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Home My WebLink About0030 CIT AVENUE - HAZMAT C �q I 1 l ti TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail To: NAME OF BUSINESS: nj4 Board of Health MAILING ADDRESS: to GtTAICG Town of Barnstable I TELEPHONE NUMBER:- 7q0 " :_;N2�2. P.O. Box 534 CONTACT PERSON: � - Hyannis, MA 02601 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO V 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 characteristics and must be registered when stored i t. Please put a check beside each'product that you store: Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals fixers and developers) ( P ) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, Fertilizers (if stored outdoors) 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) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business y 1 TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair 2. nters BOARD OF HEALTH 0 satisfactory 3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY SA� %t�r'�: �, - (see"Orders") 5.Retail Stores y �` 6.Fuel Suppliers ADDRESS C4_< Class: 47 7.Miscellaneous iJANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIAL 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 Miscellaneo 1 A zv,/ X*A - � DISPOSAURECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply O Town Sewer Public On-site 11 Private 3. Indoor Floor Drains YES NO O Holding tank: MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank: MDC O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Destination Waste Product Licensed?, 'll� F YES N0 2. Person (s) nterviewed Inspector Date / Y N TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail To: NAME OF BUSINESS: w,n �` �� Board of Health MAILING ADDRESS. �fiown of Barnstable TELEPHONE NUMBER: — P.O. Box 534 CONTACT PERSON: �� Hyannis, MA 02601 Does your firm store 8,ny of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities to ailing, 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: Al�5 TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous characteristics and must be registered when stored in quantities totalling more than 50 gallons liquid volume or 25 pounds dry weight. Please put a check beside each product that you store: Antifreeze (for gasolene or coolant systems) Drain cleaners. Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils l/ Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, I/• Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) 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) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business a ,x � r^ k.,-`.+S:Y�+.r '+isul!�ci'rK�•,r'7�^'�y.'tn^`�1s'e+;:.,e•?A�w"S.w�++t;r -.,v:,.,•;,4�;,h.�+�si of�'.9�n aw ..t-s �.. 'i.y.y.nw...:..:..w.n....�s.".......e*ri1 . x"`�.. TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair `¢ 'BOAnters RD OF HEALTH . �o' satisfactory 3.2.Auto Body Shops i 1�uw -0 0 unsatisfactory- 4.Manufacturers (see"Orders") 5.Retail Stores COMPANY4 0,WZ1_yz ..,�rr,0'1y+ t/ 6.Fuel Suppliers *ADDRESS "" 1 1 �- ' i, Class: 7.Miscellaneous r QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums 77 IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil(C) ff new motor oil C transmission/hydraulic Synthetic Organics: degreasers Ze Miscellaneous: yi " ' -DISPOSAIJRECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply + '�°° /•/� �. � . 0 Town Sewer O'Public 1 Q On-site �OPrivater� 3. Indoor Floor Drains YES NO '0 Holding tank:MDC `0 Catch basin/Dry well 0 On-site system . 4. Outdoor.Surface drains:-YES " NO' ORDERS: 0 Holding tank: MDC O Catch-basin/Dry well t. O.On-site system 5.Waste Transporter Name of Hauler Destination Waste Product YES NO 1. r 2. Person(s) Interviewed Inspector ! Date TOWN OF BARNSTABLE ,COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH 'o satisfactory 2.Printers � ,,, 3.Auto Body Shops . unsatisfactory- 4.Manufacturers COMPANY -�• 4 -!' �1 (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS r VA,,, 1;� Class. 7.Miscellaneous -5 QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks IN OUTI IN OUTI IN OUT I#&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: DISPOSAIJRECI.AMATION REMARKS: _ 1. Sanitary Sewage 2.Water Supply _ O Town Sewer O�Public Yam:i n t fI��' w if'IA ,, 190� -�f On-site OPrivatePK 3. Indoor Floor Drains YES X NO 0 r `O.Holding tank:..MDC=-- - �� O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: ' O Holding tank: MDC O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product O i�P/ 2. Person (s) Interviewed Inspector /Date ' "� TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1 Marine,Gas Stations,Repair BOARD OF HEALTH O satisfactory 2. Printers 3.Auto Body Shops { I j^ unsatisfactory- 4.Manufacturers COMPANY II n O (see Orders ) 5.Retail Stores ADDRESS „�)4 _ �� JI . 6.Fuel Suppliers ' �,�C:lass' � 7.Miscellaneous N )-� QUANTITIES AND STORAGE (IN= indoors; OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons 7777 Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) r new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: r ' V� � �L L r c DISPOSAL/RECLAMATION REMARKS{_(� �, (/�A , r' I:1 l I � / R A / r r r 1. Sanitary Sewage 2. Water Supply / �.} /!! ('� �7` f�l �! ✓. Q Town Sewer ®Public On-site IbPrriiv"ate � 3. Indoor Floor Drains YES) NO O Holding tank:<MDC,. O Catch basin/Dry well O On-site system 0 4. Outdoor Surface drains:YES NO ORDERS- 0r1 ` Holding tank: MDC r I 1 7 j)� 1C_,)r A Lf N 6- 0 Catch basin/Dry well � � �� 4 ' -rr A j�C ��I ��' �� 7 O On-site system l� % �� ,. ��. 5. Waste Transporter 11,1(."V Name of Hauler Destination Waste Product _ YES NO 2. 1 Person (s) Interviewed Inspector 'Date I QUALITY AUTO REPAIR 30 Cit Ave.,Unit 4 Hyannis,MA 02601 (508)771-8373 NEAL WARDWELL TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair Q satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY _ �,'�� f?1.' � (see"Orders") 5.Retail Stores V 6.Fuel Suppliers ADDRESS /h �� JfU } Class' 1 7.Miscellaneous 1 QUANTITIES AND STORAGE (IN=indoors;OUT-outdoors) MAJOR MATERIALS i 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 VA I -- w Synthetic Organics: degreasers n Miscellaneous: 6 1 cl ;c_ rl Lf � v [Ab DISPOSAL/R.EC;LAMATION REMARKS' tt-.-•'1 1. Sanitary Sewage 2. Water Supply 7 f H 0A] 0 Town Sewer ©;Public Q On-site OPrivate 1 3. Indoor Floor Drains YES NO I O Holding tank:MDC K' Y ~.l_ O 1 O Catch basin/Dry well ``;�� i r, t�17 � O On-site system r� V 4 l ', �,�`�1 .ou.V 4. Outdoor Surface drains:YES NO ORDERS: Q Holding tank: MDC O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product Ilk Person (s)Interviewdd Inspector Date TOW OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair 0 satisfactory 2.Printers BO RD OF HEALTH 0 3.Auto Body Shops COMPANY /`l� A-'-1 / )� ® unsatisfactory- 4.Manufacturers �.(see"Orders") 5.Retail Stores f + 6.Fuel Suppliers ADDRESS� ) �+ Class: 7.Miscellaneous 'MAJOR MATERIALS QUANTITIES AND STORAGE (IN=indoors;OUT-outdoors) JO 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: a C - crd m,YP2_ DISPOSAIJR.ECLAMATION REMARKS: 1 Sanitary 2 Water Supply . Sa tary Sewage .aW _ y O Town Sewer ®•Public f /,On-site QPrivate AV t V j 0 3. Indoor Floor Drains YES NO q -��.-- ` Q Holding tank: MDC / f J Q Catch basin/Dry well Q On-site system 4. Outdoor Surface drains:YES NO ORDERS: Q Holding tank: MDC Q Catch basin/Dry well O On-site system 5. Waste Transporter Name of Hauler Destination Waste Product YES NO 2 r Y_ Person (s) Interviewed Inspector Date TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD F HE H O 3.Auto Body Shops L ( unsatisfactory- 4.Manufacturers €. COMPANY (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS i Class: 7.Miscellaneous A NNj QUANTITIES 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) i IL new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers rill) Miscellaneous: DISPOSAURECLAMATION REMARKS: 1. Sanitary Sewage 2. Water Supply O Town Sewer OPublic O On-site OPrivate 3. Indoor Floor Drains YES NO O Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product abate 1. 2. Person (s) Interviewed Inspec or TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair 0 satisfactory ` - 2.Printers BOARD OF HEALTH 3.Auto Body Shops / ! ®1 unsatisfactory- 4.Manufacturers COMPANY Y 'l�y CON v (see"Orders") 5.Retail Stores 1 '/I t�� ,� 11 l fn 6.Fuel Suppliers ADDRESS iY� t C18SS' 7.Miscellaneous _ /j Y/h S QUANTITIES AND STORAGE (IN= indoors;OUT-outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks I IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) , Diesel, Kerosene, #2 (B) Heavy Oils: - waste motor oil (C) 1 � new motor oil (C) t`A w transmission/hydraulic Synthetic Organics: r , degreasers (� gT Miscellaneous: DISPOSAIJRECLAMATION REMARKS: 1. Sanitary Sewage 2. Water Supply O Town Sewer OPublic O On-site OPrivate 3. Indoor Floor Drains YES NO O Holding tank: MDC y O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank: MDC A .n O Catch basin/Dry well ! O On-site system 5. Waste Transporter } Name of Hauler Destination Waste Product Licensed! YES I NO 1. 2. 4 Person (s) Interviewed InspectorC Date 60/ M� J050Ae-Z- TOWN OF BAR RBLE COMPLIANCE: CLASS: 1. arine,Gas Stations,Repair ;),�?a 2.Printers BOARD OV HEA TH O satisfactory � 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY( (/ ( 911I (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRES` l-�' Class: 7.Miscellaneous QUANTITIES 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) b new motor oil(C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: DISPOSAL/RECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply O Town Sewer OPublic On-site OPrivate 3. Indoor Floor Drains YES NO O Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO OR ER A0 O Holding tank: MDC0 Wokk O Catch basin/Dry well ,1000 O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product YES NO 1. 2. �- Person (s) Interviewed Inspec or ate 4,l NF TOWN OF BAR STABLE COMPLIANCE: CLASS: 1. Marine,Gas Stations,Repair O satisfactory 2.Printers BOARD OF HEALTH/ ) s 3.Auto Body Shops y h�-� l. e� ®` (see`tOrders 5.Retail isfactory- 4.Manufacturers COMPANY/ �J / �'V�,� 6.Fuel Suppliers ADDRESS�,�) �11 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: r Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (13) A �� Heavy Oils: waste motor oil (C) d 1 new motor oil (C) transmission/hydraulic C` - Synthetic Organics: _7 //� o,1A degreasersYf 11 ' Y d� /C_ �� ' /I Miscellaneous: DISPOSAIJREC;LAMATION REMARKS• 1. Sanitary Sewage 2. Water Supply O Town Sewer OPublic (/ D,On-site OPrivate 3. Indoor Floor Drains YES NO O Holding tank: MDC .J O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS.• O Holding tank: MDC : �� )( �_ ''n1 I n ) '\ O Catch basin/Dry well ` �V _7;_�t . O On-site system .� � --- 5. Waste Transporter Name of Destination Waste Product YES INU 2. Person (s) Interviewed Inspector Date o� o J o Board voted unanimously to continue this hearing until December 8, 1992. The next scheduled item on the agenda, Susan-Merritt-Glenny representing her client Mr. Santiago requesting a variance to operate an automobile cleaning and washing establishment at Unit #5,. 30 Cit Avenue, Hyannis. Ms. Glenny reviewed the data with the Board. After some discussion, a motion was made by Brian Grady, duly seconded by Joseph Snow, and the Board voted unanimously to grant permission to operate an automobile cleaning and washing establishment at Unit #5, 30 Cit Avenue, Hyannis, with the following conditions: (1) The washing and cleaning of automobiles shall be restricted to a designated area within the building. (2) The flooring shall be sealed and bermed within the designated area to capture and spillage of wastewater and waste oil from the engine steam cleaning operations. (3) Only 30-day biodegradable cleaning agents are authorized. (4) The applicant shall submit written proof that the underground holding tank is water-tight. (5) The applicant shall submit written evidence of regular pumpings from the holding tank. (6) An alarm system shall be installed which is activated whenever the wastewater effluent in the tight tank reaches 60% of the tank's capacity. (7) The tank shall be pumped before the wastewater effluent in the tight tank reaches 90% of the tank's capacity. (8) The applicant shall submit copies of all material safety data sheets associated with all of the cleaning agents intended to be used at this establishment. This permission is granted because the applicant agreed to meet all of the above conditions. Also, this establishment will be located within the same unit which was used for very similar cleaning operations during the past six (6) years. Philip LeBeouf representing his wife Marilyn LeBeouf, d/b/a Buffy's Pizza, West Main Street, Hyannis, requesting a variance from the Board of Health's Regulation #10. The Board reviewed the data. After some discussion, a motion was made by Joseph Snow, duly seconded by Brian Grady, and the Board voted unanimously to grant a conditional variance ^'Tieduled iii }re, -p �/' ,,.Bc�sine &Zhom . Mf �Py�FTHEro�o TOWN OF BARNSTABLE OFFICE OF i Dea ,PABIL s BOARD OF HEALTH .� ll!d p � , o Mir 367 MAIN STREET HYANNIS, MASS.02601 November 25, 1992 Ms. Susan Merritt-Glenny, Esq. Murphy & Murphy 243 South Street Hyannis, MA 02601 Dear Ms. Glenny, You are granted permission, on behalf of your client Mr. Santiago, to operate an automobile cleaning and washing establishment at Unit #5, 30 Cit Avenue, Hyannis with the following conditions: 1) The washing and cleaning of automobiles shall be restricted to a designated area within the building. 2 ) The flooring shall be sealed and bermed within the designated area to capture any spillage of wastewater and waste oil from the engine steam cleaning operations. 3) Only 30-day biodegradable cleaning agents are authorized. 4 ) The applicant shall submit written proof that the underground holding tank is water-tight. 5) The applicant shall submit written evidence of regular pumpings from the holding tank. 6) An alarm system shall be installed which is activated whenever the wastewater effluent in the tight tank reaches 60% of the tank's capacity. 7) The tank shall be pumped before the wastewater effluent in the tight tank reaches 90% of the tank's capacity. 8) The applicant shall submit copies of all material safety data sheets associated with all of the cleaning agents intended to be used at this establishment. L This permission is granted because the applicant agreed to meet all of the above conditions. Also, this establishment will be located within the same unit which was used for very similar cleaning operations during the past six (6) years. Sincerely Yours, Su san G. mask Chairman BOARD OF HEALTH TOWN OF BARNSTABLE I TO ALL NEW BUSINESS OWNERS `- If you are starting a new business there are quite a few things you need to do in order to be in compliance with all rules and regulations of the Town of Barnstable. Once you have been checked off on this sheet you may apply for a business certificate at the Town Clerk's office (1st floor Town Hall) . 1. Go to the Licensing Authority office (3rd Floor School Adm. Building) This individual has been informed of any licensing requirements that will pertain to this business. (Licensing Authority signature: 2 . Go to the Building Inspector's office (4th Floor Town Hall) This individual is in compliance and has permission to start a business at (business address) . (Building Inspector's signature) If your business has anything to do with food, lodging (bed and breakfast) , farm produce, automotive repair, hazardous waste materials (dry cleaning etc. ) , or animals you must go to the Board of Health. If your business has nothing to do with any of the above. . .take this form to the Town Clerk's office now and you can get a business certificate. If it pertains to any of the above proceed to the third floor of the Town Hall to the Board of Health of ce. 3• �_ This in iv'dual ' s in compliance and has permission to start a �t1 _s" business, a6t the above address. (Board of Health - Inspector's nat r ) If your business is a bed and. breakfast or has anything to do with food, liquor or junk, your last stop before the Town Clerk's office is the Town Manager's office (second floor Town Hall) . 4 • This individual is in c lianc and has permission to get a business certificate. (I (Town Manager's office) / Once this form is complete you can be issued a business certificate. This form will be filed with your certificate in the Town Clerk's office. NAME OF PROSPECTIVE BUSINESS: PUBLIC WORKS SUPPLY Co"TNr. TYPE OF BUSINESS: WATER WORKS DISTRIBUTOR ADDRESS OF BUSINESS: l CIT AVENUE, HYANNIS, MA 02601 MAP_ AND PARCEL NO. (You may get this from your tax bill or the Assessors' Office. ) Number Fee 375 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Big Wave Craigs ..------------------------------------------------------------------------------------------------------------------------------- 30 Cit Avenue- Unit 16, Hyannis, MA ...............-........................................................................................................................................................ Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- Restrictions: .------------------------------------------------------------------------------------------------------------------------------------------------------------------. This license is granted in conformity with the Statutes and ordinances relating there to, and expires 06/30/2021 unless sooner suspended or revoked. --------------------------------------- JOHN NORMAN DONALD A.GUADAGNOLI,M.D. 07/01/2020 PAUL J.CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable Inspectional Services BARNSTABLE Public Health Division LSOH56N 1639-20149F RBTPNh548!E 2014 BARNSTABM i Thomas McKean, DirectorNAM s, %639. 200 Main Street, Hyannis,NLA 02601 ' Wt,] Office: 508-862-4644 Fax: 508-790-6304 i APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE X. HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125,00 V � CATEGORY 3 PERMIT 500 or more Gallons: $150.00 CVl *A late charge of$10.00 will be assessed if payment is not received by July 1st. i 1. ASSESSOR'S MAP AND PARCEL N 2. IS THIS A PERMIT RENEWAL? YES_NO. IF YES,SKIl'QUESTION 3. . 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGEIUSE OF GREATER THAN HOUSEHOLD QU TITIES(25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: LCk.J CA Ol.s 5. NAME OF ESTABLISHMENT: cAA-e C 1j! ^S 6. ADDRESS OF ESTABLISHMENT: �� CA 02,601 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: Y1,� IO Ova COAA S -C*V-) 10. SOLEOWNER:_V_/YES_NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,C�TELEPHONE#OF- CORPORATION NAME rya(A 0k £nkWr ✓")of G PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS A EMAIL: SIGNATURE OF APPLICA DATE 6 b �Application Fonns\Haz Mat Appli Draft Jf.docx Q: Number Fee 1146 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that HORGAN MILLWORK& CUSTOM WOODWORKING .-----------------•--.............................--------.........------------------...........-----..........------------------ 30 CIT AVENUE, UNIT 8, HYANNIS, MA ------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. Restrictions: .------------------------------------------------------------------------------------------------------------------------------------------------------------------. This license is granted in conformity with the Statutes and ordinances relating there to, and expires 06/30/2021 unless sooner suspended or revoked. ---------------------------------------- JOHN NORMAN DONALD A.GUADAGNOLI,M.D. 07/01/2020 PAULJ.CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable yy Inspectional Services BARNSTABLE (1 � • �b IISTI3' \OS�T LU—COFn-a.YAK.40tf. Public Health Division -03-Wlo=4 c _BAXNSTABLF� s Thomas McKean' Director �l7g 9.. 200 Main Street, Hyannis, MA 02601 • Office: 508-862-4644 Fax: 508-790-6304 X, APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st—JUNE 30th). APPLICATION FEES . CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ C_ATEGOR,Y 2 PERMIT 111 —499 Gallons: $125.00 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. 1. ASSESSOR'S MAP AND PARCEL NO. �/ ._ 000 dal 2. IS THIS A PERMIT RENEWAL? ) YES_NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGEIUSE OF GREATER THAN HOUSEHOLD QQUUAAN`T�ITIES(25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: Li ` , 5. NAME OF ESTABLISHMENT: ' i/ d ' 6. ADDRESS OF ESTABLISHMENT: Z) B 4- A- ve. I 44an aIs 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: b �t� 7 9. EMAIL ADDRESS: co' to hqr onr loork. ci 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME oman mAW-)6,rt--rnC . PRESIDEN TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT d`f DATE D� Q:V\pplication Forms\Haz Mat Appli Draft Jan20l9.docx r� Number Fee 1146 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that HORGAN MILL WORK& CUSTOM WOODWORKING 30 CIT A VENUE, UNIT 8, HYANNIS, MA Is Hereby Granted a License For: Storing or Handling 111 -499 gallons 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 .1 '1 Town of Barnstable Inspectional Services BARNSTABLE N`t W..NSTNH!E.RaiTE'.\':LL1•CWIi�Mxa/:hi. Public Health Division MMFC iYiLLS.639-RLE'd32WNSl E • O, i;�s-7j2nia BARNSTABLE, ` �0� P Thomas McKean, Director t. 1639. 13.i a � 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304,Z' APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS 15 IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, .t 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 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 19Vb1- CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ .p46,t lC-;P oV i 9g *A late charize of$10.00 will be assessed if pUment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. Y/° 0 9 � 00� 2. IS THIS A PERMIT RENEWAL? V YES_NO. IF YES, SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. �` p • cS�C o Jdr wn 4. FULL NAME OF APPLICANT.• 5. NAME OF ESTABLISHMENT: C - 6. . ADDRESS OF ESTABLISHMENT: 3 V i f #V2. �(!V4nnfS 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: SG "-e 8. TELEPHONE NUMBER OF ESTABLISHMENT: — -7-7if— G�Z 9. EMAIL ADDRESS: 10. SOLEOWNER: V YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE 4 OF: CORPORATION NAME e'kThe- PRESIDENT e C, /I iv,(p1 TREASURER 12.. IF PREPARED BY OUTSIDE PARTY: NAME: - - . TELEPHONE"#: , COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE 3/-L6 Q:\Application Forrns\Haz Mat App Revised 09-10-18.docx Number Fee 1146 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that HORGAN MILL WORK& CUSTOM WOODWORKING 30 CITAVENUE, UNIT 8, HYANNIS, MA Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons 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 • ow of Unstable Vegulatoervices Richard V. Scali, Director BABSTABLE Public Health Division M BAMMBLF I Thomas McKean, Director "4"5' Sm" ;�w u-WEVM�Q:9-2014 � 1639+- _ -- - - -200Main Street;Hpaxiuis�lvlA 02601 - --- ----"-- - /�- --- -_- - i Office: 508-862-4644 Fax: 508-790-6304 X, APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS �.t 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 3 Oth). APPLICATION FEES CATEGORY 1 PERMIT 26- 110 Gallons: $ 50.00 CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 V S 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. 1. ASSESSOR'S MAP AND PARCEL NO. S/A/`aq/n�"d 2. IS THIS A PERMIT RENEWAL? V YES_NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF • GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: C- az-k- �6 46 " j (i 5. NAME OF ESTABLISHMENT: ►r'(A T 6. ADDRESS OF ESTABLISHMENT: " it-'' i�qQ4 c� 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 45a rn-CL 8. TELEPHONE NUMBER OF ESTABLISHMENT: g � 8 - - 4`9 L 9. EMAIL ADDRESS: (1 YYl I 10. SOLEOWNER: i,"YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME rwn)i I(0vrk --Cv1C- PRESIDENT ` -. °1 , m.70s TREASURER CLERK sa me-- 12. IF PREPARED BY OUTSIDE PARTY: • NAME: TELEPHONE#: COMPANY ADDRESS A EMAIL: SIGNATURE OF APPLICANP W4' DATE '+ QAApplication FormsUiAZNIAT APP 2017 REVISED.docx Number Fee 1146 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that HORGAN MILLWORK&.CUSTOM WOODWORKING 30 CIT AVENUE, UNIT 8, HYANNIS, MA Is. Hereby Granted a License For: Storing or Handling 111 - 499 gallons_of Hazardous Materials. ------------------------------------------------------------------------------------------------------------------------------------------------------------ ---------------------------------------------------------------------- eSJ This license is granted in conformity with the Statutes and ordinances relating there to, and �1 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 - P 9 TRowunl of Unstable eg atory ervices T►+E r Richard V. Scali,Director Public Health Division BARNY1TFABLE 4FRS1U!SF 6:.5 rMF1,gNLLF Otu5f P4YNitRP;i lA"STABLE, Thomas McKean Director 9 MASS ) 1639,�014 4iArfo ,�a` 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: -@8-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE � HAZARDOUS MATERIALS hi 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 ❑. CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 �S. 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. 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL? V YES_NO. IF YES, SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS • ZONINGBUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: )cN id 13C-t1 T- 5. NAME OF ESTABLISHMENT: NAorg6() rn,lLocvInc 6. ADDRESS OF ESTABLISHMENT: 30 G4- kV c-, H�an vi,S, Ma_ 62 o 0 1 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 5a rye— 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: R @ ho mo-nm i U u 0 10. SOLEOWNER: V YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME HorQon M; Ler-L In C PRESIDENT D Scolt Horgan — r s M I Is. 1'Y14 6 26 yg TREASURER 1/ CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: • COMPANY ADDRESS?�0-Clf t EMAIL: SIGNATURE OF APPLICANT V/ DATE / I4LV12ol 7 Q:\Application FormMAZMAT APP 2017 REVISED. ocx y� Number Fee 1216 THE COMMONWEALTH OF MASSACHUSETTS $50.00 Town of Barnstable Board of Health This is to Certify that Hamel Woodworks ...--.........................................................................................................................•.. 30 CitAvenue #6- #7- #8, Hyannis, MA --------------------------------------------------------------------------------------------------------------------•----....................------............--------- Is Hereby Granted a License For: Storing or Handling 26 - 110 gallons of Hazardous Materials. ..................................................................................................................................................................•. Restrictions: .--................................................................................................................................................................. This license is granted in conformity with the Statutes and ordinances relating there to, and expires 06/30/2021 unless sooner suspended or revoked. ---------------------------------------- JOHN NORMAN DONALD A.GUADAGNOLI,M.D. 07/01/2020 PAUL J.CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health y Tripp,Vanessa &rom: Tripp,Vanessa Sent: Tuesday, February 23, 2021 9:29 AM To: 'hamelwoodworks@yahoo.com' Subject: Haz Mat Renewal Attachments: Hamel Woodworks.pdf Hi Mr. Hamel, Thank you for submitting your application and payment. Please sign the above application and return to me by email. Thank you, Vanessa Tripp Lead Permit Technician Town of Barnstable Health Division 200 Main Street Hyannis, MA 02601 Phone: 508-862-4644 The information contained in this electronic transmission("e-mail"),including any attachment(the"Information"),may be confidential or otherwise exempt from disclosure. It is for the addressee only.This Information may be privileged and confidential work-product or a privileged and confidential communication.The Information may also be deliberative and pre- decisional in nature.As such,it is for internal use only.The Information may not be disclosed without the prior written Oe-maonsent of the Director of Public Health and/or the Town Attorney's Office of the Town of Barnstable.If you have received this il by mistake,please notify the sender and delete it from your system.Please do not copy or forward it.Thank you for your cooperation. • 1 .r . , l.• Town of Barnstable Inspectional Services �'' ' oFt�r BARNSTABI,E • , , Public Health Division d0.9 LE 548 •CEhE l'LL E^:r4Ul•YY NMIS 'V.3514iE'LE •VS;EY,U T YY:1 8:.¢y IGtlLE .1639-2014 '"NM M ` Thomas McKean, Director 17 i0re1 39;.t 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL? JVYES_NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONINGBUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF • GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: r,, I L4A& A 5. NAME OF ESTABLISHMENT: 114 MAd 6. ADDRESS OF ESTABLISHMENT: J,d ` 4 Ig�l& 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: fib•-®®' 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: 10. SOLEOWNER: YES_NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESSi AND TELEPHONE#OF: CORPORATION NAME IJ �je CV)a�� b�,�l:/Qf' ` PRESIDENT "' l - - TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: 18 COMPANY ADDRESS EMAIL: *SIGNATURE OF APPLICANT DATE C:\Users\bellaird\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.0utlook\NYXFBPRB\Haz Mat App Revised 09-10-18.docx Number Fee 375 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Big Wave Craigs 30 Cit Avenue- Unit 16, Hyannis, HA 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 i i Town of Barnstable Inspectional Services BARNSTABLE OF THE ors'WLE a as. ru M W-.E f Public Health Division =:il9- 74 BARNSTABLE, ` Thomas McKean, Director i639. ArEo�s 200 Main Street, Hyannis,MA 02601 �-A Office: 508-862-4644 Fax: 508-790-6304 . APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st—JUNE 3 Oth). APPLICATION FEES CATEGORY 1 PERMIT 26- 110 Gallons: $ 50.00 ❑ ' CATEGORY 2 PERMIT 111 -499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT' 500 or more Gallons: $150.00 X pd 0h 1:-* *A late charge of$10.00 will be assessed if-payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 3/a - 9-0OH 2. IS THIS A PERMIT RENEWAL? YES_NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QU ITInTI�ES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: Y�' W 5. NAME OF ESTABLISHMENT: 1 (J► w` f 6. ADDRESS OF ESTABLISHMENT: �� fi U-41 V+- 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: ' � ' G (e l 9. EMAIL ADDRESS: 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRES ,AND TELEPHONE#OF: y, CORPORATION NAME l (,aGl fih�P�Y�V�S.eJ PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICAN DATE j Q:Application Forms\Haz Mat App Revised 09-10-18. x Number Fee 1216 THE COMMONWEALTH OF MASSACHUSETTS $50.00 Town of Barnstable Board of Health This is to Certify that Hamel Woodworks 30 Cit Avenue #6- #7- #8, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 26 - 110 gallons 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 FIKEowti Inspectional Services BARNSTABLE Public Health Division • Y �55_ swx�Ar�s�.e` Thomas McKean, Director 1639. 39.t A 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-604 .-r: APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS . IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS, ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 >K vcS-r CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ MCAK.-W °Oqo 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. 1. ASSESSOR'S MAP AND PARCEL NO. Na - 60-1q-0011 2. IS THIS A PERMIT RENEWAL?X YES_NO. IF YES, SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. • 4. FULL NAME OF APPLICANT: C�:3 5. NAME OF ESTABLISHMENT: 4aml tJ(po xr4C. 6. ADDRESS OF ESTABLISHMENT: 3o ��(,�-- 4y_. U-6d l4' 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: ��Stl'64 8. TELEPHONE NUMBER OF ESTABLISHMENT: �,Ud —?7,F 3` 9. EMAIL ADDRESS: _LALQGot� 4 1`(�— 10. SOLEOWNER: -XIYES_NO IF NO, NAME OF PARTNER: 11. FULL NAME, HOME ADD SS, ANDS TELEPHONE #��OF: CORPORATION NAME �A/-�r�` �GaJ66W-G� PRESIDENT v) TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: • *SIGNATURE OF APPLICANT DATE QAApplication Forms\Haz Mat App Revi -10-1 ocx C IKE)ok4 Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARMASS. 200 Main Street• Hyannis, MA 02601 ,bM p,0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rFD MAy ,, 11 Business Name: a Wl� WDo��Jor�L S Date: Location/Mailing Address: 3o C,+ VP— 0A, qr✓I r Contact Name/Phone: oe 4,t.vqe.l s-08--7Jf; — i 2oZ. Invento Total mount: vd �`I SIDS: `(&b License#: t 7A C' Tier II : D Labeling: Ok/\ Spill Plan: 16,7 Oil/WaterSeparator: floor Drains: No Emer enc Numbers: �� Storage Areas/Tanks: �ww Emergency/Containment E ui ment: ow, 0 S Waste Generator ID: D�11 }�� Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destinati n: Other Waste Disposal Methods: 1 WAS &< '``&5 A�c o o- 0 o a LIST OF TOXIC AND HAZARDOUS MATERIALS IV o ��o� C�Q �vt, ��Vk��y 91v�c� h � NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws f MA, hazardous m terial use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils 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) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: { INFORMATION/RECOMMENDATIONS: S Inspecto . Facility Representative WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS °FIB*o Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMA.B% 200 Main Street• Hyannis, MA 02601 �prEDMP TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT -42i 17� Business Name: a ck Dater Location/Mailing Address: 3o C-+ A L)la,t 7,9ye-A 1 S Contact Name/Phone: Vie- 4eLw -c�l So$ - -77 8- 26Z cell S-y$ , 0-62377 Inventory Total Amount:^ SDS: �� °�J�a�"� License t Tier II : o La slim: 0 K Spill Plan: YZS s� Oil/WaterSeparator: Floor Drains: Emergency Numbers: yZS Storage Are t vul Emergency/Containmentpmen Waste Generator ID: Waste Waste Product: \�� Date&Amount of Last Shipment/'Frequency: Licensed Waste Hauler&Destination: �o Other Waste Disposal Methods: v� Q�g tnx+"\�► LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils 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: I_ Caulk/Grout/-P.III s 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 Za Swimming pool chlorine �o� Paints, varnishes, stains, dyes tti�3D Lye or caustic soda _ Lacquer thinners 2{ 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: IV �o D(dv - S�s h �5 �05 ,11 �av� So w� 10 ee5 av� v,e 1A-Q-ct,,55, vt v�� pvt t t_o'1't�.�t 4,ti 4%.3,Ius 7 y4l ORDERS: S-! o 0, e5 4 INFORMATION/RECOMMENDATIONS: Inspector: Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS oF1HE Town of Barnstable Office:508-862-4644 Public Health Division Fax:508as0-6304 • enRMASS .. g` 200 Main Street• Hyannis, MA 02601 i639 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT CEO MPS a Business Name: Pawu-j Ooj Date: 3 8 J b Location/Mailing Address: 710 CA- Ave- QtAA - -m, Contact Name/Phone: at Dg - -7 S - 5oS 36 (.237 c-cAl P Inventory Total Amount: w °►` MSDS: deg License#. ��`� I Tier II : Labeling: 't Spill Plan: o , Oil/Water Separator�: Floor Drains: o Emergency Numbers: Storage Areas/Tanks: I b „o Emergency/Containment Eq ipment: -L-)1 b ctlu- �, c o. }��►�S Waste Generator ID: Waste roduct: ,,n,acW k%%4A", Date&Amount of Last Shipment/Frequency: P��w 5 Cr�v c�� w��•- C-�2��t { �5 0�-��`��— Licensed Waste Hauler&Destination: GQi 1�p5 _ Other Waste Disposal Methods: �A� w kf. CvUr8300, _AA, 24Ab9=- 1a5 t 46,0o>4 2011- LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils 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/a�o vt-, 3 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 7-0 Swimming pool chlorine 40 Paints, varnishes, stains, dyes Lye or caustic soda kf Lacquer thinners -� k �S WoM-f- 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: AA) `a -t- C415a✓ avS A ai I Inspector L XtV t A`4 =p L_RAJ��• 1 5 y Facil'ty R re entative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS TABLET TOWN F BARN Date: `f I It O O BARNS TABLE to W%,. TOXIC AND HAZARDOUS MATERIALS FORM NAME OF BUSINESS: �a-w-d 022-vk2o lr--5 BUSINESS LOCATION: 3oCA-Aw,, Qoij 7 0%nrt s INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: OS -77S --fZo7- < k1I gallb�,� CONTACT PERSON: 'S�� q,M,�,\ EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: 2`7 INFORMATION A1p / RECOMMENDATIONS: f&�X WOLAV, WAIN45k e1 I Fire District: H fiboJ�• �q�t��OCwS ^S4 5}c<a-..- Ct<1A `ro kgy Jlayg ty(QdLes-3� AA06w-,"'I 't 11 kAKti 15 cow, �5 cs,<,t. a 11e.A +uic,6klo Waste Transportation: Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No 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 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 Pesticides ❑ NEW ❑ USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives (creosote) Caulk/GroV(4 661ve�, Swimming pool chlorine Battery acielectrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, La quer thinne;/ (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 °p THE TOk,1 Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 M RReLE�,` 200 Main Street• Hyannis, MA 02601 �p'eO MP+e�O TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: 40r M I I I W&-ek Date: Location/Mailing Address: 3v C- &h,n% s Contact Name/Phone: Sco-4-k 1`�o��w �Do- -778 -(o qI Ce-l1 d8- 731- 63f07 Inventory Total mount: ~' CIS * 5-<P- .st'e- SDS: S License#: 1114 Tier II : o Labelina: 0 Spill Plan: e3 Oil/Water Separator: tJ A Floor Drains: b Emergency Numbers: 2s Storage AreasPFanks: fKICI JX,11— e 10 IV-, bva k2 Emergency/Containment E ui ment: Y% q4.k 5 �11 Jj., 'la+J- Ca S Waste Generator ID: F qc<% SZ4T Waste Product: OaA4-e- a%K-k .VJe%9 Date&Amount of Last Shipmen Frequennv: S �5' a 1 Licensed Waste Hauler&Destination: a Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS .5e - lJ c a 1 NOTE: Under the provisions of Ch. 111, Section 31, of the General Lavvs of MA, hazardous material use, �►�t�-S storage and disposal of 111 gallons or more requires a license from the Public Health Division. Y Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for eppines&garages Pesticides: V Caulk/Grout d&kLUA I 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 V 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:C—Xe - 4 J La- Inspector: 1 \ �. Facility Representative: /v WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS °Ft r Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BASMAAS- 200 Main Street• Hyannis, MA 02601 059. ♦0 `'FOrao+" TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: �o0 e- -- OA'I i Date: Z !b Location/Mailing Address: 30 C.,+ V,e_ Contact Name/Phone: /8 InventoryTotalAmount: t1� Y ©�' MSDS: `leg License#: 1t 4(o Tier II : Al o I Labelino: 6?i9gZ Spill Plan: Y2 S Oil/Water Separator: Floor Drains: /`�� Emergency Numbers:�� Storage Areas/Tanks: 5- ,a ! 6o 4,- s e (4o 6- Emergency/Containment ui ment: C& I?—,-0,t51fe 4 Ar je re)lei. S Waste Generator ID: Waste Product: Date&Amount of Last Shi ment/Fre uenc : I L / SS a-1 - Z K Licensed Waste Hauler&Destination: 46-0-1 Other Waste Disposal Methods: AAII LIST OF TOXIC AND HAZARDOUS MATERIALS No V14-ala,l ��^�` - �K-�uVe�r��rl S�.�c� �45-f IKs i6V%-. NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous fnaterial use,( �s{'r 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 Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers fqr engines&garages Pesticides: Caulk/Grout .A,19,VLs 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 g_60 9al ` Swimming pool chlorine Paints, varnishes, stains, dyes + -30� Lye or caustic soda Lacquer thinners / eta 1-*11 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: t6z bac!W-5 M0-*,;C Lo 4q, 2ctbil we o-y- .- JVt-1 +-,oK,. n,( (SSv W > ,Ilt-Ind SQC9=�j 4SAS Sln�acs�b004A,6%xe-. 1401< Inspector: GC��L- s�l� Co � atic��cr•}�el. Facility Representative: We- 6;,�GCeSes+o WHITE COPY-HEALTH DEPARTMENT/OANARY COPY-BUSINESS °rINE*o Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARM��e.$ 200 Main Street• Hyannis, MA 02601 .b e M ,0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rF0 MA'S Business Name: 0,c e µ-- A 11 worLC-. Date: Location/Mailing Addre : 30 C 1 v.e.- Contact Name/Phone: Sc.of-E Otq•ev- -5108 -7-70-(o `I 1 Cell=Z9--73�- 6 36-7 \i Z Pe ev�ta,j ,��b(�`', ��Q a� ?x l oventory Total Amount: � •- �°�J 1 1 MSDS: �5 License#: Tier II : o f Labeling: Spill Plan: 2 S Oil/WaterSeparator: Floor Drains: o Emergency Numbers: e.5 Storage Areas/Tanks: � � � p- �� e`�' I I I .Qt�►�c_ t n w 5 * Emergency/Containment quipment: ►) ac oow. o! ab e, 5 oCa Caw` to 5 o�c.g-F2 �C Waste Generator ID: Waste Product: awt• viA Wc/?f 10A1 \h Date&Amount of Last Shipment/Frequency: plo Licensed Waste Hauler&Destination: �.` Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils 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/aRlug,vt S 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: OR DERS: J rA S . 50 M, v u / I FORMATION/ ECOM ENDATIONS: vac .ale- v 0�61- a ,+,v 4 %k oc>vvL- V tj(e-5 Inspectors Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Page 1 of 1 Lavelle, Timothy From: Scott Horgan [scott@horganmillwork.com] Sent: Wednesday, May 27, 2015 11:03 AM To: Lavelle, Timothy Subject: Inventory for Horgan Millwork Hi Tim, Here is the list of the inventory we keep for finish in the shop: 15 - 5 gallon pails paint 3 - 5 gallon pails primer V N Vl1 4 gallons catalyst 1 10 gallons lacquer thinner c 3 5 - 1 gallon can of stain 3 s 35 - 1 gallons of paint This is a rough inventory of what we usually have but will vary depending on job. Please call me on my cell with any other questions 508-737-6367. Thanks, Scott Horgan Horgan Millwork, Inc. 30 Cit Ave Hyannis, MA 02601 508-778-6941 5/28/2015 Date: "I/ TOWN OF BARNSTABLE t,�� TOXIC AND HAZARDOUS MATERIALS RE N8TP&TfQN FORM NAME OF BUSINESS: o �l l�wc,rlti BUSINESS LOCATION: 3o C,+ Aje, at &±., INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: -7,7$- CONTACT PERSON: EMERGENCY CONTACT TELEPHON NUMBER: MSDS ON SITE? TYPE OF BUSINESS: Wo01.C-,A%6k,nj Ye S INFORMATION / RECOMMENDATI S: ' Sulo,n., b4e;r.A,V a.pD�,aa.��c.ti—&-A Fire District: S w 0. �eal ark 2 as+ C�Pj a arL nvty►i 5 oi& 6 A a 4 ar, e.� ker.atS 6 ox- ��e, '3 U4M l -o% 4 vu t l- ,1a ��1�# Ko reco�In a m� Waste TFi s��. Nh OB77 0&q`t I Last shipment of hazardous waste: y t Name of Hauler: 0,1-g- V.e—*orgy Destination: 0r144 L C C,4. Waste P s /w t-- jA, Licensed-(:gj) No O0 135 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 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 Pesticides ❑ NEW ❑ USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives (creosote) Caulk/Grout/"441""eS Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's Paints, varnishes, stains, dpoo X Other chlorinated hydrocarbons, Lacquer thinners ' A" 4 ti\ Qt"`� (including carbon tetrachloride) �.��`°- ` Any other products with "poison" labels ❑ NEW ❑ USED 1,1.+A (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 r F Please print or type.(Form designed for use on elite(12-pitch);typqv✓r4el,) "` ' Form Approved.OMB No.2050 0039 UNIFORM HAZARDOUS 1•Generator ID Number r' "" E' 2.'Page 1 of r 3.Emergency Response Phone 4.Manifest Tracking Number WASTE MANIFEST 1*1V508'?:Ertb9 e< i f 5,,,,`I e3",2-`,'�,}%t' 01 JJK 5.Generators Name and Mailing Address H t�l;C rL fn T(_( lC`R k Generator's Site Address(if different than mailing address) �v C i T AVENUE SUITE Wfg,NIIIS, NA 02601 Generators Phone: (506) r F8-`941 6.Transporter 1 Company Name + U.S.EPA ID Number C L E AW VENTUR.E, s(vn ee Rar0itlJC)`,73,,7 7.Transport- 2 Company Name U.S. • umber 8.Designated Facility Name and Site Address" F•q-JR(y I T E it t_C U.S.EPA ID Number 62? SOUTH SARATOGA. STREET ET Facility's Phone: i 5 18) -I_S_'n tf 0 1 ga. 9b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 10.Containers 11.Total 12.Unit HM and Packing Group(if any)) 13.Waste Codes No. Type Quantity Wt.Nol. ask f N1*. if i , WAS IEEq„,e i �=c"fNAP.L.E t C'QUII1DS I tF! S 3� O h i i_G N`E TO tIE tl`E ! t'�G iT.r .RQ D00 1()iR is-108 # liF f9) I;['LZ l< <.t6vt}'.,..4 rL Z 2. LU ) I 3. t 4. ! ± t k 4 6 i i 14.Special Handling Instructions and Additional Information 'R i 1 1, t a+4f ;,L"s;' S. P I,05 3 0 1 OF t .l4 G?F.1 er T et. 1$. GENERATOR'SIOFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the propershipping name,and are classified,packaged, marked and labeled/placa(ded,and are in allrespects in proper condition for transport according to applicable international and national governmental regulations.if export shipment and I am the Primary Exporter,I certify that the contents of this consignment conform to the terms of the attached EPA Acknowledgment of Consent, 1 certify that the waste minimization statement identified in 40 CFR 262.27(a)(K I am a large quantity generator)or(b)(94m a small quantity generator)is true. G�ors/Offer..4 PrlfitedlTyped Name Signature Month Day. Year u 16.international Shipments' F- k. ❑Import to U:S. ❑Export from U.S. Port ofentry/exit: z Transporter signature(for exports only): Date leaving U.S.: 17.Transporter Acknowledgment of Receipt of Materials Trahsportet1 'cdfTyped Name Signature, Month Day Year C2: erg Trans'�r er Printed/Typed Na f �\ ,.�, SignatGre � � Month Da Ye r. 18.Discrepancy t 18a.Discrepancy Indication Space ❑ Quantity ty ❑Type ❑Residue ❑Partial Rejection ❑Full Rejection Manifest Reference Number: 18b.Alternate Facility(or Generator) U.S.EPA ID Number C) LL Facility's Phone: w 18c.Signature of Altemate Facility(or Generator) Month Day Year Z 0 19.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal;and recycling systems) 0 1- 73.2. 4. t 20.Designated Facility Owner or Operator:Certification of receipt of hazardous materials covered by the manifest except as noted in Item 18a'1 { Printed/Typed Name " SignaturLe+ / 1' Month Day Year D :[,• EPA Form 8700-22(Rev.3-05) Previous editions are obsolete. `,, DESIGNATED'FACILITY TO GENERATOR i °pfME)°w� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMASSBLE.D` 200 Main Street• Hyannis, MA 02601 t639•A. TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rFD MA'S Business Name: f'ovv-�5 Date: 1 �1 Jg Location/Mailing Address: a,-t 6-.4wr v1 4-, Contact Name/Phone: P1 rA"VLC,5 S -i a.m %2 ti '� - :4.q)7 - 12 S(n Inventory Total Amount: �' 25'3D SDS: v�0`A' %w License#: ✓� Tier II : o Labeling: _(2K Spill Plan:_I Oil/WaterSeparator: Floor Drains: M o Emergency Numbers: c� Storage Areas/Tanks: -VA, PvC 1\ Emer enc /Containmen ui ment: w y,wN b iLt- Waste Generator ID: Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: 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 H Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid)-,O Windshield wash rl, Motor oils Z I 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: CauIk/Grout 1&eL 4,5,vz S Z 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" 5 (including chloroform,formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: eve Inspector: r 4 Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Number Fee 1216 THE COMMONWEALTH OF MASSACHUSETTS $so.00 Town of Barnstable Board of Health This is to Certify that Hamel Woodworks 30 CitAvenue #6- #7- #8, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 26 - 110 gallons 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 Vowegu'Aatoryof B nstable `do Services —41 Richard V. Scali, Director A an �t T Public Health Division BARNSTABLE BA2NSTMLE.f&REAYILLE.COIUR•NYfd.4i15 • * = STA . Thomas McKean, Director MARSIM M�16 9p 0 4�� --- -- - -- -- -- -- - - - - - - - _ -�a� --- ---- - ArEota 2001vIain Street,Hyannis,-NLA 02G01--- -- - - - - — Office. 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st-JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26- 110 Gallons: $ 50.00 9 1l-S CATEGORY 2 PERMIT 111 -499 Gallons: $125.00 ❑ 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. 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL?-YES_NO. IF YES, SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF • GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? _ YES NO. 4. FULL NAME OF APPLICANT: c l u_ �, U �-& 5. NAME OF ESTABLISHMENT: 6. ADDRESS OF ESTABLISHMENT: J C.L'�'� J� 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 3o c�o,7' IA."L4 8. TELEPHONE NUMBER OF ESTABLISHMENT: 5 cy— O(O ) Z3 9. EMAIL ADDRESS: Chi`'' 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: 4 11. FULL NAME,HOME ADD SS, TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: • COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE Q\Application Forms\HAZMAT APP 2017 RE D. t • • • V r. Number Fee 1216 THE COMMONWEALTH OF MASSACHUSETTS $50.00 Town of Barnstable Board of Health This is to Certify that Hamel Woodworks 30 CitAvenue #6- #7- #8, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 26 - 110 gallons 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 f ' owns of Unstable egu atory ervices Richard V. Scali, Director " oFTKME►o,�, Public Health Division BARNSTABLE BARNSABt -aNiFRYILLE•CQRIR•MYA.NIS BARNSTABLE, r Thomas McKean, Director """��SN"15;639-M �� 1639. OM 200 Main Street,Hyannis,MA 02601377g Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL? �,� YES_NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)?X YES NO. 4. FULL NAME OF APPLICANT: QM 1.� ..� 5. NAME OF ESTABLISHMENT: . — � ✓�- L, .��r��e�Cti 6. ADDRESS OF ESTABLISHMENT: 6 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: 10. SOLEOWNER: YI,ES_NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: • COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT i DATE �A lication FonnsUiAZMAT APP 2117 Q� PP• Number Fee 1146 THE COMMONWEALTH OF MASSACHUSETTS $125.00 IQ? Town of Barnstable Board of Health This is to Certify that HORGAN MILLWORK& CUSTOM WOODWORKING 30 CITAVENUE, UNIT 8, HYANNIS, MA Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons 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. 07/01/2016 JUNICHI SAWAYANAGI THOMAS A. MCKEAN, R.S.,CHO Director of Public Health r - q Town of Barnstable rgti Regulatory Services Richard V. Scah, Director MASS.BAMffr"M ` Public Health Division , BARNSTAIME 39 s639 `0� nna"a"s°gnu mvs' s �fD ►�A Thomas McKean, Director ,`^� " ��'° 200 Maui Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-79QI304 �. W APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1st—JUNE 30th). APPLICATION FEES CATEGORY I-PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 JAI v. . CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ A late char a of$10.00 will be assessed if pgMent is not received by July 1st. ASSESSORS MAP AND PARCEL NO. 31A 0d 9 DATE & FULL NAME OF APPLICANT: David V • HQf7gQn NAME OF ESTABLISHMENT: Hora Q l 1 for k 1-n� ADDRESS OF ESTABLISHMENT: 1d C; +�J A�� ° 4 1 �6�� MAILING ADDRESS(IF DIFFERENT): JJ� Q TELEPHONE NUMBER OF ESTABLISHMENT: '50 y'7"7 g_ (P I q r r EMAIL ADDRESS: �� h0q&hky)'d1Pj0y-k' L&m SOLE OWNER: YES 4 NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADD SS,AND TEtnark, EPHONE#OF: CORPORATION NAME DD QQ�I 1Ai UK° PRESIDENT i w TREASURER D s CLERK IF PREPARED BY OUTSIDE PARTY: S N TUB APPLICANT Name: Company Address Telephone#: Email: Q:\Applicarion Forms\HAZ,ZAPP Rev I6.docx Page 1 of 2 t►E rokl Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARM SABLE.o` 200 Main Street• Hyannis, MA 02601 i639 e TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT 2li/1 7 QED MAy nn Business Name: Date: Location/Mailing Ad ss: 3 o C,.-F ve.r uv%%i i io , tv n,s Contact Name/Phone: Cro, e- Sad --1-1 i-9 88 ce I j 61-7-051- 1o20 Cagy 1 1 e-q-,N- Invento Total Amount: A- q e., 1 MSDS: O'Y\' /License#: 3?5� �4t 3 Tier II : Labeling: o opA Spill Plan: Oil/WaterSeparator: Floor Drains: -0 Emergency Numbers: e5 Storage Areas/Tanks: c4 ( & l IA3 A-StLL-®• <<A-7VS Emergency/Containment E ui ment: 5YJ Waste Generator ID: I� -7 1 q Waste P oduct: 4,f%�5 Date&Amount of Last Shipment/Frequency: It to Licensed Waste Hauler&Destination: a,� I fie► .Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS Iv D � al &V ,, )w INA\4t,461 5\AtX_ ,q5-� `% O°`- NOTE: Under the provisions of Ch. 111, Section 31, of the Xeral Laws bf MA, hazardous material use, e�( -Ir 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 Di se el fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil OX� Refrigerants Degreasers for engines&garages�� A*4 Pesticides: Caulk/Grout �'�4 insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink V Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine ✓ Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners � Miscellaneous Combustible � Paint&varnish removers, deglossers Leather dyes \/ Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil&stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform,formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATION vJa5 1— q4 So � � Cvv� ccvt - .x •fe-- �vwlS Jac, II��,,-C � LW `�Q �® �1ItV�i Jc� Ivl, �IV1�n�Q,�(� iZ, Inspector-- I�i' Jd lM��e t,�t DVL, �gl?,CrV�re- \pt4� �ij�5�! i V\, Facility Representati WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Number Fee 375 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable � Board of Health This is to Certify that Big Wave Craigs 30 CitAvenue- Unit 16, Hyannis, 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. 07/01/2016 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health r 4 Town of Barnstable �tI' ti Regulatory Services Richard V. Scah,Director " Public Health Division BARNSTABLE 1639 A�O� ano"a°usruFDwa�u 55 Thomas McKean,Director " D '° 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 r� APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE.WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY I st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 *At • A late charge of$10.00 will be assessed if payment is not received by July 1st. ASSESSORS MAP AND PARCEL NO. DATE �I5 Ll LO FULL NAME OF APPLICANT: 11 NAME OF ESTABLISHMENT: I,q / ADDRESS OF ESTABLISHMENT: 36 C I Am'&4 S X6 D'-wol Li MAILING ADDRESS(IF DIFFERENT): p p TELEPHONE NUMBER OF ESTABLISHMENT: EMAIL ADDRESS: SOLE OWNER: V YES NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME 0.S E "S-L PRESIDENT L& A— TREASURER CLERK • IF PREPARED BY OUTSIDE PARTY: S F APPLICANT Name: Company Address Telephone#: Email: Q:�Ap tion Forms\IIAZZAPP Rev l6.docx Page 1 of 2 \\ Number Fee 375 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that Big Wave Craigs 30 CitAvenue- Unit 16, Hyannis, 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 Do, Town of Barnstable Regulatory Services • °� Richard V. Scali,Director ` BARMASSNSTAI= ' Public Health Division " Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-46442ic 508-790-6304 Application Fee: $100.00 ro ASSESSORS MAP AND PARCEL NO. / DATE APPLICATION FOR PERNUT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT raSCa-�, NAME OF ESTABLLSHMENT �/G{ WAt lt r riA i(S ADDRESS OF ESTABLamwENT 3 C I T fi 4- l LP x-xiL1 s f�� 42(po � TELEPHONE NUMBER 7 7 / 9 l SOLE OViNER:ZYES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALIT PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. 6 y 330 9 F I STATE OF INCORPORATION fY LSSAGhua.-{- FULL NAME AND HOME ADDRESS OF: PRESIDENT C661 i( La.S Co 10- 3 D C JT fiVt A-16 S M 6 0- D/ TREASURER CLERK • SIGNATURE OF APPLICANT RESTRICTIONS: HOME RESS 3D C 1T -fi-I Lk a U13 HOME TELEPHONE# CAcache\Temporary Intemet Filesl0LKD3UAZAPP Rev2015.D0C Ft►+e r Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • enRMASSSBLE.D• 200 Main Street• Hyannis, MA 02601 �A t639. `000 rEDMP�a TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: Lqi IiJaver4i ' Date: 3 3 / Location/Mailing A ress: a A4 f1 12 an s Contact Name/Phone: C ca%l y 1-7- 1 1QZ0 i Inventory Total Amount: ^ � r" MSDS: S License#: �1 Tier II IQ I A Labeling: N`r- Spill Plan: `� Oil/WaterSeparator: U6 Floor Drains: e-5 -7 5 Emergency Numbers: Storage Areas/Tanks: AI Wkl ate- D+ 1 A1y ' ,r< a 1 �Jw� co 1 ce l V-A- e Emer enc /Containment E ui ment: o e\at k 5 v A.�1 4 I e. Waste Generator ID: <L -7-71 00 Waste Product: e -7 OF K sr4� Date&Amount of Last Shipment/Frequency: k 5 G �,c t c�z.�+�-c ,r -�c ck,L.. y t fClcc� Licensed Waste Hauler&Destination: PA,-g r K- 20/fq 4'o k4vi k W-k-- Other Waste Disposal Methods: I S c- htc.ka5,f --h-A .s Qor i �o �X 54;e- eo`ee�-,mL �y vL rt C 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. S�S 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 IZx 1.`I X 14.k1 k z,X27��S 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 3 0 Degreasers for engines&garages CIO--``, Pesticides: Caulk/Grout rke*7 �0 insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink 3 Car waxes and polishes 14 t Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine 15- Paints, varnishes, stains, dyes ►� Lye or caustic soda Lacquer thinners � ;L Miscellaneous Combustible y Paint&varnish removers, deglossers Leather dyes 3 Miscellaneous Flammables 3 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: I ORMATION/RECOMMENDATIONS: o,ti►x1 S e- 5 c -CAKe-r Ztk 4112�\ 0116 lk D 4 C01A.*-2,,1. S / lV O 044tc�Co "4- w4s or f6sve,S . C/.CAVL- - Inspector: j L,f�.e1l", 6<G q,H 1.'�.-erx s�.s Facility Representative: - WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS e °p IKE Ao�,. Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BA SS.LE MA g. 200 Main Street• Hyannis, MA 02601 039. �'O�ED MP�a`0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: &a V3 C•c-�. s Date: 3 Location/Mailing Ad ess: O G-1' Q Contact Name/Phone: a, SCo\ So -'1 t- $8 e-e.l I w -$S 1- 1 0'L0 Inventory Total Amoun MSDS: Y&S License#: c�7� Tier II : N 0 Labeling: OK Spill Plan: Oil/WaterSeparator: ZS Floor Drains: A oo!3k004 Emergency Numbers: Storage Areas/Tanks: 2-2-7 5 0 wa—s -t'o D Emergency/Containment Equipment: l- S e,2 r. Waste Generator ID: D06-7'7 1 Waste Product: �ack5 cicrt.�e„r Date&Amount of Last Shi ment/Fre uenc : �H i i XhlK Licensed Waste Hauler&Destination: aktj- 1vi, Tc-awt6 -,, Other Waste Disposal Methods: 19WS &y -' ✓-G c%,kc 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 nd 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 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 ---7— Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) �— Car wash detergents Printing ink V— Car waxes and polishes Wood pr eservatives creosote p P (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 J 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: L li-tt giq AIR- Q �� o �SSJLg 6l f.er 0M ,tS►t..'S. I 9 Inspector: ( Lav �I2, Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Date: 3 /.2 5,1 TOWN OF BARNSTABLE nso�. i TOXIC AND HAZARDOUS MATERIALS R FORM NAME OF BUSINESS: 4r I6kd 6ca 'S BUSINESS LOCATION: ?o (0,S,+ l0 +-3 INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: -771 41 a14� CONTACT PERSON: CrAl La,5ce,14— EMERGENCY CONTACT TELEPHONE NUMBER: Cell al-1- BSI—/02.0 MSDS ON SITE? TYPE OF BUSINESS: �ar�w� s4(es �ict.l�c2 ��S INFORMATION / RECOMMENDATION'S: ,nlay,-v jlo5o<"k-; ow Fire District: 6tke"; Qk5te 0� I �0<0-tl IVL, O��'aQoo�-5+a4-m*-" rp tI 44Arv\t 61 C©�I.ZL�' Wa��e,1,u�+S�- wa,�I-e✓� cJJ�I�Gl... �,e� -�n O��i�t•�-ev'b'1�,�sG�-�'o-��- `�o wvL Sewae r, o� ��ya�-e,r s.�Q2cas�o� �laS al��r1 u �va"Ii4 2A C I 0 r X/y r Waste Tram. ✓s0977t11Sl5 Last shipment of hazardous waste: Name of Hauler: Vie+-/ Kleek,, Destination: )9_1:7 Waste Product: 6ua5+c ble Licensed# �?66Z No e 11>08q$OZ$3412 harry U-P-Axt,.r 501%/e O,6+4-o,I I v.ew�Ny �s�o o cJ, NOTE: Under the provisions of Ch. 1'11, Section 31, of the General La of M , ha ardous material use, storage and disposal of 111 gallons or more a month re uires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS — No ►titer I of e kA s �►2 rnvevvf'o� s►n /,f3 /.rl'S The Board of Health and the Public Health Division have determined that the foll wing products exhibit toxic o hazardous characteristics and must be registered regardless of volume. /r11 f 1 1 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 1 �,�CI" Pesticides ❑ NEW lrJ USEDV (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals(Developer) lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW �USED5�`'``'J Any other products with "poison" labels b (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 ya Number - Fee 1216 THE COMMONWEALTH OF MASSACHUSETTS $50.00 Town of Barnstable Board of Health This-is to Certify that Harrel Woodworks S 30 CitAvenue #6, Hyannis, MA .>2 Is Hereby Granted a License ''. For: Storing or Handling 26 - 100 gallons of Hazardous Materials. S ------------------------------------------------------------------------------------------------------------------------------------------------------------------ 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. 07/01/2016 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO. Director of Public Health J Town of Barnstable �tINGE► g rYato ul Re Services ti Richard V. Scali, Director mmsrABLE. 1� BARNSTA 9 MASS. $ Public Health Division �, A 1639• �0 MABBi0y5 le!LS•OSTER4:LLE•y'EBTB�BiE A Thomas McKean, Director 165754 200 Main Street, Hyannis,MA 02601 CM Office: 508-862-4644 Fax: 508-790iO4 H APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, �! HAZARDOUS MATERIALS, ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS DULY 1 st—JUNE 30th). APPLICATION FEES4c CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ ed I n 3 gyp, 60 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. DATE � / FULL NAME OF APPLICANT: J 0 �L� NAME OF ESTABLISHMENT: I-- ,,►,, ,Q 6-01L-,/*-� �A,)00c/c�f�G� ADDRESS OF ESTABLISHMENT: Sz) C.`f::— MAILING ADDRESS (IF DIFFERENT): TELEPHONE NUMBER OF.ESTABLISHMENT: ~ EMAIL ADDRESS: SOLE OWNER: NO IF NO,NAME OF PARTNER: a FULL NAME,HOME ADDRE S,AND TELEPHONE#OF: p ,J�l' ��'` 41 A'&,L C?&C CORPORATION NAME Q �' l �,�(4 5W -7)S.�J PRESIDENT TREASURER CLERK IF PREPARED BY OUTSIDE PARTY: SIGNATURE OF APPLICANT Name: Company Address Telephone #: Email: Q:\Application Forms\HAZZAPP Revl6.docx Page 1 of yJ Number Fee 1216 THE COMMONWEALTH OF MASSACHUSETTS $so.00 Town of Barnstable Board of Health This is to Certify that Hamel Woodworks 30 CitAvenue #6, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 26 - 100 gallons 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. 03/25/2016 JUNICHI SAWAYANAGI THOMAS A. MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable BIKE Tp Regulatory Services Richard V. Scali, Director dt ST& ` Public Health Division BARNSTABLE •16 9 0� BAMSABLE- Thomas McKean,Director O]11ERVILLE•CDNR•M'lJUilS39-2014 16 � WPSipXS MILLS•OSE0.RY[LLE•W6i6WISiRBtE •f,� �A 575 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304* APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ • A late charge of$10.00 will be assessed if payment is not received by July 1st. ASSESSORS MAP AND PARCEL NO. DATE _._.. 1� FULL NAME OF APPLICANT: ell L, NAME OF ESTABLISHMENT: � f~ �JC�U' C✓C�>/G� ADDRESS OF ESTABLISHMENT: 3 6 MAILING ADDRESS (IF DIFFERENT): TELEPHONE NUMBER OF ESTABLISHMENT: Sty 7 'J EMAIL ADDRESS: SOLE OWNER: YES NO IF NO,NAME OF PARTNER. FULL NAME,HOME ADDRESS,AND TELEPHONE# OF: CORPORATION NAME,._} y�,-e j PRESIDENT TREASURER CLERK IF PREPARED BY OUTSIDE PARTY: SIGNATURE APP_L CAUL Name: Company Address : Telephone#: Email: Q:\Application Forms\FIAZZAPP Rev16.docx Page I of 2 r r Town of Barnstable office: 508-862-4644 Fax: 508-790-6304 Regulatory Services Department HAM'STAa Public Health Division Thomas A.McKean,CHO sbsv� A` 200 Main Street, Hyannis, MA 02601 Fb M;AE Payment Receipt .Hazardous Materials Payment received: $50.00 (Check) on 3/25/2016 � ;Check number: 6810 Check amount: $50.00 Name on check: Hamel Custom Woodworking Inc. i Business: Hamel Woodworks Owner: Joseph Hamel ;Address: 30 CIT AVENUE, Hyannis { Note: 30 Cit Avenue #6/Category I Permit . _ ......... `VJ Number Fee 1146 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that HORGAN MILLWORK& CUSTOM WOODWORKING 30 CIT AVENUE, UNIT 8, HYANNIS, 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 r Town of Barnstable Regulatory Services g rY ti Richard V. Scali,Director BAWMABM NIAW Public Health Division �® Qj,�i639. A�0 En rrrtrt Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 3 Application Fee: $100.0.0 , ASSESSORS MAP AND PARCEL NO. NOLf' eli DATE I a® l5 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT �,Ij ci �G b i�"UG NAME OF ESTABLISHMENT n OY��W j i orb 1 Jnc - • ADDRESS OF ESTABLISHMENT 30 C Ave. H q C n of S DSO 1 TELEPHONE NUMBER SOLE OWNER: V YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. LIa'� STATE OF INCORPORATION a SS a dYO� FULL NAME AND HOME ADDRESS OF:PRESIDENT + a n elc 5%1 Is I V�n W TREASURER CLERK • S [G-NkTTJRE OF APPLICANT RESTRICTIONS: HOME ADDRESS I 84X-k-r6 UCCk k - wrs6s Wis HOME TELEPHONE# MA o zW$ C:\cache\Temporary Intemet Fi1es\0LKD3HAZAPP Rev2015.DOC Town of Barnstable Office: 508-862-4644 Fax: 508-790-6304 a Regulatory Services Department • ,,, �LE� Public Health Division Thomas A. McKean, CHO 39.n 39.E 200 Main Street, Hyannis, MA 02601 Payment Receipt lHazardous Materials Payment received: $100.00 (Check) on 6/12/2015 Permit number: 1146 0 ,Check number: 25801 Check amount: $100.00 Name on check: Horgan Millwork, INC. j Business: HORGAN MILLWORK&CUSTOM WOODWORKING Owner: D SCOTT TR !Address: 30 CIT AVENUE, Hyannis t i i • i Number Fee 1146 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that HORGAN MILL WORK, INC. 30 CIT AVENUE, UNIT 8, HYANNIS,MA 02601 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. 4/14/2014 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health A M _I Town of Barnstable Regulatory Services ° Thomas F. Geiler,Director r ' BAMSTABLE. ' Public Health Division y MASS. i639• ♦� '°rEcr�r►�°i 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. 312 o 2 ooq DATE 1 O I APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT bovidHoraoa NAME OF ESTABLISHMENT 0 V"c Q++ WlUack� T C - ADDRESS OF ESTABLISHMENT 30 1.1 V - i "� U F1 d n I S rM ' TELEPHONE NUMBER 508 - r7 6 U & ( _ 01 0 SOLE OWNER: 1//YES NO IF APPLICANT IS A PARTNERSHIP, FULL NAME AND HOME ADDRESS O ALL PARTNERS: a rr IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION N4ass o ckuscAs FULL NAME AND HOME ADDRESS OF: pp M PRESIDENT ay '& H.rxra�- yi &&L4r- N(eLk Koa- ( 'Mars-17)y)s Eldis MQ TREASURER CLERK 1 SIGNATURE OF APPLICANT It RESTRICTIONS: HOME ADDRESS I � � deck R�� M d- 0��9 HOME TELEPHONE # 50314a8-/2-g3a CONTINGENCY PLAN HORGAN MILLWORK INC.—30 CIT AVE—BAY 8—HYANNIS MA 02601—508-778-6941 EMERGENCY COORDINATOR NAME: Scott Horgan ADDRESS: 30 Cit Ave., Hyannis, MA 02601 DAYTIME PHONE: 508-778-6941 EVENING PHONE: 508-428-1293 CELL PHONE: 508-737-6367 FIRE DEPARTMENT: 508-775-1300 DEP 24 HOUR HOT LINE: 888-304-1133 WASTE HAULER: NAME: Clean Venture, Inc. PHONE: 508-872-5000 Building diagram indicating hazardous material/waste storage area, location of absorbent scavenger materials,fire extinguishers,fire alarms(if present)and evacuation route(if applicable). �C+4•{, LriI�( i I i 6UC-( 14eA0 Doc Actions to be taken to control a spill or release and preventing it from reaching a catch basin,sewer system or the ground: Containment pads and speedy dry -B/C weve ea-CO" of /NSPEC7704 ✓c. 7--v 6 Sew `j,f-- -f OIL WASTE OIL OIL FILTERS ANTIFREEZE WASTE ANITFREEZE GASOLINE WASTE GAS DIESEL FUEL W/W FLUID ATF PIP HYDRAULIC/ MISC. MISC. MISC. MISC. BRAKE FLUID COMMBUSTIBLE FLAMMABLE CORROSIVE PETROLEUM (GEAR OIL/GREASE/ to LUBRICANTS) �flol^--° f r 12 V FREON ACETY NE CAR WXSH CAR WASH PAINTS/ WAX DETERGENTS NNERS HI G SEALANT CLEANING BATTERIES/ POISION/TOXIC CAULK/GROUT / SOLVENTS BATTERY l ALP-/o 5-" ACID K IAf&XA'(-SP IX,ITS iN Ssi�� FERTALIZERS WASTE SOLVENT BLEACH DISH WASH AND MSDS DETERGENTS g- frog.-�.�- MANIFESTS �/tlreh ys w4-s `L 0 6 _ rv �z d a _ r-3 a- 0 _ fa. 0 CONTINGENCY PLAN Emergency Coordinator, Name: e r-oui G boS�'Ao, Address: 30 C� f 14ye- (�.YLi f I LP �aGl.j S llft i9. ��(oD! Daytime Phone: Evening Phone: U I`7 - S,5-0 -- 1&--)o Fire Department: 0 - -7-75 - 1306 DEP 24 Hour Spill Hot Line: 888-304-1133 Waste Hauler: Na3ne: Phone: o `7 C� Building diagram indicating hazardous material/waste storage area, location of absorbent scavenger materials, fire extinguishers, fire alarms (if present), and evacuation route (if applicable). �Q4k-WIA b(L(gip`. r�,►�., FI�P �� Zo �f= a C 1+1"Ielu 14kr U��oar Actions to be taken to control a spill or release and preventing it from reaching a catch basin, sewer system or the ground. TOWN OF BARNSTABLE Date:/ l oCiT'l TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: C' ' Ze &Y'6�AC&WL121� BUSINESS LOCATION:30 L- un AOQ'ylyl� -(-Y-)n Old-601 INVENTORY MAILING ADDRESS: 30 Vn kov,nl'uA --Yn>g od-60 / TOTAL UNT: TELEPHONE NUMBER: S000 -.-%0-Wq 4- CONTACT PERSON: e r "J'I, S.i U'c- EMERGENCY CONTACT-JELEPHONE NUMBER: 5 R 360. �4-429 MSDS ON SITE? TYPE OF BUSINESS: INFORMATION / RECOMMENDA N : Fire District: Waste Transportation: Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No 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 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 I Z 3 G Disinfectants Engine and radiator flushes Road salts(Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides ❑ NEW ❑ USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene,#2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals(Developer) lubricants, gear oil ❑ NEW ❑ USED - Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑'NEW ❑ USED Any other products with "poison" labels (including chloroform, formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): - Metal polishes � a rn6tA IA 6, Laundry soil &stain removers U IT (including bleach) Spot removers&cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash4 77/, WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Sign ure Staff's Initial YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.OD for 4 years]. A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: '/Z Fill in please: . � � ® APPLICANT'S YOUR NAME/S: I U� . k = ;s BUSINESS Y UR HOME ADDRESS: 01 {4 TELEPHONE # Ho e Telephone Number 50 60 NAME OF CORPORATION: NAME OF NEW BUSINESS —Typt OF BUSINESS IS THIS A HOME OCCUPATION? YES NO ADDRESS OF BUSINESS U n MAP/PARCEL NUMBE _ O (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate.your business in this tow9nn.. 7M� 1. BUILDING COMVhab R'S OFFIC `-d C- ' �. This individu ' forme o any e it r qurements that pertai this type of business. �zed Si nature* �- COMMENTS• \ ` 2. BOARD OF HEALTH (�Ue-VO �MPLI' ITH AI,L This individual has been informed f permit require i iei its that pertain to this type of business. HgZARDOUS MATERIALS REGULA710NS Authorized Sign ture* COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: f YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. p MOM H� � DATE: �b � Fill in please: q a::_ pT„_ 2r. ; APPLICANT'S YOUR NAME/S: j� 3 BUSINESS Y UR HOME ADDRESS: a ,' ' PLI Q'nTU^ O TELEPHONE # Ho e Telephone Number 906 �(O �� NAME OF CORPORATION: NAME OF NEW BUSINESS q11.4, TYPE OF B SINESS IS THIS A HOME OCCUPATION? YES NO ADDRESS OF BUSINESS L� O MAP/PARCEL NUMBE 'DD (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town.of. Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. — (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COM SSION R'S OFFICE v This individu I has n i forme- f ny e it re it ments that pertain to this type of business. �d) An Jauth rized Signature*_* MEN , 2. BOARD OF HEALTH This individual has been infor d peri i 6L requirements that pertain to this type of business. MUS'f'CO�NPLYWITKA HAZARDOUS MATERIALS REGU(A1009 Authorized J'gnature* COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: `°Ft►�r�� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 B`"MAR!R ' 200 Main Street• Hyannis, MA 02601 059. TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: `4o weeL SL)%Vw.� 1?,ol , 5 c--- Date: Location/Mailing Address: 30 G, ,e. JUKA 1 I Contact Name/Phone: — C. {¢. kvl a l , ,s r n o4` ,., s y- c ►tir"c�.15 I K. V VL t - C f'a•t, J ,+ - S �v V��,n t- to C-L I l ✓ -- Inventory Total Amount: / MSDS: License#: Tier II : Labeling: Spill Plan: Oil/WaterSeparator: Floor Drains: Emergency Numbers- Storage Areas/Tanks: P"i-c- ,�-�.�.i gl-a,-h� I,te- p Emergency/Containment Equipment: t-71+ti. 2• e a-j f-4K is 0w ,-� Waste Generator ID: Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils 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) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: kp h+V1- \�(. ' o w{,pj� �l�I�i 0 j Inspector: 0 l��o✓��V'— ��P'a' ' Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS �pIKE A f Town of Barnstable Office:508=862-4644 o� Public Health Division ; Fax 508-790-6304 � + BARMASS .. g• _ v ,,200 Main Street-Hyannis, MA 02601 �Eo �a TOXIC AND HAZARDOUS MATERIALS INSPECTION.REPORT ) Business Name: �ir�CaC-2 `Jw r w,,, •,,y �oa1 5pcc- ' Date: /f Location/Mailing Address: :50 il u•e DK J 18 Contact Name/Phone: --_ �� ,� --N. �_ r ��v k a l c,%R Sy r 5, ��y r y k a4 4,,L-,s r VVL "E GCa•c, c�wAS `[I -- vvL , ✓� - Inventory Total Amount: / MSDS: License#: Tier II : Labeling: Spill Plan: Oil/WaterSeparator: Floor Drains: Emergency Numbers: Storage Areas/Tanks: S,�> a./e- w� f`t Emergency/Containment Equipment: w (M 2 - 2 So ge,-1 5 Waste Generator ID: Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: 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. , r 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 "a Y ( 9 ) 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) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&rvarnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) A (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: v ' ©toCv�- �• cp r`, �v uv't,fk 141>>. �J j�ot'>; Inspector: Q � a'� ` ��^�t� G��tL ' Facility Representative: J WHITE COPY- HEALTH DEPARTMENT".CANARY.COPY-BUSINESS YOU WISH TO OPEN A BUSINESS? i . For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. i DATE: Fill in please: APPLICANT'S YOUR NAME/S: &o C� �d< BUSINESS O r. YOUR HOME ADDRESS: 32 We-�{- �-I,UwJ��n (�� C ,ir i1 ; Y t VbIJ �8�_In rx L TELEPHONE # Home Telephone Number NAME OF CORPORATION: 'moo v I cg rn 1 lea_ NAME OF NEW BUSINESS__;}- 8_rc-tcarf--Pb c)1 s TYPE OF BUSINESS 5nrvi C p , IS THIS A HOME OCCUPATION? YES —NO� ADDRESS OF BUSINESS '50 -A# I - O 1 MAP/PARCEL NUMBER, 3la �o?cl C�Qlfr [Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmout Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFICE C� This individual has been informed of any permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 2. BOARD OF HEALTH This individual has bee} informed of the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: i j j I YOU WISH TO OPEN A BUSINESS? . For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: Fill in please: APPLICANT'S YOUR NAME/ % u/2 BUSINESS YOUR HOME ADDRESS: fat# TELEPHONE # Home Telephone Number --T NAME--OF CORPORATION: NAME.OF NEW BUSINESS )r4�i7C0 f2 TYPE OF BUSINESS 6 "(601 `t't. IS THIS A HOME OCCUPATION? YES: NO NUMBER:- ADDRESS OF BUSINESS O ) 1 02Lo MAP PARCEL _ /?� ©ZQ'OG.: [Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd.&Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COM SSION R'S OFFICE This individu I e in r Co y rmi a uireme s that pertain to this type of business. AA ut orized Si natu COMMENTS: 2. BOARD OF HEALTH t�,S�GOMR�:'�l?V6'YH ALL This individual has been infor e �ie4ments that pertain to this type of business: M 14AZARDOUS MATERIALS REGULATIONS. Aut ' ed Sig r ** , COMMENTS: 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: i M� Number Fee 375 THE COMMONWEALTH OF MASSACHUSETTS 100.00 Town of Barnstable Board of Health This is to Certify that Big Wave Craigs 30 Cit Avenue- Unit 16, Hyannis, 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 ` F Regulatory Services z evly �° THE r�ti g Y Richard V. Scali, Director MAM STAB Public Health Division 1639. 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 (V T APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT c-f°_u(Ci Ln-S L(9-- a- NAME OF ESTABLISHMENT 6 l W A.V'L M(Q-s ADDRESS OF ESTABLISHMENT a i r MC UC # O o Uo l TELEPHONE NUMBER. SD�= 7 -7 _a a—- d `--- C) SOLE OWNER: YES NO =g� IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. b� �3( q d , STATE OF INCORPORATION ] FULL NAME AND HOME ADDRESS OF: PRESIDENT ('ra(Q Ll1_Sto jo- -3C? G 1 T AyY- 4� /6 : �GJO i'l.I S M b ba uo f TREASURER CLERK SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS 30 C rr ftyC44-1(P ' ,S ap 0.1 (001 HOME TELEPHONE# S 08--�7 I -qQ Q:Wpplication FonnsViAZAPFDOC S n� 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 i Q:\Application Forms\HAZAPP.DOC f Spill Contingency Plan for Big Wave Marine 1. Evacuate area immediately if needed. 2. Make sure all valves, pumps and electrical equipment are shut off. 3. Cover storm drains if necessary. 4. Contain spill with the use of appropriate absorbent materials. 5. Dispose of used absorbent materials properly. 6. Notify the proper authorities about spill. 7. Keep all spill clean up materials on bottom floor of building. 8. We do have a first aid kit, eye wash center, fire extinguishers, an adequate amount of personal protective equipment (boots, gloves etc.) and a spill response kit here at the dealership. f Town of Barnstable Barnstable Regulatory Services Department UMmmicaM Public Health Division 1ARNMBL& KASS- 200 Main Street, Hyannis MA 02601 639• , 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. DATES APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT r-0/ I JCS NAME OF ESTABLISHMENT S ADDRESS OF ESTABLISHMENT 30 C, i T 4-I0 "oI-s M ff 6210 I TELEPHONE NUMBER 5-69'_ -7-� i SOLE OWNER:_LZYES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. O 33 U ro STATE OF INCORPORATION FULL NAME AND HO ADDRESS OF: PRESIDENT C"IQ? l SC.o L�l �. �� '1 (S {�}.(� lib TREASURER `CLERK 61-/ IGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS- !TAX— 4-0 d4J✓hS d HOME TELEPHONE# 50 t 'l 9l 1V(r J:\inspection handouts\Haz Mat Application2008.DOC Number Fee �r 375 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Big Wave Craigs 30 CitAvenue- Unit 16, Hyannis,MA 02601 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 larnstable oa��g Regulatory Services { Thomas F. Geiler,Director SSA .MASS. g. Public Health DiTB' ion Thomas McKean, Director 200 Main Strut, Hya=is,MA 02601 Offica: 508462-4644 Fax: 50&790-6304 Appiicaticn Fes: $100.00 ASSESSORS MAP AND PARCEL N0, DATE APPLICATION FOR PERMIT TO STORE A-ID/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERULS FULL NANIE OF APPLICANT +r i 0 [AS Cd I A— NAME OF ESTABLISILM N'T Gt i S ADDRESS OF ESTABLI.4MfFNT TELEPHONE NUA BER SOLE OWNER.—LzYES NO IF APPLICANT IS A PARTNERS,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: C, zz V N IF APPLICANT IS A CORPORATION: FEDERAL IDENTIl+'ICATION NO. 0 q 330VI STATE OF INCORPORATION PULL NAME AND HOAU ADDRESS OF: PRESIDENT Cra,a lA S co I a.- ?2D C- +r 11 vt I l.p 4i1cUw 6.A401 F i C'T,F,RK SIGNATt1RE OF APPLICANT RESTRICTIONS: HOB 4RFss 3 o C IT �'�I lv ��H0MINE# sot- 77 i-R W Haz.dodwp/q i i Town of Barnstable oFtME rpm Regulatory Services , Thomas F.Geiler,Director, s Public Health Division * snitxsrasi.E, Thomas McKean,Director 9$A 69. 10� 200 Main Street, Hyannis, MA 02601 rFO MA'l A - Phone: 508-862-4644 Email: health@town.barnstable.ma.us Fax: 508-790-6304 \l Office Hours: M-F 8:00—4:30 Q v �nO � V January 20, 2011 Mr. Wayne Wardwell RE: Vehicle Washing Waste Water Discharge, Ultra Clean Auto Detailing Unit 5, 30 Cit Avenue,Hyannis Unit 5, 30 Cit Avenue Hyannis,MA 02601 Dear Mr.Wardwell, On January 6,2011,a visit to your facility and subsequent conversation revealed that vehicle washing is performed on site with the wash water being directed to a catch basin at the base of the garage bay drive of Unit 5, 30 Cit Avenue. Currently there is no evidence to support the fact that this catch basin is an approved tie-in to the municipal sewer system. Town of Barnstable Ordinance Chapter 108 Hazardous'Materials, Section 9, Prohibitions, states in relevant part that,"The release of any hazardous materials ..., into any catch basin, or dry well within the Town of Barnstable is prohibited.". Therefore,you are hereby notified to immediately cease the use of any cleaning solvents including but not limited to, chemical's, soaps,degreasers or detergents in the use of the vehicle washing activity. See the enclosed"Vehicle Washing Policy"for guidance. A waste water collection and discharge system meeting the Town of Barnstable Design and Installation Standards for Building Sewer Connections as required by the Sewer Connection Permit process is required for the future use of any cleaning solvents as noted above. You may request a hearing pr ided that a written petition requesting same is received by the Board of M en ays afte this order is served. e Board of Health Thomas A. McKean,RS,CHO Director of Public Health Enclosure: "Vehicle Washing Policy" cc: Mr.David Anderson Barnstable Department of Public Works. 230 South Street Hyannis, MA 02601 ' r� °F114E, � Town of Barnstable Board of Health BARNSTABLE, * 200 Main Street 6 q, ,� Hyannis, MA 02601 ArFD MA'S a Office: 508-862-4644 Wayne Miller, M.D. Fax: 508-790-6304 Paul J. Canniff, D.M.D. Adopted September 5, 2006 Vehicle Washing Policy Vehicle washing with the use of cleaning solvents, including but not limited to; chemicals, soaps, degreasers and detergents, is expressly prohibited at any and all automotive repair shops, bus companies, automobile sales businesses, vehicle rental businesses,,vehicle detailing businesses, municipal owned repair garages, and any other businesses or government agencies where an approved car wash system is not provided which meets all the Department of Environmental Protection Regulations; 310 CMR, the Division of Water Pollution Control; 314 CMR and the Town of Barnstable Code; Chapter 108: Hazardous Materials. The spraying or rinsing of an engine or under-body of a vehicle is also considered "vehicle washing". Exemption: Water from a spray nozzle or pressure sprayer The use of water from a spray nozzle, pressure sprayer or garden hose.to spray potable water only (without soap) to rinse dust and debris from vehicles is not considered "vehicle washing" for the purpose of this policy. However, the washing or rinsing of an engine or under-body of a vehicle by any manner is not exempt, regardless of whether or not a spray nozzle, pressure sprayer or garden hose is used for these activities. Penalties Failure to comply with the Town of Barnstable Code, Chapter 108. Hazardous Materials may result in a non-criminal ticket citation of$100.00. Each day's failure to comply with the Code shall constitute as a separate violation. PER ORDER OF THE BOARD OF HEALTH Wayne Miller, M.D. Paul J. Canniff, D.M.D. Q:\Hazmat\060906-Vehicle Washing Policy.doc h r Town of Barnstable j °Ft Regulatory Services r Thomas F. Geiler,Director MASS9� s61g. ,0 Public Health Division ArED NIA�A Thomas McKean,Director D�J 200 Main Street, Hyannis,MA 02601 Office: 508-8624644 Fax:..508-790-6304 Application Fee: MOM ASSESSORS MAP AND PARCEL NO. DATE Z,Q �a�1 n5 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS . FULL NAME OF APPLICANT m j NAME OF ESTABLISHMENT616S � ADDRESS OF ESTABLISHMENT 30 C I ! i LP S f� TELEPHONE NUMBER `JV '77 SOLE OWNER: YES NO -71 A-OAZ -00Z � .. W cn r IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF Al L PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. D STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT —'o (( f Are TREASURER CLERK TURF OF APPLICANT RESTRICTIONS: HOME A RESS HOME TELEP # Haz.doc/wp/q r s Town of Barnstable of IKE?, Regulatory Services 'bo Thomas F. Geiler,Director Public Health Division * snxtvsTnB Thomas McKean,Director 9 i6 q. 200 Main Street, Hyannis,MA 02601 �prFD MA'l A Phone: 508-862-4644 Email: health@town.barnstable.ma.us Fax: 508-790-6304 Office Hours: M-F 8:00—4:30 0 May 5,2011 Mr.Craig LaScola RE: Boat Washing Waste Water Discharge, Big Wave Craig's Unit 16, 30 Cit Avenue, Hyannis Unit 16, 30 Cit Avenue Hyannis, MA 02601 Dear Mr. LaScola, A visit to your facility on April 26,2011 revealed that a one-thousand gallon oil/grease separator had been installed and was anticipated to be connected to the Town of Barnstable sewer system.This installation was in response to letter from the Public Health Division,dated January 20,2011,notifying you to cease the use of any cleaning solvents including but not limited to,chemical's, soaps,degreasers or detergents in the use of the boat washing activity.Additionally,you were notified that a waste water collection and discharge system meeting the Town of Barnstable Design and Installation Standards for Building Sewer Connections ' as required by the Sewer Connection Permit process was required for the future use of any cleaning products as noted above. Based on the Barnstable Department of Public Works Sewer Connection Permit#4570 the boat washing activity may resume at the catch basin(s)designed to discharge to the sewer connection. The Public Health Division appreciates you attention to this matter. Should you have any questions please contact Cynthia Martin as 508-862-4645. VoL A� . ThomasV. McKean,RS,CHO Director of Public Health cc: Mr.David Anderson Barnstable Department of Public Works 230 South Street Hyannis,MA 02601 Martin, Cynthia From: Anderson, Dave Sent: Thursday, April 28, 2011 11:57 AM To: Martin, Cynthia Subject: RE: Big Wave Craigs The Connection Permit application was assigned Permit Number 4570. I'll be writing him a ltr concerning the tie-in, at some point. He' s in my pile of ' ltrs to be written' . I might get to it be end of next week. DJA -----Original message----- From: Martin, Cynthia Sent: Thursday, April 28, 2011 11:39 AM To: Anderson, Dave Subject: RE: Big Wave Craigs Hey Dave, Thanks for the info. I'm writing LaScola a letter indicating that can resume washing his boats. Do you have a Sewer Connection Permit number or any other documentation that I can reference in my letter? Thanks, Cindy I I 1 Martin, Cynthia From: Anderson, Dave Sent: Thursday, April 28, 2011 10:52 AM To: Martin, Cynthia Subject: Big Wave Craigs The oil/water separator has been installed. The concrete pad still needs to be poured, and cured. The pad was scheduled to be placed today, but due to the rain, it has been rescheduled for tomorrow. The system probably won't be ready for use until sometime next week, after the concrete cures a-little-bit. On a related note - I've reed some information for a system for the Ultra-Clean detailing facility. The proposed system is an inside-the-bldg holding tank type thing. I need to get back to the salesman w a few questions, but at this point, it looks like it should fill my requirements for oil/water separation. DJA 1 r _ f Town of Barnstable oFz tp� Regulatory Services Thomas F. Geiler,Director Public Health Division * saxxsrnB Thomas McKean,Director 94j 163 S. 200 Main Street, Hyannis,MA.02601 ArFD MA'�.a Phone: 508-862-4644 Email: health@town.barnstable.ma.us Fax: 508-790-6304 Office Hours: M-F 8:00—4:30 January 20, 2,011 O Mr. Craig LaScola RE: Boat Washeitt e ter Discharge, Big Wave Craig's Unit 16, 3enue, Hyannis Unit 16, 30 Cit Avenue Hyannis, MA 02601 Dear Mr. LaScola, On January 6,2011,a visit to your facility and subsequent conversation revealed that boat washing is performed on site with the wash water being directed to a catch basin at the rear corner of the building referred to as Unit 16 30 Cit Avenue. Currentlythere is no evidence to support the fact that this catch basin ' i is an approved tie-in to the municipal sewer system. Town of Barnstable Ordinance Chapter 108 Hazardous Materials, Section 9,Prohibitions, states in relevant part that,"The release of any hazardous materials ..., into any'catch basin,or dry well within the Town of Barnstable is prohibited.". Therefore,you are hereby notified to immediately cease the.use of any cleaning solvents including but not limited to,chemical's,soaps,degreasers or detergents in the use of the boat washing activity. See the enclosed"Vehicle Washing Policy"for guidance. A waste water collection and discharge system meeting the Town of Barnstable Design and Installation Standards for Building Sewer Connections as required by the Sewer Connection Permit process is required for the future use of any cleaning solvents as noted above. You may request a hearing provided that a written petition requesting same is received by the Board of Health within ten(10 days a er this order is served. rd Board of Health Thomas A.McKean, RS;.CHO Director of Public Health Enclosure: "Vehicle Washing Policy" cc: Mr. David Anderson, Barnstable Department of Public Works 230 South Street Hyannis,MA 02601 o�zHET Town of Barnstable Board of Health BARNSTABLE, 200 Main Street 9� MASS.3 , � Hyannis, MA 02601 ArFD MA'S�` Office: 508-862-4644 Wayne Miller, M.D. Fax: 508-790-6304 Paul J. Canniff, D.M.D. - Adopted September 5, 2006 Vehicle Washinq Policy Vehicle washing with the use of cleaning solvents, including but not limited to; chemicals, soaps, degreasers and detergents, is expressly prohibited at any and all automotive repair shops, bus companies, automobile sales businesses, vehicle rental businesses, vehicle detailing businesses, municipal owned repair garages, and any other businesses or government agencies where an approved car wash system is not provided which meets all the Department of Environmental Protection Regulations; 310'CMR, the Division of Water Pollution Control; 314 CMR and the Town of Barnstable Code; Chapter 108: Hazardous Materials. The spraying or rinsing of an engine or under-body of a vehicle is also considered "vehicle washing". Exemption: Water from a spray nozzle or pressure sprayer The use of water from a spray nozzle, pressure sprayer or garden hose to spray potable water only(without soap) to rinse dust and debris from vehicles is not considered "vehicle washing" for the purpose of this policy. However, the washing or rinsing of an engine or under-body of a vehicle by any manner is not exempt, regardless of whether or not a spray nozzle, pressure sprayer or garden hose is used for these activities. Penalties Failure to comply with the Town of Barnstable Code, Chapter 108: Hazardous Materials may result in a non-criminal ticket citation of$100.00. Each day's failure to comply with the Code shall constitute as a separate violation. PER ORDER OF THE BOARD OF HEALTH Wayne Miller, M.D. Paul J. Canniff, D.M.D. Q:\Hazmat\060906-Vehicle Washing Policy.doc 4 , 1 Hazardous Materials Inventory Sheet Checklist Date Physical Street Address-Check database to ensure it exists Working Phone Number Actual Amounts -( ie. gas being used to fuel machines,thinner to clean brushes all count as hazardous materials) Storage Information -location of storage, how long is storage for? If none, note that. Disposal Information -where and who? If none, note that. Applicant Signature -_understand what is listed and noted St�.ff_In.itialany questions,_.know-Who o '--- ;/ Vehicle Washing/Rinsing? -provide a vehicle washing^policy and\ explain it-note that it-was-given--._--,-- AffachAhe-Business Certificate with,your sign off and comments "T' inventory form should explain what the business consists of and the procedures r thev are doing. Notes need to be left to exDlain what wou discussed with then, ___ r YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY (j15TEFS'YOUR NAME in town (which you eA3 , must do by M.G.L.-it does not give you permission to operate.) You must first"obtain the neces� y. ignatures on t. is to`�,m at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hah,) and get the Business Certificate that is required by law." ry FP> DATE: Fill in.,ple e � _ {� a get f APPLICANT'S YOUR NAME/S: e d- cz rdc v E —r BUSINESS YOUR HOME ADDRESS: a�- ' r}r i t S02--2- I i yea yyla vviill,; Gd U, .1 TELEPHONE # Home Telephone Number NAME OF CORPORATION: NAME OF NEW BUSINESS TYPE OF BUSINESS (W IQ¢ac rShi D IS THIS A HOME OCCUPATION? YES NO ba(oDC , ADDRESS OF BUSINESS ,} �7n1 A- ctnni5 Y}'�A4 MAP/PARCEL NUMBER (Asses ing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town ofC' Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFICES This individual has been informed of any permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 2. BOARD OF HEALTH y This individual has been m d of the p m' requir is that pertain to this type of business. 4 Authorized Signat re** MUST 1,601VIPIL WITHALL ` : COMMENTS- 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) " This individual has been informed of the licensing requirements that type of business. Authorized Signature** - COMMENTS: i r CI' I s LJ Y TOWN OF BARNSTABLE Date: TOXIC AND HAZARDOUS MATE ON-SITE VENTORY NAME OF BUSINESS: v `� vo A;� C4, /� BUSINESS LOCATION: 30 (2�4— INVENTORY MAILING ADDRESS: 'SAme TOTAL AM PUNT. TELEPHONE NUMBER: cj - o� C 55 �' -- CONTACT PER - 0 EMERGENCY CONTACT ELEP ONE NUMBER: < 0 �g � MSDS N SITE.( J 7b off-$ � SO TYPE OF BUSINESSV96Q,fX-hn SfA�Cj , - INFORMATION/RECOMMENDATIONS: Fire D strict:`' Uc,e,�&A2 CieS — cAds� k I cn/,,, m n oms�Q Waste Transportation: Last shipment of hazardous waste: Name of Hauler: Al, Destination: Waste Product: Licensed? Yes No 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 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 4 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 Pesticides ❑ NEW ❑ USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform, formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers / may be toxic or hazardous (please list): Metal polishes VOL Laundry soil &stain removers I�X� (including bleach) 3v , C .A- t Ttw- U nr4- S Spot removers&cleaning fluids (dry cleaners) Gi n niS m Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS App cant's Signature Staff's Initial C� Number Fee 181 THE, COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Neves Auto Repair 11 CitAvenue, HyannisMA 02601 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 flow (V �I2)1I��I Town of Barnstable �h.Q6�1 ZHE Regulatory Services ti Thomas F. Geiler,Director BARN STAB �• ' Public Health Division 9Q i6� ,fig DiD'Ec►�r►+° Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-8624644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO.31-? O1'Y-.0d Z DATEAlp� l'L me", APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISHMENT 'e V ENV ► �`etC�O��c ADDRESS OF ESTABLISHMENT V �,40my\-V% WC0 0i ;;tea 8TELEPHONE NUMBER 6-O '-7?Q d w SOLE OWNER: /YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: V ` rn IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK AGNATURE,OF APPLICANT RESTRICTIONS: HOME ADDRESS °I 5,"V--- 00,* Sd oxmn\0) HOME TELEPHONE# .S-oe 39V-5-U6 Haz.doc/wp/q CONTINGENCY LAN Emergency Coordinator,Larne: Address: &' i� AP - Barnstable Puiblic.HealthDivision: 508-,862-4644, IM P 24 Hour SpM Hot Dine: -3 1133 i . Phone: hamdous material4asw storage , location of absorbent scavenger materials, �extinguishers, alarms (if present), and evacuation route(if applicable). Ak rz w y ro_ Actions to be taken to control a spill or release and preventing it from reaching a catch basin, suer system or the ground- 1. y, Town of Barnstable O�tIHE r, Regulatory Services Thomas F. Geiler,Director Public Health Division BARNSTABLE, Thomas McKean,Director 9 MASS. 200 Main Street, Hyannis,MA 02601 1639• ArFO MA'1 A Phone: 508-862-4644 Email: health@town.bamstable.ma.us Fax: 508-790-6304 Office Hours: M-F 8:00—4:30 June xx,2008 Big Wave Marine RE: Toxic and Hazardous Materials Craig LaScola On-Site Inventory and Inspection, 30 Cit Avenue,Unit 16 Big Wave Marine, Hyannis MA 02601 30 Cit Avenue, Hyannis Dear Mr.LaScola: On May 27,2008,a Toxic and Hazardous Materials On-Site Inventory and Inspection of the above referenced site was conducted by the Public Health Division(PHD). An On-Site Inventory and Inspection is a review of the sites storage,transport,utilization and/or disposal of toxic and hazardous materials as it relates to the Town of Barnstable Ordinance,Chapter 108:Hazardous Materials. This Ordinance was adopted to protect the public health and welfare,especially as it pertains to the public drinking water supply. The following is a description of the results of the Inventory(enclosed)and Inspection. MATERIALS INVENTORY AMOUNT AND PURPOSE: The Inventory of this site indicates the use or storage of approximately xxxx gallons of toxic and hazardous material.This material is used in the repair and maintenance of water crafts and for retail sale. Please be aware that the Town of Barnstable has determined that a minimum of one-hundred and eleven (111)gallons of toxic and hazardous materials requires an annual license. GENERAL STORAGE AREAS AND CONDITION'S: The facility consists of a showroom,repair bays and exterior storage and a parts and materials storage room on the second floor. • The garage bay housed a parts cleaner(mineral spirits),acetylene kit, a storage bench for miscellaneous cleaners and oils currently being used,and an oily rag container(covered). Typically a fifty-five gallon drum of waste oil is also stored in the garage but had recently been picked up for disposal. • The showroom had shelving for the display of plastic retail sized(quart and gallon)containers of various engine oils. • The second floor storage room housed miscellaneous marine parts,cleaners,oils, lubricants,paint and sealants.These materials are neatly stored on shelving and are in retail sized containers(i.e. fourteen ounce spray cans,quart and gallon containers and eight ounce tubes). • Boat and water craft washing and waxing is conducted out side of the rear of the building. Storm drains are connected to the town sewer. �+ 2v SAFETY AND DOCUMENTATION: A license for"Storing or Handling 111 Gallons or More of Hazardous Materials"was on site, as was a Spill Contingency Plan.Manifests for the removal of waste oil and waste cleaning solvents were provided. Oily rags are picked up by Unifirst.Material Safety Data Sheets are xxx CORRECTIVE ACTIONS TO BE TAKEN: The PHD appreciates your cooperation and acknowledges your intent to maintain compliance with the Hazardous Materials Ordinance. Please contact me at the above telephone number should you have any questions or comments regarding the Inspection of your site. Very truly yours, Cynthia A.Martin Hazardous Materials Specialist All orders to correct violations of Chapter 108 of the Town of Barnstable Ordinance: Hazardous Materials. shall be completed upon receipt of this letter Thomas A. McKean,RS,CHO Director of Public Health Enclosure: Toxic and Hazardous Materials On-Site Inventory Health Parcel Lookup Page 1 of 1 Log ed In As: TOWN\crockersh Parcel Lookup Wednesday, September 22 2010 A application Center Parcel Lookup Selection Items Reports Search Options Search By Road Street# 130 Street Name cit Village All Villages i Search � <Pre*v Next> Page 1 of 1 Rows/Page:T5 F Parcel Location Owner Village Index Map f 312-029-OOA 30 CIT AVENUE LASCOLA, CRAIG P TR 76 J�' HY 0316 31202900A 1 312-029-OOB 30 CIT AVENUE LASCOLA, CRAIG TR tf jylyl, HY 0316 31202900E a 312-029-OOC 30 CIT AVENUE CIT AVE REALTY II LLG----- HY 0316 31202900C 312-029-OOD ✓ 30 CIT AVENUE CIT AVE REALTY II LLC------- f HY 0316 31202900D 312-029-OOE V 30 CIT AVENUE WARDWELL, WAYNE M,, HY 0316 31202900E 312-029-OOF ✓ 30 CIT AVENUE HORGAN, D SCOTT TFt � HY 0316 31202900F F 312-029-OOG ✓ 30 CIT AVENUE HORGAN, D SCOTT TRS HY 0316 31202900G 4 312-029-OOH 30 CIT AVENUE MERRICK, JOHN T HY 0316 31202900H 312-029-00I '30 CIT AVENUE HARRINGTON, JEANNE C, TRS 7& HY 0316 31202900I ; 312-029-003 30 CIT AVENUE BLACKBURN, RAYMOND & ELEANOR TRS HY 0316 312029003 '� 312-029-OOK 0 CIT AVENU MAGALIFF, BARR T TRS S' ")-#-/-/S HY 0316 31202 312-029-OOL 30 CIT AVENUE-- CIT AVE REALTY I LL` 1 7 ; sl HY 316 31202900L �� r7 312-029-OOM 30 CIT AVENU CIT AVE REALTY I LL s Zit^-j T HY 0316 31202900M _. 312-029-OON 30 CIT AVE UE LASCOLA, CRAIG P TR 7CD�� HY 0316 3120290ON f g 312-029-000 30 CIT AV UE LASCOLA, CRAIG P TRS 7GL0 HY 0316 312029000 312-029-OOP 30 CIT AVENUE MERRICK, JOHN T L INE (�� HY 0316 31202900 312-029-OOR 30 CIT ENUE HORGAN, D SCO '� HY 0316 31202900R 3 312-029-OOS ►' 30 CIT VENUE HORGAN, D SCOTT TR b�� ,P/ HY 0316 31202900S� p' 312-029-OOT 30 CI AVENUE HORGAN, D SCOTT TR (� HY 0316 31202900T V- is 5 http://issgl2/Intranet/healthMaster/lookup.aspx 9/22/2010 Town of Barnstable Hazardous Materials On-Site Inventory and Inspection FACILITY INFORMATION: Business Name: 1& U/ \)C &A1& _'15 Business Location: AD Ell- AV E Mailing Address: u0 G lT A Je U.,,)tT l fv. #�A*AJUS Ozko/ Telephone Number: J`—O�— Contact Person: C 9,+16-XAJa1_A Emergency Contact Telephone Number: &�� Type of Business: A&9,f y E 3,4 4-t5 A-x)A SEER-✓ICe 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 V/�TF 01 L .Z C*A-L �J-SGAtTANK 5{,cr iT 3 S / 4&14 ie-r of-Al D 4(Af lr#3 'Bowvt KoTE if G, [s i 4,-,t,"A) P-AAJS 67VAAAC ife-no-1 /qJ ,c' RA/>T .0mRPe G�Lt ,iJ� ` Jr �v/�"LS J G•Di2uf-( S a'"4r 0?00,.( 1,4-&-AJE" 'Y'C.4tt' S7PJ4%r Woom /V Q/20.k /yE U,01-r /64 L sn A00Ai G1t1.'T3 i�X.A4 j .�! / uo,��o cr �,c S s 7aAA 6 E 9" H�v Al6s / _P&'77e0L&-vim /LL � �o,cJ$ �i4�T S �c�7F�lt7(' Uk oT �3 I S nE �� Z kdfOeet< OILS 14_06QICA /�R��4VW7*1Ad2 AI RTS 100q Xe/SC_ /44lel�vc sUVNCE 7V aOct'( �tA.2rNc �aur��Ne= I`(o .0&A16&- 7a 7Zr4iL.6-fL ! C,q-"—oA /dt A-A-7r elodv MiA)cats �I Misc. Combustibles Misc. Corrosives avue 70 Misc.Reactive Misc.Toxics Inventory Total Amount: �Ss Co�c�S Hazardous Materials License Posted? e No Contingency Plan Posted? es No Fire District: / Y/'i�t) GCS' Fire Extinguisher Service Date: / — zO// Metal Covered Rag Bin es No Absorbent Material Available? es No Type of Absorbent: pee y D Pad Pigs Other: _ �,,on"S MSDS on site es No Hard Copy Computer Access Hazardous Waste Handling Hazardous Waste Generator Identificati�Number: \1 5imp- 7' gr Type(s) of hazardous waste product(s). AET/�D -LAt /1O�t�i4 WA-S� f7E X&-aW 01c Date of last hazardous waste shipment,type of waste and quantity: -7-zZ 2O/O A M P. R73 kJ 6, AJS Hazardous Waste Transporter(s): ��S�, 1:9---77Y EA / Ai7V &bV cSOL-YE�t r &-ZdvL�[oRP Designated Hazardous Waste Facilit ALiXkt 6 4a-S7VAJ r�✓® �UR�N1l3 kJAS� o�L st�v7 woBu��l� Hazardous Waste Storage Area Description: AWYAC G.eovAJ ibis �r,�r ' HA T Df qCfT� CD6l�. *2 C- Is hazardous waste storage area labeled: es 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) "esP No If hazardous waste is stored out of doors is it covered from the elements? Yes No MIA Is it in 110% containment? Yes No If hazardous waste is stored indoors is it on an impervious floor. es No - 2 - ro FLOOR DRAINS (Chapter 381) Town Sewer Account Number: �1&17-& air//7 Indoor floor drains: Yes C If yes,circle one,does it discharge to a: holding tank dry well on site septic. Outdoor surface drains: No If yes,circle one,does it discharge to a: holding tank dry well on site septic. 11/+/Ct.RThiA) A-T 77-1-4- nA/- OF /ay.SPEcvoAli ctAl b67� N VE5 774A-776AI FUEL AND CHEMICAL STORAGE TANKS (Chapter 326) Underground Storage Tank(s) on site? Yes Age: Is removal required? Yes No If yes,when? Is testing required? Yes No If yes,when? Out of doors above ground storage tank on site? Yes & 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_10EX6£ /'A/b IA15P&-C 7rMo REVEAC0 dPe9, �11�Eb 7�us/.U�sS Ae, LA S G o i,4 4--ci IZ d rmc:v- AAe -7c A) d Z -1-7V-E- 70 %/E1A)f�' /.L) '7TJ /FLU iCl/� ��.. ;v aJS oA1 087�iNfN� "7/E .cJ�C��S A699/7 '-#E SI—Ir ►J.45 vj.5j7FD /Sy �nvt -fjD6 :J o.J /-13-7-01 If .OA177A)VZZ P6wCk wASNi,06 or BM•T t/ l/yo e0x1N'ES) 4511U6- 1 v, R ,WE d-�?CH �3A Y�c ATT e ez�4N&-X-v6 TI/E 6Y1L-D1AJ6- /S A-PP/L6U& PW- S'CO" W-4-S Co-®1E7?�417VC d6ele J& 7 E INsP6n-R0Al AU )ISCUSSMAJ-P R gAO�61 .)a rNC u&f of /tee 64 ZW ,y- /,/-,f ZhKb6VJ IS 3gN6- 1/-A,Ajb 1&D A:�J okbAPiCE1 Date: /—f/ Public Health Inspector: Facility Representative: - 3 - Number Fee 181 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health o - This is to Certify that Neves Auto 11 Cit Avenue, Hyannis,MA 02601 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, 2009 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/08 JUNICHI SAWAYANAGI THOMAS A. MCKEAN,R.S.,CHO Director of Public Health r Town of Barnstable Barnstable j"E r° ti Regulatory Services Department k-TA"- - o� ;eriea i • tiALE, Public Health Division + MASS. • I ' 9� 39 � 200 Main Street, Hyannis MA 02601 Al fo MA't�' 2007 Office: 508-8624644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. cal o?—a V 6o D DATE 6ha 0 Za k APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT \ �� '�y Ery 2_ '\X SACNY1n\-z1 TELEPHONE NUMBER -:5-6 ,? -77/— 7 7o o SOLE OWNER: V YES NO IF APPLICANT IS A PARTNERSHIP FULL NAME AND HOME ADDRESS F AL PARTNERS: d N csa i � 3 IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK S NAT OF APPLICANT RESTRICTIONS: HOME ADDRESS c1 Sz VGyy-ioA i YhV HOME TELEPHONE# $G r 3 9Y-s-6 0 6 Q:\Hazmat\Haz Mat Application2008.DOC Number Fee 375 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that Big Wave Marine 30 Cit Avenue- Unit 16, Hyannis,MA 02601 _ - ---- - ....... - -------- -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 THOMAS A. MCKEAN,R.S.,CHO Director of Public Health L Town of Barnstable Barnstable Regulatory Services Department • ,,, Ag Public Health Division 9, 1639. 200 Main Street, Hyannis MA 02601 m 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. DATE L19 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT . F ' NAME OF ESTABLISHMENT Q , d �I �1 S c ADDRESS OF ESTABLISHMENT d .- S l�l A� /+ (® I • TELEPHONE NUMBER ��- `r] —. q Rp - 1 SOLE OWNER: /YES NO l e IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRE OF AI� =` PARTNERS: _ r • f 1. y'3 r� i IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO.64 ke f STATE OF INCORPORATION Q' FULL NAME, vD HO ADDRESS OF- PRESIDENT LrOLJ� co f a 30 0f A VieL96, E h O� 0 I TREASURER_ , ,j _ ` 1� CLERK 5ADRESS,_�0bilAVello TURE OF APPLICANT RESTRICTIONS: HO CLkR 15, MA O)foO j HOME TELEPHONE # '71 f_ q 9 ?-Y _ Q:\Hazmat\Haz Mat Application2008.DOC s • Spill Contingency Plan for Big Wave Marine 1. Evacuate area immediately if needed. 2. Make sure all valves, pumps and electrical equipment are shut off. 3. Cover storm drains if necessary. 4. Contain spill with the use of appropriate absorbent materials. 5. Dispose of used absorbent materials properly. 6. Notify the proper authorities about spill. 7. Keep all spill clean up materials on bottom floor of building. 8. We do have a_first aid kit, eye wash center, fire extinguishers, an adequate amount of personal protective equipment (boots, gloves etc.) and a spill response kit here at the dealership. • �GL Number Fee 375 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Big Wave Marine 30 Cit Avenue- Unit.16, Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. J ------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires June 30, 2009 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/08 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health r � 1. _?A4D sQr,�-t� Date: TOWN OF BARNSTABLE `? TOXIC AND HAZARDOUSJ /IMATERIALS ON-SITE INVENTORY NAME OF BUSINESS: &4 j/_�/,4✓6_ / AA e)AJE BUSINESS LOCATION: __IIA117 // 30 LIL 4Le_,L)Ur VAA))L)s INVENTORY MAILING ADDRESS: 43 TOTAL AMOUNT- TELEPHONE NUMBER: 50d�- -7F/` 95Ar CONTACT PERSON: Cgsf-16- Z—A- 3eOt_A EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: X 1=-PAj e O ,+1,11-E) k)jeK INFORMATION/RECOMMENDATIONS: 1625. krf4c/f",Q) 1-42s?,QLEbAl Fire gDitrict: "AbS Waste Transportation: 1_22Mhipment of hazardous.waste: Name of Hauler.• A-V"Px s estination- Waste Product: /l/AJ&?Z -t-Si-. r�ticensed? es No NOTE: Under the provisions of Ch. 111, Section 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 USED Cesspool cleaners Automatic transmission fluid Disinfectants 6LC-*( ' Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides /30 NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil (1114 PVd/jh) 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 / aGar wash detergents Leather dyes Arta ms E axes 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 t t Me polishes a p may be toxic or hazardous (please list): Laundry soil & stain removers N cQ'�i�LLONS sU91LL/( f7N/AOCL021TC S4L077DAU (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers G Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS 4h ._ ►Dtr `Date: -r/ / 4� Q . � TOWN OF BARNSTABLE � s TOXIC AND HAZARDOUS,( MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: �i�� 1XI A✓E lL/g10,AjF- BUSINESS LOCATION:_ G!A//r- 14 .30 Cli AveL1/C, PVAA)U)S INVENTORY MAILING ADDRESS: A `'E TOTAL AMOUNT: TELEPHONE NUMBER: CONTACT PERSON: 1?,eA /6- I—A -SG,,'cAP EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: 1-JHP_/,uE 4,0� 0Ag r R EPAi,e,a,v,o P,4,,,J7-irny Axj6C INFORMATION/RECOMMENDATIONS: 1,cJsf fc-T7G4 Fire _District: Waste Transportation: Lkst sal ipment of hazardous waste: Name of Hauler: /uw1e,'% s U �s f��e sf�i� estimation: Waste Product: Nsa SPL,14t1censed? 6)s No w' i NOTE: Under the provisions of Ch. 111, Section 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 USED Cesspool cleaners t Automatic transmission fluid Disinfectants ectants � Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides /3O NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals ( fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil �� ra�N�S� 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 wash detergents Leather dyes Catwaxes and polishes Fertilizers Asphalt & roofing tar PCB's 34 Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrad loride) NE-W-= ---=.__US_ED, _ Any other products with "poison" labels Paint & varnish removers, deglossers — nciuding_chlorofor n, formaldehyde; Misc. Flammables hydrochloric acid, other acids) f Floor &furniture strippers Other products not isted which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain remove-rs A,, � C��LLGlJS' .c OD/Llx( ,�OCHGL/1/Tr SGtU77D , (including bleach) Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS t °F IME►okti Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 a" E. MARS. 1 B 1 MASS. ' 200 Main Street• Hyannis, MA 02601 039. 0P ' �'DfFOMn+p`0 I TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT 1 Business Name: 1. P-Av , ► \AP Date. Location/Mailing Address: 50 Cti AVR- h t5 /13 Contact Name/Phone: �v ac t D - Z O—SAS Inventory Total Amount: e-' �' SDS: 0W— MA VL-71n1�� License#: r II Tie : Labelina. 1 Spill Plan: Oil/WaterSeparator: Floor Drains: Emergency Numbers: Storage Areas/Tanks: R J(Alz iao, Emergency/Containment E ui ment: -tom Waste Generator ID: Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: D V W Qw_ Lla-i LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils W Gs-.e/ Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners, Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: v Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines &garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INF MATION/RE OMMENDATIONS: fAvl- V �i I D 1 Inspector: , Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY- BUSINESS o A v--r- 0 K(+ < ca"fs i IKE*°k� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMA . • 200 Main Street• Hyannis, MA 02601 11►'9- +0. TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: UA CI a c� Date: 3 4 1). Location/Mailing Address: 3 f 2 IF rl Contact Name/Phone: M,),Q I ento Total-Amount: 4 MSDS: 6A-11►a- eae5 ?K S License#: Tier II : NIP Labeling: CCAX� 1 Woc l%—1 Spill Plan: S5 A Oil/Water Sep arator: ' G 6<'A% Floor Drains: AA0 Emergency Numbers: Storage Areas/Tanks: 5MAJI �,Gw-� e,<47 &Aly Emergency/Containment E ui ment: Waste Generator ID: N11A Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destinati : Other Waste Disposal Methods: I dft,5V10- 01 I vy vUt T%7o l -J-o XW— e� LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils 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) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform,formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: 4. 5 pVy-. J coy, M I 5 _ a o 5 (ti5 hal-pe'c'S "I �e , �I�yS + 5'2to Ca-S Inspector: I Ul 4,a— �01 Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Date: �/ ;3 / I Y TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS FORM NAME OF BUSINESS: v 1�<C- c4t v\ AA0 QC0vI,a.1+10 BUSINESS LOCATION: 3O CI- , Q- , 0A, INVENTORY MAILING ADDRESS: TOTAL AMOUNT- TELEPHONE NUMBER: p -'� I l CONTACT PERSON: g s EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: a\Ao fL -- vko►J o Sa o - k , t, INFORMATION / RECOMMENDATIONS:` rk. Vv► 1 k&KR— Fire District: LtiC a 9N& S''") & Waste Transportation: W� -AC#L"Qo<V Last shipment of hazardous waste: Name of Hauler: ,,( %estination: s^ Waste Product: Licensed? Yes No 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 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 Pesticides ❑ NEW ❑ USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals(Fixers) Diesel Fuel, kerosene,#2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt&roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform, formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes 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 I CANARY COPY-BUSINESS Applicant's Signature Staff's Initial Number Fee 375 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Big Wave Craigs 30 Cit Avenue- Unit 16, Hyannis, 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 r— - c�, . owr of B4rnstable eg atory Services Richard V. Scali, Director • �, Public Health Division BARNSTABLE WtNS ABLE•CENTERVILL-CONK•NYpt 0 maNffrABLB = Thomas McKean, Director Nwsmxs NRs16o a.o awe enF meEF r.a ��Ig- '°lec --200 Main Stteef,Hyannts-TVIA 02G01- -------- —.------- - Mi Office: 508-862-4644 Fax: 508-790-C3.04 n� APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS ca; IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER'108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1st—NNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 Z V's . *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL? YES—NO. IF YES, SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF • GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: cr" q (�cJ 5. NAME OF ESTABLISHMENT: Cl Wtk -e CWS 'L 6. ADDRESS OF ESTABLISHMENT: C ��`�� b . HqAhjkjj5 o-w) 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: G 8. TELEPHONE NUMBER OF ESTABLISHMENT: �'� �4 9. EMAIL ADDRESS: ( owl 24n -pie — 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHO #OF: , CORPORATION NAME r ✓/ J L. PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: • NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICAN DATE 6 23 I Q:\Application Forms\HAZMAT APP 2017 REVI c f r,3 Number Fee 375 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Big Wave Craigs 30 Cit Avenue- Unit 16, Hyannis, 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 I1 Z 61 nI, + Tower of B nstable ' v $��dlL� Regi%atory Services �t r Richard V. Scali,Director Public Health Division BARNSTABLE Y EG4tlS1Al1lF..:EN1kR41LLE.CONR•HTUI:15 � YWISIU'.51:p1,5•C51F¢VILLE•Yl;51 C4^MST40:E BARN&'ABLE, Thomas McKean, Director 1639-2014 ArE639. ,� 200 Main Street, Hyannis,MA 02601 �Ig Office: 508-862-4644 0(o)/ —dm0 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS DULY 1 st—NNE 3 Oth). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑, CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ,g V,s *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL?_/YES_NO. IF YES, SKIP QUESTION 3. 3. . FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS • ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGEIUSE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: CV�Aq 5. NAME OF ESTABLISHMENT: 17►r CJ�IGtA ,S 6. ADDRESS OF ESTABLISHMENT: 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE 8. TELEPHONE NUMBER OF ESTABLISHMENT: -7 u qq4 9. EMAIL ADDRESS: QA JO I R kViZAnC/ 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: . CORPORATION NAME f LSai� 4ef S• PRESIDENT C,rL< q 0,, TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE Q:\Application FormsViAZMAT APP 2017 REVISE .doc Number Fee 375 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Big Wave Marine 30 Cit Avenue- Unit 16, Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2011 unless sooner suspended or revoked. WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF_,D.M.D_. -- — -_- 6/30/2010 JUNICHI SAWAYANAGI THOMAS A. MCKEAN, R.S.,CHO Director of Public Health Town of Barnstable 0F1HE T Regulatory Services ti Thomas F. Geder, Director + BA MASS. Public Health Division MASS. 039 ' °lFnrna�' 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 06/ 4 6 0 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT �rak, Q- n NAME OF ESTABLISHMENT D�1 �t�QS I®f�� `gs Ct�01- Iq yV 0, ffyc 163 ADDRESS OF ESTABLISHMENT 3O t� ' Qa UU(a® TELEPHONE NUMBER 5a - SOLE OWNER:1/ YES NO IF APPLICANT IS A PARTNERSHIP, FULL NAME AND HOME ADDRESS OF ALL PARTNERS: ' IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO.04-3 3®qg-t STATE OF INCORPORATION FULL NAM AND HOME ADDRESS OF: �n PRESIDEN -fi'DIA S "" I 6 AKI& S MA. 0*; (o01 _ TREASURER SfXJIn�. CLERK r'Ck M.Q SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRE VQ, HOME TELEPHONE# Haz.doc/h+plq d Number Fee 181 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that Neves Auto 11 Cit Avenue, MA 02601 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 31, 2008 unless sooner suspended or revoked. --------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN SUMNER KAUFMAN,M.S.P.H. 5/31/2007 PAUL J. CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable Regulatory Services Thomas F. Geiler,Director r BARNSUBLE. . MAS& Public Health Division � Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. 3/J -0/Y-pppDATE �O �O��G7 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISHMENT Q (XN%- ADDRESS OF ESTABLISHMENT 0-YVU2 VVA(.-A cry" . TELEPHONE NUMBER -77/ 7700 , SOLE OWNER: V YES NO W IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF A L w rn PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK SIGNATrU OF APPLICANT RESTRICTIONS: HOME ADDRESS G E'er\ K.,'% E'QA GA HOME TELEPHONE# ,�G 39V—,:5-(a 0 6 Number Fee 375 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that Big Wave Marine 30 Cit Avenue- Unit 16, MA 02601 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 31, 2008 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN SUMNER KAUFMAN,M.S.P.H. 5/31/2007 PAULJ. CANNIFF,D.M.D. THOMAS A. MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable Regulatory Services Thomas F. Geiler,Director > MASS. ' Public Health Division °rE1639., A 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 e3 D-7 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISHMENT 1-�SC D IOL. Er)k(P S(3 d-b IA-61 a Ooc ( js ADDRESS OF ESTABLISHMENT 30 C I / )lit U0 1, J I(.p �qatlis TELEPHONE NUMBER 5D t- �� "!0. 0 SOLE OWNER: /YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS 4 LL PARTNERS: C) 3m, :x v: ea e m IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. 6q133bqfjj STATE OF INCORPORATION ass kc u 5t FULL NAME AND HOME ADDRESS OF: PRESIDENT Mfg Q SCD I&- 6 D Cl &—VLlkanat—stwh TREASURER jsaju CLERK SIGNATURE OF APPLICANT Al( RESTRICTIONS: HOME DRESS ( HOM TELEPHONE 4 f Spill Contingency Plan for Big Wave Marine 1. Evacuate area immediately if needed. 2. Make sure all valves, pumps and electrical equipment are shut off. 3. Cover storm drains if necessary. 4. Contain spill with the use of appropriate absorbent materials. 5. Dispose of used absorbent materials properly. 6. Notify the proper authorities about spill. 7. Keep all spill clean up materials on bottom floor of building. 8. We do have a first aid kit, eye wash center, fire extinguishers, an adequate amount of personal protective equipment (boots, gloves etc.) and a spill response kit here at the dealership. Number Fee 375 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that Big Wave Marine 30 Cit Avenue- Unit 16,MA 02601 Is HerebyGranted--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. May 15, 2006 PAUL J. CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health 1 �= Town of Barnstable fob Regulatory Services Thomas F. Geiler,Director Public Health Division 2/7 Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-8624644 Fax:.508-790-6304 . Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE L APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS I FULL NAME-OF APPLICANT ` f Gl l GLS� 1GL NAME OF ESTABLISHMENT La S CO I� Edk(P(_'.5b b L 6i I�IJaUe Crajq-S ADDRESS OF ESTABLISHMENT 3c) 64 O A (A 1 a.Ai 5 Dz c00 / TELEPHONE NUMBER b8-- Q' -SOLE OWNER: /YES NO + T-3 . IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: C_n c=a i sue+ IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. a q 33d9 trl STATE OF INCORPORATION FULL NAME AND HOME A�D$ES�f� �( � I � Q,�,D� _, �^ PRESIDENT (Q C��CC A ,� V0 - TREASLTXR — ' L9 2j1CA CLERK SIGNAATTU,R,pE OF�APPL�ICCANTI. RESTRICTIONS: HO_ DRESS CI HO TELEPHONE# 5vc" 77/ MAIL-IN REQUESTS Please mail the completed application form to the address below. Also include copies of your employees food sanitation training certificates. In addition, please include the required fee amount (see fees at bottom of this page). 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 F.,UMD REQUESTS Our fax number is (508) 790-6304. Please fax a completed application form. Also, please fax copies of your employees food sanitation training certificates. In addition, you must mail the required fee amount (see fees bottom of this page). 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 Town of Barnstable . F.A� = s�nNereazs, . Date: �- - �a - � o � t c • _ . Number of pages including cover sheet: To: From: Town of Barnstable Health Division 200 Main Street —,Hyannis,MA 02601 Phone: �O�- 7 �� Phone D n ' ( _0000 1.(508)862-4644 Fax phone: X Fax phone: 1 (508)790-6304 CC: REMARKS: ❑ Urgent g ❑ For your review Reply ASAP ❑ please comment au-5u. pkvwP w MARINEP.-C6:) nA, 0 December 20, 2004 Town of Barnstable Regulatory Services Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Dear Sir: Pursuant to the visit we had on Tuesday, December 14, 2004, we are sending you our signed application for the hazardous waste license. Our contingency plan is to have MSDS sheets for all hazardous materials stored at our facility and store them in a safe place. We will also place "Hazardous Waste" on all hazardous waste containers along with the type of waste contained. We will have hazardous and flammable materials contained in capped containers and all used shop rags will be placed in a metal container with a lid. If you have any questions please feel free to call us at any time at 508-771-9988. Thank you, AAa�- Vanessa Persichini Big Wave Companies 1 {{ MARINE AND BOAT CENTER • SERVICE • STORAGE • SALES 30 Cit Ave. Unit 16, Hyannis, MA 02601 • Ph. (508) 771-9988 • Fax (508) 771-0000 a fl Town of Barnstable U ZHE rohti Regulatory Services Thomas F. Geiler,Director Q� M ♦ I��V $Axtas�rS 1VSAS5. ` Public Health Division .P A i639 wc) ''TFQnnA+° Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE /h 1 lo I APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT r6Li C L SCE ,0 NAMEOF ESTABLISHMENT 6 q Waif M6uk-U'1.2. . ADDRESS OF ESTABLISHMENT 30 Ci1 f /qi/e unI f /0 fliannis, ,#W .D')�Uo f TELEPHONE NUMBER o o - -7-7 J q q� o s SOLE OWNER: YES NO IF APPLICANT C NT IS A PARTN ERSHIP,FULL NAME AND HOME ADDRESS OF ALL � PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION M ass a ch U Sets FULL NAME AND HOME ADDRESS OF: Eas4- PRESIDENT_C(-6[(G La-Scok- 3 U y )g-9+. U n -5o n w,M fn i+ TREASURERS Sa-o" V- CLERK SGl VYI SIGNATURE OF APPLICANT RESTRICTIONS: HOME DRESS A P. . ,5a oi m 6 HOME TELEPHONE # -7 71 - qtj 08 07/04/2016 22:55 FAX 0001 w MARINE FACSIMILIE TRANSMITTAL SHEET TO: MOM L.e. COMPANY: DATI- k 1 �. -� . %-,2 FAX NUMBER TOTAL NO.Or PAjffJ$INCT..UDING COV EEL• PRONE NUMBER: KE: FOY- 0 URGENT ❑FOR REVIEW ❑PT.F.ASIi COMMENT ❑PLEASE.RFPT.Y ❑PLEASE.RECYCLE NOTES/COMMENTS: � N Cc�Ju' . MARINE AND BOAT CENTER • SERVICE • STORAGE • SALES 30 Cit Ave. Unit 16, Hyannis, MA 02601 • Ph. (508) 771-9988 • Fax (508) 771-0000 -- i 07/04/2016 22:55 FAX Z 002 Spill Contingency Plan for Big Wave Marine 1. Evacuate area immediately if needed. 2. Make sure all valves, pumps and electrical equipment is shut off. 3. Cover storm drains if necessary. 4. Contain spill with the use of appropriate absorbent materials. 5. Dispose of used absorbent materials properly. 6. Notify the proper authorities about spill. 7. Keep all spill clean up materials on bottom floor of building. 8. We do have a first aid kit, eye wash center, fire extinguishers, an adequate amount of personal protective equipment (boots, gloves etc.) and a spill response kit here at the dealership. Date: 1244 4 /v4 TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: I BUSINESS LOCATION: �30 t2d- AM LLAA l(v- �4S INVENTORY MAILING ADDRESS: i I TOTAL AMOUNT- TELEPHONE NUMBER: f 279-8 M �*6m CONTACT PERSON: - EMERGENCYCONTACTTELEPHONENUMBER: IIS1 MS SITE. TYPE OF BUSINESS: 12,2.VIu 94 f f INFORMATION/RECOMMENDATIONS: _ W � Fire istrict: , S T� VAIL- It S ff 11 eS a<l ffiti-s�e_s' d)&!-i fit 14' �i RZ> D uS fh. f D�-,t K Gu 1i!0644 C,&. i� ste Transportation: _Last shipment of hazardous waste: Name of Hauler• ','Id KOA estination: Waste Product: . YSLicensed? Yes No NOTE: Under the provisions of Ch. 111, Section 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 USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants 5 Motor ils Pesticides 20 EW �K USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) 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 �3 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 (including bleach) a Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS f 4. Town of Barnstable-Health Department Page 1 HAZARDOUS MATERIALS INVENTORY SITE VISITS P' ..... .... l .... ......... .... _... ...... ......... �: ? DBA: Big Wave N I �IJCJ Fax: q Corp Name: Mailing Address _._ _.._....... ...... Location: 30 Cit Ave.,Hyannis unit 16 Street: 30 Cit Ave unit 16 ..............__.._ .... __....._ .... mappar: City: Hyannis Contact: State: Ma Telephone: (� ( l_—AC,Cef6L_ Zip: 02601 Emergency: Person Interviewed: Business Contact Letter Date: Category: Inventory Site Visit Date: 06Q Type: Follow Up/Inspection Date: ❑ public water ❑ indoor floor drains ❑ outdoor surface drains ❑ license required ,,�h❑ private water ❑ indoor holding tank mdc ❑ outdoor holding tank mdc ❑ currently licensed ❑ town sewage ❑ indoor catch basin/drywell ❑ outdoor catch basin/drywell expir W� ❑ on-site sewage ❑ indoor on-site syste ❑ outdoor onsite system date tv` compliance: j r v / UA c'A V� / U 4 MIs � r � ✓ �tSG'��1 a jj Jj\ 2 � ys i Page 2 Town of Barnstable-Health Department HAZARDOUS MATERIALS INVENTORY Chemicals: ❑ Zero Toxic Waste Materials ❑ gty's>25 Ibs dry or 50 gals liquid but less than 111 gals ❑ gty's 111 gals or more Waste Transporter: Fire District: Last HW Shipment Date: Waste Hauler Licensed: No ...... ........_ ................. ACA d Cyr wA� I WA of lie 0 WTAO Date: 6 13o / Oy TOWN OF BARNSTABLE 5 ;TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: fA e,,- 64 ga"a/quy*o BUSINESS LOCATION: 3® Cam- -cue- ' -57 NVENTORY MAILING ADDRESS: 11 " TOTAL AMOUNT- TELEPHONE NUMBER: S057— -7!1 0 2 5-el s, CONTACT PERSON: C/t jq4.4 Kam- �rye EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: O. - INFORMATION/RECOMMENDATIONS: S S s Fire District: CL.S. a .12. e l a.vo�.QA-e Q-LA o'{ c ��iZ yQO KJC. 9v2-,of e t�t�lo. Waste Transportation: a �- Last shipment of hazardous.waste: Name of Hauler• 5 Destination: /V A Waste Product: t' Licensed? Yes No rc�evi NOTE: Under the p ovisions of Ch. 111, ect n 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. UST 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 USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) 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 :v Z 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 s 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 (including bleach) 46TE Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Town of Barnstable-Health Department Page 1 f , HAZARDOUS MATERIALS INVENTORY SITE VISITS �r DBA: Ultra-Clean Auto Reconditioning Fax: Corp Name: Mailing Address Location: 30 Cit Avenue,Hyannis Unit 5 Street: 30 Cit Avenue mappar: City: Hyannis Contact: Wayne Wardwell State: Ma Telephone: 508-790-8954 Zip: 02601 Emergency: 508-362-3718 Person Interviewed: Business Contact Letter Date: 6/24/2004 Category: A%9,04WwpjV CA, Inventory Site Visit Date: 6/29/2004 Type: �� Follow Up/Inspection Date: ❑� public water ❑ indoor floor drains outdoor surface drains ❑ license required ❑ private water W indoor holding tank mdc outdoor holding tank mdc ❑ currently licensed ❑ town sewage ❑ indoor catch basin/drywell ❑ outdoor catch basin/drywell expir - - ❑ on-site sewage ❑ indoor on-site syste , NCH outdoor onsite system date: Discharge entering drains to town sewer. Not accumulating any waste. compliance: incomplete 67 __j Q, s ✓°ct'5 s LtJ c c-eat cry► tib � e� �, F-)�r 42s a r Page 2 Town of Barnstable-Health Department HAZARDOUS MATERIALS INVENTORY Chemicals: ❑ Zero Toxic Waste Materials Q gty's>25 Ibs dry or 50 gals liquid but less than 111 gals ❑ gty's 111 gals or more „, description: . , �gty: unit,'of measure- i car wash detergents 55 gallons _._—_.._.... ___..__..._..._.._................. ..........._......_....._..____..__..._._..._..__.. _........ .... __.__.._..._.._._..............._........__.....__......._._. antifreeze(for gasoline or cool an to 1gallons laundry soil&stain removers.(in tiding be 1gallons waste oil _ 550gallons Waste Transporter Fire District: Last HW Shipment Date: Waste Hauler Licensed: A � A e Hazardous Materials On-Site Inventory/Inspection For ALL Shops and Businesses in the Town of Barnstable : Location: 3 6csk 'A�, Date: Physical Features to Inspect: Hazardous waste generation sites (production/manufacturing areas): PV4A Waste storage areas: Satellite accumulation points throughout: 41 HazMat stored outdoors — CHECK OUTSIDE: ash Shipping and receiving areas: /lJ Run down of shop activities: Housekeeping practices: HazMat On-Site Inventory/Inspection: Records to Review for SQGs and CESQGs Location: 30 Site visit date: G — e3 0y • 'Hazardous Waste Manifests: ,('�5 c„ c to 2.. 5-0 • Employee training documentation (if required): • Hazar o s substances spill control and contingency plan: CAa • MSDS on site? HazMat Inventory records (if applicable): tJ • HazMat Waste Shipping documentation: S s. • Spill records (if applicable): Date: 17/�`7 1locI4 TOWN OF BARNSTABLEC ® ®� TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: &LeA&EW. BUSINESS LOCATION: 3� C/ f16�s �,yU Ito, �� INVENTORY MAILING ADDRESS: , �� TOTAL AMOUNT. TELEPHONE NUMBER: CONTACT PERSON: EMERGENCY CONTACTTELEPH ONE NUMBER: ya M2istrict. E. TYPE OF BUSINESS:_�(�� FL INFORMATION/RECOMMENDATIONS: /2 Ih E Aff C&AI" Fiokalg. D Pte t ct44-Transportation: Last shipment of hazardous.waste: Name of Hauler- estination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 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. UST 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 USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor ils Pesticides EW 0 USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) 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 �3 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 1 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 (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Town of Barnstable-Health Department Page 1 HAZARDOUS MATERIALS INVENTORY SITE VISITS DBA: Big Wave Marine Fax: 508 771-0000 i Corp Name: Mailing Address ......... _... _..__. Location: 30 Cit Ave.,Hyannis unit 16 Street: 30 Cit Ave.unit 16 mappar: City: Hyannis Contact: Craig LaScola/Vanessa State: Ma Telephone: 508-771-9988 Zip: 02601 Emergency: Person Interviewed: Craig LaScola Business Contact Letter Date: 12/8/2004 _.. Category: :Boats/Marinas Inventory Site Visit Date: 12/14/2004 ..... .... Type: Follow Up/Inspection Date: ❑ public water ❑ indoor floor drains ❑ outdoor surface drains �/❑ license required ❑ private water ❑ indoor holding tank mdc ❑ outdoor holding tank mdc ❑ currently licensed ❑ town sewage ❑ indoor catch basin/drywell ❑ outdoor catch basin/drywell expir -- - - ❑ on-site sewage ❑ indoor on-site syste ❑ outdoor onsite system date: _. ...._...._._ ....................... 12/14/04-alp-remarks-no msds on site,shop rags found on floor and compliance: tables,haz waste drum must be labeled"toxic"and"hazardous waste, Satisfactory open containers in shop recommend-obtain msds for all materials used,store shop rags in a metal container with a lid,cap open containers in shop when not in.use. i Fee Number THE COMMONWEALTH OF MASSACHUSETTS 375 $100.00 Town of Barnstable Board of Health This is to Certify that Big {rave Marine 30 Cit Avenue - Unit 16, MA 02601 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, 2005 unless sooner suspended or revoked. SUSAN G. RASK,R.S. WAYNE MILLER,M.D.,CHAIRMAN December 22, 2004 SUMNER KAUFMAN,M.S.P.H. THOMAS A. MCKEAN,R.S.,CHO Director of Public Health f Page 2 Town of Barnstable-Health Department HAZARDOUS MATERIALS INVENTORY Chemicals: ❑ Zero Toxic Waste Materials ❑ gty's>25 Ibs dry or 50 gals liquid but less than 111 gals ❑d gty's 111 gals or more ciescn ton ? ...qty..;f �unitofineasdrer.,' p Batteries 1 75gallons batteries/battery acid _ S 8.5!gallons motor oil 75 gallons misc.petroleum products:grease,lubricants j 2gallons __..__ __...__..___._....._._ _..._._.._.. __._..._.....__..._.............._.__..__._.._..____. .._._.__..._.._.._......, _........._...._.._........_.._. househol d clea._n ers 1 gallons Windshield Wash 0.5 gallons _................... ................. Misc.Flammable 1.25gallons Misc.paint product S 0.5.gallons _....__...._ _...._...._............_......_._....__.....___...._-......___...______..__ ._.__._..__......._.___......_........_,._...__...__......._....____._.___.______._.._..... misc.petroleum products:grease,lubricants i 5 gallons car waxes and polishes 5gallons __.__.....___.__. __.__....._....__._...._____._..__._.__. ____.._.......__... ...._.__..._. ......_..... _...___ Waste solvent I 5 gallons ........_. .......... .... _........ ........... Waste Transporter: :Advanced Liquid Recycling/unifirst Fire District: hyannis Last HW Shipment Date 12110/2003 Waste Hauler Licensed: Yes Date: 4 TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS: R, BUSINESS LOCATION: 7r: r,r LA 0,w,(� MAILING ADDRESS: Mail To: TELEPHONE NUMBER: Board of Health Town of Barnstable CONTACT PERSON., C^ , P.O. Box 534 EMERGENCY CONTACT TELEPHONE NUMBER: Hyannis, MA 02601 TYPEOF BUSINESS: M a..- ;H r. S lam, P o r_ , r Does your firm store ap of the toxic or hazardous materials listed below, either for sale or for you own use? YES ✓ NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: C.f r ij v t,ti,f <<. jj.. TELEPHONE: c LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store. NOTE: LIST IN TOTAL LIQUID VOLUME-OR POUNDS. Quantity Quantity i Antifreeze(for gasoline or coolant systems) Drain cleaners NEW USED. Cesspool cleaners Automatic transmission fluid Disinfectants : Engine and radiator flushes Road Salt (Halite) Hydraulic fluid (including brake fluid) Refrigerants -Motor oils Pesticides ,,`NEW ./USED (insecticides, herbicides, rodenticides) a :Gasoline, Jet Fuel Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil NEW USED �--''Other petroleum products:.grease, Photochemicals ;Developer) lubricants, gear oil NEW USED: Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Battery acid (electrolyte) Swimming pool chlorine Rustproofers Lye or caustic soda Car wash detergents Jewelry cleaners - Cyr waxes and polishes Leather dyes Asphalt & roofing tar Fertilizers Paints, varnishes, stains, dyes PCB's �Lacuer thinners q Other chlorinated hydrocarbons, 'I NEW USED (inc. carbon tetrachloride) 'l Paint &varnish removers, deglossers Any other products with "poison" labels Paint brush cleaners (including chloroform, formaldehyde, Floor&furniture strippers hydrochloric acid, other acids) Metal polishes Laundry soil & stain removers Other products not listed which you feel ' (including bleach) may be toxic or hazardous (please list): Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS i TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1. Marine,Gas Stations, Repair satisfactory 2. Printers BOARD OF HEALTH 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY 5'p� �`� (see"Orders") 5.Retail Stores q,,� ' � 6.Fuel Suppliers ADDRESS ' ri�. �k V�v�� Class: 7.Miscellaneous C n�l'tS QUANTITIES 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 Miscellaneous: 1 DISPOSAURECLAMATION REMARKS: 1. S nitary Sewage 2. ater SupplynS^ S 1 ��Town Sewer Public On-site 0Private 3. Indoor Floor Drains YES N0� 0 Holding tank:MDC O Catch basin/Dry well 0 On-site system 4. Outdoor Surface drains:YES N0� ORDERS: 0 Holding tank:MDC ks!3 . GL�' i " O Catch basin/Dry well 0 On-site system 5.Waste Transporter Narne of Hauler Destination Waste Product NO 2. `;6_ /;4? &1Z c 7 Person(s) Interviewed T- Inspector Date i TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: m_ Mail To: BUSINESS LOCATION: < Board of Health MAILING ADDRESS: Town of Barnstable P.O. Box 534 TELEPHONE NUMBER: '" Hyannis, MA 02601 CONTACT PERSON: �h•� Q C:_C 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 quantities 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 Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) 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) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business 4. TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALT 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANYaral (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS Class: 7.Miscellaneous QUANTITIES AND TOR.AGE (IN=indoors;OUT=outdoors) MAJOR MATEI&O Case lots Drums Above Tanks Underground Tanks IN OUT IN OUTI 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: V fo 4 NA DISPOSAURECLAMATION REA AUS: 1. Sanitary Sewage 2 )'sr' . ater Supply o A O Town Sewer IRPublic 0 On-site Pri to 3. Indoor r Drains S NO H�ZoTdfi`n`g tan . DC O --Fa—sin/Dry we 7 O On-site system 4. Qutdoor Surface drains:YES NO ORDERS: Holding tank: MDC atch basin/Dry well O On-site system 5. Waste Transporter Name of Hauler Destination Waste Product YES NO 1. 2. c� a J 1 � s onsInterviewed or / at'E i � lee >7s iris i r i r %A 2 �L ��LJ(iCL!'� �L��l�l��l; �� '� �o�r�Q� TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1. Marine,Gas Stations,Repair BOARD OF HEALTH O satisfactory 2. Printers 3.Auto Body Shops _ 0unsatisfactory- 4.Manufacturers COMPANY II �Q—� (see"Orders") 5.Retail Stores C IN _ 6.Fuel Suppliers lass ADE _ �C �� TQ T �J (: : 7•Miscellaneous DR SS QUANTITIES 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 Miscellaneous: 01 DISPOSALSEC T AMATION REMARKS: 1.�S�itary Sewage 2.W,ater Supply tTown Sewer Public e O On-site OPrivate 3. Indoor Floor Drains YES N0\ O Holding tank:MDC � t O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES N0\ ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5. Waste Transporter Name of Ilauler Destination Waste Product . , YES NO 1. 2. Person(s) Interviewed Inspector Date TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 9 3.Auto Body Sh�k ops A L O unsatisfactory- 4.Manufacturers I t-1-1 LP (see"Orders") 5.Retail Stores COMPANY &GL�)k ' 6.Fuel Suppliers ,ADDRESS 0 CWAyy— L/Kn +- 4 Class: 7.Miscellaneous U7" O QUANTITIES 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) G5 D� new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: PQ,,b w" ku-—tea.% l t � M/ 3 e 13 r o- tKjct. t•�a,a,a,� v� �d 1 l(a DISPOSAL/RECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply _4AA ooDO f (v q Z Town Sewer PVublic 161•rA4 .�,i,_e_ ga'vV`ZAP �/C�`i, �l•�Cw a i`�"'I f�J O On-site OPrivate / 3. Indoor Floor Drains YES NO c/ 3 aA Zvi !VI i d —c, (ex 3 O Holding tank:MDC_ O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YESNO ORDERS: O Holding tank:MDC bei( L41WJ✓� &e-( O Catch basin/Dry well On-site system fV 5.Waste Transporter Name of Hauler Destination Vaste Product ��1. 0 YES NO A&¢ &-e- A 2. '� Q Person (s) Interviewed InsFector Date TOXIC AND HAZARDOUS MATERIAL R GISTRATION FORM NAME OF BUSINESS: [ I L-ZTV T/Rc E-f Au I o Mail To: BUSINESS LOCATION: ;3 O G i*T 1t V E LIAj /T Board of Health MAILING ADDRESS: �5 y`! Town of Barnstable P.O. Box 534 TELEPHONE NUMBER: 771 3-1 Hyannis, MA 02601 CONTACT PERSON: i__ d)LW E(dC._ EMERGENCY CONTACT TELEPHONE NUMBER: o� Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities 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. ' 1 ' 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 �,�2UM C s, Antifreeze ( r gasoline or coolant systems) Drain cleaners tt Ic 5 Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants q C5, Motor oils/waste oils (PAUM I~ 4U-1E 0 a_) Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda f� Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) 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) Other cleaning solvents Bug and tar removers - Household cleansers, oven cleaners White Copy- Health Department/ Canary Copy-Business . TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1. Marine,Gas Stations,Repair Q satisfactory 2.Printers BOARD OF _ LTH 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY to (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS (:lass• 7.Miscellaneous Q ANTI IES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MA RIALSCase lots Drums Above Tanks Underground Tanks IN OUTI IN OUT I IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Caste motor oil new motor oil (C)' transmissio �raul�i Synt ettc rganics: degreasers Miscellaneous: r DISPOSAURECLAMATION REMARKS. S: 1. Sanitary Sewage 2.W ter Supply 1 -- Ly 5 O Town Sewer Public �On-site O rivate 7k 3.Indoor Floor Drains YES N0 O Holding tank: MDC WrM O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES-NO--.4 O S O Holding tank: MDC O Catch basin/Dry well l *.� O On-site system 092 5. Waste Transporter Name of Hauler Destination Waste Product YES NO 1. 2. "Person (s) Inter� Qvieewed Inspe at / •tea: TOWN OF BARNSTABLE COMPLIANCE: cuss: 1.Marine,Gas Stations,Repair BOARD OF H LTH satisfacto 2.Printers 1 �' 3.Auto Body Shops ; p 1 0 unsatisfactory- 4.Manufacturers (see"Orders") 5.Retail Stores COMPANY )A AX0 6.Fuel Suppliers ' ADDRESS r iTAVC, Class. 7.Miscellaneous VkAl UANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR M , IN OUT Case lots Drums Above Tanks Underground Tanks IN OUT IN OUT #&gallons Age Test Fuels: Gasoline Jet Fuel(A) i , Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (CY' t' ransmission/hydrau is sy thfet O g nits: degreasers i i i j Miscellaneous: R } l 7 S 1 • ,V 7. ar j l c �c,vl� DISPOSAURECILAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply 0 Town Sewer ublic )n-site PrivateR klTr"2L�s ; . S 3. Indoor Floor Drains YES NO 0 Holding tank:MDC 0 Catch basin/Dry well 0 On-site system 4. Outdoor Surface drains:YES NO ORDERS: 0 Holding tank:MDC 0 Catch basin/Dry well 0 On-site system 5.Waste Transporter Name of Hauler Destination Waste Product (1, A) -4- O)ASL_ YES NO 1. 2 erson(s) nterviewe Inspecto at TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Station Re air BOARD OF HEALTH satisfactory g.Printers to Body Shops unsatisfactory- 4.Manufacturers COMPANY" (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS _ Class: ,-z4 7.Miscellaneous QUANTITIES AND ST RAGE (IN=indoors;OUT=outdoors) MAJOR 1�I,AEERIALS DrumsAbove Tanks 7IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Wine, ue aW4� � iese , e, #2 ( ) Heavy Oils: waste motor oil (C) � new motor oil(C) 3�S transmission/hydraulic Li Synthetic Organics: degreasers F'?� Rep k —75 lellAe Miscel neous: DISPOSAL RECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply Town Sewer Public O On-site OPrivate 3. Indoor Floor Drains YES N0z_ O Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product 0 ., �, f t� YES NO 2. Y I/,AR /la 14 W,AW erson(s) Interviewed Inspector Date TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH 0' satisfactory 2.Printers 3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY / (see"Orders") 5.Retail Stores 6.Fuel Suppliers DR SS V Class: 7.Miscellaneous ` QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MAT 9RIALS Case lots Drums Above Tanks Underground Tanks 2� � IN OUT IN OUT IN OUT #&gallons Age Test'y Fuels: �^ Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) trans mission/hydraulic Synthetic Organics: degreasers P /U cellaneous C DISP SAURECLAMATIO REMARKS: 1. anitary Sewage 2. Water Supply 0,Rr ` Town Sewer Public O On-site OPrivate / 3. Indoor Floor Drains YES NO- '� O Holding tank: MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES_j/NO ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5. Waste Transporter Name of Hauler Destination Waste Product LicensedT L�(/i � Js��St4 %� �% �✓"d YES iNO 2. Person(s) Interviewed Inspector Date ry me V6V 1ct_16 awo av TOXIC AND HA RDO lUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: old Mail To: BUSINESS LOCATION: 01VIT of Health :OwPcard own of Barnstable MAILING ADDRESS: P.O. Box 534 TELEPHONE NUMBER: Hyannis, MA 02601 CONTACT PERSON: 9 EMERGENCY CONTACT TELEPHONENUMBER: Op EmDoes your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use,.' - 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 Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners e & roofing tar Leather dyes varn' ns, dyes Fertilizers (if stored outdoors) lacquer thinners PCB's 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) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy- Health Department/ Canary Copy-Business L TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair nters BOARD OF HEALT O satisfactory 3.2.Auto Body Shops �� unsatisfactory- 4.Manufacturers (see Orders )., " " 5.Retail Stores COMPANY a) 6.Fuel Suppliers ADDRESS ls' 0 (;lass• 7.Miscellaneous AA QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MAT1�TALS Case lots Drums Above Tanks Underground IN OUT IN I OUT I IN JOUTI#&gallons Age ITest 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: ANNA f A U caz DISPOSAURECLAMATION 1. Sanitary Sewage 2. Water Supply 0 Q rJ Town Sewer ublic On-site O rivate 3. ndoor Floor Drains YES NO T 0 Obi A h_J6 O Holding tank: MDC p Catch basin/Dry well O On-site system ® 4. Outdoor Surface drains:YES NO : O Holding tank:MDCj O Catch basin/Dry well --rO6 ., O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product S NO 1. 2. Petson. (s) Interviewed Inspec o a TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair O satisfactory 2.Printers BOARD OF HEALTH O 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY �, {,,' (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS � �� Class: 7.Miscellaneous �;�_.,, 5 QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATE Case lots Drums IN OUT #& allons a Test IN OUT IN OUT g Ag Fuels: Gasoline,Jet Fuel (A) Dfesel, Kerosene, #2 (B) wasteetere}1- Synthetic Organics: degfe'a� avi � fisce lan pas: � - v r DISPOSAL/RECLAMATION REMARKS: 1. Sanitary Sewage 2. ter Supply d � O Town Sewer ublic 40 00n-site OPrivate �- 3. Indoor Floor Drains YES NO 2 O Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES INO ORDERS: O Holding tank:MDC 1_3 O Catch basin/Dry well IV O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product Cft,,� YES NO 2. P son(s) Inter'viewed Inspector Date /.C/ &/ y .I TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1:Marine,Gas Stations,Repair 2. nters BOARD OF HEALTH o satisfactory 3.Auto Body Shops po� unsatisfactory- 4.Manufacturers COMPANY fD�A �J� �7 �l c� see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS C Class: � 7.Miscellaneous �14 iJ QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks i 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) to V V2 ( c5 new motor oil(C)(,,,B d lG s transmissio ydrauli Synthetic Organics: degreasers `4 pvt.� (its-��"1v�"S Q✓v+'(;t 6 t"V", /L/-VVA-CtA Cam-( +I Miscellaneous: v f.c. 1, x ct J C,�.I tvwf 3 IS" D� (dal pc DISPOSALIRECLAMATION REMARKS: J 1• Sanitary Sewage 2.Water Supply ��4 - v Town Sewer Public N( �;�, tf I' O On-site OPrivate � 3. Indoor Floor Drains YES .�NO �U �tiv�.a` ��) V" ,J? �� yak � O Holding tank:MDC " t— O Catch basin/Dry well '�. 4.mil on—Lc A✓'41 4�U O On-site system f ,r 4. Outdoor Surface drains:YES—NO� O ERS: P ��/ O Holding tank:MDC f�� G3'(( Zf Q6�,e h a O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product YES NO 2. Person(s) Interviewed Inspect �� Date r a 1-12-1998 12:48PM FROV STAPLES HYANNIS S08 771 S203 P. 1 a1[i1M Ur UVINivLIUlLUV 1 I DEPARTMENT OF ENVIRONMENTAL PROTECTION ; Hazardous Waste MANIFEST.PROGRAM 75) Elm St.. Iiartford_ CT 06106- 27 ' _ ___ _... Sl.. ___. Please type(or prim) (Form d8s+pnnn rm arp n,n OLIN 17'nrrcnj rypwwnrer.; -_-FOR STATE USE ONLY UNIFORM )HAZARDOUS I Generaior's US rcA ID No. Manifest !.Page t mformaunn ,n thr, gn2430 ;,rent ir.. .,o; WASTE MANIFEST Oo�vrt<51rIt Ito.,, 14,quirod by Ft-dual law. but (nay nt, frawreo t,y Stale Inw 3. Generator'„Name and Mailing Addrmt 2, \ \C G FM G i T Z Sarre oow r�+t': y r.: Ir. 30 CIT A Vf— tAN tT W'i Lu H +e-►'� �J1 /t�f�l �7'LbD ) B.,G:9,i,:t�evf;;Sae:Aedre®a). A a. Genet l is Pr,Orae - O 2 5. Transposer t Company amy 6. US EPA ID No bor V� CL 04APvA*W Zi�i.lp:� Gy ii 7. Transporter 2 Company Name rn Tran rtr 8. US FPA ID Number J U _ _ ?; 9. ousignared Facility Nnmo�,nd Site Addrrs: - US EPA lD NumDer �.L: TAnB.t.iG GIS,®Nj' .. 1Q ,.. £.5, ) F' ' (3's�FaicWs to.. ;Ragiriieoj ' 70t! F O 12.Conlainer; 13. 14. I. ...,.. y 11.US DOT Dnseription(Including Propor chipping Name,Ha7.7rd Class,and ID Number) Totaf Una No I,Tvpe Quantity Wt/vo1 Waste No.. 0 EPA' m C / 9T Rb. A FPa.. 0 8iATre* Z 0 A C. r 4TATf -- m d. _ _j 'EPA'',' m J. Addhidnaf Dnscrfptians.lorAaat®fta f.;s6seAbate:' r, rt -rrr..., . .... da.004ft aa.Lieted'Above c F'mal:.; interim Fitter c' r d^' l t�Y t . ,r•r.. _.. t1 15. 8=;ial Handling instruel,ins anti Additional h1forms1un K U _ Point of Departure: rn 16. GENERATOR'S CERTIFICATION:I hereby declare that the Contents of this consignment are sully and accuratety descritsod above:by zi prwvr shipping name spry-..Iry classified,packed,marked,and labeled,and are rr1 au respects in proper cond,tion rot Irunspon by highway a according 10 8pplicable inremation3i Anp ngryional government regulations•and alf applicable S13le IawS 0nd regulations. n 1 ilrh a large Quantity gel:C,ujor.I Certily.that i havit a program in place to reduce the vo4ums and toxicity of wade genCrralCd tv the degree I Have determine to IV U 9COMAIC311y pr,tCliCablC and IN11 I havt't*vlocted the pracbcahl(,mottled of Ireamme M,storage•or dNI)Osal currently available.to me wntcl)t'ninimize;; y ;1r-0 IvIvrc threat to human IWAth and the environment;OR,if lam a shlall quantity gP,ncrator,I have made a goof!tami<>ifort 10 minimize my was n n iinp Select Inn hest WitSID management r11091 0 that is availaote In n1C rand'thal I can afford. a Printed/I yped Naime Signature pin lily my 2 !; 17. Transporter 1 Acknowfudgerneni of RKeipt of KAtvritils A¢ P,irllod/Typed Name N Signsture t>nrt D;: a,r u, s O� z r O 1t1. Transporier 2 ACKnowl(,dge.ment or Rece,pt of Materials R W E J'r,ntedRypr;d Name — SignsWre - Mono Day Yvu, 19. Discrepancy b;eication Space to F e A O C t z L _ W y 20.Facility Owner or Operator'G:rtification of receipt of haiardous materials covornd by this manifest Rxc4-pt as noted in Item 1q. -� = Y Printed/Typed Naw _ SignalWr.: -- Munrh Day Year L EPA Form d700-22(Rev.9r91) Fxm npprpved OMB Ate.20W-W39.Exp,res g/3om6.Prevevkxa edition ra Opbaotele. f . TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: Mail To: BUSINESS LOCATION. nNVDICK GASR ITT Board of Health MAILING ADDRESS: CIT AVE. ®AYE. 1 Town of Barnstable Hyannis, MA 02601 P.O. Box 534 TELEPHONE NUMBER: 775—777f Hyannis, MA 02601 CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: Does your firm siere any of the toxic or r hazardous materials listed below, either for sale or for your own use, ' , 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) — rain cleaners 14�:: Automatic transmission fluid Toilet cleaners Nos Engine and radiator flushes I�,,Cesspool cleaners el 4WI ,! Hydraulic fluid (including brake fluid) Disinfectants Zo Motor oils/waste oils I_A Road Salt (Halite) az Gasoline Jet fuel efri erants�. «v2�,R g I Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal ,-Photochemicals (fixers and developers) 6 _ Degreasers for driveways & garages ,Qt g p-hp Printing ink J,[zj2�e_ Battery acid (electrolyte) A4V -Wood preservatives (creosote) Rustproofers -Pere, !S �rt6h Swimming pool chlorine Car wash detergents -;, Lye or caustic soda 9491--Car waxes and polishes 44 ,Jewelry cleaners Asphalt & roofing tar ,Leather dyes Paints, v�a� ,stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers i,�Other chlorinated hydrocarbons, f Paint brush cleaners . (inc. carbon tetrachloride) 41' e Floor & furniture strippers 4j&j&&Any other products with "Poison" labels ltlm,e- Metal polishes (including chloroform, formaldehyde, Z ? Laundry soil & stain removers hydrochloric acid, other acids) b (Including bleach) Other products not listed which you feel may Spot removers & cleaning fluids betoxic or hazardous (please list): (dry cleaners) _ Other cleaning solvents `j e0gl eal d n° Pam, ;-� Bug and tar removers /,,off" Household cleansers, oven cleaners White Copy- Health Department/ Canary Copy-Business TOWN OF BARNSTABLE OMPLIANCE: CLASS: 1.Marine,Gas Stati ns,Re air satisfactory 2.Printers BOARD OF IEALTH 3.Auto Body Shops V"!��_4 <f.` ,� unsatisfactory- 4.Manufacturers COMPANY (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS f/,�► /J? lass: 7.Miscellaneous QUANTITIES AND STORAGE (IN= indoors;OUT=outdoors) MAJOR MA IALS , IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) - t 1~.Diesel, KjrQsenR,# Heavy Oils: waste motor oil (C) new motor oil(C) transmission ydr`auhc Synthetic Organics: degreasers 110, Miscellaneous: 02-1 17, ew All DISPOSALIRECI AMATION REMARKS: 1 Sanitary Sewage 2.Water Supply Town Sewer Wublic - �` O On-site QPrivate 3. Indoor Floor Drains YES NO O Holding tank:MDC O Catch basin/Dry well - O On-site system 4. Outdoor Surface drains:YESZNO ORDERS: Holding tank:MDC 1,5 Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product YES NO 1. 2. Person(s Interviewed Inspector Date Joe Hamel i Hamel Woodworks Custom Kitchens,Cabinets&Millwork 508-778-5202 30 Cit Ave.Unit 9 Fax 508-771-2657 P.O.Box 1644 Hyannis,MA 02601 hamel®capecod.net www.hmelwoodworks.com TOWN OF BARNSTABLE OMPLIANCE: CLASS: 1. Marine,Gas Stations,Repair BOARD OF HEALTH satisfactory 2. Printers 3.Auto Body Shops O unsatisfactory- 4. Manufacturers COMPANY (see"Orders") 5. Retail Stores _ 6.Fuel Suppliers ADDRESS Ct,, PS) l u/ VNIass: �-Xj 1. 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: Yzll ,L 2 DISPOSALIRECLAMATION REMARKS: II 1. Sanitary Sewage 2.NYater Supply k-VG--1 'Q�l ,Town Sewer Public �j S �� 1 L On-site OPrivate �1 1 3. Indoor Floor Drains YES4NO O Holding tank:MDC_ O Catch basin/Dry well O On-site system �J- 4. Outdoor Surface drains:YES NO, O cry O Holding tank:MDC t �r O Catch basin/Dry well aG'0-Jcc oq Se O On-site syystemtem sit- ` . 5.Waste Transporter L . � Licensed?Name of Hauler Destination Waste Product 1. YES N0 2. a Pe o Inte ewed Inspector Date TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: Sa a L/ S/ C'v�� Mail To: BUSINESS LOCATION: __�a 7 Av,F Board of Health Town of Barnstable MAILING ADDRESS: _ / �/f�� ;� s Z�u P.O. Box 534 TELEPHONE NUMBER: 22Z, /,S� Hyannis, MA 02601 CONTACT PERSON: T , vL R K70X6 E EMERGENCY CONTACT TELEPHONE NUMBER: _�2� 7/ S' Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totalli g, 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 Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, �^ Other petroleum products: grease, lubricants rodenticides) —� Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) _� Wood preservatives (creosote) �^ Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes �Jewelry cleaners Asphalt & roofing tar Leather dyes l' Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) !