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1460 ROUTE 149 - Health
1460 RT. 149, MARSTONS MILLS OLDE BARNSTABLE FAIRGROUNDS i „ti TOWN OF BARNSTABLE vd`tDvs e LOCATION g-r ��GI 4 d1-11 /y_Sel SEWAGE VILLAGE/�5�/}// Al-LS ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. _. o h Y J/✓_I_�f U SEPTIC TANK CAPACITY f(Z)0 L/a� �50o GG/ �,Yea s� 7r-.-r LEACHING FACILITY:(type) (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER PM�/G BUILDER OR OWNER vJ DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: 5Ile VARIANCE GRANTED: Yes No 3' OWN OF BARNSTABLE LOCATION ;�--' % C/O�� ���5� SEWAGE # VILLAGE ASSESSOR'S MAP &--LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) c h (sue) 300 j NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER v h 5�G i DATE PERMIT ISSUED: / DATE COMPLIANCE ISSUED: 0/7 to/ ? 73r S Gi,<. ' VARIANCE GRANTED: Yes No /y� 0 G f� GRIN i � o I TOWN OF BARNSTABLE `¢moo LOCATION Z42 P s;2,6�T_ SEWAGE # % 'SSQ VILLAGE� �S]�,L /GL 5 ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO.�6,5og7 5 r.2/b lTO e-/7— SEPTIC TANK CAPACITY /Odo oRL LEACHING FACILITY:(type) TGyb ,G4q4'lq1,c1l-v A"size) 2 '�2 x/D f9 NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No J /� SG/�R�M � /yt%I�c r r���lQiuz� a p r - LP f o `-t' -r©o No....... ., Fes$. :.................... THE COMMONWEALTH OF MASSACHUSETTS BOARD HEALTH rq� , . 3`z�yi. O F......_.. ------ t�+,� ... Appliration -fear Biovooal Worho Tonotrurtt n iftrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal.. . ....... .....k ........ .. ..... ..................................................... s' L' tion-Ad " or Lot No. .......... r{ .. ..r- - - = -•- ......... .•----•-•-•-------••-•••••...•--•-•-••--•...........•--••.....--•--•-••-••--••.................•-- Address a W. ••-----•-------•---•---.--••••. Installer Address UType of Building Size Lot----------------------------Sq. feet Dwellin ENO. of Bedroo s___=_---___ _ Expansion Attic ( ) Garbage Grinder ( ) OtherType of Building{' No. of persons____________________________ ShowersCafeteria ( ) Q' Other fixtures ------------------------------- - - W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity------------gallons Length................ Width................ Diameter................ Depth.............--. x Disposal Trench—No..................... Width-------------------- Total Length...................- Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area.----.-------____sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ a Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water-..------.--.--.__.----- fX4 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water--._-.-._--.-__.-------- W ----- •-----•-•-••--•-•-•---•--•--•---•----•..................................................... O Description of Soil----•.................................... x W ------------------------------------ -------------------------------------•---------------------------------------------------------------------------------------------------------------------------- V Nature 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 Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signe __... - ----- �� _ to , Application Approved BY Application Disapproved for the following reasons___________________________________ _ ----.----•-•-••-----•---------------- Date--•----------- --•-•--•-•---•-------------------------•---------•---------------•-•---•-•-•-----------•---------•--------------•-••----------------------•---•------....------------------------•-••------------------- Date PermitNo......................................................... Issued........................................................ Date .............................................................. ................................................................ THE COMMONWEALTH OF MASSACHUSETTS BOARDg HEALTH OF............ Qprrtifiratr of 'VZ1nrm;liattrr T TO CER Y, That the Individual Sewage Disposal System constructed ( ) or Repaired (� by ----- ---- ----- -- ------------- -----------------------•-------••------ r tall ,._ has been installed in accordant with the provisions of Article f The State Sanitary C de descr' ed in the ® , application for Disposal Works Construction Permit No............ .:�__ ..........__.. dated-... __._ _.__.... ... ..._�� ...__.. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A G ARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE_ ----•-•--------------------•-•----------- Inspector-•----------------------- -------------------------------------I i° No...... -/./.... ..................... THE COMMONWEALTH OF MASSACHUSETTS BOARD .. ... . H EA T . --....OF....... - ........... Allp irtttion -for Dwvvottl Forks TonstV) an , n Vamit Application is hereby made for a Permit to Construct ( ) or RepairIndividual Sewage Disposal Sys a rr.a.. L ation.A or Lot No. .......... ...... i►=------ .. -•-•----• ••-----•--•----------------------••----.......---••--••••-••......----•-•------------•----.... ow r Address a AM ----- - .�- ------ --------------- ----------------------------- Installer Address QType of-Building Size Lot----------------------------Sq. feet U Dwellin No. of Bedroo s-- -------- ----- -- ---_-Expansion Attic ( ) Garbage Grinder ( ) "Other A Type of Building - t No. of persons.___________________________ Showers — Cafeteria Pa Other fixtures -------------------------------- - - W Design Flow............................................gallons per person per day. Total daily flow.............................._-------------gallons. WSeptic Tank—.Liquid capacity------------gallons Length................ Width...---------------- Diameter---------------- Depth........-....... x Disposal Trench—No-____________________ Width-------------------- Total Length.................... Total leaching area--------------------sq. ft. Seepage Pit No---------------------- Diameter-------------------- Depth below inlet.................... Total leaching area----------------..sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by......---------- ----------------------------------- .................... Date........................................ Test Pit No. 1________________minutes per inch Depth of Test Pit.................... Depth to ground water-..--------.-----.-._._. Test Pit No. 2................minutes per inch Depth of Test Pit.-_-__--.._____-____ Depth to ground water.-.-..---_-.---_--__-._. f ---------------------------------- - ------ ............................................................................................ Description of Soil-------------------'"---.---- �.. G�7.'V�+�,� ------------------------------------------------------------------------------------------------- �4 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 Article \I of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signe _.-. ------------------------------------------------------------- -- ------------------------- --- Application Approved B .e` �"' ' PP PP y Date Application Disapproved for the following reasons:--••----------••----------------- -•_--- ....................................................... ....--••••---••-••---•--•_••-••---------------------••---•-----------------------•-•••--•--------------•--------••-•----•-•••----•••-----------••--•............._._........_........--•--•------•••-•-- Date PermitNo........................................................ Issued......................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD HEALTH ..................................OF..................................................................................... �rrtifirtttr of fP�om�littnrr . TO 4CER That the Individual Sewage Disposal System constructed ( ) or Repaired by.- ,� r; ----- ---- --------------------------------------- 01 at._ �w✓ ---•--- 'lr has been installed inwith the provisions of Article I /f lte State Sanitary" de escr' ed.' the application for Disposal Works Construction Permit No----------- __ ______________ dated_ ------- .. .ter .......... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE.CONSTRUED AS A G ARANTEE THAT THE SYSTEM,,WILL FUNCTION SATISFACTORY. DATE................................................................................. Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .. ...........OF.......... ..4.� ........... ... +•'" No..1.�//� ..... FEE.. . CIT, iott Prat# Permission is hereby gr me to Cons t/ or Re r an idual Sewa Dispo 1 t at No. - -- ��i • Street . -- as shown on the application for Disposal Works Construction Per o._.__._ _ ated_ - -.-- _-- �!"'._._ s oar of Health DATE. FORM 1255-'tiOB65 & WARREN. INC.. PUBLJSHER3• " Town=of BAknstable ti Regulatory Services Thomas F. Geiler,Director BAR'ASS.`� y Public Health Division 16 rFo nnA'�" Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 i . Application Fee: $100.00. ASSESSORS MAP AND PARCEL NO. lO 0 3--7-0 0DATE I APPLICATION F ORTERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FFFaDIq OBF FULL NAME OF APPLICANT � 5 4':5� NAME OF ESTABLISHMENT d��� +��S�� ' - ADDRESS OF ESTABLISHMENT 117D M 1 1 , 4151,15 A'#S, I�A- TELEPHONE NUMBER 5D ''" I 41 Lf SOLE OWNER: " YES NO IF APPLICANT IS A PARTNERSHIP,FULL.NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPO"TIbN• FED'E.I2AL IDENTIFICATION NO. a w6 ooi 079 STATE OF INCORPORATION �ISS FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS HIDWTELEPHONE#^ Town of Barnstable OF1F{ETpk� Regulatory Services ° Thomas F. Geiler, Director * BARNSTABLE, " 6 MASS. a Public Health Division 90� i639. PrFOMA�a Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6 304 C Application Fee: $100.00 ' toly ifie, ASSESSORS MAP AND PARCEL NO. DATEQ APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT I'()W,41 of- NAME OF ESTABLISHMENT —D L b C—_ grlyy �a to • ADDRESS OF ESTABLISHMENT t L1(,P® �-� / Y / ► [��r�T� (�r`I �� TELEPHONE NUMBER ��� �, � S_?1, `7 �oC� SOLE OWNER: YES NO IF APPLICANT IS A PARTNERSHIP, FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT .TREASURER CLERK • SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE # Haz.doc;«p.'q Town of Barnstable oFTHE ra, Regulatory Services P� Thomas F. Geiler, Director +*' BA LE, y MASS. a* Publie.Health Division � MASS.OOA 1639. ,gym TF0MA�a' Thomas McKean, Director i 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE `2 3h Q APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT .&sLake NAME OF ESTABLISHMENT �/C>�tivld CCU/ ADDRESS OF ESTABLISHMENT 0 C �f�a ,�,�� • �'Ct., OU y TELEPHONE NUMBER} r 3(e ® coo l SOLE OWNER: YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: I IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. i i STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT j TREASURER CLERK I • SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE # Haz.dochcp'y ZG� III I Town of Barnstable Hazardous Materials On-Site Inventory and Inspection FACILITY INFORMATION: Business Name: i�,e bE 6AeAJ57,&t34C Business Location: I �0O y r � /�'J��STarU.f � S Mailing Address: s A' ✓G /3' /5D8 /90u7,-_ /<F� Telephone Number: 36 J� Contact Person: _BAUCE Emergency Contact Telephone Number: X l C Z� �-y .7 7' — 3 Type of Business: P&BL/c. 60/_i� &.0VA' S� 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 1A / 6414-O NS (;?f 5S—c,4-c 1)4K NAB. A-1qz'KA-ILO ,tom / l O TOR_ On- -6-6 C,41-"AlS G Qu��rk�� AeA A17mkvc.-, FAu -, Wh-S7C ®/L 44- /f2""tJS A�/SC. �G/�/Y/'�!/��L�-S ��l��?.�t�e�� S/' C/F�s G�Al3�,U�'r i,r���i✓r�v P� TR iN .S Ge -OW14.r T2AN��lisstbxl �l C�Au-a� I�i9 Z HA 7- ✓�Ci+t-"A)S P�CQ.G/ T //_6 4 v0c7 (i)/,vra t,/�c. J1677. &4Z6L gaZL 141c,A2���c9�S 44-5G L/,v iE / u•s .T sir- .�/ At&7e6/ubE-V ly® /94P41.NDS f�aSA9aua 6A4.S 7-evc coqe-HICA'L C4b rlt ,��G,��ovs lip J.s44i44 %✓ems spa/ ;r i"At -Fuk4/C/b&s IS- SCtAL. .Z,S4xuoR/eoN-dares 7Z)X/G &wleglcf // P0IJAlbS 5ra/a POUND 13 S S�RA�9E l�o�a'C 41,VL157OAle- - 1 - , Misc. Combustibles ^,e-%-s WkS! �n WrtsH� st � `�•� � Misc. Corrosives � � Gov 73VIC C*eAe10-hY-- /S Misc.Reactive •4-iy7'!��� .�S"� Inventory Total Amount: 3 90'1 rPO0N,,�S Hazardous Materials License Poste Yes No 101) Contingency Plan Posted? Yes o Fire District: _ q`" - '4*AAQ,us re Extinguisher Service Date: --P f mil`0 Metal Covered Rag Bin:6 No Absorbent Material Available? es No Type of Absorbent: Speedy Dry Pads Pigs Other: SPL LL &1JT-At Q tit F J`T' k i T-S MSDS on site? Yes No Hard Copy Computer Access Hazardous Waste Handling Hazardous Waste Generator Identification Number: (- Type(s) of hazardous waste product(s): WASH e2lL Date of last hazardous waste shipment,type of waste and quantity: Hazardous Waste Transporter(s): (vim 01L d0RP Designated Hazardous Waste Facility: e^! 19"1- d oR-P S-m a(�f;M V 1-0 Hazardous Waste Storage Area Description: ' e'scription: W -Sz r -() L �IQII S G &Ay A1 - .1—*/A �- Is hazardous waste storage area labeled: 6 No Are tanks/drums/containers labeled with the words "Hazardous Waste",the type 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 Is it in 110% containment? Yes No If hazardous waste is stored indoors is it on an impervious floors es No - 2 - FLOOR DRAINS (Chapter 381) Town Sewer Account Number: /(//� Indoor floor drains: Yes No If yes,circle one,does it discharge to a: holding tank dry well on site septic. Outdoor surface drains: Yes No If yes,circle one,does it discharge to a: holding tank dry well on site septic. FUEL AND CHEMICAL STORAGE TANKS (Chapter 326) Underground Storage Tank(s) on site?O No Age: /—U Is removal required? Yes If yes,when? Is testing required? es No If yes,when? .2-42/® Out of doors above ground storage tank on site? YesV 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/CORRECTIVE ACTIONS Z/ f c;su S6 `D S MR- ' /AZjAW ai PA 7V►"c.,A-L, !`�© i-iCA 776A9 ?~/,dc-6 POSE 5pl" l d /mil s 4AI &ir4e#,oq6rUr7W Ll c4 .sG G C o 7Z7> AeO t/- $LA-AAK '- Z ,d PAcYlbO 6 AJ IV -/ -/C) ©/► �•�B�Z W/A,-i� 6 L 6 R-Z H A� M�"��P�'�oos A-srr'r i°wA-✓Tt eit,� 7yx f� l /�l•�f.(�"flhi�c1 A1526 Books UP-7-0- D4r25 4-AeA /A! Date: Public Health Inspector: Facility Representative: - 3 - Town of Barnstable OE11HE Tph, Regulatory Services r P� ~� Thomas F. Geiler, Director a RARNS 9 MASS`��` Public Health Division I)IA—I L72ol I pTE1639. 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. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT /-o `/6" TELEPHONE NUMBER > SOLE OWNER: YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS . HOME TELEPHONE # Haz.doc/wp/q -2l , /00 No. e THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Ye PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01ppYication for Miopozal *pgtem Construction Permit Application for a Permit to Construct)Repair)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. /416 29 R pvT,L /V 9 Owner's Name,Address and Tel.No. 7 B L 04-® Assessor's Map/Parcel14 ,4P I0 MR CL('L 3 7-90 4O4 ,4 //Y/ Iasi is Name re Address 1. $ Designer's Name,Address and Tel.No. c�.t/ ©/` /.�AZI)ot QL.t N ZEE Type of Building: "� e Dwelling No.of Bedrooms Lot Size sq.ft. Garbag o er( ) Other Type of Building CG No.of Persons Showers Cafieria Other Fixtures R E Design Flow 17 2,00 gallons per day. Calculated daily flow —'gallCD s. Plan Date mefA e� /!J, 2 f>O�Number of sheets Revision Date Title X. .,7/L 0-1TA 41 GeB LOd//ems r—oe Ik C UL ,-e lL Size of Septic Tank Type of S.A.S. C h-,4,P�'1�'�� �fUO C- Z Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: DESIGNING ENGINEER MUST SUPERVISE The undersigned agrees to ensure the construction and maintenancelQ� LAiTAY TI IN WR TING g4ffi&a1 system in accordance with the p ovisi of Title 5 of the Environmental Code a�iU�io�Y§� W'qs is in opeAffd ratitiion n a Certifi- cate of Compliance has been b t ' o ACC0P, "' ` °-- ' w Signed Date Application Approved by Date Z Application Disapproved for the following reasons Permit No. UU3_21 Date Issued Vk THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of (Cons riance DESIGNING ENGINEER MUST SUPERVISE INSTALLATIO AND1 THIS IS TOT3I t th O -si Sewa isposal stem Constructed7(ME 8l�eparre'Id fl �� WAITING Abando e ( )b �. ACCOR `.� 'mac LLED IN STRICT at has been construc dln accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. oZ oy3-a)V dated Installer Designer The issuance of his permit shall not be construed as a guarantee that the s m will functi as designed. Date ��'� 5 Inspector e 'vi . t 2106 '0i00 N Flee o. _- _ ..-..•.,ter`';" _... . THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: 'PUBLIC HEALTH.D'IVISION -TOWN"OF BARNSTABLE MASSACHUSETTS Ye ' Zl�pfica�tion for Miopool *p�tem Construction Vermtt ` Application for a Permit to Construct)Repair)Upgrade( )Abandon( . ) ❑Complete System ❑Individual Components Location Address or Lot No. y�j D pv% / 9 Owner's Name,Address and Tel.No. TO will Assessor's Map/Parcel f �L� '����►//1�9,PL� Fr9/� �i,QD(iiv�,f /t1 AP%f y ARn C FZ 3-TOO d✓OY! f -o GA11 le&e/C/1- V 2,P In tal er's Name,Address el.N Designer's Name,Address and Tel.No. Tv i. .v O �vS/liY�l 9 OCR 6 ' d'6 z Type of Building: i t Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Gnpder Other Type of Building G L yQ�YDa/ No.of Persons l Showers(- Cafe_t a( ) Other Fixtures A C l T ?Oev,-,4 Design Flow 7 gallons per day. Calculated daily flow- 6 15pe�7 gallons. Plan Date M,44 c/7' /O a eO-?Number of sheets Revision Date —� 3 Title"P4ZD s �,DT/� f f'/T.z itt 4���i9/�� (rOC k Size of Septic Tank 7 — .3.TD O Gh'L , Ti9/f-1,f Type of S.A.S. G f� �!'�/2 f �,. a0 4 i- 'e J f 6 Description of Soil f Al d O �9 Nature of Repairs or Alterations(Answer when applicable) 1� C/_= .l fl //�/ 2 may i7 Date last inspected: o - w Agreement: The undersigned agrees to ensure the construction and maintetlance of the afore described on-site sewage disposal system in accord ce;Witlkhe provisioft of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of,Compliance has been *,lod o HSignedDate t Application Approved b� Date 2 Application'Disapp/rq/oved for the following reasons Permit No' .l7 nn - Date Issued �) d ——————————— . . THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO,C� �JF,Y, that t e O -side Sewage Disposal System Constructed( )Repaired ( )Upgraded( ) Abandon5o,( at has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.2 0o -al J dated l,21ir2 Installer - ` Designer The issuance of this permitshall not be construed as a guarantee that the rtem ill functi s designed. Date S'�`�I i Inspector tc 7 Y l fVI--- - No. ----------------------------�—� t - Fee ,0 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Migaal *pg;tem Construction permit Permission is hereby gr�R/ted��o Consttrluct Rep ' ( )Upgrade( )Abandon( ) + y System located at `kUoto V ��UIJ� 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: Constr ction must be completed within three years of the date of this.permit. Date:_ Z d3 Approved by � t RECEIVED ' Town of Barnstable JUN 3 0 2003 Department of Public Works Engineering Division TOWN OF BARNSTABLE i639' s�0 HEALTH DEPT. ATFo '� 367 Main Street,Hyannis MA 02601 Office: 508-862-4086 Mark S.Ells,Director Fax: 508-862-4711 Robert A.Burgmann,P.E. Town Engineer DATE: June 27, 2003 TO: Thomas Mckean, Director Health Division FROM: Stephen Seymour, Supervisory Project Engineer RE: Municipal Golf Course Septic System Repair This certifies that the Engineering Division of the Department of Public Works inspected the repair of the septic system servicing the restrooms in the Club House at the Olde Barnstable Fairgrounds golf course owned by the Town of Barnstable. The system was installed in strict accordance with the plans dated March 10, 2003 under permit number 2003-214. 