustrnent slot �If-there�is no slot.' � .� =replacement filter�k�t See:`the�following sections # '`r � a :y, x t :" fix':; n re rdln .C1i5 Salt : an. r uiYthedrnt tY balcirlgplf{ey,d�r�e�ct,thesolutioit�intd. „ g po .' k L ':the darn t}trpugh fth .g p wveen=trip drum�andk � ,3 'Remove the Oil Sponge.fiom the solution"kWring,it > ;s r.a ww•s. i+.:w .y i. i..'+ 1• �tss +r. r r:. .*kv.-, « ac iQ�p�at °Ro i ig, to+> rum v�all�he7p distinbute�E .` firml to,release water:,If ari',oil:is,in+the 0il'S Y n sr # . fr .•,�<1.Y� y. y �, ,i �}+ W* y;:Y"r" .'a.. Y fix, "'?the StSut1E0 "ca} WWI, to,tliesurface.,once;thewater,l8?reeaSeC�, t xgi � t•i 'i' t,+, .t�L,.} :, rs r _ Y { .i,. .�'t'.•.ant+ •,:�' r�'3` '�"eA' 3•�','�•*" �'te � �"• v'� �,. � .. � r -�•ir � rw �`•�'a � �+'.n� a A w fi,E`.fi��� �'�,cr+' ';''�Sy� ,�Lm' f 4 f .f W 4x 1.it •.wr ,Nec Syr" drlJ hJ Y� l g "t�`� 5.•�a :1'}�''�4f✓4j d'�+.¢��5't j.�'`�fi �� ': yk �'v yk ��� t1���t�d r bwc'ct�k�.z`*�'�. ,._ ti... V }}���s✓,�;�,��" ��,�' 1< ;Y a�d�A: '�d a-e'r �y _k. •. G .�" x�i"� �'ysy r , '��' #.�..- + •� �4,' � ,r ��J xx•'Y'4t .i d' � yrd=P da4�tir'f,A. p f� : r `h5�v '� :� t�zr <•.. •'�' y �J i �., At '#4 'Y'a •*`- {.4r,1'n t '7 ' i�* hj. y r�-�'�" ..y T 4� r •P 'yr+ " �'- t4, ,'k t�K'�,.i;'.�„ n,aea.+.; FM}'Y�.s:'�!'��fM��'�.`,,. ,`,rXA,�Y�.�'.'�•,�`�0�4�•'�•x'- "�+rw+.R+,'-�w�'ti k�,3�7,x..'��+�?�.� br..•r:ww+�x..r4khEr�d'e+.,R� „l4?�' w,a+,+1+�.:,.a t y.;. .," <f�� . ..:,'Q..��`,�F .-C•s a - • � , , �, ; ,� �; _ �r'`�Clr���'�'�fR�`.� 'l����'�T� S�`�R3� C T I O N`S� - �M Wring firmlyo releasetthe did lace oil'Prtto*your� area So a area rp(�uire sho}n�s;to'obtain�a��7ppnnit for cs, a �xw*.•.y LT 'J, " A ;n ..,_ r .: v pq .4„C.. r»,. C,.� ...,�: waste oiI'receptacle x se er use=Ch ck yo r,permitI requirements fors . r �.. g 4 rRetnrn lthe Oil Sponge•-to the�drum..Replace the(?i � our fryou+hav -any questions regardin r a . �. �. l �? oP� $pong aitxitiallyr See the fdllowinQ section: eQardin�j' �M disposal`for your�stio ,'yo�irma send us'a'copy of v r �:Mw-� .y ¢'°i,,�S "cc" y;r b , ^x sT�y}e K y .-:�, e..p;1 r.=...xyit -..,,.\ ,. t i 4ALLb C}Sa�,,hp --L „'ti r �" '<� r zx * a E ? tlteSe gtllatlOnS�a` a'-' 1l try�gt0�7SSlut YOU aYOu f.: Adlbk 5•.Lnsertaa n w filter and. 'mess rt firml Yinto the=fiLterb Y aS6 ca oui, formation ho it a 800 232-4002r ; 'Iioider.'Re lace ..Py �" for"assistance �' t p t e straYner=oyer�the,filter * > 71 3o�+4 IUlON' %4 u L s...r".._� AX c p a jx 'r r#Y - ni•'�' 4 r c. Ci, _ ...G�."` :,.�' ��.}�. SPECIAL NOTE NWASTE DISPOSAL F' 1.C`ba Me tT a�o utioz every months or after`segia_r►g a op,O'roxhiiately:.'41P 11��1 idist..WhlcllexV i�C©IX1�Sr llSt�€7 F ` f t� r �':w ., `� x �' • lie operator�a a service faclityis tttex Cairtge flee soil"ution often ryaYfregrelttly.service: , ;� �, `, sx 3 w , -, *� �" generatbr�bf waste romiilgfromtheasite.;and br h lUe ,It$,43t w6't"-or dr 007 lSe"aZl�y oil`` 3 �- r i'; t: asisuch-ds-,responsible#to meet all'>f@+�etal�state �1 s ', 4 t t e lie c iifnc 'be '1 �`aixtcid use, r towels"t0 `: wit'. „ £,t-- i. K r w ;v„« i.,� �1 , } ,y;�. (y l ! :hY� y � ;�ancl,Iocateg �atio governing wase�dispQsali,';� ? ' pe p'aft'yy� .trii Yit` i InIfij in"the{,bdttVi'i�y4 t(le _ ''�.' ..,,yK.;�s["'+, r r .;* `•'Y. „"4'�,d r"t'"' w°K�.� �- pie cannot rtssibl be knowled eate ui all tatj `af tote�swittt fete filtes.� ' an option, w ,s, wp .. :, ���g ► otii ma.. alst�:ac tl3a cou Ie ii f $ as acts of wasfe�'`'di$posal�throifghoiil t ee w y, ;y .y i ,l. wtp e,,i lHb $o w ter'to the,:_. ` v i..p^"_.„.�.� mow,. . :.; .• tankresif tliri 'tile sedimeint'andus�e�the um Fto fi alniteci°S.tates endarada,#riot can',ieoffer { d y1w.y S�f '- .igi r.,` sp+�.rP " tlegal adVicelto"our Cll'stolllers 4`" R , s v .r c1 the solution thrbu h a`cleanyfilter T`hen°refill •~ �- ^ --� � r the.t g ,� 1 ba t t thew �of;equ ' ank+td a , ro�tiaxiatel en�10)" lions ofwater.> 1 We cannot control» merit:w a : _ -�. tit _�and addxor a(�1' quart,of Itaybestos+$rake,Washer. �`, ?n of cttiireio ice isF,in your shop:M ou are,, � ' 4 4 Coiceitra#e cor►ceiitrate 'cleaner. t.ter'` responsi°ble to.flee'}tltat�it.istusedp=operlykandr i A .,& �q ' ".h;+ � � wr�d...nx r't���:. �tai v�l se,Y„„s^$'k,.a.,rr„J'"}•�... `,'d��. "'f3 k. r ,; . R 'r'_, that clis osal"�isinatteinatcCbrClance with!all�' r f i ti' _��'1� - ..,i. *-_ �-•� P''�, i it`�rq^ 7'-^s .r+, .r. `sr�+ ..,,�„yt,9 f 5 iiI i� ' ' w .' � '. � � '" �� " t •.re"ulations ovei�iir ' our�sho o erations �-` � Ai•�' �: Y STR a';.3 FIGtS ALW SOT:YD=WASTE :, ^ r z� •.:, _' 1; , , k =ga3` -w. { s rp f L .r�.ea� i +Y., s£s.�,-.q,•�•Y�su'wi+.s. .,. 5�r M`w ;-:� a. Y'r 1` '..,.0� G :a n y�,., �4y r � ✓TM•}r'..,z +„• Y "Y, ` 1°Generally::speakin `ifw duifollow ouryins stio t y# v , , � ' f ROUxBLESH'UOTINkG �, 6 ti r a use and;mainten ce ofthe RaVbestoskmodelt� ' c ° - k �"'�" `' "'�' ,a :' � . r4, i s 'x + _ n"y..„''"" iK';r}+M ,^" "�• Y s "-'eau. w' 'n"iYw`r�."'yi cs �'; s4°:+is ,�1 n� M r' bi'alce'kwaastier,filters arid�`sotida�waste�fr n�is dfs ` nsed4�with�too,much�force^indicating So uho +y � �+«.> ,. y .. r ., i - --°v -ti- -„�•.> po ax.+..,h �,.'� s..„' -+•*t"e° � ,�.b,+'ti +✓kT ..'�*°'rF-'"'.,,•� fs {"f' E ;{,*' ""+".fir""a t 1=was her can be d'V sed,�of i�ii ie trash asti '� �, F; tl at th,eipump,may,;betputting out;too much solution ^� r ordina sho or d' UiA--waste if o `waste. .� - � • _� ry I� ,.., ��..��w.Y°ur sh p�, ' A#Tf your-�s1�lyo�p inainta s air�p�ressure2 n ezce 0, K 4 is,takKtota,state,ojsfederalYl tensed la dfill+'or PSI �"ou'shoiiId r't the}air,:ie¢�'Mt-o dehv&7Z.^ ; }' v iY 4 Si, 5r r, i!� w. met :ai D` disposalto s- r rlowertpressure`air�to tliepump�Toreset the ; F :c :x.Y �, .,.w ..r'x, a �w.: y * e C t. 4 r_-i. «.r ...+--a.. a�y.r.,,{�.. .: ,f,tea"y ,8, i}?��e ++ ".:�c� ,;.t` f, R gulatio is vary s to _d even within `� regulator,�uge a knife or mall"screwclnver# r e, 1 from"state to to an ; ; . r �--- . �4 ,. ,�.„ �o remov t v. f st .tes Co tact~yoi�r heal saititatton office if you aue ` fthe black plactict o6,vet atl,thejendiof4,the,adlustmenti t" • r; {`>�..-., -_• ✓•• + - '..�'1. ..A. - w -M1,.,r•tr-d r ,K.,�. jP;•`�', r, .j 'iany questio egardi g;$ispossgjbt_ngour sho ;�You� " ob.,Then�remove the �,C''clip'restraining the=knob„j r, V- P ..M s_-r w s r Imapalsv cam,bur4nfoi tationlhodinetSW 232�4UO2 4 F on+the sl aft?Pull eal nob out�and}reseti eApressure ' forassis�tance."" i R�eplacetheClclip andgcow�e r L- ac trt a; i + 4 �g Ze r y w• r!.y �r r' c _ "� ,. } 4 • f>F Y r}"+..'» 