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HomeMy WebLinkAbout0891 MAIN STREET (OST.) - Health (2) � � m�����--� � _ _ _ _ goArR S M E A D KEEPING YOU ORGANIZED No. 12134 2-153LGN SUS MIN.RECYCLED INITIATIVE CONTENT10Yo Certified Sourcing POST-CONSUMER wwwx4ragrem.arg S"1290 MADE IN USA GET ORGANIZED AT SMEAD.COM THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I m /rl\ I�,C�"- j IL DATA I plan to rarma tank and make it above ground bp the fall. TOWN OF BARNSTABLE — UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION OWNER AND INSTALLER INFORMATION ADDRESS: f1 , 14 J� MAP NO. jj PARCEL NO. OWNER NAME: � c = VILLAGE: _ . INSTALLATION DATE: . % ��' t --- ADD- ° TANK INFORMATION LOCATION OF TANK: e` CAPACITY /e' 6 '' ' n TYPE �C t { (( ��AGE FUEL/CHEMICAL n_r� TESTING CERTIFICATION I ] PASS E ] FAIL DATE LEAK DETECTION E ] CHECK IF N/A TYPE/BRAND ZONE OF CONTRIBUTION E ] YES. E ] ..NO. . -DATE TO' BE REMOVED FIRE DEPT. PERMIT ISSUED, C ] YES. C ` ] NO DATE CONSERVATION E ] CHECK IF .N/A DATE " BOARD OF HEALTH STAG .NO. fi ]E - ]C ]E. . ] DATE ti.J 'I PLEASE PROVIDE'A SKETCH .SHOWING. THE TANK. LOCATION. ON THE'IBACK: OF .TH'I S ,CARD .,R„�.4 ,. ,. .,._,".r,e t.s.a ': `.cd�-.'�,c�k.:Lk .i'G2..+`z!.,,.. r..F2 . .✓. �..,.:�S.x.. t s� t....,.. ..5:r ,... .. .�.,. .„ _.._9 ... . ki „-.....n,.W.^. - -. ., .... 891 Main Street, Osterville Health Division Comments Underground Fuel Storage Tank- Contents were emptied completely and the tank was abandoned in place after a permit was issued to do so by Lt. Martin McNeely of the Centerville-Osterville- Marstons Mills Fire Department (permit dated June 4, 1998). Sampling and analyses indicated there was no contamination below the tank itself. The tank was filled with cement slurry in accordance with MGL Chapter 148 Section 38A and 527 CMR 9.00. Septic System - The septic system was upgraded to meet Title V. The disposal works construction permit number is 95-814 dated 3/29/95 issued to Walter Lewis. Contamination- When the tank was accidentally over-filled on January 21, 1998, the oil spilled and traveled over the top of the pavement and across the property line into #885 Main Street Osterville. The oil spill contamination was removed from both properties (891 and 885) in strict accordance with the standards of DEP during April 1998. 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Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site otherthan 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(forgasoline orcoolant systems) Drain cleaners NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salt (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil __L--PdEW ✓USED Other petroleum products: grease, 24 f,&'/Photochemicals (Developer) lubricants, gear oil _ SEW i-� 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 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 Z) Date: TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS: J TIMID 1 O O BUSINESS LOCATION: S'll XI AIAI 57. 05WY1LLEf. MA 0269 �< MAILINGADDRESS: I MA/145 L[.EFrA4 02 Mail To: TELEPHONE NUMBER: Board of Health ��o�) �2 � ' ?7� � Town of Barnstable CONTACT PERSON: 'j EMERGENCY CONTACT TELEPHONE NUMBER: 737 ^ 630Hyannis, MA 92691 TYPEOFBUSINESS: jCP7-A1L o2Uc� MGin S�Yee Does your firm store any of the toxic or hazardous materials listed below, either for sale or for you 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. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Quantity Antifreeze(for gasoline or coolant systems) Drain cleaners NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salt (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor oils 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 fluidsNod � &L 04- hSiq (dry cleaners) Other cleaning solvents Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS c/ TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH satisfactory 2.Printers 3.Auto Body Shops , p ,O unsatisfactory- 4.Manufacturers COMPANY T,t / a + (see"Orders") 5.Retail etaFuel 8u p]ers ADDRESS Class: 7 .7.Miscellaneous QUANTITIES AND STORAGE (IN= indoors;OUT=outdoors) MAJOR MATERIAL Case lots Drums Above Tanks Underground IN OUT IN OUT IN OUT #&gallons Age Test Fuels: ,. asoline;duel_(A) Heavy Oils: was _uiot& -eiLQ tr draulic Synthetic Organics: degreasers