03/03/2010 09:21 5083856383 PKM CONTRACTORS INC PAGE 01 THE COMMONWEALTH OF MASSAGHUSETTS BARNSTABLE, MASSACHUSMS Certificate of C ampliante THIS IS To CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired ( )Upgraded ( K) Abandoned( ) by R�%C% 0,Y4 has been construe d ' accordance at i it d� with the provisions of Title 5 and the for Disposal System Construction Permit No. t r) ^ ' V dated Installer ra�x7xr S. fie- —Designer The issuance of- s permit shall not be construed as a guarantee that the sy m ill netionX design Date Inspector I �O 1 ' 1 I 'C7 WI Town of Barnstable THE T, Regulatory Services Thomas F. Geiler,Director Public Health Division BABNSTABLE, Thomas McKean,Director ME MASS. g' 1639. �� 200 Main Street, Hyannis,MA 02601 MPS A Phone: 508-862-4644 Email: health()town.bamstable.ma.us Fax: 508-790-6304 Office Hours: M-F 8:00—4:30 August 25,2006 Olde Barnstable Fairgrounds Golf Course Bruce McIntyre 1460 Route 149 Marstons Mills,MA 02648 Dear Mr.McIntyre: Thank you for your time and cooperation during the annual hazardous materials inventory and site visit on at the Olde Barnstable Fairgrounds Golf Course, 1460 Route 149,Marstons Mills on July 24, 2006. This letter contains information from that visit that will help you remain compliant with Chapter 108 of the Town of Barnstable Code: Hazardous Materials. Enclosed are copies of Chapter 108: Hazardous Materials ordinance and a copy of the Toxic and Hazardous Materials On-Site Inventory form from the site visit. Please note the observations identified at the facility during the hazardous materials inspection listed below: OBSERVATION: • All waste is labeled properly and kept on secondary containment. • Flammable cabinets are available for gasoline storage. • Spill kits are available for use. • Eyewash stations are on site and are in working order. • Rag cans with lids are present and used. • Storage Trailers are labeled with Hazardous Materials. • Site is very organized. • MSDS on site and available. On Site Inventory Total The Toxic and Hazardous Materials On-Site Inventory from July 24, 2006 shows that you have approximately 2,985 gallons of toxic and hazardous materials being used, stored, generated and disposed of at the Olde Barnstable Fairgrounds Golf Course located at 1460 Route 149,Marstons Mills, MA(Please see enclosed Toxic and Hazardous Materials On Site Inventory sheet). These counts reflect the maximum housing of toxic and hazardous materials each year during the peak season. The remaining months will have substantially less toxic and hazardous materials on site. <r Why are these recommendations being made for Olde Barnstable Fairgrounds Golf Course? • This information is intended to educate you, a business owner/operator in the Town of Barnstable, in order to keep your business operations in compliance with local, state and federal toxic and hazardous materials laws so that you can avoid future regulatory problems. • Complying with the Hazardous Materials ordinance(Chapter 108) can prevent contamination of Barnstable's existing and future drinking water supply,prevent environmental contamination which can bankrupt site owners,lower or destroy land values, drive out residents and industry, depress local economies and endanger public health. If you have any questions about these observations, or if you need further information,please do not hesitate to contact the Public Health Division. Sincerely, � W U"VAY Alisha L. Parker Hazardous Materials Specialist All orders to correct violations of Chapter 108 of the Town of Barnstable Ordinance: Hazardous &Maten'alsshall be co pleted upon receipt of this letter. .McKean,RS, C O Director of Public Health Enc. On-Site Inventory(copy) Chapter 108 (copy) TOWN OF BARNSTA LE / Da e: TOXIC AND HAZARDOUS MATERIALS ON-SIT INVENTORY NAME OF BUSINESS: 01 CI e Vnh�121 1"I'10111/11.)11,Adf GIDIECA1112L BUSINESS LOCATION: o f INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER -�vt�_��U J�13�. 6 4V CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NU R: MSDS ON SITE? TYPE OF BUSINESS: INFORMATION/RECOMMENDATIONS: U Fire District: Waste Transportation: Last shipment of hazardous.waste:7'(�i' �D6� Name of Hauler• 0NIQ11 - 611 Destinatio Waste Product: Licensed Ye No NOTE: Under the provisions of Ch. 111, Sectio 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum _ Antifreeze (for gasoline or coolant systems) Misc. Corrosive NEW J USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants 31 Motor Oils Pesticides -a NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) �d. Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Misc. Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) NEW USED Any other products with "poison'' labels{ Paint &varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables hydrochloric acid, other acids) Floor&furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers �km- 55a ins (including bleach) Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS 7/241a, OIL WASTE OIL OIL FILTERS ANTIFREEZE WASTE �� - ,� ANITFREEZE s 0� GASOLINE WASTE GAS DIESEL FUEL W/W FLUID ATF ro Imo° ,�,-� 000 1 HYDRAULIC/ MISC. MISC. MISC. MISC. BRAKE FLUID COMMBUSTIBLE FLAMMABLE CORROSIVE PETROLEUM y I (1 t �2 >( 2- (GE SE/ LUBRICANTSI 5 V FREON ACETYLENE CAR WASH CAR WASH PAINTS/ WAX DETERGENTS THINNERS gg 1 SEALANT CLEANING BATTERIES/ C CAULK/GROUT SOLVENTS BATTERY ACID i �.@ Q. �D 'K FERT RS WASTE SOLVENT U LQ t' (V/ysMSDS 7 S?-m v km -tm g 255 MANIFESTS n qir\ 0 �Q Town of Barnstable °kVE r Regulatory Services ti Thomas F. Geiler,Director B"R AS& Public Health Division 03 9� ' 9. 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. DATE' 1 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT To Irv.✓ O t- NAME OF ESTABLISHMENT 6L n C Qa r.,N S Ti4at r' R ir9 Lo-yAl S 6-0 W(A✓(S 2 ADDRESS OF ESTABLISHMENT 1 , 2 715- / YC/ f/ST"0,AJ �s TELEPHONE NUMBER So 9 !V 1.D— 53(o 7 SOLE OWNERS NO c IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL C) :z PARTNERS: r C) :Z O rn IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK �jry t t� R• ��,�•�� rP (rdt f S,,p����v{-evQ(�wT u "t. SIGNATURXOF ADPLICANT RESTRICTIONS: HOME ADDRESS t' HOME TELEPHONE# Haz.doc/wp/q $ Town of Barnstable IKE T Regulatory ulator Services v of ay~ °.� Thomas F. Geiler,Director sA NSTASLE, A Public Health Division 1639. ♦0 . '°TEON,prA 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. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT ro tilAl NAME OF ESTABLISHMENT �«�v S �a-a�-�Covf e ADDRESS OF ESTABLISHMENT / Y 6 © P f f 1",4r S7-0 N-S M LL S TELEPHONE NUMBER 56 1—4 c S-3( 7 SOLE OWNER: i✓ YES NO G;3 CD IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL ; PARTNERS: � t - IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# Q:\Application Forms\HAZAPP.DOC 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 Back to Main Public Health Division Page Q:\Application Forms\HAZAPP.DOC ZJ1277`'?-S� 9s . dF� : . . : Town of Barnstable 16 �� Department of Public Works �►+ ' 367 Main Street, Hyannis MA 02601 Office: 508-790-6300 Thomas J. Mullen Fax: 508-790-6400 Superintendent DATE: April 26, 1995 TO: Thomas McKean, Director Board of Health a FROM: Stephen Seymour, Supervisory Project Engineer RE: Golf Course Septic Plans I have revised the plans to take into account your comments. Let me know if they meet with your approval. Thanks PR 2 6 1995 w r � d ` r Town of Barnstable �.ies� Department of Public Works ,�' 367 Main Street, Hyannis MA 02601 Office: 508-790-6300 Thomas J. Mullen Fax: 508-790-6400 Superintendent DATE: December 18, 1995 TO: Thomas Mckean, Health Inspector FROM: Stephen Seymour, Supervisory Project Engineer RE: Municipal Golf Course Septic System Expansion I am writing to confirm that I oversaw the construction inspection, of the septic system expansion, at the Town's municipal Golf Course. The system was installed in conformity to the plans approved by the Board of Health. SGS/bohinspe Town of Barnstable lti Regulatory Services rf Thomas F. Geiler, Director rt BnxivM. " Public Health Division1659. � �p r AjEo +°' 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. DATE APPLICATION FOR PERMIT.TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT rO AIAI Lr� NAME OF ESTABLISHMENT L 6�P'All-I A13 l ADDRESS OF ESTABLISHMENT / Q /e f f. l % /y1,4,(g7-0, J LL TELEPHONE NUMBER 5&?—14X 0—53 6 7 SOLE OWNER: RYES NO ; IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALA, ay= PARTNERS: Cal _ a rn IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT ',' «+► rtTREASURER CLERK j SIGNATURE OF APPLICANT LSTRICTIONS: HOME ADDRESS HOME TELEPHONE# plication Forms\HAZAPP.DOC i i j CENTERVILLE-OSTERVILLE-MARSTONS MILLS FIRE DISTRICT 1875 ROUTE 28 CENTERVILLE, MA 02632 (508)790-2380IFAX#(506)790-2385 OILIHAZARDOUS MATERIAL RELEASE FORM F.A.# Z( LG I I LOCATION: ADDRESS OF RELEASE: _ 1 DATE OF RELEASE: �r PRODUCT RELEASED:, {, I ESTIMATED QUANTITY_ : ,� 1 CORRECTIVE ACTION TAKEN Bl`R SP YNIIt. ARTY: t NOTIFICATIONS: FIRE DEPARTMENT: Yam(,,,) NO( ) DATE: 9� TIME: )cc-=�;',....,.., o•v 1 NATIONAL RESPONSE CENTER YES( ) NO( ) DATE: TjME: y DEPT. OF ENVIRONMENTAL PROTECTION YES(.) NO( ) PATE: TIME: OIL SPILL COORDINATOR: YES( . ) NO( ) DATE:_ ! TOWN BOARD OF HEALTH: YES(-) NO( ) DATE:_,,V ,,,�;�,`TIME: TOWN HARBORMASTER: YES( ) NO( ) DATE: t TIME: OTHER AGENCIES: COMMENTS: REPORTED BY: ��- -�-.� i r--- -DATE:— WHITE COPY-FIRE DEPARTMENT YELLOW COPY-D.E.P. PINK COPY-BOARD OF HEALTH C•-O-MM FORMS 058 i I I I I i BENNETT & O'REILLY, INC. Engineering & Environmental Services LETTER OF 1573 Main Street,P.O. Box 1667 Brewster, MA 02631 TRANSMITTAL (508) 896-6630 FAX(508) 896-4687 TO: DATE: JOB NUMBER: Mr.Richard Packard 11/07/05 B005-4410 MA DEP(SERO),BWSC Section Chief 20 Riverside Drive Lakeville,MA 02347 REGARDING: Olde Barnstable Fairgrounds Golf Course 1460 Route 149 We are sending you: Marston Mills,MA COPIES DATE DESCRIPTION 1 11/02/05 IRAC/Class A-2 RAO Report 1 BWSC-103 (original) 1 BWSC-104(original) 1 BWSC-105(original) 1 Bill of Lading(original) For review and comment: ❑ For approval: ® As requested:❑ For your use:❑ REMARKS: ca d - Co cc: Mr. Stanley Bielusiak,Responsible Party N Mr.Lawrence Belmont,Regional Manager for CTC Services/LAD Inc. � Mary Holway,Mgr.,Olde Barnstable Fairgrounds Golf Course Chief John Farrington,COMM Fire Department Mr.John Klimm,Barnstable Town Administrator j Mr.Thomas McKean,Barnstable Board of Health From: Kara Risk,ESII/Project Manager If enclosures are not as noted,kindly notify us at once � 1 � TN E TOWN OF BARNSTABLE b�P�o4 T o�ya OFFICE OF BAS L rAB& BOARD OF HEALTH � wea �p 1639. \�0�' 367 MAIN STREET 0 MA-1 HYANNIS, MASS.02601 April 19, 2000 David Brackett The Clubhouse at 01de Barney 1460 Route 149 Marstons Mills, MA 02648 Dear Mr. Brackett: You are granted permission to cook and serve limited foods outdoors during special events on the following dates only: • May 11, 2000 • May 22, 2000 • June 7, 2000 • July 21, 2000 • October 13, 2000 This permission is granted with the following conditions: (1) The applicant shall submit a completed temporary food service permit application form for each event at least four (4) days prior to each event (blank forms attached). (2) The applicant shall strictly comply with 105 CMR 590.00 the State Sanitary Code and all of the Board of Health Outdoor Food Vending Criteria A-H (copy attached). (3) This permission expires at the end of the day of the last special event - October 13, 2000. bracket2 1 i The applicant testified that only hot dogs and hamburgers will be prepared and served during five(5) golf tournaments this year. This permission is granted because the applicant has been properly trained in food sanitation and safe food handling practices. He testified that he will comply with all of the Board of Health Outdoor Food Vending Criteria. Sincerely yours, Susan G. Rask, R.S. Chairperson Board of Health Town of Barnstable SG R/bcs Attachment bracket2 TOXIC AND HAZARDOUS MATERIALS REGISTRA ON FORM NAME OF BUSINESS: QtDr Aai'✓ySTABI e-- Fairqrov4ds l vl/=LovlLeMail To: If BUSINESS LOCATION: __ /y(p0 /Z T !y9 MQr.STr7 Vg fvir`1 j& M.4, Board of Health Town of Barnstable MAILING ADDRESS: .54M t P.O. Box 534 TELEPHONE NUMBER: Sr) O =— S'.3�u -7 Hyannis, MA 02601 CONTACT PERSON: er y C cIF EMERGENCY CONTACT TELEPHONE NUMBER: Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in qua tities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store: Quantity/Case Quantity/Case 64L I /®-A . Antifreeze (for gasoline or coolant systems) Drain cleaners /SQL Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners 1 _6AL Hydraulic-fluid (including-braka..fluid) Disinfectants 0006A.Motor oils/waste oils Road Salt (Halite) /0d0Gasoline, Jet fuel Refrigerants /s 64 4- `7 SOG'XDiesel fuel, kerosene, #2 heating oil a 4 s Pesticides (insecticides, herbicides, dOQ�`_ Other petroleum products: grease, lubricants rodenticides 5-70L Degreasers for engines and metal Photochemicals (fixers and developers) S-6,fL D:egreasers for driveways & garages Printing ink Buttery acid (electrolyte) Wood preservatives (creosote) ) R`.ustproofers Swimming pool chlorine C'ar wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes S6/}L Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) oR GEC Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes . (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) S-64L Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy- Health Department/ Canary Copy-Business CORP—LIANCE.- �'CLASS: 1.Marine,Gas Stations,Repair Printers • ' • Shops "Orders") Suppliers6.Fuel • � � • .1 '=r�� 117.Miscellaneous • Case lots Drums Above Tanks Underground TanksWUMII ' F ONE 016114doll ' am 44" wo , ll EIEMI► � ffffib 1 40,rAN RA 011011001MIN 4 e • • •� . • . WE I r I r , • •.. 0 • I ' 1 of Name of Hauler Destination Waste Product Licensed? FARM�- WE ArMA- 11 / F COA�; frse:>ail TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH 0 satisfactory 2. nters 3.Auto Body Shops 0 unsatisfactory- 4.Manufacturers COMPANY (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS ane Class: 7.Miscellaneous QUANTITIES AND STORAGE (IN=indoors; OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: We 15 A A 5 b0tt C DISPOSAIJRECLAMATION RE S: 1. Sanitary Sewage 2. Water Supply po"l —M O Town Sewer OPublic 0h; c(;A (5�TA-r1nAl /e<::" ALOC&O O On-site OPrivate sac 3. Indoor Floor Drains YES NO O Holding tank: MDC O Catch basin/Dry well 0 On-site system 4. Outdoor Surface drains:YES NO ORDERS: 0 Holding tank:MDC O Catch basin/Dry well 0 On-site system 5. Waste Transporter Name of Hauler Destination Waste Product Wato 2. P (s) Intervie ed Inspect TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH 0 satisfactory 2.Printers 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY&Cl, Yiri'3' �G'i L�c� � (see"Orders") 5.Retail Stores ADDRESS % f ` 7 6.Fuel Suppliers _ Class' 7.Miscellaneous '/ � nD ITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALSCase lots Drums Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: 3 Gasoline, Tvr.t-Fuci-i's', � Dies �., el };�r�s�e• 2 (B) an* Heavy Oils: waste motor oil (C) yJ new motor oil (C) transmissi,n/hydraulic Synthetic Organics: degreasers ,y Miscellaneous: _4� DISPOSAIJRECLAMATION REMARKS: 1. Sanitary Sewage 2.Hater Supply �$ 1 ' Town Sewer Public J7 - l On-site OPrivate ` 3. Indoor Floor Drains YES NO 0 Holding tank: MDC O Catch basin/D,y well 0 On-site system 10 4. Outdoor Surface drains:YE lr DE S N O ORDERS: 0 Holding tank: MDC Al (0 Catch basin/Dry well 4 441,0 On-site system Al - 5.Waste TransporterName of Hauler Destination �7 Waste Product LicensedTI //',•7 i YE S NO 000l Person (s) tervi e Inspector Date TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1. Marine,Gas Stations,Repair 2.Printers BOARD OF HEALTH satisfactory 3.Aanuuto Body Shops unsatisfactory- 4.Mfacturers COMPANY (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS !' �� f1`"l � Class: 7.Miscellaneous /'��J(jt_,�NTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers 4 Miscellaneous: , r DISPOSAURECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply O Town Sewer Public kon-site OPrivate 3. Indoor Floor Drains YES NO V O Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: 0 Holding tank: MDC O Catch basin/Dry well O On-site system 5. Waste Transporter DestinationName of Hauler YES NO 1. 2. Ll so (s) nterviewed Inspector Date TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: fe,-zou s �o eo4wxg Mail To: BUSINESS LOCATION:1*� ,�/ 9, � `� Board of Health Town of Barnstable MAILING ADDRESS: P.O. Box 534 TELEPHONE NUMBER: S®9— �jc),D — 5,-3& :Z Hyannis, MA 02601 CONTACT PERSON: k/LuG6 f EMERGENCY CONTACT TELEPHONE NUMBER: 20-- /2y to Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in qu tities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store: Quantity/Case Quantity/Case Antifreeze (for gasoline or coolant systems) Drain cleaners �,4C Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants � 4(Motor oils/waste oils Road Salt (Halite) /d®D_ Gasoline, Jet fuel Refrigerants ID0D Diesel fuel, kerosene, #2 heating oil 5-0/_ Pesticides (insecticides, herbicides, jc Other petroleum products: grease, lubricants rodenticides) FUAI 1 IC �S [ ��L Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) 'h GAL Rustproofers Swimming pool chlorine I t"_ Car wash detergents Lye or caustic soda 107 Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes 5641 Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) _)j2A-LPaint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids ,be toxic or hazardous (please list): (dry cleaners) 14 Other cleaning'solvents Bug and tar removers !6 T- Household cleansers, oven cleaners White Copy- Health Department/ Canary Copy-Business TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH fir satisfactory 2.Printers 3.Auto Body Shops O /� unsatisfactory- 4.Manufacturers Y6 COMPANo�i�i ��a�7 (see"Orders") 5.Retail Stores ADDRESS /��lo 97/41'_ Class: 7 7 Fuel Suppliers .Miscellaneous QUANTITIES AND STORAGE (IN= indoors;OUT-outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons I Age Test Fuels: Gasoline,MT. Wftk- _ f( �j Diesel, K , Heavy Oils: of waste motor oil (C) new motor oil (C) � transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: 62 2 6 .�' D s, DISPOSALIRECLAMATION REMARKS: 1. Sanitary Sewage 2. Water Supply r �l Z O Town Sewer A� On-site Private < /' 3. Indoor Floor Drains YES N0-11 m �� O Holding tank: MDC O Catch basin/Dry well Z 1(_011LG 77� O On-site system 4. Outdoor Surface drains:YES_,�/NO ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter DestinationName of Hauler YES NO 2. 6 z*C " I Person (s) Interviewed Inspector Date TOWN OF BARNSTABLE. omTVATE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH satisfactory 3.Printers dy Shops � 0 unsatisfactory- 4.Manufacturers COMPANY "Rc (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS 141A � lass: �� 7.Miscellaneous /'L, A'1.�� QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: S DISPOSAIJRECLAMATION REMARKS: 1.1. Sanitary Sewage 2.Water Supply r.,1' - y 1 ' 0 Town Sewer Public 0 On-site OPrivate 3. Indoor Floor Drains YES NO 0 Holding tank:MDCew 0 Catch basin/Dry well 0 On-site system I 4. Outdoor Surface drains:YES NO V S: 0 Holding tank:MDC .. 0 Catch basin/Dry well O On-site system 5. Waste Transporter icense Name of Hauler Destination Waste Product YES NO 1. 2. Person Int' Inspector'A Date COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL Ay DEPARTMENT OF ENVIRONMENTAL PROt1lopy SOUTHEAST REGIONAL OFFICE U1W 20 RIVERSIDE DRIVE, LAKEVILLE, MA 02347 508-946- MITT ROMNEY STEPHEN R.PRITCHARD Governor Secretary KERRY NF ALEY j� ROBERT W.GOLLEDGE,Jr. Lieutenant Governor Commissioner URGENT LEGAL MATTER:PROMPT ACTION NECESSARY September 20,2005 Stanley J.Bielusiak RE: BARNSTABLE-BWSC 1182 Old Fall River Road Olde Barnstable Fairgrounds North Dartmouth,MA 02747 1460 Route 149 RTN#4-19327 NOTICE OF RESPONSIBILITY M.G.L.G 21E,310 CMR 40.0000 ATTENTION: Stanley J.Bielusiak On September 10,2005 at 12:30 pm the Department of Environmental Protection(the"Department") received oral notification of a release and/or threat of release of oil and/or hazardous material at the above referenced property, which requires one or more response actions. Approximately 30 gallons of aviation gasoline Was released when a two-seater plane crashed on the driving range of Olde Barnstable Fairgrounds. The Massachusetts Oil and Hazardous Material Release Prevention and Response Act, M.G.L. c.21E,and the Massachusetts Contingency Plan(the"MCP"), 310 CMR 40.0000,require the performance of response actions to prevent harm to health,safety,public welfare and the environment which may result from this release and/or threat of release and govern the conduct of such actions. The purpose of this notice is to inform you of your legal responsibilities under State law for assessing and/or remediating the release at this property. For purposes of this Notice of Responsibility, the terms and phrases used herein shall have the meaning ascribed to such terms and phrases by the MCP unless the context clearly indicates otherwise. The Department has reason to believe that the release and/or threat of release which has been reported is or may be a disposal site as defined by the MCP. The Department also has reason to believe that you(as used in this letter, "you"refers to Stanley J.Bielusiak)are a Potentially Responsible Party(a"PRP") with liability under M.G.L.c.21E§5,for response action costs. This liability is"strict",meaning that it is not based on fault,but solely on your status as owner, operator, generator,transporter, disposer or other person specified in M.G.L.c.21E§5. This liability is also"joint and several',meaning that you may be liable for all response action costs incurred at a disposal site regardless of the existence of any other liable parties. The Department encourages parties with liabilities under M.G.L. c.21E to take prompt and appropriate actions in response to releases and threats of release of oil and/or hazardous materials.By taking This information is available in alternate format Call Donald M.Gomes,ADA Coordinator at 617-556-1057.TDD Service-1-800-298-2207. DEP on the World Wide Web: http://www.mass.gov/dep 1100 Printed on Recycled Paper I 2 prompt action,you may significantly lower your assessment and cleanup costs and/or avoid liability for costs incurred by the Department in taking such actions. You may also avoid the imposition of,the amount of or reduce certain permit and/or annual compliance assurance fees payable under 310 CMR 4.00. Please refer to M.G.L.c.21E for a complete description of potential liability. For your convenience, a summary of liability under M.G.L.c.21E is attached to this notice. You should be aware that you may have claims against third parties for damages, including claims for contribution or reimbursement for the costs of cleanup. Such claims do not exist indefinitely but are governed by laws which establish the time allowed for bringing litigation. The Department encourages you to take any action necessary to protect any such claims you may have against third parties. At the time of oral notification to the Department, the following response actions were approved as an Immediate Response Action(IRA): • Deployment of absorbent/containment materials. • Installation of temporary covers/caps. • Excavation and disposal of up to 10 cubic yards of contaminated soil. • All Remediation Waste must be properly storeM andled and disposed of within 120 days from the date of generation per 310 CMR 40.0030. ACTIONS REQUIRED In addition to oral notification, 310 CMR 40.0333 requires that a completed Release Notification Form (BW$C-103, attached) be submitted to the Department within sixty(60) calendar days of September 10,2005. You must employ or engage a Licensed Site Professional (LSP) to manage, supervise or actually perform the necessary response actions at this site. The Department has David C. Bennett of Bennett & O'Reilly,Inc.listed as the LSP of Record. Additional submittals are necessary with regard to this notification including,but not limited to, the filing of a written IRA Plan, IRA Completion Statement and/or a Response Action Outcome (RAO) statement. The MCP requires that a fee of $1,200 be submitted to the Department when an RAO statement is Sled greater than 120 days from the date of initial notification. Specific approval is required from the Department for the implementation of all IRAs pursuant to 310 CMR 40.0420. Assessment activities, the construction of a fence and/or the posting of signs are actions that are exempt from this approval requirement. Unless otherwise provided by the Department, potentially responsible parties ("PRP's") have one year from the initial date of notification to the Department of a release or threat of a release,pursuant to 310 CMR 40.0300, or from the date the Department issues a Notice of Responsibility,whichever occurs earlier, to file with the Department one of the following submittals: (1)a completed Tier Classification Submittal; (2) an RAO Statement or,if applicable,(3)a Downgradient Property Status. The deadline for either of the first two submittals for this disposal site is September 10, 2006. If required by the MCP, a completed Tier I Permit Application must also accompany a Tier Classification Submittal. 1 3 This site shall not be deemed to have had all the necessary and required response actions taken unless and until all substantial hazards presented by the release and/or threat of release have been eliminated and a level of No Significant Risk exists or has been achieved in compliance with M.G.L.c.21E and the MCP. If you have any questions relative to this Notice, please contact Lori Williamson at the letterhead address or at(508)946-2794. All future communications regarding this release must reference the following Release Tracking Number:4-19327. Very truly yours, Richard F.Packard,Chief Emergency Response/Release Notification Section P/LW/re 4-19327-nor-2 Attachments: Release Notification Form;BWSC-103 and Instructions Summary of Liability under M.G.L.c.21E fc: Board of Health Board of Selectmen Fire Dept cc: Massachusetts Aeronautics Commission Ten Park Plaza Room 3510 Boston,MA 02116-3966 Attn:Richard I.Bunker,Aeronautical Inspector Olde Barnstable Fairgrounds Rte. 149,P.O.Box 68 Marston Mills,MA 02648 Attn:Merry Holway,Assistant Pro/Manager Bennett&O'Reilly 1573 Main Street P.O.Box 1667 Brewster,MA 02631 Attn:David C.Bennett,LSP DEP-SERO ATTN: Data Entry l� O It COMMONWEALTH OF MASSACHUSETTS EYECUTIVE OFFICE OF ENVIRONMENTAL Ay DEPARTMENT OF ENVIRONMENTAL PRO twy SOUTHEAST REGIONAL OFFICE 20 RIVERSIDE DRIVE, LAKEVILLE, MA 02347 608-9464 MITT ROMNEY ., STEPIiEN R.PRITCHARD Governor ERE Secretary KERRY HEALEY 9 2005 ROBERT W.GOLLEDGE,Jr. Lieutenant Governor Commissioner _ URGENT LEGAL MATTER:PROMPT ACTION NECESSARY September 20,2005 Merry Holway,Assistant Pro/Manager RE: BARNSTABLE-BWSC Olde Barnstable Fairgrounds Olde Barnstable Fairgrounds Rte. 149,P.O.Box 68 1460 Route 149 Marston Mills,MA 02648 RTN#4-19327 NOTICE OF RESPONSIBILITY M.G.L.c.21E,310 CMR 40.0000 ATTENTION:Merry Holway On September 10,2005 at 12:30 pm the Department of Environmental Protection(the"Department") received oral notification of a release and/or threat of release of oil and/or hazardous material at the above referenced property, which requires one or more response actions. Approximately 30 gallons of aviation gasoline was released when a two-seater plane crashed on,the driving range of Olde Barnstable Fairgrounds. The Massachusetts Oil and Hazardous Material Release Prevention and Response Act, M.G.L. c.21E,and the Massachusetts Contingency Plan(the"MCP"),310 CMR 40.0000,require the performance of response actions to prevent harm to health,safety,public welfare and the environment which may result from this release and/or threat of release and govern the conduct of such actions. The purpose of this notice is to inform you of your legal responsibilities under-State law for assessing and/or remediating the release at this property. For purposes of this Notice of Responsibility, the terms and phrases used herein shall have the meaning ascribed to such terms and phrases by the MCP unless the context clearly indicates otherwise. The Department has reason to believe that the release and/or threat of release which has been reported is or may be a disposal site as defined by the MCP. The Department also has reason to believe that you(as used in this letter,"you"refers to Olde Barnstable Fairgrounds)are a Potentially Responsible Party(a "PRP")with liability under M.G.L.c.21E§5,for response action costs. This liability is"strict",meaning that it is not based on fault,but solely on your status as owner,operator, generator,transporter, disposer or other person specified in M.G.L.c.21E§5. This liability is also"joint and several",meaning that you maybe liable for all response action costs incurred at a disposal site regardless of the existence of any other liable parties. The Department encourages parties with liabilities under M.G.L. c.21E to take prompt and appropriate actions in response to releases and threats of release of oil and/or hazardous materials.By taking This information is available In alternate format Call Donald M.Gomes,ADA Coordinator at 617-556-1057.TDD Service-1-800-298-2207. DEP on the World Wide Web: http:/Avww.mass.gov/dep i�«1 Printed on Recycled Paper t 2 prompt action,you may significantly lower your assessment and cleanup costs and/or avoid liability for costs incurred by the Department in taldng such actions. You may also avoid the imposition of,the amount of or reduce certain permit and/or annual compliance assurance fees payable under 310 CMR 4.00. Please refer to M.G.L. c.21E for a complete description of potential liability. For your convenience, a summary of liability under M.G.L.c.21E is attached to this notice. You should be aware that you may have claims against third parties for damages, including claims for contribution or reimbursement for the costs of cleanup. Such claims do not exist indefinitely but are governed by laws which establish the time allowed for bringing litigation. The Department encourages you to take any action necessary to protect any such claims you may have against third parties. At the time of oral notification to the Department,the following response actions were approved as an Immediate Response Action(IRA): • Deployment of absorbent/containment materials. • Installation of temporary covers/caps. • Excavation and disposal of up to 10 cubic yards of contaminated soil. • All Remediation Waste must be properly stored/handled and disposed of within 120 days from the date of generation per 310 CMR 40.0030. ACTIONS REQUIRED In addition to oral notification, 310 CMR 40.0333 requires that a completed Release Notification Form (BWSC-103, attached)be submitted to the Department within sixty (60) calendar days of September 10,2005. You must employ or engage a Licensed Site Professional (LSP) to manage, supervise or actually perform the necessary response actions at this site. The Department has David C. Bennett of Bennett & OReilly,Inc.listed as the LSP of Record. Additional submittals are necessary with regard to this notification including,but not limited to, the filing of a written IRA Plan, IRA Completion Statement and/or a Response Action Outcome (RAO) statement. The MCP requires that a fee of $1,200 be submitted to the Department when an RAO statement is filed greater than 120 days from the date of initial notification. Specific approval is required from the Department for the implementation of all IRAs pursuant to 310 CMR 40.0420. Assessment activities, the construction of a fence and/or the posting of signs are actions that are exempt from this approval requirement. Unless otherwise provided by the Department, potentially responsible parties ("PRP's") have one year from the initial date of notification to the Department of a release or threat of a release,pursuant to 310 CMR 40.0300, or from the date the Department issues a Notice of Responsibility, whichever occurs earlier, to file with the Department one of the following submittals: (1)a completed Tier Classification Submittal;(2) an RAO Statement or,if applicable, (3) a Downgradient Property Status. The deadline for either of the first two submittals for this disposal site is September 10, 2006. If required by the MCP, a completed Tier I Permit Application must also accompany a Tier Classification Submittal. 3 This site shall not be deemed to have had all the necessary and required response actions taken unless and until all substantial hazards presented by the release and/or threat of release have been eliminated and a level of No Significant Risk exists or has been achieved in compliance with M.G.L.c.21E and the MCP. If you have any questions relative to this Notice, please contact Lori Williamson at the letterhead address or at(508)946-2794. All future communications regarding this release must reference the following Release Tracking Number:4-19327. Very truly yours, Richard F.Packard,Chief Emergency Response/Release Notification Section P/LW/re 4-19327-nor-1 Attachments: Release Notification Form;BWSC-103 and Instructions Summary of Liability under M.G.L.c.21E fc: Board of Health Board of Selectmen Fire Dept cc: Massachusetts Aeronautics Commission Ten Park Plaza Room 3510 Boston,MA 02116-3966 Attn:Richard I.Bunker,Aeronautical Inspector Stanley J.Bielusiak 1182 Old Fall River Road North Dartmouth,MA 02747 Bennett&O'Reilly 1573 Main Street P.O.Box 1667 Brewster,MA 02631 Attn:David C.Bennett,LSP DEP SERO ATTN: Data Entry TOWN OF BARNSTABLE LOCATION ���6 Z ��� SEWAGE # ! ,-'7 -3l IVILLAGE !✓I f�l ASSESSOR'S MAP &LOTZ9 4 '`106--V, INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY 5-0'ef- LEACHING FACILITY: (type) (size) NO.OF BEDROOMSi OR OWNER=/4�/Al PERMTTDATE: g-�F, OMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 Burnished by 1 .a 116lit I < < `t I I .._14 1 , 77 r THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH MAR 2 4 199� � TOWN OF BARNSTABLE WA IME mit A liration for Dio oottl Work, Towitrurto e IV co is hereby made for a Permit to Construct ( ) or Repair ( ) an In S a isposal System at: Location-Address or Lot No. jOt✓/Y ©/ .i�f'�1 �y C. _4�---•-'-- ------ -�'�-� �.✓-•J ?� Y�9,2.1i11.------•---...------ - y„�✓ ................... --'---•-------------------•---•--'--. ... Address '-_--^.. .- ............................... Installer Address Type of Building Size Lot............................Sq. feet Dwelling— No. of Bedrooms.__. ........................ ... Attic ( ) Garbage Grinder ( ) aOther—Type of Building G '� ��>.' No. of persons---------------------------- Showers ( ) — Cafeteria ( ) dK iTC If t i✓ Other fixtures --------------- ----------- ---------:��'--_-------------------•--------- - ------------------------------------------------------------- W Design Flow___--__�r__e_e,4--_____________gallons per.ger-s per day. Total daily flow----- S-.................gallons. WSeptic Tank—Liquid capacity�_�� _gallons Length-----l-7_--- Width-----Z...... Diameter---------------- Depth-_T..'..-. x G,4 D�posal Trench—No. .................... Width-------------------- Total Length.--_-----.-_--_-__-_ Total leaching area....................sq. ft. No...z_Y.......... Diameter._`�`X yX.,K_ Depth below inlet......'.......... Total leaching area.izf!?- ..sq. ft. Z Other Distribution box /> Dosing tank ( ) '-' Percolation Test Results Performed by-, ,',' tee.. . ............................. Date___Z...� � _ Test Pit No. I----------------minutes per inch Depth of Test Pit-----/Z�,...... Depth to ground water/ b�-. », f= Test Pit No. 22i5;�.a...minutesper inch Depth of Test Pit------_J'_____-__. Depth to ground water........................ -------------•---------------•----------•---------------------------------------•---------..................---•----------•------....--------•-------........ O Description of Soil s G "" 6../.a:G-"--'---a � G_. ry r' ... -- ---------- W O U Nature of Repairs or Alterations—Answer when applicable..._- _ 'Alt-.......6-Z7-6_114'_X.. 7.e_ /ivrG...7/�i/...__..._�1.�`.',/T���.__�.�.`'A-.TOry=r"----f�--v`-"-•-•.�'1�-%��-•-��'-----•,��:./���.��...�=.r'��_�-,� , ' Agreement. The undersigned agrees to install the aforedescribed Individual Sewage Di posal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The unde ig fur e agrees not to place the system in opera 'on until a Certificate of COmpliance has been issued by t e o Signed .. . !� ....................... --- .....-- �'' ......... � ` ... to licati Approved �d - - . ----------------------- ..._...ter PP PP �Y ....-s-.-v- - _........... Dace Application Disapproved for the following rearons: ----------------------------------------...................------...................._..-...........---------------------------- .........--------------------`----------------------..__---------------------- ------------------------------- ----- --- ----- --------q ....._-------- --- Dare ---------- Permit No. <.. .�... --------------------- Issued .........................:....................:: ----------------- Date THE COMMONWEALTH OF MASSACHUSETTS 6 BOARD OF HEALTH TOWN OF BARNSTABLE �� l ertifirate of Compli2 nre THIS IS TO CERTI);Y4hatlhe Individual Sewa e ispos I Sy ern co�syt- ed ( r epaired ( ) - = V` b - --- - �`4'fl._............ at ....._....14.66_------Pv�`------------------- ` 5..f- ---- ----- -----I L- - ----------------------------------_-----------------._........-------------------------...._.---------- has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code described in -- . the application for Disposal Works Construction Permit No. ...-_�_15....103..-----. dated ........ ..3.Z3. .��..._. E THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARD TEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. - DATE...... .:`� _.4.��.-. ... ...- _....: . Inspector .-:-���.��'' �� re�aM�,�a��s ��o � 3c� - __ _ �� No..J. .._... � 3 l — � �3 y FInB.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH f TOWN OF BARNSTABLE - ,���lir-ttf ,ai �f nr �1i�}�u�ttl_ �~!t� C�nat�irnrtinn �rrmi�#� �. Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: 0 q � -- ----------------•---.........._......• ---•--.............. Location-Address - or Lot No. 7"Ocvn/ ...... - .. .f .e 4e LE. .. ............................................ �.ti// . Address- ----------------....-------•-•-•--....-•--•--•--.----------•-•----•---•--..................••-Installer Address d Type of Building c� Size Lot............................Sq. feet U Dwelling No. of Bedrooms---_X1 _______________ _ _ Ex ansion Attic t `" " ' �, g— --------- p" (�•- ) Garbage'1Grinder ( ) 04 Other—Type of Building No. of persons---------------------------- Showers (.. ) - Cafeteria ( ) dk/Te H£'N Other fixtures ---------------------------- ------sf-q----------_------------_------------------ /------. W Design Flow........ T.._ /�:.............gallons per-person per day. Total daily flow.....�__-----. -r_.._........._..gallons. WSeptic Tank—Liquid capacity-J. Length---_-l. '. Width-----7__'.. Diameter.-_-----.-__.-_ Depth_.7..'.... x cAl�Disposal Trench—No_ ____________________ Width___--_.---.-._-____ Total Length.................... Total leaching area....................sq. ft. e page..P-i't No._z_Y...._..... Diameter__`K`X -`._K__ Depth below inlet.......`.-- Total leaching area.�Zgt -z..sq. ft. z Other Distribution box Dosing tank ( ) Percolation Test Results Performed by- f7�et �... _�% _o v r" _ Date--- Test Pit No. 1---.-_-.. _-.-minutes per inch Depth of Test Pit-__--e_Z./-..___ Depth to ground waterN-----------_`-- - % 44 Test Pit No.2 L_.AR---minutes per inch Depth of Test Pit_______ __________Depth-to ground water......................... .......................................... -.... ......................•---.._......------•--------....................----- D Description of Soil...iz;L- F ► l ; G -G' �- o1 � :r ?f� - . - .... .. ..- -• ... .. --•------------•--.....---•-------•--------•••--•--•-......-•---•.............. .............................. ..............................................................✓r.' V Nature of Repairs or/�Alterations—Answer when applic ble s�= _TC j Agreement: l �* The undersigned agrees to install the aforedescribed Individual£Sewage Disposa E l System in accordance with the provisions of TITLE of the State Environmental Code• tThe undersign further agrees not to place the system in operation until a Certificate of Compliance has been issued by the � of; exlih. .. �.. ......... Signed _ ... -^-r ' t ` �I........ ' to ?ApPlicaudn Approved l y ........................................................' ,A f r-..............................................................• ' .. 3�?�/-r-- �s.!� Date .. Application Disapproved for the following reasons: -- -------------------------------------------------------------------------------------------------------------------------- � r+ .......... PermitrNo. / �',,�` Issued ............. . . ......... Dare THE COMMONWEALTH OF MASSACHUSETTS (1 w BOARD OF HEALTH TOWN OF BARNSTABLE AC er#ifira e of C omplinurr THIS IS TO CERTI ;� hat he Indivldual Sewage ispos I Sy xem constructed ( -. ) or Repaired by ------ ----- �- = i " . ......................... :a et ) at .----------1...t--C 6---------'1. av ------t cl --- --IV ../V -IT ------------------------------------`---------------------...._......--.............................. has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in J the application for Disposal Works Construction Permit No. ..__C1-r'�....la. .�....._ dated --------- /..- .Q. . --------------_. THE ISS�UANCE'OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE r s Lg SYSTEM WILL FUNCTi�ON°SATISFACTORY � t DATE_. :.a te'°-a�' . ' fi7. .....` :........ .. ......I.... Inspector r`x`x� 1 *s THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH c� TOWN OF BARNSTABLE No...................... / FEE........................ Rapoivlo ---n#ii Tun fr n f lamit -. Permission is hereby granted...... _._. ___. �.../7s�. . to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at No. ( _/)....... 2vNYC ..k9 � n. )tS Street as shown on the application for Disposal Works Construction Permit No _>___�U3_l_ Dated__._..��1C............... . / ---------- ------------•. DATE- / /; / Board of Health ��• � / FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS , 9 i vev ins 0101 !��-� - LESSON DATE: r' TIME: -�'f'v4�<� �a a yi MICHAEL HABERL Assistant Pro/Manager 0 EMI A1�' MEMBER Olde Barnstable Fairgrounds Rte. 149,P.O.Box 68 Marstons Mills Phone:508-420-1143 MA 02648 - Fax: 508-420-5351 TOWN OFIBARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH 0- Satisfactory 2.Printers 3.Auto Body Shops unsatisfactory- 4.Manufacturers �3 k`d _ O (see"Orders") 5.Retail Stores COMPANY y 6) 6.Fuel Suppliers ADDRESS /Z/6 0 evwit I Y o1 C�wS a Class: -7 7.Miscellaneous (�d"(-�A 14,A.'t3 fi/t^'j-A4 6/j QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Underground IN OUT IN OUT IN OUT #&gallons Age Test Fuels: j Gasoline Jet Fuel (A) Diesel, Kerosene, #2 (B) 4:0 7- Heavy Oils: Z-ST waste motor oil (C) new motor oil(C) Ysy 2-s5 X transmission/hydraulic Z DC Synthetic Organics: degreasers cs 1 A-/P� 3U ,4„h U— Miscellaneous.: q � rto'; ca,G�w�- b otV- GS r - DISPOSAL'RECLAMATION REMARKS/:_� ,(,>-To .s refa%,e_cf 6/94 by ZeGLe, 1. Sanitary Sewage 2.Water Supply wl.ft Gvo-P4 �' /� 4,14 v&VO/9/0 6 O Town Sewer Public /V71 . jezv( CW_f, v6.e `f 19 On-site QPrivate J = (tir�Lc d -C c _ 3. Indoor Floor Drains YES N0� - O Holding tank:MDC_ U S O Catch basin/Dry well 8 1, O On-site system / -r„( s `eep Y'Pajo ,, 4. Outdoor Surface drains:YES NO ✓ ORDERS: O Holding tank:MDC accow v S "& k r-�- Q � vCir- Oq VW,j O Catch basin/Dry well �- O On-site system 5.Waste Transporter Waste Name of Hauler Destination � , , 1. 71#0 97 �;,17 4 2. 01 Person(s) Interviewed Inspecto Da w -- °FINE lqy Town of Barnstable * aniwsrna�.e, MASS. �0r Department of Public Works 'E16,39. 367 Main Street, Hyannis MA 02601 Office: 508-790-6300 Thomas J. Mullen Fax: 508-790-6400 Superintendent DATE: July 12, 1996 TO: Thomas Mckean, Health Inspector FROM: Stephen Seymour, Supervisory Project Engineer RE: Municipal Golf Course Septic System Expansion This certifies that the Engineering Division of the Depratment of Public Works inspected the complete installation of the seotic system expansion last December at the Fairgrounds golf course. The system was installed in strict accordance with the plans dated March 18, 1995. . SGS/bohinsp2 CF IHE Tp� Town of Barnstable BARNSTABM 9� MASS. �0r Department of Public Works 639. 367 Main Street, Hyannis MA 02601 Office: 508-790-6300 Thomas J. Mullen Fax: 508-790-6400 Superintendent DATE: December 18, 1995 TO: Thomas Mckean, Health Inspector FROM: Stephen Seymour, Supervisory Project Engineer RE: Municipal Golf Course Septic System Expansion The septic system at the golf course was inspected on a daily basis by Fred Roberts of this office. He can certify that the system was installed in accordance with the plans. . SGS/bohinspe f S E A CONSULTANTS, INC. j 485 MASSACHUSETTS AVE. GAMY BMGV, MA 02139-4018 SECTION .02900 EV I ROM R ' bV UNDERGROUND STORAGE TANKS AND FUELING SYSTEM JUN 281990 PART 1 - GETvERAL , 1 .01 RELATED DOCUMENTS A. Drawings and General Provisions of Contract apply to work of this section. 1 .02 DESCRIPTION OF WORK a. Furnish all labor and materials to complete all work of Underground Storage Tansk and Fueling Systems, as shown on the drawings and specified herein, including but not limited to the following: 1 . Underground Motor Vehicle Fuel Storage Tanks 2. Motor Vehicle Fuel Dispensing Units, Pumps, Piping and Appurtenances. 3. All necessary pumps, piping, fittings, valves, and appurtenances necessary for complete, tested and operational systems. 4. Pit lining membrane 1 .03 CODES, PERMITS AND FEES A. Unless otherwise specified or indicated, materials and workmanship and equipment performance shall conform with the latest edition of the following standards, codes, specifications, requirements and regulations; 1 . National Bureau of Standards. 2. National Oil Fuel Institute. 3. American National Standards Institute. 4. National Electrical Manufacturer's Association. 5. Underwriter's Laboratories, Inc. (File MH 7991) 6. American Society for Testing & Materials (ASTM) . 7. National Fire Protection Association. (NFPA30) 8. American Petroleum Institute. 9. Barnstable Board of Health, Health Regulations Regarding Fuel and Chemical Storage Systems B. All other state and local codes and/or authorities having jurisdiction including any and all other standards specifically indicated in other paragraphs of this specification. 1 .04 QUALITY ASSURANCE A. Testing: 1 . Samples of any material proposed for use under this Section may be required for review or testing. 5390S/2 02900- 1 Y 2. All materials and their placement shall be subject to quality control testing. The Contractor will bear cost of testing all materials which fail to conform to specifications. Test results and laboratory recommendations will be available. to Contractor. 1 .05 EXAMINATION OF SITE AND DOCUMENTS A. By submitting a bid the Contractor affirms that he has carefully examined the site and all conditions affecting work under this Section. No claim for additional costs will be allowed because of lack of full knowledge of existing conditions. B. The Contractor shall visit the premises and thoroughly familiarize himself with all details of the work and working conditions and verify all dimensions in the field, and shall advise the Engineer of any discrepancy before performing any work. The Contractor shall be specifically responsible for the coordination and proper relation of his work and the work of other trades. 1 .06 DRAWINGS, SPECIFICATIONS AND COORDINATION A. It is the intention of Contract Documents to call for complete, finished work, fully tested and ready for continuous operation. B. Any apparatus, appliance, material or work not shown on the drawings but mentioned in the specifications, or visa versa, or incidental accessories to make work complete and perfect in all respects and ready for operation, even if not particularly specified, shall be furnished, delivered and installed by this Contractor without additional expense to the Owner. C. Should there appear to be discrepancies or questions of intent, refer the matter to the Contracting Officer for decision before ordering any materials or equipment or before start of any related work and interpretations of the Contracting Officer shall be final, conclusive and binding. D. Drawings are generally diagrammatic and are intended to convey scope of work and. indicate general arrangement of equipment, conduit, piping, tanks, etc. E. Location of items indicated that are not definitely fixed by dimensions are approximate only. Exact locations necessary to secure best conditions and results must be determined at the project and shall have the Contracting Officer's approval before being installed. 1 .07 SHOP DRAWINGS A. Shop drawings shall be submitted in accordance with requirements specified in Section 01340. 5390S/2 02900-2 B. Documents will not be accepted for approval unless. 1 . They comply as to number of copies and type of paper with the requirements of this specification. 2. They include complete information pertaining to appurtenances and accessories. 3. They are properly marked with service or function identification as related to the project , where they consist of catalog sheets displaying other items which are not applicable. 4. Where the Contractor proposed to use an item of material or equipment other than that shown or specified in the Contract Documents, the Contractor shall assume the cost of and entire responsibility of coordination with all other trades involved. In addition, the Contractor shall make all such arrangements and assume all costs occasioned by changes in the work of other trades that he may require in order to install the approved substitution. All materials, equipment, and the substitution shall be as specified under Section 01631 . 1 .08 SUBMITTALS FOR PIT LINER A. Product Data: Submit specifications, installation instructions., and general recommendations from membrane materials manufacturer, for type of membranes required. Include manufacturer's certification or other data substantiating that materials comply with requirements. B. Samples: Provide two 12" square samples of membrane with field applied lap. C. Shop Drawings: Submit shop drawings indicating location of field fabricated joints, methods of sealing to other structures and openings through lining. PART 2 - PRODUCTS 2.01 STORAGE TANKS A. General: 1 . All tanks shall be double walled Fiberglass reinforced Polyester Under ground Storage Tanks equal to Owens Corning. 2. Pit liner shall be high density polyethylene (HDPE) . 5390S/2 02900-3 r B. Nominal capacities of the various tanks shall be: 1 . Diesel Fuel Tank 1 ,000 gallons 2. Unleaded Gasoline Tanks (2) 1 ,000 gallons (each) C. Loading Conditions - Tank shall meet the following design criteria: 1 . External hydrostatic pressure: Buried in ground with 4' of overburden over the top of the tank. The hole fully flooded and a safety factor of 3: 1 against general buckling. 2. Surface loads: When installed according to manufacturer's installation instructions tanks will withstand surface H-20 axle loads. 3. Internal load: Tank shall withstand 5 psi air pressure test with 5 to 1 safety factory. Test prior to installation since this design condition is to test for leakage. 4. Tanks shall be designed to support accessory equipment such as manways, ladders, drop tubes, etc. when installed according to manufacturers' recommendations and limitations. D. Product Storage Requirements: 1 . All tanks must be vented as tanks are designed for operation at atmospheric pressure only. 2. Tanks shall be capable of storing liquids with specific gravity up to 1 . 1 . 3. Maximum temperature. Tanks shall be capable of storing liquids to a maintained temperature of 1500F. at the tank interior surface. 4. Tanks shall be chemically inert to petroleum products. E. Tank Calibration 1 . The tank manufacturer shall provide a calibrated chart showing the liquid contents in gallons per inch of tank depth. Two reproductions of the gage chart shall be enclosed in plastic envelopes and bound in stiff-back binders. The Contractor shall provide gage stick graduated in inches and feet and size for insertion through a 2-inch pipe. Gage sticks shall be of wood and properly treated after graduating to prevent swelling or damage from the fuel. 5390S/2 02900-4 d b 2.02 ACCESSORIES A. Certification Plate Underwriters, Laboratory label shall be permanently affixed to each tank. B. Flanged Manways 1 . All manways to be 22" I.D. 2. All manways will be furnished complete with U.L. approved gaskets, bolts and covers. 3. Location - refer to drawings for location. 4. Fiber glass manway extension tubes will be provided for the manways as outlined in Section 3 above.- C. Leak Monitoring 1 . Each tank shall be equiped with a hydrostatic leak monitoring system. 2. High and low level switches shawl be wired to a 120V NEMA 4X monitoring panel with status lights, test buttons and an alarm bell equal to Owens Corning #SB0014A. 3. Monitoring shall be located in the Office of the Maintenance Building and on the nearest wall of the cart barn. 4. Panel shall monitor piping sump with Owens Corning sensor Model PSS or equal and the cavity between walls with Owens Corning hydrostatic sensor Model RS10 or equal. 5. Cavity space 'shall be filled with brine antifreeze. D. Fittings shall be standard threaded steel NPT fittings 4-inch half couplings. Reducers shall be used for smaller sizes where indicated on the drawings. All threaded fittings shall have machine tolerances in accordance with ANSI standards for each fitting size. NPT fittings shall withstand a minimum of 150-foot pounds of torque and 1 ,000-foot pounds of bending. with a factor of safety of 2.0. All fittings shall be supplied with cast iron plugs. Sizes Standard Supply 1 - 1/2-inches Vent 4-inches Gauge (Dipstick) 4-inches - straight up Fill 4-inches Monitoring fitting Per manufacturer 5390S/2 02900-5 I v 2.03 PIPING A. All pipe sizes shall be seamless or electric resistance welded conforming to ASTM A 53 Grade B, Type E or S. , or to ASTM A 106 Grade B. All pipes shall be standard weight wall thickness. Fittings for sizes 2- 1/2 and larger shall be steel, standard weight , butt welding type conforming to ASTM A 234 wpb and dimensions in accordance with ANSI B16.9. Fittings for sizes 2 inches and smaller shall be steel screwed 2000 lb. conforming to ASTM A 181 Gr. 1 and dimensions in accordance with ANSI B16. 11 unless otherwise indicated. Flanges for sizes 2- 1/2 inches and larger shall be steel welding neck type class 150 conforming to ASTM A 181 Grade 1 . and dimensions in accordance with ANSI B16.5. Metallic piping shall be cathodically protected per local regulations. 2.04 DISPENSING UNITS A. General: 1 . Fuel pump complete with pump, automatic nozzle, filter and float chamber shall be furnished and installed. Pump will deliver diesel fuel and unleaded gasoline. Units shall be Model No. 52 by Gasboy, or approved equal. The units shall be U.L. approved. 2. Steel curb irons or facia shall be furnished and supplied around the fuel station concrete island. B. Pumping Units: 1 . The pumping unit shall delive a minimum of 14 gpm using belt driven vane type pump and intergral cast aluminum air separator. Suction connection shall be 1 - 1/2-inch. Check and pressure relief valves shall be included in the pump body. 2. Pump shall have a front and back register reading from 99 gallons to tenths of a gallon. A 1 ,000,000 gallon nonresetable totalizer shall be provided. The meter shall be a four piston, positive displacement type with external accuracy adjustment. The unit shall comply with Sealer of Weights and Measures requirements. 3. The motor shall be 1/3 hp explosion proof with ball bearings and built in lubrication and thermal overload protection and built in switch. The motor shall operate on 115 V, single phase, 60 Hz current . 4. The hose shall be 3/4- inch x 12 feet long and the nozzle shall be the automatic type. 5. 'The unit shall have a nozzle holder with on-off switch and padlock device. 5390S/2 02900-6 6. The finish shall be baked red enamel. 2.06 BREATHER VALVES A. Tank vents shall be fitted with air cushion type breather valves. The breather valves shall be 2" aluminum body, hood and covers with synthetic rubber inserts in aluminum pallets. Pallet assembly shall be set at one-half oz. pressure and vacuum. 2.07 FLAME ARRESTORS A. The vent from the gasoline tanks shall be mounted with vertical type cast aluminum flame arrestors in addition to the breather valves. The housing shall be fitted with removable multi-plate, aluminum, extensible type bank assemblies. Flame arrestors shall be U.L. listed. 2.08 VENT STANDARD A. Vents shall be mounted on the maintenance building and cart barn. Refer to requirements of the local regulations. 2.09 PIT LINER A. Pit shall be lined with ,30 mil HDPE membrane. B. Seams shall be as required by the specific manufacturer. PART 3 - EXECUTION 3.01 GENERAL A. Manufacturer's installation guides shall be strictly adhered to in all installations. 3.02 PIT LINER A. Install HDPE membrane in strict accordance with manufacturer's requirements. B. Fabricate joints and seams in strict accordance with manufacturer's requirements and only in locations shown on approved submittals. C. Protect the liner from surface damage at all times. 3.03 FIBERGLASS TANKS A. After pit liner is in place, place pea gravel bedding to indicated depths and compact . 5390S/2 02900-7 A B. Lifting of Tanks: 1 . Use installation lift lugs to lift tanks. 2. Guide the tanks with guidelines. Do not use chains or cables around the tanks. 3. Insure adequate lifting capacity of equipment prior to lifting tanks. C. Placing Tanks: 1 . Gently lower tanks onto prepared bedding. Prevent tank from rolling by placing lifts of backfill adjacent to tank and compacting. Insure that compacted backfill is placed completely under tank, between ribs and under end caps. Anchor tanks in place with approved anchor straps. Anchor only at designated ribs. 2. Backfill evenly along each side of tank with compacted lifts. D. Prior to installation of tanks, each tank shall be tested at a pressure of 4 psi for a minimum, of one hour. 3.04 PIPING A. All piping shall be installed in a workmanlike manner. B. Refer to Section 02500, Part 3, and local regulations for general installation procedures. 3.05 EQUIPMENT A. Fuel delivery pumps, couplings, wiring and fuel dispensing units shall be installed in accordance with the drawings and manufacturer's recommendations. 3.06 SUPERVISION A. Installation supervision: The Contractor shall secure the services of a qualified service technician from the manufacturer to provide supervision at the construction site for the installation of the liner, tanks, pumps and motors, including setting, alignment , assembly, connections, start-up and testing. Submit written certification to the Contracting Officer stating that each item of equipment is complete, in good condition, free from damage, and properly installed, connected and adjusted. 5390S/2 02900-8 3.07 PUMP TESTS A. Factory Tests: Factory Performance Tests shall be conducted according to the procedures of the Hydraulic Institute Centrifugal Pump Test Code. Performance tests shall be run at the factory on the first pump manufactured for each size pump specified to verify that the entire pump assemblies have been properly manufactured for the service intended and are capable of delivering the performance specified. Tachometer tests shall be run on the entire pump assembly including, pump, motor and controls to verify its performance as a unit. Notify the Contracting Officer in writing 15 days in advance of starting tests and submit all performance tests to be made and testing, procedures to be followed for approval. Performance tests will be conducted by an engineering representative for the manufacturer. Prior to the shipment of any pumps, three certified copies of the manufacturer's factory test reports and factory pump test curves for the first pump manufactured for each size pump specified shall be submitted to the Engineer. In addition, the pump shall operate for a minimum of two hours at the rated head and capacity as indicated on the drawings. Reports shall include characteristics curves showing capacities, heads, efficiencies, horsepower, and net positive suction head throughout the entire range of the pump. Provide written certification in triplicate, that all pumps to be supplied meet the requirements of the specifications and drawings. 5390S/2 02900-9 tea,° Asa BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT .,' SUPERIOR COURT HOUSE G BARNSTABLE, MASSACHUSETTS 02630 J u A1ASep a PHONE:362-2511 EXT.330 LAB 337 CLINIC 340 Mr. Thomas McKean. Director Barnstable Health Department Barnstable Town Hall Hyannis, MA Dear Tom: Per our telephone conversation of April 10, 1989, this letter is to inform you that we have analyzed soil samples taken at the Danforth Property (Rte 149 and Race Lane) by staff from Barnstable' s Engineering Department earlier last week. The vials were labelled: Golf Course 2 1/2 Deep - N. E. Hole Golf Course 4 ' Deep - N. E. Hole Golf Course 5' Down - N. W. Hole Golf Course 9' Deep - Sly Hole 500 microliters of headspace above the vials was injected into the column of our Photovac 1OS10 portable gas chromatograph and the GAIN was set at 100. This is the identical setting we use for the determination of underground fuel tank leaks. None of the samples submitted showed any signs of contamination. If I can be of further assistance, please do not hesitate to ask. Sincerely, eor a ufelder Environmental Program Manager I _.. . .. 3 Tank Services, 1116. P.O. Box 765 391 Old Faltnoulli Road, Ultll-5 Matslons Mills, MA 02648 617-420-3365 tfarch 79 1900 Barnstable Couttl:y llcalth and Cttviromental bopartment Superior. Court Ilouhe Uarttstable, HA 02630 Dear Charlotte: - L.C.R. Taldc Services III(:. id pleased to submit the following proposal for the moni- toring of residentiat underground fuel oil storage tanks in Darnstable County. NA. thmober of Sited Cost/Site 1 $235 10 200 25 170 IOU 145 a - 'Ilia proposed cost break for multiple site well mbttitoritig itlstallatiOn we liope will allow baneowner groups and other organizations to, better take advantage of this op- portwtity.. Ilia following briefly outlitles L.C-R- Talk Services ittatallatiott procedures. (1) Atl work will be completed ntattua;lyt except for drilling through asl)halt if.necessary. (2) A magnetic detertor .will be employed to determlrte• the boundary of the buried fuel tattle. (3) tlottitorittg wells will be placed to att' average depth of three (3) feet below the surface. , (4) A water meter housing will be placed over the monitoring well and graded to ground level. , 'Ilia enclosed proposal should Shouldive 11 youahave oily furtherilyuesl aild tiotts�Cplease��feellfree portmettt a general ouLlitte. to contact me. Sincerely, Brett tloscatiello A Btl:tb ' COMPANIES AVAILABLE TO INSTAL SAMPLING FOIN'rS FOR SOIL VAPOR ANALYSIS (Barnstable prices) rno" -ro k1nj c!� The,' ' -following is a list of companies who responded to a letter which. the Barnstable County Ilealth and Environmental Department sent to several engineering companies asking if they were interested in being listed as, providing this service. The costs given are estimates onlyl the actual price could be higher or lower depending on . local conditions. The companies are listed alphabetically. Coastal Engineering Co. , Inc. David Bennett 26U Cranberry highway 255-6511 . .. Orleans, MA 02653 i • Costs $175, will give group rates. Availability : within 2 weeks of order. GIIR Engineering Associates, Inc. Joseph Salvetti . 75 Tarkiln hill Rd 995-5136 New Bedford, MA 02745 Costs $300 for one tank, less if more could be scheduled for the same day. Groundwater Technology, Inc. Richard Kowalski 220 Norwood Park South 769-7600 Norwood, MA 02062 Costs $250, will give group rates. Availability: within 3 weeks of order. K-V Associates, Inc. Warren Wittman 201 Mein Street, Box 574 540-0561 Falmouth, MA 02541 Costs $200 for one si te, $150 each for 10 sites and ' $120/tank if 50 were done. Availabilitys within 1 week of order. LCR Tank Services, Inc. Brett Moscatiello 381 Old Falmouth Rd, Box 765 420-3365 Marstons Mills, MA 02648 Costs $150 Availabilitys -within 2 weeks of order. Northeast Environmental Associates Terry Bauer Box 853 096-7890 Orleans, MA 02653 , Costs $150 Availability. within 2 weeks of order. 1 IRE p0*o TOWN OF BARNSTABLE m ! OFFICE OF i BA"STAM i MMIL BOARD OF HEALTH O i639• 'O�rQ�pY p 367 MAIN STREET HYANNIS, MASS. 02601 February 28, 1989 TO: Kendall Ayers, Conservation Agent FROM: Thomas McKean, Director of Public Health :-4 114 RE: Danforth Golf Course I am in receipt of your request to meet and discuss the above referenced site. I am available to meet on March 1, 1989 or March 8, 1989. In regard to the "unresolved" abandoned cesspools, I believe they are now safety hazards and the Building Commissioner should be aware of their locations. The potential hazardous waste on the site should have been publicized prior to the Town's purchase of the property. A 21 E Study should have been conducted. The Town now owns the hazardous waste, if any, and the costs involved in cleaning it up. All abandoned wells must be filled and sealed with clean muddled clay, neat cement grout, or concrete grout in s»ch a manner as to prevent it from acting as a channel for pollution to the groundwater. Please contact me at extension 158 to arrange a meeting date. Robert W. Gatewood, X196 Conservation Administrator CF tN H T� p� m�Py �`� ����un UJGG �/GaGG�/GB Kendall T. Ayers, X196 Conservation Agent i BARISTSBLS, 039• Judy x. Maier, x140 OYAYk` Office Assistant 367 MAIN STREET HYANNIS, MASSACHUSETTS 02601 Karen J. Boduch, X140 Secretary TO: Tom McKeon, Director, Board of Health FROM: Kendall T. Ayers �� RE: Proposed Danforth Golf Course DATE: February 17, 1989 I want to thank you for taking part in the recent site walk. By way of a follow- up, I would like to request a meeting with you and Dale to discuss how best to deal with the potential hazardous waste site and the unresolved well and cesspool issue. A soon-as-possible discussion is advisable to allow SEA Consultants adequate time to act on your recommendations. I A r S E A CONSULTANTS, INC, 48- MASSACHUSETTS AVE. CAMBRIDGE, MA O2139-4018 SECTION 02900 UNDERGROUND STORAGE TANKS AND FUELING SYSTEM FOR KE'VIEW JUN 281990 PART 1 - GENERAL 1 .01 RELATED DOCUMENTS A. Drawings and General Provisions of Contract apply to work of this section. 1 .02 DESCRIPTION OF WORK a. Furnish all labor and materials to complete all work of Underground Storage Tansk and Fueling Systems, as shown on the drawings and specified herein, including but not limited to the following: 1 . Underground Motor Vehicle Fuel Storage Tanks 2. Motor Vehicle Fuel Dispensing Units, Pumps, Piping and Appurtenances. 3. All necessary pumps, piping, fittings, valves, and appurtenances necessary for complete, tested and operational systems. 4. Pit lining membrane 1 .03 CODES, PERMITS AND FEES A. Unless otherwise specified or indicated, materials and workmanship and equipment performance shall conform with the latest edition of the following standards, codes, specifications, requirements and regulations; 1 . National Bureau of Standards. 2. National Oil Fuel Institute. 3. American National Standards Institute. 4. National Electrical Manufacturer's Association. 5. Underwriter's Laboratories, Inc. (File MH 7991) 6. American Society for Testing & Materials (ASTM) . 7. National Fire Protection Association. (NFPA30) 8. American Petroleum Institute. 9. Barnstable Board of Health, Health Regulations Regarding Fuel and Chemical Storage Systems B. All other state and local codes and/or authorities having jurisdiction including any and all other standards specifically indicated in other paragraphs of this specification. 1 .04 QUALITY ASSURANCE A. Testing: 1 . Samples of any material proposed for use under this Section may be required for review or testing. 5390S/2 02900- 1 6 2. All materials and their placement shall be subject to quality control testing. The Contractor will bear cost of testing all materials which fail to conform to specifications. Test results and laboratory recommendations will be available. to Contractor. 1 .05 EXAMINATION OF SITE AND DOCUMENTS A. By submitting a bid the Contractor affirms that he has carefully examined the site and all conditions affecting work under this Section. No claim for additional costs will be allowed because of lack of full knowledge of existing conditions. B. The Contractor shall visit the premises and thoroughly familiarize himself with all details of the work and working conditions and verify all dimensions in the field, and shall advise the Engineer of any discrepancy before performing any work. The Contractor shall be specifically responsible for the coordination and proper relation of his work and the work of other trades. 1 .06 DRAWINGS, SPECIFICATIONS AND COORDINATION A. It is the intention of Contract Documents to call for complete, finished work, fully tested and ready for continuous operation. B. Any apparatus, appliance, material or work not shown on the drawings but mentioned in the specifications, or visa versa, or incidental accessories to make work complete and perfect in all respects and ready for operation, even if not particularly specified, shall be furnished, delivered and installed by this Contractor without additional expense to the Owner. C. Should there appear to be discrepancies or questions of intent, refer the matter to the Contracting Officer for decision before ordering any materials or equipment or before start of any related work and interpretations of the Contracting Officer shall be final, conclusive and binding. D. Drawings are generally diagrammatic and are intended to convey scope of work and indicate general arrangement of equipment, conduit , piping, tanks, etc. E. Location of items indicated that are not definitely fixed by dimensions are approximate only. Exact locations necessary to secure best conditions and results must be determined at -the project and shall have the Contracting Officer's approval before being installed. 1 .07 SHOP DRAWINGS A. Shop drawings shall be submitted in accordance with requirements specified in Section 01340. 5390S/2 02900-2 F B. Documents will not be accepted for approval unless. 1 . They comply as to number of copies and type of paper with the requirements of this specification. 2. They include complete information pertaining to appurtenances and accessories. 3. They are properly marked with service or function identification as related to the project , where they consist of catalog sheets displaying other items which are not applicable. 4. Where the Contractor proposed to use an item of material or equipment other than that shown or specified in the Contract Documents, the Contractor shall assume the cost of and entire responsibility of coordination with all other trades involved. In addition, the Contractor .shall make all such arrangements and assume all costs occasioned by changes in the work of other trades that he may require in order to install the approved substitution. All materials, equipment, and the substitution shall be as specified under Section 01631 . 1 .08 SUBMITTALS FOR PIT LINER A. Product Data: Submit specifications, installation instructions, and general recommendations from membrane materials manufacturer, for type of membranes required. Include manufacturer's certification or other data substantiating that materials comply with requirements. B. Samples: Provide two 12" square samples of membrane with field applied lap. C. Shop Drawings: Submit shop drawings indicating location of field fabricated joints, methods of sealing to other structures and openings through lining. PART 2 - PRODUCTS 2.01 STORAGE TANKS A. General: 1 . All tanks shall be double walled Fiberglass - reinforced Polyester Under ground Storage Tanks equal to Owens Corning. 2. Pit liner shall be high density polyethylene (HDPE) . 539OS/2 02900-3 h B. Nominal capacities of the various tanks shall be: 1 . Diesel Fuel Tank 1 ,000 gallons 2. Unleaded Gasoline Tanks (2) 1 ,000 gallons (each) C. Loading Conditions - Tank shall meet the following design criteria: 1 . External hydrostatic pressure: Buried in ground with 4' of overburden over the top of the tank. The hole fully flooded and a safety factor of 3: 1 against general buckling. 2. Surface loads: When installed according to manufacturer's installation instructions tanks will withstand surface H-20 axle loads. 3. Internal load: Tank shall withstand 5 psi air pressure test with 5 to 1 safety factory. Test prior to installation since this design condition is to test for leakage. 4. Tanks shall be designed to support accessory equipment such as manways, ladders, drop tubes, etc. when installed according to manufacturers' recommendations and limitations. D. Product Storage Requirements: 1 . All tanks must be vented as tanks are designed for operation at atmospheric pressure only. 2. Tanks shall be capable of storing liquids with specific gravity up to 1 . 1 . 3. Maximum temperature. Tanks shall be capable of storing liquids to a maintained temperature of 1500F. at the tank interior surface. 4. Tanks shall be chemically inert to petroleum products. E. Tank Calibration 1 . The tank manufacturer shall provide a calibrated chart showing the liquid contents in gallons per inch of tank depth. Two reproductions of the gage chart shall be enclosed in plastic envelopes and bound in stiff-back binders. The Contractor shall provide gage stick graduated in inches and feet and size for insertion through a 2-inch pipe. Gage sticks shall be of wood and properly treated after graduating to prevent swelling or damage from the fuel. 5390S/2 02900-4 2.02 ACCESSORIES A. Certification Plate - Underwriters' Laboratory label shall be permanently affixed to each tank. B. Flanged Manways 1 . All manways to be 22" I.D. 2. All manways will be furnished complete with U.L. approved gaskets, bolts and covers. 3. Location - refer to drawings for location. 4. Fiber glass manway extension tubes will be provided for the manways as outlined in Section 3 above. C. Leak Monitoring 1 . Each tank shall be equiped with a hydrostatic leak monitoring system. 2. High and low level switches shall be wired to a 120V NEMA 4X monitoring panel with status lights, test buttons and an alarm bell equal to Owens Corning #SB0014A. 3. Monitoring shall be located in the Office of the Maintenance Building and on the nearest wall of the cart barn. 4. Panel shall monitor piping sump with Owens Corning sensor Model PSS or equal and the cavity between walls with Owens Corning hydrostatic sensor Model RS10 or equal. 5. Cavity space shall be filled with brine antifreeze. D. Fittings shall be standard threaded steel NPT fittings 4- inch half couplings. Reducers shall be used for smaller sizes where indicated on the drawings. All threaded fittings shall have machine tolerances in accordance with ANSI standards for each fitting size. NPT fittings shall withstand a minimum of 150-foot pounds of torque and 1 ,000-foot pounds of bending. with a factor of safety of 2.0. All fittings shall be supplied with cast iron plugs. Sizes Standard Supply 1 - 1/2-inches Vent 4-inches Gauge (Dipstick) 4-inches - straight up Fill 4-inches Monitoring fitting Per manufacturer 5390S/2 02900-5 B 4 2.03 PIPING A. All pipe sizes shall be seamless or electric resistance welded conforming to ASTM A 53 Grade B, Type E or S. , or to ASTM A 106 Grade B. All pipes shall be standard weight wall thickness. Fittings for sizes 2- 1/2 and larger shall be steel, standard weight , butt welding type conforming to ASTM A 234 wpb and dimensions in accordance with ANSI B16.9. Fittings for sizes 2 inches and smaller shall be steel screwed 2000 lb. conforming to ASTM A 181 Gr. 1 and dimensions in accordance with ANSI B16. 11 unless otherwise indicated. Flanges for sizes 2- 1/2 inches and larger shall be steel welding neck type class 150 conforming to ASTM A 181 Grade 1 and dimensions in accordance with ANSI B16.5. Metallic piping shall be cathodically protected per local regulations. 2.04 DISPENSING UNITS A. General: 1 . Fuel pump complete with pump, automatic nozzle, filter and float chamber shall be furnished and installed. Pump will deliver diesel fuel and unleaded gasoline. Units shall be Model No. 52 by Gasboy, or approved equal. The units shall be U.L. approved. 2. Steel curb irons or facia shall be furnished and supplied around the fuel station concrete island. B. Pumping Units: 1 . The pumping unit shall delive a minimum of 14 gpm using belt driven vane type pump and intergral cast aluminum air separator. Suction connection shall be 1 - 1/2-inch. Check and pressure relief valves shall be included in the pump body. 2. Pump shall have a front and back register reading from 99 gallons to tenths of a gallon. A 1 ,000,000 gallon nonresetable totalizer shall be provided. The meter shall be a four piston, positive displacement type with external accuracy adjustment . The unit shall comply with Sealer of Weights and Measures requirements. 3. The motor shall be 1/3 hp explosion proof with ball bearings and built in lubrication and thermal overload protection and built in switch. The motor shall operate on 115 V, single phase, 60 Hz current. 4. The hose shall be 3/4-inch x 12 feet long and the nozzle shall be the automatic type. 5. The unit shall have a nozzle holder with on-off switch and padlock device. 5390S/21 02900-6 0 r 6. The finish shall be baked red enamel. 2.06 BREATHER VALVES A. Tank vents shall be fitted with air cushion type breather valves. The breather valves shall be 2" aluminum body, hood and covers with synthetic rubber inserts in aluminum pallets. Pallet assembly shall be set at one-half oz. pressure and vacuum. 2.07 FLAME ARRESTORS A. The vent from the gasoline tanks shall be mounted with vertical type cast aluminum flame arrestors in addition to the breather valves. The housing shall be fitted with removable multi -plate, aluminum, extensible type bank assemblies. Flame arrestors shall be U.L. listed. 2.08 VENT STANDARD A. Vents shall be mounted on the maintenance building and cart barn. Refer to requirements of the local regulations. 2.09 PIT LINER A. Pit shall be lined with 30 mil HDPE membrane. B. Seams shall be as required by the specific manufacturer. PART 3 - EXECUTION 3.01 GENERAL A. Manufacturer's installation guides shall be strictly adhered to in all installations. 3.02 PIT LINER A. Install HDPE membrane in strict accordance with manufacturer's requirements. B. Fabricate joints and seams in strict accordance with manufacturer's requirements and only in locations shown on approved submittals. C. Protect the liner from surface damage at all times. 3.03 FIBERGLASS TANKS A. After pit liner is in place, place pea gravel bedding to indicated depths and compact . 5390S/2 02900-7 B. Lifting of Tanks: 1 . Use installation lift lugs to lift tanks. 2. Ggide the tanks with guidelines. Do not use chains or cables around the tanks. 3. Insure adequate lifting capacity of equipment prior to lifting tanks. C. Placing Tanks: 1 . Gently lower tanks onto prepared bedding. Prevent tank from rolling by placing lifts of backfill adjacent to tank and compacting. Insure that compacted backfill is placed completely under tank, between ribs and under end caps. Anchor tanks in place with approved anchor straps. Anchor only at designated ribs. 2. Backfill evenly along each side of tank with compacted lifts. D. Prior to installation of tanks, each tank shall be tested at a pressure of 4 psi for a minimum, of one hour. 3.04 PIPING A. All piping shall be installed in a workmanlike manner. B. Refer to Section 02500, Part 3, and local regulations for general installation procedures. 3.05 EQUIPMENT A. Fuel delivery pumps, couplings, wiring and fuel dispensing units shall be installed in accordance with the drawings and manufacturer's recommendations. 3.06 SUPERVISION A. Installation supervision: The Contractor shall secure the services of a qualified service technician from the manufacturer to provide supervision at the construction site for the installation of the liner, tanks, pumps and motors, including setting, alignment , assembly, connections, start-up and- testing. Submit written certification to the Contracting Officer stating that each item of equipment is complete, in good condition, free from damage, and properly installed, connected and adjusted. 5390S/2 02900-8 } y 3.07 PUMP TESTS A. Factory Tests: Factory Performance Tests shall be conducted according to the procedures of the Hydraulic Institute Centrifugal Pump Test Code. Performance tests shall be run at the factory on the first pump manufactured for each size pump specified to verify that the entire pump assemblies have been properly manufactured for the service intended and are capable of delivering the performance specified. Tachometer tests shall be run on the entire pump assembly including, pump, motor and controls to verify its performance as a unit. Notify the Contracting Officer in writing 15 days in advance of starting tests and submit all performance tests to be made and testing procedures to be followed for approval. Performance tests will be conducted by an engineering representative for the manufacturer. Prior to the shipment of any pumps, three certified copies of the manufacturer's factory test reports and factory pump test curves for the first pump manufactured for each size pump specified shall be submitted to the Engineer. In addition, the pump shall operate for a minimum of two hours at the rated head and capacity as indicated on the drawings. Reports shall include characteristics curves showing capacities, heads, efficiencies, horsepower, and net positive suction head throughout the entire range of the pump. Provide written certification in triplicate, that all pumps to be supplied meet the requirements of the specifications and drawings. 5390S/2 02900.9 it y�PyoFTH6ro��� TOWN 01= 13ARNSTABLE OFFICE OF ,BABBSTABLE i MASS. BOARD OF HEALTH 0 MAX 367 MAIN STREET HYANNIS, MASS. 02601 March 8, 1989 TO: Stephen Seymour, Engineer FROM: Thomas McKean, Director :N SUBJECT: Danforth Golf Course After meeting with you, Joseph DaLuz, Dale Saad, and Kendall Ayers, it was decided that we highly recommend the Town hire an engineer to install a monitoring well downgradient from the potential hazardous waste dumping area located at the Danforth Golf Course property. Enclosed is a list of engineering companies with costs. The Barnstable County. Health and Environmental Department will conduct a soil vapor analysis test free of charge after the well is installed. I will coordinate the testing with the Barnstable County Health and Environmental Department after the well is installed. enclosure copy: Kendall Ayers 1 l i 1 Number Fee 501 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Town of Barnstable- Olde Barnstable Fairgrounds Golf Course 1460 Route 149, 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 06/30/2020 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 Town of Barnstable Office:508-862-4644 y Fax: 508-790-6304 Regulatory Services Department snxtvsrABL& Public Health Division y MASS. Thomas A. McKean,CHO • ba`°' 200 Main Street, Hyannis, MA 02601 Payment Receipt Hazardous Materials Payment received: $150.00 (Check) on 6/25/2019 Permit number: 2019-2020 iCheck number: 998731 Check amount: $300.00 Name on check: Town of Barnstable .Business: Town of Barnstable - Olde Barnstable Fairgrounds G Owner: TOWN OF (MUN) BARNSTABLE Address: 1460 ROUTE 149, Marstons Mills Note: Category III Permit Number Fee 501 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Town of Barnstable- Olde Barnstable Fairgrounds Golf Course 1460 Route 149, 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 i r Town of Barnstable Office: 508-862-4644 Fax: 508-790-6304 �. Regulatory Services Department F • w sn v X 814 - Public Health Division Mom. Thomas A.McKean,CHO pifo 39,�a 200 Main Street, Hyannis, MA 02601 Payment Receipt ;Hazardous Materials Payment received: $150.00 (Check) on 6/28/2018 Permit number: 501 :Check number: 977777 Check amount: $150.00 Name on check: Town of Barnstable ;Business: Town of Barnstable- Olde Barnstable Fairgrounds G Owner: TOWN OF(MUN) ;Address: 1460 ROUTE 149, Marstons Mills Note: 2018-2019 Category III Permit i • • Number Fee 501 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that . Town of Barnstable- Olde Barnstable Fairgrounds Golf Course 1460 Route 149, 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 Town of Barnstable Office: 508-862-4644 Fax: 508-790-6304 Regulatory Services Department � • ,; � �� Public Health Division Nam. Thomas A.McKean,CHO sa3�.A 200 Main Street, Hyannis, MA 02601 Payment Receipt ;Hazardous Materials Payment received: $150.00 (Check) on 6/22/2017 Permit.number: 501 Check number: 956635 Check amount: $150.00 Name on check: Town of Barnstable Business: Town of Barnstable- Olde Barnstable Fairgrounds G Owner: TOWN OF (MUN) .Address: 1460 ROUTE 149, Marstons Mills Note: 2017-2018 Category III Permit 0 � ap ��PI\ Number Fee \` 501 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that Town of Barnstable- Olde Barnstable Fairgrounds Golf Course 1460 Route 149, 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 revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/2015 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable ofIME T Regulatory Services Richard V. Scali,Director B" MASS. ` Public Health Division .i6gq �0 'O�Eo 39 Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCE O. �0'� 003 0� D E APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS F�Eo�01SU FULL NAME OF APPLICANT W A QV �c n 5 Iz-Ve- i o NAME OF ESTABLISHMENT ��(� f n. � �r ��,.•�� � • ADDRESS OF ESTABLISHMENT _I �b - 1 y I , AX50olh&115 M1462(1/9 TELEPHONE NUMBER 2rD% H)b 1'I SOLE OWNER: /YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO.Oq 6 Oo 10-4 9 STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS 21QW TELEPHONE# Q:1Application FormsU AZAPP.DOC �rO�y OF BARNSTABLE I iNVC INVOICE NET INVOICE PURCHASE > INVOICE DESCRIPTION DATE c� NUMBER AMOUNT ORDER# 5/12/2015 305136 HOLD FOR GOLF 254/016 — $100.00 15010230 628403—673010 � r r- i � VENDOR# VENDOR NAME CHECK AMOUNT CHECK DATE '. CHECK NUMBER`' 4595 TOWN OF BARNSTABLE $100.00 05/28/2015 912325 REMITTANCE ADVICE-ATTACHED IS OUR CHECK IN FULL SETTLEMENT OF ITEMS SHOWN HEREON. IF NOT CORRECT,PLEASE RETURN WITH EXPLANATION. Town of Barnstable / Finance Department 230 South Street Hyannis,MA 02601 J Tel:508-862-4654 j Fax:508-862-4717 `• i 4 J Town of Barnstable Office: 508-862-4644 Fax: 508-790-6304 e Regulatory Services Department • snRNSrnnLF;' Public Health Division v� Masa. Thomas A. McKean, CHO Ar�1 3 200 Main Street, Hyannis, MA 02601 Payment Receipt iHazardous Materials Payment received: $100.00 (Check) on 6/5/2015 Permit number: 501 ':Check number: 912325 Check amount: $100.00 Name on check: Town of Barnstable !Business: Town of Barnstable - Olde Barnstable Fairgrounds G Owner: TOWN OF (MUN) ;Address: 1460 ROUTE 149, Marstons Mills i i I i • • Number Fee 501 THE COMMONWEALTH OF MASSACHUSETTS 100.0o Town of Barnstable Board of Health This is to Certify that Town of Barnstable- Olde Barnstable Fairgrounds Golf Course 1460 Route 149, 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 a, a Number 1 Fee 501 J THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Town of Barnstable- Olde Barnstable Fairgrounds Golf Course 1460 Route 149, 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 Town of Barnstable Regulatory Services ti Thomas F. Geiler,Director ` BAMSTABM "' Public Health Division 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. 10 03-Da DATE t (� APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OFF HAZARDOUS MATERIALS (F�F d 0 QQ L� 1 FULL NAME OF APPLICANT e—)OaA �✓l J �J \�— o NAME OF ESTABLISHMENT �� +� �I� �� � 6L�►I' " t h� ADDRESS OF ESTABLISHMENT N60 , ��g� 66) o - .� TELEPHONE NUMBER o�O a« `'J� C7 SOLE OWNER: YES NO IF APPLICANT IS A PARTNERSHIP, FULL NAME AND HOME ADDRESS O ALL PARTNERS: �� a-- rn IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. 0g6_661-®7q STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER ful CLERK SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS TELEPHONE # J b 9 -36 `)A Q _ 3 �3 i Number Fee 501 THE COMMONWEALTH OF MASSACHUSETTS $loo.00 Town of Barnstable Board of Health This is to Certify that Town of Barnstable- Olde Barnstable Fairgrounds Golf Course 1460 Route 149, 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 Number Fee 501 THE COMMONWEALTH OF MASSACHUSETTS $loo.00 Town of Barnstable Board of Health This is to Certify that Town of Barnstable- Olde Barnstable Fairgrounds Golf Course 1460 Route 149, 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 n Director of Public Health . c Number Fee 501 THE COMMONWEALTH OF MASSACHUSETTS $0.00 Town of Barnstable Board of Health This is to Certify that Olde Barnstable Fairgrounds Golf Course 1460Route 149, MA 02648 '4�'f f A,��s Is Hereby Granted a License FOR: STORING OR HANDLING Ill GALLONS OR MORE OF HAZARDOUS MATERIALS. ------------------------------------------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------- -------------------------------------------- -------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires June 30, 2007 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN SUMNER KAUFMAN,M.S.P.H. August 8, 2006 PAUL J. CANNIFF,D.M.D. THOMAS A. MCKEAN,R.S.,CHO Director of Public Health tk Number Fee 501 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Town of Barnstable- Olde Barnstable Fairgrounds Golf Course 1460 Route 149, Marstons Mills, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2017 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 06/30/2016 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health f Town of Barnstable OFTHE logti Regulatory Services Richard V. Scali, Director -�C MUABLE. ; BARNSTABLE r Public Health Division �u^yy'iFOP•�((EtttS COIUInA':S5 �] 1639. ♦0 p1A$iO.S MIIL QS[dVUE-Mill 9bI V pfED1A0�a Thomas McKean,Director 1639-2 200 Main Street,Hyannis,MA 02601 F•• Office: 508-862-4644 Fax: 508-790-6304an N fq APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS FCE do(6 o 6F 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 1 st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26- 110 Gallons: $ 50.00 ,❑l CATEGORY 2 PERMIT 111 -499 Gallons: $125.00 L�J CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ • A late charge of$10.00 will be assessed if payment is not received by July 1st. ASSESSORS MAP AND PARCEL NO. /04 IDQ3-TOD DATE 5151 dQ I FULL NAME OF APPLICANT: / (•��^ 31r,r AS kr- NAME OF ESTABLISHMENT: ©`� .�(-OS/44Rr ADDRESS OF ESTABLISHMENT: /q G O �'� j�r �`1`dW`53 MAILING ADDRESS(IF DIFFERENT): —13 6 > k M' I IS Ubtt& TELEPHONE NUMBER OF ESTABLISHMENT: /U'K / 1 I EMAIL ADDRESS: • iP'l 1 Col rv�. �v- • 3���$�h� e- rLiC. !n S SOLE OWNER: YES /NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER CLERK IF PREPARED BY OUTSIDE PARTY: • SIFT URE PLICANT Name: �� Company Address : Telephone#: Email: C:\Temp\HAZZAPP Rev I6.docx Page 1 of 2 Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMASS. , • 200 Main Street• Hyannis, MA 02601 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: 01A Atevi:54" •e— ,r r rd.m s 6-oIV CoL r, c-. Date: Vh///. Location/Mailin Address: f 46p o.+e- k K Contact Nam 'Phone: 0*A- o - 6,rucc Al cM-KJ"Jr-;Z. ce// 7-1Y-836'c�l��f Invento Tota Amount: tk�°° ,�� `' MSDS: 7e 5 License#: Tier II : Labeling: V Spill Plan: 2S Oil/WaterSeparato lk Floor Drains: No Emergency Numbers: LS StorageAreas/Tanks: Emergency/Containment E ui ment: 50-e�I—Ivk S VIA, ;6.t-P- Waste Generator ID: A0 OS gico�3(-i Waste ProducD°cc-lti <kza-v,- , Date&Amount of Last Shipment/Frequency: q /,1-11 11 oqelor - X r Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS �o vKa1°� can a iti. tv�de.nk Slnc� �a5�' tvt4 - NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws ctF MA, hazardous mAterial use, sc� y-ftin��L o- storage and disposal of 111 gallons or more requires a license from the Public Health Division. t�-v d�,ro v%� 26t'�' Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers V 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 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) VAsphalt&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/RECOMMENDATIONS: al Ca .ems .S 6 66 -- � Inspector:. 2 Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS `OFI KKE ati Town of Barnstable Office:508-862-4644 ° Public Health Division Fax:508-790-6304 RARNSTARLE. MASS. 200 Main Street• Hyannis, MA 02601 A 039.p�0 rFOMA+ TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: 011A �a rK e,6 ra �4 r°�• s Go/('Cotic-s.� Date: Location/Mai ling Address: 0 6 0 ►M, I/5 Contact Nam Phone: < j► ,ire, rall -7-71/-836-8 35/ Inventory Total mount: DJ5 10 1b ar,�tb %L%A45 ` So 1 GIa�S�i MSDS: � License#: Tier II : N o Labelina: d Spill Plan: v\ok Oil/WaterSeparator: Floor Drains: Iv o Emergency Numbers: Storage Areas/Tanks: 2- 1000 A a.l Alf qae7-v - &1�r 5 v 5A.C,- Emergency/Containment Equipment: ti -r �d2:fGr ! a` Waste Generator ID: 21o6'3 0 9 A I IWaste Product: 61 Date&Amount of Last Shi ment/Fre uenc : I JAI (I A- 1 l Licensed Waste Hauler&Destination: L,I►ti Other Waste Disposal Methods: a^ -5 %A,,1 WOOk �-X ka "UZ Lail, Qs�r aC�a�6� Sse,c,1,k� 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 5 Dry cleaning fluids �—Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers to Hydraulic fluid (including brake fluid)%O Windshield wash Motor oils -L-to,5S43 Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants 1d Miscellaneous petroleum products: oo Road salts 2Oo Ib grease, lubricants, gear oil to a� Refrigerants �o Degreasers for engines&garages Pesticides: 41 44}w(A.c.A wLv Caulk/Grout t insecticides, herbicides, rodenticides/ Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) �— Car wash detergents Pe��'�'r'0` Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes S Lye or caustic soda t Lacquer thinners % Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Do 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: VA p5C2l . ORDERS: •Q,y'k-x INFORMATION/RECOMMENDATIONS: NO Inspector: Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS i �v r1 vw� i � 3 `� b vk��e 5 �•�� a. l � �p � G(�sc..� w� ,S i t . �c� Gil are c�� o S -�� Y J kv� �o b6vx \k c�e Cl@ v�' � � ° J5 ����- 2 / 1J �� V �..� II V �''�+'� t �� �� � 11t' _ �p �,n ,i y-Y� V �Iy`� � ', Y , i�v X _ ��� 7 t I �� G � ' '�ti W�,'0 �, �� �r L w ��, II �� °F�r�►otyti Town of Barnstable Office:508-862-4644 °� Public Health Division Fax:508-790-6304 B`"„",a- `E ' 200 Main Street• Hyannis, MA 02601 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: B �L fi b( ` ,t o��� D >< Date: elf 7- 111 Location/Mailing Address: 14e0 ova [�� , �aCS{o„�s AA l e g Contact Name/Phone: _ ow e k�sav��w�.c�.. o{ rucg- IM4 -1�.