7•.C,L,e,,,'EAIG SO.LLTTY.pI�`T° �' ,,^�. ` '';;�Q,Compressediairis providedxto thepump$but itis _ [A a. , enerall" T pumping aything r :g .Y$ y,speaking,}f,youffvllowfour _ «,, .. instrucho�ns:fox+useaaxi' {= riten ncerof#t" A Tlet um is defechve:Re` lace; um� _ _a �,,_ .��, ,y .,t; .� p ,p P > P,� 4P .. iRaybestos`rnodeIBB 6 brake washer,used:=solution' n be o sanity�`sewer or se .tic nlc Q �'heisu 'p line,to the° um»is out of the solution" r j "Carlin p0iredtin# Else 'Y tip ',.t s xI: y''.,s.�.. .• t•s+ �p I',, ., -.,y. . . : . t^ rn =w+x K"xpi W y Y alloWii ggjfhe pllmp�tblj a dry Never our>cleatung solution into:a storm draii.i �, �r F � ? _ } A Add,more solution xy � , .,Y U r ' �` 4 `�`e a 1*3ar,�t4Y"'r q., k ,r 2 a ;, As=a rule of tl%uinb, hg ti�ore'often yo_u`cl tinge{'th`e' `` P�Q{Tl%e cleaiiing:sol"ution'won't dissolve,dned gear�oi1 on.'', �. > ,,. ._ - .ayd'.'F""'X... }. .y' r3 �F aa�,.�e�, M $olllbliihe,moreeffeefiveit,wi11°be:foi�cl'eaningtand `ti'� " � :x� theless�likel ii willhavea• roble wit . �4 . { ,^.drains f s7 ;- �'Y art. . �p h ,y ' A ivl x a 12`sblution of,*Raybesfos BIake Washer F {. 6r{ disposal. }*x4r.P'. ;#:a:^^.+ - - g.}`N+, `t'• 4'* .s a }f ;. dt��and1,.—Wr L spray�bottle and*use they 3;Ttegul,atons`o waste;Ewa#ercti�prosalare�establishedjstroziQ e4solutionto.cut to he•.olV,de�osits}U 'the vx. .r.J ,< .I'- q i _ oval level:Contac your jlocal'sanitazS!"sewers,_ l s Flow� hrough Brushtto,scrub and dislodge the dried oj� gu aho s4nuyour oil 't � ; a�,...•�,f, ,.,.._.�I,,, ...n--+ .. �, a' � a -,. .� ��,�� a d^-,��> ,� .� y�',- ( ,.: F z x'y>"y�c�a E1.. r - {.i" ,. 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" ::,: �- " S,Yh°'. � e r tt+a�'2 k7h>cy. �' J;;:. td -P �►R� NANI :��ake�WaSherl +Ot1@iltate _ CH�i��/�ALxNAME,NIA � (*EMP � ► a k t : , �[K�/ 4 3 fie, AA� N�e N.' z`y.�"i �eS� ,. taw'a FEGFIMUI .!�N/^1 ." ,�:.. P �1_w�;+ CX_,,"P�RIy����+9F"} ,,.T` 4 M „`�F i A' - r "�}•'. r ..,.,.. µ S '��i4 �t A �1'dr� 4-YN•.# Rv�� '' 'k'�a '+ '"Y'8, A��k`s ^�r �FPRODUCTICOQi _ ;�� # R+'.'r'*"+r^r- ,�l+A^m Jl^! «•e,',� ^�,. *��� �\ '`t,,A,..' 'ub•�'�„p� ������i N��1?��`��`7''�^""F YaF�'�At�,�++N�'��z{' ' :,:fCH�IVIICAI�'�PAIUIILY:ITerPene'�Alco`lot Q � � {: I '''T*r, t: �� � , � ; �� �• AWr s r' ¢IGNATURLF�+PREPAR P I $ _s_ t 1 5 rl,:�s_✓� .is?s•vr.c .::,ih'�"'..f,':awi yC'... ... .a ...., r ..s:. .e.. >..F '� ".� r `^•,�;:. 71, '. 5$ g .. ' (mil" 3•' ,f` Y Y� ) 2 ;^ 4 3 J c � '§9 '! � n wCA154Cj PERCENT '. ti St -^^.,'�,. .�s.. �� � � '1"i j�� `S r.. 1 i, y �,! *.,.�" r"'d ♦ i - : t MO�� e INEA '% ,F 'x t• k a � .... 2 #f •,.szF.as}.ati 1 we x>~�1 r�.n.`M a !. ,y >�sx i�,`��4 k�'•r'�""�"rw"' �� .v"A.^�"'".-++.., i$;.'••� •-++•� �� x , 9 xu)b '[ az�� "M Q ,Materials In this product�3renotf� c� p# k',rh �scoCdcc , $i°A� _ "i` '� .. ' A 4"� •Y p.Fs� j ;� � � W� �� .'m��i" _9 c, ✓+,♦ . 46 '� a } �A �. '"� y��,. s. ��1�alY .f.2'.,�•.3..,•rF'�� �:r<)r� y���'hr r?> r.:• 1= r .•v>,•> �Y�,w�� ° '4 z s; x+a 8�0ILIM POINT� 40: F ,�' ] y-'•d..�.. w.+. i.f.,,.w.^•'^>. •.•�.+.-,�, �� �,.�t9��* 3•, �.i' zr 9�91_ � «y t P� :.� ��. ��� �,'w""� ; rC{ { r�.r � SPECIFICGRAVirTylf,�H20 r.•i�f7: " -zl rl'Q''xzl.• r '• t " a,€,w�r ti"•�f��. �T'� r4. '1�"t•� eY`t It.M '� / :A 8� ,IBfI, TY1N ° 0' 0y� cS' tad t F t. a"j " '" '• � ' VAPOO DEt'J,,SITI((AIR 1r)' 1" A• YA''ORA,�T1O�?I ;` 01, T*' OLA LE Li u d . [ NM q,i 3 S©LUBIU 'IN�VAAAAAAA "octiplea �1 61 p M q� ' { 'WTV,(?J'YMEV.11'r,0p%� •.�:��� a '�• a r sa v? z ,�^."lX r i �,,•yk n��€,) � 'd# � '�i .�, � � S �, ..r�^Y*�.r)�k+�f+�. >�'{: .:+.t "y r �sf !# 5 "k s ' � 't f' :♦� � S tie ,r r �$ � [" �� . "APPEARI�NCE^�ANQ Q Off;Clsbl x'� m r 4 r; s k �b ' 4 ,:..-,tom,-e�+F.•c� ........_....,...:._�,''•., •wk '� �4�` ''�.� a "�45.�k ,, `�e..'W ��' t ''fir ,� �', �w's ..� c. •:,} !� � fP N T ^e +,?'•��.•�a rs.a,^ :�'b r4�� �„�''f t t„ �4�d# , �. t a`,p`.w �;� g��`�.� ��# .��%`r'�q! .:.6� �4 �' 'f'd! >�%r�a~• y�f I�'TL Q SOUROE,None ` 4, `'E j; �.+.�-w.zF.•o-- s,;,�,.,,`. '.n h -.M °;`'.* 1"r , z H`#.Y kv�.F _ .. ' F„ y °' a` ACU�TE��FF.EC:TS_QF OYEFFCPOSURE• ter, 'l •tSWAIsLOWINGr'M�Y c�tus'"s�intestlnal�a�t��s r '��.�81�� �� ��'p � � �.-,�.- - �;� �,� i -SKINABSORPTION•�NOne� `�) � " � l 3 ''`� . 3 v3 ,q.'§ :.r'--.�.n. 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'rc x� CT.�s �, �� .�'2 ��i, x ":u 4 �`1 .;` #- �` a ,�"r a° '# ♦ # �[k ss•ctC �, ,�...; ,� ,543 � `��..'� #F �lX'd Y# u Fk•� `' �t u t �#a � ,�x', `» 4 "��r µ4 ? •-x ;.eR, 'k" r " G ► .uar,~ x' e'�.s sr,p 4l. Sl ,� A 5., Y:•c �� kY' b 7 also y . L v# x a .�'j "'�i� r'�"" �" � �. 'c 'A�r� ry�� '.. ��' Y er 'y''k� ti•t- n F' ,�xXv {�3 ��}��w k � [, .1^# a .�: pp r'Ly a .. ", � •+�li.e. � "C � p°z.`:c,,t ._''! �L. :� 2 �. � ,v3,n-. :? .,r,! .ua.�-.M_..,..d" •�kr ,ff. ,�,i1Y.w-0 ta,�aa+"�:�' •�_: � . `e,` "'I' .a c �..... �.-.---•:-.ems-�;�+'.-e +q:�.s'... CHRQNIC EEF�CTSOF�QYEREXPOSU .� _ _ � n:'[`��a. y+y �•a� e`� any Y} :,y� .f��.to a". Y i. �„+ . EMERGENC1f'AND�FIRSWAI p CEDURF ,ay F al •S IYAI;L'�OVYING�Neutralise'aikal nit',bpgiwngtvic ttn= �� I �.Ooq y `! x� ri`• large uaUUe`s.of+milk�arawater ca11T by �Na senous prcbiB should'develop. ; '�Dt1hvErt�r�fol" �lel�t; mtufi�as > F: �•ti <. Wash�iiurt ,sodFw$tei°and;rer�nou rCio`ting.: Sy f ! tm � j�ft �' i s k [. .. ? ,� �F✓ F" � M:r V� vF e ... F a,�y C °,+ f n f.^«s^r ---a^;y,,.k�,.,,,,,.r. •,. "... ,.,Y * ",x ...,,�- c!. s.. t CARCINOGENICITY �Notow�tnbB`" carninRgenia� t . , r Fl ASJ;1?OIN '}`4Test'�Metho'i1�`s)`Oert200° C ;. $pEt PJffh` H'CI pRQGEDt)�, Fu►nA(naBJ E 1M' rrs,_ m A ✓o,B :vo�uME.N. Fl u J Mw Pl�i t icti -."ATM - > . t `Em GUISHING?MEcf SYS �24iZ ...>7•! 9-<fdh Va57 •CS�VF m"ii .W ShO S'�ABILIT1f=:Stable Conditions;t��a ids{t�onB known - :� ,�*��; ` � t - ¢ �� � � �''��> •��� + ' �,. ` ref INC P.A'T19�iuTY(l aterialsa�o;�vola�:,=st[�r�'r�a��di�ing��gants ���'' , �` , `� MA,�AF�OUbkCAMB�US NOR DECOMP@5121 � ��Qp a � � �A � k L � +'HARDOt1S$POLIGMER l'�T10[ :lliftll=Rot4cu {GoAdnsvq� j ;Nane'knf# MATEAIA�.S }©�AyvwV. oncBntraced��ge uw.w..M....wwr. °S"tEPS}�`� ? 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TOXIC AND HAZARDOUS MATERIA S REGISTRATION FORM NAME OF BUSINESS: Mail To: BUSINESS LOCATION: Board of Health Town of Barnstable MAILING ADDRESS: _ P.O. Box 534 TELEPHONE NUMBER: ���'' Hyannis, MA 02601 CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, ' 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 V ntifreeze (for gasoline or coolant systems) ��Drain cleaners utomatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners ydraulic fluid (including brake fluid) ----- Disinfectants Q Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lu ricants rodenticides) Degreasers for engines and metal S 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) —v Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy- Health Department/ Canary Copy-Business FA 505t . ' ' : �• • satisfactory •rinters 2.3.Auto Body Shops e • unsatisfactory- • • 6.Fuel Suppliers • ' �� Miscellaneous Case lots Drums Above Tanks Underground Tanks" NONNI - . . , . M110 • SIME I 0 somi NOME transmis ..? I� MENNESOM MENNESOME son 11011ME MINESIONOMIN RAk ININE RAO }1) MEN N', • :. � � � . � �CII + fit-, .