Miscellaneous: . , DISPOSAURECLAMATION REMARKS: 1. Sanitary Sewage 2. Water Supply Z-1 41k., O Town Sewer A Pub lic &On-site OPrivate 3. Indoor F1oor.Drains YES NO O Holding tank: MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product d YES NO 2. Person (s) Interviewed Inspector Date a 06-04-1998 04:20F'rit CENT DST FIREDEPT 50B7902385 P.02 make appucauen ►o rvca. le uepartmen` Fire Department retains original application;and issues dupliieate as Permit. e • APPLICATION and PERMIT l i0.00 for storage tank remcv-,l and transportation to,approved tank disposal yard in accordance with'the provisions of M.G.L. Chapter 148,Secton 38A, 527 CMR 9.00, application is hereby made by: MUG- Tank Owner Name(p6easee print) Walcott Ames x 15vwule Apflying fm pe-9 Address 891 Main Street, Osterville,MA sneer Qw ` snare r� • • . . . _ Coma Name Advanced Environmental Advanc_d Envirenrtent:al Company Pmr Co. or Individual P»m Address I.O. Box 472, S. Dennis, MA Address P�� r Signature Signature(if applying er cermit) G IFCI Certify Other 1✓ Z; IFCI Certified = _S=w Other •riotrtIT. Tank Location 891 Main Street, Oscerville, MA S1ear,4ddm—, r y Tank Capacity(gallcrs: 11000 Substance Last Stores #2 Fuel Oil Tank Dimensions x length) Remarks: 11/ PYZQC FirFtransporritngwarze Advanced Environmental State Lic.# MV5083856100 Hazardous waste mar:ib`= Approved tank dispcs*9yard Abandon in place Tank yard# Type of inert gas Tank yard address Centerville 01920 City or Town FDID# Permit# Date of issue June 4, 1998 Date of expiration Juge 18, 1998 Dig safe approval number. 981702329 Pig S#Toll:,—_) tuber-860-322-4844 Signature/Tilde of 011cer=nting permit �A& I V . After removal(s)send F:^_r FP-290A signed by Local Fire Dept.to UST Regulatory Complierxa Jnit, One Ashburton Place, Room 1310, Boston,AM M::-8-1618. FP-M(revised 91961 TOTAL P.02 �,,py f �. � _ _ t TANKS] 81 FUEL STORAGE TANK RECORDS ] HELP [ ] FOR PARCEL NBR: 1171 0401 ] ] MAIN ACTION I] Action Tank Nbr Tag Nbr Installed Location ----Notification Dates----- [ ] [ 11 [ 2661 [0101701 [B ] Test 0214971 Rem 0706931 ---- Test --- andoned-- -- Removed -- -- Variance - [1] [0529971 [ [,060498] [ ] [ ] [ ] [ ] Fuel Reason Capacity Constr Status Leak-Det Cath-Det [D ] [H ] [ 1000] [SS] [TP] [N] [N] Additional Details [ABANDON ] -------------------------------------------------------------------------------- Action Tank Nbr Tag Nbr Installed Location ----Notification Dates----- [ ] [ ] [ ] [ ] [ ] Test ] Rem ] ---- Test --- --Abandoned-- -- Removed -- -- Variance - Fuel Reason Capacity Constr Status Leak-Det Cath-Det [ ] [ ] [ ] [ ] [ ] [ ] [ ] Additional Details [ ] -------------------------------------------------------------------------------- Cancel [ ] END OF DATA NEXT SCREEN [HMENU] ACTION [ ] PARCEL NBR [ ] [ ] [ ] ] TANK NBR [ ] [ ] 7 f TANKS] 81 FUEL STORAGE TANK RECORDS ] HELP [ ] FOR PARCEL NBR: 1171 0401 ] ] MAIN ACTION I] Action Tank Nbr Tag Nbr Installed Location -- Notification Dates----- [ ] [ 11 [ 2661 [0101701 [B ] Test 0214971 Rem 0706931 ---- Test --- --Abandoned-- -- Removed -- -- Variance - [1] [0529971 [ ] [0604981 [ ] [ ] [ ] [ ] Fuel Reason Capacity Constr Status Leak-Det Cath-Det [D ] [H ] [ 10001 [SS] [TP] [N] [N] Additional Details [ABANDON ] -------------------------------------------------------------------------------- Action Tank Nbr Tag Nbr Installed Location ----Notification Dates----- [ ] [ ] [ ] . [ ] [ ] Test ] Rem ] ---- Test -- --Abandoned-- -- Removed -- -- Variance - Fuel Reason Capacity Constr Status Leak-Det Cath-Det [ ] [ ] [ ] [ ] . [ ] [ ] [ ] Additional Details [ ] -----------------------------------------=-------------------------------------- Cancel [ ] END OF DATA t NEXT SCREEN [HMENU] ACTION [ ] PARCEL NBR [ ] [ ] [ ] ] TANK NBR [ ] a east cape engineering, inc. 44 Route 28 P.O. Box 1525 CIVIL ENGINEERING Orleans, Mass.02653 LAND SURVEYING WATER RESOURCES LAND COURT ENVIRONMENTAL 508-255-7120 SITE PLANNING SANITARY CERTIFIED PLANS STRUCTURAL Fax 508-255-3176 WATERFRONT December 23 , 1998 Barnstable Board of Health P.O. Box 534 Hyannis , MA 02601 Members of the Board: RE: Notification of Submittal of a Response Action Outcome Statement for 885 Main Street, Osterville, MA Dear Mr. Anderson: This letter is intended to provide notification to the Town