�'1 6G I -771f'03II l Inventory Total mount: a\ ) MSDS: e S License#: Tier II : o Labeling: e,5 Spill Plan: 01Il WiGr,La- Oil/WaterSeparator: IJ( Floor Drains: 40 Emergency Numbers: Storage Areas/Tanks: - 55 A al ON\ t, Y-<.P Q4A\,&-1< Emergency/Containment Equipment: 45 -t 5 tyj, {!l Waste Generator ID: oM 6 Waste Product: o<< Date&Amount of Last Shipment/Frequency: Ibliq 5Q 1-2-1X' ! Licensed Waste Hauler&Destination: C v— QVI CO23b T1`7 Other Waste Disposal Methods: � 20, 1 o k c -eG I 1 LIST OF TOXIC AND HAZARDOUS MATERIALS o vk� NOTE: Under the provisions of Ch. 111, Section 31, of the General Laft of MA, hazardous aterial use, v\o#•-4 hero 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 Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners VDiesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages V 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: N. r-, tj b`QV,- a J4.\W0\-e--. ORDERS: v o&e- aN o my--'or G 5i a-( _ o ooI INFORMATION/RECOMMENDATIONS: Ct 07S I , C 1 Inspector: V Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Date: / 17 / 3 TOWN OF BARN STABLES� .,o,,` TOXIC AND HAZARDOUS MATERIALS FORM NAME OF BUSINESS: Pyo &(►�S�a 2 acid- roV av BUSINESS LOCATION: /` 60 r,5 on5 A, INVENTORY MAILING ADDRESS: .Sark.¢— TOTAL AMOUNT: TELEPHONE NUMBER: SD$- Yz0-S�(367 if lb Ib . CONTACT PERSON: tq-row44e- Y-hjire, EMERGENCY CONTAC TELEPHONE UMBER: eel/0houg_ 77q-&&"813 MSDS ON SITE? TYPE OF BUSINESS: �LI,` 6rt Y�5 INFORMATION / RECOMMENDATIONS: ldkg e01r&K '�' 1,C�sX- si�1� Fire District: JA.l 4e- 4rz-A- 15 14 11gj+ a r- Lo y}a,n e ol,►�. �Q 4rti e>'-t CA V1— t Giv�s.rev�o! Waste Tra a a#�e�: M✓�$y�0.53 67 Last shipment of hazardo`�u11s waste: eb 20I3 Name of Hauler: G'�►w D► I�o Destination: Ci+ w c: To waste Product: W&6+2 61 ` Ljcensed? a No ► 6 -��ir`.ly ,+� t,Jashe.arci-, cie-�e►�� Q•Lr+S c ►ut)a re fc+urv-t,k+a-T0lief1104. Under th provisio of Ch. 111, Section 31, of the General Laws of MA, hazardous materi I use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum 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 Motor Oils 4,<fkl Pesticides Q NEW Yti/ �USED.�0 *o b (insecticides, herbicides, rodenticides) 6 Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) 1 b lubricants, gear oil ❑ NEW ❑ USED /0 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 ,3�Sa l b Fertilizers Asphalt& roofing tar PCB's 10 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 Laundry soil &stain removers (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initials I 7/5/2012 Town of Barnstable Page i of 4 Fuel Tanks 20 Years Old and In Zone of Contribution Tank Owner Tank Age in Town State Map Parcel Property Location Owner Address No Tag No Install Date Years ZOC ZOC 021008 140 OLD OYSTER ROAD BARNSTABLE,TOWN OF(SCH) 2 00652 7/25/1988 23 SPLIT SP IT Cotuit /VG (%h P.O. BOX 955 C':� i T -L�l, LSG OXc S Pz-%T Lt S HYANNIS,MA 02601 0 4021 4418 FALMOUTH ROAD/RTE 28 JASON,REGAN C &TASHA,M J TRS 1 00870 9/15/1987 24 WP IN Cotuit P O BOX 692 SAGAMORE, MA 02561 S Cw' 024021 4418 FALMOUTH ROAD/RTE 28 JASON, REGAN C &TASHA,M J TRS 2 00871 9/15/1987 24 WP IN \v Cotuit P O BOX 692 ms-r A) SAGAMORE, MA 02561 R�4.veee� 024021 4418 FALMOUTH ROAD/RTE 28 JASON, REGAN C &TASHA,M J TRS 3 00872 9/15/1987 24 WP IN Cotuit P O BOX 692 SAGAMORE, MA 02561 024021 4418 FALMOUTH ROAD/RTE 28 JASON, REGAN C&TASHA, M J TRS 4 00873 9/15/1987 24 WP IN Cotuit P O BOX 692 SAGAMORE,MA 02561 ' 104002T00 1000 RACE LANE BARNSTABLE, TOWN OF (LB) 2 00931 7/6/1989 23 GP OUT Marstons Mills 3Ev--Csa2D 367 MAIN ST x;a r- ove, Qq*6 HYANNIS,MA 02601 D -TLC i4- Ro I 1 N(- 104003T00 1460 ROUTE 149 jZS- yLc•/r y3 BARNSTABLE, TOWN OF (MUN) 1 01052 1/1/1990 22 SPLIT OUT %' elS 6'e Marstons Mills 6rcux-tte- 367 MAIN STREET C-iULF Gf o a�• HYANNIS,MA 02601 104003T00 1460 ROUTE 149 BARNSTABLE, TOWN OF(MUN) 2 01053 1/1/1990 22 SPLIT OUT Marstons Mills 367 MAIN STREET &0L-F � Rn HYANNIS,MA 02601 117026 981 MAIN STREET(OST.) CALLAHAN,RICHARD P TR 8 00206 9/1/1986 25 WP IN Osterville P ID -WAY C/O HOSTETTER, DANIEL CAA�C 770 A MAIN ST OSTERVILLE,MA 02655 124005 540 OLD FALMOUTH ROAD SHAFFER, SEMA L 1 00478 1/1/1968 44 SPLIT IN Marstons Mills 24 CORCORAN STREET Ooo,eLy RANDOLPH,MA 02368 11 ST �ti3�N��►�+=� - go P'ecop-b -Uover-cele 0 Y 7/5/2012 Town of Barnstable Page 2 of 4 Fuel Tanks 20 Years Old and In Zone of Contribution Tank Owner Tank Age in Town State Map Parcel Property Location Owner Address No Tag No Install Date Years ZOC ZOC 215027002 2155 IYANNOUGH ROAD/RTE132 MID CAPE SERVICE CTR INC 9 01027 1/5/1990 22 SPLIT SPLIT vr1 West Barnstable 2155 IYANNOUGH RD/RT132 S pLr L-1 S I- u P-C,07--I 0! /vo ot�O WEST BARNSTABLE,MA 02668 215027002 2155 IYANNOUGH ROAD/RTE132 MID CAPE SERVICE CTR INC 10 01028 1/5/1990 22 SPLIT SPLIT A-I_&,& v^l West Barnstable 2155 IYANNOUGH RD/RT132 Spk.�T L/S7- —&,t,_G7-:I r i t3 6,1 lVe, C-r-p WEST BARNSTABLE,MA 02668 254015 10 ATTUCKS LANE HAYES,G HOWARD TR 1 00966 1/4/1986 26 WP IN .n oU I-, Barnstable l�`�°TY°in ra f 4 4LJ�y DRAWER W %-e s���l zoo9 aQo�. �� ijo Ga-ru� HYANNIS,MA 02601 254015 10 ATTUCKS LANE h HAYES, G HOWARD TR 2 00965 1/4/1986 26 WP IN Barnstable /lP V Q rY a r1 rI a U5 DRAWER W /t4 HYANNIS, MA 02601 269002 549 WEST MAIN STREET BARNSTABLE, TOWN OF(SCH) 3 01114 7/1/1989 23 SPLIT SPLIT- aJ Hyannis P.O. BOX 955 -�M- A-LSo 0.0 S ftl T L,1 S T Ale 6 HYANNIS,MA 02601 269002 549 WEST MAIN STREET BARNSTABLE, TOWN OF(SCH) 4 01113 7/1/1989 23 SPLIT SPLIT. Hyannis H7,+ MA/ 1-s WE"S7,645q P.O. BOX 955 A-T-SG oju Sic iT LIST W C,,A& HYANNIS, MA 02601 274020 1449 IYANNOUGH ROAD/RTE132 GLOBAL COMPANIES LLC 6 00000 9/1/1989 22 WP IN Hyannis ATTN: TAX DEPARTMENT 36 E INDUSTRIAL ROAD BRANFORD, CT 06405 274020 1449 IYANNOUGH ROAD/RTE132 GLOBAL COMPANIES LLC 7 00000 9/1/1989 22 WP IN �vui3c� L3� Hyannis ATTN: TAX DEPARTMENT 36 E INDUSTRIAL ROAD C,4-i2-l> BRANFORD,CT 06405 274020 1449 IYANNOUGH ROAD/RTE132 GLOBAL COMPANIES LLC 8 00000 9/1/1989 22 WP IN �jr�'�/3 --x- Hyannis ATTN: TAX DEPARTMENT 36 E INDUSTRIAL ROAD IV, C,�-e-o BRANFORD,CT 06405 7/5/2012 Town of Barnstable Page 3 of 4 Fuel Tanks 20 Years Old and In Zone of Contribution Tank Owner Tank Age in Town State Map Parcel Property Location Owner Address No Tag No Install Date Years ZOC ZOC 274020 1449 IYANNOUGH ROAD/RTE132 GLOBAL COMPANIES LLC 9 00000 9/1/1989 22 WP INpu�3dl� 5en Hyannis ATTN: TAX DEPARTMENT 36 E INDUSTRIAL ROAD BRANFORD, CT 06405 274020 1449 IYANNOUGH ROAD/RTE132 GLOBAL COMPANIES LLC 10 00000 9/1/1989 22 WP IN �du13u��t�t� Hyannis ATTN: TAX DEPARTMENT 36 E INDUSTRIAL ROAD IVC, 2/j BRANFORD, CT 06405 289140 88 GREENWOOD AVENUE CARA DONNA WHITCOMB, LINDA 1 0 1/1/1968 44 SPLIT OUT Hyannis P MARIE � T/N r 88 GREENWOOD AVENUE HYANNIS MA 02601 293001 382 FALMOUTH ROAD/RTE 28 BARNSTABLE,TOWN OF(MUN) 7 00754 9/26/1988 23 SPLIT SPLIT 15ob Hyannis 367 MAIN STREET �Ov&-U- '-4-50 o,L) SIN-/ �9 HYANNIS,MA 02601 293001 382 FALMOUTH ROAD/RTE 28 BARNSTABLE,TOWN OF(MUN) 8 00755 9/26/1988 23 SPLIT SPLIT . ? Hyannis 367 MAIN STREET cwr o uT ` I1LSG ON SP(-jT 1-/5 T No Care' HYANNIS,MA 02601 293001 382 FALMOUTH ROAD/RTE 28 BARNSTABLE, TOWN OF(MUN) 9 00756 9/26/1988 23 SPLIT SPLIT Hyannis 367 MAIN STREET Our- C)iT ItLSa &U snu?4,/37 1''//o 64-" HYANNIS,MA 02601 - 295004001 0 GONSALVES ROAD CAPE COD HOSPITAL 2 00040 10/1/1985 26 WP IN Barnstable GLEASON HOUSE 7.7 PARK ST HYANNIS,MA 02601 311017 590 IYANNOUGH ROAD/RTE132 JAY IMAD ENTR IYANNOUGH RD, 1 00890 1/1/1987 25 GP IN Hyannis L-"PL7q°r' LLC 326 WEST MAIN ST [i CtfzP HYANNIS,MA 02601 i+b � SE, ,,tsrEb 3J0 7- 311017 590 IYANNOUGH ROAD/RTE132 JAY IMAD ENTR IYANNOUGH RD, 2 00891 1/1/1987 25 GP IN Hyannis LLC L-5P6AT 326 WEST MAIN ST u HYANNIS,MA 02601 -P4)j -Tj �--n) ��s� 7/5/2012 Town of Barnstable Page 4 of 4 Fuel Tanks 20 Years Old and In Zone of Contribution Tank Owner Tank Age in Town State . Map Parcel Property Location Owner Address No Tag No Install Date Years ZOC ZOC 311017 590 IYANNOUGH ROAD/RTE132 JAY IMAD ENTR IYANNOUGH RD, 3 00892 5/1/1987 25 GP IN Hyannis LLC LhC7�T 326 WEST MAIN ST HYANNIS,MA 02601 pA s t; 311017 590 IYANNOUGH ROAD/RTE132 JAY IMAD ENTR IYANNOUGH RD, 6 00000 1/1/1986 26 GP IN Hyannis LLC 326 WEST MAIN ST //6 ( R D HYANNIS, MA 02601 '?j4-j) 'IjA-TA !fj"F, 311022003 513 BARNSTABLE ROAD BARNSTABLE,TOWN OF(ARP) 2 00000 8/1/1981 30 GP IN Hyannis 6K 6 SYLVAN WAY a � PARSIPPANY,NJ 07054 311060 39 OTIS ROAD JEAN,ANDREW M 1 01050 11/5/1990 21 GP IN Hyannis �.�,r�r 39 OTIS ROAD X/� , HYANNIS,MA 02601 329003 480 BARNSTABLE ROAD BARNSTABLE, TOWN OF(ARP) 6 01266 12/19/1985 26 SPLIT IN Hyannis 480 BARNSTABLE RD 2ND FL /kj, HYANNIS,MA 02601 329003 480 BARNSTABLE ROAD BARNSTABLE,TOWN OF(ARP) 15 01118 1/1/1990 22 SPLIT IN Hyannis 480 BARNSTABLE RD 2ND FL HYANNIS,MA 02601 tip, M .7)70'". /// 5 M E A 69 I No.2453LY UPC 12934 emead.com . Made In USA 0 FOR AESTRY � INITIATIVE Certified Rber Sourcing WmAprogremorg /E1e.pSB4 1 J 1 -%- E*A%M F"' GROUNDS GOL F COURSE OLD FAIR / Q /Esau 0X92 - - J / SE'PTIC ' SYSTEM .. 1 ^. J E1n/07d7 - � � r BY; S.G.S. SCALE: t "=20` MARCH 18, 1995 FILE: 94092/GOLFSEPI Elav lD732 ► y'`; r ✓-7-7 r� ter - 1f'/Sv. 1 , / E-W B X t jS H OFCL MASS T STE°HEN 4 t S Fhv ar�o y No.31 13 �^ s Xf--XV-RA995, 12 LEACH GALL I ES WI T H 2 ' OF STONE Elm Im'a _A 9 T H GREEN F! 1b7&5 XEJev toe rr e`� � ,W 1a4s1 NOTES ( PROTECT ) j�Ear wasrs ` O� XEW 19A e , Elm U-M ', D9 1 . ALL EXTER I ER P I P ING TO BE PVC SCHEDULE 40 . f e XT*12U/ 2 . ALL REINFORCED CONCRETE STRUCTURES �EE OBSERVATION HOLE INCLUDING SEPTIC TANK GREASE TRAP . 24 .° , - _ 7 S BE ABLE , .. 5 o 000 GALLON SEPTIC TANK �' GA;I LIES IS 1-� t rON B®XE 0 TO WITHSTAND AN H -20 LOADING . xpw ADZe PERC a TEST E 3 . CONNECT ALL �XISiTING KITCHEN WASTE LINES i _ 12 LEACH GALL I ES WITH 21 OF STONE 4 PVC SCH . 40 t TYPICAL �_ e �, E,er m35 X�Pa72 e Ek�113 2�J J Ehv 11448 IN B U I L D I N O ___O NEW SYSTEM. DUOS T ER E.NCLIOSUR _ _ �, : �1�� 4 . CONVERT EX i 9 1 NG GRESE TRAP TO FIRST XEler 11393 e ` 39000 GALLON GREASE TRAP COMPARTMEN, OE SEPTIC TANK HANDLING " 4 �F_1ev 14325 e &, e` LAVATORY W�hS'Et BY DISCONNECTING K CHEN XEIW 1/5 e e e XElev 11832 \ \e Ewr 119� WASTE - LINES FROM EX I ST I NG GREASE TRAP ,, e e . STONE ONE WALL e Flee 114 J ,E� /,.M Ee /2S83DECK 73 eEfev RECONNECTIING K I1i CHEN WASTE L INES TO NEW lh� 4 .^a/75.42 \ Elev 1N53 EAW 16 F_W 1P455 e •-- Elw % Eta?12GB4 DE STONE WALL GREASE TRAF , AND CONNECTING LAVATORY PIPING �e GREASE . k,, � uv 11S.4p �f�v 1 a 1269E F ,F TO EXISTING SEWER CONNECTED TO EXISTING LI&I 18VO DECK * F_lev 115J5 GREASE\EASE TRAP . OVERHANGING DECK FlevJ2v74DECK CLUBHOUSE Ew fZFW CK PL A `C I E " =20 !'I T r - •.-.;,..••�:crr- �-.-� , . _ _ern. ...v....._,.:..._..__.W._...:» .-ran,Y """f .�-_.=.: ..:. -- =-- ...... .. .'�.vaiavu -fi!yi' - - --------- - ------ I 0 L r U` F 'A' I R"' 'G" R"' 0 U N D S r" OLF COURSE + SEPTIC SYSTEM BY: S. G. S. SCALE: 1 "---20' MARCH 18, 1995 FILE: 94092/GOLFSEP1 SHEET 2 2 y ,%A OF4 STEPHEN G. SEYMOUR CIVIL 9 No.31918� 5- r BUILDING FOUNDATION s�TL r 2., A-12' VERT. / / /'^,D J I• 005-15' HORS. 7!E ! lV� �fJyl}t/�a i Fy f I r 4 r5 1`L r 1 r 4*` l J J INSTALL PIPE LEVEL FIRST 2' OUT OF D-SOX r •I - r - GROUND 3, � a PEASTONE 37 L.F. i' PVC •0.02 FT7T n / /( INV. =1 1 0. 00 L.F.l.►. •' nvc •O.o2 FT/FT 7 L.F. c' PVC O.av Fr/FTry, /p�f..i� F#r/ (,,,F ELEV.r101..4 - ✓ INV. =109.25 39000 GALLON INV. =108. 36 6 INV. =107. 90 1 ELEV . 105 . 5 5 GREASE T AP INV. =109.00 5 . 00O GALLON INV. =1O6. 80 4rX 0 p q� IINV. =108. 11 INV. =107.65 INV. =107. 05 SEPTIC TANK �, ,, LEACH oQ r 20 L.F. 4' PVC •0.0] FT/FT L� G A L L I E S 0 DISTRIBUTION BOXES TO TYP• OF �4 ELEV . 101 . 50 1 g'2„WASHED STONE �6 '' o oo ° ( D BOXES ) ELEVATION SEPTIC SYSTEM PrN-` 0FILE 0 109 . 5 LOAM LOAM AND AND SEPTIC DESIGN SUBSOIL SUBSOIL 36 " 106 . 5 TOTAL BUILDING FLOW : RESTAURANT= 35GPD/SEAT X 83 SEATS=2905 GPD FUNCTION ROOM=15 GPD/SEAT X 100 SEATS =1500GPD TiOTAL FLOW=4405 GPD MEDIUM TEST HOLES NO . P-8414 , DUG FEB . 2791995 PROPOSED SYSTEM FOR KITCHEN FLOW : 183 SEATS @ 15 GPD/SEAT=2745 GPD SAND WITNESSED BY : STEPHEN SEYMOUR , PE GREASE TRAP REQU I RED=2745 GALLON , USE 3 , 000 GALLON EDWARD BARRY' , BOH SEPTIC TANK =150'/0 X 2745 =4118GPD , USE 59000 GALLON PERCOLATION RATE LESS THAN 2 MINUTES PER INCH LEACH FIELD : 104 L . F . DALLIES WITH 2 ' STONE - 1 i CAPACITY=( 2 . 5X4X2X104 ) +( 1 X8X104 ) +( 2 . 5X4X8X4 ) =3232 Y 144 " 97 . 5 NO WATER ENCOUNTERED EXISTING SYSTEM CONVERTED FOR LAVATORY WASTE ONLY : 4405 GPD-2745GPD=1 660GPDREQU I RED TEST HOLE CAPACITY EXISTING GALL I ES= 1 665 GPD ,, OK SEPTIC TANK REQUIRED : 1507. X 1 660= 2490 GPD CAPACITY PROPOSED 2 COMPARTMENT SEPTIC TANK =3500 GPD o Barnstable MA 1 POpple �pc�J 4.1 LOCUS a 111a X 61A X3se « 1 r +X1051 x 1A - X IL \ Lane \ x11eA M+P8103 _ _.. XS 8 X16i - X o X _ x1d \ KEY MAP 1 Xne , x XIX7 X1 M \\\ LEGEND _ Th Test Hole J ,av , x1 x1u7 x x 1 xt,t.7 x x"M ` tiB Hand Boring DR -.� p Mw Monitor Well ;q x13u x , AREA OF CLASS A-1 RESPONSE ACTION OUTCOME 1itb. © 11{ xtSt a X q , X90.3 tots _ x1flA X � X9 X99.4 X9 x,as A SEE DETAIL x � - c'.1s�r, x 101� x f x X1oo ,o,* tof+ e i Xtao t X XM7 XIM7 \ �• x 1n X X 1173 X 011 L. r' XpA / x XtfAA x XM7 11A j O Xi147 +W� � a AREA OF CLASS A-2 RESPONSE ACTION OUTCOME X94.4 X }2277 X X q x127 5000tlti X 10W ,.d Xpt Q X xea x q W 3 X X92.7 X xw x A} X1H _� 1 11Pk X+01,7 1 X 91.0 X X �X X11a \ X 1oAa @ Xqu X91.3 X 91A X i i DEMSE TREES X92.4 x � X IA7 ns r� J ' (� , r,=� DETAIL Scale 1"=200' X x x a ® xeee XIa1 x x feyc y 2 xba O f q\62� �t i i i xwya 'U xns XOU x u x c 1 �•u 4 xa: 127 xm7 i i x J nA \ *#"94 fXM q X x x -_-^ ZONE B X 1t ` X%z Q X71.1 qq � MAP ♦ Q X ou I ZONE x XIU v ZONE A A-1 X 1 1 1fu X q q p tCOIIRSE XM t 127 A 7 9 V 1, 478 4 �;• 11&�_,._ X 103 X16a X7Y tdl X X X 71J �'\✓�\ � « 1 XwA `-i a 4tW Q 3 �~ �x (�X'IL1 Xk tur �- Xa.4 x 71 x AREA OF CLASS A-2 RAO X964 MAP \ t - —.•••-.- /` Y7 x Scale V=10' 96.3 ,43 0 X ® X �� xlra g 3 ■ V 1 It9 14 x Q9 MAP o3 X « 0 PN 4` \X� � O "3C Xal WA 1 10 MA 135 03 / x X713 �( V 6BloulX / \ MAP X1«,7 x X x 71x x X71. X X70.9', ILE X « 7W O X 7+ A0 o ca X7a7 X68Z X6t�9 RTN 4-19327 OVERVIEW 1 « « x xw X Project: „_ MAP - x7t: X� Stanley Bielusiak Scale 1 =200 126 126 MAP 126 �x , x7s: x X 1182 Old Fall River Road,North Dartmouth,MA 02747 �� X Title: IMMEDIATE RESPONSE ACTION COMPLETION db` - ,,, CLASS A-2 RESPONSE ACTION OUTCOME Olde Barnstable Fairgrounds Golf Course, 1460 Route 149,Marston Mills,MA ,r 76 9 O 1 / X69.4 _ -N BENNETT & 01REILLY INC. 3 � X73.2 � 03 #03 13 � VAP�f6ENGINEERING,ENVIRONMENTAL,&SURVEYING SERVICES 3 « L9 742 1573 MAIN STREET,P.O.BOX 1667 X74.2 X712 BREWSTER,MA 02361 I ..- 03 7 "~- ,}26 PHONE:(508)8966630 FAX:(508)896-4687 P^ +S9 DATE SCALE BY CHECK JOB NUMBER DRAWING:C:\...\Envoronmental5eluslak\44 I OIRA.dwg 09/26/05 AS Noted KMR/e DCB B005-4410 L E1ev 105.84 _ J � JJ y , E1eX1683 OLD FAIRGROUNDS GOLF COURSE q ,E1ev,06,92 J J JJE1ev � SEPTIC SYSTEM J , J cn BY: S.G. S. SCALE: 1 "=20' MARCH 18, 1995 FILE: 94092/GOLFSEPI I Elev fOT i2 ! el I �re�ro7 i XF�roT� SHEET 1 OF , T . — Q , N OFMgSs /fi� � � STE?HENG.q�y XElav M4.9 I y `ram/W.O Elea 0700 �^ .. E x � c CIVIL' � S f �-,/f4 � -i s ,ash h ,No.3191 V El t XEkv 117Br Alt XEre�r�,srXElw rrn9e t , 12 LEACH GALL I ES WITH 2 ' OF STONE •' �ro7LiT , s j EI& gip© EIm/O&41 \` 1 9 T H GREEN XEI&IMAT � \ I�"06E1 XE,�usnr NOTES ( PROTECT ) �E.OU5 �� ti , Vp E7&,�.36 XE>ev,��T `D BO ; 41 ,��� _ 1 . ALL EXTER I ER PIPING TO BE PVC SCHEDULE 40 . \ 1 Erev 103rr E1ev WT w i XE*IXJI 2 . ALL REINFORCED CONCRETE STRUCTURES EEP OBSERVATION HOLE ! . INCLUDING SEPTIC TANKr GREASE TRAP , 24 XE-W-14 _ DALLIES AND DISTRIBUTION BOXES TO ABLE -----_ 5 , 000 .GALLON SEPTIC TANK---- f TO WITHSTAND . AN H-20 LOADING XErev noo P E R C . TEST `\` ,r 3 . CONNECT ALL EXISTING KITCHEN WASTE LINES � 12 LEACH DALLIES WITH 2 OF STONE �, 4 PVC SCH . 40 ( TYPICAL ) �E>&Ir« � n3 IN BUILDING TO NEW SYSTEM. XEr�IroT2 � y/�ll E1ev 1w.4a DUMPSTER ENCLIOSURE xpe,I/m3 4 . CONVERT EXISTING GRIESE TRAP TO FIRST f XEf,n393 1 39000 GALLON GREASE TRAP COMPARTMENT OF SEPTIC TANK HANDLING XE,av I1592 LAVATORY WASTE , BY DISCONNECTING KITCHEN XEkv I18s2 \ `� Elev n4Ee WASTE LINES FROM EXISTING GREASE TRAP , . STONE WALL Elev 114BJ ,EI�`w0 EJev12683DECK E7ev 3 � n5A2 RECONNECTING KITCHEN WASTE LINES TO NEW lt�7 S � \ Elev 11463 Elev 0 E1ev 12455 \Elev\l1496 lev l2680D 0e�126B4 DE STONE WALL;, FAvDECK GREASE TRAP, AND CONNECTING LAVATORY PIPING j \Elev n ar l2698 TO EXISTING SEWER CONNECTED TO EXISTING j XEtev 121I2 tN12679DECK Ewn515 GREASE TRAP . OVERHANGING III DECK I Er�/Y674DECK CLUBHOUSE C E7w JEW CK PLAN VIEW SCALE : 1 // =20 ' OLD FAIRGROUNDS GOLF COURSE SEPTIC SYSTEM BY: S.G. S. SCALE: 1 "=20' MARCH 18, 1995 FILE: 94092fGOLFSEP1 SHEET 2 OF 2 �oAOF ' STEPHEN G. SEWOUR CIVIL � 9No.31918 s�,�P BUILDING FOUNDATION iI 5. 46-12" PERT, � D J HORS. , Y .f° I. .� eiv Ia J ( I NST'ALL PIPE LEVEL FIRST 2' OUT OF D-BOAC `I GROUND s, r 3/8f' PEASTONE 37 L.F. 4" PVC a 0.02 FT/FT /! 32 L.F. 4' PVC a 0.02 FT/FT 4� INV. =1 10. 00 T L.F. 4' PVC a 0.03 FTAT ELEV.--109.44 INV. =109.25 71 39000 GALLON INV. =1_08.36 INv. =1o7. 90 so REV . 105 . 50 GREASE TRAP INV. =109• 00 59000 GALLON Iwv. =106. 4 X4 X4 � p SEPTIC TANK INV. =108. 11 INV. =107.65 INV. 107. 05 3� �� LEACH op 20 L.F. 4' PVC a D.03 FT/FT 4 i G A L L I E S TO ��� DISTRIBUTION BOXES TYP. of 24 ELEV . 101 . 50 1 2,WASHED STONE �6 p o �, ;5 ° ( D BOXES ) ELEVATION SEPTIC SYSTEM PROF ILE 0 109 . 5 LOAM LOAM AND AND SEPT I C DESIGN SUBSOIL SUBSOIL 36 " 106 . 5 TOTAL BUILDING FLOW : RESTAURANT= 35GPD/SEAT ' X 83 SEATS=2905 GPD F-UNCTION ROOM=1 5 GPD/SEAT X 100 SEATS =1 500GPD TOOTAL FLOW=4405 GPD MEDIUM TEST HOLES NO . P-8414 , DUG FEB . 27 , 1995 PROPOSED SYSTEM FOR KITCHEN FLOW : 183 SEATS @ 15 GPD/SEAT=2745 GPD SAND WITNESSED BY : STEPHEN SEYMOUR , PE GREASE TRAP REQUIRE=2745 GALLON , USE 3 , 000 GALLON EDWARD BARRY , BOH SEPTIC TANK =1 50% X 2745 =41 1 8GPD , USE 59000 GALLON PERCOLATION RATE LESS THAN 2 MINUTES PER INCH LEACH FIELD : 104 L . F . GALLIES WITH 2 ' STONE CAPACITY=( 2 . 5X4X2X 1 04 ) +( 1 X8X104 ) +( 2 . 5X4X8X4 ) =3232 144 " 97 . 5 NO WATER ENCOUNTERED EXISTING SYSTEM CONVERTED FOR LAVATORY WASTE ONLY : 4 405 GPD-2745GPD=1 660GPDREQU I RED CAPACITY EXISTING GALL I ES= 1 665 GPD , OK TEST HOLE SEPTIC TANK REQUIRED : 1507. X 1 660= 2490 GPD CAPACITY PROPOSED 2 COMPARTMENT SEPTIC TANK =3500 GPD � a._ �L OCUS OP y Apo Pip C p l FINISH FLOOR EL. =126. 87 i LEBARON LK110 io F i OR EQUAL. , / OLDE BARNSTABLE 0 3 Opp P� .�..�.Y..r.l_r. - - - �7FXXTT � - - - - - ��/ � ---.�E- - - - - - - NOTE: �� ' I k :j I II I BRING ALL ACCESS COVERS TO WITHIN 6 OF FINISH GRADE. FAlRGROUNOS GOLF COURSE ��� I .:, (- -� �"- - - - - - - --� � , LL L-.,J _4" PVC S- 0.01 I f - - - - - - - - 118.21 Jrl T T1 - - LIQUID LEVEL li II '11 - - - - - - -`F T� r . 1 1 7. 1 1 i III 1 1 6.86 ,'i II I �`� U I INSTALL ONE ACCESS COVER PER ROW �oJ C) q FAO R 4 j - - i i!I - - - II I \``� 11 I i / FINISHED N I SHED GRADE " " " U � ti�F�oON (q � w i I I I_i I \\\ II II / 30 X30 X30 D. BOX 2" PEASTONE TOPPING vE F$ TF = CONC. FOOTING-\ GOWMBIA A F� / ON AVE w - - - - - - - - - - - - I I \I I W1LL1NCT ` - - _ _ _ _ _ _ - _ Ih 1 06� 59 1 06. 