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HomeMy WebLinkAbout0146 LEWIS BAY ROAD - HAZMAT 'rroJer edlf ,- Aaffwl- IqlpbWis bA9 iGad ,Wr � salo - nw � I i 16 I UPC 12543 No. 53LOR wag- p uu �nf PAFF'� Real Estate Syslim , General Proper:..Y Inquiry Help Parcel '.° 326 .. - Account i +!!,1I Non 240885 Parent: ...?.}."aL_t:.lflp 146 LEWIS 1._'f•! 'i"€ Ne,(,ghl::)!".Si:,•ht::loC:tn [-;00. I::-7.I"'e X.'is•t" l...j- Size!Devel Lot: Lot 5... 1 Acres. OkSn r= r••.i.J't i-;;-:.(',..: (. t•I Y!•i E 13 State L.:.I.!!:t:::++_::.N 101 !' ,... - ,n ( !Fd j'"..i:('.!1�:- � N 4�!. B.t.d g'�;s`c 1 Area:e<t « .,,...:i"}(). Date! ,l„�f�:)}L. 050192 Reference, ...;1 .....I'i"}2... January Ists Ki...?E+.r••.i..,^..F. WflYNC".. Ca X..•:°},:_,i::l MMDD1 _ ... . .,::. 1.e._,..J ReN )._ ....._ : _.,..... Commentm Vall_esiR Land! .::32500 BuLld J.fag4:xtt 100500 Extra T"te:.at!!.rec Road Systems 146 index! 886 (LEWIS 1.�A 1 ROAD ) :-'r I!t g g f ") i: ex P 1849 (WILLOW yI ! ; S_ tME (F i!•- ! I S) F Contra! j n f f-•)!- Last Auto l.!r..._ _ 081394 :,'c:._t i-. ?t-' C., Last "('A C...: Update: 080994, 4. !._.at...fd €h`.e;'iew•'.:'c+d .i yit Dc'ii'I-,e= 0000 Blt:igs Reviewed Y?'_?jR €_Jr,1t?i:.:y 0000 Tax Title: Account:: Taken.' Account Status! Hold Status,' tt Cance Act Press XMT for more data . Next screen PAR rat... _:.€.C:}n Owners Name Road index Road Name Parcel Number 326 117 TANKS•€KS I STORAGE j' €..�:.j.... r�6'�l['�•. RECIPES, HELP�(G FOR PARCEL Nr " g 326 101.1'_, _ MAIN ACTION .i. Action Tank N{J€r' Tag g Nbr J.[,..at s: .f. ,.e L. Location Notification- Dates--.'.. r.. Test .._........ ._.,,..1-'.i...,..,.1 d l:.)1-1 t'•::...j"' {'.,,. 4 . Variance Fuel.i:;l j"4et-?'zaon Capacity .. 'l:• L..• :e_)"+s i'.: " Status LeViet €' I h•-'Det Additional Details NEW AGT. --------------------------------- Action Tank N 4:.1 t" Tag_� '�. ... ! t-.:.J. Location L�r.,? .............. r l".:!.�'}€'i Notification Dates------ Test Rerri 'j-;:;,s.k. --- --Abandoned- _.._ Removed t;`7,.,;j.:"df":ce 'iFuel Reason Capacity f_.,?._•f!, ._is` Status ►.,.e t is_.is f•.•_•_. L.dl t d Additional Details ------------------------------------------------------------------------------ _.,:i n f_:e..END OF DATA NEXT SCREEN j<..j l''E!•'•i l_j A C 1 .j.l_IN TOWN OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION OWNER AND INSTALLER INFORMATION ADDRESS: I'71�a � I S 6AV KOD a MAP NO. PARCEL NO. 116 OWNER NAME: uFAVO C'4l(---r,.LAfN/VILLAGE: INSTALLATION DATE: r /a BY: PONA Len ADDRESS: CERT. NO. TANK INFORMATION LOCATION OF TANK: _ /'', ) � CAPACITY500 TYPE � AGE � FUEL/CHEMICAL �� 1' t Z- c IZ, TESTING CERTIFICATION C I PASS C ] FAIL DATE LEAK DETECTION C 7 CHECK IF N/A TYPE/BRAND ZONE OF CONTRIBUTION C ] YES CX] NO DATE TO BE REMOVED FIRE DEPT. PERMIT ISSUED CV' YES C ] NO DATE 4k�l� �1 CUNSERVAT-ION C ] CHECK IF N/A DATE ogBOARD OF HEALTH TAG NO. 4 l ]C ]C IC I DATE 7 i� / PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD t 40 v �OCA�o o F U C`72. G u,Df) Pf�V4 t� i e L C;"Cl2ET E /LP/lcd i +too se 2 cA C GA QA,6E ' t' Q� U 'SCALE', Z . a Cw1 Fuo f _ �4p T PaU4 Of filassar4mus II. DEPARTME T OF: PUBLIC SAFETY—DIVISION OF FIRE PRE VEN"i'l©N 19 11 n Date 6' Form F.P. 290 Part 4 TO MAINTAIN AN EXISTING/NEW UNDERGROUND STORAGE FACILITY In accordance with the provisions of 527CMR9.24 this permit to maintain an existing/new underground storage facility is granted to: Location of property: &V A S eet a Owner of property: / Full n me of person, firm or corporation Restrictions: /—� Od yr,Z��,V �' �t ZAI"'I • is�i�/l�• f/—�?