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1574 OLD POST ROAD (CT & MM) - Health
'1574®Id Post-Road j Marstons Mills i A = 058. 023 i i' f I 0 _AZ_ 3 No. �"`�" Fee — `` 1 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZippYication for ligpozal 6pztem Construction Permit Application for a Permit to Construct(✓)Repair( )Upgrade( )Abandon( ) L7 Complete System 0 Individual Components Location Address or Lot No. ��—,� O/ ����'—f Owner's Name,Addre s and el.No. 01"h5T. ���. �r�Csr , Assessor's Map/Parcel /*,-t5 -P& g/`_ AoXel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Lomas yo-rtee Type of Building: Dwelling No.of Bedrooms D Lot Size i� sq.ft. Garbage Grinder(4/0 Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow '�`T gallons per day. Calculated daily flow X 7tT gallons. Plan Date Number f sheets Revision Date Title � 15�`D �9 Size of Septic Tank ® Type of S.A.S. 7 'aS—���4f G ll'�' ✓S Description of Soil b 7 Nature of Repairs or Alterations(Answer when applicable) 176Z,61 Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by ' and He Signe Date Application Approved by Date 1 Application Disapproved for the following reasons Permit No. ® Date Issued ------- - - - - -- - - - ----------------------- /.� 41 No. "t „ Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: K� Yes PUBLIC..HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 2pprication for � gpool *pgtem Congtruction Permit Application for a Permit to Construct(V)Repair( )Upgrade( )Abandon( ) LJ Complete System ❑Individual Components Location Address or Lot No. I S-J�! D/w ��� !� Own`e]r's Name,Addre s and el.No. ,/ Assessor's Map/Pazcel `, �U�O��� ��� 7 1`�Sr Installer's Name,Address,and Tel No. Designer's Name,Address and Tel.No. Y5 .�ZW.5v-1/rol Type of Building: Dwelling No.of Bedrooms Lot Size 7 sq.ft. Garbage Grinder(410 Other 'Ilype of Building Wl!/C O SIB No.of Persons Showers( ) Cafeteria( ) Other Fixtures �Urlrjrl f' Design Flow_ ? gallons per day. Calculated daily flow 7� gallons. Plan Date 2 A2 Z 70,3 Number pf sheets 7— Revision Date � � 7 Dl,/ Title S 1^f 1,1 e' G� 16PA D We h 1601 S, wj A/V ..S _ Size of Septic Tank Type of S.A.S. 7 G Qom' ✓S Description of Soil Nature of Repairs or Alterations(Answer when applicable) 111fa Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this-Board of Health. Signed 1` � .� � Date Application Approved by Date - Application Disapproved for the following reasons Permit No, Date Issued 11-2 THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS L Certificate of Compliance � THIS IS TO CERTIFY,that the On-site Sew ge Disposal System Constructed( )Repaired( )Upgraded( ) Abandoned )byJO� % � 5 at 1 _.7 L-1 611/� �'GSy. / S has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. o 1�u_ 1(4, dated Installer Designer 1 tyll The issuances of this permit shall not be construed as a guarantee that the stn 11 func/iron as desigrie . Date ��! G Inspector 4^1 '`�-� ►'�` --------------------------------------- - No. C �7 U V-� Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Oigpogaf &potem Congtructton Permit Permission is hereby granted to Construct(V) . epaj( )Upgrade( )Ab ndon System located at and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construc ion mu t be completed within three years of the date of percriit. Date: J 7/ Approved by�� Town of Barnstable * �j"E r Regulatory Services do t I Thomas F. Geiler,Director mumirABLz M^S& Public Health Division i639. '°rFow►as° Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: 'L7 Sewage Permit# Assessor's Map\Parcel 5 43 Designer: T_ 0 VZ Installer: ZD,'r 71 4-0�� Address: go z5-5- Address: �5 �LI GtSI`Y5��'al, 4 Z__5 z 2 AlaC> On ��'�'�"� ,was issued a permit to install a (date) (installer) septic system at based on a design drawn by (address) a+ le-. c— YO/Z dated 1,4A.1 647F-5—, ✓/5,0,) (designer) �C I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local ions. Plan revision or certified as-built by designer to follow. TN oF��gs®� WILLIAM �G UEBEF?MAN m► i NO 23971 A L (Instal is Signature) �o SST ► QNALE% (Desi 's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q: Health/Septic/Designer Certification Form 3-26-04.doc 1 TOWN OF BARNSTA.B-LE SEWAGE # Z�C 1Z LOCATION _ - D � VILLAGE .5 ASSESSOR'S MAP & LOT d "vz R'S NAME&PHONE NO. INSTALLE SEPTIC TANK CAPACITY LEACHING FACILM: (type)' ? / �' (size) NO.OF BEDROOMS_ l ``-4 BUILDER OR WNE "'�" PERMIT DATE: Al COMPLIANCE DATE: Separation Distance Between the: Feet Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Private Water Supply Well and Leaching Facility (If any wells exist Feet on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility(If any wetlands exist Feet within 300 feet of leaching facility) Furnished by ii G 7, 3 z � � Town of Barnstable Hazardous Materials On-Site Inventory and Inspection FACILITY INFORMATION: Business Name: (T64ST42 �QU/PMEAIT 6AJTA-" Business Location: /5 ®Lb LOST Yb. /��i�STOAJ A/1-LS Mailing Address: AS m30✓C Telephone Number: JVt 2P"—8"S-6,K Contact Person: W'q. JO#xJS0 u,C t-�J6vkC- A1.4,t/� Emergency Contact Telephone Number: ` —' � - H� geL Type of Business: L/VI)SC.4PIA14 EQ UOP"CE JT tfCOA-L HAZARDOUS MATERIALS (CHAPTER 108) Virgin Product Total Quantity Container Size(s) Storage Location Major Materials Gallons or Pounds Quarts,gallons, Shed,retail store, drums,tank,etc... cabinet,closet,etc OlL .� srRGKE '�!!'[1�aJS .2•G ra /J.&P-ouucc ETA/L O T1YVC_��k/ $'� ��snL6�S (A) ss(i4l OA JXV1 Cy,4PA46 t Jb OIL- e204RF e0A17A1NEW4 E72t/L STdIQE �.5'�a-u��s /3 1rCn&-rs �Nd i v/d u4L_ t-7 S>D�E H I,SaaA JE�Jeous G® dui -T Lu O21cAu� ��S C�uD�IS CcN%A.WC2S /LSfD fjC h{15 CO-LAAJ6605 r��� � A}c c�NS ONE"kAT AA JD U�ss�E e*- OF2,S � N�s 4V dOAJ&AA/ vvAs-7F0I1_ ems-4A-4,L6,JS 0) 0_4ki-6,6,J GkkA6E 2>RxAt M15Q -AK)fWuS u���e[vM1 A45 t4nIS p-LkKK/}�3 SPA fAlfir ovac,rsfR� 3ro2E eLANtkA L �6.ro D�S CA-WS /iiZ44E 5Td E b lC �.Cl C/+LUAIS SPRAY CAIJS V6_7-k14_,37a10LC AMD— FgEEIE 't C7/+1J-0'JS - 1 - DA(E. 6M-4- 9 nE7;k/L_,37T .£ CbAI 771-/iJO2S Wkr,_.t-.SC)Lv -r fv 6AUotis 77AkR75Ltt-��Ic-� C�/}R/}CgC `FIB-AlJS k(SS i Q AJ Y'4 H"N S lcG T C7 AieAej E r—L.0 c D Misc. Combustibles Misc. Corrosives Misc.Reactive Misc.Toxics Inventory Total Amount: APPkOX lHk7-CLy '�f Cr4-"-OATS Hazardous Materials License Posted?Yes Contingency Plan Posted? Yes Fire District: Fire Extinguisher Service Date: D Metal Covered Rag Bin: Yes o es Absorbent Material Available? No Type of Absorbent: peedy D Pads Pigs Other: MSDS on sites es o and Cop Computer Access Hazardous Waste Handling Hazardous Waste Generator Identification Number: _ Ila-Vne-2 IVA Q;e- A 4PUL7b �-�• Type(s) of hazardous waste product(s): W A,31r ©/L P,+R73 0444 5aLVCN7- Date of last hazardous waste shipment,type of waste and quantity: �it/KNOtd/i� Hazardous Waste Transporter(s): xJSP-OR- WAS 1T-OIL /'Z a O 7-O Lcw l qY Designated Hazardous Waste Facility:�sr�O R �� �G #N `satvr�l r Hazardous Waste Storage Area Description: IRE 6GI/-f-/✓E CA-"4 AJ bleg g ®F UZA S Tr SAA KL62W3' 75 WASbLEV- /307-# 3 C A/ A E ©AJ 60PJQe 6ZG10 Is hazardous waste storage area labeled: Yes No Are tanks/drums/containers labeled with the words "Hazardous Waste",the tyne of waste and the associated hazard(i.e. ignitable,corrosive,reactive or toxic) Yes No If hazardous waste is stored out of doors is it covered from the elements? Yes No */,4 Is it in 110% containment? Yes No If hazardous waste is stored indoors is it on an impervious floor? es No - 2 - i, FLOOR DRAINS (Chapter 381) Town Sewer Account Number: &IA Indoor floor drains: Yes o If yes,circle one,does it discharge to a: holding tank dry well on site septic. Outdoor surface drains• es No If yes,circle one,does it discharge to a: holding tank dry well on site sept c. FUEL AND CHEMICAL STORAGE TANKS (Chapter 326) Underground Storage Tank(s) on site? Ye<Oplf Age: Is removal required? Yes yes,when? Is testing required? Yes No If yes,when? Out of doors above ground storage tank on site? Yes No If yes,is it protected from the elements? Yes No If yes,how? Is it on a foundation larger in size than the tank? Yes No COMMENTS/RECOMMENDATIONS/C RRECTIVE ACTIONS HO DO P fD-IZ-ID P bau E 40 Date: s / x0/U Public Health Inspector:.