� %� �:�L. , I .. Name of Hauler Destination Waste Product Licensed? iii �. WHOb, i .t imwM ;�wqq _ Q�OFTHE Tp�$ TOWN OF BARNSTABLE a OFFICE OF s BARNS NAM BOARD OF HEALTH y B& 0 oo 16 3 9 Ar. 367 MAIN STREET HYANNIS, MASS. 02601 DATE: October 31, 1989 TO: JOSEPH BARTELL RAYMOND RISEBERG FROM: TOM MCKEAN-5;;;"' RE: Letter from Joseph Bartell dated 10/31/89 The letter. is not sufficient due to the following: —Need actual uses —Dates of uses Especially last date of a similar use to that which is proposed. s y�F 7H E T0� _ TOWN OF BARNSTABLE i BARWSTABLE, _ 9�Op�O639•���9 Board of Health q FROM THE OFFICE OF L rVI (f r / elt 1 I r- i WORLD OF WHEELS HYANNIS, MA Phone: (sos) 790-3000 436 YARMO UTH ROAD / HYANN/S, MASSACH USETTS 02601 C � / �2s�� I�w��-- d-�� �'✓t d � � MA�C Ilki � or C�o11W `� WORLD OF WHEELS Phone: (508) 790-3000 HYANNIS, MA 436 YARMOUTH ROAD / HYANNIS, MASSACHUSETTS 02601 r2 S �► z h 7 l S s c �� (�l t �P�oFTHETo�® TOWN OF BARNSTABLE y ^ OFFICE OF 2 BAHT E, MASS. o BOARD OF HEALTH .� A98. oo F391' 367 MAIN STREET HYANNIS, MASS. 02601 November 28, 1989 Mr. Stephen A. Wilson, PE Baxter & Nye, Inc. 812 Main Street Osterville MA 02655 Dear Mr. Wilson: The thirty feet by thirty-three feet ( 30 'x33 ' ) "show-room" addition constructed at 436 Yarmouth Road, Hyannis, Ma. , has been approved by the Board of Health with the following conditions: ( 1) The applicant must furnish the Board with a copy of a contract with a licensed hazardous waste collector who will be responsible for pumping the gas (MDC) trap and holding tank. ( 2) The contract described in condition #1 shall be updated annually and a copy furnished to the Board. ( 3 ) The applicant must keep annual records of the contents and of the amount of waste within the holding tanks and gas trap. ( 4 ) Vehicle washing and painting activities are prohibited at this site. ( 5 ) The building must be connected to public water. ( 6) The designing engineer must supervise the installation of the onsite sewage disposal system and holding tank, and shall certify in writing thy' the systems were installed in strict accordance to the submitted plans. Mr. Stephen A. 0son, PE Re: 436 Yarmouth Road, Hyannis Page #2 The approval is granted because there will be no changes in the uses of the building. The designing engineer, Stephen Wilson, stated "the site will not exceed the 330 gallons per day per acre criteria established by the Board on this 47,763 square feet lot. Also, the recently installed onsite sewage disposal system complies with all regulations contained within Title V of the State Environmental Code and Town Health Regulations. Very truly yours, Grover C.M. Farrish, M.D. Chairman BOARD OF HEALTH TOWN OF BARNSTABLE TM:cst cc: R. Riseberg f, lI 1 �� s 0'� ..,. I BARTER & NYE , 4c. Professional Land Surveyors and Civil Engineers �3 812 Main Street • Osterville, Massachusetts 02655 • Tel. (508) 428-9131 ---- - WILLIAM C. NYE, P.L.S. - President �r RICHARD A. BAXTER, P.L.S. -Vice President PETER SULLIVAN, ,E. Vice Presi'tlent=Enginee ' g i i i October 18 , 1989 Mr . Joseph D. DaLuz Building Department Town Hall 367 Main Street D Hyannis , MA 02601 Re: 436 Yarmouth Road , Hyannis Site Plan 430-89 Dear Mr . DaLuz : Enclosed please find the copies of the revised site plan for Raymond Riseberg 's project on Yarmouth Road . The interior layout of the project has changed since it was approved by the Site Plan Review on May 25 , 1989 and these changes are shown . I have re-evaluated the sewage flows of this revision and the total flow is now 356 gpd . Office space was calculated at 75 gpd/1000 SF. All remaining spaces were considered retail usage, including storage and service bays , at 5 gpd/100 SF. Under the " 330 gpd/acre" regulation , the allowable flow for this lot is 362 gpd which is slightly larger than the proposed flow of 356 gpd . If you have any questions or comments please do not hesitate to contact me . Very truly yours , S phen A. Wilson , P . E. Baxter and Nye, Inc . SAW/fmj Encl . r CC : T . McKeon R. Riseberg MEMBERS OF CAPE COD SOCIETY OF PROFESSIONAL ENGINEERS AND LAND SURVEYORS I AMERICAN CONGRESS ON SURVEYING AND MAPPING MASSACHUSETTS ASSOCIATION OF LAND SURVEYORS AND CIVIL ENGINEERS ZZX IQ ' = ZZO S1— J�rii�Cn o irC — -- - 141 x I Z ' = / �6 sr- o F��� o rtfc ---------- I f k I S M = 2 5 s sCrui 168.00 + ------ — 36.00 + - 105.00 + (7S 5 lei ��ruir, /l// Yc 506.00 + --------- 880.00 + ------:--- — -- —.---- — -------- ---- -- - — i 9 140.00 + 486.00 + 704 00 + - 1 i^48.00 + --------- --- 174.00 + -- 1 5' x 7 966 s E Sr, ,,« 67 146.00 50 J-�_ 100• _ `07.30 307.30 + 48.30 + ---- 355.60 Iy'Iltcxtnt�rtl cc{(f1V.1461cIot 1 :-�Jd x 47, 7(03 S1= ---- r ' oF7HETo� TOWN OF BARNSTABLO O�P�n ♦� OFFICE OF DAa NA06.MM& i BOARD OF HEALTH 039. `� 367 MAIN STREET �QNAY�' HYANNIS, MASS. 02601 October 17, 1989 TO: Joseph Daluz Building Commissioner FROM: Thomas A. McKean=�l Director of Public Health i RE: Stephen' s World of Wheels 436 Yarmouth Road, Hyannis As discussed with you yesterday along with some members of the Site Plan Review Committee including Mohammad Tariq, Joseph Bartell, Thomas Marcello, and John Hunter, construction of an addition (showroom/salesroom) consisting of a roof, doors, and walls at the above referenced site is nearly complete. However, the applicant Raymond R. Riseberg does not possess the following: 1 ) Building Permit issued for the construction of the addition (according to your office assistant) . 2) Board of Health Approval (see attached letter of approval with no additions) . 3) Variance from the Board's "330"Regulation. 4 ) Site Plan Review Approval (Site Plan #30-89 does not r include the addition) . Please be advised that the Board of Health members require their review prior to approval of construction and additions of commercial and residential buildings exceeding four bedrooms. itL' i Y..7V LCC1111V , I Jai • The site is located within a critical zone of contribution to public water supply wells. The 1050 square feet addition would increase the overall sewage flow by 52. 