—GD Fee Paid:$ t (M.G.L.A. Chapt. 148 Sec. 10A) This permit will expire S/—/919 j3 t Date gnature of Head of Fire Dept. or appoi ed designee -(Owner's Copy to be posted at the storage facility with F.P.290 Part 3) It it,anlc as oeouon i,marK DOx Here LJ) Sry O `f,G•f•.r StreetFacility Name or Company Site Identifier,as applicable ,//Address � 00, olp t' J Street Address late Road, applicable City State ZIP Code 9Ctv --' Are ode Phone Number arest). l State ZIP Code 776 DO *7 Type of Owner (Mark all that apply(0) ® Current ❑ State or Local Gov't vale r Indicate ® Corp rate Mark box here if tank(s) Federal Gov't number of are located on land within ❑ ❑ Former ❑ ❑ Ownership tanks at this an Indian reservation or (GSA facility I.D.no. uncertain location on other Indian trust lands Name(If same as Section I,mark box here�) Job Title 1 Area Code Phone Number a{,;a � �.ai a x � '"}s��. drr`v.r�rb3''`E`L "s,C "�u* . 1 ta]• y ❑ Mark box here only if this is an amended or subsequent notification for this location. certify under penalty of law that I have personally examined and am familiar with the information submitted in this and all attached Jocuments,and that based on my inquiry of those individuals immediately responsible forobtaining the information, I believe that the ,ubmitted information is true,accurate,and complete. me and official title of ow er or owner's authorized representative i nature �A !'Date Signed ivt.- ,.......,.,.s y <�y�3w. ;. ! _��'�.,�r .:� 4.. e..� ` •� �711 � �C...:����' •�y'��"k S'� J �' �. -.+r',�K / S$c t. .r.YIY :G_,' yForm F.P. 290 Part 3 Page t / air `o / T.- � � .. M ��,,,,,,,a�b ems;;'�'"��i��3t;kr ,. Yl+�rye s�.t�^t k i "r :4. „ t�B,I F'i' j rr aknN` ¢ �. l� ; Tr�Y{ t':YS e .. r �f THE COMMONWEALTH OF MASSAC41 HUSETTSa �� FIRE DISTRICT OF HYANNIS,�AMASS. ` n FIRE DEPARTMENT'.`> FIRE PREVENTION DIV1810N PERMIT FOR STORAGE°tAOF ,FUELS OIL ; . In accordance with provisions of Chapter 148, General Laws,-'and amendments thereto and Regulations made under authority thereof. �Y Name Dr•Webster _:_w Name Bon�.�- I.Hasie f, owner or occupant) �' (Installer) £ " Address " WS Day.Rd Address H.�aY)riis i -�* BURNER STORAGE Name. Iron Fireman Type of Tank �..s#,saj Manufacturer" --------_._.._ Capacity:aC�on ..._. Size I FIL-135 Model No. or Size Location under ==d Type -- ----Mass/Approval No. 3 : Permit issued expires (Head of Fire De p�tm nt) 1 Fee Paid By I This Permit Must.Be.Conspicuously Posted on Premises y /�hf.r�.��\`���A�J��,,,�I<_�•A�I�/�.�•���,�•'�M� jrFIRE Fill 7I - L-�...,..�..r.-.-.�-_�.� - FIRE DEPT. STATE USE ONLY ` I.D.Number I ,7) Copy to be certified by local fire department o/s Ly ulj and: POSTED AT STORAGE FACILITY Date received_ 7f - c .p - � -_ .,��r � 2 a :(b F.S. � ; • • r!