-- Facility Representative: (eim 10 of � y Uto t4t 'aD I D � -be�llllzl'), � U IdL'��T 1 HufSbA{ O&T= Xr, 7,010 I:00-PM(.. maps and routes — wall posted;&100% sprinkler protection for the two story building. ---------------------------- LF 1 I I _J I I 1 ip I R Y\ Y• ............. T� 1 �fp 7) �p�1L I�� P0.0gLT: h�-bYil7 PIA�s fare r�TM���!" �. - Gah�fAL CQUIPf1Q1T R-�NT/y NG. P l ��W...MO�ip I.•uci.lsa'_ "-ATION _ Mw� _ TNsiY RLP Indll�tr n�MI.. — O GRE 6 XTJ N GuiStuR p �x►T . . Q SPILL VIT Page 6 Coastal Rental Equipment Co.-Marstons Mills,MA- Hazardous Materials Management Plan Massachusetts Department of Environmental Protection For DEP use: FMF# Bureau of Waste:Prevention':— Hazardous Waste Generator Registration Important: When filling out DEP Region: ❑ NE E ❑ CE ❑WE forms on the computer,use I am registering as: only the tab key to move your cursor-do not use the return Very small quantity generator of hazardous waste(less than 220 pounds or 27 gallons/month) or key. ❑Very small quantity generator of waste oil (less than 220 pounds or 27 gallons/month)or r ❑ Small quantity.generator:of waste oil(220 to 2,200'pounds or 27 to 270 gallons/month) /Tip Naomi o company ,Mailing address Keep a copy I / /Z 4-A.; r! /�� �.'/j/J A ������`' �i f!!(��L1r�,31`✓a.C.L-C� idi l}4 for your files City/town State: -``,a:: Zip code E-mail Address Street address where waste is pro,used City/town State', Zip code Type of business SIC code Note:If you do I y not have a MAD, MV ��)e e+ZFi 6 Rog MAR,or MA5 Generator Registration Identification Number(12 Characters) Number,use MV, followed by your : ;;ns,. Area Code and Hazardous Waste Gallo per Disposal; Storage, Treatment, and/or Recycling Telephone Generated (check) Montfi Priorto Number. Treatment, (Name of company and address where waste is taken or Recycling or I type of treatment or recycling on site of generation) Disposal Waste Oil 1C? ❑ Solvent ❑ Acid or Alkali - b , Other(name): Return the I CERTIFY THAT UNDER PENALTY OF LAW I have`personally examined and am familiar with the signed original to information submitted in thisdocument and all attachments, and that based on my inquiry of those the appropriate individuals immediafel res '. sible for obtaining the information I believe that the information is true, MassDEP y. P,.:;; g , Regional Office, accurate, and complete. I Attn:BWP I G NU of operator Signed I DaRX Title genreg•7/10 ;;'"s Generator Registration•Page 1 of 3 4' II jl, Number Fee 1087 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that COASTAL EQUIPMENT RENTALS, INC. 1574 OLD POST ROAD, MARSTONS MILLS,MA 02648 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 6/30/2012 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF, D.M.D. 6/30/2011 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health ' Cit-zen Web Request Page 1 of 2 t 77 r Citizen Request Management - Internal Use ' Request ID: 31828 Created: 8/17/2010 11:18:14 A Status: Closed Assigned To: Martin, Cynthia Health Office Anonymous: Yes Category: Chapter 108 Hazardous Materials E.C. Date: 8/31/2010 Created By: Parvin, Lindsay Citations: Health Office Time Worked: 1.00 Response Time: 8.00 Requestor Details: Email Li Request Location: Coastal Equipment 1574 OLD POST ROAD (CT& MMIL) Marstons Mills, Ma 02648 Parcel Number: Map: 058 Block: 023 Lot: 000 Request: Requestor reports witnessing.(on 8/14/2010) an employee rinse oil off equipment into a catch basin with a pressure washer Request Work History: Internah Note History" System entry on 8/17/2010 11:18:15 AM: Assigned to Martin, Cynthia Entered on 8/31/2010 11.24:40 AM by Martin,Cynthia Site visit conducted on 8/19/10. Met with Bill Johnson, who stated that rental equipment is sprayed off with high pressure water, no detergents used. Provided Mr.Johnson with a vehicle http://issgl2/IntemalWRS/WRequestPrint.aspx?ID=31828, 8/31/2010 Citizen Web Request Page 2 of 2 washing policy. No further action required as regards this complaint. However, it was determined that Coastal-Equipment is subject to the Hazardous Licensing requirement and an inspection was performed. System entry on 8/31/2010 11:24:40 AM: Request Closed by martinc http://issgl2/IntemalWRS/WRequestPrint.aspx?ID=31828 8/31/2010 TOWN OF BARNSTABLE ✓ LOCATION /9/4 eOSIL��' SEWAGE # Z 6k2l/Z VILLAGE ��/S�D�1S �f��/s ASSESpSO/R'S�MAP & LOT d -Oz INSTALLER'S NAME&PHONE NO. O/� SEPTIC TANK CAPACITY 2J�o LEACHING FACILITY: (type) 7 ✓-0- mLdndei (size) NO.OF BEDROOMS BUILDER OR WNE PERMTTDATE: a° COMPLIANCE DATE: 1 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 dl Z 4f r ! A 30 8 �. 3 Z Number Fee 1087 THE COMMONWEALTH OF MASSACHUSETTS 100.00 Town of Barnstable Board of Health This is to Certify that COASTAL EQUIPMENT RENTALS, INC. I574 OLD POST ROAD, MARSTONS MILLS, 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 6/30/2015 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2014 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health Town of Barnstable FIHE T Regulatory Services Richard V. Scali,Director 9'"R�"S. Public Health Division 1639. �0 prFo �° 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. 7 DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT \SZ TELEPHONE NUMBER SOLE OWNERS YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO.Q('— V(6-4 at4 STATE OF INCORPORATION 1"i IATSS FULL NAME AND HOME ADDRESS OF: 4 e, PRESIDENT TREASURERS CLERK A- r /s SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# Q\Application Forms\I-3AZAPP.DOC C. tizen Web Request Page 1 of 2 µ lx Wei TZyF`3 P�yf'� / '% ri'�,. u,,. y Citizen Request Management Request ID: 20249 Created: 8/7/2006 10:25:29 AN Status: Closed Assigned To: Parker, Alisha N � Health Office Anonymous: Yes Category: Chapter 108 Hazardous Materials E.C. Date: 8/9/2006 Created By: Fontaine, Tina Health Office KIM Time Worked: 1.00 Response Time: 42.00 ► Requestor Details: i ±' ► Email: Request Location: 1574 OLD POST ROAD t Marstons Mills, Ma 02648 J Parcel Number: Map: 058 Block: 023 Lot: 0 00 Request: They are washing their equipment and the grease/oil from the equipment is going into the storm drain. Request Work History: Entered on 8/14/2006 2:02:31 PM Last modified on 8/14/2006 2:03:06 PM 8/14/06 ALP went to said location, address is for Coastal Equipment Rentals, Inc. I drove thru the parking lot to count number of storm drains, there are approx. 5 on site. 2 located in the parking area, 2 located at the end of the driveway (one on each side) and 1 located on the curbside of the property. Took photos of 2 drains, there is no evidence of petroleum products nei or in the drain. I spoke with Bill Johnson, store manager, about the complaint. They rinse down a the equipment after each use with a high powered hot water pressure hose. No detergent is involved. Equipment used: bob cats, lawn mowers, wood chippers and other miscellaneous piece! of equipment. I will provide Bill with a vehicle washing policy and a copy of the complaint. Recommend: no use of soaps and no under carriage rinsing. Bill will provide me with any tight tank information on site if applicable. No further action required ► Internal Note History: 'I http://issgl/intemalwrs/WRequestPrint.aspx?ID=20249 8/14/2006 I F tNE l� Town of Barnstable BARNsT"L& 9� ,MASS.9 Board of Health QED MA'S A P.O.Box 534,Hyannis MA 02601 Office: 508-790-6265 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman Ralph A.Murphy,M.D. ADOPTED February 23,1999 VEHICLE WASHING POLICY Vehicle washing is expressly prohibited at any and all automotive repair shops,bus companies,automobile sales businesses,municipal owned repair garages,vehicle rental businesses,and any other businesses or governmental agencies where an approved car wash system is not provided which meets all of the requirements of the MA Department of Environmental Protection and the Town of Barnstable General Ordinance,Article 39. The spraying or rinsing of an engine or under-body of a vehicle is also considered ,,vehicle washing"regardless of whether or not soaps are used to wash or rinse an engine or under-body of } a vehicle. Exemption,Water from a Garden Hose with a Common Spray Nozzle The use of a garden hose to spray potable water only(without soap)to rinse dust and debris from vehicles is not considered"vehicle washing"for the purposes of this policy. However,the washing or rinsing of an engine or under-body of a vehicle by any manner is not exempt,regardless of whether or not a garden hose is used for these activities. Penalties Failure to comply with the Town of Barnstable General Ordinance,Article 39,may result in a non-criminal ticket citation of$75.00. Each day's failure to comply with the General Ordinance shall constitute as a separate violation. PER ORDER OF THE BOARD OF HEALTH Susan G.Rask,R.S. Sumner Kaufman,M.S.P.H. Ralph A.Murphy,M.D. Bob Bortolotti March 17, 2004 45 Industry Road Marstons Mills, MA. 02648 RE: Soil Test Lot 95 Industry Road Marston Mills, MA 02648 Dear Mr. Bortolotti, On March 15, 2004 this office conducted a soil test by Stephen J. Doyle P.L.S. at the above location. The soil tests were witnessed by the Barnstable Board of Health. The results are as follows: Test Hole 1 055- 2" Sandy Loam 10 YR 3-2 2"-24" Loamy Sand 10 YR 5-6 24"-132" Medium Sand 2.5 Y 6-4 bottom of test pit elev.=51.0 No ground water encountered. If you have any questions,please contact the Yankee Survey. Sincerely Yours, 4teren—JY-oyle, P.L.S. 1 Bob Bortolotti March 17, 2004 45 Industry Road Marstons Mills, MA. 02648 RE: Soil Test Lot 95 Industry Road Marstons Mills,MA 02648 Dear Mr. Bortolotti, On March 15, 2004 this office conducted a soil test by Stephen J. Doyle P.L.S. at the above location. The soil tests were witnessed by the.Barnstable Board of Health. The results are as follows: Test Hole 1 0"- 2" Sandy Loam 10 YR 3-2 2"-24" Loamy Sand 10 YR 5-6 24"-132" Medium Sand 2.5 Y 6-4 bottom of test pit elev.=51.0 No ground water encountered. If you have any questions, please contact the Yankee Survey. Sincerely Yours, 4teren—JY-oyle, P.L.9. No Fss.. .. P COMMONWEALTH OF MASSACHUSETTS OARD OF HEALTH 5 �� 0�4 .........OF.......................................................................................... .�S�r c�3 ApplDisposal ork,g Tonstrurtion antit Appli is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal S at: .�C�L'?..�f.:�........��-- -rM.�t zm.&..Ma a ......................... �4lv....-•flt...Fir. ;� Location Address or Lot No. ..............1�02ffcar.. .:...... Q.SY� /� . ..... Owner Address ' W ----- 7_._. e ................••••••--.........•--....... ..........--••--••-•...... r Installer Address 1 dType of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other�ype of Building CIA. CE. X No. of persons............................ Showers (N4 — Cafeteria (Ave) Otherfixtures ...................... IA-•---•---..--•------------------------------------------.-.-..--------••-------------:-......._..............--------- W Design Flow............................................gallons per person per day. Total daily flow..........}_....._..................gallons. WSeptic Tank—Liquid capacityLilbQ.gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width..r................ Total Length.................. Total leaching area....................sq. ft. Seepage Pit No.._....�_... Diameter.....6............ Depth below inlet...16............. Total leaching area..................sq. ft. Z Othe- Distribution box ( ) Dosing tank ( ) '-, Percolation Test Results Performed by.......................................................................... Date........................................ aTest Pit No. I..?e........minutes per inch Depth of Test Pit...�3........... Depth to ground water....&11' A-..------. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ �+ ......•• •• •. . ........................•--••---•--....-•••••......----•-•-----•-••-•-•-••---••••....---•-••--•--••....--...-•-- Description of Soil......[ :.°...*a'.. �'�..Q©�LS[a` Q q!9►�19.�.. !!.L...Sr�'iAdP47.•!�I�.,,S 4. i- -....Ate-V ttAi.... [...Z wZ.......................................... ---•••••••....._-----••----•••••----•------------------•--•-----•••••••-••---•••-----...........--•-•--•-•••--••--......... 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 TILL LE 5 of the State Sanitary Co _The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be sued y the board of health. Sig ---•__.. ..................... e _.... Application Approved By •... lam`---�--- ----•-•. •....................................................•-- •.._:�.�e..� .......... Date Application Disapprove for a following reasons---------------•-•----•---------...----------•---••----.....-------------------•--.._....._...................•--- -•................•-••••••...........-•-••-•-••-••-••-•----•••-•--....•-•--••-•-•--•---..............................._...........0.....•......••....._..---••------------•••••••••••••••................ Date PermitNo....................................................... Issued....................................................... Date •eeeeeeeeee6e ee eee�eeeeee�ee�e�eveee eeeee e�lle•l4eee�ee�evl�e�e s�eeeee�e�ee�lee vleee/ee��e eeee ee�e^e�eeeeeeeee e•3eeeeeeeee�ee THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF...................................................................................... Tertif iratr of Tontpliatta THI TO CERTIFY, That the Individual Sewage Disposal System constructed ( 6<0r Repaired ( ) at.._.. ....:. .. ..--- •.... -••... ........................................•---. .... has been installed in accordance with the provisions of TI F 5 okThyState Sanitary�C,A as sc ' ed in the application for Disposal Works Construction Permit No... ....:.... dated__.! __ ® ... ..... ................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..............•---•--••---•-•-••---•-----..............-•••----•---•---.....---- Inspector.................................................................................... as eeeeeeeeeeseeeo00 eeeeeeete eeeeee eeeeviv"0go*eee a eee sea see•eveeee e�ee,Oeee wee eeeeeee�evOeeee.IP eeeeeeee ee�eeeeeeeeeeel THE COMMONWEALTH OF MASS,,.�& jd RETTS-.-•- SUPERVISE Zjl BOARD OF HEAIv�CKRA�� aLLA' rs I - 1-IE SYS T It I ICT OF .......... N ......................... ..........................•••. CRE)A c::::: .............. ..:.. FEs___ Disposal Forks Tonotrttrfiott rrmit Permission is_yrzeby granted••-• ........ .. -•••••-••_. ................................................... to Construct ( n dividual r > po ys at No '2C --._... --... Street as shown on the application for Disposal Works Construction Permit No... ...... .._ Dat �l...................................... Board of Health DATE................................................................................ FOF:M 1255 A. M. SULKIN, INC., BOSTON No: .. FEa.....ff .. _ ...... THE COMMONWEALTH OF MASSACHUSETTSc� v BOARD OF HEALTH .. ..... ........... ... . OF.......................................................................................... Appliration for Biiipo,ial Works Tonstrurtion Famit Application is hereby made for a Permit to Construct (' ) or Repair ( ) an Individual Sewage Disposal System at: ` ........---<�-- bsj-•----.�7�:..,.M e,:27 a.-tta'.5 ...............................................!i5........................................... Location-Address or Lot No. 0 21....G Z 'u..........--•--........ •--•-•--••------------•-.C� 7" /�4�...j.. ............................ - Owner Address Installer Address d Type of Building Size Lot............................Sq. feet aDwelling— No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) p, Other—Type of Building C?r!=!EE_/�Z 11C�o. of persons............................ Showers (�q — Cafeteria (A.a0 Q' Other fixtures .....................N_A d ---••-•.._....----•----•---••----•-------•---------------------•-•----••---•---•-•-•-----•.....•--••....._............... W Design Flow............................................gallons per person per day. Total daily flow-__----.-.�6�9........................gallons. WSeptic Tank—Liquid capacity 9q .gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No......... - ---- Diameter.....6........... Depth below inlet................ Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ W Test Pit No. l..Z.___.....minutes per inch Depth of Test Pit...".3........_.. Depth to ground water...y Q ..a -- P P P ln' �•-•--------- G%, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ -----------------------------•-•--------•--.--•- ----------•---•-••....................•--.._...............---•-•--..................----------------••---- 0 Description of Soil......° L•••?X:. ...