5 gallons; therefore, the overall sewage flow of 374 .9 gallons per day would exceed the 330 gallons per acre per day limit and a variance from the Board of Health is required. Today, you and Raymond Riseberg came into the Health Department Office. I explained to Mr. Riseberg he would need to hire an engineer to determine the total sewage flow prior to requesting a variance from the Board of. Health. Mr. Riseberg stated he would contact his engineer who would then communicate with me sometime in the future. Please do not approve an occupancy permit for this building until after the Board of Health grants approval for this addition. cc: Board of Health Site Plan Review Committee Raymond Riseberg Steven Wilson, Baxter & Nye yoF7NEp0� TOWN OF BARNSTABLE OFFICE OF LA"STAUF BOARD OF HEALTH Maea ,�i 1619• Qfi 367 MAIN STREET �O MpY M' HYANNIS, MASS. 02601 July 18, 1989 Mr. Stephen A. Wilson, PH Baxter & Nye, Inc. 812 Main Street Osterville, Ma 02655 Dear Mr. Wilson: Your application to replace the onsite sewage disposal system at 436 Yarmouth Road, Hyannis, Ma., has been approved by the Board of Health with the following conditions: (1) The applicant must furnish the Board with a copy of a contract with a licensed hazardous waste collector who will be responsible for pumping the gas trap and holding tank. (2) The applicant must keep annual records of the contents and of the amount of waste within the holding tanks and gas trap. (3) Vehicle washing and painting activities are prohibited at this site.. (4) The building must be connected to public water. (5) The designing engineer must supervise the installation of the onsite sewage disposal system and holding tank, and shall certify in writing that the systems were Installed in strict accordance to the submitted plans. The approval is granted because there will not be any additions constructed onto the existing buildings. Also, there will be no changes in the uses of the buildings. In addition, the designing engineer, Stephen Wilson, stated "the site will not exceed the .330 gallons per day per acre criteria" established by the Board on this 47,763 square feet lot. VereverC. yours Gr . arrish, M.D. Chairman BAORD OF HEALTH TOWN OF BARNSTABLE GF/bs V American Waste Oil C an �� � � y �S �\ 551 Weeden Street w Pawtucket, R.I. 02860 ,^A (401)861-6243 Y •'�1� , August� 21, 1989 Robert L. Prosser Jr.President Stephen World of Wheels 436 Yarmouth Road Hyannis, Mass. Atten: Ray Riseberg Dear Sirs, CONTRACT American Waste Oil Company is licensed to haul hazardous waste in Massachusetts under license # 157 ; EPA # RID000652255.�: This contract is to confirm that we are to be haulers for NDC Trap located at 436 Yarmouth Road, Hyannis, Massachusetts, Under the care of Ray Riseberg. Sincerely, A05Z bent L. Prosser Jr. President F- �� .. --•gym-r _ � � p• .�. .. —�'^�^ • ^ F�RC:�C•'• e L ste Oi'l Cc e pant'deri Streett, R.I. 02860 861-6243 Q, ,s A3gUst 21, 1989 Praiser Jr.- :Stephen World of Whwals. 4,36 Ym y th d `�J �,. b'Rlbsr0• D3a' Sim, �� ,1 c� . � o . III% rlsr � a �._a7 EPA �1 RS This cor��r�t is to T11Y b� M-CAt u, be for j•'w, Ts: v) 1.Q,^�...qted t 436 'Rij'" th Roady H�Y4=Cl s, b"t k14? 5��1�'�� �'9�`�",r air, ;�d_F.�+ s.7F Rey Ri5ebe5`s il, k� Amrican Waste Oil Ccepany 551 Weeden Street S P00awtucket, R.I T 02$60 (401)§61-�6243 D August 21, 1989 l., aert L, `Prosser Jr. kh.Tesident iY yT StePhen World of WtieeIs= 436 Yammth Road_ W` Hyam�t: Mass, k, Attu c R laser x Dear Sim A oan 1 �.emsed to �l l ardatss -waste in., I sBach-usetts u t 1i 1»+ A RT.M0 52255. InUl eC tract r $ oanfi im tk at..we are to he i rs . '.Trap located at 4,6 X c� d�: ,. f Rs ' iber Siticerely » a r , u p " " i✓ 4 � M .'�{�. �s e•. y .. .µ ..+r'�_-{Idc a,�� �,,,f�aR,,.kc.+F,�� ,�-.e"�..•-.� - - - ;Y) 1 ..fr ,r F _ ,� _ ]i.4,• J.iM .[�.1,5�7r3�'f+Frsif..Tt - �AY J f'• ;i L ( 7!Ud 1A,� 1411 5 Y a R 3 f Y aoi P ! A'• r 'a,y>r � w,-"� ,I .�� i �'4,. '�'$' ,�, � * t '�,» � a ,,�u¢n d�,��' eY;f�'� 1 r,( �"� 8t'�Y•,'e,,.n. 3.' c3 TOWN OF BARNSTABLE .OGATION � y �Ll�� SEWAGE # �� VILLAGE ��/+�6u` S ,ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. �-1/�a`a SEPTIC TANK CAPACITY r&V 6 LEACHING FACILITY:(type) 1600 dl-N- /9l7--(size) NO. OF BEDROOMS A ON,6-PRIVATE WELL O PUBLIC WATER . BUILDER OR OWNER l • � ��� DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED_ VARIANCE GRANTED: Yes l No — — — _ _ .."'� �'" � /� I � � ..,M. �� o �� � '� ``� v�— 'Q �J �Lj o ,M � 1 "�"T ���� \� e '�1 3� � rr, �' � { r � ��� t3 �J �, -Ai 7 r No.....L2. :3�.H 3 t F$. .. .. THE COMMONWEALTH OF MASSACHUSETTS"'� t QQ� BOAR® OF HEALTH 1. ................. 0F...... ----------------_----- ------.....-....._. , ppliration for Diipnga1 Work, Tomdrurtion ramit Application is hereby made for a Permit to Construct ( ) or Repair (-X) an Individual Sewage Disposal System at: ---- YA1.��1.�CUl..Ia.... ..�.YAY1f1.�---•-•........................................... Location-Address 1 or Lot No. --j_tkW+14......�.S��IC:r>& �r�� Ylff- firJ . .... ....................................... Owner Address u a .......................• _... . ......... ............................... ........... �11?lZ� ._......... Installer Address U Type of Building Size Lot___17.74k_3......Sq. feet Dwelling=No. of Bedrooms....................._......................Expansion Attic W-1) Garbage Grinder Other—Type of Building No. of ersons____________________________ Showers Cafeteria a ( ) d Other fixtures •---•••••••••••�sRlem - -------------------- --------------------------------------•--------------------------------- WDesign Flow..........................................._gallons per person per day. Total daily flow____._________________._____�A,...___gallons. WSeptic Tank—Liquid capacity./o.g.k-gallons Length-•F 6_'... Width.'$_':_I °. Diameter________________ Depth:;�'r—.4_-- xDisposal Trench—No..................... Width.................... Total Length.........._......... Total leaching area--------------------sq. ft. Seepage Pit No.__cAix .......... Diameter-----LQ.......... Depth below inlet__5PA- ...... Total leaching area-.a ?.....sq. ft. Z Other Distribution box (X) Dosing tank ( ) '-' Percolation Test Results Performed N- Ye__..____. Date.../!;/ 1 Test Pit No. 1......�____-minutes per inch Depth of Test Pit____/S ej___ Depth to ground water_____-_ ------________- 4q Test Pit No. 2................minutes per inch Depth of Test Pit..............._.... Depth to ground water........................ a ..............•-------•-•----------•--••-••••-•••••-••-•----••••••......•-•••-•........... •...._.......................................................... e, a v Description of Soil----- e. x U •••••-•••••••••-•-•••--••••-••-••-••......-•-•••--.....•••-•--...----••••••-•...........-••••••••• ._...