- .t,. ,?.tii� .' Q x3.'f�'_L(i Y r..Hi. � +} Notification is required by federal law for all underground tanks that have been 4. pipeline facilities (including gathering line) regulated under the Natural Gas used to store regulated substances since January 1,1974,that are in the ground as of Pipeline Satcty Act of K'68,or the Hazardous Liquid Pipeline Salct\ Act(l 1979.,11 INa)8,1986,or that are brought into use after May 8,1986.The information requested which is an intrastate pipeline facility regulated under State la%ks: is required by Section 9002 of the Resource Conservation and Recovery Act,(RCRA), 5.surface impoundments.pits,ponds.or lagoons: as amended. 6.storm eater or waste enter collection s\'stems: l he ptiman purpose of this notification program is to locate and evaluate under- 7.flow-through process tanks: ground tanks that store or ha\e stored petroleum or hazardous substances. It is 8.liquid traps ot associated gathering lines diiectl.\related to oil or gas production and expected that the information you.provide \till be based on rcasonabh available gathering operations: records.or,in the absence of such-records.\our kno"ledge.belief,or recollection. 9. storage tanks situated in an underground area (such as a basement. cellar. niineworking.drift,shaft.or.tunncl)if the storage tank is situated upon or abo\c the Who Must Notih? Section 9002 of RCRA. as amended, requires that, unless surface of the floor. exempted.o\\ners of underground tanks that store regulated substances must notifj designated State or local agencies of the existence of their tanks.O\yncr means-- What Substances Are Covered? The ootifieation requirements apply to under- (a) in the case of an underground storage tank in use on No\ember 8. 1984.or ground storage tanks that contain regulated substances.phis include any substance brought into use after that date.am'person\\ho owns an underground storage tank defined as hazardous in section 101 (.14) of the Comprehensi\c Fit\ironnlental used for the storage.use.or dispensing of regulated substances.and Response.Compensation and Liability Act of 1980(CERCLA).with thec.sccption of (h, , r.hc case of any underground storage tank in use before No\rmber H. 1984. those substance regulated as hazardous uastc under Subtitle C of RCRA. It also but no longer in use o��that date.any person\yho o\%ned such tank immediately before includes petroleum,e.g.,crude oil or am fraction thereof\chich is liquid at standard the discontinuation of its use. conditions of temperature and pressure(6)degrees Fahrenheit and 14.7 pounds per What Tanks Are Included? Underground storage tank is defined as an\ one or square inch absolute). combination of tanks that(1)is used to contain an accumulation of"regulated sub- Where To Notify? Completed notification forms should be sent to the address stances."and(2)a hose\olume(including connected underground piping)is 10ri or given at the top of this page. more beneath the ground.Some examples arc underground tanks storing:1.gasoline. used oil,or diesel I ucl.and 2.industrial sohents.pesticides.herbicides or fumigants. When To Notify? 