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Home My WebLink About0015 THIS WAY - Health ol 15 THIS WAY (OSTERVILLE) A= 121 - 141 002 Town of Barnstable oF� r Regulatory Services �►` a 'b Thomas F. Geiler,Director Public Health Division BARNS A"bJZ k*'4 Thomas McKean,Director gMASS_ 0�` 200 Main Street, Hyannis,MA 02601 Phone: 508-862-4644 - - Email: healthAtown.barnstable.ma.us Fax: 508-790-6304 Office Hours: M-F 8:00—4:30 February 2, 2006 Ms.Phyllis Harootunian C15 This Way Osterville,MA 02655 Dear Ms. Harootunian, Recently a letter has been released to homeowners and commercial business owners regarding the removal of Underground Storage Tanks (UST). When removals, abandonment, and testing of the tanks have occurred, our electronic files are updated. We have found that many files have not been correctly updated and/or the proper notification was not received by our Department. The Town of Barnstable,Health Department,has completed the research on your parcel 121-141-002 and concluded that the Underground Storage Tank of#2 Fuel Oil has been properly removed. We received the copy of the UST removal and disposal form from the Fire Department that was completed by Pipeline Enterprises out of Plymouth. This information will be placed in your street file and the electronic files will be updated correctly. We thank you for your cooperation in this matter and if you have any questions about this topic or you need further information, guidance or assistance,please do not hesitate to contact the Public Health Division. Sincerely, 4I1�I�- Alisha L. Parker Hazardous Materials Specialist Thomas A. McKean,RS, CHO Director of Public Health 5 ��F Find MapfParcel 121141002 x Town of Barnstable , Health Department Health System Map/Parcel 121141002 Tar k Nbi 01 Tag Mir-]00784 Installed: 01/01/19791 Location ON B � TesfNatEficat�on Date 06/30/1991 as �7s-f Date 09/10/1992 , ti TestP " Pilian �I177777-710 �,N Al 9 Oval 0 em 5/18/200 �' Variance " aFuelStored z FuelSto aReaso�n l „ Capacity Construction h Leak Detec. x CatEtad c Dete a Storage Tank Info 000300 SS ' �> tdditionaE Details" was removed all on file � zs� �� /idd � anger 1 s f �R cn Ftnd MaptParcef 121141002 Town of�Barnstabfe , Health Department health SysteMOW m e Im MaplParcei 121141002 Tank Nbr 01 1 ag Nbr 00784 lnsta�led 01/01/1979 Location B 4i� No I � k ,� gTestlVohfication Date 06/30/1992, Status Date rRemovalNotificati n Date 01/05/2006 �estP, 09/10/1992 �� Abandon r — 7, �f aemovai' y 5 I$�01 ' up L a r kPC� Qd1 w w� - a r Fue StoredD Fuel Storage Reason H Capacity Constructwn I:eak�Detection athodic Detection c C v r. r Storage T nk tnfo 0002T3' y b� � x Z4 Ada'final Details Rr r s � a MANK ' " S Aatige 'd i:,•-." :i ,viz., ;�, t Town of Barnstable f g Regulatory Services 1 : BARN i � Thomas F: Geiler. Director Ms"cS �+ 't039. 0 �.- Public Health Division �. - Thomas McKean, Director _ 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 o: HAROOTUNIAN,`PHY LL IS tCC//J Date Friday,October 17,2003 - 15 THIS WAY OSTERVILLE MA 02655 RE: Underground Storage Tank at 15 THIS WAY Map Parcel: 121141002 - Tank NO: 01 Tag NO: 00784 Our records indicate that your underground fuel(or chemical)storage tank ;is over 20 years,old,and has not been reinoved as required by section 03: subsection 2 of the Town oeBarnstable Health_ Regulation regarding fuel's"ni!'chemical storage systems. You are directed to remove this tank sixty(60)days from the date of this notice. After your tank is removed, please furnish this office evidence in the form of.a permit from your local Fire Department within ninety(90)days of the receipt of this notice. ,Z You may request,a,hearing provided a written petition requesting same is received by the Board of �� k Health within ten (10)'days after this order is served. �\ Town of Barnstable Regulatory Services Thomas F. Geiler. Director 1 39 Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 To: HAROOTUNIAN,PHYLLIS Date Thursday,January 05,2006 15 THIS WAY OSTERVILLE MA 02655 RE:Underground Storage Tank at: 15 THIS