•••••-••-----•••••......•--•---•••••--- W UNature of Repairs or Alterations—Answer when applicable_____C� er ` - _ �?sF�.fx frr ______________ -{o. t- rx+Gc�i st lZ e-x is JiAo, ------=------ ------------------------------------------------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITx U 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 lie lth. ` Signed..... .................................................... a Date Application Approved By.......... ..................................... ----•- Date Application Disapproved for the following reasons_______________ -----•-----._ •............. --------------•-------------•-----•-•---..../..------•--------.......------------------......••••-•-•-••-..._..-------------------.---.------------------------------------------_...•---..-.------•--_•-. PermitNo.......Q._••�,••.dS �---•----•-••------------ Issued....................................................... Date ............................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ....................OF.....�4 c3:�11.5. ?.k2�C---....----•-•-•-------------................... Applirnfiun for DiopuoFal Workii Tonstrurtion amit Application is hereby made for a Permit to Construct ( ) or Repair (K') an Individual Sewage Disposal System at Vt Location-Address rd�I�Gd or LoVy , Owner Address r.J.............. .. :..... �`� /f�C�(,rrlrlt ...-•---.......-----------••------•--••----....-•--------------•-. t./j�''�` IrTalYei'j' / Address d Type of Building Size Lot..,17 7_(r.. .......Sq. feet U Dwelling_=No. of Bedrooms............................................Expansion Attic (/(�) Garbage Grinder ((W d p`4 Other—Type of Building Aa1c, `...... No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures -------------- :sa lea. W Design Flow............................................gallons per person per day. Total daily flow............................ z?.....gallons. WSeptic Tank—Liquid capacitylP00gallons Length__IS.=L_"_._ Width4=-!P.'.. Diameter----_- Depths ."... x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.--uYA&.......... Diameter-----M Depth below inlet... Total leaching area..!5?.....sq. ft. z Other Distribution box ()c) Dosing tank ( ) / aPercolation Test Results Performed by._ i�.4Wil:rsai_...$ T�Pltt_E J.Ysff...._..... Date.../a Zl.,l t?_............. a Test Pit No. 1......Z-____minutes per inch Depth of Test Pit..../SG`"... Depth to ground water........................ (i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ $9 --••------•••------------•--•-•--------•--•--•-•----....---••-•......----•--•............................................................................... D Description of Soil...... fr//y lG'n= ,.----T �v�/ ,Sy/�scs�%..�Z_ry.=1y►`"�....... .mc�6f�s�tn� x U W ------------------------------------------------•-------------•-----• -----------------•-••-••••••------•-•---•--------------------------------•-•-••----•-•--•-----•-•-------•----•---------------•... U Nature of Repairs or Alterations—1 Answer when applicable----l./� ,ra '�_. xrt, it�__,g .............. YS.RllC di. ICCa Y�!� .�t� a---::.. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITL:% 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.--4�f4...... ............' 1.............. 2/ ( Date Application Approved By ---- --•----------- r y Date Application Disapproved for the ollowi reasons 7)............................................................................................. .........-•-----•----------------•-----.....-----••----------•--•------------------......-----------•-•---•••-••--•--••---•--•-•-••-•--•-•---•-•-•-.................................................... Date 4 PermitNo.-----C r�, ---L f•-----•----------------- Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALT/fH/} ......... ......OF............. ?�� ,. ..,,!� �!�?:`'................................. Trrtifiratr of Tuniplinnrr THIS IS TO CERTIFY, That the.Individual Sewage Disposal System.constructed ( ) or Repaired by-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------I............. Installer at---......... - --- -- -• • •..•. ---------------------------------------------------------•----------•--•----------------- has been st7,� f,, m or�ance w i ie rovisions of fill r ` •tI1�H ' ajc � p _Z 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No-----------0�___._ dated-----_---_---_------------------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.............................. 7".^. .(�..........----........ Inspector............. ---------------------------------------•------------.--- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...OF............... .: �g l . No......Si.9, ...� ' FEE...... � .... UU r Rio 00 urk dun aiu �er i� Permission is hereby granted - 't ;r :' ........................................ to Construct ( ) or Repair ( n Individ 1 Se`>a. Disposal System atNo-------- ...........y--�4------'�/'��'e� -•---- `G.....-------Mn - -Q............................................................... as shown on the application for Disposal Works Construction P;emlt No :.` ated ---�------- -47.r.... 2 [� )�_:tt Boar � Health r' DATE ---------. ` T/1 yi-- ------------•----•_-----..__._.._..-------• P FORM 1255 HoeBS & WARREN. INC., PUBLISHERS ��QyoFTHeto�y'.� TOWN OF BARN8TABLE OFFICE OF 1 DA"sT.EMLE Mnea BOARD OF HEALTH 2619. 367 MAIN STREET �0 MAY M' HYANNIS, MASS. 02e01 July 18, 1989 Mr. Stephen A. Wilson, PH Baxter & Nye, Inc. 812 Main Street Osterville, Ma 02655 Dear Mr. Wilson: Your application to replace the onsite sewage disposal system at 436 Yarmouth Road, Hyannis, Ma., has been approved by the Board of Health with the following conditions: (1) The applicant must furnish the Board with a copy of a contract with a licensed hazardous waste collector who will be responsible for pumping the gas trap and holding tank. (2) The applicant must keep annual records of the contents and of the amount of waste within the holding tanks and gas trap. (3) Vehicle washing and painting activities are prohibited at this site. (4) The building must be connected to public water. (5) The designing engineer must supervise the installation of the onsite sewage disposal system and holding tank, and shall certify in writing that the systems were installed in strict accordance to the submitted plans. The approval is granted because there will not be any additions constructed onto the existing buildings. Also, there will be no changes in the uses of the buildings. In addition, the designing engineer, Stephen Wilson, stated "the �. site will not exceed the 330 gallons per day per acre criteria" established by the Board on