�. .9L_'..3 —sue c ............... ...! .5 W ----- -----------....................................................................................................................................................................................... VNature 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 TITIL 5 of the State Sanitary Co — The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be ued Ly the board of Health. Signe .. Application Approved BY ...ilefff�oflo:wing _� ...............__ f6 e ..-•----••-•--•-•-•--•------------------------------ •••........ Date Application Disapproved for reasons----------------•------•--------•------------•----------•----------------------•--•---_---- •-•------•--....._ --------•-•---•-----•----------------•---....._......-------•--------------------•----.........--•----•----•--•---------•---•-•---•-•-•-•------------••----••••-••-•----------••---•-•--•---••..._.----- Date PermitNo......................................................... Issued........................................................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF................................................ . ................................ Trrtifiratr of T nntpliaitrr THI S TO CERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( ) by. .. ......................................................_.. ......................_•----- sta at. _.._. ..... i ._..--...- has been installed in accordance with the provisions of TIT. F 5 o Th State Sanitary Co s scribed in the application for Disposal Works Construction Permit No.. �1�............ dated- . - lQ ... ,�`�.................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUA ANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE......................•--•--•-••.......----•----•-----•••------------•--------•- Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF H 1 r f VG ENGINEER MUST SUPERX/ISE' .....................................OF...................----......I STALLATION... ND,CERTIFY IN WR Nq ..l...... ....- TF F SYSTEM WAS INSTALLED Ft�^., ^��=.......... �io�o�tt1 ork� �una�tr�trti�ri' r�r�ti�'� Permission is h by granted------ ._.l3- r ---.--.... to Construct ( <e "). 'n/" Individual wl pos y at No. Street as shown on the application for Disposal Works Construction Permit No.... ...... ... Dat .......................................... �... Board of Health DATE................................................................................ IL FORM 1255 A. M. SULKIN, INC., BOSTON Ki.Il1`1 fir.J4-7i\1�� r �Iw M�.�S• Consulting Engin •• O)Fj t�i nhf flt�� ALLS Vtk East Sandwich .37 . h DWb �"i� '3'L CMS•G� t��r� I�T� .$u tL.l7I N� ►V� �i(p 5� C� �.�ESL i� sF = b!.� E►t� 3�f� TI•NK -�+(09 B�K.�. � i.�=�Oc73.FP{�• - U� I 5�6�-•"i�l� I INb I�I-r - co Pcm� t�= 6nrS. - usa a4I A Co' G�2 # I--> ttN �.o rr. g-tCty x & �Z.-,)+ ►.o) i ODD j�,�t�►C� �sf•�7�i,VL St-MLL $1= INSTA-L}�f� �D /�PINT�+?N�'> �1'�1^1'L.'�J tN r�GO�GB v�/I ?}�E �RN�Ot'ZW�+.LT�+ M�f�[.i'S5Tt3 L��NJIRGNMBF�TJLL GGvf3 --CITI-� �j 7 `T� PIT FiRsr F2caq*,, i2p-7o •E5�-r 6tz-SL. 4�0•o i SYU M PSI F-Wr6 I FiCK--5w1jr, IP44, 3JB+3 =� Ojl,0 7 s1 t--- N1 ill; N"L., 1 nw Flu-, 1}�9 f T+ ti ?>!z`03 - P• 22!03 i5;'fUMIS, ZP55PZr- ETG F2 1 Avg ctAnort �-r� = 2MtF15/i►,��4 � uM � 76tj ^F A It?/AFL>AV�Nb �+cr+ w+-r� '=2 Mws. � I r�r{--: i f�4Er PITS�?�'� To �r•4 FIN.PWX �• �Af� � :. .. blJGI�N .�Nr� �toMPAe-"T l N :. ram;&'n7 - _ t5 � Qa aNc. zr-1�1e -pr>Fv tcjc . ItN• 95.2JFop- - . MIN• FvT. cF irN� ojr.00 (3b•oJ2,2� 1 ►144?tDN Io' ' (o� z IC> St�T'iG TlWK 2-�L;CG7�• l-BACf:�}E+PtT�'i �' STVH5 All.A--aJNt7-{-2"GF P/A �St� P9f�N6AT 7�• OF FATS fl, 09..00 r4 - 4:;rr_sTv 4 � 9 � pr -L7 v r IDl5 m t ° _ 4S, 1"A OF ry ►' � ,�,,,,�ff ll,,�� 1" 02 ALAN W. � o. 25 ALAN W.JONES&ASSOCIATES Consulting Engineers _ East Sandwich Mass: - - ALCM\ \►. JV1\l:J t.::. AJJV Consulting Engine �� �Fj �� 1-�� ' ��� Mf�s'1Dt•}� Mlf.[�S N4�t East Sandwich r • .�ulL.bl� w� �6(P s1= C� 7� r PIT - c crrt �v_. . emu- - usa f' >< Cv Pir + 0• f tN &,0 FAT.- c,•pKIV.=2x&lr.'(IO x G A2.05)4- (Ti'X 5-,- c 1.0� I OD�L > �� �I +►L sts ,y� sli�t,G is It�Sr �fiJ "•f112 /,tiPINThINI �,�"tZsL-1 �N v.� �►u5�n .rrNlr�or+µsri-rtL �cva --nma 5 No PP-KCct A-n0tf PcA-Tr-- _ .2 MIN Sit► cj4 (ftf,-.0 M jr= \ 76t* 10"AV,-rp{a'aNb or+ A lam � Jr � �E b�1lGC d'1 . 1� 64 i N . �I, -...- -GN Vic• ) INsT� t, • •F1T�•. 7 pL:apj gyp------: ---- �, }�(5�• . .' - � Q�1G. Z�EUTtot-4 �c�c• ,. f �.14'� - INS/• Q f 71 , - MIN J�T.. ;a g�:oJ2,2� Tlt7N lo' (o� 2 10� G 8cl Z PIPE) 25 'rymHF5 3A/a" /1�p5y1�', �.yvhslf� ialA64,t2 ?_=PsTZTi_;:rAT -rvp. Fly o9..Oo S. Ili qz� _ _.. __ _ __. _ �1CW Z `1`r� l o� •�` ';.s .. � � �T-oT �r Y�t�� v! 0 _ + -F�1M g 3 z N T N403 ._ P(mot+ mac. I -- . _ G - I t Eft. • �G1�-t"�c1� I 1 Cb:GYM ,P�N�k >• � � - INy Ny �7.. 0;�.zif - 6 O J � d I bO Pam - r - -- LAW OFFICES OF PHILIP M. BOUDREAU 39<3 NORTH STREET HYANNIS, MASSAGHUSETTS 02601 (017) 775-1085 PHILIP M. BOUDREAU August 11, 1988 PHILIP MICHAEL BOUDREAU MARK Ii. BOUDREAU Joseph DaLuz Building Inspector Town of Barnstable Towm Hall Main Street Hyannis, MA 02601 RE?, Lots D4-r 95, and 96. Old Post Road; Industry Road, Marstons Mills , Massachusetts Dear Mr. DaLuz: In 1983, foundation permits were issued to Robert G. Kesten, Sr. , of Osterville, with respect to three parcels of land described as Assessor ' s Parcels 22, 23, and 24, Assessor ' Map 58. Commence- ment of work under these permits was rendered impossible by virtue of a la-w suit involving Mr. Kesten and others, in which said lawsuit a Lis Pendens or equitable attachment recorded in the Barnstable County Registry of Deeds rendered work on these projects impossible as a practical matter by virtue of rendering said lots unmortgageable and unsaleable. This Lis Pendens has finally been removed as a recent settlement of the above-mentioned litigation. See Exhibits 'l, 2, and 3 annexed hereto. It is requested that the original permits heretofore issued with respect to these three lots be reinstated by you at this' time. © = Sincerely, ` ilip M. Boudreau Number Fee 1087 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that COASTAL EQUIPMENT RENTALS, INC. 1574 OLD POST ROAD, MARSTONS MILLS,MA 02648 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 6/30/2014 unless sooner suspended or revoked. ------------ --------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2013 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health t.`�i . Town of Barnstable try Regulatory Services Thomas F. Geiler,Director Public Health ]Division ` . Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Applicatron F-ee:$1-00 00 ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT:TO. STORE.AND/OR UTILIZE.MORE.THAN. III GALLONS.OF.HAZARDOUS MATERIALS FULL NAME OF APPLICANT y(s,0,2_j-k NAME OF ESTABLISHMENT (, a�}a, ,,� �;� _V Q ;E ADDRESS OF ESTABLISHMENT \S iA1 Qk6. 204 2:Cj. TELEPHONE NUMBER S08- AA'-S ,.. SOLE OWNER:14YES NO IF.APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO._a() -1(0 S--4a(S STATE OF INCORPORATION M �- FULL NAME AND HOME ADDRESS OF: PRESIDENT _ ��r� �j`c,� \c�\c�11� - ��1 Jc-)Ux� G•fC ks- �(I��na 2Q_ 0-a h(19 TREASI�RER 1- - CLERK d k,�+ SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# xaz.dod-p,q MAIL-IN REQUESTS Please mail the completed application form to the address below. Also include a copy of your contingency plan (to handle hazardous waste spills; etc). In addition, please include the required fee of$100. Make check payable to: Town of Barnstable. Allow five to seven (7)working days for in- house processing. Our mailing address is: Town of Barnstable Public Health Division 200 Main Street Hyannis,MA 02601 FOR FAXED REQUESTS Our fax number is (508) 790-6304. Please fax a completed application form. Also, please fax us a copy of your contingency plan (to handle hazardous waste spills, etc). In addition, please mail the required fee amount of$100.00. Please make the check payable to: Town of Barnstable. The check must be mailed to the address listed above. Allow up to four days for in-house processing. For further assistance on any item above, call(508) 862-4644 4.7 03 FC11/Efl F s y ��� =� z cl o P n +LkSttS /"tlLLS OC3LL•ARR$ 1a6.-- 44 :v ..