WAY Map Parcel: 121141002 Tank NO: 01 Tag NO: 00784 Our records indicate that our underground fuel or chemical storage tank is over 20 ears old and Y g ( ) g Y has not been removed as required by section 326-3:subsection 2 of the Town of Barnstable Code regarding fuel and chemical storage systems. You are directed to remove this tank within sixty(60)days from the date of this notice. After your tank is removed, please furnish this office evidence in the form of a permit from your local Fire Department within ninety(90)days of the receipt of this notice. You may request a hearing provided a written petition requesting same is received by the Board of Health within ten(10) days after this order is served. Per Order of the Board of Health Thomas A.McKean,RS,CHO Health Agent L D 57CW SVWeeea - 61#Ze 4 fk State 9&e Xandd ERECCEIPT OF DISPOSAL OF UNDERGROUND STEEL STORAGE TANK Form FP 291 NAME AND ADDRESS OF APPROVED TANK YARD J . •v 2 Readvill • APPROVED TANK YARD NO. �yv Tank Yard Ledger 502 CMR 3.03(4)Number. 00 1 1 I certify undergnalty of law i have personally examined the underground steel storage tank delivered to this'approved tank yard"b r firm,corporation or partnership f—r (AEU ry IE ENTO2P&J.t.ES . and accepted same in conformance with Massachusetts Fire Prevei ition Regulation 502 CMR 3.00 Provisions for A�provir�g Underground Steel Storage Tank dismantling yards. A valid permit was issued by LOCAL Head of Fire Department. FDID# �_ _ a[ to transport this tank to this yard. Name a al title of approved ak j%%d er or owners authorized representative: �- Ici o r SIGNATURE' TITLE DATE IGNED This signed receipt of disposal must be returned to the local head of the fire department FDID# pursuant to 502 CMR 3.00. EACH TANK MUST HAVE A RECEIPT OF DISPOSAL Make application to local Fire Department Fire Department retains original application and issues duplicate as Permit. _ APPLICATION and PERMIT Fe : $75.00 for storage tank removal and transportation to approved tank disposal yard in accordance with a provisions of M.G.L. Chapter 148, Section 38A, 527 CMR 9.00, application is-hereby made by: • Tank Owner Name(please print) Philis Harootun;an X Address 15 This W= Osterville HA 02655 Removal Contrador Company Name Pipeline Enterprises Co.or Individual National Eavirouden al Phnt prim Address 57 River St.. Plymouth MA Address 282 Nain St., Newton NA �.0 Sig t e(i pplyin for ce ) Signature(if applying for permit) IFCI Certified Other V IFCI Certified = LSP C ther Tank Location 15 This _jLay Osterville,.M& weer add a �y Tank Capacity(gallons) 275 gallons Substance Last Stored Tank Dimensions(diameter x length) 26" x5 ' Remarks: Firm transporting waste National Environmental State Uc.# Hazardous waste manifes� E.P.A.# Approved tank disposal yard (,ranrc Tank yard# 1050 Type of inert gas _n= 7rP Tank yard address City or Town OGtPrville FDID# 01920 Permit# Date of issue. clay 18, 2001 Date of expiration Dig safe approval number. T01031144— 10120 Safe I r el.Number- E222-4844 Signature/Title of Officer granting permit After removal(s)send Form?-290R signed by Local Fire Dept.to UST Regulatory Vompliance Unit,One Ashburton Place, Room 1310,Boston, MA 02108-1618. ' ----— TA NK REMOVED FROM TANK DA 5/ S -rN 15 LA- � f Gallons (No.and Street) Previous Q ntents � `��' �a �yLt�I LA,t_ Diameter Length• / t SS (City or Town) �G I,Cn Date Receb ed S c C1 N Fire Department Permit# 05-21=20FE11 12:16PM CENT DST F I REDEPT 5087302305 P.02 rvtaKe app1tcaa1an tv mcat rtre ueparrmen� { Fire Department retains original application and issues duplicate as Fermit. C'j7�11eC7iG �L n i r ` _ jac7irL`7watzG fha� e�z��cce�- �cw��2�Gozohe z3 c n• APPLI A1"I0ON' and PERMIT Fee,_ 25.00 for storage Tank removal and transportation to approved tank disposal yard in accordance with the provisions of M.G.L. Chapter 148, Section 38A, 527 CMR 9.00, application is hereby trade by: NMI= I{ Tanis Owner Name(please print` Philis Harootunian 1 akP-.SzVrd(it 5Q rv. rpdlmij r Address_�5 Thin Ostervi.11e MA 02655 i srreer — cry — — Srar• dia � ! i I I Company Name Pipeline Enterprises Co.or Individual 1ational Environmental Prot Putt j Address 57 Rivea_St., Plyrnout MA____- Address 282 Main St., Newton MA I rrtt ?r.'rr Sirs tt e ii pplyine fcr pe ) I Signature(if applying for permit) ! 