^ 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) f Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) Other cleaning solvents Bug and tar removers --Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business 1` 1' Date: �?7 TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS: BUSINESS LOCATION: 61— /T MAILING ADDRESS: 11_ Mail To: TELEPHONE NUMBER: .5� ��/-0.3'�� Board of Health CONTACT PERSON: �^ ,�/,ll�sL Town of Barnstable P.O. Box 534 EMERGENCY CONTACT TEL PHONE N ER: /�5�� Hyannis, MA 02601 TYPEOFBUSINESS: - Z \ Does your firm store any of the toxic or hazardous materials listed below, either for sale or for you own use? YES ✓ NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site otherthan your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Quantity � &Antifreeze(forgasolineorcoolantsystems) Drain cleaners l/NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salt (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil NEW USED Other petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Battery acid (electrolyte) Swimming pool chlorine 6Z. Rustproofers � 6u_jS Lye or caustic soda Car wash detergents Jewelry cleaners Car waxes and polishes Leather dyes Asphalt & roofing tar Fertilizers 1, Paints, varnishes, stains, dyes PCB's ekz_ Lacquer thinners Other chlorinated hydrocarbons, _jZNIEW USED (inc. carbon tetrachloride) Paint & varnish removers, deglossers Any other products with "poison" labels Paint brush cleaners (including chloroform, formaldehyde, / Floor& furniture strippers Metal polishes hydrochloric acid, other acids) Laundry soil & stain removers Other products not listed which you feel (including bleach) may be toxic or hazardous (please list): Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS �l TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY A0 2 (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS ' Class: 7.Miscellaneous QUANTITIES AND TORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS D derground IN OUT IN I OUTI IN OUT #& allons g 177 Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2(B) Heavy Oils: waste motor oil (C) 1'9 new motor oil (C) transmissio Synthetic Organics: degreasers Miscellaneous: v- DISPOSALIRECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply ?l ,ll Town Sewer _;�Vublic Cj O On-site OPrivate 3. Indoor Floor Drains YES NO O Holding tank: MDC O Catch basin/Dry well O On-site system r 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MDC f Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product YES NO 1. 2: 1� YV (1,1V1,0,UAAA 1/1, Z 0j Person (s) In e ewed Inspector Date I 'IV TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1. Marine,Gas Stations,Repair d' Q satisfactory 2.Printers BOARD OF_HEALTH OA _ 3.Auto Body shops __ O unsatisfactory 4.Manufacturers 4 (see"Orders") 5.Retail Stores s- Fuel Sll llers COMPANY _ s F pp ADDRESS �Cla 3: 7.Miscellaneous } A�&ML SQITIESSTORAGE (IN=indoors;OUT=outdoors) M ACTOR - IN OUT IN OUT IN OUT I#&gallons IAge ITest Fuels: Gasoline Jet Fuel (A) Diesel,Kerosene, #2(B) Heavy Oils: waste motor oil (C) a new motor oil (C) I transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: CL-/4N ;� M � C . Tel �2 a� DISPOSAURECLAMATION REMARKS: ® a 1. Sanitary Sewage 2. IWA 51�dater Supply J AA CAI 1 , / Town SewerPublic -)&On-site OPrivate 3. Indoor Floor Drains YES4NO O Holding tank:. O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES (NO O E M• /� / �� O Holding tank:MDC O Catch basin/Dry well C— O On-site system ` 5.Waste Transporter DestinationName of Hauler 2. + Per n s) In erviewed - Inspector --- e Date: /.3� / oy/ TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: aL2{tG.- CAgadb Z4440 �P.GcS�c �r�2tin BUSINESS LOCATION: 30 &A- /41/4- ` A44a4 Aswu NVENTORY MAILING ADDRESS: `/ " TOTAL AMOUNT: TELEPHONE NUMBER: 5-057 — —7 y V 9'Sy r7 It gC.Gt(an S CONTACT PERSON: JA Ja44 PLL- we,f,t EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: ®. 6 1 �.. s,ac. INFORMATION/RECOMMENDATIONS: S cc.S Fire District: P CL.S. GL .K2° aa•b" oAJQt =A �H,4Z,4jA 7 ovs C t2s,io. Waste Transportation: LA e4- Last shipment of hazardous waste: Name of Hauler: 5 Destination: N /I Waste Product: Licensed? Yes No A,-'IA Zvi NOTE: Under the p ovislons of Ch. 111, ecY n 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) ° 2 Misc. Corrosive NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides NEW BUSED (insecticides, herbicides, rodenticides) fA Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED • �5-9 kcd 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 32- 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 ad Any other products with "poison" labels S 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 (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers �- Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS The Town of Barnstable lAl(f7AL4L t rai Inspection Department � .� ti �0� �Ot O• �� '�(�►� 367 Main Street, Hyannis, MA 02601 508-790-6227 Joseph D. DaLuz Building Commissioner September 21, 1992 Mr. Eugene Burman Rene L. Poyant, Realtors 282. Barnstable: Road Hyannis, MA 02601 RE: Units 11 - 15 CIT Avenue., Hyannis Dear Mr. Burman: This letter will confirm my meeting with you and Mr. Bluestein on the above date re the purchase of the above referenced for an assembly plant to wrap wood in metal for framing purposes. I discussed this type of operation with Mr. McKean, Director and Mrs. Donna Miorandi in the Health Department and they concurred that they would approve the use. Mr. McKean also stated in our calculations that ten ( 10) employees would meet their requirements if so needed. We acknowledge that no chemical or hazardous materials will be used and we :take this opportunity to thank you for protecting our ground water and extend the best in your J� business. 'r Peace, Jo/.i.�`�'//`• ! l-�Jl /^.{.lam'' , seph/ D. Draw, Building Commis ioner JDD/gr CC: T.McKean (/ 'Y Y� , Cit Avenue variance deniect By John Nicholson the 330 Regulation and covers sioner Joe DaLuz says the sec- The Barnstable Board ,of the addition of a second floor. and floors,despite the presence Health this week refused to grant The regulation allows for a dis- of showers,are,not apartments. a second variance for office charge of 330 gallons of waste When a building permit was is- condos on Cit Avenue after an water.The variance would allow sued it was for garages, says inspection showed evidence of Blackburn toexceed the 330 limit. DaLuz. He would have denied bathroom appliances on the sec- "I need the'variance. After the permit if it was for apart- ond floor. building $1 million worth of ments. The board will not grant the storage space,I'm stuck with it," According to board of health variance until it is allowed to says Blackburn. chairman Dr.Grover Farrish,the make regular inspections to in- According to health officials, second floorunits haveevery look sure the second floor does not when the original variance was of an apartment with a shower become apartments. The deci- granted by the board it was for and water hook-ups.Farrish and sion was reached at the board's single floor dry good storage. fellow health officials are fearful Feb.21 meeting. When the structures werebuilt, apartments would be detrimental The buildings are located in a second floor was added and to the wells in the area by causing Hyannis and owned by Raymond health officials fearthenew floors , too much waste water discharge Blackburn and others.Blackburn will become apartments.Garage into a septic system built for owns his own salvage yard on doors are also part of the struc- storage only. The site is located Airport Road. I tures. in a zone of contribution to pub- The variance would be from Barnstable Building Commis- lic wells. Farrish adds when the plans were presented to the board of Januarys new home health they depicted three units for construction zip from '88 being consoodtructed the Now,haaftve being constructed the units have become garages with show room For January 1989,38 building permits were issued for the con- space and possible apartments struction of new homes in Barnstable.For the same period in 1988, on a new second floor. only 19 total permits were issued by the building department. Leading the villages in the construction of new homes was Farrish saystheboard willonly Marstons Mills with a total of 12 permits for new dwellings being approve the variance if it can issued. Hyannis was second with eight permits issued. The other conduct regular inspections of villages had an average of three permits issued to builders. the units to guarantee that they The average cost of construction ran around S35,000 for a new don'tbecomeapartments.Black- home.The building of one home in Barnstable tops the month in burn says he would allow inspec- total cost for construction.A single family home in the village cost tions of his own unit, but he $350,000,just for construction. cannot allow inspections of Other permits issued for new construction included one for the something he doesn't own. new radiation treatment addition at Cape Cod Hospital.Independ- "It would be like me,allowing ence Park was also the site of new construction last month as a series someone to inspect your home.It of permits were issued to the Shields Company for its construction just can't be done," Blackburn of business condos. told the board of health. In the municipal work category,a permit was issued for interior DaLuz says a way around the restoration at the Grade Six School in Hyannis. problem would be writing some- J.N. thing into the sale agreements so inspections could be conducted. Ann ual Eff ectiv e Yi 1 ed super' Savin s Account rate is ettin rave review.. .e. , Cape Cod Cooperative Bank raises the curtain on their new Super Savings Account. For a minimum of$10,000 your earnings will entertain a show-stopping rate of 9.00%with an annual yield of 9.42%. Plus with a Super Savings Account there's no penalty for early with- drawal—your money is available when you need it. Add to that an encore performance which includes free travelers checks, an ATM card with unlimited use,deposits fully insured by FDIC,and no monthly fees on a NOW account, and you've got a Super Savings Account that's a hard act to follow!And right now at Cape Cod Cooperative,open a Super Savings Account before April 15th and take advantage of an additional ' 1/4%on a CD opened within 6 months. A ' To find out more about our award winning savings plan, stop by any one of our Cape Cod s , Cooperative branches in Yarmouthport, East Dennis _ or West Barnstable and discover why our 9.00% _ • Yarmouthport•West Barnstable•East Dennis Super Savings Account is getting such rave reviews. 362 3242 362 8161 385 9212 '$10.000 minimum opening deposit.The effective annual yield is based on continuous compounding of interest and assumes that the same rate remains in effect for an entire year.Balances below$10,000 earn at a rate of 5.25%.All deposits fully insured by FDIC/SIF. . i TOWN ATTORNEY'S OFFICE TOWN OF BARNSTABLE INTER-OFFICE MEMO DATE: August 27, 1990 TO: THOMAS MCKEAN, Director, Public Health FROM: RUTH J. WEIL, Assistant Town Attorn RE: CIT AVENUE OUR FILE REF. NO. : 90-0008 I am in receipt of the attached correspondence from Ron Jansson regarding the above. Ron appears satisfied with the easement as drafted. (See copy attached. ) The remaining outstanding issue is the actual square footage of the building. This is critical because a determination needs to be made as to whether the septic system must be expanded. I would appreciate it if you would review the attached correspondence at your earliest convenience and advise me as to how the Board of Health wishes to proceed. RJW: cg Encs . LAW OFFICES OF RON S. JANSSON 3267 MAIN STREET P. O. BOX 147 BARNSTABLE, MASSACHUSETTS 02630 (508) 362-2500 TELECOPIER: (508) 362-5253 August 16, 1990 Ruth E. Weil, Esq. Assistant Torn Attorney Barnstable Town Hall Hyannis, MA 02601 RE: Richard Garbitt - 30 Cit Avenue ------------------------------------ Dear Ruth: Through my inadvertance, I failed to get back to you regarding the above-referenced matter after you were kind enough to forward to me your proposed easement. I would suggest that this matter may be resolved by a conference to be had fairly shortly. With minor modifications, your proposed lease appears to address the issues that we were concerned about. The only remaining issue to be addressed was the capacity of the existing buildings to be served by the existing septic system. You will recall that as opposed to outside dimensions of the building itself, it was suggested that we take inside dimensions of each unit floor by floor which, Richard Garbitt has done. You will find the overall dimensions of each unit on the attached schedule which I would ask you to review with Tom McKean. I am hopeful that this will once and for all address the issues in order that we may now move forward. . Please give me a call when you have the opportunity. Very truly yours, Ron S. Jansson RSJ/slh Enclosure AUG 2 0 1990 WASTEWATER RIGHTS EASEMENT This agreement: is made between having their usual place of business at hereinafter called the GRANTOR , and THE INFIALITAiNTS OF T!'IE TOWN O, BARNSTABLE (her-e.inafter ''Town. of Barnstable" ) , the GRANTEE , municipal corporation organized under the laws of the Commonwealth of Massachusetts , with offices located at 357 Main S, t:r`ct , Hyannis , Massachusetts . WHEREAS , the Town of Barnstable , in order to protect the public health , safety and welfare by maintaining quality groundwater , has adopted a bylaw which limits the maximuirt allowable amount of wastewater discharge to 330 gallons per acre in a zone of contribution ; WHEREAS ,. the Town of Barnstable , Board of Health , has adopted an INTERIM REGULATION FOR THE PROTECTION OF GROUNOWATEi� which requires that in zones of contribution , the maximum allowable discharge of sanitary sewage based on flow estimato!:3 listed in Regulation 15 . 02 ( 13) of the State Environmental Code shall not exceed 330 gallons per acre per day . WHEREAS , own ( s ) a parcel of land located at. which comprises acres of land , WHEREAS , under the Town of Barnstable bylaw, the maximum allowable discharge of sanitary :sewage for acres of land is WHEREAS , wishes to undertake activities on its land , as follows , which , under, said State Environmental Code , will generate a maximum of ��.. gallons of wasterwater per day ; WHEREAS , in consideration of .permitting _ to undertake said activities , We , of the Town of _ County of do hereby grant to the Inhabitants of the Town of Barnstable , a wastewater rights easement, in perpetuity , on a parcel of land loc.ated 'in said Town of Barnstable , bounded and described as follows : SECTION 1. The terms of this wastewater rights easement are as follows : that neither we .nor its successors or assigns will perform the following acts nor permit others to perform them, hereby granting to said Town of Barnstable the right to enforce these restrictions against all persons : 1 . No building , sign outdoor advertising display . fence , mobile home , utility pole or other temporary or permanent structure will be constructed or permitted to remain on said parcel . 2 . No soil , loam, peat , gravel ., sand , rock or other mineral substance , refuse , trash , vehicle bodies or parts , hazardous wastes , pesticides , rubbish , debris , junk , waste or other unsightly or offensive material will be placed , stored or dumped thereon . SECTION II . The wastewater rights easement hereby conveyed does not grant either the Town of Barnstable or the public any right to enter said parcel except to said Town an easement of access to enter said parcel , by its Board of Health for the purpose of inspecting the premises and enforcing the foregoing restrictions and remedying any violation thereof . The right hereby granted shall be in addition to any other remedies available to said Town for the enforcement of the foregoing restrictions . SECTION III . 1 . This wastewater rights easement shall become effective upon the recording hereof , together with the approvals attached hereto , at the Barnstable County Registry of Deeds , Land Registration Office . 2 . No documentary stamps shall be necessary for this instrument . SECTION IV, 1 . This wastewater rights easement is granted in perpi.tuity and shall only be released when the Town of Barnstable elects to provide public sewers to the parcel . IN WITNESS WHEREOF, we have hereunto set our hands and seals this day of Grantor Grantor 30 CIT AVENUE - INSIDE MEASUREMENTS UNIT ONE: First Floor: 23 .75 feet by 58.333 feet = 1,385.41 square feet Second Floor: 56 feet by 22 .75 feet = 1,274 square feet TOTAL SQUARE FOOTAGE FOR UNIT ONE: 2, 659.41 square feet UNIT TWO: First Floor: 22 .825 feet by 57. 333 feet = 1, 308.63 square feet Second Floor: 23.25 feet by 57.33 feet =. 1,333 square feet TOTAL SQUARE FOOTAGE FOR UNIT TWO: 2, 641. 63 square feet UNIT THREE: First Floors 23 .825 feet by 57. 333 feet = 1,307.87 square feet Second Floor: 23 .25 feet by 20 feet = 465 square feet TOTAL SQUARE FOOTAGE FOR UNIT THREE: 1,772.87 square feet UNIT FOUR: First Floor: 22.825 feet by 57. 33 feet = 1, 308.5 square feet Second Floor: 23 .25 feet by 26 feet = 604.5 square feet TOTAL SQUARE FOOTAGE FOR UNIT FOUR: 1,913 square feet UNIT FIVE: First Floor: 1,308. 6 square feet Second Floor: No square feet TOTAL SQUARE FOOTAGE FOR UNIT FIVE: 1,308. 6 square feet UNIT SIX: First Floor: 22 . 825 feet by 58 . 33 feet = 1, 331.4 square feet Second Floor: 23 . 25 feet by 57. 33 feet = 1, 333 square feet r 1, TOTAL SQUARE FOOTAGE FOR UNIT SIX: 2, 664.4 square feet ; UNIT SEVEN: First Floor: 23.8 feet by 58.3 feet = 1,380.4 square feet Second Floor: 23 .25 feet by 57.333 feet = 1,332.9 square feet TOTAL SQUARE FOOTAGE FOR UNIT SEVEN: 2,713.3 square feet UNIT EIGHT: First Floor: 23 . 66 feet by 58. 33 feet = 1,380 square feet No Second Floor TOTAL SQUARE FOOTAGE FOR UNIT EIGHT: 1,380 square feet UNIT NINE: First Floor: 23 . 66 feet by 58.33 feet = 1, 380 square feet s No Second Floor s >< TOTAL SQUARE FOOTAGE FOR UNIT NINE: 1, 380 square feet l".Aw S� UNIT TEN: First Floor: 23 .75 feet by 58.5 feet = 1, 389.4 square feet ' Second Floor: 22.75 feet by 58.33 feet = 1,327 square feet i...a TOTAL SQUARE FOOTAGE FOR UNIT TEN: 2 ,716.4 square feet UNITS ELEVEN, TWELVE, THIRTEEN, FOURTEEN & FIFTEEN: All one floor only consisting of 116. 16 feet by 58.5 feet TOTAL SQUARE FOOTAGE FOR ALL UNITS: 6,795. 36 square feet UNIT SIXTEEN: First Floor: 58. 33 feet by 23 .75 feet = 1, 385. 3 square feet No Second Floor , TOTAL SQUARE FOOTAGE FOR UNIT SIXTEEN: 1, 385.3 square feet iy ,4�� t s { UNIT SEVENTEEN: =x First Floor: 58.33 feet by 23.75 feet = 1,385.3 square feet E- t No Second Floor TOTAL SQUARE FOOTAGE FOR UNIT SEVENTEEN: 1,385.3 square feet UNIT EIGHTEEN: t.: fi First Floor: 58.33 feet by 23 .75 feet = 1,385.3 square feet F Second Floor: 28.33 feet by 23 .75 feet = 672.8 square feet i TOTAL SQUARE FOOTAGE FOR UNIT EIGHTEEN: 2, 058. 1 square feet UNIT NINETEEN: e. First Floor: 58. 33 feet by 23 .75 feet = 1, 385.3 square feet Second Floor: 58.5 feet by 23 .25 feet = 1,360. 1 square feet TOTAL SQUARE FOOTAGE FOR UNIT NINETEEN: 2,745.4 square feet UNIT TWENTY: First Floor: 58.825 feet by 22 .75 feet = 1,338.3 square feet Second Floor: 56.758 feet by 23 .25 feet = 1,319.4 square feet TOTAL SQUARE FOOTAGE FOR UNIT TWENTY: 2, 657.7 square feet TOTAL SQUARE INSIDE SQUARE FOOTAGE INCLUDING ALL STAIRCASES IN UNITS ONE THROOUGH TWENTY AT, 30 CIT AVENUE, HYANNIS, MASSACHUSETTS: 38,176.77 square feet ' 362-4541 939 main street rt 6a yarmouth port mass 02675 Gown cope en�►in erin�� civil engineers& land uiveyors structural design t ! REcE�vEO Arne H.Ojala P.E.,R.L.S. land court January 10, 1992 Richard R.Fairbank P.E. surveys tr A 1 2 1993 Tom Mcean 1I�j1 site planning Board of Health ' 367 Main St. ; Hyannis, MA 02601 sewage system designs Dear Tom: A test of the tight tank for Ruben. Santiago,was inspections conducted between Jan. 7 and Jan 10, 1991. The test indicates a leak from the 1000 gal. tight tank of approximately 5 gal/day. The tank is currently being permits used for storage of grey water from car rinsing, and lies within a GP district. Should you have any further questions, please call me at 362-4541. Sincerely, James C. Jodice Down Cape Enginering, Inc. Tl6H T TAAlk ZA&L 1 a 1 a42 i 2 S" Lt�}KEp V�LyME i 5 - 9o_ bs_---- _ RATE = y-, 92 �1- f STATEMENT ' 25015 Date�1c11r�} ,�0 19 To ..... .. ... . .. .. . --Ave" , IN ACCOUNT WITH J.P.MACOMBER & SON INu. BOX BB CENTERVILLE,MA.02632 1 4 Stock Form 25812 I � i O*THEro TOWN OF BARNSTABLE w� OFFICE OF STMM • Bea "S. M�sd BOARD OF HEALTH so 9 O 1639. \e0^ d-M_ 367 MAIN STREET HYANNIS, MASS.02601 April 12, 1990 TO: Ruth Weil Assistant Town Attorney FROM: Thomas A. McKeanf-�/M Director of Public Health RE: Wastewater Rights Easement - Cit Avenue I am in receipt of your memo dated April 4, 1990. You stated you spoke with "Ron Jansson who states that his clients have re-measured the room and believe that they can have the office uses they want without any further expansion of the septic system". I have not seen any calculations based on the re-measurement. Please advise Mr. Jansson or his clients to bring the measurement figures to the Health Department office in order to determine if the Board would agree with the figures. Also, the proposed "draft" drainage easement appears to be "'on the right track". However, I question . Section 1 Subsection 2. Why would soil, loam, peat, gravel, sand, and rock be prohibited from the site? Tom, l u TOWN ATTORNEY'S OFFICE TOWN OF BARNSTABLE INTER-OFFICE MEMO DATE: April 4, 1990 TO: TOM MC KEAN, PUBLIC HEALTH DIRECTOR FROM: RUTH WEIL, ASST. TOWN ATTORNEY RE: WASTEWATER RIGHTS EASEMENT - CI AVENUE OUR LEGAL REF. : 90-0008 --------------------------------------------------------------------- Attached please find the "draft" drainage easement I have prepared for the Cit Avenue case, This is Just a draft and I haven't had a chance to run it by Bob Smith as yet . Can you please get a reading from your Board of Health as to whether or not this is the direction they want to go? Also, I spoke with Ron Jansson who states that his clients have re-measured the room and believe that they can have the office uses whey want without any further expansion of the septic system. Can you make sure that you agree with this analysis? Basically, I need a sense from you whether we are proceeding on the right track. RJW: cg I I f WASTEWATER RIGHTS EASEMENT This agreement is made between having their usual. place of business at hereinafter called tiic. GRANTOR , and THE INHABITANTS OF THE TOWN OF BARNSTABLE (hereinafter ''Town of Barnstable '' ) , the GRANTEE , a municipal corporation organized ender the laws: of the Commonwealth of Massachusetts , with offices located at 357 Main Street, Hyannis , Massachusetts , WHEREAS , the Town of Barnstable , in order to protect the public health , safety and welfare by maintaining quality groundwater , has adopted a bylaw which limits the maximum allowable amount of wastewater discharge to 330 gallons per acre in a zone of contribution ; WHEREAS , the Town of Barnstable , Board of Health , has adopted an INTERIM REGULATION FOR THE PROTECTION OF GROUNDWATER which requires that in zones of contribution , the maximum allowable discharge of sanitary sewage based on flow estimate....^> listed in Regulation 15 . 02 ( 13) of the State Environmental. Code shall not exceed 330 gallons per acre per day . WHEREAS , own ( s ) a parcel of land located at which comprises acres of land ; WHEREAS , under the Town of Barnstable bylaw , the maximum allowable discharge of sanitary sewage for acres of land is WHEREAS , wishes to undertake activities on its land , as follows , which , under- said State Environmental Code , will generate a maximum of ___ gallons of wasterwater per day ; WHEREAS , in consideration of permitting _ to undertake said activities , We . _ _ _ _ _ .� of the Town of _, Ccunty of do hereby grant to the Inhabitants of the Town of Barnstable , a wastewater rights easement., in perpetuity , on a parcel. of land located in said Town of Barnstable , bounded and described as follows SECTION 1 . The terms of this wastewater rights easement are as follows : that neither we nor its successors or assigns will perform the following act; nor permit others to perform them, hereby granting to said Town of Barnstable the right to enforce these restrictions against all. persons : I i i ` 1 . No building , sign outdoor advertising display , fence , mobile home , utility pole or other temporary or permanent structure will be constructed or permitted to remain on said parcel . 2 . No soil , loam, peat, gravel , sand , rock or other mineral.. substance , refuse , trash , vehicle bodies or parts , hazardous wastes , pesticides , rubbish , debris , junk , waste or other, unsightly or offensive material will be placed , stored or dumped thereon . _ SECTION II . The wastewater rights easement hereby conveyed does. not grant either the Town of Barnstable or the public any right to enter said parcel except to said Town an easement of access to enter said parcel , by its Board of Health for the purpose of inspecting the premises and enforcing the foregoing restrictions and remedying any violation thereof . The right hereby granted shall be in addition to any other remedies available to said Town for the enforcement of the foregoing restrictions . SECTION III . 1 . This wastewater rights easement shall become effective upon the recording hereof , together with the approvals attached hereto , at the Barnstable County Registry of Deeds , Land Registration Office . 2 . No documentary stamps shall be necessary for this instrument . SECTION IV, 1 . This wastewater rights easement is granted in perpituity and :shall only be released when the Town of Barnstable elects to Provide public sewer; to the parcel. . IN WITNESS WHEREOF, we have hereunto set our hands and seals this _ day of 1990 . Grantor _.__.._�_....,. Grantor ......... .::.:... CC _ : ��r:Y•� �,,�W „l,A�•'• •:r•• �i:fp�• :.A;y-�... 'v � f:8tr4:"�.{;.;;1?fi.;r.>y;.+cry;+•rhn?.'•:c;.:.•,�;4:.{r�,A',f.�•..�i ti�(,�,r�d�`:.:f/,..v�;{:;�;Jr;% v�f� r. ... � :`.. :.i ..� ... r .ocyr,.i ,u.•fi,.;•.1.f`�..:?.'.^;.:..,,l..r,•'C;A,A 42Cr'iiv%w:r':;;% $ CLEAN ACROSS AMERICA AND THROUGHOUT THE WORLD'" ZEP MANUFACTURING COMPANY ISSUE DATE: 04/23/90 BOX 2015 SUPERSEDES:.........................../ / .........::.. :::,;,•;:<:;; :Q;;:><;::;>;>s;::{:::<» :::<vv:> <:: :>::r P.O. .........,.::...:.:.,...::•. .. .. .k.):twy±:'t%'? ;n't•:'a'•:car+�s:;'ti::,.<::::..::.•;•.•...•.::.:;:sst;::`::`.;`R::?•«�::t:;;::p;•,:'•.•:::;i3.� ; .:. GEORGIA 30301 TLANTA ;:.:<.:,.i;.,:>.:.:,...;.;:>;:i; .;:.:;r.::;<:>::nx:;:::i>::;•>:.>.:i<.;:. FF><:<:»:<:;»<:«::<:::::. :>::�::... A r nt�tai i. SECTION I -EMERGENCY CONTACTS TELEPHONE: (404)352-1680 BETWEEN 8:00 AM-5:00 PM(EST) MEDICAL EMERGENCY: (404)435-2973 NON-OFFICE HOURS. WEEKENDS (404)351-2952 AND HOLIDAYS, PLEASE CALL YOUR (404)432-2873 LOCAL POISON CONTROL TRANSPORTATION EMERGENCY: (404)922-0923 CHEMTREC: 1-800-424-9300 TOLL-FREE ALL CALLS RECORDED DISTRICT OF COLUMBIA: (202) 483-7616 ALL CALLS RECORDED SECTION II HAZARDOUS INGREDIENTS TLV EFFECTS °a IN (PPM) (SEE REVERSE) PROD. DESIGNATIONS IRR FBL 5-10 a ISOPROPYL ALCOHOL ipa: dimethylcarbinol; 2-propanol; CAS# 67-63-0; RTECS# NT8050000; OSHA PEL-400 400 PPM;OSHAIACGIH STEL-500 PPM y 1,2-ethanedi I Nrp EIR 5-10 NONYLPHENOXYPO S# MD 05000;OSHA PELOL pot (oxy y), alpha-(nonylphenyl)-omega-hydroxy; CAS# 9016-45-9; SECTION III • HEALTH HAZARD DATA conditions oSecial f use(diluted)d) a pertains as to the ibproduct as dispensed precautions from are practiced. container. Adverse health effects would not be expected under recommended ed Acute Effects of Overexposure: Eye irritant. Eye contact may produce stinging,burning, inflammation,and in extreme cases may produce corneal damage. Exposure may be irritating to skin, and upper respiratory tract.Accumulation of harmful quantities of vapor is preceded by severe irritation which makes overexposure unlikely.Overexposure can result in mild narcotic ; effects,including flushing,headache,dizziness,and nausea.Ingredients in this product may aggravate existing skin,eye,or respiratory disorders. Chronic Effects of Overexposure: Repeated or prolonged. skin contact may produce some dryness of skin. Chronic effects from alcohol vapors are rare and would result from severe, prolonged, and repeated contact, which is usually precluded by irritation. In most extreme cases, narcosis,unconsciousness,and death could result.None of the ingredients are listed as carcinogens by IARC.NTP,or OSHA. Primary Routes of Entry:Inh. Est'd PEL/TLV:Not established HMIS Codes:HEALTH 1;FLA M.2 REACT.O;PERS.PROTECT.B;CHRONIC HAZ.NO FIRST AID PROCEDURES: Skin: Wash contaminated skin thoroughly with soap or a mild detergent.Apply a skin cream with lanolin.Get medical attention if irritation persists. Eyes: Immediately flush eyes with plenty of water for at least 15 minutes,occasionally lifting upper and lower lids.Get medical attention at once. Inhale: Move exposed person to fresh air.If irritation persists,get medical attention promptly. Ingest: If swallowed,do not induce vomiting.If vomiting occurs,keep head below hip level.Get emergency medical attention immediately. SECTION IV-SPECIAL PROTECTION INFORMATION Protective Clothing: Wear neoprene,nitrile,or natural rubber gloves or gloves with proven resistance to the ingredients listed. Eye Protection: Use of tight-fitting safety glasses or goggles is strongly recommended,especially when wearing contact lenses. Respiratory Protection: Avoid inhalation of spray mists,and do not direct spray toward people. Ventilation: No special measures are required. SECTION V -PHYSICAL DATA Vapor Pressure(mmHg): N:D F-I Point(°F): 190 INITIAL Specific Gravity: 0.98 Evaporation Rate(WATER =1): 1.0 Volatile by Volume(°6): >95 Vapor Density(air=t): 5 p N A ty in Water: COMPLETE pH(concentrate): 5.0-7.0 pH(use dilution of): ance and Odor:THIN,CLEAR,LIGHT AMBER WITH A CINNAMON AROMA SECTION VI -FIRE AND EXPLOSION DATA Flash Point(°F)(method used): too LEL 1 AC UEL 7.0°° Flammable Limits: Extinguishing Media: CO2,dry chemical,water. Special Fire Fighting: Product will not support combustion(alcohol will flash) - Unusual Fire Hazards: Concentrated vapor may ignite if exposed to spark. ...............v:n..:........::.rip Y..}......... .:•.,. /. .Z`M..lYv :�: 'ry: :f4 .:.J:ti.+l?• :} 'i�M�r�.iffy'!: �.i:::.;}i:`t%i.;:-i:•y:..�::v:.:::J......: - :: ... �P.........:....... .j1.{�...r..........:.... a n.n....n i...............�v.... �.,.� 3�' t4fIN }'Jl�i?f> oR7i�7!. N�6s> TIV SECTION VII-REACTIVITY DATA itability:fi Stable ncompatibiltty(avoid): Heat,open flame,spark and oxidizing agents. Polymerization: win not occur. lazardous Decomposition: Carbon dioxide,carbon monoxide,and other unidentified organic compounds. SECTION VIII -SPILL AND DISPOSAL PROCEDURES iteps to be Taken in Case Material Is Released or Spilled: mmediately eliminate all flame,ignition and high-heat sources Observe safety precautions in sections 4&9 during clean-up.Absorb spill on inert absorbent material(eg ?ep-O-Zorb).Pick up and place residue in a suitable waste container or,if permitted,flush to sewer.Thoroughly flush area with water. Naste Disposal Method: _iquid wastes are not permitted in landfills- This product is not considered a hazardous waste under RCRA. Unusable liquid may be absorbed on an inert absorbent material leg.Zep-O-Zorb),drummed,and taken to a chemical or industrial landfill. In some areas disposal by flushing into a sanitary sewer with plenty of water may be permissible.Consult local,state,and federal agencies for proper disposal method in your area. RCRA Hazardous Waste Numbers:NIA SECTION IX SPECIAL PRECAUTIONS Precautions to be Taken When Handling and Storing: Store tightly closed container in a dry area at temps. between 40-120 degromsheat, spa F. Keep product dopen fame. skin and source of ignition.rClothingror hoes which ors. Keep become away from food and food products. Combustible!. Store and use away contaminated with substance should be removed promptly and not reborn until thoroughly cleaned.Keep out of the reach of children. SECTION X-TRANSPORTATION DATA DOT Proper Shipping Name:NONE DOT Hazard Class:NA DOT Label/Placard:NONE DOT I.D.Number.NIA EPA TSCA Chemical Inventory:ALL INGREDIENTS ARE LISTED EPA CWA 40CFR Part 117 substance(RO in a single container):: NONE NOTICE the skin. hank you for your interest in, and use of, Zep products. for a continuous 15-minute exposure period. SECTION IV:SPECIAL PROTECTION INFORMATION :ep Manufacturing Co.is pleased to be of service to you by TLV:Threshold Limit Value-A set of time weighted aver- upplying this Material Safety Data Sheet for your files.Zep age exposure di rand aestablished 4 blishework week.the ACGIH, for a Where respiratory protection is recommended, use only 4anufacturing is concerned for your health and safety.Zep Y •roducts can be used safely with proper protective equip- FBL Flammable - At temperalures under 100°F, chemical MSHA and NIOSH approved respirators and dust masks. tent and proper handling practices consistent with label gives off enough vapor to ignite it a source of ignition is MOSH:Mine Nat onal yInstiiitnd te Health forAdministration Occupational Safely and tstructions and the MSDS. Before using any Zep product, present as tested with a closed cup tester. •e sure to read the complete label and the Material Safely HAZARDOUS A D O OUb INGREDIENTS: health Chemical phubstances ysical hazards de er- Health. rasa Sheet. SECTION V:PHYSICAL DATA criteria established in the OSHA Hazard Communication EVAPORATION RATE:it refers to the rate of change from the ,s a further word of caution, Zep wishes to advise that Standard-29 CFR 1910.1200 liquid state to the vapor stale at ambient temperature and eriou essure in comparison s accidents have resulted Iran the misuse of HTX.Highly toxic- the probable lethal dose for 70 kg(150P g pr to a given substance(e.g.water). emplied•' containers. "Empty' containers retain residue Its.) man and may be approximated as less than 6 pH: A value representing the acidity or alkalinity of an quid and'or vapor)and can be dangerous. DO NOT pies- teaspoons(2 tablespoons). aqueous solution(Acidic pH = 1;Neutral pH = 7;Alkaline urine. cut. weld, braze, solder, drill, grind or expose such IRR:Irritant -Causes reversible effects in living tissues(e.g. pH = 14) ontainers to heat, flame.or other sources of ignition;they inflammation)-primarily skin and eyes. PERCENT VOLATILE. The percentage of the product piquid lay explode or develop harmful vapors and possibly cause N-A Not Applicable - Category is not appropriate for this or sofidl that will evaporate at 212°F and ambient pressure. -,jury or death. Clean empty containers by triple rinsing product. SOLUBILITY IN WATER: A description of the ability of the Ash water or an appropriate solvent. Empty containers N'D: Not Determined - Insufficient information for a deter- product to dissolve in water. iust be sent to a drurn reconditioner before reuse. rninalion for this item. TERMS AND ABBREVIATIONS USED IN THE MSDS: RTECS#:Registry of Toxic Effects of Chernical Substances SECTION VII:REACTIVITY DATA BY SECTION ALPHABETICALLY: - an unreviewed listing of published toxicology data on HAZARd to DOUS Oproduced DECOMPOSITION.,oducBdeconpos'owm tion ortfirexpect- chemical substances. :ECTION If:HAZARDOUS INGREDIENTS SARA- Superfund Amendments and Reauthorization Act - INCOMPATIBILITY.' Material contact and conditions to avoid 'AR:Carcinogen-A chemical listed by the National Toxicol• Section 3t3 designates chemicals for possible reporting for to prevent hazardous reactions. .gy Program(NTP), the International Agency for Research the Tonics Release Inventory. POLYMERIZATION: Indicates the tendency of the product's n Cancer(IARC)or OSHA as a definite or possible human SEN: Sensitizer - Causes allergic reaction alter repeated molecules to combine in a chemical reaction releasing ex- ancer causing agent. exposure. cess pressure and heat. :AS =: Chemical Abstract Services Registry Number - A TOX:Toxic-The probable lethal dose for a 70 kg(150 lb.) STABILITY. Indicates the susceptibility of the product to niversally accepted numbering system for chemical sub- man is one ounce(2 tablespoons)or more. spontaneously and dangerously decompose. lances. :BL Combustible - At temperatures between 100°F and SECTION III:HEALTH HAZARD DATA SECTION VIII:SPILL AND DISPOSAL PROCEDURES 00°F chernical gives off enough vapor to ignite if a source ACUTE EFFECT.,An adverse effect on the human body from RCRA WASTE NOS: RCRA(Resource Consery to he ,1 ignition is present as tested with a closed cup tester. a single exposure with symptoms developing almost imrne. covery Act) waste codes (40 CFR 261) applicable .NS:Central Nervous System depressant reduces the activ diately after exposure or within a relatively short time. disposal of spilled or unusable product born the original CHRONIC EFFECT. Adverse effects that are most likely to container. :y of the brain and spinal cord. :OR: Corrosive . Causes irreversible alterations in living occur from repeated exposure over a long period of time. SECTION X:TRANSPORTATION DATA issue(e.g.burns). EST D PEL,TLV., This estimated, time-weighted average. ex- CWA Clean Water Act issue( .g.bur:Chemical and common names of hazardous posure limit,developed by using a formula provided by the RO:Reportable Quantity-The amount of the specific ingre• ACGIH, pertains to airborne concentrations from the prod- P igredients. diem that, when spilled to the growled and can enter e :IR: Eye Irritant Only -Causes reversible reddening and%or uct as a whole.This value should serve as guide for provid- storm sewer or natural watershed,must be reported to the 1111mmatfon of eye tissues. ing safe workplace conditions to nearly all workers. National Response Center,and other regulatory agencies. XPOSURE LIMITS: The time weighted average (TWA) air- HMIS CODES: Hazardous Material Identification System-a TSCA Toxic Substances Control Act •i federal law requir- ,ome concentration at which most workers can be exposed rating system developed by the National Paint and Coating in all commercial chemical substances to appear on an rilhout any expected adverse effects. Primary sources in- Association for estimating the hazard potential of a chemi inventor maintained by the EPA. tilde ACGIH TLV's,and OSHA PEL's(TWA,STEL and ceiling cal under normal workplace conditions.These risk of three Y mitsl� are indicated by a numerical rating given in each of three DISCLAIMER ACGIH: American Conlerence of Governmental Industrial hazard areas(Heals h:Flammabdity!Reactivity) ranging from All statements,technical information and recommendations Hygienists. a low of zero to a high o1 4. A chronic hazard is indicted data which we believe to be reliable. The accuracy and CEILING: The concentration that should not be exceeded with a yes.Consult HMIS training guides for Personal Pro- contained herein are based on available scientific tests or in the workplace during any part of the working exposure. tection letter codes which indicate necessary protective completeness of such data are not warranted or guaran- - OSHA:Occupational Safely and Health Administration equipment. ch this average Permissible exposure Exposure alues, established shedset by time OSHA, fforweighted a ardousmgr ingredY ROUTE iF ENTRY: The ents enter the body way d one cause more a general- informal oo rand ourrcproducipate a ts.11 cprothe r products onder il other zed-s stemic of ecilic-or an toxic effect. manufacturers in combination with our products, may be normal 8-hour day and a 40•hour work week. Y P g oss or PPM: Parts per million - unit of measure for exposure ING. Ingestion - A primary route of exposure through damage age result ngefrom the improper use no liability or norbhandl hility andling l gof our limits. swallowing of material. (SI SKIN: Skin contact with substance can contribute to' INH: Inhalation - A primary route of exposure through products,from incompatible product combinations, o rim overall exposure. breathing of vapors. the failure to follow instructions,warnings,and advisories in STEL Short Term Exposure Limit.Maximum concentration SKIN: A primary route of exposure through contact with the product's label and Material Safety Data eel. Notice Revised 8'91) V , - - al ,y[:/' o?r;/�ar•}d,:'ci;?ai 0„4 �''\*i:. .c ,5r! ^T 'w C:ylNs,lrr• ? 4 i'• fr f�:�.��t�M��r.U {•%�'<.�•hy-'Y.;:3i %?$;C%\\c?°�+.-0` 'i,t •,i.r�.t;:;.:�'" :...:aF' { >k\:r�ra. CLEAN ACROSS AMERICA AND THROUGHOUT THE WORLD"- s ZEP MANUFACTURING COMPANY' ISSUE DATE: 06/06/88 >: P.O. BOX 2015 SUPERSEDES: 06/18/86 ••k:x>,\,';rftiff;?;.%.c; a••%`' ,`,'•?;.•.:,+.•'..y:::v'`•4.• .• :.':;�":•$;. R IA 30301 ;?"" , NTA GEO G A� � ',f;:>�:>:<<>: ::>:?.<.•�:i.x�; : ?<:;.r? �>�::;Y:>•.f>r, ,:fG::;�f:� ATLA , n SECTION I-EMERGENCY CONTACTS TELEPHONE: (404)352-1680 BETWEEN 8:00 AM-5:00 PM(EST) MEDICAL EMERGENCY: (404)435-2973 NON-OFFICE HOURS, WEEKENDS (404)351-2952 AND HOLIDAYS. PLEASE CALL YOUR (404)432-2873 LOCAL POISON CONTROL TRANSPORTATION EMERGENCY: (404)922-0923 CHEMTREC: 1-800-424-9300 TOLL-FREE-ALL CALLS RECORDED DISTRICT OF COLUMBIA: (202)483-7616 ALL CALLS RECORDED SECTION 11 -HAZARDOUS INGREDIENTS TLV EFFECTS %IN DESIGNATIONS (PPM) (SEE REVERSE) PROD. This product contains no ingredients which are inherently hazardous as defined in OSHA'S Hazard Communication Standard(29 CFR 1910.1200). SECTION III - HEALTH HAZARD DATA Special Note: MSDS data pertains to the product as dispensed from the container. Adverse health effects would not be expected under recommended conditions of use(diluted) so long as prescribed safety precautions are practiced. Acute Effects of Overexposure: There are no known effects from acute overexposure to this product.However,in light of good industrial hygiene,exposure to any chemical should be kept to a minimum. Chronic Effects of Overexposure: There are no known effects from chronic exposure to this product. None of the ingredients are listed as carcinogens by IARC,NTP,or OSHA. Est'd PEVTLV:Not established Primary Routes of Entry:N A HMIS Codes:HEALTH O;FLAM.O;REACT.O;PERS. PROTECT. A;CHRONIC HAZ.NO FIRST AID PROCEDURES: Skin: Flush contaminated skin with plenty of water.Consult a physician if irritation develops. Eyes: Immediately flush eyes with plenty of water for at least 15 minutes,occasionally lifting upper and lower lids.Get medical attention at once. Inhale: Move exposed person to fresh air.If irritation persists,get medical attention promptly. Ingest: If this product is swallowed,do not induce vomiting. If victim is conscious give plenty of water to drink..Get medical attention at once. SECTION IV -SPECIAL PROTECTION INFORMATION Protective Clothing: The use of neoprene,nitrile or natural rubber gloves is strongly recommended,especially for prolonged contact. Eye Protection: Use of tight-fitting safety glasses or goggles is strongly recommended.especially when viearing contact lenses. Respiratory Protection: No special measures are required. Ventilation: No special measures are required. SECTION V - PHYSICAL DATA Boiling Point(IF): 215F Specific Gravity: 1.0 Vapor Pressure(mmHg): N.A Percent Volatile by Volume 1%): 77 Vapor Density(air=1): NiA Evaporation Rate(WATER =1): 1.0 Solubility in Water: COMPLETE pH(concentrate): 9.4 pH(use dilution of): N•A Appearance and Odor:A MILKY WHITE.OPAQUE LIQUID WITH A FAINT,PLEASANT ODOR. SECTION VI -FIRE AND EXPLOSION DATA Flash Point(IF)(method used): NONE(TCC) Flammable Limits: LEL N:A UEL NA Extinguishing Media: NON-COMBUSTIBLE LIQUID Special Fire Fighting: N:A Unusual Fire Hazards: N A .......:.........::. !.................. v::::•...:ry,::}v;... .:a••:^%}:r••�Y:i:�•r; .;••�:'"'.:. -Y. a:•:w:� t /t, .:�t•.4.R3-::.GY,t',•lrf:.�.: !R•.. :: i :� :r'i .,.:...}:._�:.�.•..",::.... SECTION VII -REACTIVITY DATA tabitity .Stable: - icompatibility(avoid): Materials that react violently with water. 'olymerization: Will not occur. , I azardous Decomposition: Carbon dioxide and carbon monoxide -� SECTION Vill-SPILL AND DISPOSAL PROCEDURES 1 teps to be Taken in case Material Is Released or Spilled: )bserve safety procedures in section 4 &9 during clean-up. Absorb spill on inert absorbent material (eg Zep-O-Zorb). Pick up and place residue in a suitable waste ontainer or,if permitted,flush to sewer.Thoroughly rinse spill area with water. taste Disposal Method: iquid wastes.are not permitted in landfills. This product is not considered a hazardous waste under RCRA. Unusable liquid may be absorbed on an inert absorbent laterial (eg. Zep-O-Zorb).drummed, and taken to a chemical or industrial landfill. In some areas disposal by flushing into a sanitary sewer with plenty of water maybe ermissible.Consult local,state,and federal agencies for proper disposal method in your area. ;CRA Hazardous Waste Numbers:N/A SECTION IX-SPECIAL PRECAUTIONS 'recautions to be Taken When Handling and Storing: tore tightly closed container in a dry area at temps.between 40-120 degrees F.Keep product out of eyes.Keep from freezing.Keep out of the reach of children. SECTION X-TRANSPORTATION DATA 10T Proper Shipping Name:NONE 10T Hazard Class:N/A 10T I.D.Number.NIA DOT Label/Placard:NONE :PA TSCA Chemical Inventory:ALL INGREDIENTS ARE LISTED :PA CWA 40CFR Part 117 substance(RO in a single container)::NONE NOTICE ank you for your interest in, and use of. Zep products. for a continuous 15•minuie exposure period. the skin. p Manufacturing Co.is pleased to be of service to you by TLV:Threshold Limit Value•A set of time weighted aver- SECTION IV:SPECIAL PROTECTION INFORMATION pplying this Material Safety Data Sheet for your files.Zep age exposure limits, established by the ACGIH, for a where respiratory protection is recommended, use only )nufacturing is concerned for your health and safety.Zep normal 8-hour day and a 40-hour work week. P Y oducts can be used safety with proper protective equip- FBL Flammable - At temperatures under 100'F, chemical MSHA and NIOSH approved respirators and dust masks. ?ill and proper handling,practices consistent with label gives off enough vapor to ignite if a source of ignition is Iv1SHA Mine Safety and Health Administration ;tructions and the MSDS. Before using any Zep product, present as tested with a closed cup tester. NIOSH.' National Institute for Occupational Safety and sure to read the complete label and the Material Safety HAZARDOUS INGREDIENTS: Chemical substances deter- Health. rta Sheet. mined to be potential health or physical hazards by the SECTION V:PHYSICAL DATA a further word of caution. Zep wishes to advise that criteria established in the OSHA Hazard Communication EVAPORATION RATE:it refers to the rate of change from the Standard-29 CFR 1910.1200 liquid state to the vapor state at ambient temperature and rious accidents have resulted from the misuse of HTX.Highly toxic- the probable lethal dose for 70 kg(150 q to P nptied" containers. "Empty" containers retain residue lb.) man and may be approximated as less than 6 pH.*A valueorepresentingpa the given aciditysubstance unity of an quid and.or vapor)and can be dangerous. DO NOT pres- teaspoons(2 tablespoons). p y y size, cut, weld, braze, solder, drill, grind or expose such IRR:Irritant-Causes reversible effects in living tissues(e.g. aqueous solution (Acidic pH = 1;Neutral pH 7;Alkaline niainers to heat, flame,or other sources of ignition; they inflammation)-primarily skin and eyes. PH - 14) explode or develop harmful'vapors and possibly cause PERCENT VOLATILE: The percentage of the product (liquid y N;A Not Applicable • Category is not appropriate for this or solid)that will evaporate at 212°F and ambient pressure. tery or death. Clean empty containers by triple rinsing product. ill water or an appropriate solvent. Empty containers N.!D: Not Determined • Insufficient information for a deter. SOLUBILITY WATER., description of the ability of the ist be sent to a drum reconditioner before reuse. mination for this item. product to dissolve in o water. TERMS AND ABBREVIATIONS USED IN THE MSDS: RTECS#: Registry of Toxic Ellects of Chemical Substances SECTION VII:REACTIVITY DATA BY SECTION ALPHABETICALLY: . an unreviewed listing of published toxicology data on HAZARDOUS DECOMPOSITION.Breakdown products expect- chemical substances. ed to be produced upon product decomposition or tire. *C Carcinogen•A chemical listed by the National Toxicol• SARA, Superlund Amendments and Reauthorization Act - ItiCOi iPATIBILITY:Material contact and conditions to avoid I Program en-A the ;cal listed tonal Agency for Research Section 313 designates chemicals for possible reporting for to prevent hazardous reactions. Cancer(IARC)or OSHA as a definite or possible human the Toxics Release Inventory. POLYMERIZATION: Indicates the tendency of the product's SEN: Sensitizer • Causes allergic reaction after repeated molecules to combine in a chemical reaction releasing ex• ncer causing agent. ex sure. cess pressure and heat. 1S =: Chemical Abstract Services Registry Number A TOX:Toxic-The probable lethal dose for a 70 kg(150 lb.) STABILITY: Indicates the susceptibility of the product to iversally accepted numbering system for chemical sub. ,ran is one ounce(2 tablespoons)or more. spontaneously and dangerously decompose. ?nces. 3L Combustible - At temperatures. between 100°F and SECTION III:HEALTH HAZARD DATA SECTION Vlll:SPILL AND DISPOSAL PROCEDURES -0'F chemical gives off enough vapor to ignite it a source ACUTE EFFECT.' An adverse effect on the human body from RCRA WASTE NOS: RCRA(Resource Conservation and Re- ignition is present as tested with a closed cup tester. a single exposure with symptoms developing almost imme. covery Act) waste codes (40 CFR 261) applicable to the VS:Central Nervous System depressant reduces the activ- diately after exposure or within a relatively short time. disposal of spilled or unusable product from the original of the brain and spinal cord. CHRONIC EFFECT Adverse effects that are most likely to container. )R: Corrosive - Causes irreversible alterations in living occur from repeated exposure over a long period of time. SECTION X:TRANSPORTATION DATA :sue(e.g.burns). EST'D PELITLV: This estimated• time-weighted average, ex- CWA Clean Water Act SIGNATIONS:Chemical and common names of hazardous posure limit,developed by using a formula provided by the RO.Reportable QuantityThe amount of the specific ingre- 3redients. ACGIH, pertains to airborne concentrations Irom the prod- P R: Eye Irritant Only • Causes reversible reddening and%or uct as a whole.This value should serve as guide for provid• dient that, when spilled to the ground and can enter a in safe workplace conditions to nearly all workers. storm sewer or natural watershed, must be reported to the Ilarnmation of eye tissues. 9 p National Response Center,and other regulatory agencies. :POSURE LIMITS: The time weighted average (TWA) air- HMIS CODES: Hazardous Material Identification System•a TSCA-Toxic Substances Control Act -a federal law requir- rrle concentration at which most workers can be exposed rating system developed by the National Paint and Coaling Ihout any expected adverse effects. Primary sources in Association for estimating the hazard potential of a chemi- ng all commercial ommerc l chemical substances to appear on an by the EPA. ide ACGIH TLV's,and OSHA PEL's(TWA.STEL and ceiling cal under normal workplace conditions.These risk estimates Y nits) are indicated by a numerical rating given in each of three DISCLAIMER ACGIH: American Conference of Governmental Industrial hazard areas IHealth.Flammobitity Reactivity)ranging from All statements. technical information and recommendations Hygie...sts. a low of zero to a high of 4. A chronic hazard is indicted CEILING: The concentration that.should not be exceeded with a yes.Consult HMIS training guides for Personal Pro- conlained herein are based on available scientific tests or in the workplace during any part of the working exposure. section letter codes which indicate necessary protective ciala which we completeness of believe eliesuc ed too be are le. The a coragua cy and OSHA:Occupational Safety and Health Administration equipment. PEL Permissible Exposure'Limit- A set of time weighted PRIMARY ROUTE OF ENTRY: The way one or more haz. teed. We cannot anticipate all conditions under which this average exposure values, established by OSHA, for a ardous ingredients may enter the body and cause a general- information and our products, or the products of other normal 8-hour day and a 40•hour work week. ized-systemic or specific-organ toxic effect. manufacturers in combination with our products, may be PPM. Parts per million - unit of measure for exposure ING: Ingestion - A primary route of exposure through used. Zep assumes no liability or responsibility for loss or } limits; swallowing of material. damage resulting from the improper use or handling of our (S) SkIN: Skin contact with substance can contribute to WH: Inhalation • A primary route of exposure through products, from incompatible product combinations,or from overall exposure. breathing of vapors. the failure to follow instructions,warnings,and advisories in STEL'Short Term Exposure Limit-Maximum concentration SKIN: A primary route of exposure through contact with the product's label and Material Safety Data Sheet. once Revised 3 91) jt,' , .L.