<A'4 «� AMT OF I CASH ACCOUNT AMT.PAID CHECK u MONEY BALANCE S s a Number Fee 1087 THE COMMONWEALTH OF MASSACHUSETTS $100.0o Town of Barnstable Board of Health This is to Certify that COASTAL EQUIPMENT RENTALS, INC. 1574 OLD POST ROAD, MARSTONS MILLS,MA 02648 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ------------------------------- --------------------------------------------------------------- - - ----------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2011 unless sooner suspended or revoked. WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2010 JUNICHI SAWAYANAGI THOMAS A. MCKEAN,R.S.;CHO Director of Public Health f Town. of Barnstable - Regulatory Services r ° Thomas F. Geiler,Director p - ` Public Health Division Thomas McKean,Director ' 200 Main Street,.Hyannis,MA 02601 Office: 508-862-464 4 Fax: 508-790-6304 application F`ee:$'t00:00 ASSESSORS MAP AND PARCEL NO. DATE Z V APPLICATION FOR PERMIT.TO.STORE.AND/OR UTILIZE.MORE.THAN. III GALLONS.OF HAZARDOUS MATERIALS (508)428-8808 Sales,Service,Rentals (508)428-7477(Fax) FULL NAME OF APPLICANT NAME OF ESTABLISHMENT UASTAL EQUIPMENT — ADDRESS OF ESTABLISHMENT _ ENTALS, INC. _ TELEPHONE NUMBER t... ; Bill Johnson 1574 Old Post Road NO SOLE OWNER' YES Store Manager Post Office Box 712 bilLcoastalegnip@gmail.com Marstons Mills,MA 02648 IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. AD STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF:. PRESIDENT TREASURER CLERK SIGNATURE'OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# gip$ -71 1-g S j 06--d-Jwp/q V . .... ,.u� - - - . . r . �- . ---w .,_ _ _ _ .... ., re s�°sudi'aV..c.�..;i :."K.r n`:_ .3ntx_a�_� _ ���- ;;.� .��- ...� � �a.,t_,�._�_ _ _....i�.r. y,u. -,�,r..ems:*_ --.k.. Number Fee 1087 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that COASTAL EQUIPMENT RENTALS, INC. 1574 Old Post Road, MARSTONS MILLS, MA .----------------------------------------------------------------------------------------------------------------------------------------------------------------------- Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. .................................................................................................................................................................... Restrictions: ...............................................................................•-----...------............------.....--------.....------......------------......---. This license is granted in conformity with the Statutes and ordinances relating there to, and expires 06/30/2021 unless sooner suspended or revoked. ---------------------------------------- JOHN NORMAN DONALD A.GUADAGNOLI,M.D. 07/01/2020 PAUL J.CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health I Town of Barnstable Inspectional-Services BARNSTABLE Public Health Division BAMMBMThomas McKean,.Director 1639. 200 Main Street;Hyannis;MA:02601. C? . Office: 508-862-4644 Fax: 508-790-6304 r- 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 JULY 1st—JUNE 30th). . APPLICATION FEES CATEGORY 1 PERMIT 26—1`10 Gallons: $ 50.00 ❑. CATEGORY 2 PERMIT 1.l l._—49.9.Gallons::,_ ._ $12.5.00 __ El — -CATEGORRY 3-PERMIT�500 or more.Gallons: $1.50:00 wVw. potofi *A late charge of:$10.00 will be assessed-if Dayment is not received by July.1st.. � C;L 0997 1. ASSESSOR'S MAP AND PARCEL NO. 0 2. IS THIS A PERMIT RENEWAL? :/YES_NO. IF YES,:SKIl'QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS-HAS ZONINGIBUILDING APPROVAL FOR HAZARDOUS.MATERIALS-STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES(25 GALLONS)? YES. NO. tr 4. FULL NAME OF APPLICANT:: /.7G•CJe:/ -� Y� ��r w ,. 5. NAME-OF ESTABLISHMENT: occS ., Sn'C 6. ADDRESS.OF ESTABLISHMENT: !15,)q -otd . P,5+ aPIAZ 6,nG <e 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVEc 8. TELEPHONE NUMBER OF ESTABLISHMENT. 6(? ^ w8 &!.(b 9. EMAIL ADDRESS: Coalo& .mV14 @ 10. SOLEOWNER:. ✓ -YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#:OF; CORPORATION NAME a p c uai►Mrty.Lt l in&r ,,1. l.Nc Sew 4Caca d`P PRESIDENT PARR 3.: r.(vlo aP:n, BIPX: 00LI 044'tn� cl( /L1 14-6)4qlg: TREASURER :.CLERK 12: IF'PREPARED BY OUTSIDE PARTY: . . NAME: TELEPHONE.#: - COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE LPG :J6)d-O Q:\Application Formsfflaz Mat Appli Draft Jan docx Number Fee 1087 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that COASTAL EQUIPMENT RENTALS, INC. 1574 OLD POST ROAD, MARSTONS MILLS, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 0.6/30/2020 unless sooner suspended or revoked. PAUL J.CANNIFF, D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2019 JUNICHI SAWAYANAGI THOMAS A. MCKEAN, R.S.,CHO Director of Public Health t� Town of Barnstable Inspectional Services BARNSTABLE `tVI NfPSiC'dWNlOS'Ec LL'_ ii 9lrtNSR.tE . Public Health Division ^ � < Y BARNSTABLE, ` Thomas McKean, Director '°rEc 039. s`0� 200 Main Street, Hyannis, MA 02601 e Office: 508-862-4644 Fax: 508-790-6304 _c APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE -" �r 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 MY 1 st—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 g l/S'T', i��Q�. *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL? d 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: R y� �L -�o r l O I/o f 5. NAME OF ESTABLISHMENTeAq.6 0_ V`�-�1faf!5 6. ADDRESS OF ESTABLISHMENT: 7 D ©Vt %l�0,;2i/,q' 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT.: iS„rD � 9. EMAII.ADDRESS: Q S w U t 12 Mg:,X 10. SOLEOWNER: J YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: O CORPORATI N AME D n \ PRESIDENT 0 O " TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: TELEPHONE#: NAME: • COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE Q\Application Forms\Haz Mat App Revised 0-18.docx Number Fee 1087 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that COASTAL EQUIPMENT RENTALS, INC. 1574 OLD POST ROAD, MARSTONS MILLS, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2019 unless sooner suspended or revoked. -------------------------- ------------- PAUL J.CANNIFF, D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2018 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health } Tow1� of B nsxable P6 �P50 ChK# 8°� 6v Regulatory Services / oFi"e*� Richard V. Scali, Director • Public Health Division BARNSTABIE BARNSTABM Thomas McKean, Director KARSTOn i "o;" — -200 Main-Street,-Hyannis;MA 02601 -- --- --------- ---- ------ -- C) Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE <D HAZARDOUS MATERIALS IT?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 JULY 1 st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gall-lons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 x V•S *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. C9.58 01;� 3 2. IS THIS A PERMIT RENEWAL? \/ YES_NO. IF YES,SHIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS • ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIESS(25 GALLONS)? AYES NO. 4. FULL NAME OF APPLICANT: R D 5. NAME OF ESTABLISHMENT: (2oa, ;C-7 iJ 6. ADDRESS OF ESTABLISHMENT: S- /`7 0 QA0 � P4 - :�-6 L63- 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: q—D C If1�)-e & �g D 9. EMAIL ADDRESS: r Aa is e—g D.D rn , Q i"Yt- —t f. ` Corn 10. SOLEOWNER: J YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME 046+r 9- u ►'1 S �: � PRESIDENT ��' o © Ba D Fd`I s GL OdG �o� �/-y'3g� TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: • NAME: TELEPHONE#: COMPANY ADDRESS el EMAIL: SIGNATURE OF APPLIC� D.docx N DATE Q:\Application Forms\HAZMAT APP 2017 Number Fee 1087 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that COASTAL EQUIPMENT RENTALS, INC. 1574 OLD POST ROAD, MARSTONS MILLS,MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. ----------------------------------------------------------------------- ----------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2018 unless sooner suspended or revoked. -------------------- ----------------- PAUL J.CANNIFF, D.M-.