1FCl Certified Other 1;--!Certified _ 4 S P- Other -- i Tank Location. 15 This Way _ -- Osterville, HA Tank Capacity(gallons) ! allons � Substance Last Stored_ #2 fviel oil Tank Dimensions I1 C(dfalnete x lengthy}t �726" x-551 , Perna 1 s: �&-•P R&O R1 Jil- 3 I Firm trarspcHng waste National Environmental _ State Uc.+'«__ I i I Hazardous waste manifes—, _E.P.A.# ----_----- f Approved tank disposal v&d rrtnnrc_ Wank yard — i Type of inert gas ux;X_X C e Tank yard address 21 taa l rot S p Rea dvi l HA City or Town Ostervill e _ _•r.F-o of 01920 -Permit# T_ I Gate of issue May 18,�-,.,2001 --Date of expiration .� i Dig safe approval number — I Safe I r al. Number•800.322-4844 ! r i I Signatsre/Title of Officer granting permit f + After rernoval(s)send Form P-29OR signed by Local Firs Oept.w UST Regulatory omplianca Unit.One Ashburton dace, Room 1310, Boston,MA 02108-1618. __-- oFt� Town of Barnstable HARNSTABLK Board of Health 9 �As 1639 a` P.O. Box 534, Hyannis MA 02601 Fp Mpl Office: 508-862-4644 Susan G.Rask,R.S. FAX: 508-790-6304 Ralph A.Murphy,M.D. Sumner Kaufman, M.S.P.H. To: HAROOTUNIAN,PHYLLIS Date Monday,March 05,2001 15 THIS WAY OSTERVILLE M 02655 RE: Underground Storage Tank at 15 THIS WAY Map Parcel: 121141002 Tank NO: 01 Tag NO: 00784 Our records indicate that your underground fuel(or chemical)storage tank is over 20 years old,and has not been removed as required by section 03: subsection 2 of the Town of Barnstable Health Regulation regarding fuel and chemical storage systems. You are directed to remove this tank sixty(60)days from the date of this notice. After your tank is removed, please furnish this office evidence in the form of a permit from your local Fire Department within ninety(90)days of the receipt of this notice. You may request a hearing provided a written petition requesting same is received by the Board of Health within ten(10) days after this order is served. Per Order of the Board of Health Thomas A.McKean,RS,CHO Health Agent LOCATION SEWAGE PERMIT NO. VILLAGE Q��wide INSTA LLER'S / NAME & ADDRESS a (:B—U I L D E R) OR OWN ERA P#4/3 7-0 oh t Z7k , , 77/,5 Gr/Ly_ DATE PERMIT ISSUED DATE, COMPLIANCE ISSUED v l ,uP 4 Ile �- No... ............ " ' N' 11 ............................. THE COMMONWEALTH OF MASSACHUSETT bh/ BOAR® OF HEALTH ��1.� ........ OF..... A,c .......................................... Appliration for Uiip.aiial luork,5 Tnnitrnrtinn rumit Application is hereby made for a Permit to Construct ( v�'or Repair ( ) an Individual Sewage Disposal System at: System it&q.......... `�:! � 1. ------------------------------------------Lar....... ............................... I Address or Lot No. -•••--•--•---•.n f 1_ . .........m &-zow . Owner Address .................... Z A."5------------- z ✓ f............. ................................................-................................................. Installer Address < dType of Building Size Lot------- ....Sq. feet Dwelling—No. of Bedrooms.................. •.- ____-__-Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures ----------------------------------- W Design Flow................... .. gallons per person ppr day. Total dai17 flow---------....__.____._...__.____._.____..__..gallons. WSeptic Tank—Liquid capacityl042�_g &allons Length.. -�&`_. Width__..�:.Idbiameter---------------- Depth..5./:nf. x Disposal Trench=No. -_----_-----•_-- Width.................... Total Length.................... Total leaching area..... ........sq. ft. Seepage Pit No........A---:------ iameter.......... `.___. Depth below inlet___._ ........ Total leaching area.." ...sq. ft. Z Other Distribution box ( Dosing to ( ) ~' Percolation Test Results Performed.by.__S:__ _....�.t �---------------- Date....�Q.:_.% a minutes per inch Depth of Test Pi ___ p ground Test Pit No. 1._.