this 47,763 square feet lot. VereverC. yours Gr . arrish, M.D. Chairman BAORD OF HEALTH TOWN OF BARNSTABLE GF/bs G be-r - ,ra� -a��rova i lssine 5 ie-C 0AA ��onS � tie JosrPH D. DALuz • TELEPHONE: 77E-1120 Building Commissioner EXT. t07 TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 October 31, 1989 To Whom It May Concern: The property known as "Steven. World of Wheels" , 436 Yarmouth Road, has been approved because of the previous similar use , sales and service . Site Plan took into consideration the use and restrictions . This department approves the application as to zoning . L or Jose,h E . Bartell • BAXTE'R & NYE, i c. Professional Land Surveyors and Civil Engineers 812 Main Street • Osterville, Massachusetts 02655 a Tel. (508) 428-9131- WILLIAM C. NYE, P.L.S. -President PETER SULLIVAN, P.E. -Vice President-Engineering RICHARD A. BAXTER, P.L.S. -Vice President June 23 , 1989 ,Mr . Thomas McKeon J Director of Publi-c Hea>1th T-own HaII Hyannis , MA 0260.1. RE: -Septi-c System Repair 436 Yarmouth Road , H-yann.is Dear Mr . McKeon : Enclosed please find two sets_ of drawings a comp-leted -disposal works -const-ru-ction permit and a chec-k for $75 -00 f-or the abo-ve noted site. This office has reviewed the applicable Board -of Healt-h regulati-ons and it is our -opinion that no variances are required . The proposed project will generate a daily sewage flow of 323 gallons . The lot size is 47 , 763 square feet acid the allowable daily flow. at 330 gpd/acre is 362 gallons . Therefore, the site will not exceed t-he 33.0 gpd/.ac.re -c-rit-eria established by the Board, of Health. T,hi-s project entails the :remodeli-ng of existin.g build .n.gs and the continuation of existing. usages, namely automobile sales and -repair . Therefore, it does not_ fit the definition of a new commercial structu-re . - We would -a-ppreciate the issuance of .a disposal works permit .. If you have any questions or commen-ts we are willing to meet with you at - your conv.eni_ence to ,discuss t ® H- TOWN OFAM, DEPT. o Very truly yours , Stephen A. Wilson , P. E. -- Baxter `& Nye, In.c . QU N 2 7 '1989 •c'c : R. R i s.ebe.r.g C. Sabatt , MEMBERS OF CAPE COD SOCIETY OF PROFESSIONAL ENGINEERS AND LAND SURVEYORS I AMERICAN CONGRESS ON SURVEYING AND MAPPING MASSACHUSETTS ASSOCIATION OF LAND SURVEYORS AND CIVIL ENGINEERS __- - -- ,,, , ' -- .. 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P �,, 7) Upon iampli-,ian of all . work. a totter of certification, trade upon Zs': ',�'PVi i . ,,,, ,o i: , - _ - knowicdge ar d I:-'liaf a-,cordlat; to p.vf:sxional standards, shall be I submitted to t v L_' is,i�'s:r or his designee by a .; - _ Re istwr d nciin:.:r or f;.; i;t r:;d LAntl S'I v or, ro rirate to f 9 r ey a3 a P P tea work inr:ow:d. that all work M$ 6-an Jana subtant6lly in .A .•, r r . . prince wish tits approved Sito Plan, except tlwt the Bad I :, Cemtnisiloner hl de i n ma cortif tom Dis n IR41770A/ •8ax (H 40) , , . . Heavy DIty rrwwe Cope"• . , , I ` , . ... I , - AD,int/ns EG/alit. (zD/.r._D.L 2C/,L./) _-___. x. /Sit/osf eevs/• tfu tends a. _... _ _-- Aofvus�' _gib /oiOE su/f+4 Go/senclr Fiiamc E GOue/ �Lcdw.on LK-//O or ee�r:/) L I . -- ,-r - Mt�.1 - . . r-I - Tw VCa1c.1 t -C -C n,r.r i -_F*,•r i •� T T ;: r..l potyaFY�lycn� sl,cct i �, e,�� .�;'w' tr.•�r+� •!lare•ta� Z,+• Ad/vst 10 9-ad'a ar./i. 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' - �� ..;J J + •` /10.S ' t�, / . 3 6 '� k, 4.7.8 Requirl:d Procedures For Site Plan Review: � % 6r� ,5 , .":, f f - ;, U nn cnm I:;.ion of all work, a letter ion,' ;6�if�rao.., .-. . p of cerllfl�atlon, made upon ; 1 _. Gies! v✓*. 4 1 knQ\, .1i7d3t., a Iu beliof according to professional standards, shall be :4 ,6tar Sby �,o�,cc^e�ic J3/ /s✓ v , ,, - TA cubmittc c� to tn3 t3uil,:►ng �,ommissioncr or his designee by a ' Ste'.« /�7 , s R1Dcg rr•-st r,-jinacr or Registered Land Survo or, as apprcpr a13 to L �� .1 - z. l the worec irrvl red, that ali work has been done substantially in :: J , > . Y/ I I �; c tom Rance wt�,l the a roved P PP Site Plan, except that the Bwldln9 r,, i .. - ,. - / , , .. ,. .... z..': :_ ,S' /' COIIf II I'ft - .QI�OCtC �NJ/OI?I'/ .. 1 �: , f.. y -r 1 , .% ... t Commrulonor or his designee ma cent com Ilanco. s 8 L t. Y ,:. ;; 1 1 : . ,... . , +• , -- �„. lc 1 f a!! 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I�1,�,;tI Ir r I � I r,L r I.r''",I 'r'rIr I'L r , . . . . _ .. . « -___ ., - --- -- -- - -- - - - - - _ - - - -- - --- . -- -_ - - _ - ..............---------- ------------ -7 -7 7 _7 ------ TEST PIT #1 ELEVATION 34.7± TEST PIT #2 ELEVATION 34.6± DEPTH BOTTOM SOIL SOIL REDOXIMORPHIC DEPTH BOTTOM SOIL SOIL REDOXIMORPHIC ROUTE6 FROM OF LAYER SOIL TEXTURE COLOR FEATURES OTHER FROM OF LAYER SOIL TEXTURE COLOR FEATURES OTHER EXIT 7 00. SURFACE ELEV. HORIZON (USDA) (MUNSELL) (MOTTLES) SURFACE ELEV. HORIZON (USDA) (MUNSELL) (MOTTLES) (INCHES) (FEET) (INCHES) (FEET) 0-30 32.2 FILL 0-24 32.6 FILL < 00, 30-34 31.9 AP LOAM 10YR 2/1 NONE FRIABLE 24-30 32.1 AP LOAM 10YR 2/2 NONE FRIABLEL 40 34-60 29.7 B LOAMY SAND 10YR 4/4 NONE FRIABLE 30-50 30.4 B LOAMY SAND 10YR 4/4 NONE 0 E,21 '44, - -1 _ , I 14 pu�,),�) - FRIABLE 0010- _'jjj 60-138 23.2 C MEDIUM SAND 10YR 6/3 NONE -150 22.1 MEDIUM SAND 10YR 6/3 NONE LOOSE 50 C q-i LOOSE .o��56 PERCOLATION TEST BY: DAVID D. COUGHANOWIR, CER11FIED SOIL EVALUATOR #461 PERCOLATION TEST BY' DAVID D. COUGHANOWR, CERTIFIED SO4L EVALUATOR #4 1 61 ECO-TECH ENVIRONMENTAL ECO-TECH ENVIRONMENTAL 4, 4_1 A, V.56 _4 LOCUS WITNESSED BY. DONALD DESMARAIS WITNESSED BY. DONALD DESMARAIS DATE: FEBRUARY 11, 2013 DATE' FEBRUARY 11, 2013 PERCOLATION RATE: <2 MINANCH (PERFORMED IN C SOiLS 0 68-) PERCOLA71ON RATE: <2 MIN/INCH (PERFORMED IN C SOILS 0 72-) BENONAW E 0 C AL A� NO GROUNDWATER ENCOUNTERED NO GROUNDWATER ENCOUNTERED '36 21 (ASSUMEDY RIM -t N ACRES CATCH BASIN 90 744:11��<S. TEST PIT #3 ELEVATION 34.5± TEST PIT #4 ELEVATION 34.9± PTH BOTTOM rn _�,'�Itl DE DEPTH BOTTOM SOIL SOIL REDOXIMORPHIC SOIL SOIL REDOXIMORPHIC FROM OF LAYER SOIL FROM OF LAYER SOIL X�5 TEXTURE COLOR FEATURES OTHER TEXTURE COLOR FEATURtS OTHER PROPO§6 1006- INDUSTRIAL ,m SURFACE ELEV. HORIZON SURFACE ELEV. HuKI/_UN (INCHES) (FEET) (USDA) (MUNSELL) (MOTTLES) (INCHES) (FEET) 5 (USDA) (MUNSELL) (MOTTLES) WASTE HOLDING TANK mTIGHT TANKO PER 314 CMIR 18.0 WITH LOCKABLE EASY.. �Z ACCESS COVER FOR SERVICE BAY 0-24 32.5 FILL 0-28 32.6 FILL OLD YARMOUTH ROAD 4 D NON-HAZARDOUS WASTEWATER DISPOSAL 24-30 32.0 AP LOAM 10YR 2/2 NONE -36 31.9 FRIABLE AP LOAM 10YR 2/1 NONE FRIABLE 28 A 30-56 29.8 B LOAMY SAND 10YR 4/4 NONE FRIABLE 36-62 29.7 8 LOAMY SAND 10YR 4/4 NONE FRIABLE Xn SCALE: 1*=2,000*± 56-144 22.5 C MEDIUM SAND 10YR 6/3 NONE MEDIUM SAND 10YR 6/3 NONE LOOSE LOOSE 62-148 22.5 C j e PVC VENT LOCA71ON TO VENT PERCOLATION TEST BY: DAVID D. COUGHANOWR, CERTIFIED SOIL EVALUATOR #461 PERCOLATION TEST BY. DAVID D. COUGHANOWIR. CERTIFIED SOIL EVALUATOR #461 TO BE COORDINATED "Y W, ON R"00F TIc xis*46 SEP ECO-TECH ENVIRONMENTAL ECO-TECH ENVIRONMENTAL WITH THE O**R AND E SYSTEMS TO BE ARCHoTECT PROVIDE INSECT ------ REPLACED AS __ I 1_� 6 , t NTNESSED BY. DONALD DESMARAIS WITNESSED BY' DONALD DESMARAIS SCREEN ON DATE: FEBRUARY 11, 2013 DATE: FEBRUARY 11. 2013 OPENING PROPOSED 35 SOIL f PROPOSED BUWNG ABSORPTION '�,i SCH. NO GROUNDWATER ENCOUNTERED P�e % NO GROUNDWATER ENCOUNTERED SYSTEM &;bk '�,\VENT AT ROOF LINE "ACTUAL LOCATION EDGE OF D1 TO BE COORDINAT VATH THE O%1NER) X.N4,E7 ATTACH PIK TO LEGEND PROPOSED BUILDING TRIBU '�R OSED DISTRIBU PROPOSED WLDW ------- EXISTING EDGE OF PAVEMENT SEPnc SETBACKS (MIN.1 BOX (VAGGINS PRECAST D89 PERFORATED PVC PIPE H20 OR APPROVED EQUAL) COI I Lq FRAMES rD COVERS AT GRADE 34 12 EXISTING CAPE COD BERM SEPTIC TANK LEACHING FACILITY PIK ;� IS;q 5 PLAN MEW PROPERTY LINES EXISTING BIT. CONC./VERT. CONC. CURB 10' PROPERTY LINES 10, MEbIT DEI61L CELLAR WALL ELM MEN NOT TO MALE 5' OVERDIG EXISTING 5' CONTOUR LINE 10' CELLAR WALL 20' 50' WELL 100, WELL EXISTING l' CONTOUR UNE DRYWELL 10' DRYWELL 25 EXISTING ROUND CATCH BASIN \VAL DESIGN FOEMULA: NO GARBAGE GRINDER ALLOWED WITH THIS DESIG14 GRAVEL DRIVE EXISTING DRAINAGE MANHOLE CLEAN BACKFILL 7 SYSTEM REQUIRED PROVIDED 9m MINIMUM PROPOSED SOIL PTION', I EXISTING DRAINAGE CATCH BASIN 2 YER OF 360 MAXIMUM SYSTEM (6) 70' 16,1 ]/a lu I/2m EXISTING UTILITY POLE W/NUMBER DAjfX FLOW.' DOUBLE WASHED .0`:Iel VADE x 2' DEEP LEACHING EXISTING SEWAGE FLOM FOR BMW OE CAPE COD SITE PEA GRAVEL TRENCHES WITH RESERVE,; 11 4 EXIS11NG GUY WIRE 9 SURVICE BAYS x 150 GPD/BAY 1,350 GIRD AREAS 6,733 SF RETAIL 0 5 GPD/100 SF 337 GPD EXISTING LIGHT POLE A ADDRES2 EXISTING DAILY SOURCE 2,001 SF OFFICE 0 75 GPD/1,000 SF 150 GIRD ��D � COMPARTMENT SEWAGE FLOW TO 1-1/20 EXISTING CONCRETE BOUND A DOUBLE A" D GALLON SEPTIC TANK X 3 4,AN, X WASHED EXISTING OVERHEAD WIRES STE PLAN BY DOWN CAPE ENGINEERING, P, 436 YARMOUTH ROAD 1,165 GPID LEACHING AREA, -4 1"GGINS PRECAST H20 OR REVISON DATED MAY 20. 2005* . 2.0' MIN.E 1 0 -4 STONE PROVED EQUAL) FRAMES EXISTING SEPTIC COVERS (6)10' x 2' LEACHING TRENCHES P 208 OLD YARMOUTH ROAD 300 GPD 717LE V INSPECTION FORM. DATED 2' EFFECTIVE DEPTH D WV�R$ T,GRADE __:X _ _ . b EXISTING STONE RETAINING WALL 4* PERFORATED PVC FEBRUARY 17, 2011 f (2 X (2' X (70' + 2'))) 6 1,728 SF__ 2.0' SIDE"iALL SCHEDULE 40 500 YARMOUTH ROAD 160 GOD TITLE V INSPECTION FORM. DATED EXISTING CHAik�LINK FENCE' L S12*53'48' BOTTOM: (70' x 2') x 6 840 SF V JUNE 30, 2000 5.6 MINIMUM TOTAL' EXIS71NG MONITORING WELL SEPARAT10N % APPLICATION FOR DISPOSAL A, EXISTING RAILROAD 11E WALL LUMING CAPACITY: DISTANCE 504 YARMOUITH ,ROAD 300 GPD CONSTRUCTION PERMIT DATED DECEMBER TO HIGH 20, 1978 1,728 SF x 0.74 GAL/SF MAINTAIN 6.0 FEET EXISTING TREE LINE SIDEWALL 1.279 GIRD GROUNDWATER BETWEEN TRENCHES BOTTOM: 840 SF x 0.74 GAL/SF 622 GPD PROPOSED 5' CONTOUR UNE TOTAL 1,925 GPD �.k TOTAL- 1.837 GP5 1,901 GPD PROPOSED VCONTOUR UNE SEPTIC TAN TITLE V SEE DESIGN FORMULA PROPOSED 1,837 GPD K (2 COMPARTMEHI)& D PROPOSED DRAINAGE LINE t IST"COMPARTMENT 2 x DAILY FLOW 3,674 GAL TYPICAL LEAQHING MENCH --ETC- PROPOSED ELECTRIC/TELECOMMUNICATIONS UNE USING 150 GPD/BAY (PER TITLE V) INSTEAD OF 125 GPD/13AY SHOWN ON PLAN 2ND COMPARTMENT I x DAILY FLOW 1.837 GAL CRQSS-SEC]ION MOP TOTAL' -2* w- PROPOSED 2" WATER LINE 5,511 GAL 6.000 GAL (NOT TO SCALE) 4- W- PROPOSED 6" WATER LINE _-DRAJNAGE bT:�jj�l# A 4 '�j G PROPOSED GAS UNE GENERAL NOTES- RD PROPOSED ROOF, DRAIN LINE PRE-ExisTiNG SE X32 NAGE FLOWS FOR 499 k, INC PR PER11ES 1. RECORD OWNIER(S): 499 ROUTE 6A. INC TR JOSEPH LAHAM 711 PROPOSED OPTIONAL FOOTING DRAIN LINE 0% 700 PROVIDENCE HIGHWAY REALTY TRUST 208 OLD YARMOUTH RD REALTY TRUST t__It 6 PROPOSED SEPT"IC LINE PRE-EXISTING DAILY P.O. BOX 980 460 YARMOUTH ROAD X1 ADDRESS SOURCE SEWAGE FLOW HYANNIS, MASSACHUSETTS 02601 HYANNIS, MASSACHUSETTS 02601 PROPOSED SILT FENCE 330 33mG 436 YARMOUTH ROAD 1,165 GIRD SITE PLAN BY DOWN CAPE ENGINEERING, PROPOSED SILT SACK SEDIMENT TRAP INC... REVISION DATED MAY 20, 2005* 2. THE LOCUS PROPERTY IS SHOVM AS PARCELS 8-1. 9. AND 10 ON THE TOWN OF BARNSTABLE ASSESSOR'S MAP 344. 247. X31.47 MA 3. THE EXISTING CONDMONS SHO%1N HERON ARE BASED UPON FIC' SURVEYS BY ATLANTIC DESIGN ENGINEERS, INC. IN L J, TITLE V INSPECTION FORM. DATED ELD 208 OLD YARMOUTH ROAD 300 GPD 36.87x PROPOSED SPOT ELEVATION ED SUBSU1RFk& FEBRUARY 17, 2011 JUNE AND OCTOBER 2006. MAY 2010, FEBRUARY 2011. OCTOBER 2011, AND SUPPLEMENTED WITH THE TOWN OF DRAINAGE SYSTEM HxP PROPOSED HIGH POINT BARNSTABLE GIS SYSTEM. Nn OAD 16' E TITLE V INSPECTION FORM. DATED 500 YARMOUTH ROAD 160 GPD JUNE 30, 2000 D AND V LXP PROPOSED LOW POINT 168, 4. EXISTING UNDERGROUND UTILITIES INFORMATION IS BASED UPON PLANS AND AS-BUILT INFORMATION ON RECOR SURFACE FEATURES AND IS NOT THE RESULT OF A SUBSURFACE SURVEY BY ATLANTIC DESIGN ENGINEERS. INC. mom YA1 --D 1PEET IrIDE) __o� t1. PROPOSED CATCH BASIN APPLICATION FOR DISPOSAL WORKS 6 4 504 YARMOUTH RO 5. THE PROPERTYIS ZONED AS BUSINESS DISTRICT (B) PER THE TOWN OF BARNSTABLE ZONING MAP. AD 300 GPD CONSTRUCTION PERMIT DATED DECEMBER (pUBLIC PROPOSED DOUBLE CATCH BASIN 20, 1978 6. THE PROPERTY LIES WITHIN FLOOD ZONE X BASED UPON A REVIEW OF FEMA'S FIRM PANEL NUMBER 250001CO5671, PRELIMINARILY DATED MAY 12, 2009. THIS AREA IS DETERMINED TO BE OUTSIDE THE 0.2% ANNUAL CHANCE SEPTIC DESIGN PLAN BY ATLANTIC DESIGN PROPOSED SIGN 460 YARMOUTH ROAD FLOODPLAIN. (FRONT BUILDING) 459 GPD1 ENGINEERS, LLC., REVISION DATED DECEMBER Z 2009 7. THE PROPERTY LIES WITHIN A ZONE 11 BASED UPON REVIEW OF THE TOWN OF BARNSTABLE GIS SYSTEM. f& THE PROPERTY LIES WITHIN THE WELLHEAD PROTECTION OVERLAY DISTRICT BASED UPON REVIEW OF THE TOVM OF WIGGINS PRECAST 6,000 GALLON H20 VAGGINS' PRECAST DB9 H20 PROPOSED OVERDIG; OVERDIG UNTIL 460 YARMOUTH ROAD NORECORDSIFOUND BARNSTABLE GIS SYSTEM. L OR APPROVED EQUAL 601 GPD ESTIMATE FROM BUILDING AREA OR APPROVED EQUAL C LAYER IS ENCOUNTERED (SEE NOTE 11) (BACK BUILDING) �:9. THE PROPERTY DOES NOT LIE WITHIN AN ESTIMATED HABITAT OF RARE WILDLIFE OR A PRIORITY HABITAT OF RARE -2 COMPARTMENT SEPTIC TANK- -DIS71RIBUMON BOX- 8.010 SF x 75 GPD/1 000 SF (OFFICE USE) FINISHED FLOOR SPECIES BASED UPON REVIEW OF THE NATURAL HERITAGE AND ENDANGERED SPECIES PROGRAM 2008 MAPS ELEVA11ON-36.0' PROVIDE RISER AND PROVIDE RISER 4* PERFORATED PVC, SCH 40 0 NO RECORDS FOUND OBSERVED ON THE MASSACHUSETTS GEOGRAPHIC INFORMA71ON SYSTEM. To TO FINISHED GRADE COVER AND COVER 1, (6) 70' LONG LEACHING TRENCHES 0.5% SLOPE WITH 3/8- MIN. AND 242 OLD YARMOUTH ROAD 330 GPD 3-BEDROOMI RESIDENCE 10. THE PROPERTY DOES NOT LIE WITHIN AN AREA OF CRI11CAL ENVIRONMENTAL CONCERN BASED UPON A REVIEW OF THE WITHIN 6* OF 5/8- MAX. PERFORATIONS 3 BEDROOMS x 110 GPD/BEDROOM FINAL GRADE -SOIL ABSORPTION SYSTEM- MASSACHUSETTS GEOGRAPHIC INFORMATION SYSTEM. PROPOSED SEWER FLOW 3.315 GIRD 'Ill. BEARINGS HAVE BEEN ADJUSTED TO MASSAOiUSEM STATE PLANF_ LINE OUT OF To 35.0'± 'I F.G.