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2017 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health rcj cehe 1 � T • o of Unstable Regi%atoervices Richard V. Scah,Director Public Health Division BARNS LE Y 9GRY5(n61f..1i1fEF4"ILLE•COTUR•HYa:t:15 ■"NSrABLE. Thomas McKean,Director HFRSRY.S PLS 16 g 2�4Vf:5I P4 XiTeP't 9�prE 39. s � 200 Main Street,Hyannis,MA 02601 575 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 JULY 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 g) U S *A late charge of$10 00 will be assessed if payment is not received by July 1st. l/ 1. ASSESSOR'S MAP AND PARCEL NO. 58-/O,� 2. IS THIS A PERMIT RENEWAL? iJ 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: 5. NAME OF ESTABLISHMENT: 6. ADDRESS OF ESTABLISHMENT: l 5-'7 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISE94ENT: 9. EMAIL ADDRESS: L) ry 10. SOLEOWNER: v YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TEL PHONE#OF: CORPORATION NAME .S Q-rnx Q.S a bU-e- � 7�l`91,4q PRESIDENT lqa7c o✓1SH R Si 4 'S TREASURER AJ�A- CLERK N 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT ATE Q:Application FormsViAZMAT APP 2017 REVI ocx I` TMFTp Town of Barnstable Office:508-862-4644 ublic Health Division Fax:508-790-6304 98ARMAV;. .�` 200 ain Street• Hyannis, MA 02601 �prED MP'��`0 TOXIC AND HAZARD US MATERIALS INSPECTION REPORT Business Name: U1 sYVI Date: I I� Location/Mailing Address: �S y01A MO S, . r1IS. Contact Name/Phone: Inventory Total Amount: �50U SDS: e S License#: Tier II : 4 Labelina: tAd 4 Spill Plan: Lks Oil/WaterSeparator: No Floor Drains: Emergency Numbers: Storage Areas/Tanks: d 01' Emer enc /Containment Equipment: Waste Generator ID: /`n SO4�y��10�i Waste Product: Date&Amount of Last Shipment/Frequency: LAW// 9 — ID 0+-IIOn A�) I �c�Qer�✓ Licensed Waste Hauler&Destination: S -�i o IU c eA6t 1.I. Other Waste Disposal Methods CA SQ S 0 � J0 0 601,, * (tCQf�S I.W+ I- y �r LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage-and disposal of 111 gallons or more requires a license from the Public Health Division. ✓ Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils I60 � t 6 Miscellaneous Corrosives Gasoline,jet fuel, aJiation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform,formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMME ATIONS: eaO "n d rai45re-co ` lL �m Inspector: Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS f `°F*•KKE Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARKSTABLE. MASS. 200 Main Street• Hyannis, MA 02601 059. �'DrED M & TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: COAL S+-d EqAbAtt,,,A2vJ60,kS Date: Location/Mailing Address: t y bld b-S4 VQ/-f, M,115 Contact Name/Phone: g,l l J k,n so..-- SoB 47.8-88o8 u<< -7 7`/- Inventory Total mount: /v IgvO c MSDS: Yes License#: 109� ier �k -3 T II : L�-Labelincrut \ W v ski. Spill Plan: 6 Oil/WaterSeparator: tAA Floor Drains: N o Emerg_ency Numbers: "` Storage Areas/Tanks: 2 k4-o,\XcvmS -v N wm VL <.-,A. ,k j I ovx, bull wtS w�Sic ;,e oaf `Q(x1le� p ' fEmergency/Containment Equipment: Waste Generator ID:-* G4,Ck& ", 5o3 D Waste Product: 811 S ,,(a—/' Date B.Amount of Last Shipment/Freq_uency: tL o1.vw 15 AoV) 11AN „�, .5 C'6 \ r a 'AV, Licensed Waste Hauler&Destination: L-7&Avk, fA+ VkOi-4vk"14dN Q- t&1A,k2 Other Waste Disposal Methods: f<-"Xy Qc'k 00<ro J-V, crC LIST OF TOXIC AND HAZARDOUS MATERIALS 0 Vv,�6f i 1 WW-q e �j,��145+- iA�¢�}• . ��,�"OTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardo s material use, D ook +,, storage and disposal of 111 gallons or more requires a license from the Public Health Division. J Antifreeze Dry cleaning fluids ✓ Automatic transmission fluid Z Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers — Hydraulic fluid (including brake fluid) Windshield wash Motor oils :.-we-')k' Miscellaneous Corrosives Gaso'ne,jet fuel, aviation gas '``^�~� Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides �— Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes / Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acid ) VIOLATIONS: !V� \�b��5 Wttisk o w Vt0 CvVer1, a g RDERS:1 OAA wwqk, 4""tiY'S 1W� mat S qy e a f4L � %c� oS l\ f- w aw -N-A 81\ a, -f—CPV, k41 h.� s dot Iu � ^. INFORM TION/REC MM N ATIONS: o Oyws L9 — «CD-M Y►-ew/ Q A 1A wl \ t 1-J O_ ;C © co d % Pk'Inspector. J 1p�c'u1.t a� ��t�-r,2��{ b�I \VAJWL&-ryz,+ ('or C� [, �� \�S ©�k wt, a� ► Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS Please print or type.(Form designed for use on elite(12 pitch)typewriter) Form Approved.OMB No.2050 0039 UNIFORM HAZARDOUS 1 Generator ID Number c 2 Pge 1 of 3 Emergency Response Phone f 4.Ma !fast(T�rgacking Number ff A'� b' ` ' x !fa' h'. ', WASTE MANIFEST ,.,;:+ �' 6 .: FLE 5.7GeName and Mailing Address >,.,. Generato?s`Site'Address'.(if different than mailing address) t _ Generator's Phone: .x,..f'.;E: sn ti.�tk: ttt..,rl,.r j<. . kt4l ),% t $Ft:.�`+bi �.i,ta i_P.t).•`i f+. 6.Transpofter;l Company.Name U.S.EPA ID Number 4 ' ii t t" .ir f-.1�,. F t,!i .5+� i. .: $ ..;'i::i tp.i,t.s`i �' I.t.d_�. - < f rT) - 7.Transporter 2 C3mpany Name U.S.EPA ID Number i 8.Designated Facility Name and Site Address U.S.EPA ID.Number t +' . . Facility's Phone ii.�?I`,tl :ti�: i: ,,( ..af_ ?::•tlx t`a.°%S-.Sf3 _ i ,�:i tqt. � - ' ga :9b.U.S.bOT.Description(including Proper Shipping Name,Hazard Class,ID Number, 10.Containers 11.Total 12.Unit 13.Waste Codes HM and Packing Group(if any)) No. Type Quantity Wt.Nol. O J Z 2. 1 LIJ c� 3 4 14.Special Handing Instructions;and Additional Information i 15, GENERATOR'SIOFFEROR'S CERTIFICATION: I hereby declare that the contents of this.consignment are fully and accurately described above by the proper shipping name,and are classified;packaged, marked and labeled/placarded,and are in all respects in proper condition for transport according to applicable international and national governmental regulations.If export shipment and I am the Primary Exporter,I certify that.the contents of this consignment conform to the terms of the attached.EPAAcknowledgment-ef Consent. I certify that t-ie waste minimization statement identified in 40 CFR 262.27(a)(if I am a large quantity generator)or(b)(if 1 am a small quantity generator)is true. Generat IOfferars PrintedlTyped Name 9n .4�e r. F Month . ay earl 1, /} t ✓ ., - 6 I � 16.fn ernational Shipments ' ' �import to U.S.. ; Export from U.S. Port of entrylezit: z Transporter si n"ure for exports only): I Date leavingU.S.: w 17.Transporter A knowledgment of Receipt of Materials , Transporter P hL yped Name �' Y Signatu e Month ay Year a ,mot r:ti, ,gam," . _ �°g aar . _. I Z TraTtspofier'2 Printed/Typed Name Signafure" f Mon h Day Year Q t- 18.Discrepancy- 18a.Discrepancy Indication Space Quantity z. ❑Type ❑Residue ❑Partial Rejection 0 Full Rejection Manifest Reference Number: 18b.Alternate Facility(or Generator) U.S.EPA ID.Number J LL Facility's Phone:. W 18c.Signature of P.Iternate Facility(or Generator) Month. Day Year''' G Z CO 19.Hazardous Waste eport Management Method Codes i'.e.,codes for hazardous waste treatment,disposal;and recycling systems) 0 1. fr 2. 3: 4. b .z 20.Designated Facility Owner or o.erator Certification of receipt of hazardous materials covered by manifest except as,�ted in Item 18a 1 Month; Day 'Year Printed/Typed Name / Signature ,' + } EPA Form 870022(Rev.3 05s( R rout editions gre obsolete. `'°' DESIGNATED`FACILWY TO GENERATOR W. 1 Please print or type:(Form designed for use on elite(12-pitch)typewriter.) Form Approved.OMB No.2050-0039 1:Generator ID Number 2.Page 1 of 3.Emergency Response Phone 4 Manifest Trackin Number UNIFORM.HAZARDOUS � "�.j WASTE MANIFEST 5.Generator's Name and Mailing Address Generators Site Address(if different than mailing address) t.aadl,a1 f.w 60la t AhPtal et4tt 11nd hiid"'I 15'!.1'Gad. -Pas t llea6 , :5N old Put Road Generator's Phone. gt :ttltl"E itlS 0 64C 0101s429-1608 Marston 4i;yz 40 026-48 6..Transporter 1 Company Name U.S.EPA ID Number RE [4BL-1.X_, f'N" S`YS ff.'RIA lS GftCb13P F:LC Fraf1'�,r� 4:f�,.6r31 7.Transporter 2 Company Name U.S.EPA ID Number 8.Designated Facility Name and Site Address U.S.EPA ID Number 2+7'1 "Wens tiv Gijtl:C Facility's Phone: �,t1ui'1t. ttGF� 61 02`1t05 (461t 7.'� 6 34 (aT 1) AY' � � 9a 9b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 10.Containers 11.Total 12.Unit 13.Waste Codes HM. and Packing Group(if any)) No. Type Quantity Wt.Nol. 1. 1fE1t:=s;3 ) =i f+id"slfiE �)i:4Tof 1GR ?INF; Ei#i) P�1i rc, 1' °p :( I z w 0 3. 