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Home My WebLink About0170 GRAND ISLAND DRIVE - HAZMAT &and land Dc' -- --- �- = - 7 Number Fee 1167 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that OYSTER HARBORS GOLF CLUB ° 170 Grand Island Drive, OSTERVILLE, MA Is Hereby Granted a License , 4. For: Storing or Handling 500 gallons or more of Hazardous Materials. CA ------------------------------------------------------------- -------------------- --------------------- ------------------------------------------ --------- ------------ ------ - -- - ----------------- --------------------------------------------- ------------------------------------------------ This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2019 unless sooner suspended or revoked. ----------------------------------- PAUL J.CANNIFF, D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2018 JUNICHI SAWAYANAGI H THOMAS A.MCKEAN, R.S.,CHO Director of Public Health as - f s � �� l(� ci✓iK #� dt9��f�.� Voewgulatoryof B nstable g �o ervices Richard V. Scali, Director Q�p�Ae oFT�rcyti P duif;L�n0�A1mQ{n ubhc Health Division BARN TABLE • i i epnsaete.cErrtmt .mrtFr°;it;.•.res BARNSTABLE. • Thomas McKean Director MASS. A f J679-2014 039. 200 Main Street, Hyannis, MA 02601 �g ai Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS ~� IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS, ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS DULY 1st-JUNE 30th). APPLICATION FEES. CATEGORY 1 PERMIT 26- 110 Gallons: _ $50.00 ❑ CATEGORY 2 PERMIT 111 -499 Gallons: $125.00 ❑ , CATEGORY 3 PERMIT 500 or more Gallons: '$150.00 *A late charge of$10.00 will be assessed if payment is not received by Jul 1st. 1. ASSESSOR'S MAP AND PARCEL NO. U Ir 2. IS THIS A PERMIT RENEWAL? YES NO. IF YES, SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: Pd yt C, 5. NAME OF ESTABLISHMENT: DY S T - H^r 6Gf s L1 U3 6. ADDRESS OF ESTABLISHMENT: ZO. . c- d" nd ISl4wi b f 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: is. TELEPHONE PHONE NUMBER BER OF ESTABLiSHME,N 1: S 0 31 - 9. EMAIL ADDRESS: . 2rti� Lt�a � oYs��a-� rBarS c��3 , dl'g 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE# OF: CORPORATION NAME PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: —� SIGNATURE OF APPLICANT DATE Q kApplication Fonns\BAZMAT APP 2017 REVISED.docx \p v Fee Number 1167 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that OYSTER HARBORS GOLF CLUB 170 GRAND ISLAND DR, OSTER VILLE, MA Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ---------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------- -------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2016 unless sooner suspended or revoked. --------------------------------------- WAYNE MILLER, M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/2015 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health r� Eti r A 1! y Town of Barnstable anti Regulatory Services • Richard V. Scali,Director ` Public Health Division ° Thomas McKean,Director , 200 Main Street, Hyannis,MA 02601, Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.0.0 ASSESSORS MAP AND PARCEL NO. W DATE ` l / .1- APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN Ill GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT S NAME OF ESTABLISHMENT U4�lb a oys��h'ar Os�' �7� Flo • ADDRESS OF ESTABLISHMENT c�Oh /i�CL�'� 7�Gf1% DS�P4ll/�i�PI Do� TELEPHONE NUA0E SOLE OWNER: YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO.—C& STATE OF INCORPORATION 5� � Ilk FULL NAME AND HOME ADDRESS OF: '// d �� PRESIDENT (% f TREASURER Urmlailld,"aly- Iff&.10-1-77f- CLERK 3� • �' I NATURE OF APPLICANT . RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# C:\cache\Temporary lntemet Files\OLKD3IHAZAPP Rev2015DOC rg Town of Barnstable Office: 508-862-4644 Regulatory Services Department Fax: 508-790-6304 anxvsrn .