- .2*± F.G.-34.7'± F.G.-34.6'± F.G.-34.0'± TO 33.6 TOTAL PRE-EXISTING BUILDING OUT 3' MAX COVER 6* IMP I i I I SEP11C NOTES: 200 gn MIN. COVER MIq 3' MAX. COVER MIN. TOP OF STONE PROVIDE in OF li DOUBLE 9m MIN. COVER PROVIDE 2m OF Ir TO In 5' 1. ALI. DIMENSIONS ARE PERPENDICULAR TO THE PROPERTY LINES. 17' 4 ELEV.-31.60' WASHED STONE (TYP) WAS T'YP IN Z ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN COMPLIANCE WITH THE STATE SANITARY CODE TITLE V AND THE ELEV. HIED STONE (TYP) -4 OUT- IN- OUT _IN"0_777 17. 7 ion LOCAL BOARD OF HEALTH REQUIREMENTS. �;44 V, 4 4. 4 PROPOSED/BEMAINING SEWAGE FLOWS FOR MIN 3. ANY CHANGE To THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND DESIGN ENGINEER. 4n PVC 0 2.0% ..... ........ V, -.* --* ,1 2.j MIN- 40 PVC 0 L --30 4 0 -1 Z- 499 ROUTE 6A. INC PROPERTIES 4. BEFORE BACKFILLING THE SYSTEM, THE CONTRACTOR SHALL N07IFY THE DESIGN ENGINEER AND BOARD OF COMPARTMENT 1 IX MIN. 40 PVC 3,674 GAL (MIN) (TYP) lX MIN. 331.10. OftnWOOnn HEALTH M INSPECT. '.I \ BOTTOM OF TRENCH 3-0.7 5' PROPOSED DAILY 1 5. HEAVY EQUIPMENT SHALL NOT TRAVEL OVER DISPOSAL SYSTEM DURING OR AFTER CONSTRUCTION. ELEV. 5' MINIMUM ELEV. ADDRESS SOURCE ELEV.=28.75' SEWAGE FLOW 6. TIGHT JOINT (T.J.) PIPING SHALL CONSIST OF POLYVINYL CHLORIDE (PVC) PIPE, SCHEDULE 40. ALL PIPES To BE 31.95 3 13:3 SEPARATION TO -6.65 LAID ON FIRM BASE AND TO BE WATERTIGHT. ALL CONNECTIONS AND JOINTS SHALL BE MECHANICALLY SOUND AND 317 ' =.j HIGH GROUNDWATER uA ELEV. ELEV. (5- MIN TO Gvyj TIGHT. PROPOSED BMW OF CAPE COD 1,837 GPD TITLE V SEE DESIGN FORMULA PROVIDE LEVEL 6" COMPAC CRUSHED 81± 7. DISTRIBUTION BOX SHALL BE WATER TESTED FOR LEVELNESS. DISTRIBUTION BOX SHALL HAVE AN INLET TEE 1 1 . - 1 70' LONG TRENCH 460 YARMOUTH ROAD SEPTIC DESIGN PLAN BY ATLANTIC DESIGN' EXTENDING M ONE INCH ABOVE THE OUTLET INVERT ELEVATION. STONE BENEATH SEPTIC PROVIDE LEVEL 6n I TANK COMPACTED CRUSHED Ll-8'± BOTTOM OF TRENCH LEVEL FOR ENTIRE LENGTH (FRONT BUILDING) 459 GPD ENGINEERS. LLC.. REVISION DATED 8. THE DESIGN ENGINEER SHALL CERTIFY INSTALLATION. COMPARTMENT 2 EXIS71NG TO REMAIN DECEMBER Z 2009 STONE BENEATH L2-lV± GW -22.1 9. ALL SEPTIC SYSTEM COMPONENTS SHALL BE REQUIRED TO WITHSTAND H-20 LOADING. NOTES- 1,837 GAL (MIN) DISTRIBUTION BOX L3=23'± (NO GROUNDWATER 460 YARMOUTH ROAD NO RECORDS FOUND 10. EXISTING LOTS SERVED WITH TOWN WATER SERVICE. 1. THE OUTLET TEE IS TO BE FITTED VATH A GAS Z SEPTIC TANK SHALL BE 3. SEPTIC TANKS SHALL BE PROVIDED VATH AT ENCOUNTERED IN TEST PITS) (BACK BUILDING) 601 GIRD ESTIMATE FROM BUILDING AREA EXISTING TO REMAIN 8.010 SF x 75 GPD/1000 SF (OFFICE USE) 11. CONTRACTOR SHALL REMOVE ALL UNSUITABLE MATERIALS (ORGANICS. FILL, A AND B LAYER SOILS - ±29.7' BAFFLE AND EFFLUENT TEE FILTER. USE ZABEL EMBOSSED WITH SEAL STATING LEAST THREE 20* DIAMETER MANHOLES WITH PROPOSED SEPTIC SYSTEM PROIFILE MODEL OR APPROVED EQUIVALENT. CONFORMANCE WITH ASTM C READILY REMOVABLE IMPERMEABLE COVERS OF ELEVATION) WITHIN 5 FEET ALL AROUND THE PROPOSED LEACHING FIELD AND REPLACE WITH SAND CONFORMING TO 1227-93. DURABLE MATERIAL. (NOT TO SCALE) TOTAL PROPOSED/REMAINING FLOW 2.897 GPD 310 CMR 15,255(3). FILE:2479.07SEP Designed by Sheet of SCALE PREPARED FOR: REPLACEMENT SEPTIC SYSTEM DESIGN PLAN Drawn by LAH Checked by SCALE 1 30' AM MANAGEMENT AND LEASING, INC. FOR n C DESIGN ENGINEERS, INC. 0 15 30 45 2 PGB 3/19/13 ADD SEWAGE FLOW SUMMARY TABLES BMW OF CAPE COD . I --- I Survey chk. by V P.O. BOX 980 JOB NUMBER HYANNIS, MASSACHUSETTS 02601 P.O. Box 1051 , Sandwich, MA 02563 (508) 888 9282 Approved by DATE rN 0' . BY DATE REVISION HYANNIS, MASSACHUSETTS 02601 FEBRUARY 15, 2013 2479. 07 t 1•.h&* '►A0'6d1W. r Wiwi 41+k1n.1„rr,IIF• A .� q �U q \O 1 317.IV � 0. �o fob - - V4. 1 oft Z� _ Crvs/c ' Ir:± PLAN REF,=RENGES: G ry he t /.e.G. 2a7089 ?A70gN ra . zoo i�G 1/t9i7G Ci a5h,q/ '' P,0 3a5, � Z4, :. S�4an c .i�rr , 2b 133) (q� n '� .� ©T J/2�' 47763 S/=407 ,J1. )4 � 1 �---- toe '- Gas /i�c U Gas 9a Ar- 0 G.G. 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V designeea 1 the wor; Ir t , Surveyor, a _ �tnJ or hi., cr or R" istare t by ,,, d Land c/�an o✓t i �' 1 ' nva+v;d, that a,g v Y s appropriate to '' l work has b ` 1 Ssb� It�.oi�cr-cltc J3/ocr4 .Cav�i r1 + been lone •, �• : . / °o P /� Commi approved Site Plan, except that ly in _5' 9 compliance with the substarll+at F..I F/r- ii:, ;' Prv�ow e•c� S/iocv c'oo,r, Sjc r�u,c G �/a y .: , �, ; ssionG'r or P afi the Building r/a/c✓f`�'a.y� 1� his designee may certif �Q g t � O Ian 5 -- / 03898 o.tt i sip k �{• .1�ti'' t 1pq at .t Py�H OF+yq�4t V- r L- �9 '"'"- 'CSC.' �Gn I i t :/CJ� (V!,•- �;es h/J/GE 1:'•r'/,' Dc)OIl wr,. Y �� WS ABLh t ql 'a� � STEPHEN S V' T (ic i .- h "� :t v c �o ve.a/ USA .�E 1r< Nc. G sc��' RICHARQ g AILYON .lya4t 1 ` �� E'501�.UAG DEPT. 3'` A �;< w+ s N 1 ,•• n ,.� ,y., .rf• .I.1w. r�Xf�.r..."M•yKlM .7 -Y.Y.vA•: ' l••M, . 7 t.M .3•.T• / !r d/G t V —I co 11 Ao I A _5", Co,I`.. 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I "I I I � I ' 'I I e , I I . . . . . 1c, thO wo!'!� i:l-,,,-,l./ed, that all work has been done substantially in 'I', I I � I I � � 4 1 1� L I I ,�� I . - I " � 1`11 �' 11 I I 'L I I IL� I I . : . I I I . I . . ze z ," I . I . I I I � I 11 I I . �,� I I , I I V I L : I I ,� I�' t- I . I I , I I L I . e co liance wii� 'L" L 1. I I . I I I I L � i , I I . 11� L L . . I Mp a the approved Site Plan, except that the suilding I- '�" I I I I I I ,,, .1 I 11 I I I . I 57"ar L . t L _ I I I L . ,,L I L. -_- ' . - _. .. � I I I %0 -Y C0'1e--'#* ,210CAC 'ew'/66" .41 r, / :. � I r ; I I . . . � .. . I t � ! L_ , -,___�' 'L�A=L")_42421" .-11 . . � '' 11 I I I I . I " L Of I Commissioner or his designee may certify compliance. ; _� '��" I � :. 1, I I 11 � : I , I I -1 � I I I ";;r '017'- //.P"s I . I I % �r! i W1% - I : � �' I I " L I . :�: �� '�'L I I I I . I I � "Mi"Now" I I I I I I T--- '_'__1, 1 , , , I I I 11�1 . I il - , '4 , ' � , . I I I . 1, L \9 �_����I:'I ,,��,� � � L , :I I I . I I . 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