4 f t 14.Special Handling Instructions and Additional Information 15. GENERATOP.'SIOFFEROR'S CERTIFICATION: I hereby declare that the contents of this oonsignmettt are fully and accurately described above by the proper shipping name,•and are classified,packaged, marked and labeledlplacarded,and are in all respects in proper condition for transport according to applicable international and national governmental regulations.If export shipment and I am the Primary Exporter,I ceiify that the contents of this consignment conform to the terms of the attached EPAAcknowledgment of Consent. I certify that the waste minimization statement identified in Q CFR 262.27(a)(if I am a large quantity generator)or(b)(V I am a small quantity generator)is true. Generator's/Offerors Printed/Typed Name Signatur e, Y Month a easo J 16.International ❑Shipments "Import to U.S. ❑Export from U.S.. Port of entry/exit. z rr Date leaving U S.: Transporter signature for exports only): P Y w 17.Transporter Acknowledgment of Receipt of Materials d e r ignau r/. , ,t, ,f Month Day Year Transporter 1 P nted/Typed Name r. QTransporter 2 Print3d/Typed Name Sig`lure Month Day Year d I 18.Discrepancy f 18a.Discrepancy Indication Space y ❑ yip ❑ ❑Partial Re ❑Full ❑.Quantity T e Residue jection Rejection Manifest Reference Number:` >_ 18b.Alternate Facility(or Generator) U.S.EPA ID.Number J_- I Facility's Phone: w 18c.Signature of Alternate Facility(or Generator) Month Day Year H Q _ z 19.Hazardous Waste Report Management Method Codes;i.e.;codes for hazardous waste treatment;disposal,and recycling systems) 0 .14 P (`:1 20.Designated Iadlity Owner ct)Dperator Certification of receipt of hazardous materials_covered by the manifest excev"ak noted in Item'18a . Printed/Typed Name u 6 Signature ° f 1G' Month Day Year J( k, Y � 5 .. f_ }_ { 1 t g i f l KKY B '; EPA Form 8700 22(Rev.3-05)`'Frevious.editioiis ale:obsolete. .; DESIGNATED EACILITY.T®GENERATOR Number Fee 1087 THE COMMONWEALTH OF MASSACHUSETTS $15o.00 Town of Barnstable Board of Health This is to Certify that COASTAL EQUIPMENT RENTALS, INC. 1574 OLD POST ROAD, MARS TONS MILLS, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. ------------------------------------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------- ----------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and �p and expires 06/30/2017 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. / 07/01/2016 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health x M Town of Barnstable Regulatory Services Richard V. Scah, Director eL ` $"R"ST"B Public Health .Division BABSTABIE A Thomas McKean,Director i639 -201 4 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 W 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 El CATEGORY 3 PERMIT 500 or more Gallons: $150.00 11 U,S • A late charge of$10.00 will be assessed if payment is not received by July 1st. ASSESSORS MAP AND PARCEL NO. ©_519 D;t-3 DATE_(a FULL NAME OF APPLICANT: O V fD NAME OF ESTABLISHMENT&a6S " ' ADDRESS OF ESTABLISHMENT: qrS -on S /15/ MAILING ADDRESS(IF DIFFERENT): TELEPHONE NUMBER OF ESTABLISHMENT: �5_0 � a �g EMAIL ADDRESS: GZ— SOLE OWNER: YES NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME 9__ryl__� PRESIDENT°�or--l- �'ou -f��0-f�' �l ' d�s-�r � � i� s2 t t� 0,4-10 1�e TREASURER -91, CLERK IF PREPARED BY OUTSIRV PARTY: AT OF P I� T Name: �1 Company Address : (;A rvr Telephone#• S Email: `s Q:Wpplication Forms\HAZZAPP Rev16.docx Page 1 of 2 v\ Number Fee 1087 THE COMMONWEALTH OF MASSACHUSETTS 100.00 Town of Barnstable Board of Health This is to Certify that COASTAL EQUIPMENT RENTALS, INC. 1574 OLD POST ROAD, MARSTONS MILLS, 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 revok ed. --------------------------------------- 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 Town of Barnstable °FTHE T Regulatory Services ti • °� Richard V. Scali,Director MASS. Public Health Division 9� 1639. ,eg RFD Mop a 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. 06� 3 DATE, i0 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT 0 a r -t—D l affi NAME OF ESTABLISHMENT • ADDRESS OF ESTABLISHMENT TELEPHONE NUMBER LJ D 8'qo) '&_ 187 iizD g SOLE OWNER:V YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. ya l 9 STATE OF INCORPORATION (;t S 5- FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK— S • IGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS O ( 7v l PS S ►'`( 11 S6 HOME TELEPHONE# SCO g— C:\cache\Temporary Internet Fi1es\0LKD3\HAZAPP ReQ015.DOC °Ft rokti Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-7s0-6304 • BARNn LE.�` 200 Main Street• Hyannis, MA 02601 .6IMA A�0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT tF0 MA'S Business Name: C&Al'iA t I✓ U, Vk2.vv IQ-e.wAZ5 Date: II Location/Mailing_Address: IS?4 ,/1 S Contact Name/Phone: Q,Il w5o,ti � g��{2-�3 S od¢� ce11 -7-74 1/$7- 9210 ys Inventory Total Amount: ^' 1 q0� 4,' MSDS: a License#: b -7 Tier II : Labeling: Spill Plan: Oil/Wa=erSeparator: JA Floor Drains: J Emergency Numbers: Storage Areas/Tanks: -5,5 5 J tvhyu, w 1,ezco•t Emer enc /Containment E ui ment: 6 0,k I I 0 Waste Generator ID: ffi45 0"2.5ffOFb Waste Product: 01 a o 1 kv Date&Amount of Last Shipment/Frequency: 15 1 Licensed Waste Hauler&Destination: C v� or o�a , C v c �D� C S Other Waste Disposal Methods: 1�- LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid � Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers b�� 2%b Hydraulic fluid (including brake fluid f��t Windshield wash 2 s+<�w 1 oo Motor oils 5�t��b�wske - -3 3�� 'k�k4` Miscellaneous Corrosives P �,ck �� Gasoline,jet fuel, aviation gas 161g43(,.*3— Cesspool cleaners a.� Diesel fuel, kerosene, #2 heating oil a Cv Disinfectants 116+A so Miscellaneous petroleum products. x� °o Road salts grease, lubricants, gear oil 2-42-DA �Ny Refrigerants Degreasers for engines&g ra ages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides �— Battery acid (electrolyte)/batteries i� Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners 15- Miscellaneous Combustible Aerosols &6-,44.,45-r Paint&varnish.removers, deglossers Leather dyes )'-e 10 Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform,formaldehyde, �? 2'{ 6X� S +l nX3 Ib��c 3 �o�3�' 0 120 1�o qa hydrochloric acid, other acids) 3 �0�%s 3 +96+32 -FX3 4DrbOX3 VIOLATIONS: +3vX.� � 2oxn, t3�'t 2 t'7-Fla-tg -t-2<t35- aw w14'tL- o ORDER.,: INFORMATION/ ECOMMENDATI NS: hvZ,*0-,e 5 GS-I', e- o 1L!.�..5 0' �c w�vk,t,v� aC1 5 r� �>✓K i a n'J vYLrc b I S � �" 0,C 60+ oor fi l Rom- �'t e--}- a�.c_ 6 r S R,l f,e A y r AL v,� ,r �v�� • Inspector Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS vv� °F THE T° Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 B""MASS. • 200 Main Street• Hyannis, MA 02601 �'0lE0MA+a`0� TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: a e-.I 61Q,VMZ Me Date: Location/Mailing Address: oS Af5+o s Alls Contact Name/Phone: ee11 -7-7y-V97-828g Inventory Total Amount: ��� MSDS: e 5 License#: (08-I Tier II Klb Labeling: Spill Plan: bvte- PIq-L-w<< t- Oil/Water Separator: Floor Drains: Emergency Numbers: 0 Storage Areas/Tanks: - Sal .� 4e- Emergency/Containment Equipment: 5 2 a ,lc.�IQ� Waste Generator ID: o 1. O Waste Product: ok k + 4&-5 Date&Amount of Last Shipment/Frequency: ,5 S 1 a D• a) j 4,!5 - 2-3 Licensed Waste Hauler&Destination: JxA ►4 &A,ow �a6ot 4-f4- Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws`bf MA, hazardous malrial use, storage and disposal of 111 gallons or more requires a license.from the Public Health Division. J Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash �[ Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants �— Miscellaneous petroleum products: Road salts ' * grease, lubricants, gear oil Refrigerants J Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine V Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&'varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil&stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: 6PA Om kcg- ORDERS: INFORMATION/RECOMMENDATIONS: 4. ,` <%)w4- 24- o a. Av V I V,' /yk- 0., So c.(, 11 �o„�Caty Cow�� v-L(g ate l / Inspector: O / Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS / Date: /3 TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS M FORM NAME OF BUSINESS: CmQs-�a E9��,p n�.o• I��w��S BUSINESS LOCATION: I.'?y OU 10o54 ReX , Me,rsfon.s M,11 S INVENTORY MAILING ADDRESS: 64v%-e- TOTAL AMOUNT: TELEPHONE NUMBER: ,moo$ 42.8 - g$O SCONTACT PERSON: ►�- EMERGENCY CONTACT TELEPHONE NUMBER: ce it -7 77`F-y 3 7- 82$9 MSDS ON SITE? TYPE OF BUSINESS: M41ntcn4neP INFORMATION / RECOMMENDATIONS: 7.rA0v5 ✓ 4t0-<,4JS Fire District: o m-vv� A5AP z) Ke..,,n rtc c&46 oKt at P--mus+.e_ C-D-Im M �1rma -5Gcte,� +9 Be, -�-oI&-�- � (iue-I,ea2I" o�t��,, �yBe��.