of Barnstable that a Response Action Outcome Statement has been completed in accordance with the Massachusetts Contingency Plan for the property located at 885 Main Street, Osterville, under Release Tracking Number 4-13616 . A spill consisting of No.2 fuel . oil occurred at this site and reported to the MaDEP as a 2 hour notification. The owner of the site failed to provide proper notification and, therefore, the Board of Health notified DEP based on complaints by the responsible party ' s neighbor . The spill occurred in January 1998 . T An Immediate Response Action was taken at the site to remove contaminated soil in April ' 98 and the Response Action Outcome Statement closed the site as a Class A-2 RAO. Copies of this report are available from East Cape Engineering, Inc . Any questions should be directed to Mark A. McKenzie , L.S.P. Sincerely, /*� Mark A. McKenzie, P.E. ,L.S .P. Treas . - East Cape Engineering, Inc. MAM:jlo _ s r _ IMETown of Barnstable Department of Health, Safety, and Environmental Services + BAMSTABLE, 0 9. � Public Health Division �EDN1�A P.O. Box 534, Hyannis MA 02601 Office: 508-790-6265 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Director of Public Health June 3, 1998 Mr.Mark A. McKenzie,P.E.,L.S.P. East Cape Engineering,Inc. 44 Route 28, P.O.Box 1525 Orleans,MA 02653 RE: 891 Main Street,Osterville Dear Mr.McKenzie, Upon review of your letter requesting abandonment of the 1000 gallon underground storage tank at the above referenced property,it appears that the confirmatory sampling/analyses indicate no apparent release below the tank itself. Therefore,the tank may be abandoned-in-place as long as Centerville-Osterville-Marstons Mills Fire Department concurs. Sincerely, Thomas A.McKean, Director of Public Health cc: Glenn Wilcox C-O-MM Fire Department Arthur McCormic, Advanced Environmental. 4 COMMONWEALTH OF MASSACHUSETTS a EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS m a DEPARTMENT OF ENVIRONMENTAL PROTECTION SOUTHEAST REGIONAL OFFICE ' f t q v ARGEO PAUL CELLUCCI TRUDY CORE Governor Secretary DAVID B.STRUHS Commissioner Fly Q January 27, 1998 Mr. .- Wolcott Ames RE: BARNSTABLE-BWSC-ER 891. Main Street 891 Main Street Osterville, MA 02655 - RTN# 4-13616 -NOTICE OF RESPONSIBILITY M.G.L. c . 21E, 310 CMR 40 . 0000 ATTENTION: , Mr': Antes On January 21, 1998 at- 1 : 30 p.m. the Department of Environmental. Protection (the "Department".) received oral notification of a release and/or threat of release of oil and/or hazardous material at the above referenced property which requires one or more response actions . The reported condition is as follows : During a transfer of oil - from an underground storage tank to an above-ground storage tank at . the above indicated address; approximately 30 gallons of petroleum .was spilled on the ground surface. The Massachusetts Oil and Hazardous Material Release Prevention and Response Act, M.G.L. - c . 21E, and the Massachusetts Contingency Plan (the "MCP" ) , 310 CMR 40 . 000.0, require the performance of response actions to prevent harm to health, safety-, M publc ` welfare ' arid the environment which may result from this release and/or threat of release and govern the conduct of such actions . The purpose of this notice is to -inform you of your legal responsibilities under State law for assessing and/or remediating the release at this property. For purposes of this Notice of Responsibility, the terms and phrases used herein shall 20 Riverside Drive-Lakeville,Massachusetts 02347- FAX(508)947-6557-Telephone(508)946-2700 Ia Printed on Recycled Paper P ni }1 2 have the meaning ascribed to such terms and phrases by the MCP unless the context clearly indicates otherwise . . The Department .has reason to believe that the release and/or threat of release which has been reported is or may be a disposal site as defined by the M. C. P. The Department also has reason to believe that you (as used in this letter, "you" and "your" 'refers Wolcott Ames) are a Potentially Responsible Party (a "PRP" ) with liability under M.G.L. c . 