39 1 06. 1 4 1 05 83 1 05.63 AVE o _ _ y ROSF�gN�gNTCHARIFORD m RACE - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1' 'I J rn HAVEN z LN. _-_ r T OR`NEWAVE _ m cR°�r t 1 Q9.58 ��- -�� ` 7 _ z L[GUID_LEVEL - - - E X I S T I N G �109. 33 _ L[DUID LEVEL D,g,-g 1 05.26 ( 2 EFFECTIVE DEPTH ) W FRR F \MANSD o z c�F P� o CAP - - - H-20 E ° o kN F'PVE< Pp R x 1 , 500 GAL . T NK EXISTING 106.34 105.26 11�2' TO 34' WASHED °W�r° �° o� ,moo °gpAo SEWER _ . NtN 1103. STONE ALL AROUND. E_WE79DEDR. �9 �' io� TfRR ������� ���-� 26 1 03 26 P� MANHOLE 6" CRUSHED STN. ' ` 3 , 500 GAL . 5. 0' @ 1 % 3 . 500 GAL . 31 .0' @ 1% 371 % SEPTIC TANK SEPTIC TANK IE I 1 .5' 93'5 1 .5' SOIL ABSORPTION SYSTEM ( SAS ) L OCUS MA P ( H -20 ) ( H -20 ) ' DISTRIBUTION 96.5' 2 -ROWS PRECAST CONCRETE CHAMBERS ( H -20 ) BOX ( 3 ' HT . , 8 . 5 ' L , 4 ' -10 "W 11 LEACHING 11 CHAMBERS PER ROW WITH 1 . 5 ' OF STONE ON CHAMBERS SIDES AND ENDS . EFFECTIVE : HEIGHT=2 . 0 ' WIDTH =7 . 84 ' LENGTH =96 . 5 ' TEST HOLE #1 TEST HOLE #2 S E P T I C SYSTEM PROFILE C� �`{ `� ELEV. ELEV. �J� 0" 100.2 0" 110.3 (4 AP SANDY LOAM AP SANDY LOAM N. T.S. 6„ 2.5YR4/4 99.7 4" 2.5YR4/4 109.9 NOTES B SANDY LOAM B SANDY LOAM - 5YR4/2 5YR5/4 24" 98.2 18" 108.8 1 . ALL EXTERIER PIPING TO BEE PVC SCHEDULE 40 OR BETTER. ( 5. THE LOCATION OF UTILITIES SHOWN ON THE PLAN ARE APPROXIMATE. C-1 COARSE SAND C-1 LOAMY SAD THE CONTRACTOR SHALL BE RESPONSIBLE FOR THE LOCATION 1OYR8/6 2"_5YR5/6 2. PRIOR TO CONSTRUCTION OF SEPTIC SYSTEM THE CONTRACTOR 72" 94.2 48" 106.3 SHALL OBTAIN A DISPOSAL WORKS CONSTRUCTION PERMIT OF ALL UNDERGROUND UTILITIES AND SHALL NOTIFY C-2 FINE SAND C-2 SAND FROM THE TOWN OF BARNSTABLE BOARD OF HEALTH. DIG-SAFE, TELEPHNE, THE CABLE CO. , THE C. O., M. M. 10YR7/4 2.5Y7/3 108" 91.2 84" 103.3 3. NO PART OF THE SEPTIC SYSTEM SHALL BE BACKFILLED WATER DISTRICT AND OTHER UTILITIES PRIOR TO EXCAVATION. C-3 FINE SAND C-3 SANDY LOAM UNTIL INSPECTED AND APPROVED BY THE TOWN OF BARNSTABLE 6. DURING INSTALLATION DISTRIBUTION BOX IS TO BE 5YR8/1 10YR6/4 - ` WATER TESTED TO INSURE THAT IT IS LEVEL. 120" BOTTOM OF HOLE 90.2 NO WATER ENCOUNTERED 120" BOTTOM OF HOLE 100.3 NO WATER ENCOUNTERED \ HEALTH AGENT AND THE BARNSTABLE DPW - ENGINEER. - - -" \ \ 7. THE FIRST TWO FEET OF PIPE OUT OF THE DISTRIBUTION BOX - A \ \ ARE TO BE LEVEL . 4. THE DESIGN AND COMPONENTS OF THE SEPTIC \ 8. SEPTIC TANK , DISTRIBUTION BOX, AND LEACHING CHAMBERS TEST HOLE #3 TEST HOLE #4 �\ \ \ - \ \ SYSTEMS SHALL BE IN COMPLLIANCE WITH THE STATE ''` "' SHALL BE ABLE TO WITHSTAND AN H-20 LOAD. ELEV. ' ELEV. \ \ \ OF MASSACHUSETTS SAN I TARW CODE TITLE V, AND 0" 110.7 p" 110.2 AP 2S5YR4/40AM AP 2S5IYR4/30AM I I \ \ \ \ \ 4" 110.4 4" `109.9 1 I \ \ \ \ WITH THE TOWN OF BARNSTABLE BOARD OF HEALTH. B LOAMY SAND B LOAMY SAND SEPTIC D E S I G N 10YR6/6 10YR4/3 30" 108.2 36" 107.2 7�0�1 \ \ V DES I GNFLOW PERC TEST 4 PERC TEST / ( � 2 C-1 SAND PERC. RATE 2 MIN./INCH C-1 SAND PERC. RATE I� 2 MIN./INCH ( ( \ \ \ \ \< TOTAL BUILDING FLOW: 2.5Y7/3 TEST HOLES DUG 9/18/02, 10YR5/& TEST HOLES DUG 9/18/02, \ \ \ SOIL EVALUATOR: B. CELIA SOIL EVALUATOR: B. CELIA I F�RO 'OSEQ SOIL ABSORTIO \ \ \ \ \ ` RESTAURANT = 20 G.P.D./ SEAT X 83 SEATS = 1,660 G.P.D. B.O.H. DAVE STANTON B.O.H. DAVE STANTON I I I \ �\ \ \ \ FUNCTION ROOM = 15 G.P.D./SEAT X 100 SEATS = 1,500 G.P.D. � ) S\YS1\EM ( F��20 ) \ ��=.\ \ Z� \ \ �, \ -� ` BOTTOM OF HOLE BOTTOM OF HOLE \ >� \�\ \ \ '� GOLFERS1250 VISITS /DAY fa 1.6 GAL/ TOILET +1.5 GAL /SINK ) 120" 100.7 NO WATER ENCOUNTERED 100" 101.9 NO WATER ENC UNTC�REDI 1 \ \ `'' � \ \ \ �� EXISTING LEACHING AREA ( 250 GOLFERS / DAY 1 GALLON/ URINAL=1.5 GAL/SINK=1, 275 G.P.D. ' , \ TOTAL FLOW = 4,435 G.P.D. I \ \ \ \ \ ` \ ( TO BE ABANDONED ) �- \ \ T�P EXISTING SYSTEM FOR FLOW FROM KITCHEN: I _ \ # INSTALLED IN 1995 DESIGNED FOR 183 SEATS X 15 G.P.D. = 2,745 G.P.D. \`\ �\ \\ PROPOSED"' TPGRADE SYSTEM FOR LAVATORY: PROPOSED SYSTEM F 0 R \L A A�'\ b\ R I E S\ \ \ \ \ \� -A \ FLOW ONLY DESIGNED TO HANDLE REMAINDER OF FLOW FROM BUILDING \`� `� `� \ 4, 435 G.PifL. - 2,745 G.P.D. = 1,690 G.P .D. CHECK FLOW BASED UPON WATER USAGE: MAXIMUM ANNUAL WATER USAGE 1999 - 2001 = 200,000 GALLONS PER YEAR ABANDON D-BOX REMOVE RISER 70% of FLOW IN 6 MONTHS EXISTING LEACHING GALLIES ( TYP ) \ \ \ \ \ \ \ \ \ \ \ \ '` _ _ DAILY FLOW = ( 200,000 GALLONS PER YEAR) ( 70 %) / 180 DAYS = 778 G.P.D. ` \ -PEACE CONC . PLUG IN D BOX AND � 200 % OF 778 G.P.D. = 1,555 G.P.D. �\ \\ BACKT\ILL TO, GRADE 1,555 G.P.D. < 1,690 G.P.D. USE 1,690 G.P.D. FOR DESIGN FLOW. EXISTING D BOX ( TYP ) _ i2o' \'� \ �\ \ \ \ \\ \ \ \ \\ SPR NK\LEN HEAD \\ �. ,��\ \\( \ 0 ) \ \ \ \ \ \ W/, W TER DINE` SEPTI TANKS I\� �\ \ \ \ ` 3 000 GAL . SEPTIC TANK\ ` I �\ \ \ \ \ \ \ \\ \ \ \ \ �' \ /.; 200% OF DESIGN FLOW = (1,690) (200 %) = 3, 380 GALLONS PER 310 C.M.R. - 15 .223 ( 1) (b ) EXISTING 5 , \. � \ \ \ \ \ \ \, \ \ ti \ \ \ \ \ \ _ \ FOR COMMERCIAL FLOWS IN EXCESS of 1,000 G.P.D. 2 TANKS IN SERIES OR 1-2 - - - - ��\ > �� \� \\ \ \ \\ \\ \ \\ COMPARTTMENT TANK IS REQUIRED. \ \ % \ USE 2- 3 500 GALLON TANKS IN SERIES. o \ U I,\ P ��E \AND INSTALL \ . ;VI \ \ \ \ \ \ \ \ � \ i �\ c cA�\ \\ SOIL ABSORPTION SYSTEM ( SAS ) EXISTING 3 , 500' GAL) . G EAS� TRAP , `,\ \ \ \ \ \ \ \ \ \ \ \ o\ \ \ \ \ \ 'O \ \ n\ \ \ USE 22 PRE-BAST CONCRETE (H-20 ) CHAMBERS ( 8'-6 "L X 4'- 10 " W X 36 " HT EACH) `y, I I� q�F,\, \ P\R�P�S\E ��5\00\GAL , of d \ \ \ \ S 1� 0 TANK \ (\H�20 ) .�\, \ \ WITH 1.5 ' STONE ON SIDES AND ENDS - IN TWO ROWS. EACH ROW: LENGTH = f 8.5 X 11 1 + 3 = 96.5 WIDTH = l 4.85 + 3) = 7.84 BOTTOM = 4 G.P.D. / S .F. [ 96.5 ) ( 7.84 ] = 560 - - SIDES = 0.746 G.P.D. / S.F. (96.5 X 2 X 2) (7.84 X 2 X 2 ) =309 ` ii _ \� \• \ \ \ \ \ - � \ REMOVE A S B .M< TOTAL PER ROW = 869 'G.P.D. �q� � EXISTING SYSTEM FOR II KITCHEN \ AI' p \ , - \ \ CORNER OF CONC. PAD TOTAL 2 ROWS - 1,738 G.P.D. ( INSTALLED 1995 ) ;; �� / -�� \ \ ° X\ _ \ EXl'S�l�IG 29 DO GALLON � � � I 1 � �. C � \ \ ELEV. _ l l0 . 19 1,738 G.P.D. >� 1,690 G.P.D. OK �> ,1- A Ti \ - \ SEPTIC TA �I \\ QIWNEC T TD SEWER DIG SAFE o A IV (((� TOWl�T of BARNSTABLE \ V J �� o - DEPARTMENT OF PUBLIC WORKS - ENGINEERING DIVISION \ EX I S T l NG CL US HOUSE \ 1 P ' \ \ \ SG�C� rL� `p2 [(J •`10 '(l APPROVED ` v v " o Vr , ao�'Q����� , � PL A N SHOWING PROPOSED _ \ FINISH FLOOR \ 1 PLANT DAMA3E BARNSTABLE, SEPTIC SYSTEM REPA I R ELEV. _ 126 79 - _ 1 �O 0 DRAWN BY: J.L .C. DATE MARCH /0, 2005 \ 1 20 /0 0 20 40 FEET OQ 39 ,�� AT OL DE BARNSTABLE �\ 1\ TFO MA`S �' FAIRGROUNDS GOLF COURSE DESIGNED BY: S.G.S. SCALE: 1 "-20' SCAL E. l ' 20' CHECKED BY: S.G.S. VILLAGE: MARSTONS MILLS \\ I N MA R S T ONS MILLS FILE: 02041 bo.dgn SHEET / OF / F-77--] T_ ------- I Ij n' t ,• t' A p ik' i i ,,},F.; „Ft ` ` •� 1 ( 10 r ' ! , &NNWj ' (' i,l,q, OLD FAIRGROUNDS G.OL F COURSE r , rkx, � �t, t I SEPTIC SYSTEM #',' ,. t I V ,. + + BY: S.G.S. SCALE: 1 =20 . MARCH 18. 1995 FILE: '94092/GOLFSEPI r1w AM ' 1 d' SHEET t Ew wao +ON t . . t t„ I is it ffi. 12 fit{p EACH GALL. ES WITH 2 ' OF STONE ANN �i+j ` 1 .'-, `lJMA� III t - rim A" , �� {�,Nlw'rIh ft it;}'F1.yitN-4 - or .n NOTES 9TH GREEN . t� �,. \gyp !IJ4 ' x0 ,, ( PROTECT) "' T ,ovs , � � , ww Avis /�AB \ H4tt 4G'77rr+�'/ 4, e + � ALL EXTER I ER P I P I NG� TO BE PVC SCHEDULE 40 . , MOP # ,, V: i i D AQX ��.' �. 2 . ALL REINFORCED CONCRETE .STRUCTURES ♦ �! ;k OBSER 'AT LON HOLE z ' INCLUDING . SEPTIC TANK GREASE TRAP . 24 �s , 4 , � � � �� GALL IES AND DISTRIBUTION BOXES TO BE AB �E ♦ 00( 'A", L ON S P TANK O .I1'N S : . ANT-', -2 tknj d,, 0 A D T. A� ' - , _. D`E EST D*;i4vh+ , X&W rr PV ' SCH . 40 ( TYPICAL ) 3 . CONNECT ALL EXISTING KITCHEN WASTE LINES 12 LEACH GALL I ES WITH 2' OF STONE ` � IN BUILDING TO NEW SYSTEM. DUM�S;ER lk,,l .ai� '• • , ,E° ENCL Uri �0'�. Aw a , 44 . CONVERT EX I ST I NG GRESE TRAP TO FIRST 3 500 GALLON GREASE TRAP COMPARTMENT OF SEPTIC TANK HANDLING t, Is,+x„t,a{t,n•'i ',!rAu ! ,r, 'her \* 'y +" �;' 1 ,,•'r� ,a• `° ::.di{ +�:n����� �r;�it4 ,�.a,N ♦ a i xMxuN^,f :i,t n +bnt�}i' , ,r LAVATORY WASTE . BY DISCONNECTING KITCHEN %�40W }} n�»�n a' �,,�.7 �`!•.� !1. .. WASTE FROM EXISTING GREASE TRAPS . . ,�y',,���•,, � :,, `�.STONE ',WALL ,µ•. *% =mmDECI Its irt.': d••fii F 1#i,,t p ,grt :'� w! Yi .�s� RECONNECTING KITCHEN WASTE . LINES TO NEW rsi a S., r a f}}i : ` GREASE TRAP , A D CO C I NG LAVATORY PIPING f ,, ,r,.t, G S E N N N E fi LL msm TO EXISTING SEWER CONNECTED TO EXISTING an KICK GREASE TRAP . E. .,:OVERHANGING ` DECK. 1• '°"' CLUBHOUSE ' r{ b [r.rases u ~' • + t PLAN V I ,EW ` S CALE : 1 =20 1 I J 6 OLD , FAIRGROUNDS GOLF 'COURSE " . SEPTIC SYSTEM V Y e -BY: S.G. S. SCALE: 1 "=20' MARCH 18, 1995 FILE: 94092/GOLFSEP1 _ ,t�. /'!�p 6{' 4 fig• A _ t s S :. E T 2 OF 2 41, � PINP FOUNDATION 5' r r , .r 1Y fff 1 'Ir r E FIRST 2 ST OUT OF - OX r: , l ,. INSTALL 'P I PE � VEI, R 0 - �'_B �• GROUND 3/ " PEASTONE 72 L.F. 1� ' NYC 0 24 L.F 4' avC is 0.0 T/iT . 1 00 " 1..' !1 Y / A � !., 39500 GA LfJ INV. — Q8. 16 u .: $ r ,�, t wa Now I i a�. ,_,.. .. .,�. • lo5 • 5 O 1. 07. �9 ter= } �] 4 X 4 X q ^r � N ...: .- � 7tt�•.y. ;w.., ' -•. .,., .a:+. ,. '-s� Y^✓ 9�v .J 4-rNVe-106 a4 NV.�O11�A 8U SEPTIC TANK 4VV310A DALLIES . TOTYP. of 'ga = ��L E 101 . 50 � � , pISTRIBUTI k9 . �'21WASHE ONE6 oa D SAX ) , r . ELEVATION SEPT I C SY. STEM PROF ILE ell - 109 . 5 �-OAM I qAM s EPTIC D E,S 'AND AND SWBSO I � SUBSO I t, ' 06 , TOTAL BUILDING F�.OW : RESTAURANT= 35GPD/SEAS 83 SEATS=2905 GPD FUNCTION ROOM= 5 GPD/SEP T X 100 SEATS=1500GPD TOTAL FLOW=4405 GPD 'M TEST HALES N0 . P-841 � i PUG FEq j 270995 1995 ROPOSED SYSTEM FOR KITCHEN FLOW : 1 83EATS 15 GPD/SF_-_' =-2745 GPD y WITNESSED OY 99 STEP EN SEYMOUR . PF GREASE TRAP REPO I REDS" { 5 GALLON , "USE 39500 GALLON ANQ EDWARD PARRY v D01� SEPTIC TANK =1 50 . X 2 ,. r' —q 1 1 8GPD + '-,',SE 59000 GALLON PERCgLATION RATE hFsS THAN 2 MINUTES PER INC LEACH , FIELD : 104 L . Fr .:ALLIES WITS" 2 � STONE ,{ . 1 CAPACITY=t 2 . 5�t�X X 1 ( �= 1 X8X 104 ) ° 2 F 5X4X8X4 ) =281 2 4 97 . 5 NO WATER ENCOUNTERED . "' ' r ; I ST I NG SYSTEM CONVERTED FOR LAVATORY WASVj �1LY . r 4405 GPD-2745GPD-r-�166� �EQU I RED CAPACITY EXISTING GA ._ S= 1665 rN-, 4 K i TEST HOLE • ` �` � f SEPTIC TANK REOt� 1 REG o � � ��o X 16 6G=-: 2z.�0 GPD + CAPACITY PROPOSE 3 -� _ = f, 2RTMENT �, TANK =3500 GPD ...... r • MANHOLES AND COVERS CLEAN BACKFILL FINISHED GRADE (MIN. 24" DIA) BROUr1 HT $LOPE 27v MIN. UP TO FINISHED GRADE (TYPICAL ALL COVERS) k" SCH 40 '`1C. " V C Si= 0.005(M1N� 4 PERF. PVC PIPE _ o z Z" LAYER 1/8 TO FINISHED GRADE S=0.005 (MIN) �+ I/Z WASHED STONE I SLOPE '?? (MIN) b 1'-0" (MIN) a °• a BUILDING 4"SCH 40 PVC (TYP,') 12 (MIN) .� a 1 ° 4" PERF. PVC SCH. 40 W R S-0.02 MIN � m RF DOWN) 0 ( )PE S p�oQ°Qa(p� APPROVED EQUAL ! CI cv ° oo 0 3/4" TO 1 1/2" DOUISLE " T WASHED STONE to -0 MIN) SANITARY TEE ` 2'-0" 6'-0" 2'-0" 10'-0" I " ro r - W NOTE: SEE SCHEDULE OF ELEVATIONS SEPTIC TANK DISTRIBUTION C I BELOW FOR PIPE INVERTS AND FINISHED TIO BOX LEACHING TRENCH _ {{ 1 GRADE ELEVATIONS ' WMAOLE � a TYPICAL LEACHING TRENCH CR OSC* SECTION N.T.S. SCHEMATIC PROFILE OF SEPTIC SYSTEM - �V N.T.S. ro ' O FINISHED GRADE N`- TES & SPECIFICATION S SELEVATIONs F ABOVE ' \ ELEVATION STRUCTURE 1. BENCHMARK SHALL BE SET ON-SITE BY ENGINEER PRIOR TO � \ \ CONSTRUCTION. I 2. 9NISHED GRADING SHALL' BE COMPLETED IN ACCORDANCE WITH THE TOP OF SLA a /o/. 5 GRADING PLAN. \ 3. ALL SETBACKS AND CONSTRUCTION SHALL CONFORM TO THE \ I \ \ \ BASEMENT FLOOR - REQUIREMENTS OF TITLE 5 AND THE REQUIREMENTS OF THE LOCAL BOARD OF HEALTH. A F ALL STONE AROUND LEACHING ACHIOR THE NG OF N TRENCHP P E ES SHALL CONSIST OF DOLl5L 104 \ INVERT OF PIPE AT FOUNDATION 9B /� /O/, 5o 4WASHED STONE RANGING FROM 3/4 TO 1-1/2 INCHES IN SIZE AND BE l 7 /Z FREE OF IRON, FINES AND DUST IN PLACE. IT SHALL EXTEND THE ` n INVERT AT SEPTIC TANK INLET 9 v FULL WIDTH OF THE TRENCH, SHALL NOT BE LESS THAN 18 INCHES 1 I \O INVERT AT SEPTIC TANK OUTLET 9G,87 /OD.25 DEEP BENEATH THE BOTTOM OF DI$TRIBUTION PIPES AND SHALL/ \ EXTEND AT LEAST TO THE TOPS OF THE DISTRIBUTION PIPES. THE STONE SHALL BE COVERED WITH AT LEAST A Z INCH LAYER OF f UI-L I5L,A 4 V \ \ INVERT AT DISTRIBUTION BOX INLET 95.89 WASHED STONE RANGING FROM 1/8 TO .1/2. INCHES IN SIZE, AND BE / o \ FREE OF IRON, FINES AND DUST IN PLACE. ALL STONE MUST HAVE 0 0 \ \ INVERT AT DISTRIBUTION BOX OUTLET 95. 7Z 99. 90 LESS THAN 0.2 PERCENT MATERIAL FINER THAN A NUMBER 200 SIEVE - \ \ AS DETERMINED BY THE AASHTO TEST METHODS T-11 AND T-27 Io Z `©2. \ \ INVERT AT LEACHING LINES (BEGINNING) 9s. GG /oo. /5 (LATEST EDITION). THE CONTRACTOR SHALL PROVIDE A GRAIN SIZE \ /off INVERT AT LEACHING LINE END 3s ANALYSIS TO THE ENGINEER PRIOR TO PLACEMENT OF THE STONE. ri� Z _ ,•� S (END) ANY SMEARED OR COMPACTED SURFACES OF EACH TRENCH SHALL BE 1 9 . ` \ RAKED TO A DEPTH OF ONE INCH, AND LOOSE MATERIAL REMOVED, '�r•', ., " ro7, ` P-5 \ 93.G i BEFORE THE STONE IS PLACED IN EACH TRENCH. ' \. . �• ELEVATION OF TRENCH BOTTOM 6. OPEN TRENCHES SHALL BE PROTECTED WITH HAY BALES AND/OR SILT N waJ44.! \. FINISHED GRADE OVER LEACHING AREA FENCING TO PREVENT -SURFACE RUNOFF, SILT, AND DEBRIS FROM PLA N NO ENTERING THE TRENCH. \ \ SOIL. I A . ipp WITHIN PROPOSED LEACH ALL BE STRIPPED AND REPLACED AND OR GRAVEL FILL - "`� MATERIA MPI PERCOLATION RA FORE ANDPI A(FMFNT 8. THE MINIMUM DEPTH OF COVER MATERIAL OVER LEACHING FACILITIES SHALL BE 18 INCHES. EARTH MATERIALS USED To COVER LEACHING ' \ 1✓a0 PROPOSED USE: MAINTENANCE BUILDING FACILITIES SHALL BE FREE OF FINES, STUMPS AND WASTE \ \ \ CONSTRUCTION MATERIALS. 9, FINISHED SURFACE FOR THOSE LEACHING FACILITIES OUTSIDE PAVED "' 1 5F_E SHEET C'2,F� - \ / GARBAGE DISPOSAL: 000 ( ) YES ( X ) NO AREAS SHALL BE LOAMED (4 INCH MINIMUM) AND SEEDED, AND k YOL1T OF WAT i • I i . LA / SEPTIC TANK: GALLON CAPACITY PROVIDED I MAINTA:NED UNTIL ESTABLISHED. THE TOP OF EACH LEACHING ; x- I DESIGN FLOW REQUIRED = 50 gpd FIELD SHALL 9 HAND T _ � E G Q I ; • ELD L E A D TAMPED. • , ,.. --..- r _•+.... _.-_:_._. ..- ,_...,-_. .5., '•.. Tr A/ !lr• Tl Ire 1 - ITCf_ PI \ .�-- . • .. LEACHING AREA DESIGN FLEW RcQUrR��,. _ - -_ _ - - _ 10 gpd/PERSON x 5 PEOPLE 50 gpd USE 100 gpd � �;' `yEir� ENTIkE Elvt;i ri. 11� ;INVERT ELEVATIONS FOR ALL OUTLETS FROM THE DISTRIBUTION BOX 36 v���TEil1�Q,V 3p (MIN.) q, \ l I SHALL BE EQUAL. UNUSED OUTLETS, IF ANY, SHALL BE PLUGGED. �Gp/ CE ,/ PROPOSED LEACHING �SYSTEM: , 1?.. ALL PIPES LEADING OUT OF THE DISTRIBUTION BOX SHALL BE SET `D 101 1000 GALLON ' IOfIC TANK � 2 TRENCHES a 2'x2 x10. I LEVEL FOR ONE LENGTH. THE INSTALLER SHALL FILL THE > a / \ WI'f H 2 I�CCE55 M.I , S DISTRIBUTION BOX WITH WATER PRIOR TO FINAL INSPECTION SO 0 RI M. 6L. 100.0 t \ DESIGN PERCOLATION RATE = 3 M.P.I. THAT THE LEVEL OF THE PIPES MAY BE ACCURATELY DETERMINED o LEACHING SYSTEM CAPACITY: PRIOR TO BACKFILLING. -XI BOTTOM 40 S.F. AREA X 0 92 GAL/SF 36..8 GALS. - 1;I. PERFORATED AND SOLID PVC PIPE AND FITTINGS SHALL BE TIGHT ~\ �� fe55E.eliE'A.E'AA \ r SIDEWALL 80 S.F. AREA X 2.25 GAL/SF '= 18m GALS. I JOINTED SCHEDULE 40. \ .a U \ \ 120 S.F. PROVIDED 216-8 GALS. 1,`. MACHINERY WHICH MAY CRUSH OR DISTURB THE ALIGNMENT OF THE ,t- V I PIPE IN THE DISPOSAL SYSTEM SHALL NOT BE ALLOWED ON ANY PART i Qu roo Z-/O'LOA145 x Z`WIIDE OF THE DISPOSAL AREA. � 4 X 4 C.S. TO lei. THE BOARD OF HEALTH SHALL REQUIRE INSPECTION OF ALL / "Pvo ° x z' oEEP LEAN,//NG 1�J H I �� � • CONSTRUCTION BY THE ENGINEER OR BY AN AGENT OF THE BOARD OF / P.V.C. ADAPTOR HEALTH, AND SHALL REQUIRE THAT SUCH PERSON CERTIFY IN LEACHING C C ct� N.T.S. WRITING THAT ALL WORK HAS BEEN COMPLETED IN ACCORDANCE WITH 7 AGGESS M ' THE TERMS OF THE PERMIT AND THE APPROVED PLANS. Rl�'1 EL /oO•D I 13. NO PERMANENT STRUCTURE MAY BE CONSTRUCTED OVER THE LEACHING F. •- iv a� FACILITY. k L�I.MH. INV. IN 96.57 17. TEST PIT LOGS AND PERCOLATION TESTING WERE PERFORMED BY SEA- CONSULTANTS INC. ALL PERCOLATION TESTS ARE PERFORMED IN 3 �•:'; NV. OUT95.96 IACCORDANCE I WITH THE REGULATIONS OF TITLE 5 OF THE Z � RIM EL• 100.00 l C - _ _ MASSACHUSETTS STATE ENVIRONMENTAL CODE AND THE LOCAL BOARD v1 a 0 ` \ OF HEALTH. FOR SOIL TEST DATA SEE THIS SHEET. 1 . \ I 8. SEPTIC SYSTEM DESIGN IS .BASED ON SUBSURFACE SOIL AND Q GROUNDWATER CONDITIONS OBSERVED AT THE TEST PIT LOCATIONS \ O C C i ONLY. CONDITIONS MAY VARY AT LOCATIONS NOT INVESTIGATED BY m C Lm TEST PITS, OR. IN THE CASE OF GROUNDWATER LEVELS WITH ° w \ \ PARKIIVG LOT SEASONAL FLUCTUATIONS SHOULD THIS BECOME EVIDENT DURING 10' CONSTRUCTION, THE ENGINEER SHOULD BE NOTIFIED SINCE A REEVALUATION OF THE DESIGN MAY BE NECESSARY. • �� I e l W 4" - 1 1 2" DOt.l13l.la WA!Sb _P S-f�N� I AN VIEW . 3Cr PLAN SEE NOTE 7 s SCALE: ��= ZD� STONE UNDER: 3 4 - 1 1 2 t;"An.-� Ws15HED SZbNG SEE NOTE 7) STONE AROUND: ) OUTSIDE DIMENSIONS: 101 x 1 4- x 0 SEPTIC TANK: z _/. N.T.S. SOIL TEST DATA - PERCOLATION TEST DATA DI ��` TF I D TI ON ®X: ."y Town,8M ¢ LI TEST PIT Mz- SURFACE ELEV. 99.50 TEST PIT2!_-_ SURFACE ELEV. 103•7 TEST PIT_ SURFACE ELEV. D TOP OF 12' Of WATER RATE: �• }! ;• RMFE�ml U V U_ Q ' DATE OF TEST 9L1>z 88 DATE OF TEST 9 12 88 DATE OF TEST --- N.T.S. -- - '�-0� - PIT NO. DATE OFPTH FROM ELEVATION MINUTES ( _ N DEPTH SOIL DESCRIPTION DEPTH SOIL DESCRIPTION TOP Of PIT Z DE OIL DESCRIPTIO D R°� I"�' _ - P _. 4 9 88 96.0 2.5 �;� z fine SAND. little 0 - 0.5' Dark brown. dry. tine to medkun / o - 0.3' Dark brown. dry. 5 9/88 99.7 2 " LLI .rt, Hoot.. (TOPSOIL). Brown. dry. SAND, little sit. rood (TOPSOIL). ' MAC99� J : fine to medium SANG, trace silt. _ occasional roots. 0.5, - 2.3' Brown. dry. fine to medium SAND. r L10Utp - trooe er t, occoeiond root. .� a T+ LEVEL 'y 0.3' - 2.2' Brown to light brown. dry, fine to _ - - coarse SAND, trace silt, little fine 2.3' - 10.0' light brown, dry, flne to medium SAND trove coarre Bond fins to L_ ►• �_w -," „ + r: •i.•'i t9 coarse grovel• course growl and sit _ - ---- r.,.�t Z . r.. :.. 2.2' - 7.0 Below 7.0 tram grovel. cc 10.0' Bottom of Excavation • 10.0' Bottom of Excavation O 12.3' 123' ROTONDO 08-9 (n ' • MFR.. MODEL No. 01�' APP. EOUA .- - �] � I GROUND WATER RUST GROUND WATER RUST GROUND WATER RUST No OF OUTLETS: x � NONE ENCOUNTERED _ DEPTH NONE ENCOUNTERED DEPTH: PVC INLET TEE: -_ - 1000 {�oTo►.iDo ST LxG-r EQUAL DEPTH: SPECS: CONCRETE. 4000 a.s.i. O 28 DAYS 'ul COVER LOADING::H-20: X 5000 10sT�-28 DAYS MFR.. No. AS71r1 A-615 GRADE 60,. 1 ACVVER ELEV.: ELEV.: 0- ELEV.: ASTM A-615 GRADE 60 1 N CO _ TH STRIP UNSUITABLE MATERIAL TO DEPTH STRIP UNSUITABLE MATERIAL TO DEPTH STEEL. SPECS. CONCRETE STc"EL 4 STRIP UNSUITABLE MATERIAL TO _- ,-_ DEP INSDIE DIMENSIONS: "O'�L x O• W x I1 0 INSDIE DIMENSIONS: x x I Sheet no. JERRY DUNNING WITNESS FOR BOARD of HEALTH: File no. .ter- - I I I r- i __- -- of Vg ---- _ - - --- --- -- i s 14' • , 1I I,eL WASN1-G �T�►. 4 0" , 1 1 !_► tN•V• .. -- --__ �_:.. �__�-. ._ i Ate(,' .I—�0��_-�� _. ., 'i, _ I _....... r> �' � !I � �n ,`- --j•- - �"`---,- ,� � -- 1}vV r - c � 41l--L y ��, .,� �'J i�N ;JkiL� PSG . U ,, ,_ _, f 1 F\ ,�t e.. � �, _.� �1-';' � C�\k _ `^�'�.� �,v(•�:�.C� �p" i-��r i..�•�•-1 'c:F_Qt,.11{�C.ill�tt`(T� I ' - i. �� / _ ...- ... ' ' r �' 1 � � ` ._ ... _-._•- '"'.Tim �� '�'v L'' \ " �1' ` -T FSZ PIT 2 �. 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