�sft, ' QukW+,f,/, aKCl 119K.01+,'c.-. oQ Ce-ee.���!I �/ USe a��ocbcxts,MD�� �ce9Ucrc�')y e�n�✓�`�- cw�'"� GarLcrc+L�'o r�: � o� 't'o IC k�i5 � a�I/.S�i<<e�,c�ctl'e�Gl�fc►tG f. Waste T sy�: AfVK0SyZ99f30a Last shipment bf hazardous waste: Name of Hauler: +o gex-, olot+; Destination: Waste Product: �X W454-2 Z,6 vgi Licensed? Yes No ,,pp pp f 'X• SS ac I L,r�vlo 11., NOTE: Under the provlsbns of Ch.A11, Section 31, of the General Laws of MA, hazardous material 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 -- S� 2. ovt. ,?V&"*'�" The Board of Health and the Public Health Division have determined that the ollowingoducts exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive ❑ NEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Mo or Oils dUSED Pesticides EW (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals(Fixers) Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous 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 Miscellaneous 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 (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform, formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes o� -t'-rovtti Laundry soil &stain removers n f (including bleach) tyt6 pf.4� ,ovt,_ (�aS e8 C `t'D Spot removers &cleaning fluids (dry cleaners) be- Other cleaning solvents Bug and tar removers 9010 767 Ga l)on,S Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Sig ature Staff's Initials v ��- �3�r b3 oZ . S� � � . . 3�Q �V r , D ��o �� w � d y"' 92 � � � � r - 2� �� �/ 32 r ,k •, .r r ' .. �� ' -, i r - .. ?." � � � .. r .r �� - � it r � . , _ r . . •.� _ . ' � � � r . • , , � � ' r� _ _V ` =.. � _._.. .. �� , , OJ /5� T Ad �— ✓YJ �: LEGEND MARSTONS MILLS PARKING REQ UIRE1"ENTS. WAREHOUSE/GARAGE.• I SPA',.~E/700 S.F. _ 6 SPACES DowNSPovT o� KILL �pti OFFICE: I SPA�7E/300 S:F. - 8 SPACES LIGHT A CONTRA CTOR/SE'RVICE OFFICE AREA: 1 SPAc"E/290 S.F. = 19 SPACES -UPOLE ma`s' LOCUS SPACE: PRO VIDED= 33 SPACES O EXIST CATCH BASIN PRINCE INTERIOR LANDSCAPE BU1 TER REQUIREMENTS: 10% ( 9M PROP CATCH BASIN LOVELL's ��¢go d COVE PRO VIDED.• 109' POND ENT. ENTRANCE/EXIT 60 O Q � D ROAD PROP. TREE 1 `� ° BENCHMARK.INDUS ' ��. zz----- EDGE'------- --of---�° _ PA �� 6� � C _ EN7' TOP OF CATCH BASIN �_ -----R Sop \ ,30.0 -- ------- }-------- ELEV.=59.6' (G I.S. 10, ro L- ' HUMP h'=5.0' 1 3 .8 _ o _5. ,- R_3g7 R szSP s2P LOCUS MAP � 6110 A \ \ LOT 95 2T ASSESSORS MAP 58 PAR. 23 � .� � A.M. 58123 \ 28 PLAN REF L. C. 22824E a �, AREA=46,367E S F. ZONING. SD-1 RIM 29 62 0� ���9. L ( --EL=62.o SETBACKS POLE INVERT FRONT SIDE REAR (To BE MOVED) LE ,..�. ��: �ti INVERT O �\ c1L� EL=59.36' 30 i 45 15 20 l G EL=so.o �: tp �,AINjN .` �� p �. INVERT 31 i RE c p �� EL=59.5' l GROUNDWATER NE p 1 INVERT i YSTO 26 t 8� EL 59.89 o� 32 � � OVERLAY DISTRICT- AP /„WP» KEG y - 15 d + INVERT 25 y 16 ,^�� (oVIM 3 MAX. BUILDING CO V. = 25% INVERT EL=65.59 a 18 17 iEL=sl.5 59 PROPOSED BUILDING CO V. _ 16. 4% EL=65.75 24 t' 20 19 i I4 i0-00 _ RIM 12 1 ` o MAX BUILDING HEIGHT - 30 EL=67 75 16 0` X 6' 23 0 2 0 pL ' _... xa' 4 13/ �t o �i \ O /rc� 1 c $R G ✓ t °? ! INVERT Y ,p T VIEW /�ELBaW O�R�AN' � �' � � � � 12 ♦��� �� EL=57. 7 0 '� i�rC' '� SITE R� V1�i'd PLAN , \ GREEN 7�.o \ b o =� -_ 31 INVERT ' 11 ; EL=58.0' ' l' l/1 " L AND , cWn (TYp���� UT �9.0 - Z"ONTRACTOR/SERVICE I,L r s o Qo Q DROY►v Po_� I \ OFFICE' AREA � � � � � � � LOCATED IN. � cT 9.9 (2 STORY) .., S.�R�C RIM w 111A�STON,S` MILLS MA. � 2 \ YYARL�HO U,SE AREA=6 027E S.� ♦� '��0� \ 9 yY ��N� EL=60' /� nr , PREPARED FOR. BAY I GARA GE SLAB ELEV=63.5� N G E o q r cA T.0.F.=64 AREA=3,920_i S.F. SLAB ELEV. =68. 5 , - ��� o �, ROBERT i BORTOL O TTI & o ���� �� o.F 69, f - 7�.,0 0 ' 22.1 (MIN.) RIMS OLD POST ROAD D.E V TR o $AYE � ' E6 0�\� `N EL-6o MARCH 31, 2003 \ GRA {WAY `g cn_ ,`,`� �� I JUNE 6, ,2003 o D$ 4 w r SEPTEMBER 20, 2003 Cl- o �' o \ I o , NO VEMBER 12, 2003 V Y y N , rnrn 1 o s9 p \ (� JANUARY 30, 2004 ONE DING 8 - _ LATEST REV FEBRUARY 27, 2004 >> BAY LODOCI< 1 �\ O VE 7 — ; PROPERTY OWNER. AP cr ,� 0� ,, ALE ESE 6 ,, r �9 0 6 4 5 J o � ;r 6 ROBERT J. BORTOLOTTI 33 3 _ �. & OLD POST ROAD DEV. TR. f L d DR� 2 INVERT x ' O 19 ,� 28 w EL=6562 �` �,� o1 MgSs4, GRAPHIC SCALE a, .. L cr o RIM Y �"t6aPLq zo o io za ao eo EL=67. 75 J� R f DjApVCLOT 94 �z��Q�D A hEL AREA '4" ei 12, , Cxi ti�o � LOT 96 S 13 4k x q' L 5 W A.M. 58/2,2 9oFf r S s ti G`` ( IN FEET ) t A.M. 58/24 1� N W °04 3 (VACANT S, y1 I inch = 20 ft. ROBERT J. BORTOLOTTI INVERT i� IN S?1 wr°rvA. & INDUSTRY ROAD DEV. TR. EL=65 75 R .....�� OF"&S' YANKEE SURVEY CONSULTANTS ♦ „a�� - -- STEP i NEN �GE c y`n ' UNIT ], 4 0 INDUSTRY ROAD P \ � "� '� ♦ — o D Yet P. 0. BOX 265 o�. MARSTONS MILLS, MASS. 02648 TEL: 428-0055 FAX 4 20—5553 { NOTE. ALL DRAIN PIPES ARE 4" DIA. SCH. 40 PVC vv WITH A 17. SLOPE TO DRAIN FIELD G PAGE 1 OF 2 J.J# 53073 GY - 64 PA PING TOP OF FOUNDATION - 10' MIN 10' MIN. C.I. CO VER & FRAME H2O (3 RQ D) 4" SCHEDULE 40 P. V.C. LO WEER SLAB / MIA'. PITCH 1/8 PER FT � ELEV=63. 5 63. 5 63. 5 /l C.I. CO VER & FRAME �B 1z�F VENT WASHED_ STONE 63 PA VING 61 4» SCH 40 PVC PIPE (OR EQUAL MINIMUM PITCH 1/4 PER FT. CLEAN SAND � 3 »MAX FLOW LINE EL. = 60. 3 ~ INVERT 1 10' 19"1 0 — 61.25 MIN. j EL.--- • _ 4'-3" GAS INVERT 6 SUM LEL ;00 0 0 0 BAFFLE _ ° o INVERT I EL. 6O_75 INVERT INVERT °o o°o 0 0 0° o EL. = 61. 0 EL. =_60.25 EL.=_60 __ o ° 57 5 7-yy H2O)_ INVERT o0 0 ° EL. _------ (TO BE PLACED ON FIRM BASE) - TJIS- RIBUTIO EL.=595__ 4 SOIL ABSORPTION 4 MECHANICALLY COMPACTED OR 6"' OF STONE BOX _ / _GALLONS TO B WA PER TESTED SYSTEM (SAS) H2O" 3 4" TO1-1 2 �7 r PLACE ON 6 STONE / SEPTIC TANK (H2O) ASHED STONE 67. 5' X 12. 8' o TRENCH FORMATION BOTTOM OF TEST HOLE ELEV. =_ 55 _ NO OBSERVED WATER TABLE SOILS TO BE VERIFIED AT THE TIME OF INSTALLATION - 52 5' I EL- PROFILE OF G.I.S. ELEVATIONS AT RO UTE 149 & RO UTE 28 (HERRING RUN) EL SEWAGE DISPOSAL SYSTEM i NOT TO SCALE _ N DATE OF SOIL TEST 10�7�9�3 SOIL _TEST DONE BY BAXTE'R & NYE WITNESSED BY: JE'R.RY DUNNING P# 8121 ON ABUTTING LOT 94 L TEST HOLE //1 ELEV. -_-61. 5 ---- PERCOLATION RATE MIX/ INCH TEST HOLE #2 E'LEV. -- 65-- DEPTH DESCRIPTION DEPTH DESCRIPTION NO TOPSOIL OR LOAM AREA HAS 1' ,,,,,,,, LOAM & SUBSOIL s BEEN STRIPPED 3' 5 5' 7 MEDIUM SAND 7' MEDIUM SAND r GENERA NO TES B 8" g g' NO WATER ENCOUNTERED NO WATER ENCOUNTERED ^ 1) ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E:P. TITLE 5 AND THE TOWN OF _BARSTtBLE____ RULES AND J REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. DESIGN�T CAL C ULA TION,S' s��d+r 2) ONE COVER ON SEPTIC TANK SHALL BE BROUGHT TO WITHIN 6" OF FINISHED GRADE, OTHERS WITHIN 12" o w 3) ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF RETAIL/OFFICE 6,0275 F. 6 027 S.F. t` WAREHOUSE/GARAGE 3,920S.F. 3,920 S.F. Isl EP tit WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN INSTALL SE VEN(7) 500 GALLON .H2O TOTAL TITLE 5 FLOW f SS'0N"' ` � 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE LEACHING CHAMBERS WITH 746 GAL DA USED UNDER OR WITHIN 10 -FT. OF DRIVES OR PARKING AREAS. ( _75 GAL./1000/DAY x 9,947 S F) Y / FOUR FEET STONE SIDES & ENDS P 4) ANY MASONAR Y UNITS USED TO BRING COVERS TO GRADE SHALL 12 8'WIDE X 6 7. 5'LONG REQUIRED SEPTIC TANK CAPACITY USE 2000 GAL BE MORTERED IN PLACE. 746 G/D x z = 1,492 G/D 5) NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH SOIL CLASSIFICATION . . . . . . 1 DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO SOILS TO BE VERIFIED 5 FEET DESIGN PERCOLATION RATE < 2 MIN./IN. OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. BELOW "S. A. S. " AT THE TIME OF 6) UTILITIES SHO WV ARE APPROXIMA TE ONL Y, EXCA VA TION CONTRA CTOR EFFLUENT LOADING RATE . . . . . . 74 GAL/DA Y/S.F. ` IS TO CALL "DIG SAFE" AT 1—800-322—484 4 AT LEAST 72 HOURS INSTALLA TIO N LEACHING CAPACITY (AREA X RATE) 8 78 GAL/DA Y PRIOR TO COMMENCING WORK ON SITE. 5 FOOT STRIP— OUT AROUND S.A. S, RESERVE LEACHING CAPACITY . . . 8 78 GAL/DA Y t 7) CONTRACTOR ,IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS MAY BE REQUIRED. SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE 67. 5f67 5f12 8f12. 8 x 2 x 74)f(67. 5 x 12 8 x. 74)- 8) PARCEL IS IN FLOOD ZONE-- 238 640 = 878 9) " LOT IS SHOWN ON ASSESSORS MAP 58 AS LOT 23 10 ALL BUILDING MOUNTED FLOOD LIGHTS SHALL CONTAIN LIGHTING ON PROPERTY {' SHEET 2. OF 2 J# 530 73 GM