21E §5, for response action costs . This, liability is "strict" , meaning that it is not based on fault, but solely on your status as owner, operator, generator, transporter, disposer or other person specified in M.G.L. c.21E §5 . This liability is also "joint and several meaning that you,. may be liable for all response action costs incurred at a disposal site regardless of the existence ..of. any other liable parties . The Department encourages parties with liabilities under M.G.L. . c. 21E to take prompt and appropriate actions. in response to releases and threats of release_ of oil and/or hazardous. materials . By taking prompt action, you may significantly lower your assessment and cleanup costs and/or avoid liability for costs incurred by. the Department in taking such actions . You, may also avoid the imposition of, the amount of or . reduce certain permit and/or annual compliance as fees payable under 310 CMR 4 . 00 . Please . refer to M.G.L. c . 21E for a'-complete description of potential liability. For your convenience, a summary of. liability. under M.G.L. c . 21E is attached to this notice . You should be aware that you . may have claims against third parties for damages, including claims for contribution or reimbursement for the costs of cleanup. Such claims do not exist indefinitely but are . governed by laws which establish the time allowed for bringing litigation. The.Department encourages you to' take any action necessary to protect any such claims you may have against third parties . ACTIONS REQUIRED Additional submittals are necessary - with regard to this notification including, but not limited to, the filing of a written IRA Plan, IRA Completion Statement and/or an RAO statement . The MCP requires that a fee of $750 . 00 be submitted to the Department when an RAO statement is filed greater than 120 days from the date of initial notification. Specific approval is required from the Department for the implementation of all IRAs and Release Abatement Measures (RAMS) . Assessment activities, the construction of a fence and/or the posting of signs are actions that are exempt from this approval requirement . 3 In addition to oral notification, 310 -CMR 40 . 0333 requires that a completed Release Notification Form (BWSC-103 , attached) be submitted to the Department within sixty (60). 'calendar days of January 21, 1998 . You must employ `or engage a Licensed Site Professional (LSP) to manage, supervise or actually perform the necessary response . actions at this site. You may obtain a list of the names and addresses of these licensed professionals from the Board of Registration of Hazardous Waste Site Cleanup Professionals at (617) 556-1145 . Unless otherwise provided by the Department, potentially responsible parties ( "PRP' s" ) have one year from the initial date of notification to. the Department of a..release or threat of a release, pursuant to 310 CMR 40 . 0300, or from the date the. Department issues a Notice of Responsibility, whichever occurs earlier, to file . with the Department one of the following submittals : (1) a completed Tier Classification .Submittal; (2) a Response Action Outcome Statement or, _- if applicable, (3) a - Downgradient Property Status The deadline for either of the first two submittals for this disposal site . is January 21, 1999 . If required by the MCP, a completed Tier I Permit Application must also accompany a Tier Classification Submittal; This site shall not be deemed to have had all the necessary and required response actions taken unless and until all* substantial hazards presented by the release and/or threat of release have been eliminated and a. level of No Significant Risk exists or has been achieved in .compliance with M.G.L. c . 21E and the MCP. If you have any questions relative to this notice, please contact Dan Crafton at the letterhead address or at (508) 946- 2721 . All future communications regarding this release must reference the following Release Tracking Number: 4-13616 . Very truly yours, Cf - Richard F. Packard, Chief Emergency Response / Release Notification Section P/MEP/re 1 CERTIFIED MAIL #Z 333 584 194 RETURN RECEIPT REQUESTED r 4 Attachments : Release Notification Form; BWSC-103 and Instructions Summary of Liability under M.G.L. c . 21E CC : Town of Barnstable 367 Main Street Hyannis, MA 02601 ATTN: Town Manager Board of Health 367 Main Street Hyannis, MA 02601 Centerville Fire Department 1875 Falmouth Road Centerville, MA 02632 ATTN: Fire Prevention Officer DEP - SERO ATTN: Data Entry.