�v.i�h}.. y� �vy{ \t"r.vi•.:�:rry?:ih:.:iV:�`:vv^ji`:iJ::i::iir:..:f......v;•%'v..}.::n;...::r::.?.'.ivv{:v 1. riy. ;..•#., ti r��•:.::}..:_i. S 4;1 .. F ' � i:�:E.' f :,{�,.M1ti p� `r''. '••'' '�,{.1/ri..k:�Nc...4y. f x; t' - y•. ,6y r�% o•.>`Q}{^i'•} T.r`% ;', `•u•:if� ;t�}.?....?......rfi CLEAN ACROS&AMERICA AND THROUGHOUT THE WORLD" ZEP MANUFACTURING COMPANY ISSUE DATE 03/03/90 P.O. BOX 2015 SUPERSEDES 06/02/89 ........wi:...•}... ,: .. .. .{},.}::c:}}:•2:}.>.•;::v?:::L::•'.'•:>`.:^.:;e:'{:::•:r,}•.:^;;::iY;S:i::.'•i�'•o:?#% •': �+•#�3:$`•:•'3.'•A:^}`,.'•.'•fi.:'��V•;JR :; l!{ }•...........Y::::::}:}}:r•.��:rr?::::yi•}}:•}\L:4}::}}:::}:.i}1i :iiiiii}}:i}ir:4$:i: ATLANTA, GEORGIA 30301 :: N.:,.i•:<:?.} •}:?::;.}:v:.....}::.}: :•:f.?:?w:{::r}:::.;•.Lv:^{.{;.;�: . Ki::{rifi::•::;}'.•.j•}:•::{{;:j:}}:?r;}:{;:j•L}::Y}}%:J}::i':}?{;}:!}'v???:;}Y,.;:{.}:4.:.•:. •. aot: in:zai(d::S ':...#t(rrl4itLt :.� :.:;.}:.;}� :.;;:;.:.� SECTION I-EMERGENCY CONTACTS TELEPHONE: (404)352-1680 BETWEEN 8:00 AM-5:00 PM(EST) MEDICAL EMERGENCY: (404)435-2973 NON-OFFICE HOURS, WEEKENDS (404)351-2952 AND HOLIDAYS, PLEASE CALL YOUR (404)432-2873 LOCAL POISON CONTROL TRANSPORTATION EMERGENCY: (404)922-0923 CHEMTREC: 1-800-424-9300 TOLL-FREE-ALL CALLS RECORDED DISTRICT OF COLUMBIA: (202)483-7616 ALL CALLS RECORDED SECTION II -HAZARDOUS INGREDIENTS TLV EFFECTS % IN DESIGNATIONS (PPM) (SEE REVERSE) PROD. @ - 1,1.1-TRICHLOROETHANE ' methyl chloroform chlorothene; CAS# 71-55-6; RTECS# KJ2975000; OSHA PEL-350 350 IRR CNS > 95 PPM;ACGIH;OSHA STEL-450 PPM @ Identifies chemicals listed under SARA-Section 313 for release reporting SECTION III -HEALTH HAZARD DATA Special Note: MSDS data pertains to the product as dispensed from the container. Adverse health effects would not be expected under recommended conditions of use(diluted) so long as prescribed safety precautions are practiced. Acute Effects of Overexposure: Inhalation of vapor can produce central nervous system depression, characterized by dizziness, headache, nausea, cardiac and!or respiratory depression, stupor, unconsciousness and death, in extreme cases. Exposure to high concentrations of vapor by direct contact or inhalation can be irritating to mucous membranes,such as eyes and upper respiratory tract.Severe eye exposure to liquid can cause reversible eye damage.Skin contact may cause a burning sensation and reddening of the skin. Introduction of solvent to the lungs, as in aspiration of vomitus fluids, may cause chemical pneumonia. Exposure to this product may aggravate existing respiratory and cardiac conditions.Inhalation of aerosol mist may produce chemical pneumonia. Chronic Effects of Overexposure: Repeated or prolonged contact by inhalation or skin absorption may produce liver or kidney damage or damage to the central nervous system,characterized by tingling or numbness in the extremities, blurred vision or confusion. Skin, which is defatted by repeated exposure to solvents. is more susceptible to irritation, infection, and dermatitis. Exposure to some ingredients in this product can aggravate existing liver disease or heart rhythm disorders. None of the hazardous ingredients are listed as carcinogens by IARC,NTP,8 OSHA Est'd PEUTLV•350 PPM Primary Routes of Entry:Inh. HMIS Codes:HEALTH 2;FLAM. 1;REACT. 1;PERS.PROTECT.X;CHRONIC HAZ.YES FIRST AID PROCEDURES: Skin: Wash contaminated skin thoroughly with soap or a mild detergent.Apply a skin cream with lanolin.Get medical attention if irritation persists. Eyes: Immediately flush eyes with plenty of water for at least 15 minutes,occasionally lifting upper and lower lids.Get medical attention at once.. Inhale: Move exposed person to fresh air at once.If breathing has stopped,perform artificial respiration.Get medical attention immediately. Ingest: If swallowed,do not induce vomiting.If vomiting occurs,keep head below hip level.Get emergency medical attention immediately. SECTION IV -SPECIAL PROTECTION INFORMATION Protective Clothing: Wear viton gloves or use gloves with demonstrated resistance to the ingredients in this product. Eye Protection: Use tight-fitting safety glasses.Contact lenses should not be worn when working with this material. Respiratory Protection: If ventilation is inadequate,wear a properly fitting MSHA or OSHA-approved respirator. Ventilation: Ventilation should be equivalent to outdoors.Use exhaust fans and open windows in enclosed spaces. SECTION V - PHYSICAL DATA Boiling Point(°F): 165F Specific Gravity: 1.34 Vapor Pressure(mmHg): 100 Percent Volatile by Volume(°o): 100 Vapor Density(air=1): 4.6 Evaporation Rate(BUTYL ACETATE =1): 6.0 Solubility in Water. NEGLIGIBLE pH(concentrate): N A pH(use dilution of N/A): N A Appearance and Odor:CLEAR,THIN LIOUID WITH MILD,CHLORINATED ODOR SECTION VI - FIRE AND EXPLOSION DATA Flash Point(°F)(method used): NOT FLAMMABLE(CSMA) Flammable Limits: LEL 7.5 UEL 15 Extinguishing Media: N A Special Fire Fighting: Direct water onto intact containers to prevent bursting. Unusual Fire Hazards: Wear self-contained positive pres. Breathing apparatus. i r. J.+":: ;,U+.:� i : .,. � i s?}>..'F?::;}•{}i.; � �y�a , 21V 7. tom: IAM SECTION VII REACTIVITY DATA T:t• stability s, - Stable . i ncompatibillty(avoid): Strong acids&alkalis,oxidizers and active metals. Nlymerization: Will not occur. Yiazardous Decomposition: Carbon dioxide,carbon monoxide,hydrogen chloride,and small amounts of phosgene&chlorine gas. ^••� r�. SECTION VIII-SPILL AND DISPOSAL PROCEDURES steps to be Taken in Case Material Is Released or Spilled: )bserve safety precautions in sections 4 & 9 during spill clean-up. Large spills are unlikely due to packaging. Spill may be absorbed on an inert absorbent (eg 'ep-O-Zorb),placed in a suitable container for disposal.Wash area thoroughly with a detergent solution and rinse well with water. Vaste Disposal Method: poduct is consumed in use.Do not crush,puncture or incinerate spent containers.Large numbers of aerosol containers may require handling as a hazardous waste,but rl most states total hazardous waste quantities less than 220 Ibs per month may allow disposal in a chemical or industrial waste landfill.Consult local,state and federal igencies for the proper disposal method in your area. iCRA Hazardous Waste Numbers:F002 SECTION IX-SPECIAL PRECAUTIONS )recautions to be Taken When Handling and Storing: )o not store at temperatures above 120F. Or in direct sunlight. Do not puncture or incinerate container. Keep product away from skin and eyes. Do not breathe spray nists or vapors.Vapors are heavier than air and will accumulate at low points.Ventilation should include floor level exhausting.Concentrated vapor may ignite if exposed o spark.Keep out of the reach of children. SECTION X -TRANSPORTATION DATA )OT Proper Shipping Name:CONSUMER COMMODITY )OT Hazard Class:ORM-D )OT I.D.Number:NIA DOT Label/Placard:ORM-D :PA TSCA Chemical Inventory:ALL INGREDIENTS ARE LISTED :PA CWA 40CFR Part 117 substance(RO in a single container):: NONE NOTICE rank you for your interest in, and use of, Zep products. for a continuous 15-minute exposure period. the skin. >p Manufacturing Co.is pleased to be of service to you by TLV.,Threshold Limit Value-A set of time weighted aver- SECTION IV:SPECIAL PROTECTION INFORMATION applying this Material Safety Data Sheet for your files.Zep age exposure limits, established by the ACGIH, for a Where res irator roteclion is recommended, use only anufacluring is concerned for your health and safety.Zep normal 8-hour day and a 40-hour work week. P y P oducts can be used safely with proper protective equip- FBL• Flammable - At temperatures under 100°F, chemical MSHA and NIOSH approved respirators and dust masks. ent and proper handling practices consistent with label gives off enough vapor to ignite if a source of ignition is MSHA Mine Safely and Health Administration structions and the MSDS. Before using any Zep product, present as tested with a closed cup tester. NIOSH., National Institute for Occupational Safety and sure to read the complete label and the Material Safety HAZARDOUS INGREDIENTS: Chemical substances deter. Health. ala Sheet. mined to be potential health or physical hazards by the SECTION V:PHYSICAL DATA s a further word of caution,-Zep wishes to advise that criteria established in the OSHA Hazard Communication EVAPORATION RATE:it refers to the rate of change from the Standard-29 CFR 1910.1200 liquid state to the vapor state at ambient temperature and :rious accidents have resulted from the misuse of HTX: Highly toxic- the probable lethal dose for 70 kg(150 q P to P water). !mptied- containers. "Empty" containers retain residue lb) man and may be approximated as less than 6 pressure res ur in co representingparia given substance ea e. fruit of an quid and:or vapor)and can be dangerous. DO.NOT pres• teaspoons(2 tablespoons). P y Y rrize,cut,weld,braze, solder,drill,grind or expose such IRR:Irritant-Causes reversible effects in living tissues(e.g. aqueous solution(Acidic pH = 1;Neutral pH = J;Alkaline rnlainers to heat, flame,or other sources of ignition;they inflammation)-primarily skin and eyes. pH = 14) ay explode or develop harmful vapors and possibly cause N;A Not Applicable • Category is not appropriate for this PERCENT VOLATILE., The percentage of the product (liquid jury or death. Clean empty containers by Triple rinsing or solid)that will evaporate at 212°F and ambient pressure. ith water or an appropriate solvent. Empty containers Product SOLUBILITY IN WATER: A description of the ability of the usi be sent to a drum reconditioner before reuse. NrD: Not Determined • Insufficient information for adeter-urination for this item. product to dissolve in water. TERMS AND ABBREVIATIONS USED IN THE MSDS: RTECSa:Registry of Toxic Effects of Chemical Substances SECTION VII:REACTIVITY DATA BY SECTION ALPHABETICALLY: . an unreviewed listing of published toxicology data on HAZARDOUS DECOMPOSITION.,Breakdown products expect• ECTION II:HAZARDOUS INGREDIENTS chemical substances. ed to be produced upon product decomposition Or fire. 4R:Carcinogen-A chemical fisted by the National Toxicol• SARA Superfund Amendments and Reauthorization Act - INCOMPATIBILITY.Material contact and conditions to avoid 3y Program (NTP), the International Agency for Research Section 313 designates chemicals for possible reporting for to prevent hazardous reactions. r Cancer(IARC)or OSHA as a definite or possible human the Toxics Release Inventory. POLYMERIZATION: Indicates the tendency of the product's SEN., Sensitizer • Causes allergic reaction after repealed molecules to combine in a chemical reaction releasing ex- nicer causing agent. AS =: Chemical Abstract Services Registry Number • A exposure. cess pressure and heat. iiversally accepted numbering system lot chemical sub- TOX:Toxic-The probable lethal dose for a 70 kg(.150_lb.) STABILITY: Indicates the susceptibility of the product to man is one ounce(2 tablespoons)or more. spontaneously and dangerously decompose. antes. BL Combustible • At temperatures between 100°F and SECTION III:HEALTH HAZARD DATA SECTION VIII:SPILL AND DISPOSAL PROCEDURES )0°F chemical gives oft enough vapor to ignite if a source ACUTE EFFECT.,An adverse effect on the human body from RCRA WASTE NOS: RCRA(Resource Conservation and Re• ignition is present as tested with a closed cup tester. a single exposure with symptoms developing almost imme. covery Act) waste codes (40 CFR 261) applicable to the NS:Central Nervous System depressant reduces the activ diately after exposure or within a relatively short time. disposal of spilled or unusable product from the original of the brain and spinal cord. CHRONIC EFFECT.. Adverse effects that are most likely to container. OR: Corrosive . Causes irreversible alterations in living occur from repeated exposure over a long period of time. SECTION X.TRANSPORTATION DATA -sue(e.g.burns). EST'D PEL/TLV. This estirnated, time-weighted average,ex- CWA Clean Water Act ESIGNATIONS:Chemical and common names of hazardous posure limit,developed by using a formula provided by the RO:Reportable Quantity The amount of the specific ingre- gredients- ACGIH, pertains to airborne concentrations from the prod- P y R: Eye Irritant Only •Causes reversible reddening and/or ucl as a whole.This value should serve as guide for provid• dient that, when spilled to the ground and can enter a flammation of eye tissues. ing safe workplace conditions to nearly all workers. storm sewer or natural watershed,must be reported to the (POSURE LIMITS: The time weighted average (TWA) air. HMIS CODES:Hazardous Material Identification System•a National Response Center,and other regulatory agencies. 3rne concentration at which mcst workers can be exposed rating system developed by the National Paint and Coating TSCA Toxic Substances Control Act -a federal law requir- ilhout any expected adverse effects. Primary sources in- Association for estimating the hazard potential of a chemi• ing all commercial chemical substances to appear on an tide ACGIH TLV's,and OSHA PEL's(TWA,STEL and ceiling cal under normal workplace conditions.These risk estimates inventory maintained by the EPA. nits). are indicated by a numerical rating given in each of three DISCLAIMER ACGIH: American Conference of Governmental Industrial hazard areas (Health%Flammabiliiy,Reaclivity) ranging from All statements,technical information and recommendations Hygienists. a low of zero to a high of 4. A chronic hazard is indicted CEILING: The concentration that should not be exceeded with a yes.Consult HMIS training guides for Personal Pro. contained herein are based on available scientific tests or in the workplace during any part of the working exposure. section letter codes which indicate necessary protective data which we believe to be reliable. The accuracy and OSHA:Occupational Safety and Health Administration equipment. completeness of such data are not warranted or guaran- PEL Permissible Exposure Limit- A set of time weighted PRIMARY ROUTE OF ENTRY. The way one or more haz• teed.We cannot anticipate all conditions under which this -. average exposure values, established by OSHA, lot a ardous ingredients may enter the body and cause a general• information and our products, or the products of other normal 8-hour day and a 40-hour work week. ized-systemic or specific-organ toxic effect. manufacturers in combination with our products, may be PPI✓I: Parts per million . unit of measure for exposure ING: Ingestion - A primary route of exposure through used. Zep assumes no liability or responsibility for loss or limits. swallowing of material. damage resulting from the improper use or handling of our (S) SKIN: Skin contact with substance can contribute to. INH: Inhalation • A primary route of exposure through products,from incompatible product combinations,or frorn overall exposure. breathing of vapors. the failure to follow instructions,warnings,and advisories in STEL Short Term Exposure Limit.Maximum concentration SKIN: A primary route of exposure through contact with the product's label and Material Safety Data Sheet. lotice Revised 8'91) e MATERIAL SAFETY DATA SHEET AND SAFE HANDLINGAND DISPOSAL INFORMATION 11/05/92 ` PAGE 1 F. OF 3 ZEP MANUFACTURING COMPANY ISSUE DATE s .:11/25/91. ZEP E. S..P. FIRST IN MAINTENANCE PRODUCTS SUPERSEDES: `05/28/9i!`: PRODUCT" NUMBER: . 0848 !SECTION I - E M E R G E N C Y C 0 N' T `A C T S ZEP MANUFACTURING COMPANY TELEPHONE: (404)352-1680 BETWEEN78: 00 AM-5: 00 PM (EST) P. O. BOX 2015 NON—OFFICE HOURS, WEEKENDS, AND HOLIDAYS: AREA CODE 404 ATLANTA, GEORGIA 30301 435-2973, 351-2952, 432-2873 LOCAL POISON CONTROL CENTER TRANSPORTATION EMERGENCY: CHEMTREC: TOLL FREE .1-800-424-9300 ALL CALLS RECORDED (404)922-0923 or DISTRICT OF COLUMBIA (202)483-7616 ALL CALLS RECORDED --------------------------------------------------------------------------------- SECTION II — I-f A. Z A R D 0 U S I N G R E D I E N T S TLV EFFECTS % IN DESIGNATIONS (PPM) (SEE REVERSE) PROD. DIPROPYLENE GLYCOL METHYL ETHER ** dipropylene 100 CBL CNS < 5 glycol monomethyl ether; CAS# 34590-94-8; RTECS# JB1575000; OSHA. PEL-100 PPM; OSHA/ACGIH STEL- 150 PPM *# TETRASODIUN ETHYLENEDIAMINE TETRAACETATE # N/D IRR < .5 ethylenedinitrilo tetraacetic acid, tetrasodium salt; EDTA; CAS# 611-02-8; RTECS# AH4025000; OSHA PEL N/D ** SODIUM DODECYLBENZENE SULFONATE *# linear alkyl N/D IRR < 5 aryl sodium sulfonate; CAS.# 25155-30-0; RTECS# DB6825000; OSHA PEL N/D SODIUM SILICATE *# water glass; CAS# 1344-09-8; N/D IRR < 5 RTECS# N/D; OSHA PEL—N/D. -------------------------------------------------------------------------- SPECIAL NOTE: ADVERSE HEALTH EFFECTS WOULD NOT BE EXPECTED UNDER RECOMMENDED CONDITIONS OF USE SO LONG AS PRESCRIBED SAFETY PRECAUTIONS ARE PRACTICED. ---------------------------------------------------------------------------------- SECTION III — H F A L T H H A Z A R D D A T A ACUTE EFFECTS OF OVEREXPOSURE: PRODUCT IS CONSIDERED NON—TOXIC ORALLY ACCORDING TO 16 CFR 1500. 3 (CODE OF FEDERAL REGULATIONS 16, FEDERAL HAZARDOUS SUBSTANCES ACT REGULATIONS, PART 1500. 3). HOWEVER, NO PRODUCT SHOULD BE INTENTIONALLY INGESTED. INGESTION OF AN EXCESSIVE, AMOUNT .OF THE ,PRODUCT MAY CAUSE COMPLICATIONS. THIS PRODUCT CAN BE AN EYE IRRITANT. INFLAMMATION OF EYE TISSUE IS CHARACTERIZED BY REDNESS,- WATERING, AND/OR ITCHING. THIS PRODUCT- CAN CAUSE SLIGHT SKIN IRRITATION. OVEREXPOSURE BY INHALATION OR. SKIN ABSORPTION MAY PRODUCE MILD CENTRAL NERVOUS SYSTEM DEPRESSION, CHARACTERIZED BY. HEADACHE, . DIZZINESS, NAUSEA AND VOMITING. MATERIAL SAFETY-;DATA SHEET k AND SAFE HANDLING AND DISPOSAL INFORMATIONPAGE' 2' OF 3 ZEP MANUFACTURING COMPANY ISSUE DATE 11/25/91. ZEP.,.E.. S. P FIRST IN MAINTENANCE PRODUCTS SUPERSEDES, 05/29/9i ' PRODUCT NUMBER 0848 SECTION III H E A L T H H A Z A R D D A T' A (CONTINUED) ' CHRONIC EFFECTS OF OVEREXPOSURE: THERE ARE NO KNOWN EFFECTS FROM CHRONIC EXPOSURE TO THIS PRODUCT. NONE OF THE INGREDIENTS ARE LISTED AS CARCINOGENS BY IARC, NTP, OR OSHA. EST'D PEL/TLV: NOT ESTABLISHED PRIMARY ROUTES OF ENTRY: N/A --------------------------------------------------------------------- HMIS CODES: HEALTH 1; FLAM. 0; REACT. 0; PERS. PROTECT. B ; CHRONIC HAZ. NO --------------------------------------------------------------------- FIRST AID PROCEDURES: SKIN FLUSH CONTAMINATED SKIN WITH PLENTY OF WATER. CONSULT A PHYSICIAN IF IRRITATION DEVELOPS. EYES IMMEDIATELY FLUSH EYES WITH PLENTY OF WATER FOR AT LEAST 15 MINUTES, OC- CASIONALLY LIFTING UPPER AND LOWER LIDS. GET' MEDICAL ATTENTION AT ONCE. INHALE: MOVE EXPOSED PERSON TO FRESH AIR. IF IRRITATION PERSISTS, GET MEDICAL ATTENTION PROMPTLY. INGEST: IF SWALLOWED, DO NOT INDUCE VOMITING. IF VOMITING OCCURS, KEEP HEAD BELOW HIS' LEVEL. GET EMERGENCY MEDICAL ATTENTION IMMEDIATELY. ---------------•------------------------------------- SECT I ON IV S P E C I A L P R 0 T E C T I 0 N I N F 0 R M A T I 0 N PROTECTIVE CLOT''liING WEARING NEOPRENE OR NITRILE GLOVES IS RECOMMENDED WHEN PROLONGED EXCESSIVE CONTACT OCCURS (eg IMMERSING HANDS) EYE PROTECTION , WEAR TIGHT-FITTING SAFETY GLASSES ESPECIALLY IF CONTACT LENSES ARE WORN. RESPIRATORY PROTECTION: NO EXTRA MEASURES ARE NEEDED IF VENTILATION IS ADEQUATE. VENTILATION PROVIDE LOCAL. EXHAUST/VENTILATION AS NEEDED TO KEEP CON- CENTRATION OF VAPORS BELOW EXPOSURE LIMITS (PEL/TLV). ------------------------------------------------------------ SECT I ON V - P H Y S I C A L D A T A BOILING POINT (F) 220 SPECIFIC GRAVITY : 1. 044 VAPOR PRESSURE(MMI-IG) : N/D PERCENT VOLATILE BY VOLUME (%) : (35. 9 VAPOR DENSITY(AIR-1 ) : N/D EVAPORATION RATE(WATER =1 ) : 1. 0 SOLUBILITY IN WATER : COMPLETE PH(CONCENTRATE) 11. 5-12. 0 PH(USE DILUTION OF 1% > : 9. 2 APPEARANCE AND ODOR : A THIN, DARK BLUE LIQUID HAVING LITTLE ODOR ---------------------------------------------------------- ---------------------- SECTION VI - F I N E A N D E X P L 0 S I O N D A T A FLASH, POINT(F) ' (METHOD USED) : N/A tN > . FLAMMABLE LIMITS LEL N/A UEL N/A EXTINGUISHING .MEDIA : NON-COMBUSTIBLE. SPECIAL FIRE FIGHTING: NONE UNUSUAL FIRE HAZARDS NONE HEET z{. MATERIAL SAFETY DATAS * € o AND SAFE HANDLING AND DISPOSAL INFORMATION PAGE .3 OF 3, ISSUE DATE: 11/25/91 ZEP,<.E. S. P ZEP MANUFACTURING COMPANY - -• ',< w FIRST IN MAINTENANCE PRODUCTS SUPERSEDES: 05/28/9t PRODUCT NUMBER .0848 .r xo `SECTION V I I - R E A C T I V I T Y D A T A STABILITY : STABLE INCOMPATIBILITY(AVOID) : NONE POLYMERIZATION : WILL NOT OCCUR. k• . HAZARDOUS DECOMPOSITION: CARBON DIOXIDE, CARBON MONOXIDE, AND OTHER UNIDENTIFIED ORGANIC COMPOUNDS. -------------------------------------------------------------------------------- SEC T I ON V I I I -- S P I L L A N D D I S P 0 S A L P R 0 C E D U R E S STEPS TO BE TAKEN IN CASE MATERIAL IS RELEASED OR SPILLED: OBSERVE SAFETY PROCEDURES IN SECTION 4 & 9 DURING CLEAN-UP. ABSORB SPILL ON INERT ABSORBENT MATERIAL (eg ZEP-O-ZORB). PICK UP AND PLACE RESIDUE IN A SUITABLE WASTE CONTAINER OR, IF PERMITTED, FLUSH TO SEWER. THOROUGHLY RINSE SPILL AREA WITH WATER. WASTE DISPOSAL METHOD: LIQUID WASTES ARE NOT PERMITTED IN LANDFILLS. THIS PRODUCT IS NOT CONSIDERED A HAZARDOUS WASTE UNDER RCRA. UNUSABLE LIQUID MAY BE ABSORBED ON AN INERT ABSORB- ENT MATERIAL (ey ZEP-O—ZORB), DRUMMED, AND TAKEN TO A CHEMICAL OR INDUSTRIAL LANDFILL. IN SOME AREAS DISPOSAL BY FLUSHING INTO A SANITARY SEWER WITH PLENTY OF WATER MAY BE PERMISSIBLE.. CONSULT LOCAL, STATE, AND FEDERAL AGENCIES FOR f PROPER DISPOSAL METHOD IN YOUR AREA. RCRA HAZ. WASTE NOS. : N/A -------------------------------------------------------------------------------- SECT I ON IX - S P E C I A L P R E 'C A U T I O N S PRECAUTIONS TO BE TAKEN WHEN HANDLING AND STORING: Store tightly closed container in a dry area at temps. between 40-120 degrees F. KEEP PRODUCT OUT OF EYES.. DO NOT BREATHE SPRAY MISTS OR VAPORS. Clothing or shoes which become contaminated with substance should be removed promptly and not reworn until thoroughly cleaned. KEEP OUT OF THE REACH OF CHILDREN. -------------------------------------------------------------------------------- SECTION X - T B A N S P 0 R T A T I O N D A T A DOT PROPER SHIPPING NAME NONE DOT HAZARD CLASS: N/A DOT I. D. NUMI;FR : N/A DOT LABEL/PLACARD: NONE EPA TSCA CHEMICAL INVENTORY - ALL INGREDIENTS;,,,ARE LISTED EPA CWA 40CFR PART 117 SUBSTANCE(RO IN A SINGLE CONTAINER):, SODIUM DODECYL BENZENE SULFONATE — 1000# f e x, MATERIAL SAFETY DATA SHEET 10/23/92 ® AND SAFE HANDLING AND DISPOSAL INFORMATION PAGE 1 OF 3 .; ZEP MANUFACTURING COMPANY , ISSUE DATE 07/07/90 ZEP PLUS E . FIRST%NMAJNTENANCEPRODUCTS SUPERSEDES...:; 02/23/90. PRODUCT NUMBER: 0588 . SECTIONI — EMERGENCY CONTACTS ZEP MANUFACTURING COMPANY TELEPHONE: (404)352-1680 BETWEEN 8: 00 AM-5: 00 PM (EST) - P.P. D. BOX 2015 NON—OFFICE HOURS, WEEKENDS, AND HOLIDAYS: AREA CODE 404 ATLANTA, GEORGIA 30301 435-2973, 351-2952,_.--.432-2873 LOCAL POISON CONTROL CENTER . . . . . . . . . . . . . . . . . . . . . . . . . . TRANSPORTATION EMERGENCY: CHEMTREC: TOLL FREE .1-800-424-9300 ALL :CALLS RECORDED (404)922-0923 or DISTRICT OF COLUMBIA . (202)483-7616 ALL CALLS RECORDED -------------------------------------------------------------------------------- SECTION II — H A Z A R D 0 U S I N G R E D I E N T S TLV EFFECTS % IN DESIGNATIONS (PPM) (SEE REVERSE) PROD. # POTASSIUM DODECYLBENZENE SULFONATE #* linear alkyl N/D IRR C 5 aryl sulfonate; CAS# 27177-77-1; RTECS# NONE OSHA PEL N/D -------------------------------------------------------------------------------- SPECIAL NOTE: ADVERSE HEALTH EFFECTS WOULD NOT BE EXPECTED UNDER RECOMMENDED CONDITIONS OF USE SO LONG AS PRESCRIBED SAFETY PRECAUTIONS ARE PRACTICED. -------------------------------------------------------------------------------- SECT I ON III — H E A L T H H A Z A R D D A T A ACUTE EFFECTS OF OVEREXPOSURE: THIS PRODUCT IN CONCENTRATED FORM MAY BE AN EYE IRRITANT. INFLAMMATION OF EYE TISSUE IS CHARACTERIZED BY REDNESS, WATERING, AND/OR ITCHING. MATERIAL SAFETY DATA SHEET ® AND SAFE HANDLING AND DISPOSAL INFORMATION PAGE 2 OF 3 ZEP MANUFACTURING COMPANY ISSUE DATE: 07/07/90 ZEP PLUS, E FIRST IN MAINTENANCE PRODUCTS SUPERSEDES:' 02%23/90' PRODUCT NUMBER:'. 0588 . SECTION I"II — H E A L T H H A Z A R D D A T A (CONTINUED) CHRONIC EFFECTS OF OVEREXPOSURE: THERE ARE NO KNOWN EFFECTS FROM CHRONIC EXPOSURE TO THIS PRODUCT. NO KNOWN MEDICAL CONDITIONS AGGRAVATED BY OVEREXPOSURE TO THIS PRODUCT HAVE BEEN ESTABLISHED. NONE OF THE INGREDIENTS ARE LISTED AS CARCINOGENS BY �IARC, NTP, OR OSHA. EST'D PEL/TLV: NOT ESTABLISHED PRIMARY ROUTES OF ENTRY: N/A ------------------------------------------------------------------------------- HMIS CODES: HEALTH 0; FLAM. 0; REACT. 0; PERS. PROTECT. B ; CHRONIC HAZ. NO ------------------------------------------------------------------------ — FIRST AID PROCEDURES: SKIN FLUSH CONTAMINATED SKIN WITH PLENTY OF WATER. CONSULT A PHYSICIAN IF IRRITATION DEVELOPS. EYES IMMEDIATELY FLUSH EYES WITH PLENTY OF WATER FOR AT LEAST 15 MINUTES, OC— CASIONALLY LIFTING UPPER AND LOWER LIDS. GET MEDICAL ATTENTION AT ONCE. INHALE: MOVE EXPOSED PERSON TO FRESH AIR. IF IRRITATION PERSISTS, GET MEDICAL ATTENTION PROMPTLY. INGEST: IF THIS PRODUCT IS SWALLOWED, DO NOT INDUCE VOMITING. IF VICTIM IS CONSCIOUS GIVE PLENTY OF WATER TO .DRINK. . GET MEDICAL ATTENTION AT ONCE. -------------------------------------------------------------------------------- SECT I ON IV — S P C C I A L P R 0 T E C T I 0 N I N F 0 R M A T I 0 N PROTECTIVE CLOTHING THE USE OF NEOPRENE, NITRILE OR NATURAL RUBBER GLOVES IS STRONGLY RECOMMENDED, ESPECIALLY FOR PROLONGED CONTACT. EYE PROTECTION Use of tight—fitting safety glasses or goggles is stron— gly recommended, especially when wearing contact lenses. RESPIRATORY PROTECTION: NO SPECIAL MEASURES ARE REQUIRED. VENTILATION NO SPECIAL MEASURES ARE REQUIRED. ------------------------------------------------------------------ SECTION V — P H Y S . I C A L D A T A BOILING POINT (F) APPROX. 215F SPECIFIC GRAVITY 1. 04 VAPOR PRESSURE(MMHG) : N/A PERCENT VOLATILE BY VOLUME (%) 81. 5% VAPOR DENSITY(AIR=1 ) : N/A EVAPORATION RATE(WATER =1 ) : 1. 0 SOLUBILITY IN WATER : COMPLETE PH(CONCENTRATE) : 8. 0-9. 0 P H(USE DILUTION OF 1% SOLUTION ) : 7. 5-8. 0 APPEARANCE AND ODOR : DARK GREEN, SLIGHTLY VISCOUS LIQUID WITH PLEASANT FRAGRANCE. ----------------------------------------------------------------------------- SECTIONVI — F I R E AND E X P L 0 S I ON DATA ; FLASH POINT(F). (METHOD USED): NONE tTCC ) FLAMMABLE LIMITS LEL N/A UEL N/A EXTINGUISHING MEDIA NON—COMBUSTIBLE. y; SPECIAL FIRE FIGHTING: NONE `' UNUSUAL FIRE HAZARDS NONE f . rye MATERIAL SAFETY DATA SHEET ® AND SAFE HANDLING AND DISPOSAL INFORMATION PAGE 3 OF 3 z ZEP MANUFACTURING COMPANY ISSUE DATE: 07/07/90 ZEP PLUS E 'i FIRSTIN_MA/NTENANCEPRODUCTS - SUPERSEDES:" 02/23/94 � PRODUCT NUMBER.": 0588` SECTION VII — `R E A C T I V I T Y D` A T A STABILITY STABLE INCOMPATIBILITY(AVOID) : STRONG ACIDS -AND OXIDIZING AGENTS POLYMERIZATION : WILL NOT OCCUR. . HAZARDOUS DECOMPOSITION: CARBON •DIOXIDE, CARBON MONOXIDE, AND OTHER UNIDENTIFIED ORGANIC COMPOUNDS. -------------------------------------------------------------------------------- SECTION VIII — S P I L L A N D D I S P O S A L P R 0 C E D U R E S STEPS TO BE TAKEN IN CASE MATERIAL IS RELEASED OR SPILLED: OBSERVE SAFETY PROCEDURES IN SECTION 4 & 9 DURING CLEAN—UP. ABSORB SPILL ON INERT ABSORBENT MATERIAL (eg ZEP—O—ZORB). PICK UP AND PLACE RESIDUE IN A SUITABLE WASTE CONTAINER OR, IF PERMITTED, FLUSH TO SEWER.. THOROUGHLY RINSE SPILL AREA WITH WATER. WASTE DISPOSAL METHOD: LIQUID WASTES ARE NOT PERMITTED IN LANDFILLS. THIS PRODUCT IS NOT CONSIDERED A HAZARDOUS WASTE UNDER RCRA. UNUSABLE LIQUID MAY BE ABSORBED ON AN INERT ABSORB— ENT MATERIAL (eg ZEP—O—ZORB), DRUMMED, AND TAKEN .TO A CHEMICAL OR INDUSTRIAL LANDFILL. IN SOME AREAS DISPOSAL BY FLUSHING INTO A SANITARY SEWER WITH PLENTY OF WATER MAY BE PERMISSIBLE. CONSULT LOCAL, STATE, AND FEDERAL AGENCIES FOR PROPER DISPOSAL METHOD IN YOUR AREA. RCRA HAZ. WASTE NOS. : N/A -------------------------------------------------------------------------------- SECT I ON IX — S P E C I A L P R E C A U T L,_0 N S PRECAUTIONS TO BE TAKEN WHEN HANDLING AND STORING: Store tightly closed container in a dry area at temps. between 40-120 degrees F. KEEP PRODUCT OUT OF EYES. Clothing or shoes which become contaminated with substance should be removed promptly and not reworn until thoroughly cleaned. KEEP OUT OF THE REACH OF CHILDREN. -------------------------------------------------------------------------------- SECT I ON X — T R A N S P O R T A T I O N D A T A DOT PROPER SHIPPING NAME NONE DOT HAZARD CLASS: N/A DOT I: D.' NUMBER : N/A DOT LABEL/PLACARD: NONE EPA TSCA"CHEMICAL INVENTORY — ALL INGREDIENTS ARE LISTED EPA` CWA_",`40CFR PART 117 SUBSTANCE(RO IN A SINGLE CONTAINER): NONE • ,w Uri s ��5 ��,� G�l"U fin✓ - �uucR 2, c- 44 W y 5 PEP o E,- L ?, -o / � 2 - .:J':1 T'a—w''xm^"^"'"""iy .^^'o.sv^+,..��.... �:.-r..rq:.�.T�✓-�._�..___.._�._.._...�.-v_�...._.�.__...+_e._...�_.._ -,.,�......._ , -��n"m'w.'..�.wc+�n7.v"' 'T".`�•-R'c4".`e?"^r1.9baa'h^n,5". _Y.e` „'r.'_eC`•' 'f'h^a'^ _ __ .. ......... � f,'^�tH� �'7 '� �,ii��r.��s` �r Y,zG'�"r .a.. z.,,,dx 'fs u--�.�a-'T .r�?1JSr r^ �. 7z00 - j. �FTHE T TOWN OF BARNSTABLE OFFICE OF BOARD OF HEALTH — rner. i639' 367 MAIN STREET a MAYM' HYANNIS, MASS. 02601 November 20, 1987 Mr. Raymond Blackburn -043 West Main Street Centerville, Ma 02632 Dear Mr. Blackburn: We recently reviewed a preliminary subdivision plan of 14 lots owned by you located off Cit Avenue, Hyannis, listed on Assessor's Map 312, as parcels 1 through 14. These lots are adjacent to Lots 17-18-19-20. You agreed not to develop 3.67 acres as a condition of receiving the approval for a building permit for 3 buildings located at 30 Cit Avenue on December 18, 1985. Please let us know where the 3.67 acres you set aside are located in relationship to your subdivision. We need this information in order to make recommendations to the Planning Board concerning your subdivision. Very truly yours Grover C. M. Farrish, M.D. Chairman BOARD OF HEALTH TOWN OF BARNSTABLE JMK/bs enclosure I 1. �I j �1 o©C) C-,C-C) �I I is cl G� GCS d .y p CX I j �o2) I G I ,I � y 13 I oc �o�l�oa ►p 1 ; '. I a5 oS vr>c off.S f c.SOei I l C, 1 C C-) C i � 3 1 S lo_J CJC>n 3G?C�c© o?C� (r Jam,f C-1 bco �� 13 Gov _3co 31 OCX ' I r FORM B APPLICATION FOR TENTATIVE APPROVAL OF PRELIMINARY PLAN - November 6-- 7 To the Planning Board of the-Town of Barnstable The undersigned, being the owners of all land included within a proposed .subdivision shown on Preliminary Subdivision Plan of Land in (Hvannis) Barnstable, the occom anying plan, entitled Mass___prepared_:fc�-1�Y-_HI�LII3 -.qtS Tale__L"_--��Q__P�'P�rt-d by revised - - Cape Cod-Engineering and dated November 6, --___, 19_ 7__, submit such plan as a preliminary plan showing in a general way the proposed subdivision of the land, and makes application to the Board for tentative op- proval thereof. The Owner's.title to the land is derived under deed _to-Raymond_ Blackburn_- dated _____hIouember_=____, 19.8.4__- and recorded in Barnstable Country Registry of Deeds, Book 432.1, Page 44 and deed dated April, 1983 recorded in said Registry in Book 3723, Page 176. -- - ---- -------------- i Michael D. Ford, Esquire -- - --- Agent for Raymond Blackburn ------------------------------------------ - -------------------- Applicant P. O. Box 960 Hvannis, MA. 02601 771-5070 ---------------- ---------- Address =� t25ia 17 � I QyOFTHE rO� TOWN OF BARNSTABLE OFFICE OF sas mum BOARD OF HEALTH A6Y. 1M 9. YAY D 367 MAIN STREET k' HYANNIS, MASS. 02601 BOARD OF HEALTH MEETING \ AGENDA October 20, 1987 1. Mark Robinson - Conservation - Wetland Protection Proposed By-law 2. Continuation of Hearing requested by Attorney Ford representing Neil Feely and Willy's Gym. 3. Hearing requested by Robert Hayden, Jr. - Lots 101, 102, 103, 109 Industry Road, Marstons Mills - Violations of Nuisance Control Reg. #1 and State San:ftary Code. 4. A) Bru nd Robert Burlingame - Lot 21 Cherry Tree Rd. - Cotuit - 8000 Sq: Ft: lot: T4rre 5 variance. (1) Wetland 70 Ft. to septic.- (2) One foot distance between property line and leaching. B) Peter and Doreen Evans - 960 Main Street, Cotuit - :48 acre .lot - Existing dwelling subsurface drain abutts leach p' 104/q ��1 ��t,- 2`', 5. Larry Dunkin - Planning Der tment -Groundwater Protection Overlay, Wastewater Discharge Proposed By-laws. 6. Subdivisions: A) Definitive - Daniel Ho.3tetter - Santuit/Newtown Rd: - Marstons Mills - Open Space - 15 lots - 0.27 Acre -0.44 Acre lots - Public water B) Definitive - "Bog Berry Knoll" - Open Space - Marstons Mills - 6 lots - 18,684 to 33,791 Sq. Ft. - Public Water 7. Letter to Board of State Examiners of Plumbers and Gas Fitters from CCPEDC. 8. Influenza Clinics 9. Minutes from previous meeting October 6, 1987. �P�oFtYETO�o TOWN OF BARNSTABLE 'w `Of . OFFICE OF e19AXTSTAX i \\ YABt BOARD OF HEALTH 9do�O YAY k. 367 MAIN STREET HYANNIS, MASS. 02601 December 18, 1985 Mr. Richard Garbitt Mr. Raymond Blackburn 167 Airport Road Hyannis, Ma. 02601 Dear Sirs: The Board of Health will grant you conditional approval to construct three (3) buildings rather than the one (1) building previously approved at Cit Avenue, Hyannis. The following conditions must be met prior to final approval: (1) A properly executed legal document prohibiting building on the adjacent 3.59 acres until such time as conne ction to Town sewer is made mus t be received cei ed and approved. �It .; C Floor drains are prohibited in all buildings. L j.... / —(3) Full compliance with the Town's Hazardous Materials By-law . is required. (4) Oil and gasoline separators will be installed in all catch basins and serviced by a licensed hazardous material transporter. (5) On-site sewage disposal plans conforming to the Town of Barnstable Health Regulations and Title 5, of the State Environmental Code, must be approved by the Health Department. AhairmanV y yoAdsf BOARD OF HEALTH - TOWN OF BARNSTABLE JMK/mm } r � JOSEPH D. DALUZ TELEPHONES 775-1120 Building Commissioner EXT. 107 TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 CHECK LIST FOR ENGINEERING DEPARTMENT FOR ANY NEW COMMERCIAL; BUILDING PERMIT THREE (3) COPIES OF PLAN SHOWING A MINIMUM OF THE FOLLOWING: I 1. Locus Plan i 2. Location of all proposed and existing buildings 3. Location t on of al l areas to be paved 4. Location of all exits or entrances showing desired widths 5. Sufficient grades, both existing and proposed to assure that all drainage .runoff will be contained on subject property 6. Location of proposed drainage sturctures 7. Location of existing sidewalk; curbing, pavement, etc. If Apartment (or Condominium) show details required by Section M of the Town of Barnstable Zoning By-law. If Motel or Hotel show details required by Section N of the Town of Barnstable Zoning By-law. Copies of the Town of Barnstable Zoning By-law may be purchased from the Town Clerk. �ba v June 20, 1980 5a � .5 • �7 � , � (sue ZJ "A v V. .IOSEPH D. DALuz TELEPHONE: 775.1120 Building Commissioner EXT. 107 TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 December 31, 1987 TO: Grover C. Farrish, M.D. , Chairman Board of Health �(� FROM: Joseph D. DaLuz, Building Commissioner ( �/) RE: 30 C. I. T. Avenue, Hyannis �/ I have read your letter re the above project, reviewed the buildings and the building plans. In further review of the permit application and the building permit I did not find any request or approval for additional construction within the permitted structure. Our zoning by.-law does permit two (2) story commercial buildings. Storage areas within the units are permitted as accessory uses. There is nothing in our regulations to prohibit the second story use, as stated, for units 1, 4 and 5. The second story is presently listed as office space. The use is, of course, predicated on approvals from the Board of Health. Please be advised that as of the above date I have not issued occu- pancy permits for the second story office spaces and will not do so until approvals have been obtained from the Board of Health. Copies to: Attorney Michael Ford Board of Selectmen Town Counsel Legal Notices 125 TheTownofeest fBa nstableor ,acting through the Barnstable Munici pal Airport Commission, Is re- questing Proposals for 21E SITE ASSESSMENT AND FOLLOW- UP INVESTIGATIONS for an Auto Salvage. Yard (6.3 acres) adjacent to the Barnstable Mu. nicipal Airport, .Hyannis, Massachusetts. Proposal will be received until 11:00 A.M.,December 16,1967,at the office of the Airport Manager at the Barnstable Municipal Air- 1 port,Hyannis,Massachusetts.. The proosedconsis of two phases toberbid slepa ate- ly.Phase I—21E SITE ASSESS- MENT will be bid lump sum. Phase 2— FOLLOW-UP INVES- TIGATIONS/REMEDIAL'AC- TION Is an undertermined quan• tity of work which may be necessary based on the outcome and recommendations of Phase I. Phase 2.work will be bid on hour• I rates and cost of subcontracted services. The two work phases are outlined as follows: PHASE I-21E . SITE ASSESSMENT Assessment to Include site In. vestigations, Installation of I groundwater observation wells, r test pits,soft and wafer sampling is and analyses, and report pre p. aration, Including test .results, r' conclusions, d recommen_dations, and d The site assessment should be t in accordance with setts General Laws E d property' transactions) end -----� d should adequately determine the V presence or absence of hazardous materials as defined by current standards and legal limits. Phase I shall be bid LUMP SUM. Proposals elall Include breakdown of project staff rates, cost and estimated quantity of well installations, test pits, and sample (laboratory) analysis. Rates for staff and other services I Shall lnci,,de overhead and profit. I PHASE2— INVESTIGATIONS/REMEDIAL } ACTION 1 Phase 2 will Include follow-up Mork 3z rrc,v reti for continued site evaluation, legal and DEQE it coordination, preparaVon of re. medial action alternatives, an• — d/or other related work neces- Investegafi follow-up . Phase I Pr The cost of Phase 2 work th shalt be negotiated with the Own. P' er and Engineer/Consultant H based upon the hourly staff rates 1' and cost of well Installation,test 1 Pit operations, sample analyses,a and other services required for Complete Investigation.Rates for ; staff and other services shall In. clude overhead and profit. Proposals shall Include: 1. FIRM HISTORY AND QUALIFICATIONS Specifically, the proposal should address the firm's exper. -fence with 21E sire assessments, comprehensive site evaluations, and remedial action plans. Re. Bumes of staff personnel should 91so be included. 2. LUMP SUM BID FOR PHASE IWORK Include requested back-up,data for derivation of lump sum. 3.UNIT COSTS FOR PHASE 2 WORK Proposals shall include hourly: 'ates or the or following t staff and costs,! •well installation •test pit operations •sample(laboratory)analyses These costs will be used to ne- gotiate any Phase 2 work: necessary. Proposals will be judged on firm's qualifications as well as bid prices for services. To review the following infor•.1 maiton or for additional Informa- tion please contact Maureen Walsh Sakakeeny at Edward and Kece ter,529 Main Street Boston,MA 02129,(617)242.9222: *Parcel map •topographic survey •21E site assessment of adja- cent property at Barnstable Mi+- niclpal Airport Site visits may be arranged by contacting Harold Friedman, Airport Manager, Barnstable Municipal Airport, Hyannis, Massachusetts. The Barnstable Airport Com• mission reserves the right to re. Jett any or all proposals or to ac. ^apt any other than the lowest bidder should It be deemed to be In the best interests of the Com• mission to do so. 1 ' Awarding Authority Barnstable Municipal Airport Commission - i Barnstable Municipal Airport PLANT ROAD, HYANNIS, MA 02601 DAYS 771-7166 NITES 775-0246 PURVEYORS of FINE FRUIT & PRODUCE Sag 3� a c� R ,1 La C> top 020 K aO r N 09. n MYCOCK, KILROY, GREEN Si MCLAUGHLIN, P.C. ATTORNEYS AT LAW 171 MAIN STREET BERNARD T. KILROY HYANNIS. MASSACHUSETTS 02601 OF COUNSEL ALAN A. GREEN - AREA CODE 617 EDWIN S. MYCOCK CHARLES S. MCLAUAHLIN. JR. - MICHAEL D.I FORD 771-5070 ADDRESS ALL MAIL P.O. Box 960 .MARK D. CARCHIDI HYANNIS. MASS. 02601 LAURIE A.WARREN MARIBETH KING REFER TO FILE # August 10 , 1987 Board of Health Town Hall Hyannis, .MA. 02601 Re: Request for permit - Richard Garbitt Dear Members of the Board: Please be advised that Mr . Richard Garbitt has retained met' with respect to his efforts to obtain the Boards permission for the placement of office space e o e in the 2nd floor of his existing office P P g building off of Airport Road. '. My understanding is that the Board has had this matter under consideration for some time. Would you please place this matter on your agenda for August 18 , 1987 so that I may address the Board regarding same . Very truly yours, Michael D. Ford MDF/djw 3335d ' r � r MYCOCK, KILROY, GREEN & MCLAUGHLIN, P.C. ATTORNEYS AT LAW 171 MAIN STREET BERNARD T. KILROY HYANNIS. MASSACHUSETTS 02601 OF COUNSEL ALAN A. GREEN AREA CODE 617 EDWIN S. MYCOCK CHARLES S. MCLAUGHLIN, JR. 771-5070 MICHAEL D. FORD ADDRESS ALL MAIL P.O. Box 960 MARK D. CARCHIDI HYANNIS, MASS. 02601 LAURIE A.WARREN MARIBETH KING REFER TO FILE # August 10 , 1987 Board of Health Town Hall Hyannis, MA. 02601 Re: Request for permit - Richard Garbitt Dear Members of the Board : Please be advised that Mr . Richard Garbitt has retained me with respect to his efforts to obtain the Board 's permission for the placement of office space in the 2nd floor of his existing office building off of Airport Road. My understanding is that the Board has had this matter under consideration for some time. Would you please place this matter on your agenda for August 18 , 1987 so that I may address the Board regarding same . Very truly yours, Michael D. Ford MDF/d j w 3335d { Received by: RoexO 6A LAA,F " z Date: (V r�„�,r,�zu,l�' jozva J oFTHE T� TOWN OF BARNSTABLE OFFICE OF Bs>iaeTss>;gA6L BOARD OF HEALTH Epp 1639. `�' 367 MAIN STREET D YRY k' HYANNIS, MASS. 02601 October.15, 1987 �- Mr. Robert Ferguson 30 Cit Avenue Unit 2 Hyannis, Ma 02601 NOTICE TO ABATE VIOLATIONS .OF BOARD OF HEALTH APPROVAL .CONDITIONS IN A CRITICAL ZONE OF CONTRIBUTION TO PUBLIC WATER SUPPLY WELLS- 30 CIT AVENUE, HYANNIS - UNIT 2 Dear Mr. Ferguson: You are directed to remove the illegally constructed second floor storage area located at 30 Cit Avenue, within 30 days of receipt of this order. This second floor addition was constructed without obtaining the required building permit. The building permit issued in December 1985, was for three single floor buildings. The previous owner's representatives and attorney were present at the Board of Health hearings regarding this matter. The previous owner's representatives were instructed to furnish us with sewage flow rates or the entire complex on several occasions but failed to do so. The buildings are located in a critical zone of contribution to our public water supply wells and were approved for dry goods stores only. The property was visited by Board of Health members and Health Inspectors and your previous owner's attorney who confirmed the second floor additions. Very tf ly yo s, Grover C. M. Farrish, Chairman Board of Health Town of Barnstable JMY./bs copy to: Atty. Michael Ford Atty. Robert Smith d r f - ins n �-y��—_ �o� �� o��n � x•o- . . ... f 'l VIA, i _ r geK CAP- 1 [f •�_ 71 1 ¢ \ \\\\ w.ar wurr O cc Awe BUIDIN(1 #a � _ 10.ew.Jr 1 :4 xrtaua l-: 0 wro xwoo.i I no.a u.M: �ccn•.o.• 4 1 I I - 1 1 '. :_L[V+•�I[ J-L?rfJ:��.�� .= :eV I'J:..: -.YIW[[SRS _ SITP PL►N C-MUTT'ANO BLAC!BUAW S E A C O A S T —' C G..,IIIIC,[C. COIL. . r.is• ._�e _....._......__-_...•.. _.. Ys� .emu..... .. . ►6.tv-... vac.rrti! �____.__..-__..-._._._.-.-.._-..�..__. .. 1,t''39. 1 Eq�tR�..__...._'.__._.___.___ . 4,'3(o , • _..I�Ms-cto 6, .:e'��..:��tI-oWG-__.__ agC-+AaRGF....- ::.:1)4 0 .G. . . . 3� �2ntd .._..._....._.__-.---_.. ....-..... _..__ GIP AM m pJb, � '0 • (Zee,�q5-9-fb mb _... . _.._. �Y 1`139.C. D �P►�.t Get r July 8, 1987 Mr. Joseph DaL.uz Building coramissioner Town hall 367 wain Street Hyannis, )da 02601 RE: Garbitt and Blackburn Buildings (3) C:it Avenue, Hyannis, Mass. Dear 14r. DaLuz: We approved three one story (single floor) buildings for Garbitt and Blackburn on Cit avenue, Hyannis, Mass., in December 1985. These buildings are located in a critical 'Lone of Contribution to our public water supply wells and the septic systems were approved using daily sewage flow rates for dry goods establishments. Recently Seacoast Construction requested approval for second floor additions for three (3) bays. Iioard of health members visited the site and discovered several second floor additions that apparently were not authorized. Would you please inspect the premises and advise us. if all additions to the original construction plans were approved. Thank you for your assistance. V ry,truly yours, tobe . Childs Chairman Board of Health Town of Barnstable JMK/bs TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF FIRM 7 /tjr,049,77tJ�'`�=nc� Board of Health MAILTNleADDRESS: IS �'��.� �y��,v�S Town of Barnstable TELEPHONE NUMBER: ,3�-2--l0 21/ P.O. Box 534Hyannis, Massachusetts 02601 CONTACT PERSON: Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities 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. e. If you answered YES above, please indicate if th6 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 characteristics and must be registered when stored in quantities totalling more than 50 gallons liquid volume or 25 pounds dry weight. Please put a check beside each product that you store: Xntifreeze (for gasline or coolant systems)_ Refrigerants utomatic transmission fluid Pesticides (insecticides, -� Engine and Radiator flushes herbicides,rodenticides) ✓Hydraulic fluid (including brake fluid) Photochemitals -- Motor oils/waste oils Printing Ink Gasoline, Jet fuel �iesel fuel, Kerosene, #2 heating oil wood preservatives Other petroleum products: grease, (creosote) P P g Swimming Pool chlorine / lubricants Lye or caustic soda Degreasers for engines and metal Jewelry cleaners Degreasers for driveways & garages Leather dyes j Battery acid (electrolyte) Fertilizers (if stored Rustproofers outdoors) _ e- C r wash. detergents PCB' s /Car waxs and polishes Other chlorinated hydro- Asphalt & roofing tar carbons, (inc.carbon Paints, varnishes, stains, dyes tetrachloride) ' Paint and lacquer thinners Any other products with l Paint & Varnish removers, deglossers "Poison" labels (including Paint brush cleaners chloroform, formaldehyde, Floor & Furniture strippers hydrochloric acid, other —� Metal polishes acids) Laundry soil & stain removers Other products not listed (including bleach) which you feel may be Spot removers & cleaning fluids toxic or hazardous (please (dry cleaners) list) :' Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners Drain cleaners Toilet cleaners Cesspool cleaners Disinfectants Road Salt (Halite) P-521 `459 21P RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) Sent to ` 'I O V ° r) St et and f�o. `�t+ O C 7 P,O,State and ZIP Code (48 Postag4 S Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt showing to whom and Date Delivered 40 m Return Receipt showing to whom, Date,and Address of Delivery d TOTAL Postage and Fees $ Postmark or Date E 5 yLL 6. r, STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, I' CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES. (see front) t 4 f 1. It you want this receipt postmarked,stick the gummed stub to the right of the return address leaving { the receipt attached and present the article at a post office service window or hand it to your rural carrier. (no extra charge) 2. It you do not want this receipt postmarked,stick the gummed stub to the right of the return address of- the article,date,detach and retain the receipt,and mail the article. 3. It you want a return receipt,write the certified mail number and your name and address on a return 1 I receipt card,Form 3811.and attach it to the front of the article by means of the gummed ends if space per- mits.Otherwise,affix to back'of article. Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. 4. If you want delivery restricted to the addressee,or to an authorized agent of the addressee,endorse RESTRICTED DELIVERY on the front of the article. i 5. Enter fees for the services requested in the appropriate spaces on the front of.this receipt. It return I' receipt is requested,check the applicable blocks in item 1 of Form 3811. L 6. Save this receipt and present it if you make inquiry. �FTNETO� TOWN OF BARNSTABLE m`"Q �+► OFFICE OF B'M9T°n BOARD OF HEALTH rAea 0o 039. 367 MAIN STREET 0 yA HYANNIS, MASS. 02601 October 30, 1987 Mr. Camille Davigon Unit 7 30 Cit Avenue Hyannis, Ma 02601 NOTICE TO ABATE VIOLATIONS OF BOARD OF HEALTH APPROVAL CONDITIONS IN A CRITICAL ZONE OF CONTRIBUTION TO PUBLIC WATER SUPPLY WELLS - 30 CIT AVENUE, HYANNIS - UNIT 7. Dear Mr. Davigon: i You are directed to remove the illegally constructed second floor storage ` area located at 30 Cit Avenue, within 30 days of receipt of this order. This second floor addition was constructed without obtaining the required building permit. The building permit issued in December 1985, was for three single floor buildings. You apparently applied for a building permit after construction of your second floor addition. You or your representative and attorney were present at Board of Health hearings regarding this matter. Your representatives were instructed to furnish us with sewage flow rates for the entire complex on several occasions but failed to do so. These buildings are located in a critical zone of contribution to our public water supply wells and were approved for dry goods stores only. The property was visited by Board of Health Members and Health Inspectors and your attorney who confirmed the second floor additions. Very tru yours, Grover C. M. Farr s , Board of Health Town of Barnstable JMK/bs copy to: Atty. Michael Ford r TOWN OF BARNSTABLE ypf TN E Taw 0�P ��► OFFICE OF = ssaasTs>m BOARD OF HEALTH ate.. 367 MAIN STREET HYANNIS, MASS. 02601 October 14, 1987 Mr. Joseph Daluz Building Commissioner Town Hall 367 Main Street Hyannis, Ma 02601 Dear Mr. Daluz: -L Please have the structures listed below removed from the buildings located at 30 Cit Avenue, Hyannis, Mass. Unit 1 - Richard Garbitt - 30 Cit Avenue - Hyannis, Mass. - Second story office kitchen and deck. Unit 2 - Robert Ferguson - 30 Cit Avenue - Hyannis, Mass. - Second story addition. Unit 4 & 5 - Joseph Rodriques - 30 Cit Avenue - Hyannis, Mass. - Second story office with kitchen and deck. Unit 10 Raymond Blackburn - 30 Cit Avenue - Hyannis, Mass. - Second story with deck. These additions were constructed without obtaining a building permit and are therefore illegal They are located in a critical zone of contribution to our public water supply wells and have a limited sewage flow rate. Attached is a copy of a previous letter sent you July 8, 1987. At that time you verbally informed us that this construction was done without a permit. Thank you for your assistance in this matter of extreme importance to the town. Very tru y yours, _ Grover C. M. Farrish, Chairman Board of Health Town of Barnstable JMK/bs Copy to: Selectmen P��FTNEt��` TOWN OF BARNSTABLE m� o� OFFICE OF MAS&ses BOARD OF HEALTH rasa >�p 1639 OMA`f M�� 367 MAIN STREET HYANNIS, MASS. 02601 November 20, 1987 Mr. Joseph Rodrigues JMR Real Estate Trust P.O.Box 820 Barnstable, Ma 02630 Dear Mr. Rodrigues: Receipt of your letter dated November 16, 1987, is acknowledged. It is my understanding that -a kitchen and deck were constructed at Units 4 & 5, 30 Cit Avenue, without obtaining a building permit. You stated the present Units 4 and 5, 30 Cit Avenue, Hyannis, are in " complete compliance with the Town of Barnstable per the Building Inspector." Joseph DaLuz, Building Commissioner for the Town of Barnstable, stated on November 19, 1987, to Thomas McKean, Health Inspector, that he is still reviewing the building permits and plans at 30 Cit Avenue, Hyannis. If you feel that we are in error in this matter I would appreciate your scheduling an appointment with Thomas McKean, :,,Health Inspector for the Town of Barnstable Board of Health, to inspect Units 4 and 5, at 30 Cit Avenue, Hyannis. Please call 775-1120, extension 183 during the hours of 8:30 - 9:30 A.M. or 12:30 - 2:00 P.M. Thank you for your cooperation. Ve y/ ru� y u rover C. M. Parrish Chairman BOARD OF HEALTH TOWN OF BARNSTABLE JMK/bs copy to: Joseph DaLuz Building Commissioner JMR Real Estate Trust P.O. ,Box 820 Barnstable, Ma 02630 November 161 1987 Grover C .M. Farrish, Chairman - Board of .Health 367 Main Street Hyannis, Ma 02601 Dear Dr. Farrish: In response to your October 15, 1987 letter to me, could you please explain what. .kitchen and deck you are referring to? As I understand, the present units 4 & 5, 30 Cit Ave. are in complete compliance with the Town of Barnstable requirements per the Building Inspector. Thank you for your cooperation. Very truly yours, Joseph M. Rodrigues, Trustee JMR Real Estate Trust �oFtNETO� TOWN OF BARNSTABLE OFFICE OF BAHa9TAX M"t BOARD OF HEALTH 1639- 367 MAIN STREET HYANNIS, MASS. 02601 -.October 14, 1987 Mr. Joseph Daluz Building Commissioner Town Hall 367 Main Street Hyannis, Ma 02601 Dear Mr. Daluz: Please have the structures listed below removed fromothe buildings located . at 30 Cit Avenue, Hyannis, Mass. Unit 1 - Richard Garbitt - 30 Cit Avenue - Hyannis, Mass. - Second story office kitchen and deck. Unit 2 - Robert Ferguson - 30 Cit Avenue - Hyannis, Mass. - Second story addition. Unit 4 & 5 - Joseph Rodriques - 30 Cit Avenue - Hyannis, .Mass. - Second story office with kitchen and deck. Unit 10 - Raymond Blackburn - 30 Cit Avenue - Hyannis, Mass.. - Second story with deck. These additions were constructed without obtaining a building permit and are therefore illegal They are located in a critical zone of contribution to our public water supply wells and have a limited sewage flow rate. Attached is a copy of a previous letter sent you July 8, 1987. At that time you verbally informed us that this construction was done without a permit. � Thank 'you .for your assistance in this matter of extreme importance to the town. Very truly yours, Grover C. M. Farrish, Chairman Board of Health Town of Barnstable /bs op y to: Selectmen � I ' TOP OF FOUNDATION I ' Xd :CONCRETE til CO. CONCRETE COVERS I 0 4"CAST IRON i I2r1.Mr OR SCHEDULE 401 12"MAX ' ' R.V-C..jPIPE t �, �.. : ��°"+�i SC1fiE�lU +4��.