1.O%\ners of underground storage tanks in use or that ha\c been What Tanks Are Excluded? tanks remo\cd from the ground are not subject to taken out of operation alicr January I. 1974.but still in the ground.must notify b\ notification.Other tanks Excluded? Tanks mo%cdiiro air: Ma\H. 1986.2.0y\ncrs\%ho bring underground storage tanks into use after M*\9. 1.farm or residential tanks of 1 J00 gallons or Icsscapacity used for storing motor fuel 198h.must notify within 30 days of bringing the tanks into use. for noncommercial purposes: Penalties: Any owner who knowingly fails to notify or submits false information 2.tanks used forstoring heating oil lorcon%umpti%c use on the picmises%\here stored: shall be subject to a civil penalty not to exceed 510,000 for each lank for which 3.septic tanks: notification is not given or for which false information is submitted. ' ""$3 �sar3; t • p'> r .^+; .8r�,:; r3 ' :: 'a ,<�; rc�rt.,a'F Please t\pe or print in ink all items except"signature"in Section-V.This form must by completed for . Indicate number of each location containing underground storage tanks.If'more than 5 tanks arc owned at this location. I continuation sheets photocopy the reverse side,and staple continuation sheets to this form. attached ,�,•• .\-• .x r .� .lT` .�y1l.i/ppp'\ a .,y, K -• �� Y4.t�t S } i+.:Aldi �• fM{ .1, SSt{t�'• '$ - :' -y •1.b 1 • • • Owner Name Corp anon,Individual.Public Agency,or Other Entity) (If Same as Section 1,mark box here❑) Facility Name or Company Site Identifier,as applicable Street Address Co Street Address late Road, applicable City State 0 e/ ,�s LL 4�AreaZode, Phone Number ,Cit ( earest) ! State ZIP Code GI 775'`003 .7 Nti S00MV, -eZtS, Type of Owner (Aiark all that apply®) ® Current ❑ State orLocal Gov't Co(ateaI Indicate Mark box here if tanks) P number of are located on land within ❑ ❑ Former ❑ Federal Gov't ❑ Ownership tanks at this an Indian reservation or (GSA facility I,D.no. uncertain location on other Indian trust lands _..,w� r{ 7} n$ .,.,,;3 e�w•..;°''''*..�53� �''�;a�r+a._P,� a.;,::1 • • ;t '• • 'V'�r.: r 6 '.w ' v!t �•,3. 'tr`'�• L� ,�.!_:`.. Name(If same as Section I,mark box here�) Job Title Area Code Phone Number \ •s 7 ,4 t rJ w.. i t;. .Y`T :S;d!', t • • • +.. r.' �'� .,\�7v�+��. \ ,.f.r yx;, �y.:.�G��-'it.-4'•a:..•J wk ❑ Mark box here only if this is an amended or subsequent notification for this location. - \-y_T.:.:rr :�:1'M^v .'�t;�;�.Sx > • .yi.A Y!�'1;(4.•a certify under penalty of law that I have personally examined and am familiar with the information submitted in this and all attached documents,and that based on my inquiry of those individuals immediately responsible for obtaining the information, I believe that the submitted information is true,accurate,and complete. me and official title of ow er or owner's authorized representative i nature Date Signed y 19- ' r> � :•+r• r.G,R S � yiF x,�' a 1.t S3.x '1 f\ .'Yr 1 in r�!D7 aa.,'r -;1 � / '� 1:'t'�' '�` - .vc 9'S .�.'r f�� -. } r\ --.....a...e.u� ,; •<\t i�� ��,� Y': t___..�� 44"'l:S t r;.li- �' d �'z��yr ,vy,�-.� Y� i c«..,.� '�,' Farm F.P. 290 Part 3 Pa^et