� Public Health Division p MASS. Thomas A. McKean,CHO � n59. 200 Main Street, Hyannis, MA 02601 Payment Receipt :Hazardous Materials Payment received: $100.00 (Check) on 6/17/2015 Check number: 013731 Check amount: $100.00 Name on check: Oyster Harbors Club INC. ,Business: Oyster Harbors Club Owner: OYSTER HARBORS CLUB INC 'Address: 200 INDIAN TRAIL, Osterville s TOWN OF BARNSTABLE — UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION ( c" ' CC)i MAP NO. PARCEL NO. C� ADDRESS OF TANK: / �� , t� S ��{-n� J lC V I LLAGE: Number �tr��t 1^e, MAILING ADDRESS ( I F D I FFERENT FROM ABOVE) OWNER NAME: ` /.� I �C /'`�"�!'7i/r-'�i t G 1,1 PHONE: INSTALLATION DATE: 1 By: "!STALLER ADDRESS: y CERT.NO. ~ _,,..o---•-- �`c� ,tea; : _.`.,-,• *TANK LOCATION: VIC fl. Jf :: t. N (OLYOR I a6 TANK LOCATION W I TW mmef w TO BU i LD I•NO> / er CAPACITY �j" � TYPE OF TANK AGE YRS. FUEL/CHEMICAL. 1c, TESTING CERTIFICATION C ] PASS C ] FAIL DATE LEAK DETECTION C ] CHECK IF N/A jITYPE/BRAND ZONE OF CONTRIBUTION C ] YES CG] NO DATE TO BE REMOVED FIRE DEPT. PERMIT ISSUED C ] YES C ] NO DATE CONSERVATION C ]-. CHECK IF N/A DATE �t 5 ., BOARD OF HEALTH TA.Gr NO.h_l /12 ,�_W ] DATE 2 `;z— ( *_,PLPEASE PROVIDE .A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD �Lu 15440 u&67' E �e45 F TOWN OF BARNSTABLE Ordinance or Regulation BAR -W 68028 WARNING NOTICE Name of Offender/Manager C tE Address of Offender MV/MB Reg. # Village/State/Zip Business Nameoc> Qm)pm; onj /�-7 20 19 Business Address 1-7 Q rcq .--- Signature of Enfoking Officer Village/State/Zip Location of Offense N2,L 1+L Enforcing Dept//DDivision Offense X�, (Ly�-tt�� d1'-zl 40V- yw"'4-0<'IA ['A �r C e N V+ r) o V". e�5 ar Factsd �^-- C o�.� l t� - �, , t�� w� y C G.e fi , �L 5" ► Buz S This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance, Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK- ENFORCING OFFER GOLD- ENFORCING DEPT. TOWN OF BARNSTABLE � Ordinance or Regulation BAR 'W WARNING NOTICE II � Name of Offender/Manager Address of Offender MV/MB Reg. # . . _ Village/State/Zip " Business Name �f ' - z �� /..�,. r.a.> (amVpm; onr '.� 20 Ia r Business Address 1-7 0 roc .0 S �,Slz� 1 ' 60Vy 2,0,1' 'c.----- Signature of Enforcing Officer Village/State/Zip { `/` e-- t •V � Location of Offense a# `` r -' --- '~ " f `' `� A� t Enforcing Dept/Division Offense X1)rf� r �r �,:, 041,"f, fr L 1+ C t u� r; j f k 't r ..Facts U%� - (, f 4'.�tJ ► .e H6 This will serve only as a warning. .At this time no legal action has been taken.. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations:-Education efforts.and-warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the.Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK- ENFORCING OFFER GOLD -ENFORCING DEPT. _. c TOWN OF BARNSTABLE BAR-w 4214 Ordinance or Regulation WARNING NOTICE Name of Of fender/Manager jf �/ r rt ? 11 +r. Address of Offender MV/MB Reg.# Village/State/Zip Business Name am/,pm) on /'- " 20! Business Address I"ID Signature�of Enforcing Officer _1 G.,V-e r� .�- Village/State/ZipP' � {� > VIJLI, r_ Location of Offense %./�ISrr.�/ t'F�'CY��S l.T:>�-� ' Enforcing Dept/Division Offense r-�, �.w � �;� � M� <.�� cxv� e. Vn �c r =11 hr.�. Facts" 4 n�,�. .a r z :.��4 �..�, i � �° �1� u j �'�rn p1•/ yi A4-t- IR, [ r 7 V6 This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. TOWN OF BARNSTABLE BAR_W 4 214 Ordinance or Regulation WARNING NOTICE Name of Offender/Manager if rs ? Address of Offender MV/MB Reg.# Village/State/Zip Business Name r =_, - tom!:� 3 am/pm,' on 20 s Business Address 3� %`, . , u-" " i ,tt�, -,"' ,y ; •.'r!`T:r ,' -_ Signature,<of Enforcing Officer Village/State/Zip Location of Offense ,i e \ } Enforcing Dept/Division Offense . ..�"t x• ` , „ ,� v' , }• C'. ry1 �, y4 r�. . 1 .� 3 ; Facts �- : ? ,fir � r�.y S( '�,- .7 zJj ��i .1• ' �� .{_ This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT.