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Home My WebLink About1170 MAIN ST./RTE 6A(W.BARN.) - Health (2) )lqo Main S� , W, garns"(,� 1-10,2mc��— �l i i i //at i SMEA® KEEPING YOU ORGANIZED No.1®S34 2-153L OIDE W USA GET ORGANIZED AT SMEAD.COM Number Fee 1050 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that New Colony Home Heating Oil 1170 Route 6A (or 51 Brooks Rd, West Barnstable, MA Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2015 unless sooner suspended or revoked. ------------------------------------ WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF, D.M.D. 6/30/2014 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health Town of Barnstable Regulatory Services Richard V. Scali, Director 9R�A.LE, Public Health Division i679• i°lec3�° Thomas McKean, Director 200 Main Street, Hyatmis, MA 0260.1 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE c�lJ DI APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT Od NAME OF ESTABLISHMENT , I /hc -U ADDRESS OF ESTABLISHMENT I Y TELEPHONE NUMBER SOLE OWNER: YES ✓ NO Q o ZE �. ZV IF APPLICANT IS A PARTNERSHIP FULL NAME AND HOME ADDRESS O�ALL .s o PARTNERS: 0% W rn IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. Vvl 2 � STATE OF INCORPORATION III, i FULL NAME H MEE DRES PRESIDENT - TREASURER Yl r� fYV1 CLERK IG ATURE F AP LICANT ' 11 RESTRICTIONS: HOME ADDRESSyu, AM. 91. HOME TELEPHONE# Q:\Application FormsEAZAPP.DOC AIL HEATING Contingency Plan • Secure the area • Call the fire department • Alert others in the area of any danger • Turn off any running vehicles • Take action to contain spill without jeopardizing safety of self and others P.O.Box 242 •West Barnstable,MA02668 .800-640-1807 508-428-1807 508-224-2255 Fax 508-362-1513 - !P Number Fee 1050 THE COMMONWEALTH OF MASSACHUSETTS $loo.00 Town of Barnstable Board of Health This is to Certify that New Colony Hoene Heating Oil 1170 Route 6A (or 51 Brooks Rd,Hy MAIL TO: Box 242, West Barnstable,MA 02668 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 Baxns able . OP INE Rectory S enlcics Thom F, Geflex, � MASS., 3 Public Health D ion 1 61;9- N.. l v McEr an,Dlnctzr 2DO Main Strz~i, Hyana.s, MA 02601 F= 508-190-6304 Ofcz; 5084 24644 App1ica-Eon Fee: $100.DO a SESSORS �ILAP AST PARCEL 5O.2�91A e !d�J DAaT APPLICATION FOR PE rT TO STORE A-TD/QR Z7TE=-NI�� THAN 111 G_A T,T,nNs ®F B,,kzARD,0us 1MATERLkL8 _i-QZ.L i�A�v� 0�'APPiICA�` to m c . y_A1iE OF D+STAB-1 7 H Y ADDPESS OF EST-A3LL'91lVff 'T J T�gOPTI N-0-I BEA ai SOIL O GsT �: YES NO EF , F I CAS_T IS A PAB H0bSE ADDRESS 07 AID PARTNERS. L ATPLICAIN T IS A CORPORA TION: F ' IDK�T=CATIO-N N0. a�a (� STA= OF INCORPORATION MA TTZ31 Alm EON12,ADDREWSS OF: PRESID= t b- h l 1 is 1 c 1 - S � STRICTIO�TS: H0 ADDRESS HOTYa T=HOP9# i Number Fee 1050 THE COMMONWEALTH OF MASSACHUSETTS $o.00 Town of Barnstable Board of Health This is to Certify that New Colony Home Heating Oil 4170 Route ", MA 02668 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 June 30, 2007 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN SUMNER KAUFMAN,M.S.P.H. June 30, 2006 PAUL J. CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Richard Mahoney President ** �r SEW COLOO NY # mv� SOME HEATING O\� Automatic Deliverytom A Full Service Company AuContracts Family Owned&Operated '/ p.O.Box 242•West Barnstable,MA 02668 J2iC 800-640-1807. 508-428-1807508-224-2255 Town of Barnstable �FTHE Tp�, Regulatory Services Thomas F. Geiler,Director ,o5� } MAS& ' Public Health Division 9Q 11K6A3S95' ,eg' O'OtE1639n. 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 NO3A .., 0-5 DATE 2 Lip"► 1 � 4G c.:v �I� ►3cn 1<. �H.c:�� '� APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT �„ ,� G sa �► NAME OF ESTABLISHMENT W 1=W C-0 i Q 1,4 i A He, r_ W S l)+I n!�4 C A I I N.C. ADDRESS OF ESTABLISHMENT j5 I 'L� ac � iSs rA• 14 V C41'e)I S TELEPHONE NUMBER SOLE OW NER: YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: S _ I R i IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION H . s"- w FULL NAME AND HOME ADDRESS OF: PRESIDENT i c= 1- k G r-1 1E t. TREASURER M A' O—Q C,: - M A k C,", CLERK L 1,%tit a---A r, M tY 6 u to 1p _ SIG'l�fA OF A/PPLICANT, . RESTRICTIONS: HOME ADDRESS7�t'f�lll+ HOME TELEPHONE# t.1 2 0 i !,�t�2; _ 5 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:\Apphcat►on Forms\I-I AZAPP.DOC Number' Fee 1050 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that New Colony Home Heating Oil 1170 Route 6A (or 51 Brooks Rd,Hy MAIL TO:Box 242, West Barnstable,MA 02668 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 6/30/2010 unless sooner suspended or revoked. ------------------- -------------- WAYNE MILLER, M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2009 JUNICHI SAWAYANAGI ti THOMAS A..MCKEAN,R.S.,CHO Director of Public Health Town Of Barnstable Barnstable 1HET Regulatory Services Department , A>t�finerica city ..> s-TH Public Health Division 9 NLAS& 200 Main Stt Hyannis MA 02601 16gq. 1� ree y Alm hiA'�A 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. �j2� �✓ DATE APPLICATION FOR. PERMIT TO STORE AND/OR UTILIZE MORE THAN Ill GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISHMENT N C—(A) o IV ci 14doll, , ReOA, (0 1 1,Ylc • ADDRESS OF ESTABLISHMENT I 13 a&--3 kL5 10 1- TELEPHONE NUMBER 1-( r) o 77 C. a;,p S(4I54� OWNER YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. Q q -3 Z--7 Z 16 STATE OF INCORPORATION /`-1 f) .. FULL NAME AND HOME ADDRESS OF: PRESIDENT RA e, ) ✓MILL Cs 1M awe 1�`�o r�s + t.J ✓��n , d TREASURER f-). 4 >2 ;:V b,. e- CLERK • SIGs`ATUR- OF APPLICA�{T RESTRICTIONS: HOME ADDRESS '5 A-fvl e IIOME TELEPHONE# SOS �L-[ ZO ( R, Q:\Hazmat\Haz ti.lat Application2003.DOC