__��.__ ___._.Z--_.___ Depth to water...................... Test Pit No. 2................minutes per inch Depth of Test Pit__:.......40------- Depth to ground water..._._............................ ...---------••----•-------•--•.............•--------------........._....................•••...••----......................................................... 0 Description of,Soil..................V B=).,1-lIkV1,.------<A .:.-•----•-••---------------------------------------------------------•-•---•-•-----------------•------.. U. --------------•-•--------- ------- ---------------------------------------- ---.......... W --•-------------------------- ---------------------------------------------------------•-•-------------------------------------------------------------.........-...................................... UNature of Repairs or Alterations—Answer when applicable............................................................................................... --•-----------------------------------------------•-------•---------------------------.....------•-----••--•--•--•-----------------•---------------------------------------••--•---•-................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of SIT .;.;. p 5 of the State Sanitary Code—The undersigned fur r agrees not to.place the system in operation until a Certificate of Compliance has been issued the b of ealt . Date PP PP Y ,�•• a-d---- A Application, roved B .._.._--. •�-� ------------------� -..._.. .. y� - t Date Application Disapproved for the following reasons:--------------------•-----•------•---------- ----•--------•----------------------•----------------........._ -------•--•--•------••-------•-•-...•----------------------------•------....-----.._.........•----------•--•--------------•--•---•--------•---•----------------•------------------------------•-•--_.... Date Permit No......................................................... Issued.1�:' 7 No.____.__••-x .. Fxs.. 5�...... ..� THE COMMONWEALTH OF MASSACHUSETTS BOARD O.F HEALTH ..................... .............................. App irFation for 14tipos al orkii T11notrurtion rrntit Application is hereby made for a Permit to Construct ( <Or Repair ( )..an Individual Sewage Disposal System at: 1 .....- . Location Address or Lot No. ...................::.......................••---••-•••----______________________..-•--•••----_ ..........__..............................................................................._..... Owner Address Installer Address ' �,�, , A` 'n__M?---_Sq. feet d Type of Building Size Lot____. Dwelling-No. of Bedrooms____________________ __________________Expansion Attic ( ) Garbage Grinder ( ) Other—Type e of Building No. of ersons____________________________ Showers '— Cafeteria CAI YP g -------------"-------------• P ( ) � ( ) Other fixtures _. ""-_""••"--"•••••••- W Design Flow.................... _________________ `mot Try ° _..gallons per person per day. Total daily flow........1 __ � ______gallons. WSeptic Tank—Liquid capacity.�9Ir€___gallons Length.��:'..t!1'_ Width_..k _.A 'Diameter................ Depth__,' '__... x Disposal Trench—No__________ _________ Width... ............. Total Length.........._......... Total leaching area._..................sq. ft. 3 Seepage Pit No.........I.......... Diameter......... ..... Depth below inlet__-,_4?......___. Total leaching area._' .....sq. ft. z Other Distribution box ( t1 Dosing tank ( ) Percolation Test Results Performed by......._. �, ,._..._ .______________ Date.....1d-_%24`-7k-t___.. ,aa Test Pit No. 1__.. _._minutes per inch D th Test Pi _____. __._._ Depth to ground water_.___..."".°:_____-__ . Test Pit No. 2................minutes per inch Depth of Test Pit----------n_....... Depth to ground water....................... Ra' ; -------------- •-•••-•-•-- -•---•--•---•••-•--•----•-------------- DDescription of Soil................ M,41A..--"- : . 1 "-""-"-"--""--" "-""----"-"---"-"-"---"-"""--- .. , . , . W .................................X ---""-"-"------------------------"-------------•----""-----"---"------.