�%t'i'i Y') !I` j' ,P �� I Sql PITCH.IJ4"PEIi �.f .FIaTCH.��/4fR,FT., I s' °'e I I r rP1T IN VIRT �dPA 1' jt SEPTIC 4ANK RtNCV(yc�rRT,/. e� • t-{ �N/V,ERT t n .:¢ I,c�, Q • ,;P1T� i ., _ EL'!/J^fr' x. F�vl'S! r' 7 .V • ni �.. ) fl i I r,� ° INVER r�t� I t' r t �OJtEL �'. QA ELlyx �ia7" GAL i } INV� T :b �f!- It i/EItT w i V , ,e.� Q31JIr WASH D j:1 q{ fl i PR FIIL.E~ V GROUND SEWAGE [A� YS .. O SAL�•�' Y V .Y., I No I , L• LOG WI�TN_ES5ED BY 4''I DATE ..7.�5. Fly . '� �vv >� TIME,. . . y.P.f . � CoN,�4,a' •�� ,,. �lDpp'er�a�e BOARD�'OF HEALTH TEST HOLE I TEST HOLE' 2 ELEV. .�SIX�. . . . ELEV. EPla1Rl0r ENGINEER t t 7�?�It1.9dc'r z, DATA ' fAcro.�r�rv�DST��f�.( _ dyE ��s r �] 'OF BEDROOMSeCIr,� I': r�,�•+� I I r= it I�UI �rli r r apt} a TOTAL'';jfS MMATED FLOWI � G,A!I s ; Ss GALLONS/DAY ..:rl I i I. �... .- = . I I t.rt �`•. BOTTOM LECHfNGh ARE 1 ja" ' ' I 1 "-A !alPI , : � 1 i ,. c'•� h �; p SIDE LEACHING' AREA: �� , ` S'crtQ FT/`PIT �r } l .I GARBAGET:DISPOSAL Ih�l�o� 1,, I o AREA IiNCREASEr' A` . �ITOTALIMHING AREA' 'I`�- 11 �I SD rT J . //� �I 1 11 1 t rl •f' ? i 1 1.1 7. ' 1� 1 r 1 n `1. xrr !IPERCOLA ION RATE I ,�1 l I �� ,�•; a I ' ' EACHJI } /'+��. . .WATER ENCOUNTERED, 11 . "L d'; ' REA 'PER':PEROOLATI ON RATk 1 'I SQ FY 'i T M I• s " ' NUM E OF4 LEACHIfG''I r I I, 'a Ir ". PITS s �.- . 1 �I• APPROVED L . . BOARD" F 1F .��0 ��yl - , 0 HEALTH ;r /- PATE . . . . . . . . .: . . . . �; o 1 T OR /gT/3L' AGENT INSPECTOR SEP 7 !e/✓ �y i OAI p oa<,y Y�• r� I �.S��o,SST •� . . � 1 r �,, � II_ • a � , I (,1•� O� ��a7EtzM � �' I, PETITIONER {. . 1T, I TOP OF FOUNDATION e`0 6RBOg.F.0 S?YO CONCRETE�t COVER` ;,• �i CONCRETE COVERS; 411CAST IRON ., �� -,fZXO } If rI .° 1 2°'MAX. O,R SCHEDULE 48) 1 • a P-V C.!1pt t, .r,, f�a t yr/ 1 ��F!" (, �{'�f1 1E4jq.. /ti�l I.• �' I `ff 1 , ,i P I •,� �� R ��: I ��' '�I '�- •�•� _PtT' 1I } e .. rT �_V,.t4 INV RT f 1 t s�.•�Q I -_` `' � � � �� - v.l ,�i .� drG t� t3 ..�.� 1 �rf3'�t .,1 'SEPMT � N�/, R � -,TAN ` o ) VER +� I 'a, I ELy1X �.a GAL' y yp ry I N T dAli f �S r , 1{ r � 'c � , .II 2s r I„�'Y �r ?� , ,.•!I ryEL�-�. � ec ,3, � � _ - ., _•tWjDIA� I j,�l I 1'-' � •0. p-. I, _„i � - , -1 �.e� �� { - � _se_.�_ }_:.`. tom'• ..a- hPR( 'FJ LE toF, �� YET `6ROUN'Dq'WATEff" I SEWAGE OSAL: 11 ; Nb" SCAL'E I Y., I � 'S BL. LOG SS'E® lip s :r, �� /� vv WIT N E ®Y {; ; DATE ..7i°<,l`�Sls� TIME 77, I OARD,,(OF HEALTH r. TEST HOLE UE(�"iB�B E , • TEST HOLE ! V. 66B�a �� ENGINEER"E . aR ,,• ,e„y ; �a9. r I FAGTo,�Y ivDds DATA d�E Si 1yx ;°'I NUMBERBEDROOMS ' �rT"1�1f?f�� -fj�•Yq�E2r r ' y 'P „{fI 1'I•II. L,� 1t 7"',r d :i. tr,. Ttl 14 E � , t n t. l I �' 1�7: li I� II .,.� � r}Y: `. � Ir� .ctLa �lt � � r.r � IIR i 1�,, 1}t•. .{ t -I t ' t' � TOTAL sESTIMATED :FLOW 3G'd'(1` P`GALLONS/DAY !I 1 ACHING: AREA" t SIO:1 FT /PIT t ia r SIDES LrEACHING AREA. SOFT/;PIT li a GARIBAGE DISPOSAL I W i, ''(50% AREA " •. 1 ? F TOTAL�,LEACHING AREA` �`�� '� 1 SQ �2 I' � 5�� r, II'' (PERCOLATION RATE Z�.v i ;f/Q MIN/INCH � u I W4 . .WATER ENCOUNTERED ,;L H� � ' EA1 PER PERCOLATION' RATE I? SQ F,TI }j NUMBERi`QF 'LEACH( G PITS ol� APPROVED .I• • •�• ' BOARD jOF HEALTH � '��'. �� '� Z DATE. / p �, ,o��c .sy ,'.yeyr,4 , AGENT OR INSPECTOR C 1 340 ION R PETIT E rs,; I 1� • . , - .i , ;t, ��Y�J ~ if�,�Yn fl'It mil' I1 ice. !- ;} �, :t •?!' EL y� TOP OF FOUNDATION a ro CONCRETE I Cbr CONCRETE COVERS' ;1F • , r Orr CAST •, _ .. ° OR IR¢N II m�"r'rrr E�[ SZ XO SCHEDULE 402 MAX. s P. IPIPE �,; , _ t xT ,�SCH�SDC � '��COIlx1Gf + 12pA4AX •, r4 M:� II r,r I n K 's z I III rrd�•/� r h-�.` Il" `" '' it I , - .. i IP1V RT TANK IN RT ''. 1 •�' >� ;. Imo;, Iti•�r w I VERT r, t q 1�1T �'. F °'• I I SEP7iG < l { IIIVVVERI` ° EL ff.(V, �( .r r. G AL! .r IN °' :,, •' .i ; '. •s• � .Fu.. 'i a`� , � , ''I � •:� �ft, ,� I v�u� Se�� .i yY a �E 7 t F c W � �. 314�1`T�Q�11 I n "I +�'fr I 1 ax s r �- I °r '1 /O' r I I � Sjht ,/- k r r �.. { r ?r •. I 'ki p .�� JH�S I� I :i r I . _ _gyp t p� . I r !"h ,.v 7 F y �.-�1,•, v ' 4. +04+ I�,'• . b f� � ) �,�, r �• Y)y �� '' ByDIA r 1 r, 1 {r ��l i .� lJ•�i,`p� I`- -;-'-�-'� - _-. - r L ., -- i - rr,.�__ Si __ _�a l_{_,�.y _.�� A•, y + i 1l,� I 4i r �Y� PRFIiLE , o _ j - L: GROUND 'WATEf3'TM" 7 SEWAGE � -' � � C �SPOSAIL SYSTEN9 ., �1,, � � ,NO ;SCALE . .; �� I ••�� ,��I��I If -VT i S IL. , LO/G� W6TN' ESSED BY :-:". ` DATE .7.i�'l� s�. IME'�'"y� -.�� .T.- co '' r BOARD,OF HEALTH �� @vC8 O •I • s/ .� p , ENGINEER E TEST HOLE; I TEST HOLE• ELEV. . X . . . . . � ti. 777, 77 ! DATA a r/JPIOYE f ,` 1 NUMBER 40 EDROOMSAr CmYF2.r. �� lrri TOTAL -ESTIMATED FLOW`6 '.GALLONS/DAY':'�� j! I BOTTOM 'LEACHING AREA'`Il?J Pr SO4 FT /.PIT17 4 I �� IIII I SIDEv LEACHING. AR-EA.' SQ.FT./'OIT ;.I u. � 11` . I '�� t � I ? i •"I 7 r.sw GARBAGE DIS POSAL „/ fl. ( % ARIEAF' NCR EASE) 4 LEA TOTAUI:IGHI NG AREA, IrSj3' SQ 12 iiC �!� r .I s... 1� 1II I• r +If ' I t h1 �1 ' I '•, ��',• �II PERCOL'ATI Id IRATE ` r;��.4�+1 �y9A/D MIN INCH oLi . •�, _+ .. I !1}yr � Irr ��. '... � .� ,a-ir.Ln�� I , I •., i I � 1 � b +I'j{: /��.. .WATER ENCOUNT RED LEACHING"'AREA, PER'PERCOLATION: RATE,". t, If „ NUMBEROFf,LEACHI "Gr PITS APPROVED L . . .,. . '. r ''. y . BOA �zlRD E LTH� GrQ I AS 0FH A .3. ;1 ,�y�=ins (ans) y�y � 1? DATE . . . ' � . . . . AGENT _ %%h'.l,, �Y �66�A�X•� ��,,t � fl OR INSPECTOR SEP//C !A/1/K a 360-C6-o f a� Rpl3ER c's PETITIONER!i STOP OF FOUNDATION xa CONCRETE COV Ff CONCRETE COVERS, 4"CAST IRON, II -MAX. S2 �rnrmmr I OR SCHEDULE 4p2° u E[ X0 ! { o• ® P.V.0 �r. tSC ` L �PIPE it �E „ ti,91 14 2 I fV4X �X�,A• ;W PITCH `,'PITCH TCH I/4piFT . _ P 7 �,INV }�R,C�Ay ! ° Rp `(IL�4 EL! ! ( VERB a 1.g . ,. . ; F�Ivt", JGfr T�Y' �ANf�'! -.$ w c. r 1 .. ! i DI�T'r. tv_.. z �, • Edgy+ r ®®3� L�qzY.1 It , l tNV 7; NVE r �,6a F.tL ' s r�� i,r AL�� [� ' .o. �'� t�.r,,��4�r��It ,i� �• �� ; -L., .r i 'A 'T I y',y f* r �7�. n[5 of yy Z• ;7 .. , _f 7{L�V /� 'D I ' /.O V ,. � I !'YC� { � p• AI � l +• o4Y Z,.;..ITG�� I � /•� I .I j - �Iji F r j,.'...' !r� - •,t.r`6ri k� r ,I •,,k+' I, ,F?R�FI,L L Its-. GROUND'<iMATER 'T�°Bt,� SEWAG' E 8�®SA t ;NO SCALE' 1�,�Fl S @ L LOG WITNESSED, BY, rim. DATE ..7S�. TIMECOn/,(o{� `.UD0elrcafe . BOARD 10F HEALTH TEST HOLE! I TEST HOLE_ • ' .,. ELEVJS/X'�. . . ELEV. '. �fDQf �19lOwr _ . . . . ENGINEER , , q) ! ; NUMBER 'bF- BEDROOMS }x �.TIMAT fir, .r rr 1 } U k I 6!• a t t TOTALr ,ESED FLOW' �� r }GALLONS/DAY �/cam;� ♦ r r ', .#r r~ r' yI ! BOTTOM LEACHING AREA'Ii,( •? ' r� 4 �tll SO;FT /PIT ' s l II I ` 1. ! n - SIDES LEACHINGz AREA 1 , t /�; ✓ s -SQ:FT/;'PIT GARBAGE'D1ISPOSA ..%►�� 50.a ' ' r5, r; � ' '�' I '" •� !! /o A�2EA +tNCREASE4;. i r TOTAL�LE7�GHINO AREA,( t , S ',I• , �I! s ' T �� I/�i �/9 ✓� �s yi�., a PERC0 -AT1I RATEMIN { /INCH =-af ? + LEACHjtij3 EA. PER PERCOLATION '.'RATE ' t a �� tf! .WATER ENCOUNTERED I I 'C $0 FTC. + +Jfr .. i { � 'z , 1� •,r:; >. t{ r n Ia � �l�j NU B aQ �g I LEACHi �O; PITS' w APPROVED .I. . . j BOARD OF HEALTH ;�i. _ y. 3 'J = <� <, 5 xT z177Rh , .6 - (,z's)- s rye DATE . � •�, y� f j/j AGENT OR INSPECTOR SE/�/7 `��, 6029?360- ra' '4 Y US F /Soo -WNC ��T OF,� �Y,46'/ PETITIONER COMMONWEALTH OF MASSACHUSE IrS DEPART LENT OF ENVIRONMENTAL QUALITY ENG � 0 Y\ [9; DIVISION OF HAZARDOUS WASTE : ` I ALL r 6 HAZA"OUS WASTE DIV. OF HAZARpOUS !. TPANSPORTER LICENS 1771 Washington Street CYN Oil Stoughton, MA 02072 Name of Licensee Mailing Address of Licensee William Kaylor 8/3/84 40 33914 Contact Person Effective Date Mass. License Number DPU Certification Number (617) 344-0265 12/31/86 MAD 082303777 Phone Number Expiration Date EPA Identification Number F This is to certify that the above named company is hereby granted a license to transport hazardous waste pursuant to G.L. Chapter 21C and 310 CMR 30.000. This license authorizes only the following: 1. Transportation of all categories of hazardous waste listed or described in 310 CMR 30.100. *2. Spill .clean-up of waste oil only pursuant to 310 CMR 30.824(2) and the attached set of conditions. { 3. The servicing of small quantity generators pursuant to 310 CMR 30.824(l) by fulfilling the following requirements: ± a) The pretransport requirements of 310 CMR 30.320 through 30.324, and b) The manifest requirements of 310 CMR 30.310 through 30.314, except for the following requirements, which shall always be carried out by the generator. 1. Signing the manifest certification, and 2. Forwarding a copy of the manifest to the Department. * Spill clean-up for waste oil only. THIS LICENSE AUTHORIZES ONLY THE ABOVE ACTIVITIES. THIS LICENSE AUTHORIZES ONLY THE NAMED LICENSEE TO ENGAGE IN THE ACTIVITIES DE- SCRIBED ABOVE. THIS LICENSE IS NOT TRANSFERRABLE.THIS LICENSE DOES NOT GRANT ANY RIGHTS NOT OTHERWISE GRANTED BY FEDERAL,STATE,OR LOCAL STATUTES,ORDINANCES,OR REGULATIONS. THE LICENSEE SHALL COMPLY AT ALL TIMES WITH ALL STATE AND FEDERAL REGULATIONS AND STATUTES APPLICABLE TO THE TRANSPORTATION OF S WASTE. Signature of Applicant or Individual Date William F.Cass, Director Ilate Authorized by 310 CMR 30.807 Division of Hazardous Waste I • JMR Real Estate Trust P.O—Box 820 Barnstable, Ma 02630 November 16, 1987 Grover C .M. Farrish, Chairman Board of Health 367 Main Street Hyannis, Ma 02601 Dear Dr. Farrish: In response to your October 15, 1987 letter to me, could you please explain what kitchen and deck you are referring to? As I understand, the present units 4 & 5, 30 C,, t Ave. are in complete compliance with the Town of Barnstable requirements per the Building Inspector. Thank you for your cooperation. Very truly yours, t Joseph M. Rodrigues, Trustee JMR Real Estate Trust �v � 1771 WASHINGTON ST., STOUGHTON, MA 02072 • 617-344-0265 • 1-800-242-5818(Mass.) c®13p. October 18, 1985 Mr. Dick Garbet Mr. Ray Blackburn CIT Avenue Hyannis, MA 02601 Gentlemen, This letter confirms that Cyn Oil Corporation will pick up and properly dispose of waste oils .generated by your company. Cyn Oil Corporation is a licensed transporter and waste oil storage facility (MA-40) . We look forward to providing you with this service in the future. 'If we may be of any further assistance in this matter, please do not hesitate to call. Very Truly Yours, CYN OIL CORPORATION dA Gerald E. McCarthy GEM/ctb A 11 /:,7 ,-•, ��.' . � ff r, r ri � •I4 !t f.t c� .'i+ d V. ..+' F A:r • + / a ' 'f; '-r � � j'R+,+.r } ' :;,7>/ J''a�' F x•; .:f'-e. 1.,�t�` '^ .f r a i.' rt�.[y .. ..�5� ��' �-t � a f're �. ,� �,�'f�• F r 'f „t rr r ti y,, .r ` t�""'r�' ;r i w.. w %*• f ' 'f�.� �` a� <�' 1.j v ,"3 wr �k,,�,� (z - , �� y e =y f t _S, ;.r .� ya• i +�C r f f s x « t `a, + •� , ti, d `,.. T, * + '+ A y=• e .:/Y'1 '"yi.'$# "r, •a.e p .r, an �:,F i y r, e 3 F s r.i 7,, rr •* � �' s A`r: �t '' �y ;fty' +••, Y t "}r try .F �'k tt rr'�. `•� ,ir - .5 A u S' �; . ft {. -4r � t er { S � f,►. y � p �r� •• ;October 10,-•1985 f;. M'G\.: `t2 4'T"� � •1' s �� '� SNr t' a'� ,l�•4' '_�tY t ��,. eF �'t/f:-P i t C HP -.. 9 rl' n . j 4' ,�,rr. . �N•.,.A ,' t,i.rR t`t A,,.t•/ 3 R e'• E t f e i i 4 r aw _T !". ., 9a ty5•}: �.#•. gyp. tc_a r.r r. t y,' s .�t$� fir. .,� 4 q: lye' •rs s 1 :' f -i `�, r i t J ' # �,. r `r e P rf' 9{"'d•,v ' ., d ,,{ w /? .,:r• ,�S •l +. Mrr:John Jacobi x; r - r , t ,Aw. x4 r 'f Y' f k: n� rr.5r �'� r •�� ' y A,. r as . 7 Fern`Avenue r .'� , , .�i > �`r re k s :• t , i ;,`= , s :. ** East Sandwich,•Mt1.02537 q`f'1 ► '' ` t�. % . ,r _` _ *{ � }� e„ „:w: `•c �t'� �`n:.� F_'�'^ [ #.;. t t ti4 f 5A,'-i' b`' .,.; Y e .:e, s - r 3 '�;� y � ' 4 ,�•+ ; F, ,; f `tDear Mr. Jacobi ' `' •. fr71 r rr {•: ,+.. 4 5e�u s�LL art•�� ;`" j• bz. .��" � �' y4� �}. �•a",t��'t;,. ,.2 f. .�.sr ,*^` '"'`�~�Y�'r ''' } Ja,`4,� � 4 -Your 'request fora variance on behAlf of your clierits 'Mc:Garliitt and.Mr a` ' from.,Ehe„Interinn Regulation for fthe-�Protection yofteT Groundwater °Quality#vtthin Zories_oWJ f= ^.r Contribution to,Public Supply,Wells.is not granted., #'�r"+ �i4,.t t3x. ' t' 4'- , .r ,:•F. a to h -/ �` 1,.=• '. 3 w F�'fA+ "!'�t :. d+� -• t,:, i r The variance requested:was,to install on-site 3eewage kdisposal systems for three buildings on Lots`., zj-16;19-'Cit Avenke' Hyannis':=.The-proposed buildings;wouid .generate u720'_gallons`of sewage daily, rL oven twice`the amount"allowed in ou`r•regulation, ' �; w •, ^ �, 1. at : - ,.i,✓ti� i. 7 L ��e� ��} e.., �4 :X+ ''�'�` :':.t.+ ` p* r 4^(y4�s - r .' 'a. t+ es ;a0 . ; .' •,'t 1. et ",`� �' a YE tT` �44 .d' ,k a. .; Y �'!f. T r a� �. P '.It was,the 'opinion 'of the Board that theiapplicaift did nov,meet the basic criteria outlined in our" The applicants,did�not,,,demonstr'ate-wm'"ifest injustice'norr°did the pro a 'that the :Y °- . rinstallation of on-site.'sewage disposal,systems `would:'not shave a significant adverse affect on}. surface for sub-surface water.sources °,� , �� '� k• _ - r t - �. •� � � , a r ,t__.• �� t:n r•3� - `, t . `wr ,a ,. -� ` r i�.,Y;y' ti ty r'..r- f e "S. x*,.,n<t 4,.. '' C.. i +' {_I =q'The,plans submitted'4ndicaied a..factory or• industrial use. ;The p lans sutimittedtdid not'show a ; { hazardous materials containment or'disposal plan". Y ., - a i „ v x - r' r t -. f x > k a f ; e q•t,'"i r r y '` - 't 3 Y&Cdre 'reminded,.�that, the d sposalrof- industrial:"waste requires the; approvalwof�the�I7epartment�c . _.';£t''r of"Environmental=Quality,.,Engineering :,,Factories Viand industr`ial'-_plants•produce-�inciustrial'waste._• The protection of ground water is the number,one'`priorfty oP the Commonwealth f^ t r r *� "You are also reminded' that,�,Chapfer"21A, ,section i3,''of the rGeneral Laws,Y clearly states that i onl•y.'A •professional ,engineer lean. prepare 'plan's,for- .sewage R disposal systems,3for commercial',;' �lX establishments TheS,.plan',submitCedl,.was ,tamped .by pou' and;Mi- Robert Davis„ PEE :'Nor 2'4500 -Please have',Mr ,Davis contact our"office. r, k � r5 r �' r,R s �• 4; s! rr Sg ° t • �1a S "s e-e �•w s+ .• r r:. ,,,a /# t °`1 a - sa + e '.. it Y' },.r:,� r �la ' 'k :3 itr +� e y�ta�kr`. Z .iF"'e• •-,�1 z ;;very ruly,Y urs,• 5r - � a ��,� f f •,`.-i st •w F c. ` `v Y `TMH. t e J h"i c r { yy �' •. '' '��5 y r• r � f i .,e t . r� .. 'F t l e '7 S 7 ,� s; =Ro ert L ;'Ch 1 s ;Chairman'`.' • t ��.r�t ►. p + F A y S e V. 3, r..r - A "• 9 a r f xt`r i, i� F `i' ~, �+' +• X` f � Y`P t .r �•F �, a ! . '• t�� - ^ n,Y " y ♦ ��, J ,.- 2 �J ` ^ i t ti + r��` t�• � y`,�y ' • `Ann, ane augh a. �� F r . 'd:f `T.� l�y• �A4 .~, n.� S� �, f •� r{,t 4'�t � � � 3 f w. Y+ +'� ,�k f • r Grover C.M Farrish,'M-. D. .BOARD OF:HEALTH };.TOW,N;OF BARNSTABLE s=..•.•+.'ter'.. sa t ; .,.� •k`t`r .�A . •.y'"yr .0 :�• f+, of • 'r} Sri f j. § JMR/minx '��`� ,,�� •r+`f!�"�+fir. �'� 'r+..q.. ° � .,t r ti+e . t' a x•� . +b _ ,.a � ..t r * ••,, 'a a"h E� +„_f r .�'•�w rx � .r+t ��'t 4 P t} t5 '. ... 4 y., e - .r• `* y �> 'TOP OF FOUNDATION ;i l CONCRETE i,COVeR CONCRETE COVERS e° 4"CAST IRON i 12"MAX. SCHEDULE 4 OR PIPE 0�. a ,I,ZNMAX ��° e P.V.C. ,y1Py,?°, 4PI.SCHE�`DULEi40lpVC (OILYf)a c 4K , PITCH!I/4' � } I 3 ' ,,PITCH;I i xI ( y�i 3 'LEACN , o /4KPER FT . I.. ? � 2 "3PRECA-Sl , i sLa1N N+ SEPTIC r TAR1 K F INV RT .<Y INVERT ,PIT1t p e a o ! INVER�j ;_ 3 i EL: !r�'l? 'z .r f "�, @STLyyXZ °• {jw. ; 'i �o° "I` EG141lV. EL./J.c. �4 /�4j�i lJ: M �r' = a ,ea '•' Yy� 'O' 1 �7 / } ��GAL �( �"� ,I�V� 1,1 :7 4 t..-` i(e .a F-•F" ` INVERT 1 +'�w a n�r, � 3/4°"t�O�r'}, , }•, i.} ,t�i W . ' , °a I! T4,/IU � 10 6�DIA I•-p_ -_ t 1 i RO�fh rF41.LE IDF' }" GROUND''40ER+'TA9 SE` MESRO SA L SYSTEM N SCALE ,. k 77 �9L LOS Y�IT MESSED BY .DATE ..7.� ��. TIME/��Yvv .� T- COA/eOAI' 7 BOARD!,OF 'HEALTH TEST HOLE I TEST HOLE 2 EV. .�S/X.`. . . . ELEV. S" : . . Eeag6�e�rfra� ENGINEER LE 7,F6Pr� .9✓�r a/ 7 To/> o E.Gandwicth N... Fs�cToky DATA Ir �° NUMBER OF.BEDROOMS TOTAL ESTIMATED FLOWI'A�Gd+ GALLONS/DAY,;.'{ :a „ BOTTOM`IEACHING +AREAS 15 13 SO FT /PIT ' 1C q + . SIDE, LEACHING AREA /T5' �� SUFT/.PIT GARBAGE _DISPOSAL {'./��'' (50;% AREA 4iNCREASE) TOTAL BLEACHING AREAY ,5 /J. SQ FT, 1 . r ur t + :PERCOL'ATIOFN• RATE: -�: f, + i , f •' MIN/INCH 1• �r ;'r f.��. . .WATER ENCOUNTERED LEACHING`AREA PER`PERCOLATION ,RATE . ! SQ F;T` NUMBER;OFi;,LEACHING PITS 7- BOARD- D. APPROVED2 r Gr OF HEALTH n� ;1� •\.�J - I�3S - /��2 ! f , >i Q I I 2Z11 rlT =.� t DATE . . �� y =�» (a =y�� AGENT OR INSPECTOR SEPj/� T�I'J,� 36 AeC�:lU�Av gg R08ER c { + X rl PETITIONER L. TOP OF FOUNDATION CONCRETEiICOVER j CONCRETE COVERS � •! 0 4"CAST IRON; 12"MAX. E,l - SZ XO c OR SCHEDULE 401 P.V.C. (PIPE tl SCHEDULE,�lO'PVC (ONLY) ..� i `"4 . PIPE' ,MIPdI~, 1 PITCH 'I/4 p' '. r ER.FT o PITCH I/4xPER FT. rPREOASI c INV O r +ui C D t P •,7 -�"+ �LE�t MN+ EL. I !t r Kx SEPTB,C 'TANK F INV/ RT 9S w DT o INV •. , EL r�X� ( ,v SEC ER i y XZ • 1 s '�O.o GALE I :; 60 �,, 9 { ,,� �', Zi`9= r,. ��, rEf i V o' ELY./� a INV-�g$.. d;� Y =r rEL; �t'; "+ IP1VE`RTELVylr ?�51r �� , 1.. oo� ' i W y i Ci' i4e 7T 7TVIV WDIA 44- •- II -- - _ _,._,, c + 1� ' _�_ � �°-'=-'/;� Did----►-� y1 , PROF):LE r0F E� •Y,� GROUNDS Iw�T` �5'`e,l EF IJ.13LS I, SEYVAGE DSP0SA SYSTEMy+��:' "' A I ENO. "SCALE S I L LOG WITNESSED BY.' I: 1 DATE ..7. 1�. E'�.... TIME'. . . .T- COMeO.✓ Sy I U09se Ir BOA .,OF HEALTH f i TEST HOLE, I TEST HOLE. ELEV. .,S./X�. . . . ELEV. 4.2: Engip"Onr' ENGINEER 7 Firn .A✓Z_ 11 � r -� Est F/�cro,QY i�Dos � .� /SE/:P�oyFF1 �;Nia NUMBEI# OF:BEDROOMS' [�'�f�� "/7l�lol<t2f : G Jt I ili i I +`lt , !, !.f' '�h^'I ll F ' a1'L.•',1 i ,� , t,��r 6i �:. + l TOTAL :ESTIMATED FLOW GALLONS/DAY,;:' u BOTTOMS(` EACHING AREA IFIS 3 SO'.FT. PIT ' °M I LEACHING. AREA i7;S t SO Ft./ PIT I I r ';3 ;GARBAGEt•DISPOSAL �:r �. . (50.% AREA ;iNCREASE),1 TOTAL, L•EACH I NG AREA' _ 'PERCOL'ATION RATE -- — I. S ,,v.ti .S J�✓D P11N'/INCH. /��. . .WATER ENCOUNTERED ",'LEACHING; AREA PER ,PERCOLATION',, ATE .. . : SQ NUAaBER 'OF1+LLEACHING' PITS T1/�/D APPROVED . . . . . . . . BOARD OF HEALTH ", � .�� .��>� " /S3s ' (// �'— •/�3•G�� DATE . I AGENT OR INSPECTOR SEPj/C %/!�✓rC f �. J " �S F /Soo �AIC `N OF ,ROGER �y PETITIONER . I. . . '.1 . . . '' •• �! l+s. + t,,?� t�C'=12 F, 1 ' TOP OF FOUNDATION ' 6RAOf EC s?/a CONCRETE ,COVER III CONCRETE COVERS " s I o 4"CAST IRON; 1� ' . p E� S2X0 ' OR SCHEDULE 4p2 MAX 12"MAC( a ,•. !1: P.V.C. IPIPE '-, r` �4?SCHEDULEa40 'PVC (ONLY).,.a ; 4,f r PITCH 'I%4'PERFTPIPE MtN +?LEA " o { �` 'PITCH I/4�PE� FT �! ; 3 � ,. , 11 :'PREt4AS1 —INVF i i' 5 RTC fLE,�C9�liUt SEPTIC SANK i INV R7E , , INVERT 1 e INVER i, • EL: X� ti D9ST' E1L yyr'Z o W t �o' C`OdAUII. c �?f' GAL, ;ItdVI: Tr •`®OYb ELY bj� t,INVERT i c I � . . z V � ,, EL�ffjr1 0• li t�``® \p. �. ,.`.I�VA`S D /y DIA y i PROFILE �;_I GROUW, :WVATER JAp1LE 1 I EWAGE SYSTEM 0 SCALE S 6 L LOG VVffNESSED B DATE ..7 / C. TIME. I�P. .�� IT- COMeO.r�' U�P®f�dd��e BOARD'-OF HEALTH, TEST HOLE I TEST HOLE 2 ENGINEER ELEV. .�S/X.�. . . . ELEV. S_Z. g DES , NUMBER OF SEDROOINS a j� l iI I .uj i' !'.) -t ry ' p•, !, .L I �.It ' E.s. �., f TOTAL :ESTIMATED FL'OW��': (��I i t t`t{ GAL LONS/DAY I", BOTTOM:LEACHING' ARE., 3 SQ.FT. /PIT '�� I ^•:jl it I 1 :'.f' r ' - I =; SIDE. LEACHING. AREA:.. r Y' SQ. az,., `. p l r GARBAGE DISPOSAL (50% .AREA tifVCREASE') a t' TOTAL 'LEACH NG AREAh /.3 SQ FT ' "PERCOLATION RATE .-Z. 5 �✓O';1' t t;l ! , . MIN`/'INCH I. 1 /'�D. . .WATER ENCOUNTERED LEACHING;`AREA PER PERCOLATION, RATE . ' .t. . I• SQ,Fjfl y� NUMBER.`OF: LEACHING PITS Tv/DM' /� APPROVED . . . . . . . . BOARD OF HEALTH' -./�5�,3 DATE _-?fl(7 Y3 6.�!a �' ( AGENT OR INSPECTOR �ZH OF R08ER PETITIONER TOP OF FOUNDATION P9 � CONCRETE COVER CONCRETE COVERS o 4„CAST IRON, 12"MAX. -MM7r7r OR SCHEDULE 40! 12.1 AX M r r e P.V.C. IPIPE,E t;;; 4y SCHDUCE�40 " PITCH 1/4"PER:CT �� ;LEACH : I ' o , PITCH I/4 PERYFT `PR GAS] INV RT EL. o �.LtAW fV . f�1N,V R'lTELst x A VERTSEPTIC -TANt DIST i+,t w'INVER ra' EPO y,:J'D' .�V ELI�/ f, GAL INV NV RT o �w ar •3/4 TOE'p IJ� - /Q o PROFI LE :OF ' h E��yo t =' ,1 GROUND"'WATER'TABLEa 'I SEDGE �'6S�®5AL SYSTEM NO SCALE S I L LOG WITNESSED BY ' �c 1 DATE ..7�% TIME.4��P./".�� .T: COAU0A/' BOARD OF HEALTH TEST HOLE I TEST HOLE 2 ELEV. .5./.1 �. . . . ELEV. '_. . . . . ENGINEER p m sandW$Ch, N... --- Ff1rTo,Q� PI DlS / DATA * i5��r��c✓E�s arI ; NUMBER 'OF BEDROOMS i�5. �f / �7.l�Cd✓E2" �V . .y 16 ' !, t., I ' �I i�. ' ;� � •i n'7 -, ('.,�I J � ? ,I�+III, , '- n ;:t .i , �:`# , + " '�� ; TOTAL 'ESTIMATED FLOW°+'`.:c3��liI�1GALLONS/DAY':II i BOTTOMt t EACHING AREA 'I�IJ Sp FT• /PIT SIDE. LEACHING. AREA /T 5' i, Y, P1T rh SA { T�. r I. jo. t. �l '' n GARBAGEf DISPOSAL 1./�fl ('5Q.o/ r;. i, i o AREA INCREASE)I : TOTALLEACHING AREAIp ,��/3, SQ FT eta ;IPERCOL:AhON RATE!' t MIN INCH /�D. . .WATER ENCOUNTERED ? i 'LEACHING. AREA PER'PERCOLATION.;'RATE r NUMI BER 'OFI LEACHI G PITS -Wo • 1. ' APPROVED BOARD OF HEALTH' � . DATE . t. z')") �1�..:�--ZS'(7 • /7,S,G 12,5)�_y3�/ ��j> ��_:. �` AGENT OR INSPECTOR TRZ'1111' Tt•;r .• jj USF /J o� NC ,�p1TH, OF r ?. :ROBER �y ` c�. S 404is I PETITIONER .• '1. ' 'l �J� tf7�, 'I ttt� 4 I s UPPER CAPE ENGINEERING COMPANY 62 T FERN AVE. E. SANDWICH, MA 02537 617-888.2027 SPECIALIZING IN: SITE PLANS SEWAGE DESIGN SUBDIVISIONS HOME INSPECTION PERCOLATION &SOIL TESTS Sept 18 , 1985 Town of Barnstable Barnstable Board of Health Town Hall Hyannis , Mass Dear Sir ; I request a hearing with the Board on behalf of my client , Seacoast Construction Corp . to discuss the sewage -req- irements of Title V in relation to the project being proposed for Cit Avenue , Hyannis . Thank you ohn Jacobi ci 7vdla1!5�, e> loavi BW6s �s G -Y7 stop . _ 5 Z 7 b0o z 3 1 a7/ 'ZQ o rb� OAS u.S`CA VA C- 7 4,6 v" �Lancl�� /� ►� , I j�dam' M��'`�- i „ v4V r -2� zs of II � LA �r Z ^ 7 1 ?C 2 2 . �- 9Co . �o 2,1Iv- _--� L7 y �. Z Z 5 X / Cp k' �ao•tS _._ 92. 2'S�751114-1 s� r BOARD OF HEALTH Minutes of Meeting May 23, 1989 The Town of Barnstable Board of Health met on Tuesday, May 23, 1989, at 4:31 P.M. in the Selectmen's Conference Room, Town Hall. In attendance: Grover C. M. Farrish, M.D., Chairman, Ann Jane Eshbaugh and James Crocker, Sr., members. Also present were Thomas McKean, Director, Dale Saad, Coastal Health Resource Coordinator. Dr. Farrish called the meeting to order at 4:31 P.M. Dr. Farrish asked if there was anyone present from the public to support or object to the proposed Private Well Protection Regulation. There was no response from anyone. Jane Eshbaugh then made a motion, duly seconded by James Crocker and the Board voted to enact the Private Well Protection Regulation to be in effect June 1, 1989. Attorney Michael Ford was present with his client Neil Feely, to request ommission of the Agreement for Judgement dated January 5, 1988, signed by Neil R. Feely, Trustee Michael D. Ford, Barbara Niggell, President of R & J Productions Inc., d/b/a Willy's Gym plaintiff intervens, Adrianne Blair, Esq., Attorney for plaintiff intervens, Grover Farrish, M.D. Chairman, Board of Health, Robert D. Smith, Town Counsel, and Ruth J. Weil, Assistant Town Counsel and to allow Neil Feely to utilize the original variance. Michael Ford explained that. he requested utilization of the warehouse storage space at 45 Plant Road, when he came before the Board on November 8, 1988 and was told to come back after six months of testing the monitoring wells. Mr. Ford's client would like to lease the units of his building located at 45 Plant Road, Hyannis, without the usage and square footage restrictions stated in the Agreement for Judgement. After some discussion, Jane Eshbaugh made a motion, duly seconded by James Crocker, and the Board voted not to omit the Agreement for Judgement. Attorney Michael Ford explained the water test was done as requested and asked if the warehouse "dead" storage space could be utilized as office or retail areas. Dr. Farrish stated that the nitrate levels suprisingly dropped from over 18 ppm to approximately 0.3 ppm. Ruth Weil asked whether the third monitoring well was installed. Attorney Michael Ford answered "no." Dr. Farrish stated that the existing monitoring wells should be sampled by a Health Agent. After a lengthy discussion, Jane Eshbaugh made a motion, duly seconded by James Crocker, and the Board voted to take this matter of utilizing "dead" storage space with office or retail usages, under advisement until after such time the monitoring wells are sampled by the Health Agent, Thomas McKean and tested by a certified laboratory. Next on the agenda, Craig Sipiora was present to request a variance from the Board of Health's _Revised Supplement to Minimum Sanitation Standards for Food Service Establishments" Regulation 10 that requires a minimum of a 1000 gallon grease interceptor at all food establishments at "Subway" to be located at 372 Main Street, Hyannis. At the previous Board meeting held May 2, 1989, Dr. Farrish asked Craig Sipiora whether he would be cooking any foods. Mr. Sipiora stated he would be heating the breads and microwaving sandwiches. James Crocker asked if there are any "Subway" sandwich shoppes on Cape Cod. Mr. Sipiora answered "no," however he further stated there are "Subway" sandwich shoppes in New Bedford, Fall River, and one under construction in Taunton. Board of Health Meeting Minutes - May 23, 1989 Page 2. After some discussion Mr. Crocker made a motion, duly seconded by Jane Eshbaugh, and the Board voted to take this matter under advisement until after such time the Board investigates the grease accumulation conditions at existing "Subway" food service A establishments. James Crocker stated that he talked to the Town of New Bedford Plumbing Inspector who stated the Subway Food Establishment has not had any problems with their 40 pound under-the-sink grease interceptor. Mr. Crocker made a motion, duly seconded by Jane Eshbaugh, and the Board voted unanimously to grant a temporary variance from the Board's Regulation #10 which requires a minimum 1000 gallon grease interceptor at all food establishments in order to operate a food service establishment at 372 Main Street, Hyannis, with the following conditions: (1) No cooking or steaming of food will be allowed, only sandwiches can be prepared on-site. Pre-prepared breads and buns may be heated. (2) Only disposable single service paper, plastic, and other disposable dishes and utensils are authorized. (3) The applicant must install an under-sink grease interceptor under the double compartment sink approved by the town plumbing inspector. (4) This grease interceptor shall be cleaned monthly (instructions enclosed). (5) The applicant must install a water flow restrictor device at the double compartment sink approved by the plumbing inspector. (6) All other regulations contained in 105 CMR 590.000: State Sanitary Code, Chapter X - Minimum Sanitation Standards for Food Establishment and of Town of Barnstable Board of Health sanitation regulations shall be .strictly adhered to: (7) This conditional variance expires June 1, 1990. This variance is not transferable, and will be voided if the establishment has a change in use, change of ownership, or leased to a party other than an applicant. Next on the agenda, Alexander Trakimas of Gale Associates, Inc., requested approval to replace five (5) underground fuel storage tanks located at 1449 Route 132, Hyannis, and to increase the total capacities of the tanks from 25,500 gallons to 34,000 gallons. Tom McKean asked Chief Richard Farrenkopf of the Hyannis Fire Department if he had been notified of any gasoline leaks at this site. Chief Farrenkopf answered there had been two incidents of gasoline releases at this site in 1986 and 1988, without any notification to the Fire Department from Mobil. Both incidents were either reported to/or found by officials of the Department of Environmental Quality Engineering several months after the releases occurred. Attorney Dianne Charbet stated that a discussion of gasoline release incidents at this site is not what the subject matter is here, rather the applicant is requesting to replace the gasoline tanks with double-walled fiberglass tanks with intestitial monitoring. Dr. Farrish stated the proposed tanks if constructed and installed properly, may be less likely to leak. After some discussion, Jane Eshbaugh made a motion, duly seconded by James Crocker, and the Board voted unanimously to grant approval to replace the five (5) underground storage tanks at Mobil Oil Corporation, 1449 Route 132 (at Old Strawberry Hill Road) Hyannis, Ma. and to allow an increase to the total capacities of the underground storage tanks from 25,550 gallons to 34,000 gallons with the following conditions: (1) The applicant must submit plans of the tanks and a Massachusetts Department of Safety approved monitoring system to receive approval at this Health Department. (2) For approval the applicant must complete a registration card for each tank and submit the cards to the Health Department. (3) The applicant must install an approved alarm system at the site. (4) The applicant must notify the local Fire Department and DEQE in the event of a release of hazardous materials at this site. (5) All other regulations contained within the Board's "Health Regulation Regarding Fuel and Chemical Storage Systems" shall be strictly adhered to. Next, Margaret Tyson was present to request a variance from the Board's "Revised Supplement to Minimum Sanitation Standards for Food Service Establishments" Regulation #10, which requires a minimum 1000 gallon grease interceptor at all food establishments, at "The Ice-Cream Scoop" Food Establishment to be located at 3261 Main Street, Barnstable. Board of Health Meeting Minutes May 23, 1989 Page 3. Margaret Tyson explained that only pre-prepared ice-cream will be scooped onsite. After some discussion James Crocker made a motion, duly seconded by Jane Eshbaugh and the Board unanimously voted to grant a temporary variance from the Board's Regulation #10 to allow Margaret Tyson to operate a food establishment at 3261 Main Street, Barnstable with the following conditions: (1) No cooking or steaming of food will be allowed. Pre-prepared ice cream may be scooped onsite. (2) Only disposable single service paper, plastic, and other disposable dishes and utensils are authorized. (3) The applicant must install an under-sink grease interceptor under the double compartment sink approved by the town plumbing* inspector. (4) This grease interceptor shall be cleaned monthly (instructions enclosed). (5) The applicant must install a water flow restrictor device at the double compartment sink approved by the plumbing inspector. (6) All other regulations contained in 105 CMR 590.000: State Sanitary Code, Chapter X - Minimum Sanitation Standards for Food Establishment and of Town of Barnstable Board of Health sanitation regulations shall be strictly adhered to. (7) This conditional variance expires June 1, 1990. This variance is not transferable, and will be voided if, the establishment has a change in use, change of ownership, or leased to a party other than an applicant. Next, Tom McKean explained that "Skip" Macomber requested a variance to install two (2) leaching pits 100 feet and 110 feet from an onsite well, in lieu of the required 150 feet, at 112 from an onsite well, in lieu of the required 150 feet, at 112 Nyes Neck Road, Centerville. McKean explained that Health Inspector Jerome Dunning stated the existing leaching facility at this site is failed and located within fifty (50) feet of the wetlands. Dr. Farrish asked whether the owner of the property intends to renovate or construct any additions to the dwelling. Tom McKean answered that he was told no additions would be constructed. Dr. Farrish instructed Director Thomas McKean to visit the site to verify whether there is any construction or renovation on the dwelling at this site. After some discussion James Crocker made a motion, duly seconded by Jane Eshbaugh, and the Board voted unanimously to grant "Skip" Macomber a variance to install two (2) septic leaching pits 100 feet and 110 feet from an onsite well, in lieu of the required 150 feet, at 112 Nyes Neck Road, Centerville, Ma., with the following conditions: (1) The proposed onsite sewage disposal system must be installed in strict accordance to Title 5, of the State Environmental Code, and other Town of Barnstable Health Regulations. (2) Prior to the issuance of a Sewage Disposal Construction Permit, the well must be installed and the water tested bacteriologically and chemically. The water must meet all of the standards established by the Safe Drinking Act of 1974. (3) No additional rooms can be constructed or added to the dwelling. Next on the agenda, Thomas McKean submitted each Board member a copy of a letter from John R. Bigonette, Jr. dated May 10, 1989, requesting to temporarily utilize a push-cart without a handwash sink at 572 Main Street, Hyannis, Ma. Tom McKean explained that John Bigonette was granted a variance from the Board on February 21, 1989, on a trial basis, to maintain a frozen lemonade unit adjacent to the "Pirate's Treasure" store at 572 Main Street, Hyannis, with seven (7) conditions. Condition number (2) stated: "You must install a handwash sink with dispenser soap and paper towels onto the unit." Jane Eshbaugh stated that Regulation 105 CMR, 590.019 of the State Sanitary Code Chapter X - Minimum Sanitation Standards for Food Establishments states that the hand washing facility "... Shall be conveniently located in each food preparation area to permit use by all employees in food preparation and warehousing areas. Each handwashing facility shall be accessible to and usable by employees at all times." and that Mr. Bigonette's request to utilize a sink somewhere else on the property, other than at the food preparation area at the cart site, would not meet these Minimum Sanitation Standards for Food Establishments. After some discussion, Jane Eshbaugh made a motion, duly seconded by James Crocker, and the Board voted unanimously not to grant John Bigonette, Jr., approval to temporarily utilize a push-cart without a handwash sink at 572 Main Street, Board of Health Meeting Minutes - May 23, 1989 Page 4. Hyannis, Ma. Next, Marilyn McIntyre of 6 Concord Lane, Yarmouthport requested a Disposal Works Installer's Permit from the Board. Tom McKean explained that she passed the written examination and her husband owns the necessary excavation equipment. After some discussion James Crocker made a motion, duly seconded by Jane Eshbaugh, and the Board voted unanimously to grant Marilyn McIntyre a Disposal,Works Installer's Permit-. Tom McKean introduced a Preliminary Subdivision of 6 lots ,located off Old Post Road, Cotuit, listed as parcel 9-1 on Assessor's map 54, owned by William and Mary Everitt; The Board members reviewed the plan. Jane Eshbaugh made a motion, James Crocker seconded, and the Board unanimously voted to make the following recommendations to the Planning Board. The developer must provide public water to each and every lot in this subdivision. Public water lines and all connections must meet specifications and/or rules and regulation of the local water department. Each septic system shall be located within the prescribed boundaries of each individual lot. The developer shall have recorded on the deed that variances from Title 5, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage, or the Town of Barnstable Health Regulation whichever is more stringent, will not be granted on any lot in this subdivision. A percolation test must be made on the lot at leaching site, before a Disposal Works Construction Permit will be issued. Maximum ground water elevations must be determined by using data available from the United States Geological Survey - Probable- High Groundwater Levels- on—Cape Cod, Mass. Each proposed septic system must conform strictly to 310 CMR 15.00, the State Environmental Code, Title 5, and Town of Barnstable Rules and Regulations. All tree stumps, brush and building debris removed when clearing lots or roads must be disposed of at a licensed solid waste disposal facility. Chipping brush and tree stumps is an acceptable alternative. Burial on site is prohibited. The applicant must receive an Order of Conditions from the Conservation Commission, if applicable. Prior to Board of Health approval of each building permit, the sewage system and water supply must conform to 310 CMR 15.00, the State Environmental Code, Title 5, or Town Health Regulations, whichever is more stringent. Next, Tom MCKean introduced a Preliminary subdivision of 16 lots located on Old Falmouth Road, Marstons Mills, listed as parcels 31, 32, and 33 on Assessor's map 149, owned by Captain's Stables Trust c/o Nickulas Homes, Company. The Board members reviewed the plan. After some discussion, James Crocker made a motion, duly seconded by Jane Eshbaugh, and the Board unanimously voted to make the following recommendations to the Planning Board. The developer must provide public water to each and every lot in this subdivision. Public water lines and all connections must meet specifications and/or rules and regulations of the local water department. Each septic system shall be .located within the prescribed boundaries of each individual lot. The developer shall have recorded on the deed that variances from Title 5, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage, or the Town of Barnstable Health Regulations whichever is more stringent, will not be granted on any lot in this subdivision. A percolation test must be made on the lot at leaching site, before a Disposal Works Construction Permit will be issued. Maximum grundwater elevations must be determined by using date available from the United States Geological Survey - Probable High Groundwater- Levels on- Cape -Cod, Mass. Each proposed septic system must conform strictly to 310 CMR 15.00, the State Environmental Code, Title 5, and Town of Barnstable Rules and Regulations. All tree stump, brush and building debris removed when clearing lots or roads must be disposed of at a licensed solid waste disposal facility. Chipping brush and tree stumps is an acceptable alternative. Burial on site is prohibited. The applicant must receive an Order of Conditions from the Conservation Commission, if applicable. Prior to Board of Health Board of Health Meeting Minutes - May 23, 1989 Page 5. approval of each building permit, the sewage system and water supply must conform to 310 CMR 15.00, the State Environmental Code, Title 5, or Town Health Regulations, whichever is more stringent. Next, Tom McKean, introduced a Definitive Subdivision of 49 lots located on Phinney's Lane, Hyannis and Centerville, listed as parcels 51-3, and 51-4 on Assessor's map 252, and parcel 9 on Assessor's map 253, owned by Kevin Wise. The Board members reviewed the plan. After some discussion, James Crocker made a motion, duly seconded by Jane Eshbaugh, and the Board voted uananimously to make the following recommendations to the Planning Board. The developer must provide public water to each and every lot in this subdivision Public water lines and all connections must meet specifications and/or rules and regulations of the local water department. Each septic system shall be located within the prescribed boundaries of each individual lot. The developer shall have recorded on the deed that variances from Title 5, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage, or the Town of Barnstable Health Regulations, whichever is more stringent, will not be granted on any lot in this subdivision. A percolation test must be made on the lot at leaching site, before a Disposal Works Construction Permit will be issued. Maximum groundwater elevations must be determined by using data available from the United States Geological Survey - Probable High ,Groundwater Levels on Cape Cod, Mass. Each proposed septic system must conform strictly to 310 CMR 15.00, the State Environmental Code, Title 5, and Town of Barnstable Rules and Regulations. All tree stumps, brush and building debris removed when clearing lots or roads must be disposed of at a licensed solid waste disposal facility. Chipping brush and tree stumps is an acceptable alternative. Burial on site is prohibited. The applicant must receive an Order of Conditions from the Conservation Commission, if applicable. Prior to Board of Health approval of each building permit, the sewage system and water supply must conform to 310 CMR 15.00, the State Environmental Code, Title 5, or Town Health Regulations, whichever is more stringent. It is recommended that each sewage disposal leaching facility be located most distant from wetlands to reduce eutrophication caused by phosphorous and other nutrients. The United States Evironmental Protection Agency's National Eutrophication Survey states that 0.25 lbs. per year of total phosphorous enters wetlands from every person served by onsite septic systems within 300 feet wetlands (US EPA 1980). Next, Tom McKean introduced a Definitive subdivision of 8 lots located off Old Post Road, Marstons Mills, listed as parcel 11 on Assessor's map 58, owned by William Archibald. The Board members reviewed the plan. After some discussion Jane Eshbaugh made a motion, duly seconded by James Crocker, and the board voted unanimously to make the following recommedations to the Planning Board. The developer must provide public water to each and every lot in this subdivision. Public water lines and all connections must meet specifications and/or rules and regulations of the local water department. Each septic system shall be located within the prescribed boundaries of each individual lot. The developer shall have recorded on the deed that variances from Title 5, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage, or the Town of Barnstable Health Regulations whichever is more stringent, will not be granted on any lot in this subdivision. A percolation test must be made on the lot at leaching site, before a Disposal Works Construction Permit will be issued. Maximum groundwater elevations must be determined by using dater available from the united States Geological Survey - Probable High Groundwater Levels on Cape Cod, Mass. Each proposed septic system must conform strictly to 310 CMR 15.00, the State Environmental Code, Title 5, and Town of Barnstable Rules and Regulations. All tree stumps, brush and building debris removed when clearing lots or roads must be disposed of at a licensed solid waste disposal facility. Chipping brush and tree stumps is an acceptable alternative. Burial on site is prohibited. The applicant must receive an Order of Conditions from the Conservation Commission, if Board of Health Meeting i Minutes - May 23, 1989 Page 6. applicable. Prior to Board of Health approval of each building permit, the sewage system and water supply must conform to 310 CMR 15.00, the State Environmental Code, Title 5, or Town Health Regulations, which ever is more stringent. It is recommended that each sewage disposal leaching facility be located most distant from wetlands to reduce eutrophication caused by phosphorous and other nutrients. The United States Environmental Protection Agency's national Eutrophication Survey states that 0.25 lbs. per year of total phosphorous enters wetlands from every person served by onsite septic systems within 300 feet wetlands (US EPA 1980). Next on the agenda, Tom McKean introduced a Definitive subdivision of 12 lots located at Route 149/Old Post Road, Marstons Mills listed as parcels 13-1 and 13-2 on Assessors map 58, owned by William Archibald. The Board members reveiwed the plan. After some discussion James Crocker made a motion, duly seconded by Jane Eshbaugh and the Board voted unanimously to make the following recommendations to the Planning Board. The developer must provide public water to each and every lot in this subdivision. Public water lines and all connections must meet specifications and/or rules and regulations of the local water department. Each septic system shall be located within the prescribed boundaries of each individual lot. The developer shall have recorded on the deed that variances from Title 5, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage, or the Town of Barnstable Health Regulations whichever is more stringent, will not be granted on any lot in this subdivision. A percolation test must be made on the lot at leaching site, before a Disposal Works Construction Permit will be issued. Maximum groundwater elevations must be determined by using data available from the United States Geological Survey - Probable High Groundwater Levels on Cape Cod, Mass. Each proposed septic system must conform strictly to 310 CMR 15.00, the State Environmental Code, Title 5, and Town of Barnstable Rules and Regulations. All tree stumps, brush and building debris removed when clearing lots or roads must be disposed of at a licensed solid waste disposal facility. Chipping brush and tree stumps is an acceptable alternative. Burial on site is prohibited. The applicant must receive an Order of Conditions from the Conservation Commission, if applicable. Prior to Board of Health approval of each building permit, the sewage system and water supply must conform to 310 CMR 15.00, the State Enviornmental Code, Title 5, or Town Health Regulations, whichever is more stringent. It is recommended that each sewage disposal leaching facility be located most distant from wetlands to reduce eutrophication caused by phosphorous and other nutirents. The United States Environmental Protection Agency's National Eutrophication Survey states that 0.25 lbs. per year of total phosphorous enters wetlands from every person served by onsite septic systems within 300 feet wetlands (US EPA 1980). Next on the agenda, Tom McKean submitted lifeguard modification requests letters and copies of the insurance policies from the following persons: Charles Clark Fisherman's Village Condominiums - 855 West Main Street, Hyannis. Edward Wardga - James Stephen's Resort Village - 102 Iyanough Road, Hyannis. Edward Mastrangelo - Angel Motel - 621 Iyanough Road, Hyannis. Harry Fernandes - Cape Glen Condominiums - 329 West Main Street, Hyannis. Burton McLeod - Candlight Inn - 447 Main Street, Hyannis. After the Board reviewed the insurance policies Jane Eshbaugh, made a motion, duly seconded by James Crocker, and the Board unanimously voted to allow the above listed persons to set a maximum capacity of 19 persons at their swimming pools with the following conditions: (1) The pools must be supervised by a swimmer, eighteen (18) years of age, or older, qualified by you at pool site at all times the pool is open. This swimmer must be at the pool and cannot be observing from the desk. If the swimmer is temporarily assigned duties at the ` front desk, another swimmer must be provided physically present at the pool. This swimmer must be familiar with lifesaving equipment and knowledgeable in first aid procedures including resuscitation. (Minimum swimmer qualification requirements are enclosed). I I Board of Health Meeting Minutes - May 23, 1989 Page 7. (2) The applicants must keep a permanent record on a form prescribed by the Board of Health listing each swimmer supervising the pool when it is in use. (Sample of prescribed form is enclosed.) (3) The applicants must furnish copies of their individual insurance policy naming the Town as coinsured in the amount of $1,000,000. (4) All other regulations contained in 310 CMR 12.00, Minimum Standards for Swimming Pools, must be strictly complied with. (5) In the event the pools are used by persons other than registered motel guests, or persons charged a fee, it is your responsibility to provide a lifeguard with a current Red Cross Senior Life Saver's Certification or a National Y.M.C.A. Senior Life Saver's Certificate. (6) The swimming pool water must be tested for coliform bacteria at least monthly by a certified laboratory. (7) Please be advised that if any of the above listed pools exceed this capacity of 19 persons, the applicant's modification will be invalid and will revert to their measured bather load capacity. A certified lifeguard will then be required. (8) The Board also reserves the right to require a certified lifeguard if violations of 310 CMR 12.00, Minimum Standards for Swimming Pools, are observed. (9) These modifications expire December 31, 1989. Next, Tom McKean submitted a copy of a letter from Attorney William Henchy to Patrick Tatano, Chairman of the Town of Sandwich Board of Health dated April 26, 1989, which states his concern with a proposed Chapter 40B Comprehensive Housing Development of 93 dwellings on 38.1 acres of land located between Harlow Road and South Boardley Roads, Sandwich. The proposed development is located within a Town of Barnstable Zone of Contribution to public water supply wells. After some discussion James Crocker made a motion, duly seconded by Jane Eshbaugh, and the Board voted unanimously to send Eugene Capoccia, Housing Coordinator for the Town of Barnstable, a letter requesting his coadjuvance with this matter. Next, Tom McKean explained that at the previous Board meeting May 2, 1989 he had explained that he had the "new" Town Hall building sampled for radon with ten (10) charcoal canisters and tested at the laboratory via liquid scintillation. All ten (10) samples fell below the 4.0 pCi/1 liter limit at that time, Dr. Farrish stated the charcoal sampling kits may not be based on a medical journal which states the "etched track detector" is the most accurate. McKean stated he would investigate the testing accuracy before the next Board meeting. On May 3, 1989, Tom McKean asked Paul Lander, Health Inspector, to telephone the offices of Niton Corporation. Paul Lander spoke with William Bell, the States Radiation Officer. The conversation concerned Radon Test Methods. Paul asked him, after referring to The New England Journal of Medicine Vol. 320, No.9, Pgs. 591-593, Sounding Board-Indoor Radon and Lung Cancer, if he concurred .with the authors belief that longer-term measurement done with an etched track detector should be the recommended method over a short-term measurement done with a charcoal canister.. William Bell disagreed, stating that since the longer-term measurement takes 4-6 months, the delay can result in unnecessary and dangerous exposure to Radon Gas. In addition Mr. Bell stated that the short-term methods used by Niton is accurate. The article also states that one should "rely on vendors who have shown their capabilities in EPA's Radon Measurement Proficiency Program." On Niton's result form they state "our testing laboratory and measurement techniques have consistently passed the U.S. Environmental Protection Agency Proficiency Tests. If after testing, a result should have a value above 4p Ci/1, then there is a need for longer-term measurement plus further action as recommended by EPA. Next, Tom McKean submitted copies of a letter from Francis Broadhurst dated April 6, 1989 in response to a letter from Dr. Grover Farrish, dated March 29, 1989, which asked how the Health Department could enforce the "Noise" Bylaw passed at November 1988 Town Meeting without monetary compensation and additional staffing. Francis Broadhurst's. Board of Health Meeting Minutes - May 23, 1989 Page 8. letter reads as follows: "Dear Dr. Farrish: In response to your letter of March 29th, the Board of Selectmen, Budget Director, Waldo Fraser and our Director of Administration and Management, Kevin Harrington, repeatedly asked Board of Health Director Thomas McKean to place money in the budget for additional inspectors to enforce the Group Rental Bylaw. Mr. McKeari repeatedly told us that this was not needed. We were not notified in advance that the Board of Health would be requesting a transfer from the reserve fund and the night it was received by the Finance Committee, it is my understanding that no one from the Board of Health was there to present the reasoning behind the request." Tom McKean then stated he had written a letter to Selectman Martin Flynn which read as follows: "Although Francis Broadhurst is no longer the Chairman of the Board of Selectmen, I would like to respond to his letter. As you know, you asked me during a budget meeting if I would need any additional inspectors to carry out the inspections and enforcement of the "group rental bylaw." I answered we would try to handle the inspections as requested until such time the number of requests become overwhelming. I was never asked to "place money in the budget" for additional inspectors, as stated in the letter. In addition I was not notified of the date the Finance Committee had scheduled to hear testimony on the request for transfer of funds from the reserve account." Next on the agenda, Thomas McKean told the Board members that a builder came into the Health Department office within the past week requesting approval of a building permit to install a bathroom within a new "working" area on the second floor at 30 Cit Avenue, Hyannis. Mr. McKean explained that only the present unapproved second floor additions of 4 office rooms, 1 workshop, and 1 storage room, (along with the first floor areas) can be handled by the septic system with its leaching capacity of 2,000 gallons. Also, additional land must be set aside as proposed from Raymond Blackburn dated June 10, 1989, to accommodate the existing unapproved second floor additions of 4 offices, 1 workshop, and 1 storage area within the Board's "330 Regulation" and the Town's Wastewater Discharge Regulation. Therefore, Mr. McKean recommended the Board members set a policy that the Health Department disapprove all building permit applications for uses of additional second floor rooms at 30 Cit Avenue, Hyannis. Jane Eshbaugh made a motion, duly seconded by Dr. Farrish and the Board voted 2 to 1 to disapprove all future building permit applications for additional uses at additional second floor rooms at 30 Cit Avenue, Hyannis, until the building is connected to town sewer or additional land is set aside to accommodate the future proposed and existing second floor additions within the Board's "330" Regulation and the Town's Wastewater Discharge Regulation and the septic system capacity is increased to accommodate any additional effluent. A motion was made by Dr. Farrish to adjourn. It was duly seconded by James Crocker and the Board unanimously voted to adjourn the meeting at 6:50 P.M. Respectfully submitted, .77 Barbara Sullivan Office Assistant January 26, 1986 FROM: Mr. Raymond Blackburn 943 West Main Street Centerville, MA. 02632 TO: Board of Health Town of Barnstable Hyannis, MA. Mr. John Kelly: I, Raymond Blackburn, hereby declare that I will not construct any buildings on Lot 1 of Assessors Map #622 and as shown on the drawing by Tibbetts Engineering Corp. as dated on 1/16/86 This restriction will be valid only until connection to the town , sewage system is made available. t The area of Lot 1 that is to be restricted is 3.67 acres which, is adjacent to Lots 17-18-19-20 as shown on the drawing by Tibbetts Engineering Corp. `v nd Blackburn er of Lot 1 Assessors Map #622 Town of Barnstable, MA. Subscribed and sworn before me this o7/n Day Of 19� My Commission Expi s Notary Public f� 26 198 Re 'January , 6 Restriction Letter (font d. ) Page 2 COMMONWEALTH A S 0 OF MASS CHU ETTS Barnstable, ss: February , 1986 . Then person ly .appeared Raymond Blackburn and acknowledged that he is the person who duly executed the foregoing instrument and that it was of his free act and deed before me, Notary Public My Commission expires : , a I July 20, 1988 From: Mr. Raymond Blackburn 943 West Main Street Centerville, Mass. 02632 To: Board of Health Town of Barnstable Hyannis, Ma. Mr. Tom Mc Kean: In addition to letter dated January 26, 1986, to the Board of Health, I further agree not to construct any buildings on the remainder of lot #1 comprising of 1 . 3 + Acres in addition to that mentioned in attached letter. I enter this agreement to make the necessary sewage for additional plumbing requested. A9 mond Blackburn n yer of Lot 1 1Assessors Map #622 Town of Barnstable, Ma. a f TOWN OF BARNSTABLE INC �' ♦o OFFICE OF s )AHa9T�Hfi- BOARD OF HEALTH • N"t 367 MAIN STREET Epp 1639. `{� HYANNIS, MASS. 02601 October 11, 1988 Mr: Richard Garbitt Mr. Raymond Blackburn, 167 Airport Road Hyannis, Ma 02601 Dear Sirs: I am in receipt of your letter dated July 20, 1988, in which you agree not to construct any buildings on the remainder of Lot 1. After meeting with the Assistant Town Counsel, Ruth Weil, it was decided that you should request a modification of the variance granted you December 18, 1985 from the Board of Health Regulation limiting sewage flows to 330 gallons per day per acre in certain zones of contribution to public water supply wells for your property located at 30 Cit Avenue, Hyannis. The Board members recently visited the site. They approved three one story (single floor) buildings for the use of dry goods storage only on December 18, 1985. The observed second floor additions were constructed without obtaining a building permit according to the Building Commissioner, Joseph DaLuz. The buildings are located within a critical zone of contribution to our public water supply wells and have a limited sewage flow. Also, it appears the septic system does not have the capacity to handle the-additional sewage flows that the observed second story additions may generate. For your convenience, I have enclosed a variance request form and a variance procedure notice. Since ely, Gro r C. M. Farrish, Mob. Chairman Board of Health Town of Barnstable GF/bs enclosure copy to: Joseph DaLuz Ruth Weil ` i fibb is Engineering corp, . 210 DEANE STREET,NEW BEDFORD M, ASSACHUS ETTS 02748, TELEPHONE(617)996-5633 August 18, 1987 RICHARD L.SILVI ERA,P.E„R.LS. ROBERT C.VERKADE,P,E.,R.L.S.Job No. 7531 FRED E.TIBBETTS;III,PhD. C.R C. HENRY C.GOVONV Mr. Arthur Cabral, Project Engineer DUARTEM.ANORADE GE RAPID G.CHAREST,JR. Seacoast Construction Corp. JOHN D.MELLO JOSEPH DOMINGOS 310 Herman Melville Blvd. RICHARD A.MUNROE New Bedford, MA 02740 RICHARD H.SETTELE RE: Garbitt and Blackburn Buidling Site Subsurface Sewage. Disposal - Addition of Three Second floor units Hyannis, MA Dear Mr. Cabral: Per your request, we have reviewed the existing sewage disposal system to see if it can support second floo r additions buildings for office space use, o s for the (3) three existing The sewage disp tem for the Garbitt and Blackburn site was designed to handle a total o, 1,739. 1 allons of daily sewage flow. This was the maximum flow that would be) al the rate of 330 gallons per acre for the 5.27 acres 'of land encumbered by the owner. The total sewage flow requirement for the (three) one story buildings constructed on the (site (based on the Mass. DEQE Title V regulations rate of 5 gallons per 100 square feet of floor area for dry goods storage usage) is .1440 gallons per day. There is therefore the capability of the system as designed to handle an additional 299. 1 gallons per day of sewage flow. It is our understanding you are currently arranging for the measurement of the gallons per day of water now used by the (3) one story buildings, to verify the design flow of 1440 gpd .is not exceeded. Your proposed (3) second floor additions sized at 571 x 22.51 would generate the following gallons per day sewage based on 7.5 gallons per day/per 100 square feet of office space. (Title V Mass. DEQE REquirements) 3 additions x 571 x 22.51/ 100 SF x 7.5 gpd = 288.6 gpd The proposed additional 288.6 gpd added to the 1440 gpd for the first floors- equals 1728.6 gpd. This subtracted from the 1739. 1 gpd total system design flow leaves a reserve capacity of 10.5 gpd. Subject to the field measurements of the actual flows on the one story buildings not exceeding the design flow of 1440 gpd, we believe the existin . s stem can-adequately quately handle the proposed sewage flows g . y P ows from additions sized -as stated and used as: office space, the three second story FALL RIVER DIVISION: 303 RODMAN STREET, FALL RIVER,MASSACHUSETTS 02721 TEL. (617) 676-1710 CONSULTING CIVIL ENGINEERS- ENVIRO NMENTAL,PUBLIC WORKS,SANITARY,STRUCTURAL CERTIFIED TESTING,ANALYTICAL AND RESEARCH,LABORATORIES' L.% 4 �r 1 . Page 2 Mr. Arthur Cabral 3RE: Garbitteand Blackburn Buidling Site Enclosed for additional information is a letter from Tibbetts Engineering Corp. concerning original system design dated January 14, 1986. Very Y yours,truly , . T ET ENGI ERI C ,:::.RLS/bm Richard L. Silviera, P.E. , R.L.S. President/General Manager Encl: cc: Robert .C. Verkade e ft .:.:_. .... . ...:...... . : ,.,, •.....,. ,, -. .: .:.. .:WF s-x_ 1- se vrr,.t+ae•r •a � �" •"mat:'am'lv"`':�y'v�dy"�.,'t%�''9,E. I. •.SENDER:Complete.items'1 and 2 when additional services are desired,and complete items 3 and 4: Put your address-in the"RETURN TO"space on the reverse side.Failure to do this will prevent this. card from being returned to you.The return receipt fee will rovide ou the name of,he person delivered to and the date of'delive .For additional ees the fo lowing services are available.Consult postmaster or'fee.an check x W for additional services)requested. 1. ❑Show to whom delivered,date,and addressee's address. 2. ❑ Restricted Delivery. 3.:Article e Number rtic Addressed to: 4. iber Yam_ . �a Type of Service: Registered Insured Certified ®COD j j)� "C LLII Express Mail Always obtain signature of addressee or / agent and DATE DELIVERED. 5.Signat —Addressee B.Addressee's Address(QNLY if -� requested.and f Xee paid) 6.Sign re—Agent X 7.Date of Delivery i PS Form 3811.,Feb.?946 DOMESTIC RETURN RECEIPT i I r UNITED STATES POSTAL SERVICE I OFFICIAL BUSINESS I SENDER INSTRUCTIONS j Print your name,address,and ZIP Code in the space below. 1 e Complete ems 1,2,3,and 4 on u il{ the reverse �m e Attach to front of article if space aK Its,otherwise affix to back of 0.e Endorse article"Return Receipt PENALTY FOR PRIVATE , ` Requested"adjacent to number. USE:$300 i i RETURN Print Sender's name,address,and ZIP Code in the space b low. TO 412 I r� t1bbEttS EngineEring corp' , 210 DEANE STREET,NEW BEDFORD,MASSACHUSETTS 02746, TELEPHONE(617)996-6633 3090 Acushnet Ave. , New Bedford, MA. 02745 Telephone: (508) 998-3700 RICHARD SILVIERA,P,E ROBE qT C. C..VERKADE,P,E„R.L.S.q,l. FRED E.TIODETTS,I11,PhD, C,R C, _ HENRY C.GOVONI February 7, 1959 DUARTE DE Job No. 7531 GERARD G.CHAREST,JR. JOHN DWELLO JOSEPH DOMINGOS RICHARD A.MUNROE Mr. Raymond Blackburn _ RICHARD H.SETTELE C.I.T. Avenue Hyannis, MA. 02601 li RE: Garbitt and Blackburn Building Site Subsurface Sewage Disposal Hyannis, MA. Dear Mr. Blackburn: The sewage disposal system for the Garbitt and Blackburn site was .designed to handle a total of 2000 gallons of daily sewage flow. This design was initially restricted to a lower flow because of the 330 gallons per acre maxium allowed flow,by a Board of Health Regulation. Since you have or will encumber at least 6. 1 acres, the system can be used for its full design capacity of 2000 gallons per day which is stated on the design plans. 6. 1 Acres x 330 gals./Acre = 2000 gal. If I can be of additional help, please let me know. Very truly yours, TIBBETTS ENGINEERIN CORP. RCV/bm Robert C. Verkade, P.E. , R.L.S. Vice President/Chief Engineer FALL RIVER DIVISION: 303 RODMAN STREET, FALL RIVER, MASSACHUSETTS 02721 TEL. (617) 676-1710 CONSULTING CIVIL ENGINEERS- ENVIRONMENTAL,PUBLIC WORKS,SANITARY,STRUCTURAL. CERTIFIED TESTING,ANALYTICAL AND RESEARCH LABORATORIES } n !>,. 4' 4� "�r Syr r* a 9" r 't'a.t -+�. ;,° ,• �`"v3t•j �i+i ,t t. t �` " a + •t'' wl ` ; +. ,t� [ �•, •, •w -.F,�w �cY: r. af3 g 4"4�,F }'.`i't ' °y a -- •2 r j -.J `t �J r.. w'°`".h � `S+_ 'P � °'1 .:'" i'°r' '^`"o e cr',�% .r�s`,r � �„�� x •��'.: r "�' p ~E`.� �<a,t° aYt,r Wit?r 1 p`�'� uF r r�. �'_,,w x* J�_ + .,d s � �?^ •` > ,` C .j a r, e S. JI— i•' .r S r "7 F,iS s s �`1, Jf ��^✓r f, f y t 3f + v '1 , .''.t f s .r '1• '• ""f a ,r t �E , a r .+:,}�' S s ,y`.;5• .y ti k # vc s " +.°y r,,. *,,; '.v ,`� r ••� ra 'r ,.r 'iw J "y°`'+,,.; Y.t.. ` �:::. s ° 1.v ro$ + °fit n, �_, K k} �t . a:• >`.,, t� c �� ` X r i \� ` a e a-;� � .. S.r {/�J h.. �, r, �. 1V * •d'o ,.� < .•r 1 '�i av r ,• ...j.f ''�h,t,(f ` ♦'fir r .4" t � 44`S,� '�r ,*T !a a'e+ t .u..i 5 1 „ ' r dam[' a,, .y ''"'t'/T.. `� 1 'MIp "'i,�J• 1 •k.� �Mt Yy� �� '5.,' 7 ..Yx' 4 ., , �l�y -�r� y> ✓ ra t j i . C #`�.�� '�' t ! `i,' `i �. ia. .. � 'r,! � t K,. .; { •'.e +f 'S t: y'":;.e. 3 v t � t I �' . $ � - � r i[" r .:qK~. 11` l•- ,tri .-5. .fir {a;t r v rYr :M Y +� *.. a.x;�, <6tr a ,+'..°#w ? L'j:it ti ...,i. 1XN s-`; rr 'tty 9f"July 8, 198 f r � 3�'� `s." ! ,r,• �_�{ { 3w.,.• t i�* �i.s.-t P a �jV�y , f t} „c f j �.i. ,r { a ,� ".� .�yk � .j r � "t t .-a., °a Y t �'., '� c` _1 `,� � Z � ,� � ` �!♦lx'� tr _ , t I'"•�`q r t.,' r l }• � i i� Xy D tJ{.y4L,� y'a. � ' d�v' T �;•Y'J/ t i 't k' a / n r.' +:,`i t`�i! � '..� b�s.�• r � 1 ".xt+I� y f n. • p� t;•,i '}l �s* t7yi... x Z�.; _ r! ' •, ph DaLuz a l/lr.,-J ose . 1 «. i ` `,�i. ,+•~ ' i.' rr: . •t 1 a�;.'rea.« E�ilding;Commisst6ner '' `_ •s;k: .f° `' r �� r �' #; Tow .n.Halls` yr, - ti .• n , :r,w7 ✓ a.. » �•, J „ '•�ru A. } , y Sr .x.. fiy .r fr t,.-567,,Main.Street+ Hyannis,-M-a 02601 F3 t.�.. K+ '..r' �Y.d A lf! ,; i`"a�` •S'. 1+'.r�r+�'��~ �� t r '{` �`�} �( �F + r fz � '6 . :, i .3' ;• [.�' x a c' w � + NA ". +, 'r#y`f iJ ,. ° r' �� r, 4 ! + 'RE: Carbitt and`Blackburn Buildings "Cit`Avenue,,Hyarinis,•Mass. `4r3{ Pp #u9111k S C S• 1 f ,r' ` u ! tie f "r4, G S•' t. r`t ,�'t.. „'f. oj ° ,i. �;S ♦ � ' !t'v� cF pr:it + * � � .�4b •, � � t .,� �: � { Dear Mr-f'DaLuz- + 4` _,., ,_,} +'. ;' Iit �. r �• +.. ",f + 4t a {._, Ss s^ ' „+ �'.., ky r r -_. r d , ,rr' ✓ :., .� kr } ,.��r .r t xx%• ', !"'aFe,� e nr ±�t e�; '.Y� �,,..,., � i� � �'{r _¢•i� •r F'.�4 , y f We:approved tTiree"one siory .(single-ifioor)`tuildings for Garbitt�and 4l3iackburr �on�Cat Avenue + 3yannis, .bass;yin ADecember 985. These buildings'.are located,- al'Zone off C'6h' ibu,ion io'our,:public; water 'supply.,wells and the •» ;' v. septic systems;-were approved using,'dall� .sewage 'flow rates for'dryR�goodsr �esrablishments: ,1�eeently4eacoast Construction-requeste&approval for seconds h .fit a t � 4-r i. �� ,+ #.Y{ x` ;'� *^°.! >� +. a �� A � -_t 4 ♦ �Yti..: ,` V floor additions for three (3)rbaysy ., 4 '1 , _ j r t K Y*✓ 54 r��xe / �.- E x�t:�-•rtry§ +N:te ir t �4e�r7 !.y ♦ f - _ ,� * .r!f t, S.. ,. 1 .w.Boaid-,of'Health members visited 'the,'"site and,discovered several 4second floor" ` ac�clitions. that apparenCly'were`'not authorized. ';-i,J t ,Yr �` y � ii } a i .r r ti,.y s a." r1r ��4 r i� r�'crr� ,�;!! Yee j ,t r d.A gs.''4 • ti ,, It � l ,t:-ti a..'! j,x � 4.'.� q�•�+., t.w i ' Would ,you please inspects the 0te�nises.{and.''adviseA us`'if_ all additions•=to the, � original'constructfon:plans''weWapproved ,`'t �' ` �� ^ `'i ` 7 a i P •.r s J .e ° t °+� 1a v t i f;°. e ::•i'•f r°., r.�f' �+ let �x[ }`t.; tr! °,+�`-�' , f°-�, ''?; Y♦ 1? '" '°`- t! �'i.. 1? ;`: SST 1 + Y"'r ii• � Thank`yoii for,your,assistance` �A$ ,�` ° ;b` + r , e1 ' ,.+ 1*.t { r ". •s- ~l a _ { �' a ¢ e-Ly,�r ,Yw -+ �" p �tt S*�k, t � i'y'li /F J.• t'. 4 iy �.4' ?, 'ti. ''Y�, .t {' w•Yt +"'t. ✓} ! $ ��y P.i`+ .° " ly+yaurS' a " r q ',��' ty '-t•,f' } q ^,� fat w e ;� - t i. �`A �l . 'F s { �'• S •�' .a 1' i ..r, 6 � G 1 it a 5• A r'' ' ,u �:d1* ,, , wt;+� r e ''r�•,y ai y",+r`4+''} ,OUG J'Childs t +S •.i +'_. +s r ry � J ,I r }' v"Y k tti4 r-t�-t Y,- +c, , S•Y� v ,�, 4 •+ _ r� .;i. -.Y,•.at s �t 'ytzk• "` � .i §?IZ �.� =F+ } "`• ti � •s:�.y ', i Chairman ` ,, , 4 4f,� 7 t 4 ♦•A♦ ,!Ej,BoaLd ofr Health.., 4ia'• 1 ,- +t �" t x, t %aS�`s,�ir. � Fop "¢;� �`�, Y•� �, ' 3 tsr- •+ r� ,,.,Town Of•$arnstable .t.f'k e aa''"' '• .e a§t'.` r`44�; �� . t� t .�' «.•,w s a,; .'.sw ',f +1.. '4 . ' • + r•ti, ' =t 5 +�i a; t'}k '+ ; [{ i r ." !t '� [+ . W. G S *x%Y.' 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J v ram. i*°��!'r � ;♦ a F 3'�r� .4�� .3w� � c 4,yg,F4• t >-': tr ..�� { ,j ,• -ui`{ , `� 3. ,y�� }y.q��, 6 .r,?f.� { !.S!4�,, `.+'-.{ t� P,�i' R� f�. «aw .. 1M -c`� 'ti, r •�'. . .. .+fig �= r'�"i3'-} :.,�'�� .'1 x y+:•.��,. �T•�. Y� ; ' 7 �;t�R vY*_i� ,:�,. S J+,! < r-'f i, '{.t # ,vf t�„ i 1;,•r ",r et. `rt•# ��t'vx• r-� r1�•�:w�`.,,,'y'};''`i`1�• •�•�_ 3 3= "R a �. °t�, _ • _ 'Y .. p.'.Y -e ' �,��'`•-•�� 'a+"h �" ^t '`'�_. I t �• c:' + r a° +, 3+ to -*Y_ S �'w,'1z r• '" + q4_, f: rq z ... ages u� -" r ".. � :.y S ° f �, +--..4 C 4 _ f. Y: v • >�TM v 3 E' } 7 r S .s r .' ",,,,.,.i„ �? ,+''1 ? f c drf .. { )`f. 4 Z Sr �.,, b • is . '* ' t Y'� �+ _� X�:;�" p �l+ t¢t ; '� �� 4 � •yf r 5a�"r'+ "d`'t 1.�j Y,..£'�' 1. � '�.. r.•. f # �' M1lyt �9 �i S A ;-f. AJ+!_q. ; t .a �Y xa',• S 4•` _k Wgi-r d i : � ...r•' .. r4 .S f a� ?' t - 4 j 1 '�t v M Y"� �'t: ., ° ~ rd + .3••Z4M1n u. ;:� :"r 4,_• � rt �A+•'++f..V r,1@ tY ° , .� r�s..y;Y M1: 't - •' � � Z;r y °tom . A �� . c..zM� fi.. rA "k ,r _,. e.r = ^ �'_,yr.t +.. F+ ,x" s t+r . � S:Ys`. •�' �,.. h g J. G»P t .y... r a t�cd f -,'e 1!�` }^ert `T ,.,, ,.�✓ w•' J ��.fit M • t 4 k �; -�c r .•'L ! �Ih,•'� t �,r n,`'�.ri �_"+ � 1, '�' ` � .- ,`,- � '`� "t� c 9 ° •`, 1� �- ,r s rr f � +�+rx� ��,�',� ,+.� � '� e yt em Decber 18,'I 1985, y rrY. , tf } ;e• >s,r r,w +e i. y 1"t d 4! • }}. +Sti,._ } , /{ d 1 i,r •+t i f •f ,� ff� 1 F +:��.+r 1tr , at �. Sb1r Sri•, � �t i* Y �^ r.' e r c!. '.P 'S . + W:Y �;� �+S SS rl1 E 4 t �C a`. a f la i}. S .r .. s r�vsj: t t':r ki�y-rr } i°cr r j ,� y.._�.5 ,}ay,-@ ✓,.- �!' 'y ,,i n4. . V 'era c ;s a l k ' . r •' + l� Mr:Richard Garbitt' = •`*,. y ' + ` �; ra, }` '., t''r , + + r;• '+t. J} µ% a _y iF'4 raS e.'� t r rr M1" Mr. Raymond Blackburn -. „, z 9 = � A, Air` ort-Road ;. '` s # (t r ,« f: tr � •yam' ai � r ..t q,,• s�.t"� ,, _f �r["a, bar F• r. a a i H>yannis,.:Ma 02601 ,'.�. *r 4 � z ` `'* • r r f!!� `;' r'� - ` ' ° Yv x£. .. c r t fyx, +C �, "Ya S�d3+ - _ ;. .r + .`� t" �" y^4� • t (' ,: ., fi )ri a ,e .� t...y+, w .t ..y :...f a •" <.b '. r 'ry �` +`. + V4. a r +a h r .b. c� • i y ,fit +t 'Dear Sirs: ' "r. � .� ,� .9 r J t�` ` r " r .� � •`� !is.ssr ., _ {r ,, P•1. ,. •' '� �. 3 ter,' 1�; '' l:p � ff a S. $r 'i . '_ �. h ;Z+' %', ^t {' 4yt;•. y: - "� t 1�` i 'rt • {+ i Y r"'•., �i s +.` L h � a„K i "•cJ {rr•-t ... _,i z3' r �sf" q tThe Boaid of�Heal`th will' grantsyou,cor nditional approval4to;construct threes. buildings, rather ;than: the oney (1)r building previouslyapproved�at'=Oit ' '` Avenue, ,,Hyannis ;The following 'conditions must rbe met piio °to' final S. ,s v s. '�t� y7. .'+ a '}: t.. e a• '!- ,j '' r i aPProval r ; L• .y }.1 fir♦ + - ``� �h:1 r '1:. ."aiy •7Y f ,i ;ow d•A `„j 'p s,., `fry+e'« t, 4 �,id: ,y ._ .y •`if y, , t •A I (1) ,°A properly,executedrlegal document:prohibiting`building;on the adjacentF' .�. , ,. ` 3 3.59°.acres untilsuchitimekas ;connectidn to To.*ntsewer-Isr made,'must s s Kktia• Approved; +s k , s r be received and ¢ ,, A � + (2) Floor drains`are prohibited,infialls'buildings., . fi- ` '. ,t 47F. +t rf a `+'p *`% t . 3 z +^ • y r. ,{ t _ +; ¢ V1 iv, {n+ :*,x s (3) Full `compliance`•`with" the Touvn's °:Iiazacdouet, .biatertals•_;By-law is4 { `'� ;; ' required: j 4 ,;� r � .', r + `•� t<3 �1 t.. �,,;, �. `y"4'� t x �• + r �r ,p �r r:, � a ^y '£,� rr r 3., �p r �r'A .. -�f >� CC + t, ,t- '►t4 L 1' �.` {[. �:� f:,.. t � �m Ps $r#... iG ��dy .' „� ,! •.� } x T .f t i Oil `and gasoline; sepaiatorstiw`,ill abe 4nstallel�An all '-catch -basins 4and- ' serviced..by a licensed hazardous material transpcirter i S ,{"+ +. Y>t.,i ..r• .; 1'S .-° :,{ts rbi uw „� i� ati•rn : ,;.j'6. .,,¢,-fir f. `('S) On-site sewage dispo+ ,psal lans#confo.rming�to the x Town`of pBarnstable' -•y.,l; a.'�.T,, F. M.i, s 3I ,¢' f., -y. Ott.. �^,.., y F •K r - Healtli 3Regulations rand•iTitle h5, of :.the �State.,Environmental Code; f must be approved by,the..Health'Department', " n- +�.. w r v,r o. n a r, ti. "}', -i d , ♦ Y - kk !aR i� xY9 r} p f"°'.+ SA^K - 3.t'G��tti? tto r � �S ^ ��, ;. � tr tM1 +:Jf ! F S " p..^ ; +`• R r• " �.; �.-¢7�t r 1Y,.. -r #_. , +. "•fier tr111yhyourS, a ` a @ "�, ez r d' • a, r * } , .;: ,r:r - _ :.}'r �}� r. ^ ''�A _ t i• 7r y' § $•e ` ++'t 'r. ,.d � ,. y .4• � JS }i,r�. , � } .d X �t.t f`^. � ti.,` � tH�x. �, .r'. ;'�iy4'J .• + 'd F i� f 3 y� 5 f •, f.. a. a6. •F' 1 c =r: ? 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'•rt 1 rP Y^.. r.` t "mot .t1 •i+ ��'rr �"' t= L r,.' > • � t✓.e.; '' a :�'`r•j�, rM r «, ' �esy r,# �* 7 t [ «. a". rf, t Sit>,4 iS sV J rt 3 3 •i f + " E 4 a,fd•*� }.` �+; t s.d J+.. 1'�p V t�,i� :. - 4 4 4� f • � 4_y ry*'}� �'C p x J'•. j b R i « y.r t I rtE" s. t '�f •^ 't'^ ar}#,t-,r #, " "�� J 9' fi.+' ,z rs' .r 4 ..At$ .1" 1' FT.- - •Jt 'd 1 ✓ ' F �` ,� 7t ,! �«2w s Y�". s y.• pr 4�Y ��+•�� r"',y,"'��+r� j R�,,,� _�..,,r {r � .7 y l+) , t. � � •.� �ii.! 5 *.+ „ a r � �S, t'L f�:'.,, i� '`�� °;tl p 5,f'` '� rt �''t��'tT' `o.� s rfi r E x s�^E °Pi� ,wta�� '!.?ytt'� r ,..• ° _tr, k` t. .l,r .r...t• - . I To: Health Department Hyannis , Massachusetts From: Richard Garbitt Raymond Blackburn 167 Airport Road Hyannis , Massachusetts Subject : Proposal development plan for land in Hyannis , Massachusetts December 17 , 1985 Dear Committee Members , Mr . Garbitt and Mr . Blackburn request the Health Department ' s approval for an alternative development proposal on Lots 16 , 17 , 18, and 19 . Present permission includes a single 17 , 280 square foot building containing 12 factory/industrial use bays with 2 persons per bay in conformance with the minimum requirements for compliance with the 330 gpd/acre interim guidelines . We believe the following proposal will significantly improve the economic feasibility of the overall project and provide a greater margin of protection to the underlying aquifer in this primary zone of contribution . The alternative proposal includes three (3) buildings with a total of 32 , 280 square feet . Using the formula of 50 gallons/1 , 000 square feet , a total of 1 , 616 . 6 gpd would be produced on the present four (4) lots . Dedicating by deed an additional 3 . 75 abutting acres , this three (3) building concept will not only conform to this 330 guideline , but provides a greater area of protection to the underlying aquifer in the future . The following represents a breakdown of the pro.p.o.sed alternatives : ti.'DR-Y GOODS STORES - SQ. FT . USAGE - 5 GAL . PER 100 SQ. FT . OR 50 GAL . f PER 1 , 000 SQ. FT. Bldg . #1 "'7 , 500 sq. ft . x 50 gal . /1 , 000 ' sq . ft . = 375 . 0 G. P .D. Bldg . #2 7 , 500 sq . ft . x 50 gal . /1 , 000 sq . ft . = 375 . 0 G.P. D. Bldg . #3 17 , 280 sq. ft . x 50 gal . /1 , 000 sq . ft . = 864 . 5 G.P.D. TOTAL GALLONS PER DAY 1,, 614 .0 G.P .D. G. P .D. AVAILABLE - 429 . 0 G.P.D. ADDT ' L REQUIRED 1 , 1.85 .0 G.P . D. NOTE: 1 , 185 - 330 = 3 . 59+ ACRES REQUIRED. An enclosed site plan is submitted for your review. Sincerely , Richard Garbitt Raymond Blackburn I I � a � o.a •SZ o tit- OD� 21 s , d As se A A A4 C 40 .11 LC .4!fit ��_.. t4 ` �/ © •16�t t i VOW 13 14 10 8 12 1 2 3 4 5 Co 7 I. LARUSSO REC. VEH. W SENNETT' AUTO REPAIRS Z. JONN'S AUTO REPAIRS 9. LUZZIETTt FboLS 3. A b C,ESPooI_ 10. WARFKOUSE� q. CAPESKATE It. ANTIQUE AU--I-c�,s 5. MID GAPE SIAEE-T MF7AL I2.. PLUMESINC ('o. 'PORIEC,N CAR REPA)Rc %3. AU-To -7. 'F-7A C i oR'Y 14. WAREl�OUSE 4 lD\ IB lDT it i 7 lOT IL 1 MXDING.#3 . x�%30/b GMT I i I ✓�eDL� tnK.nwoi O - cr- 7p� (3:, 2 p .. ,...::.. .._ ..,,_, ... ..,. cL - cc I 1 Q .xoc..a xmo�ciot i 1 I - . •BULDING #-t I - _—__-- _ niiito(niii& BULDING 3 ,"I m x r —L, not r . 13xt.w unc 1 ccvw xn�p(�y I I I �en+i[t rlowo; . 77 1 Q• TL..AY E_N U E. j SITE PLAN - GAROM'AND BL.PO� S E A C O A S T —' ' _ - COMeT%YCTIOM CO��, BULD11% 413 rv.fc Ge w.) o aC S BUIarJG #1 BULDIN G#P- C. 1. T. AVENUE UTILITY PLAN GAFOTT AND,BLACKWM S E A C.O A-S T ^� .-CONSTNOCTION 1 i c a t: WAPJLMOLdL , sIb i. wAPIX n„k� , S7oar&c E r�...w �.�A. �Or'�.aa. �r i. -/Wt•e•t /•.�M��. M.w r r•w� �ril� � Mar.e.� I-I Li 1C•O' t< le'•O' �- .L'O' .t'-0- Y• L il'O� 40 •p" 1. - e• o N'-O' M•-O' N'-O' M'-p- M'-0• e1••O• tr-O• ' fI-0• 3t•-0• N'•O• N'-0- - M'-O' 1' t'liM MM L-WJU M*3 t L rAFff M A.eix�uaa- S EAC. O-AS. T ^' eortiruenor ceeR 1 IIII I I ---------------- Emil m milp] it] lift ice_ —ter ELEVATIONS LEFT.ELEVATION t:[�I�HI.F1. 11A71GN L BLxj)m43.: corn'A. S E A."C. O A:8 T -..toMsL oche" co�R •/� 4 ' a d 4va inii lCot AYu w t p —i nuuu.w ' o i rsa 1 ' -II-�F�71�14TJI ..I J11 114 !"CROSS'=SEV"ON s GARSM A BLACKBURN S E''A 'C O A S T consTowen=coon. ('— k-- : � In = But �*3 ' n a LANCWR BOLT PLApj. • of -• pl t nwrt I h a� m .�- u•o- i tr.u. I - ® I > Z= r,r, i 0 to d I w ANCHOR. BOLT • ��_ DETAIL TYPWALAILRTIPICAL -�� — � Forma 81/1C 1iP1 SEA.00 eoST _ I i - r 4� -4.millkjIi . / / i L ERONT_.ELOtATION.] • _ .. — it i is 0 L BACK ELEXATIOR—A I' I i i i I I I i / / S ✓ r ! < I ELEVATIONS BUILDING 41 SIDE ELEVATION SIDE ELEVATION GARBTTT&BLACFMi S E A C O A S T -- COMSTIIUCTIOM COII►. i t wilsfi I. '! li Nil 11 fF I LFH.0t17 ELEYAIION. rFl� � � I u t if 0 MC&ELEYAnow I I I J i i j j ' ✓ j I j % ! ELEVATIONS BUILDING #2 - i I SIDE ELEVATION- SIDE.ELEVATION GAR 31 I'do BLAqKBURN. S E A C 0 A S .T CONSTRUCTION CORP. a Date Fee {3. �fTN ro TOWN OF BARNSTABLE +r' OFFICE OF < DAH KAI& LE � BOARD OF HEALTH Ml °o 2639• 367 MAIN STREET �D MAY k- HYANNIS, MASS, o2sot VARIANCE REQUEST FORM y/ All variance requests must be submitted fifteen (15) days prior to the scheduled Board of Health,Meeting.. NAME OF APPLICANT TEL. NO. 7 S`• o�'7�T� . ADDRESS OF APPLICANT s a NAME OF OWNER` OF. PROPERTY SUBDIVISION NAME ��' �.�wvYv�.tly[ld�_, wD DATE APPROVED ASSESSORS MAP AND PARCEL NUMBER LOT SIZE LOCATION OF REQUEST VARIANCE FROM REGULATION (List Regulation) MF S REASON FOR VARIANCE (May attach letter if more space is needed) Se PLAN -' TWO COPIES OF PLAN MUST BE SUBMITTED CLEARLY OUTLINING VARIANCE REQUEST:- VARIANdE APPROVED NOT APPROVED REASON FOR DISAPROVAL Grover C.M. Farrish, M.D. Chairman Ann Jane Eshbaugh James H. Crocker, Sr. BOARD OF HEALTH TOWN OF BARNSTABLE Received by: POS4 3J bA (An,I Date: 1404w 1`387 30 c,(�; OF4NeT0 TOWN OF BARNSTABLE OFFICE OF = sesAM M BOARD OF HEALTH .� 11o�. �p 1639. ` 367 MAIN STREET 0111►r k. HYANNIS, MASS. 02601 October 30, 1987 Mr. Camille Davigon Unit 7 30 Cit.Avenue Hyannis, Ma 02601 i NOTICE TO ABATE VIOLATIONS OF BOARD OF HEALTH APPROVAL CONDITIONS IN A CRITICAL ZONE OF CONTRIBUTION TO. PUBLIC WATER SUPPLY WELLS - 30 CIT AVENUE, HYANNIS UNIT 7. Dear-Mr. Davigon: You are directed to remove the illegally constructed second floor storage area located at 30 Cit Avenue, within 30 days of.receipt of this order. This second floor addition was constructed without obtaining the required building permit.' The building permit issued in December 1985, was for three single floor buildings. You apparently applied for a building permit after construction of your second floor addition. You or your.representative and attorney were present at Board of Health hearings regarding this matter. Your representatives were instructed to furnish us with sewage flow rates for the entire complex on several occasions but failed to do so. These buildings are located in a critical zone of contribution to our public water supply wells and were.approved for dry goods stores only. The property was visited by Board of Health Members and Health Inspectors and your attorney who confirmed the second floor additions. Very tru yours, Grover C. M. Farr s , Board of Health Town of Barnstable JMK/bs copy to: Atty. Michael Ford TOWN OF BARNSTABLE" OFFICE OF sm BOARD OF HEALTH NAIL 367 MAIN STREET HYANNIS, MAss. o28ol October 11, 1988 f Mr: Richard Garbitt Mr. Raymond Blackburn 167 Airport Road Hyannis, Ma 02601 Dear Sirs: 1 I am in receipt of your letter dated July 20, i986i n which you agree not to construct any buildings on the remainder of Lot 1. After meeting with the Assistant Town Counsel, Ruth Weil, it was decided that you should request a modification of the variance granted you December 18, 1985 from the Board of Health Regulation limiting sewage flows to 330 gallons per day per acre in certain zones of contribution to public water supply wells for your property located at 30 Cit Avenue, Hyannis. The Board members recently visited the site: They approved three one story (single floor) buildings for the use of dry goods storage only on December 18, 1985. The observed second floor additions were constructed without obtaining a building permit according to the Building Commissioner, Joseph DaLuz. The buildings are located within a critical zone of contribution to our public water supply wells and have a limited sewage flow. Also, it appears the septic system does not have the capacity to handle the additional sewage flows that the observed second story additions may generate. For your convenience, I have enclosed a variance request form and a variance procedure notice. sincejelly, 7.J'. Gr r C. M. Farrish, M Chairman Board of Health Town of Barnstable GF/bs enclosure i copy to: Joseph DaLuz Ruth Weil TOWN OF BARNSTABLE CF tM E raw m� �^ OFFICE OF BeaISTAIM ASK MA60. BOARD OF HEALTH .� �p 1639' 367 MAIN STREET 0 MAC k' HYANNIS, MASS. 02601 -November 12, 1987 Mr. Joseph Daluz Building Commissioner Town Hall "367. Main Street Hyannis; Ma 02601 Second Request Dear Mr. Daluz: Please have the structures listed below removed from the buildings located at 30 Cit Avenue, Hyannis,Ma. Unit 1 - Mr: Richard Garbitt - 30 Cit Avenue - Hyannis, Ma. - Second story office, Kitchen, and deck. Unit 2 - Mr. Robert Ferguson - 30 Cit Avenue - Hyannis, Ma. - Second story szo:age area. . Unit 3 - Mr. E. J. Jaxtimer - 30 Cit Avenue Hyannis, Ma. - Second floor storage area. Unit 4 & 5 - Mr. Joseph Rodriques - 30 Cit'Avenue - Hyannis, Ma. - Second story office with kitchen and deck. Unit 7 - Mr. Camille Davigon - 30 Cit Avenue - Hyannis, Ma. - Second floor storage area. Unit 10 - Raymond Blackburn - 30 Cit Avenue - Hyannis, Ma. - Second floor storage area with deck. These additions were constructed without obtaining a building permit and are therefore illegal. They are located in a critical zone of contribution to our public water supply wells and have a limited sewage flow rate. The .original owner, his representative, and attorney were present at Board of Health hearings regarding this matter. They were instructed to furnish us with sewage flow rates for the entire complex on several occasions but failed to do SO. I recently received three letters dated November 4, 1987, from Attorney Michael that no petition had been filed with you regarding these additions Ford stating Y g g P that were built without building permits. Attached is a copy of a previous letter sent to you October 14, 1987, requesting that you have the second floor structures removed in Units 1, 2, 4, 5, and 10. r , ,_-:Mr. Joseph Daluz (30 Cit Avenue) Page 2. At that time, we were not aware of the second floor additions in Unit 3 and Unit 7. Also attached is a copy of a letter sent to you July 8, 1987. At that time, you verbally informed us that this construction was done without a permit. Thank you for your assistance in this matter of extreme importance to the town. Very t my yours, over C. M. Farrish, M.D. Chairman Board of Health Town of Barnstable JMK/bs Copy to: Attorney Michael Ford Selectmen Town Counsel Enclosure p July 8, 1987 Mr. Joseph DaLuz Building Commissioner Town Hall 367 Main Street Hyannis, hia 02601 RE,- Carbltt and Blackburn Buildings (3) Cit Avenue, Hyannis, Mass. Dear Mr. DaLuz: We approved three one story (single floor) buildings for Oarbitt and Blackburn on Cit Avenue, Hyannis, Mass., In December 1985. These buildings are located In a critical Zone of Contribution to our public water supply wells and the septic systems were approved using daily sewage flow rates . for dry goods establishments. Recently Seacoast Construct ion...requested approval for second floor additions for three (3) bays. . Board of Health members visited the site and discovered several second floor additions that apparently were not authorized. Would you please inspect the premises and advise us if all additions to the original construction plans were approved. Thank you for your assistance. X'y yours, ,Childs Chairman Board of Health Town of Barnstable JMK/bs I P�OF?HETO�y t • TOWN OF BARNSTABLE OFFICE OF ssa :MABL BOARD OF HEALTH MA!�. 1639. �� 367 MAIN STREET HYANNIS, MASS. 02601 October 14, 1987 Mr.•Joseph.Daluz Building Commissioner Town Hall 367 Main Street Hyannis, Ma 02601 Dear Mr. Daluz: Please have the structures listed below removed from the buildings located at 30 Cit Avenue, Hyannis, Mass.. Unit 1 - Richard Garbitt - 30 Cit Avenue - Hyannis, Mass. - Second story office kitchen and deck. Unit 2 - -Robert Ferguson - 30 Cit Avenue - Hyannis, Mass. - Second story addition. Unit 4 6z 5 - Joseph Rodriques - 30 Cit Avenue - Hyannis, Mass. - Second story office with kitchen and deco:. Unit 10 Raymond Blackburn - 30 Cit Avenue - Hyannis, Mass. - Second story with deck. These additions were constructed without obtaining a tuilding permit and are therefore illegal They are located in a critical zone of contribution to our public water supply wells and have a limited sewage flow rate. Attached is a copy of a previous letter sent you July 8, 1987. At that time you verbally informed us that this construction was done without a permit. Thank you for your assistance in this matter of extreme importance to the town. Very tru y yours, Grover C. M. Farrish, Chairman Board of Health Town of Barnstable JM.K/bs Copy to: Selectmen a MYCOCK, KILROY, GREEN & MCLAUGHLIN, P.C. ATTORNEYS AT LAW 171 MAIN STREET _ -BERNARD T. KILROY HY ANNIS, MASSACHUSETTS 02601 OF COUNSEL ALAN A. GREEN AREA CODE 617 EDWIN S. MYCOCK C14ARLES S. MCLAUGHLIN. JR. 771-5070 MICHAEL D. FORD - - ADDRESS ALL MAIL P.O. Box 960 MARK D. CARCHIDI HYANNIS. MASS. 02601 LAURIE A.WARREN N ARIBETH KING REFER TO FILE # August. 10 , 1987 Board of Health Town Hall Hyannis, MA. 02601 Re: Request for permit - Richard Garbitt Dear Members of the Board : Please be advised that Mr . Richard Garbitt has retained me with respect to his efforts to obtain the Board 's permission for the placement of office space in the 2nd floor of his existing office building off of Airport Road . My understanding is that the Board has had this matter t under consideration for some time. Would you please place this matter on your agenda for August 18 , 1987 so that I may address the Board regarding same . Very truly yours, __ i Michael D. Ford . MDF/djw 3335d i July 8, 1987 Mr. Joseph DaLuz Building Commissioner Town Hall 367 1-lain Street Hyannis, Ma 02601 R1 : Garbitt and Blackburn Buildings (3) Cit Avenue, Hyannis, Mass. Dear Mr. DaLuz: We approved three one story (single floor) buildings for Garbitt and Blackburn on Cit Avenue, Hyannis, Mass., in December 1985. These buildings are located in a critical Zone of Contribution to our public water supply wells and the septic systems were approved using daily sewage flow rates for dry goods establishments. Recently Seacoast Construction requested approval .for second floor additions for three (3) bays. Board of health members visited the site and discovered several second floor additions that apparently were not authorized. Would you please inspect the premises and advise us if all additions to the original construction plans were approved. Thank you for your assistance. ,Y-ry tr, ly yours, ` `obe :. Childs Chairman Board of Health Town of Barnstable JMK/bs I t1bbEttS EngirWEring corp. 210 DEANE STREET,NEW BEDFORD,MASSACHUSETTS 02748, TELEPHONE(617)9%-6633 March 9 1987 RICHARD L.SIL VI E R A.P.E..R.L.S. RO BE A C.VE RK AD E,P.E.,R.L.S. t Job No. 7531 FRED E.TIBBETTS.II1,PhD. C.P.C. HENRY C.GOVONI DUARTE M.AND RADE GERARD G.CHAREST,JR. Mr. Arthur Cabral , Project Engineer JOHN DeMELLO Seacoast Construction CorF • JOSE PH DOMINGOS RICHARD A.MUNROE 310 Herman Melville Blvd• RICHARD H.SETTELE New Bedford, Massachusetts 02740 Re: Garbitt and Blackburn Building Site Subsurface Sewage Disposal - Addition of Second floor units Hyannis, Massachusetts Dear Mr. Cabral : Per- your request, I have reviewed the existing sewage disposal system to see if it can support a second floor addition of three bays. The sewage disposal system for the Garbi tt and Blackburn site was designed to handle a total of 1739.1 gallons of daily sewage flow. This was the maximum flow that would be allowed at the rate of 330 gallons per acre for the 5.27 acres of land encumbered by the owner. The total sewage. flow requirement for the (three) one story buildings constructed on the site (based on the Mass. DEQE Title V regulations rate of 5 gallons per 100 square feet of floor area for dry goods store usage) is 1440 gallons per day. There is therefore the capability of the system as designed to handle an additional 299.1 gallons per day of sewage flow. At the rate of 5 gallons per day per 100 square feet of floor area, you could increase the floor area an additional 5982 square feet. Si n c e each bay is 14.40 square feet, you could a ree ay- in fie form of a secon oor ad itlon This would be a lo`f`ai�q�iare fooi;age addition of 4320 square feet which would increase the sewage flow by 216 gallons per day leaving a reserve capacity of 83.1 gallons. To my knowledge and belief there is no restriction on the number of .toilets which may be installed on any system, however it should be noted that no toilets are to be used by the Public• . Further, I know of no variances issued by the Town of Barnstable for construction on this parcel . Very truly yours, TIBBE TS ENGINEERIN CORP. RCV/pm Robert C. Verkade, P•E. ,R•L.S. Vice President/Chief Engineer FALL RIVER DIVISION: 303 RODMAN STREET, FALL RIVER,MASSACHUSETTS 02721 TEL. (617) 676-1710 CONSULTING CIVIL ENGINEERS- ENVIRONMENTAL,,PUBLIC WORKS,SANITARY,STRUCTURAL CERTIFIED TESTING,ANALYTICAL AND RESEARCH LABORATORIES i tibbetts EnginEEring core. 210 DEANE STREET,NEW BEDFORD,MASSACHUSETTS 02746, TELEPHONE(611)M-5633 RICHARD L.SILVIERA,P,E.,R.L.S. ROBERT C.VERKADE,P.E.,R.L.S. FRED E.TIBBETTS,II1,PhD. C.P.C. HENRY C.GOVONI _ DUARTE M.ANDRADE - GERARD G.CHAREST,JR. JOHN DeMELLO Mr. Robert .L... Childs Chairman February5 1986 JOSEPH DOMINGOS RICHARD A.MUNROE Town of Barnstable Board of Health Job No.7531 RICHARD H,•SETTELE 367 Main Street Hyannis, MA. 02601 Re: Request for approval of sewage disposal system design plans. Garbitt and Blackburn Building Site Hyannis, Mass. Attn: Mr. John Kelly, Director of Public Health Dear Mr. Childs: The Garbitt and Blackburn building plans include three buildings to be constructed an lots 17, 18, 19 and 20 on Cit Avenue. The following is a calculation of the estimated sewage usage for the buildings and the land area which must be encumbered to provide for compliance with the Town of Barnstable Board of Health interim guidelines which allow a maximum of 330 gpd/acre of flow with respect to subsurface sewage disposal construction in a groundwater recharge area. All of the Buildings will be based on a sewer usage of 5 gal. per 100 square feet of build floor area for dry goods stores which appears to be the largest rate for the uses proposed.. The following represents a breakdown of the proposed buildings. Bldg. #1 (60x120 ft. ), 7200 x 5 gal./100 sq. ft = 360.0 G.P.D. Bldg. #2 (60x120 ft. ). 7200 x 5 gal./100 sq. ft = 360.0 G.P.D. Bldg. #3 (6Ox240 ft. ), 14400 x 5 gal./100 sq. ft = 720.0 G.P.D. Tot a 1 1440.0 G.P.D. 1440 G.P.D. ---------- ----- = 4.36 Acres Required 330 Gal./Ac. FALL RIVER DIVISION: 303 RODMAN S-I•REET, FALL RIVER, MASSACHUSETTS 02721 TEL. (617) 676-1710 CONSULTING CIVIL ENGINEERS- ENVIRONMENTAL,PUBLIC WORKS,SANITARY,STRUCTURAL CERTIFIED TESTING,ANALYTICAL AND RESEARCH LABORATORIES tibbEtts EnginEEring corp. Land :area to be encumbered 1.60 Acres lots (17 -20) 3.67 Acres additional Area provided 5.27 Total encumbered 4.36 Acres Required 0.91 Acres surplus 0.91 Acres X 330 Gals./Acre = 299. 1 G.P.D. 1440.0 G.P.D. The sewage disposal system is designed for 1739. 1 G.P.D. The total area required is 4.36 acres however 5.27 will be encumbered which will allow the maximum daily sewage flow to be increased from the estimate usage of 1440 G.P.D. to 1739 G.P.D. The 3.67 acres of additional area is laid out as the westerly portion of back parcel as shown on the attached drawing. Very truly yours TIBBETTS ENGINEERING ORP. Robert C. Verkade, P.E., R.L.S Vice President/Chief Engineer encl. : 4 sets Plan of Land showning land to restricted from building until such time as connection to Town sewer is made availiable. 4 sets of Site and Sewage Disposals System design plans dated Feb. 5, 1986. :s �PyofTHE To�o TOWN OF BARNSTABLE OFFICE OF BARTST" BOARD OF HEALTH oo�O YAY k`� ;, 367 MAIN STREET HYANNIS, MASS. 02601 December 18, 1985 Mr. Richard Garbitt Mr. Raymond Blackburn 167 Airport Road Hyannis, Ma. 02601 Dear Sirs: The Board of Health will grant you conditional approval to construct three (3) buildings rather than the one (1) building previously approved at Cit Avenue, Hyannis. . The following conditions must be met prior to final approval: properly executed legal document prohibiting building on the adjacent 3.59 acres until such time as connection to Town sewer is made must be received and approved. (2) F1 or drains are prohibited g in all buildings'. .. `O Full compliance with the Town's Hazardous Materials_ By-law is required. . (4) Oil and gasoline separators will be installed in all catch basins and serviced by a licensed hazardous material transporter. (5) On-site sewage disposal plans conforming to the Town of Barnstable Health Regulations and Title 5, of the State Environmental Code, must be approved by the Health Department. f V ry r ly yours, o er h ds hairman BOARD OF HEALTH TOWN OF BARNSTABLE JMK/mm t1bbEttS EnginEering 210 DEANE STREET,NEW BEDFORD,MASSACHUSETTS 02746, TELEPHONE(617)936-6633 March 9 1987 RICHARD L.SILVIERA,P,E.,R.L.S. ROE•E RT C.V E RKADE,P.=.,R.L.S. FRED E.TIBBETTS,III,PhD. C.P.C. Job No. 7531 HENRY C.GOVONI DUARTE M.ANORADE Mr. Arthur Cabral , Project Engineer GERA ROG.CHAREST,JR. JOHN DeMELLO JOSESeacoast Construction Corp . RICHPHDA.MUNS RICHARD A.MUNROE 310 Herman Melville Blvd. RICHARD H.SETTELE New Bedford, Massachusetts 02740 Re: Garbitt and Blackburn Building Site Subsurface Sewage Disposal - Addition of Second floor units Hyannis, Massachusetts Dear Mr. Cabral : . Per your request, I have reviewed the existing sewage disposal system to see if it can support a second floor addition of three bays. The sewage disposal system for the Garbitt and Blackburn site was designed to handl e, a total of 1739.1 gallons of daily sewage flow. This was the maximum flow that would be allowed at the rate of 330 gallons per acre for the 5.27 acres of land encumbered by the owner. The total sewa-gp flow requirement-for the (three) one story buildings constructed on the site (based on the Mass. DEQE Title .V regulations rate of 5 gallons per 100 square feet of floor area for dry goods store usage) -is 1440 gallons per day. - There is therefore.the capability of the -system as designed to handle an additional 299.1 gallons. per day of sewage flow. At the rate of 5 gallons per day per 100 ,square feet of .floor area, you could increase the floor area an additional 5982 square feet. ' Since each bay is 14.40 square feet, you could add threeBay s i n the form of a s e c o n oor ad t1 on T h i s w o u 1 d be 'a to 6—T—square oo age adds ti on of� - 4320 square feet which would increase the sewage .flow by 216 gallons per day leaving a reserve capacity of 83.1 gallons To my knowledge and belief there is no restriction on the number of toilets which may be installed on any system, however it should be noted that no toilets are to be used by the Public. Further, I know of no variances issued by the Town of Barnstable for construction on this parcel . Very truly yours, TIBBE TS ENGINEERIN CORP. RCV/pm Robert C. Verkade, P.E. ,R.L.S. Vice President/Chief Engineer FALL RIVER DIVISION: 303 RODMAN STREET, FALL RIVER,MASSACHUSETTS 02721 TEL. (617) 676-1710 CONSULTING CIVIL ENGINEERS- ENVIRONMENTAL,PUBLIC WORKS,SANITARY,STRUCTURAL CERTIFIED TESTING,ANALYTICAL AND RESEARCH LABORATORIES f July 8, 1987 Mr. Joseph DaLuz building c.lommissioner Town hall 367 Main Street Hyannis, Eia 02001 RE: Garbitt and Blackburn Buildings (3) Cit Avenue, Hyannis, Mass. Dear idr. DaLuz: We approved three one story (single floor) buildings for Garbitt and Blackburn on Cit Avenue, Hyannis, 'Mass., in December 1985. These buildings are located in a critical Zone of Contribution to our public water supply wells and the septic systems were approved using daily sewage flow rates for dry goods establishments. Recently Seacoast Construction requested approval for second floor additions for three (3) bays. ljoard of health merabers visited the site and discovered several second floor additions that apparently were not authorized. Would you please inspect the premises and advise us if all additions to the original construction plans were approved. Thank you for your assistance. V ry,truly yours, �\1)be Childs Chairman Board of Health Town of Barnstable M K/bs a July 8, 1987 lair. Joseph DaLuz Building C:ornraissioner Town Mall 367 Main Street Hyannis, hia 02601 RE: Garbitt and Blackburn Buildings (3) Cit Avenue, Hyannis, Mass. r Dear Mr. DaLuz: We approved three one story (single floor) buildings for Garbitt and Blackburn on Cit Avenue, ilyannis, class., in December 1985. These buildings are located in a critical lone of Contribution to our public water supply wells and the septic systems were approved using daily sewage flow rates for (try goods establishments. Recently Seacoast Construction requested approval for second floor additions for three (3) Lays. Board of health members visited the site and discovered several second floor additions that apparently were not authorized. Would you please inspect the premises and advise us if all additions to the original construction plans were approved. Thank you for your assistance. V ry truly yours, 1tobevrt. Childs Chairman Board of Health Town of Barnstable J hl K/bs January 26, 1986 Fnam; Mr. Raymond Blackburn 943 West Main Street Centerville, MA. 02632 TO:.- Board of .Health Town of Barnstable Hyannis; MA. Mr.' John Kelly: I,"Raymond Blackburn, hereby declare that..I will not construct any btuldings on Lot 1 :of Assessors :�,�,� and " b r #622 �.nd as shown on the drawing y Tibbetts Engineering Corp. as dated on 1/16/86 This restriction will be valid only until connection to the town:, sewage system is made, available. t The areaof Lot 1 that is L to be r. es�.ricted- is 3 67 acres which, is Nt r adjacent to Pots 17-18-19-20 as shown on the dr 'wing by Tibbetts Enginneoring Corp. .. r ...-...—__.may A kymond Blackburn er of Lot 1 Assessors Map #622 N. Town of Barnstable, MA. Subscribed and sworn before me this Day of 19�if�, My: Camlission Expires Notary Public I MYCOCK, KIEROY, GREEN & McEAUGHEIN, P.C. ATTORNEYS AT LAW 171 MAIN STREET BERNARD T. KILROY HYANNIS, MASSACHUSETTS 02601 OF COUNSEL ALAN A. GREEN AREA CODE 617 EDWIN S. MYCOCK CHARLES S. MCLAUGHLIN. JR. MICHAEL D. FORD 771-5070 ADDRESS ALL MAIL P.O. Box 960 MARK D. CARCHIDI HYANNIS. MASS. 02601 LAURIE A.WARREN MARIBETH KING November 4 , 1987 REFER TO FILE # Grover C. Farrish, Chairman Board of Health Town Hall Hyannis , MA. 02601 Re: Letter to Mr . Raymond Blackburn - 10/15/87 Notice to Abate Violation Dear Dr . Farrish: Reference is made to your letter of October 15 , 1987 in ' which you direct my client, Mr. Raymond Blackburn, to remove an allegedly illegally constructed second floor office and deck located at 30 Cit Avenue, Hyannis within thirty (30 ) days of receipt of your letter . I am writing now to advise you that I have discussed the matter with the Building Inspector who is charged with enforcing the Zoning By-laws and the State Building Code of the Town of Barnstable. After such consultation, it is my opinion that you are without authority to order the removal of a second floor at the 30 Cit Avenue location. If you believe that construction was .done without obtaining the necessary permits under the State Building Code or the Zoning By-law then your remedy, like any other citizen or public official, is to petition the Building Inspector under the provisions of Massachusetts General Laws, Chapter 40A, Section 7 and allege that ' a zoning violation or a violation of a State Building Code has occurred. No such petition, to my knowledge, has ever been filed by you or any other member of the Board of Health with the Building Inspector . The Building Inspector is aware of the second floor addition at the premises and has not issued any order of removal for failure to obtain any permits either under the State Building Code or the Zoning By-law. I have, however , informed my clients not to occupy the second floor loft that has been constructed at said Unit 10 until such time as the matter of its use has been resolved with the Board of Health. Therefore, your notice will be considered a notice of no occupancy or use until such time as the matter has been resolved. 4.- Page 2 - Ltr . to Grover Farrish, Chairman - November 4, 1987 Finally, I should point out to you that Mr . Blackburn, prior to your letter of October 15, 1987, had been attempting for over three (3 ) months to obtain some decision from the Board of Health with respect his occupancy of his second floor unit which attempts included but were not limited to a site visit which I arranged as Attorney for Mr . Blackburn in which we invited the Board to visit said unit. Mr . Blackburn in no way has ever attempted to refute the fact that the second floor exists but rather has been before the Board of Health duly attempting to exercise his rights as a property owner to obtain permission to use said second floor prior to any use or occupancy thereof . Notwithstanding such a visit, no determination was ever made by the Board of Health as to what they propose the use of the second floor additions to be nor did the Board of Health ever respond to our offer to encumber further land of Mr . Blackburn by way of easement in order to further comply with all the requirements of the Interim 330 Regulation, the only Board of Health regulation at issue in this matter . It is still my hope to be able to meet with the Board again soon in an effort to resolve this matter . V truly yo s, i el D. Ford MDF/djw CC: Joe Daluz , Building Inspector Robert Smith, Town Counsel 3588d • tq= JOSEPH D. DALuz rELEPHONEt 775-1120 Building Commissioner EXT. 107 TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 December 31, 1987 TO.: Grover C. Farrish, M.D. , Chairman Board of Health FROM: Joseph .D. DaLuz, Building Commissioner ( ICJ/►") RE: 30 C. I. T. Avenue, Hyannis I have read our letter re the above project, y p o� ct, reviewed the buildings and the building plans. In further review of the permit application and the building permit I did not find any request or approval for additional construction within the permitted structure. Our zoning by-law does permit two (2) story commercial buildings. Storage areas within the units are permitted as accessory uses. There is nothing in our regulations to prohibit the second story use, as stated, for units 1, 4 and 5. The second story is presently listed as office space. The use is, of course, predicated on approvals from the Board of Health. Please be advised that as of the above date I have not issued occu- pancy permits for the second story office spaces and will not do so until approvals have been obtained from the Board of Health. Copies to: Attorney Michael Ford Board of Selectmen Town Counsel t P-521 459 211 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) 0 OLD U G L r— n, .,State and ZIP Cod y Postag S Certitied Fee Special Delivery Fee Restricted Delivery Fee Return Receipt showing to whom and Date Delivered IA Return Receipt showing to whom, Date,and Address of Delivery m 3 TOTAL Postage and Fees p Postmark or Date t� E 0 LL 10 IL r STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES.(see front) 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached and present the article at a post office service window or hand it to your rural carrier. (no extra charge) 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the return address of the article,date,detach and retain the receipt,and mail the arlicle. 3. If you want a return receipt,write the certified mail number and your name and address on a return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends if space per- mits.Otherwise,affix to back of article.Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. 4. If you want delivery restricted to the addressee,or to an authorized agent of the addressee,endorse RESTRICTED DELIVERY on the front of the article. 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. . 6. Save this receipt and present it if you make inquiry. r-521 459 18P--, RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) W Sent to Mr. Richard Garbitt Street and No. 30 Cit Aven. Unit 1 P.O.,St n I�sc od �y�ai�t� CIA 02601 y .Postage S 22 Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt showing to whom and Date Delivered L ,c.O Return Receipt showing to whom, �- Date,and Address of Delivery a) TOTAL Postage and Fees S 1.67 c Postmark Or Date E O U- N a: STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES.(see front) t. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached and present the article at a post office service window or hand it to your rural carrier. (no extra chargo), 2. If you do not want this receipt postmarked,Stick the gummed stub to the right of the return address of the article,date,detach and retain the receipt,and mail the article. 3. It you want a return receipt.write the certified mail number and your name and address on a return receipt card.Form 3811,and attach it to the front of the article by means of the gummed ends If space per- mits.Otherwise,affix to back of article.Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. 4. If you want delivery restricted to the addressee,or to an authorized agent of the addressee,endorse RESTRICTED DELIVERY on the front of the article. 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. a 6. Save this receipt and present it it you make inquiry. •SENDER:Complete items 1 and 2 when additional services are desired,and complete items 3 and 4: Put your address in the"RETURN TO"space on the reverse side.Failure to do this will prevent this card from heinn-^.. . —yn,1.The return receipt.fee will rovide you the name of the-person a delivered to and the date of delive .For additional ees the ollowing services are available.Consult postmaster for fees and check box es)for additional service(s) requested. 1. ❑Show to whom delivered,date,and addressee's address. 2. ❑ Restricted Delivery: 3.Article Addressed to: 4.Article Number P-521 459 188 ifr_. Richard Garbitt Type of Service: 30 Cit Avenue, Unit 1 Registered Insured Hyannis, 14A 02601 .! Certified BCOD U Express Mail Always obtain signature of addressee or agent and DATE DELIVERED. 5.Sig�at r — ddr 8.Addressee's Address(ONLY if { requested and fee,paid) I 6.SignatZrre t#gent X 7.Date of Delivery g PS Form 3811,Feb.1986 DOMESTIC RETURN RECEIPT UNITED STATES POSTAL SERVICE OFFICIAL BUSINESS SENDER INSTRUCTIONS Print your name,address,and ZIP Code in the space below. I •Complete items 1,2,3,and 4 an s I thb reverse. ILLSAMILp •Attach to front of article if space I permits,otherwise affix to back of , artge. PENALTY FOR PRIVATE •Endorse article"Return Receipt USE.$300 Requested"adjacent to number. RETURN Print Sender's name,address,and ZIP Code in the space below. TO Town of Barnstable Board of Health Hyannis, 14A 02601 Y e IKEro TOWN OF BARNSTABLE w OFFICE OF BeaasTes>: MA6Y. BOARD OF HEALTH 039. Sao 'V O MPY °j 367 MAIN STREET � k' HYANNIS, MASS. 02601 October 15, 1987 Mr. Richard Garbitt 30 Cit Avenue Unit 1 Hyannis,Ma 02601 NOTICE TO ABATE VIOLATIONS OF BOARD OF HEALTH APPROVAL CONDITIONS IN A CRITICAL ZONE OF CONTRIBUTION TO PUBLIC WATER SUPPLY WELLS - 30 CIT AVENUE, HYANNIS UNIT 1 Dear Mr. Garbitt: You are directed to remove the illegally constructed second floor office with kitchen and deck located at 30 Cit avenue, within 30 days of receipt of this order. This second floor addition was constructed without obtaining the required building permit. The building. permit issued in December 1985, was for three single floor .buildings only. You apparently applied for a building permit after construction of the second floor office. You or your representative and attorney were present at Board of Health hearings regarding this. matter. Your representatives were instructed to furnish us with sewage flow rates for the entire complex on several occasions but failed to do so. These buildings are located In a critical zone of contribution to our public water supply wells and were approved for dry goods stores only. The property was visited by Board of Health Members and Health Inspectors and lour attorney who confirmed the second floor additions. ,a Very ly yo rs, r Grover C. M. Farrish, Chairman Board of Health Town of Barnstable JMK/bs copy to: Atty. Michael Ford _"`� P-521 459 , 186 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) Sent to Robert Ferguson StrWaEDirtoAvenue o nit n; P.O.,State and ZIP Code �? yann MM 0 601 Postage S Certified Fee 1.67 Special Delivery Fee Restricted Delivery Fee Return Receipt showing to whom and Date Delivered Uf Return Receipt showing to whom, Date,and Address of Delivery d TOTAL Postage and Fees S 1.67 Postmark or Date E � October 15, 1987 STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES. (see front) 1. If you want this receipt postmarked,stick the gummed stub 10 the right of the return address leaving the receipt attached and present the article at a post office service window or hand it to your rural carrier. l (no extra charge) 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the return address of� the article,date,detach and retain the receipt,and mail the article. 3. If you want a return receipt,write the certified mail number and your name and address on a return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends if space per- mits.Otherwise,affix to back of article. Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. 4. It you want delivery restricted to the addressee.or to an authorized agent of the addressee,endorse RESTRICTED DELIVERY on the front of the article. 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. '" 6. Save this receipt and present it if you make inquiry. i OF7HETG TOWN OF BARNSTABLE ��- � w OFFICE OF seaMANa&� BOARD OF HEALTH ras i639. ` 367 MAIN STREET am �. HYANNIS, MASS. 02601 October 15, 1987 Mr. Robert Ferguson 30 Cit Avenue Unit 2 Hyannis, Ma 02601 NOTICE TO ABATE VIOLATIONS OF BOARD OF HEALTH APPROVAL CONDITIONS IN A CRITICAL ZONE OF CONTRIBUTION TO PUBLIC WATER SUPPLY WELLS - 30 CIT AVENUE, HYANNIS - UNIT 2 Dear Mr. Ferguson: You are directed to remove the illegally constructed second floor storage area located at 30 Cit Avenue, within 30 days of receipt of this order. This second floor addition was constructed without obtaining the required building permit. The building permit issued in December 1985, was for three single floor buildings. The previous owner's representatives and attorney were present at the Board of Health hearings regarding this matter. The previous owner's representatives were instructed to furnish us with sewage flow rates' for the entire complex on several occasions but failed to do so. The buildings are located in a critical zone of contribution to our public water supply wells and were approved for dry goods stores only. The property was visited by Board of Health members and Health Inspectors and your previous owner's attorney who confirmed the second floor additions. very Grover C. M. Farrish, Chairman Board of Health Town of Barnstable JMK/bs copy to: Atty. Michael Ford Atty. Robert Smith 1' TOWN OF BARNSTABLE �W b P[A �r BOARD OF HEALTH R! y '�A �'\ N �J � '• CC 367 MAIN STREET �V �rT ^' OCT Ic. " � j F ,-.• s.,,-.,,,?/ �+'', �,_.. HYANNIS MASS. 0260t �J t• ,a,�j,:� �'tt-y�,;' , � To $�1'L��"�.��y it Cit IS`:;;f'',! hava our • /�f?� ''a ''�ec4rlusr�._J`..�.' y ,_� r.u._ &reat � � wt � - �., 71.�598 FTtl Robe ' Ferguson ' �$� �En '' 30 Cit nue, Unit 2 9 Hyannis, 02601 Unc3r�;,ne t n �'`C�fi 1 ST'Notice $bffjraor—,t 5988 Rat ,R �'Nov �... ems`` D from A r i!ft}� ;_,,. .... .�. PS Form 3U9—A1. Dct.9985 �� , r I ' f •SENDER:Complete items 1 and 2 when additional services are desired,and complete items 3 and 4. I Put your address in the"RETURN TO"space on the reverse side.Failure to do this will prevent this card from being ^t+�r^ter'^yroi.ThP ret rn acei t fee will rovide ou the name of the arson delivered to and the date of delive .For additional fees the ollowi,ng services are available.Consult po---- — or fees and check box es)tor additional service(s) requested. 1. E Show to whom delivered,date,and add.ressee's address. 2: ❑ Restricted Delivery: 3.Article Addressed to: 4.Article Number P521459186 Robert Ferguson Type of Service: 30 Cit Avenue QAegistered Insured Unit 2 I Certified COD Hyannis, Ma 02601 LLL❑JJJ Express Mail Always obtain signature of addressee or agent and DATE DELIVERED. ' 5.Signature—Addressee S..Addressee's Address(ONLY if requested and;fee•paid.J i 6.Signature—Agent X 7.Date of Delivery PS Form 3.811,Feb.1986 DOMESTIC RETURN RECEIPT 1 •SENDER:Complete items 1 and 2 when additional services are desired,and complete items 3 and 4. Put your address in the"RETURN TO"space on the reverse side.Failure to do this will prevent this card from being returned to you.The return receipt fee will provide you the name of the person delivered to and the date of delive or additional fees the following services are available.Consult posnoster for ees and check box es)for additional service(s) requested. i 1. Show to whom delivered,date,and addressee's address. 2. El Restricted Delivery. i 3.Article Addressed to: 4.Article Number P521459187 Raymond Blackburn Type of service: Unit 10 ❑ registered El Insured 30 Cit avenue Certified ❑ COD Hyannis, Mass. 02601 Express Mail Always obtain signature of addressee or agent and DATE DELIVERED. 5.Si a re—Ad 8.Addressee's address(ONLY if requested and fee paid) • ti �. 6.SI re—Agent X 7, ate of Delivery l`U it O - j7f Form 3811,Feb.1986 DOMESTIC RETURN RECEIPT UNITED STATES POSTAL SERVICE a OFFICIAL BUSINESS (oN. . SENDER INSTRUCTIONS G Q�;T 17 s*2 Print your name,address,and ZIP CEWe PM ��"�•.. in the space below. •Complete items 1,2,3,and 4 on the reverse. •Attach to front of article if space permits,otherwise affix to back of article. PENALTY FOR PRIVATE •Endorse article"Return Receipt USE; $3oo / Requested"adjacent to number. f RETURN Print Sender's name;address;and ZIP Code in the space below. TO EV Board of Naaltb- Hyannis, Ma 02601 r r f P-521 459 '187 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) W Sent t 0 °Raymond Blackburn � Street UM it.10 0 30_Cit_Avenu a P.O.,State and ZIP Code 6 Hyannis, Ma 02601 N Postage S Certified Fee 1.67 Special Delivery Fee Restricted Delivery Fee Return Receipt showing to whom and Date Delivered Ln cO Return Receipt showing to whom, Date,and Address of Delivery d TOTAL Postage and Fees S 1.67 O Postmark or Date c Octobef 15, 1987 U. N d a< STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES. (see front) 1. It you want this receipt postmarked,stick the gummed stub to the right of the return address leaving r the receipt attached and present the article at a post office service window or hand it to your rural carrier. f (no extra charge) I 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the return address of the article,date,detach and retain the receipt,and mail the article. 3. If you want a return receipt,write the certified mail number and your name and address on a return receipt card.Farm 3811,and attach it to the front of the article by means of the gummed ends if space per- mits.Otherwise,affix to back of article.Endorse front of article RETURN RECEIPT REQUESTED 4 adjacent to the number. 4. If you want delivery restricted to the addressee,or to an authorized agent of the addressee,endorse RESTRICTED DELIVERY on the front of the article. 5. Enter tees for the services requested in the appropriate spaces on the front of this receipt. If return receipt is requested,check the applicable blocks in item f of Form 3811. . 6. Save this receipt and present it if you make inquiry. R` ;`r„i r THE Tp� TOWN OF BARNSTABLE OFFICE OF seaasTsaL MMR BOARD OF HEALTH �00 1639. ` 367 MAIN STREET O MAY k' HYANNIS, MASS. 02601 October 15, 1987 Mr: Raymond Blackburn Unit:10 30 Cit Avenue Hyannis, Ma 02601 NOTICE TO ABATE . VIOLATIONS OF BOARD OF HEALTH APPROVAL CONDITIONS IN A CRITICAL ZONE OF CONTRIBUTION TO PUBLIC WATER SUPPLY WELLS - 30 CIT AVENUE, HYANNIS - UNIT 10. Dear Mr. Blackburn: _ You are directed to remove the illegally constructed second floor storage area and deck located at 30 Cit Avenue, within 30 days of receipt of this order: This second floor addition was constructed without obtaining the required building permit. The building permit issued in .December 1985, was for three single floor. buildings. You apparently applied for a building permit after construction of .your second floor addition. You or your representative and attorney were present at Board of Health .hearings regarding this matter. Your representatives were instructed to furnish us with sewage flow rates for the entire complex on several occasions but failed to do so.. These buildings are located in a critical zone of contribution to our public water supply wells and were approved for dry goods stores only. The property was visited by Board of Health Members and Health Inspectors and your attorney who confirmed the second floor additions. L Very trul y�utsr- Grover C.. M. Farrish, Chairman Board of Health Town of Barnstable JMK/bs copy to: Atty. Michael Ford P-521 459 185 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) to Sent t Joseph Rodriques Streetl()dGit Ave. o Units_45'5 a P.O.,State and ZIP Code 6 Hyannis, Ma 02601 N Postage S Certified Fee 1.67 Special Delivery Fee Restricted Delivery Fee Return Receipt showing to whom and Date Delivered ,c.0 Return Receipt showing to whom, �- Date,and Address of Delivery d TOTAL Postage and Fees S 1.67 0 Postmark or Date E October 15, 1987 0 LL N CL STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES.(see front) 1. It you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached and present the article at a post office service window or hand it to your rural carrier. (no extra charge) t, 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the return address of r the article,date,detach and retain the receipt,and mail the article. k 3. If you+want a return receipt,write the certified mail number and your name and address on a return receipt card,Form 3811.and attach It to the front of the article by means of the gummed ends If space per- mits.Otherwise,affix to back of article.Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. M � 4. If you want delivery restricted to the addressee,or to an authorized agent of the addressee,endorse RESTRICTED DELIVERY on the front of the article. 5. Enter fees for the services requested In the appropriate spaces on the front of this receipt.If return receipt is requested,check the applicable blocks In item 1 of Form 3811. F 6. Save this receipt and present it if you make inquiry. pF P •SENDER:Complete items 1 and 2 when additional services.are desired;and complete items 3 and 4: Put your address in the"RETURN TO"space on the fiv*se.siae.Failure to do this will prevent this card from being returned to you.The return receipt fee will roviwd You the name of the person delivered to and the date of delivery.For additional fees the olloing services are available.Consult posay"r for fees and c e—R ox es)for additional service(s)requested. 1. 0,Show to whom delivered,date,and addressee's address. 2. ❑ Restricted Delivery. 3.Article Addressed to: 4:Article Number Josepth Rodriques p521459185 30 Cit Avenue Type of Service: Units 4z 5 istered ❑ Insured ertified ❑ COD Hyannis, lea 02601 Express Mail Always obtain signature of addressee or agent and DATE DELIVERED: 5.Signature—Addressee 8:Addressee's Address(ONLY if X requested and fee paid) 6.Signature ent X ' 7.Da 09f D'e ivery� PS Fo 3811,F4b.198,6 DOMESTIC RETURN RECEIPT I UNITED STATES POSTAL SERVICE - -�-•g„ -V . OFFICIAL BUSINESS SENDER INSTRUCTIONS f'�. F r� ""¢�'°� "'M -• Print your name, A address,and ZIP Coi��° i in the space below. t'z% o I I e Complete items 1,2,3,and 4 on y 2 0 3 C7 the reverse. G e Attach to front of article if space 19,11 permits,otherwise affix to back of w B . •Endorse + se article"Return Receipt PENALTY FOR PRIVATE Requested"adjacent to number. USE,$300 I i RETURN Print Sender's name,address,and ZIP Code in the space below. TO Board of Health i i 367 Main Street i Hyannis, Ma 02601 i �pFTHET TOWN OF BARNSTABLE 0�P ♦�� OFFICE OF lei eaMATssz Y BOARD OF HEALTH �O 16- YAY i63y. 367 MAIN STREET k' HYANNIS, MASS. 02601 October 15, 1987 Mr. Joseph Rodriques ti Units 4 and 5 I 30 Cit Avenue Hyannis, Ma 02601 Y NOTICE TO ABATE VIOLATIONS OF BOARD OF HEALTH APPROVAL CONDITIONS IN A CRITICAL ZONE OF CONTRIBUTION TO PUBLIC WATER SUPPLY WELLS - 30 CIT AVENUE, HYANNIS - UNITS 4 & 5 Dear Mr. Rodriques: You are directed to remove the illegally .constructed second floor office with kitchen and deck located at 30 Cit Avenue, within 30 days of receipt of this order. This second floor addition was constructed without obtaining the required building permit. The building permit issued in December 1985, was for three single floor buildings. The previous owner's representatives and attorney were present at the Board of Health hearings regarding this matter. The previous owner's representatives were instructed to furnish us with sewage flow rates for the entire complex on several occasions but failed to do so. The buildings are located in a critical zone of contribution to our public water supply wells and were approved,for dry goods stores only. The property was visited by Board of Health Members and Health Inspectors and your previous owner's attorney who confirmed the second floor additions. .Very truly yours, Grover C. M. Farrish, Chairman Board of Health Town of Barnstable JMK/bs copy to: Atty. Michael Ford Atty. Robert Smith o SENDER:Complete Items 1, 2, 3,and 4: Add your address In the"RETURN TO" space on reverse. (CONSULT POSTMASTER FOR FEES) c` 1. The tolift"service is requested(Check ate). ❑Show to wham and data delivered............... 4 ❑Show to whom,data,and address of delivery.. e 2. ❑RESTRICTED DELIVERY........................... s (The resfrkW da2my ere is charyed In adtWn b the mfurn mesof far.) TOTAL S 3. ARTICLE ADDRESSED TO: m P . t.� . 3 A�c-} rnP�'v+3 30 Cal 60- ,9-ebl 4. TYPE OF SERVICE: IARTICLE NUMBER ❑REGISTERED ❑INSURED P ®CERTIFIED OCOD ❑OMESS MAIL (Almyo obtain 11I0 ro of addressee or agent) I have mewed the DFIkCIO bed above. SIGH as a Authorized agent , 5. DATr F D (VERY 1 Cy))i� POSTMARK fM. Y to on reverse ref f � B. ADDRESSEE'S ADDRESS� .mgrraued c i 7. UNABLE TO DELIVER BECAUSE: 7a. EMPLOYEE'S m INITIALS A' ewr ri UNITED STATES 1)04Ai.SERVI OFFICIAL 6111�ES1a SENDER INSTTRUCTIONj 'O Mot yar pme,addrese,ad ZIP Cie In the space below. IAS.MAII •Complete them i.Y 8,and 4 on tlw reverse. ®® •AMA to front d 1;W B space permb, of article. •Ennddorrsseeafe"R�Reealpt Requested" PENALTY FOR PRIVATE •8*00 to summer. w l USE,$300 RETURN TO (Name gf Send (Street or P.O.Box) \ �� (City,State,andL ZIP Code) P-521 459 21? RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) co Sent to n J 1 0 Street andNo. 30 C1 1 P O State and ZI C e } V N Postage S- Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt showing to whom and Date Delivered co Return Receipt showing to whom, '- Date,and Address of Delivery d j TOTAL Postage and Fees 5 C Postmark or Date 0 C Cl) E O U. N ttry STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES.(see front) • 4 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached and present the article at a post office service window or hand It to your rural carrier. (no extra charge) 2. If you do not want this rece'pt postmarked,Stick the gummed stub to the right of the return address of the article,date,detach and retain the receipt,and mall the article. 3. If you want a return receipt,write the certified mail number and your name and address on a return receipt card,Form 3811,ane attach It to the front of the article by means of the gummed ends if space per- mits.Otherwise,affix to back of article.Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. 4. If you want delivery restricted to the addressee,or to an authorized agent of the addressee,endorse RESTRICTED DELIVERY on the front of the article. 4. 5. Enter fees for the services requested In the appropriate spaces on the front of this receipt. If return receipt is requested,chick the applicable blocks in item 1 of Form 3811. 6. Save this receipt ana present it if you make inquiry. Y �f r yOFTHE Tp� TOWN OF BARNSTABLE p OFFICE OF BsaNSTAn ABIL YAl�. BOARD OF HEALTH i639. 367 MAIN STREET HYANNIS, MASS. 02601 October 30, 1987 Mr. E.J. Jaxtimer Unit 3 30 Cit Avenue Hyannis, Ma 02601 NOTICE TO ABATE VIOLATIONS OF BOARD OF HEALTH APPROVAL CONDITIONS IN A CRITICAL ZONE OF CONTRIBUTION TO PUBLIC WATER SUPPLY WELLS - 30 CIT AVENUE, HYANNIS - UNIT 3. Dear Mr. Jaxtimer: You are directed to remove the illegally constructed second floor storage area located at 30 Cit Avenue, within 30 days of receipt of this order. This second floor addition was constructed without obtaining the required building permit. The building permit issued in December 1985, was for three single floor buildings. You apparently applied for a building permit after construction of your second floor addition. You or your representative and attorney were present at Board of Health hearings regarding this matter. Your representatives were instructed to furnish us with sewage flow rates for the entire complex on several occasions but failed to do so. These buildings are located in a critical zone of contribution to our public water supply wells and were approved for dry goods stores only. The property was visited by Board of Health Members and Health Inspectors and your attorney who confirmed the second floor additions. Very ruly y s, Grover C. M. Farrish, Chairman Board of Health Town of Barnstable JMK/bs copy to: Atty. Michael Ford o LOCATION: 30 Cit Avenue Account No = Water Useage (Cubic Feet) .. --_.__. ___ ___.------from 10/87-10/88 . .. 312 035 Unit #1 40, 300 312 036 #2 200 --- 312 - .0 3 8...... - 312 039 #5 12 , 000 312 040 #6 1,200 2 0 0--'- - -- -------- .._----- -- ---- 312 042 #8 2 ,700 312 043 #9 1, 100 - -- ---- —312._.0 4.5_ _�11 — _ —6.0 0 ----------------------------- 312 046 #12 0 ------------3-12 0 4 8- ---#14-- ------------�---=—=--0-------------- -------------------- 312 049 #15 ----� _� 0 312 050 #16 3, 600 17 312 053 #19 800 _.._ . - -- ----—' ----------- ------------ 312 054 #20 500 TOTAL 28 ,700 BARNSTABLE WATER COMPANY r f fibbefts engineering . � 9 corp, 210 DEANE STREET,NEW BEDFORD,MASSACHUSETTS 02746, TELEPHONE(617)9N-5833 RICHARD L.SILVIERA,P.E.,R.L.S. ROBERT C.VERKADE,P.E.,R.L.S. FRED E.TIBBETTS,II1,PhD. C.P.C. HENRY C.GOVONI OUARTEM.ANDRADE GERARD G.CHAREST,JR. JOHN DeMELLO Mr. Robert L. Childs Chairman February5 1986 JOSEPH DOMINGOS RICHARD A.MUNROE Town of Barnstable Board of Health Job No.7531 RICHARD H.SETTELE 367 Main Street Hyannis, MA. 02601 Re: Request for approval of sewage disposal system design plans. Garbitt and Blackburn Building Site Hyannis, Mass. Attn: Mr. John Kelly, Director of Public Health Dear Mr. Childs: The Garbitt and Blackburn building plans include three buildings to be constructed on lots 17, 18, 19 and 20 on Cit Avenue. The following is a calculation of the estimated sewage usage for the buildings and the land area which must be encumbered to provide for compliance with the Town of Barnstable Board of Health interim guidelines which allow a maximum of 330 gpd/acre of flow with respect to subsurface sewage disposal construction in a groundwater recharge area. All of the Buildings will be based on a sewer usage of 5 gal. per 100 square feet of build floor area for dry goods stores which appears to be the largest rate for the uses proposed. The following represents a breakdown of the proposed buildings. Bldg. #1 (60x120 ft. ), 7200 x 5 gal./100 sq. ft = 360.0 G.P.D. Bldg. #2 (60x120 ft. ), 72W x 5 gal./100 sq. ft = 360.0 G.P.D. Bldg. #3 (6Ox240 ft. ), 14400 x 5 gal./100 sq. ft = 720.0 G.P.D. Total 1440.0 G.P.D. 1440 G.P.D. ----------- - = 4.36 Acres Req u i red 330 Gal./Ac. FALL RIVER DIVISION: 303 RODMAN STREET, FALL RIVER,MASSACHUSETTS 02721 TEL. (617) 676-1710 CONSULTING CIVIL ENGINEERS- ENVIRONMENTAL,PUBLIC WORKS,SANITARY,STRUCTURAL CERTIFIED TESTING,ANALYTICAL AND RESEARCH LABORATORIES tibbEttS EnginEEring corp. Land area to be encumbered 1.60 Acres lots (17 -20) 3.67 Acres additional Area provided 5.27 Total encumbered 4.36 Acres Required 0.91 Acres surplus 0.91 Acres X 330 Gals./Acre = 299. 1 G.P.D. 1440.0 G.P.D. The sewage disposal system is designed for 1739. 1 G.P.D. The total area required is 4.36 acres however 5.27 will be encumbered which will allow the maximum daily sewage flow to be increased from the estimate usage of 1440 G.P.D. to 1739 G.P.D. The 3.67 acres of additional area is laid out as the westerly portion of back parcel as shown on the attached drawing. Very truly yours TIBBETTS ENGINEERING ORP. Robert C. Verkade, P.E., R.L.S Vice President/Chief Engineer encl. : 4 sets Plan of Land showning land to restricted from building until such time as connection to Town sewer is made availiable. 4 sets of Site and Sewage Disposals System design plans dated Feb. 5, 1986. MERCURY PRECISION PARTS Mercury Marine MSDS 079-2265 • Product: 2-4-C Marine Lubricant with Teflon Product#: 92-802859A 1, 92-802861A 1, 92-802863A 1 This product included in these kits:91-30500A 5, 91-30500K 2, 91-74057A 4, 91-74057A 6, 91-74057K 5 SECTION 1 - MANUFACTURER INFORMATION Name: Mercury Marine Emergency: 800-424-9300 (ChemTrec) Address: W6250 W. Pioneer Rd. Information: 920-929-5418 PO Box 1939 Date Prepared: 09-29-93 Fond du Lac WI 54936-1939 Revised: 11-30-04 SECTION II- HAZARDOUS INGREDIENTS/IDENTITY INFORMATION Hazardous Components* OSHA PEL I ACGIH TLV Other Residual Oils, Petroleum, Solvent Refined 5mg/m3 5mg/m 30-50 (64742-01-4 Distillates, Petroleum, Solvent-Refined 5mg/m3 5mg/m 10-30 Heavy Paraffinic 64741-88-4 * Specific Chemical Identity, Common Name (CAS) SECTION III - PHYSICAL/CHEMICAL CHARACTERISTICS Boiling Point: N/D Specific Gravity (H20=1): N/D Vapor Pressure (mmhg): < .01 Melting Point: N/D • Vapor Density (Air--I): > 5 Evaporation Rate: < I Solubility in Water: Insoluble (Butyl Acetate=1) Appearance and Odor: Amber grease; mild, faint petroleum odor HMIS Rating: H-1 F-1 R-0 P-Section VIII SECTION IV - FIRE AND EXPLOSION HAZARD DATA Flash Point (Method Used): 224°C (COC-Cleveland Open Cup) NFPA Rating: H-1 F-1 R-0 P-Section VII1 Flammable Limits: LEL—N/D UEL—N/D Extinguishing Media: Foam, carbon dioxide, dry chemicals, sand, dolomite, etc. Special Fire Fighting Procedures: Use water to keep fire-exposed containers cool and disperse vapors. Water spray may be used to flush spills away from exposures and dilute spills to non-flammable mixtures. Keep run-off water out of sewers and water sources. Dike for water control. Unusual Fire and Explosion Hazards: Volume and pressure increases strongly when heated. Risk of container explosion in fire. Explosion risk when heated. Aerosol cans may explode in case of fire. 11 SECTION V - REACTIVITY DATA Stability: Unstable () Stable(X) Conditions to Avoid: Avoid contact with acids and oxidizing substances. Incompatibility (Materials to Avoid): N/D Hazardous Decomposition or Byproducts: Oxides of carbon, sulfur. Hazardous Polymerization: May Occur( Will Not Occur (X) 11 ADDITIONAL INFORMATION Mercury Marine Emergency Information Number: 920-929-5000 . Manufacturer, Chemtool Inc., Emergency Number: 815-459-1250 i Mercury Marine MSDS 079-2265 SECTION VI - HEALTH HAZARD DATA • Route(s) of Entry: Inhalation (Y) Skin (Y) Eye (Y) Ingestion (Y) Health Hazards (Acute and Chronic): Exposure to vapors generated at high temperatures may cause respiratory irritation. Carcinogenicity: NTP (N) IARC Monographs (N) OSHA Regulated (N) Signs and Symptoms of Exposure: Skin—Repeated or prolonged contact can result in drying of the skin. Eye—Irritating. Ingestion—Can cause stomach ache and vomiting. Inhalation—Heating can generate vapors that may cause respiratory irritation, nausea, and headaches. Inhalation hazard at room temperature is unlikely due to the low volatility of this product. Medical Conditions Generally Aggravated by Exposure: None determined. Emergency and First Aid Procedures: Inhalation—Move the exposed person to fresh air at once. For breathing difficulties oxygen may be necessary. Get medical attention if any discomfort continues. Eyes— Rinse eyes with water. Contact physician if discomfort continues. Skin—Remove contaminated clothing. Wash skin thoroughly with soap and water. Get medical attention if any discomfort continues. Launder contaminated clothing before reuse. Ingestion—DO NOT INDUCE VOMITING! Get medical attention immediately! 11 SECTION VII - PRECAUTIONS FOR SAFE HANDLING AND USE Steps to be Taken in Case Material is Released or Spilled: Carefully collect spilled material in closed containers and leave for disposal according to local regulations. Provide good ventilation. Use appropriate protective clothing. Rinse area with water. Do not let washing-down water contaminate ponds or waterways. Keep product out of sewers and watercourses by diking or impounding. Advise authorities if product has entered or may enter sewers, watercourses, or extensive land areas. Assure conformity with • applicable government regulations. Waste Disposal Method: Dispose of in accordance with federal, state, and local regulations. Precautions to be taken in Handling and Storing: Keep away from heat, sparks, and open flame. Store separated from oxidizing materials and acids. Ventilate well, avoid breathing vapors. Containers to be kept tightly closed. See Section VIII for Protective Equipment. Other Precautions: KEEP AWAY FROM CHILDREN! 11 SECTION VIII - CONTROL MEASURES Respiratory Protection (Specify Type): Respiratory protection may be required under exceptional circumstances when excessive air contamination exists. Ventilation: Local Exhaust & Mechanical: No specific ventilation requirements notes, but forced ventilation may still be required if air contamination exceeds acceptable level. Protective Gloves: Chemical-resistant gloves for prolonged or repeated skin contact. Eye Protection: Splash-proof eye goggles to prevent possibility of eye contact. Other Protective Clothing or Equipment: Wear appropriate clothing to prevent repeated or prolonged skin contact. Recommend eye wash and emergency shower be available at the work place. Work/Hygiene Practices: Always follow good housekeeping and personal hygiene practices. N/D=NOT DETERMINED (NO DATA) N/E=NONE ESTABLISHED Y=YES N/A=NOT APPLICABLE N/AV=NOT AVAILABLE N=NO r TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail To: NAME OF BUSINESS: Board of Health MAILING ADDRESS: °;¢ Town of Barnstable TELEPHONE NUMBER: 8" /y 7/ P.O. Box 534 0'12 Hyannis, MA 02601 CONTACT PERSON: Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in qua,ptities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES V 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 characteristics and must be registered when stored in quantities totalling more than 50 gallons liquid volume or 25 pounds dry weight. Please put a check beside each product that you store: Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes / Cesspool cleaners Hydraulic fluid (including brake fluid) V Disinfectants Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) 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 f� Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business TOWN OF BARNSTABLE (OMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair nters BOARD OF HEALTH 03.satisfactory 2.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY J /� Qtitv1 (see"Orders") 5.Retail Stores � J 6.Fuel Suppliers ADDRESS a M_A" Class: 7.Miscellaneous UANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERL4,L9 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) AIL 2 new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers M* cellaneo `t �rsn. I/ Ale DISPOSAURECIAMATION RE CPS1. Sanitary Sewage 2.Water Supply t' d- O Town Sewer OPublic ig WA si:z 4 11 On-site OPrivate 3. Indoor Floor Drains YES NO 'Holding tank: MDC P' O Catch basin/Dry well l b 'A *5 O On-site system 4. Outdoor Surface drains:YES-NO ORDERS: O Holding tank:MDC Catch basin/Dry well O On-site system 5. Waste Transporter Name of Hauler Destination Waste Product 1. 11 YES NO �''1��f+''rl" _...� d2 fl)'YI Person (s) Interviewed Inspector Date TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail To: NAME OF BUSINESS: v�� --- -- Board of Health MAILING ADDRESS: Zl6 Town of Barnstable TELEPHONE NUMBER: P.O. Box 534 Hyannis, MA 02601 CONTACT PERSON: Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities t alling, 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 characteristics and must be registered Mid ism.. Please put a check beside each product that you store: Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants. Diesel fuel, kerosene, #2 heating oil . Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda !/ Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) 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 V 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 Y�Y be toxic or hazardous (please list): (dry cleaners) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business TOWN OF BARNSTABLE compliA vcE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH satisfactory 2.Printers O 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY vim' (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS er 1/� Class: 7.Miscellaneous < iJANTITIES AND STORAGE (IN= indoors;OUT=outdoors) MAJOR MATS] Case lots Drums IN OUT IN OUT IN OUT #&gallons 777 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 Misce aneous: 194 l 6L izil�o I M ied l DISPOSAURECLAMATIO REMARKS: 1. Sanitary Sewage 2,lVater Supply O Town Sewer ublic An. -site Private 3. Indoor Floor Drains YES, NO A � O Holding tank: MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES 41.'NO ORDERS: Q Holding tank:MDC VCatch basin/Dry well On-site systemJI 5. Waste Transporter Name of Hauler Destination Waste Product 1 YES INO . 2. Person (s) Interviewed Inspector Date MATERIAL SAFETY^ DATA" SHEET.- _ - 4k"�V► XHD � Z OUS -DECOME�OSITION Oxides of Carbon, SuIfur F OR .__,cfIDUCTS. . . . . . . . . . . . . HAZARDOUS POLYMERIZATION: CONDITIONS TO AVOID. . . . . . N/A SECTION VI - HEALTH HAZARD DATA EFFECTS OF OVER EXPOSURE SKIN. . . . . . . . . . . . . . . . Irritation and passible dermatites EYE. . . . . . . . . . . . . . . . . Burning INHALATION. . . . . . . . . . N/A INGESTION. . . . . . . . . . . May result in vomiting. Burning of isophagas, mouth and stomach. EMERGENCY FIRST AID PROCEDURES SKIN CONTACT. . . . . . .. . Wash skin with soap and water. Remove contaminated clothing and shoes. EYE CONTACT. . . . . . . . . Wash eyes copictus1y with water.. INHALATION. . . . . . . . . . N/A INGESTION. . . . . . . . . . . DO NOT induce vomiting Give milk or white of eggs. Drink large amounts of water. SECTION VII - SPILL OR LEAK. PROCEDURE iSTEPS TAKEN FOR SPILLS. . . Flush area of spill with water. WASTE DISPOSAL METHOD. ._ . . Sewer SECTION VIII - CONTROL MEASURES/PROTECTIVE RESPIRATORY PROTECTION. . . N/A VENTILATION REQUIRED LOCAL. . . . . . . . . . . . . . . N/A SPECIAL. . . . . MECHANICAL. . . . . . . . OTHER. . . . . . . PROTECTIVE GLOVES. . . . . . . . needed EYE PROTECTION. . . . . . ... . . . Gaggles or face mask OTHER. . . . . . . . . . . . . . . . . . . .. SECTION I'X - SPECIAL PRECAUTIONS HANDLING AND STORING. . . . . N/A OTHER. . . . . . . . . . . . . . . . . . . . f ti TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail To: NAME OF BUSINESS: -x� —� N�- Board of Health MAILING ADDRESS: 3,5> 4,w /�f Town of Barnstable TELEPHONE NUMBER: 'x, <�- �/` P.O. Box 534 CONTACT PERSON: 0yl Hyannis, MA 02601 1-91-?T�_ TT 0 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totallin 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 characteristics and must be registered Please put a check beside each product that you store: Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid v Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) ` Gasoline, Jet fuel Y Refrigerants y` Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, -" Other petroleum products: grease, lubricants ` rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote)'` Rustproofers✓ Swimming pool chlorine,,/ Car wash detergents Lye or caustic soda Car waxes and polishes V Jewelry cleaners Asphalt & roofing tar J Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) 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) Vl*' (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids'/ be toxic or hazardous (please list): � (dry cleaners) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business 1 � TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair 2.Printers O satisfactory BOARD OF HEALTH 3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY G `� ,e9 (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS Class: 7.Miscellaneous QUANTITIES 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 Miscellaneous: DISPOSAURECLAMATION REMARKS: 1. Sanitary Sewage 2. Water Supply LA1iL4e4 O Town Sewer OPublict - O On-site OPrivate y ; 3. Indoor Floor Drains YES NO O Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product 1. YES INO 2. Person (s) Interviewed Inspector Date I t TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair nters BOARD OF HEALTH O satisfactory 3.2.Auto Body Shops ,r* 0 unsatisfactory- 4.Manufacturers COMPANY � 'l (see"Orders") 5.Retail Stores 6.Fuel Suppliers Class: ADDRESS 1 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: M1 Y DISPOSAIJR.ECLAMATION REMARKS: ��rr �g 1. Sanitary Sewage 2.Water Supply oo-4, e",, `.fir *,�"' 4 r.8�:o.� At O Town Sewer OPublic 0 On-site OPrivate t . ,.+ s.3 Indoor Floor Drain YES NO . f O Holding tank: MDC r !`' �.�►' ' " �.�.rr 0 Catch basODry well' f 0 On-site system -_ :. 4. Outdoor Surface'drains:YES 0 Holding tank:MDC f O Catch basin/Dry well O On-site system 5.Waste Transporter i ' of Hauler Destination Waste Product YES NO 1. 2. m Person (s) Interviewed Inspector Date INCIDENT REP R T (Extract NFIRS - 1) �y U ELETE Hyannis F i Y•8 1.)E?pa-r•t r!ent � CHANGE 01 FDID _ INCIDENT NO_. EXP.NO. MO DAY YR DAY OF WEEK ALARM TIME ARRIVAL TIME_ TIME IN SERVICE E ice` 94 'Cy {,5./21/9-D Mo-n p _ 17:39 i:.4.J 17 L jti TYPE OF SITUATION FOUND TYPE OF ACTION TAKEN _ MUTUAL AID Spill, i eat, with -no 2 Lyft3't:3 cefi 41 i n- e5t:i gat ion only `� REC'D GIVEN y w FIXED PROPERTY USE IGNITION FACTOR LL Car• washing fac-ility E,rR NO FIREJ- � �s J J CORRECT ADDRESS ZIP CODE CENSUS TRACT 0 L OCCUPANT NAME(LAST,FIRST,MI) TELEPHONE ROOM OR APT. � J2T fF.�f;~}#�fINC ( CsB) —1971 Gs� iGc w J d OWNER NAME ILAST.FIRST,MII ADDRESS TELEPHONE U METHOD OF ALARM FROM PUBLIC CO.INSPECTION SHIFT N0.Of ALARMS T el f:'pI-tCwse id I)"Ec•'t: t« f i r-e CIE pa3"'t;.fAEf1 I DISTRICT 2 C f NO.OF FIRE PERSONNEL NO.OF ENGINES NO.AERIAL APPARATUS NO.OTHER VEHICLES RESPONDED # RESPONDED V RESPONDED so RESPONDED LL_ w F }- J ui Q NO.OF INJURIES :y :y NO.OF FATALITIES a FIRE SERVICE OTHER FIRE SERVICE OTHER N O Q U U COMPLEX MOBILE PROPERTY TYPE OLL In AREA OF FIRE ORIGIN EQUIPMENT INVOLVED IN IGNITION w L} fS t i FORM OF HEAT IGNITION TYPE OF MATERIAL IGNITED FORM OF MATERIAL IGNITED O Q C) METHOD OF EXTINGUISHMENT LEVEL OF FIRE ORIGIN ESTIMATED LOSS(DOLLARS ONLY) N0.OF CONSTRUCTION TYPE STORIES EXTENT OF FLAME DAMAGE f} EXTENT OF SMOKE DAMAGE w LL 2 LL DETECTOR PERFORMANCE SPRINKLER PERFORMANCE w Ly fS w 2 J (L U TYPE OF MATERIAL GENERATING MOST SMOKE AVENUE OF SMOKE TRAVEL O > IF SMOKE ;} } Ly SPREAD V) BEYOND ROOM FORM OF MATERIAL GENERATING MOST SMOKE � OF ORIGIN IF MOBILE YEAR MAKE MODEL SERIAL NO. LICENSE NO. PROPERTY tom} IF EQUIPMENT MAKE MODEL SERIAL NO. INVOLVED :y IN IGNITION OFFICER IN CHARGE(NAME.POSITION.ASGMT.) DATE LT MARTIN }•;)-TNNI_}N 05/2'f/jay MEMBER MAKING REPORT GATE 1986 ARRAKIS PUBLISHING CDMMENTB: RECIEVEI} A CALL FROM A CONCERNED PERSON (NO NAME) STATH' ING THAT AT 30 ��IT AVE JET STREAM WAS DUMPING OIL AND OTHER FLUIDS lN A B�AIN A� THERE SHOP � WHEN CHECKING WE FOUND THAT MR 8ARTLET i#S A PERMIT FROM THE TOWN TO CLEAN ENGINES AND AUTOS AND IS ABLE TO USE SOLVENTS TO CLEAN OFF OIL. HE HAS A � P TO CATCH ALL THIS, HE ALSO HAS A PERMIT FRDN BOARD OF HEALTH, EVERY THING . L�. .� TO IN 8RDER. LT MARTIN HANNON WEATHER RAINING TEMP 48 WIND N/E � . � � . � � � � �. � ' ` ` ' TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail To: NAME OF BUSINESS: ��ai rrr, Board of Health MAILING ADDRESS: 94) C11_21-AV Town of Barnstable TELEPHONE NUMBER: 7 7?F' P.O. Box 534 CONTACT PERSON: 1� r,q;e6 '7r�' Hyannis, MA 02601 Does your firm store any oft toxic or hazardous materials listed below, either for sale or for your own use, in quantities tot Ili , at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO This form must be returned to the Boara'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 characteristics and must be registered when stored in quantities totalling more than 0 gallons liquid volume or 25 pounds dry weight. Please put a check beside each product that you store: antifreeze (for gasoline or coolant systems) Drain cleaners utomatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) 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) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business D n i V Aj STM�ENTIUTOMOBILES Antiques a Classics • Special Interests 0� a TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory BOARD OF HEALTH 2.Printers3.Auto Body Shops O unsatisfactory- 4.Manufacturers MPANY Y�'�'yliv� . z (see"Orders") 5.Retail Stores CO c� b � ��' � 6.Fuel Suppliers ADDRESS -96 c;i Ai-1. 0 '_2.o Class: 7.Miscellaneous QUANTITIES 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 Miscellaneous: DISPOSAIJRECLAMATION REMARKS: 1. Sanitary Sewage 2.Wa et"Supply 0 Town Sewer ublic ,,,�On-site OPrivate Q� 3. Indoor Floor Drains YES NO y 0 Holding tank:MDC O Catch basin/Dry well 0 On-site system 4. Outdoor Surface drains:YES NO ORDERS: 0 Holding tank:MDC Catch basin/Dry well Xon-site system 5. Waste Transporter Name of Hauler Destination Waste Product YES NO 1. 2. Person (s) Interviewed Inspector Date —Jqp"�^r-"'�,�r'r"ti,m»fW'±sp.+�"%,�+�,fr.<,,.! ,�R'^�'.''�"r#"R'a'?' '+'r'pa",�,+rM^*�w.r.w"**��w.M..,at'"'+'°+n'"'^"•"''."ora^.+-Mr�(t-^°r"v-••-^"'"'"'"_'�'."h'�•-.C+Y"'`�� 'TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH • satisfactory 2.3.Auto Body Shops O unsatisfactory- 4.Manufacturers ,'COMPANY V 6A.4 jP,rr,:r s ar (see"Orders") 5.Retail Stores ;u 6.Fuel Suppliers ADDRESS .2,a Q,—K) , r Class: 7.Miscellaneous QUANTITIES 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) rHeavy Oils: a waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: k r DISPOSAURECLAMATION REMARKS: 1. Sanitary Sewage -2.Water Supply O Town Sewer ©Public "41, On-site OPrivate o, - 3. Indoor Floor Drains YES NO 1/ O Holding tank:MDC x O Catch basin/Dry well, O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MDC ®`Catch basin/Dry well ; r ® On-site system 5. Waste Transporter Name of Hauler Destination Waste Product YES NO 1. 2. Person (s) Tnterviewed Inspector - Date AWN 01= [3ARNS`i'AC3L� ictlMpLi/W"'M CLASS 1 .tlaiine,Gas Stations.Repair 01satisfactory✓ 2. printers i.3OA.�d' OF HEALTH ps 3. uto Cod Sl10 unsatisfactory- lanufact rers I 4 4PANY E l AO�GU_0 t (see"Orders") 5. Retail Stores ---" 6. Fuel Suppliers )RES5 Class t 7. Miscellaneous i C_l QUANTITIES AND S10RAG@ (IN=indoors; UUT=outdoors) (�C 4, i 'OR MATERIALS l'� Case lots ` Drums ' AbdveTanks Underground Tanks 5 _ uels: ' � r Gasoline, Jet Fuel. (A) ! , • r r -o Diesel,' Kerosene, 12 (0) eavy Oils: -- / �/- waste motor all •. (C) - - -- new motor•'nll (C) 4 transmission/hydraulic cry nthetic ,Organics: KV degreasers ;cellaneouss i�n7iiE�1�'JCt"'Iut Rhbu,RKs ,- - - SanitarySews s g e. : B 2. Water supply .. �'`G�'� � � . •--� , Town Sewer public On-site a private Indoor floor Drains: YES lul Holding tanks MUC - �� Catch basin/Dry well � .��ns .r...._...:. . �.._._ .... (� Un-.site system __-`-. -- hitdoor Surface drains.-YES NU -- iluldin` tank: MIX 'C) Catch. basin/Dry well . On-site System •' �:� • --•-•�•- ram_-�--••�y�-•.-- ��-r� aste Transporter c Licensed? Name of }1,j111EL w , AiCi4 SA31N HEAVY DUTY COVERS .�TO FINISH GRATE , 100. 12 100.OLD I 0.04 L RIM RJM RIM pA ` G CATCH BASIN " t OAD 96.25 Ata�aKr R 95.75 _ SAND INVERT IN INVERT OUT i, ? �( INTERCEPTOR LLOCUS"' ' COMPARTMENT ,P CATCH BASIN 6" CRUSHED STONE BASE G� m RO 2g GTE to m x 1000 GALLON O I L/WA TER S EPARA TOR L QC�J`S MIA P S YS TEAl NO TES 1, OIL/WATER SEPARATOR TO BE BY HI GHLAN.O TANK MODEL HTC-6 1000 HIGHGUARD DOUBLE WALLED. UP $Q_ l00 GAL/MIN CAPACITY /f� o INCLUDING CC-NEMA 4XFRP A2-LD CONTROL ALARM PANEL. ( ' � �_ I Y V (_ S HTSF-2 FLOAT SENSOR AND HTLP 1.5 LEAK SENSOR � z m PROPOSED VENT CATCH BASIN m 2. SYSTEM TO BE INSPECTED MONTHLY AND CLEANED IN ACCORDANCE ro EXACT LOCATION WITH MANUFACTURER'S RECOMMENDATIONS OR WHEN LEVEL OF WASTE I . THIS PLAN 15 FOR THE DESIGN AND CONSTRUCTION o TO BE DETERMI NFO PROPOSED OIL IS 25x OF THE EFFECTIVE DEPTH OR AT LEAST EVERY OF THE SEWER CONECT ION ONLY. CATCt1 BASIN z �"` 3 MONTHS. WHICHEVER COMES FIRST, A COPY OF THE INSPECTION POSED RIM-1..0 AND CLEANING REPORT TO BE SUBMITTED TO THE BARNSTABLE DPW CATTCH BASIN CATCH BASIN INV-97.5 WATER POLLUTION CONTROL FACILITY. 2. VERTICAL DATUM 15 ASSUMED, FOR BENCH MARKS RIM-99.9 f SET. SEE SITE PLAN. PROPOSED 6' INV-96.4 CONCRETE_SLAB 2- ABOVE EXISTING GRADE. CATCH BASIN r J. BEFORE CONSTRUCTION CALL_ 'DIG-SAFE l -888-DIG-SAFE AND THE LOCAL. WATER DEPT. CLAY BRICK LEVELING COURSE FOR LOCATION OF UNDERGROUND UTILITIES. ° CATCH BASIN �4 ��,,,_✓' - �, MORTARED IN PLACE _ m 4 SDP SEWER rIFS SHALL BE SCHEDULE 40 . VC OR ALL SEW ' sr � / p : BM, SMH RIM 6•SDF.35 - 8" h`20 CAST IRON -� . v PROPOSED 5 EL-99.73 cn w SO -+ FRAME AND GRATE sMH 5. THE SEWER MA IN Ti E I N ASSEMBL Y SHALL CONS I S T Cr= --" CATCH BASIN G) __ A 6' N'YE. _TWO SHORT 1 ENGTHS OF TRANSI NON PIPI-` r PROPOSED /' PROPOSED t s� _ ` I DANDY BAG REPAIR. SLIP COUPLINGS. WYE" CONNECTION �50. -cATcx BASIN c TO OIL/WATER 6" flrAM PIP 1 WITH SPIGOT ENDS AND TWO INV-95.3.VPF RIM-99:9. INV-96.4 r.. SEPARATOR -� 4-SLOPE �y� ----WRAP IN 40 MILL G s S + _- o POL Y L I NER 6. CONTRACTOR TO VERIFY INVERT AT THE T I E IN 51IN w -Z LOCATION PRIOR TO SETTING OF THE SEPARATOR. SAMPLING Ex' UP MANHOLE � __._-oH�` � "'w-'--- PLACE ON COMPACT J STONES STABLE BASE UP CATCH BASIN DB-I 1 H-20 WITH ONE OUTLET N PROPOSED 6' USED AS CATCH BASIN FOR BOAT CONCRETE SLAB WASHDOWN WITH DANDY BAG I NSER I' N t 2' ABOVE EXISTING GRADE. e. = TO FILTER OUT SOLIDS. EMPTY ! , 1" SOLIDS AS NESSESSARY. �o "Px z cl o h n a CATCH BASIN rn W �✓ I V f v L Cl j I l_ i I P / .—1 �t; z i�l m n b zn A ,30 j 7- A V�_;NUS 11iA P 312 . PA ROE 29 UP Z �' Q c ,- PR�PA R-0 f=OR KD LEGEND c, K I i A/ ( 1�� C� � !� � � � �` ® CATCH BASIN CRA f G' P L A S COL A Tf1 US TL." --W WATER L I NE O !HYDRANT S CA L am ; 1 - 2 O MA R CH 2-5 . 2 O / r" -----G GAS L I,NE ! OHW— OVER HEAD WIRES CATCH BASIN EAGLE SURVEY I N G y I N -o-UP UTILITY POLE —E— UNDERGROUND ELECTRIC LINE 2 3 u ti 1 YnrmcDuthport MA. 0267'5 —S-- UNDERGROUND SEWER L I NE ----ETV-- UNDERGROUND CABLEVISJON LINE I�1�" C 50� } :J62—i'3 1 32 -}-40.4 SPOT ELEVATION j r��j I � � 508 } 432-533.3 40---.._ EXISTING CONTOUR 40 PROPOSED CONTOUR REVISED: APRIL 6. 2011 -SMH SEWER. MANHOLE 0 IO 20 � 40 Q JOB NO: I I -0 13 FIELD:CFWIEEK CAL C: SAHICFW CHECK: CFW ORN: SAN Ppw z6, I i �;Zppk C'.-A16, L S cot A, CV,, w , A i Ci4 SAS HEAVY DUTY COVERS .�TO FINISH GRATE , 100. 12 100.OLD I 0.04 L RIM RJM RIM pA ` G CATCH BASIN " t OAD 96.25 Ata�aKr R 95.75 _ SAND INVERT IN INVERT OUT i, ? �( INTERCEPTOR LLOCUS"' ' COMPARTMENT ,P CATCH BASIN 6" CRUSHED STONE BASE G� m RO 2g GTE to m x 1000 GALLON O I L/WA TER S EPARA TOR L QC�J`S MIA P S YS TEAl NO TES 1, OIL/WATER SEPARATOR TO BE BY HI GHLAN.O TANK MODEL HTC-6 1000 HIGHGUARD DOUBLE WALLED. UP $Q_ l00 GAL/MIN CAPACITY /f� o INCLUDING CC-NEMA 4XFRP A2-LD CONTROL ALARM PANEL. ( ' � �_ I Y V (_ S HTSF-2 FLOAT SENSOR AND HTLP 1.5 LEAK SENSOR � z m PROPOSED VENT CATCH BASIN m 2. SYSTEM TO BE INSPECTED MONTHLY AND CLEANED IN ACCORDANCE ro EXACT LOCATION WITH MANUFACTURER'S RECOMMENDATIONS OR WHEN LEVEL OF WASTE I . THIS PLAN 15 FOR THE DESIGN AND CONSTRUCTION o TO BE DETERMI NFO PROPOSED OIL IS 25x OF THE EFFECTIVE DEPTH OR AT LEAST EVERY OF THE SEWER CONECT ION ONLY. CATCt1 BASIN z �"` 3 MONTHS. WHICHEVER COMES FIRST, A COPY OF THE INSPECTION POSED RIM-1..0 AND CLEANING REPORT TO BE SUBMITTED TO THE BARNSTABLE DPW CATTCH BASIN CATCH BASIN INV-97.5 WATER POLLUTION CONTROL FACILITY. 2. VERTICAL DATUM 15 ASSUMED, FOR BENCH MARKS RIM-99.9 f SET. SEE SITE PLAN. PROPOSED 6' INV-96.4 CONCRETE_SLAB 2- ABOVE EXISTING GRADE. CATCH BASIN r J. BEFORE CONSTRUCTION CALL_ 'DIG-SAFE l -888-DIG-SAFE AND THE LOCAL. WATER DEPT. CLAY BRICK LEVELING COURSE FOR LOCATION OF UNDERGROUND UTILITIES. ° CATCH BASIN �4 ��,,,_✓' - �, MORTARED IN PLACE _ m 4 SDP SEWER rIFS SHALL BE SCHEDULE 40 . VC OR ALL SEW ' sr � / p : BM, SMH RIM 6•SDF.35 - 8" h`20 CAST IRON -� . v PROPOSED 5 EL-99.73 cn w SO -+ FRAME AND GRATE sMH 5. THE SEWER MA IN Ti E I N ASSEMBL Y SHALL CONS I S T Cr= --" CATCH BASIN G) __ A 6' N'YE. _TWO SHORT 1 ENGTHS OF TRANSI NON PIPI-` r PROPOSED /' PROPOSED t s� _ ` I DANDY BAG REPAIR. SLIP COUPLINGS. WYE" CONNECTION �50. -cATcx BASIN c TO OIL/WATER 6" flrAM PIP 1 WITH SPIGOT ENDS AND TWO INV-95.3.VPF RIM-99:9. INV-96.4 r.. SEPARATOR -� 4-SLOPE �y� ----WRAP IN 40 MILL G s S + _- o POL Y L I NER 6. CONTRACTOR TO VERIFY INVERT AT THE T I E IN 51IN w -Z LOCATION PRIOR TO SETTING OF THE SEPARATOR. SAMPLING Ex' UP MANHOLE � __._-oH�` � "'w-'--- PLACE ON COMPACT J STONES STABLE BASE UP CATCH BASIN DB-I 1 H-20 WITH ONE OUTLET N PROPOSED 6' USED AS CATCH BASIN FOR BOAT CONCRETE SLAB WASHDOWN WITH DANDY BAG I NSER I' N t 2' ABOVE EXISTING GRADE. e. = TO FILTER OUT SOLIDS. EMPTY ! , 1" SOLIDS AS NESSESSARY. �o "Px z cl o h n a CATCH BASIN rn W �✓ I V f v L Cl j I l_ i I P / .—1 �t; z i�l m n b zn A ,30 j 7- A V�_;NUS 11iA P 312 . PA ROE 29 UP Z �' Q c ,- PR�PA R-0 f=OR KD LEGEND c, K I i A/ ( 1�� C� � !� � � � �` ® CATCH BASIN CRA f G' P L A S COL A Tf1 US TL." --W WATER L I NE O !HYDRANT S CA L am ; 1 - 2 O MA R CH 2-5 . 2 O / r" -----G GAS L I,NE ! OHW— OVER HEAD WIRES CATCH BASIN EAGLE SURVEY I N G y I N -o-UP UTILITY POLE —E— UNDERGROUND ELECTRIC LINE 2 3 u ti 1 YnrmcDuthport MA. 0267'5 —S-- UNDERGROUND SEWER L I NE ----ETV-- UNDERGROUND CABLEVISJON LINE I�1�" C 50� } :J62—i'3 1 32 -}-40.4 SPOT ELEVATION j r��j I � � 508 } 432-533.3 40---.._ EXISTING CONTOUR 40 PROPOSED CONTOUR REVISED: APRIL 6. 2011 -SMH SEWER. MANHOLE 0 IO 20 � 40 Q JOB NO: I I -0 13 FIELD:CFWIEEK CAL C: SAHICFW CHECK: CFW ORN: SAN Ppw z6, I i �;Zppk C'.-A16, L S cot A, CV,,