---------------------""-"-•-----"---""-""-----"-"-----"-"---"-"------------...__...""""-- UNature of Repairs or Alterations—Answer when applicable:._:________ __________________________________________________________________________________ J Agreement The undersigned agrees to install the aforedescribed Individual-•Sewage Disposal System in accordance with the provisions of TIT1.; 5 of the State Sanitary Code.—,The undersigned'furtloka�rees not to place the'syste operation until a Certificate of Compliance has been issued by•the board of health. , ; �. ...... -- ........................................... ..... if Date Application Approved.By...... r= G`?' -"-""--h 12Q'_.-_'71 �r Date Application Disapproved for the following reasons:"-"-•""--•------•__................. -"---""-----"""""--------------.•-•----•--•----••---•........._ ....__-•••______________ Date PermitNo........................... r .................... Issued.-"- .. .........................................Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF EALTH ........ .......OF.............. ..... . ...................................... �rrtifiratr of Tonistri anrr THIS TO CERTIF , Tha Individual Sewage Disposal System constructed ( or epaired ( ) by-•-• y -n-•11................................_...._______ I sta er at...... •- -- - -- ---.... .. _ -- •fit t�-----;;,;,;- -- _.- - -=--• - - - -------- has been �nsta le m ace ance with the provisions of TI r > o The tate Sanitar de s described in the application for Disposal Works Construction Kermit No:.___. _ ___ ..__ dated'.. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CON UED GMARANTEE THAT THE ,.. SYSTEM WILL FIJN61ONd SATISFACTORY. DATE_.. Z-1 .:`.. °{f Inspector "-"-�-- ----- ............ ..."""""". S. THE COMMONWEALTH OF MASSACHUSETTS BOARD HALTH .9' ................... OF............ - ...-•------...-----............................. 'yam FEE......f"!_ Maps 'ark.o (9 tr n prrinit to Construct on is oerebe a>.r nted Indiv�} _ g ____ r _.. ._:_ ___ _. ____ ______________ __________ __________________ p T' '`( •dual e� Disposal eA >. f��._._ • Sfre as shown on the application for Disposal Works Construction"Permit No to 41, ............... ... _ -_ ___ __ .......... Board of ea h ,, DATE = .. ; FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS, l.�' !� •jv�1_JL•�� lei..{\ Ito d. t-'tT List` loci, Gdl.. _itJ,1LL /aZEk "i7TA L LA,t Lti( 1~t1a4V = "�3D 6 F'D. IV� ' ::^Dt.tl.Tlnt.f QQTE : ('�t4,.1 2}+rt t tJ• 02 L�-`F�. 10 D r S o. f fj TAQ 1 ,04 / r Pir 00, Tap ao.o 77, i rs,? 44-4, pax N 4S1 DINV. 1w GAL. r pJw IT V4 t•ryar1��/d �z WASti[Its5T C-SZT1rrraC LO-r- 4>t. A LOCATtC V-4 •� PddFanS r•p. .: r_f.t+LTii~yr Tt4A-r T14G {~ ��NCATtoNSUawi.l 1�t_A>}.t Pig CRFs-.1C; '• '.f ':t :�`r.i Cc�►1vtt�L�{S �c1 f Tl-1 TIA I/�-:.mot Li .�.'f�--•'�-� 1 .�,/ � i �'-'�i �1.�'''r � �rl CLC G 1 i'C:w C� !-A}-t C7c>�v Ytz T T1 �t5 PLAW IS WOT �:-I;1►_'c•l��t,f:,i�t j" d,>Ur:'Vf✓`t' ;� �-t•1� r.�t=i;'�i:1"�i 9t-�C�tsJt..p u�fr t"ca t�c��c�ktt �-. Lo. A�nt..l c_,�,t, l-C- �'c'JA-i -r- &I } . _ .-. . - .., � r.ti„fC`^ ..,•� ...� r�.14_ F ,v.. n Ya, ..-:_.r.. r{ ^.a.r'tj�yx�'*'�"'. ..-:�.'M.;F'�.✓`.. _;1+. "..J•._.?':. d.s., ..q�.. F �.^i _ . .. - F TOWN OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION p gg OWNER AND INSTALLER INFORMATION ADDRESS: ! 1 v/ MAP NO. I PARCEL NO. 00-1 OWNER NAME: �� f 0 f �l 0Ottt)/,I I fi 14 VILLAGE: INSTALLATION DATE: I �' BY: t /�. UY N J 7[ + ADDRESS- Co f r� 1�srii. C'�� d CERT. NO. r TANK INFORMATION " 1 'i7�i - !r LOCATION OF TANK: L c-F S I f& .N E A 100 I t..I c rQ i r'. LA F CAPACITY 7 TYRE'()A)DERGO' E ` �p�FUEL/ HEMI'CAL TESTING CERTIFICATION C I PASS C I FAIL DATE F' 'i LEAK DETECTION C�] CHECK IF N/A TYPE/BRAND ZONE OF CONTRIBUTION C YES C I NO DATE TO BE "REMOVED- FIRE DEPT. PERMIT ISSUED C " ] YES C 7 NO DATE CUNSERVATION C J CHECK IF N/A DATE BOARD OF HEALTH TAG NO. 3E ]C ]C ] DATE F , PLEASE PROVIDE A SKETCH SHOWING THE ,TANK LOCATION ON THE BACK OF #THIS- CARD �\ _- xl, ' � I rs c