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HomeMy WebLinkAbout0640 MAIN ST./RTE 6A(W.BARN.) - Health 640 MAIN STREET,W.RARNSTAB A=157.001 I v Ir J O �E 'PH®NE CA:L F� 4 do A.M. FOR DATE TIMED P.M. IF � /,U . '5 PHONED,- ❑FAX RETURNED PHONE ❑M0131Le � �.�al,� YOUfi CFkLL AREA CODE NUMBER EXTENSION " MESSAGE PLEASE:CALL lN,1tL CALL <. P AO,AtN ' GAME TO', SEE"y 0, L. IGNEO (fUANTSJCI' FORM 4003 NOTES ,. , 4,4r f'.ea0th Department . Underground Tank at itA 1t, ST 14AW760 I The 3ornstabte Peatth Department records indicate. 't t �44 fuet or ch -r��ica ) Storage tawk hz-s net, �:_+��:�, t�'�.t�d..��''arfred under .Section .1: 5) o thc- meatth RegulatVon Regarding Feet 'ah Chemical svora -'StaQ4 .. You are directed to hWe eACh tanx and its within thirty �00) `day'a of receipt of this notic="' Re Gut ts of the tt tip Y i f t"'�ci Witt* cff� uoaro of Heatt» ano toe Fire d par.t. ont . You are romi ended that you ha# 1 have the tt rt►, ' Y1 i. s �iip 3rs test.et# C,du#`,��:'q tho loth* litno 15th,r 17th, anti i th gear after inStattet*gnz and arinuaty thetkoltar. You 74y request a hearing i f a �� j tr��p.� i� ior� re�:ueStina Sane 13 rox,0 VOd y the �aard of Heatth within Seven C } days after this -Qrt#er is Servfd a of HIS81-tti IiAYES.- PATRICIA 0 Thw7as FcKei ° Director P a BIX 25 t- - Nov. 18. Z'010 2: 10JPM Vo. 0164 P. 1 Malta application to local Fire Department. plre Department retains original application and lssues ttuplloate as Permit. t y,aw Mate rixe crn iu, APPLICATION and PERMITgee: for storage tank removal and transportation to approved tank disposal yard in accordance with the provisions of M.G.L.Chapter 148, Section 3BA,527 CMR 9,00,application Is hereby de by: • Tank Owner Name(please print William Haves X Address 6 6 t a r t e Of Perm S PoOi 4yry SlueRemoval pP Contractor � e a CampanyName Enviro—Safe Corporation PMr Co,or Individual Address 14B Jan Sebastian Dr Sandwic Pda� Address Sid ature(If pplyin or per l) �~ Signature Of applying for permit) IFCI'Certified Other n IFCI'Certified n Lsp#_ _ Other ITank Loration 640 Rute 6A West Barnstable MA 91el1 Addr006 Gay Tank Capacity(gallons) 0 Substance Last Stored Tank Dimensions(diameter x length) Remarks: Firmtmnsportingwasto �tnvirO--Safe Corp. State Llc,0 329 .Hazardous waste manifest# MAM775912 EpA # MAD985269323 Approved tank disposal yard Turner Inc. Tank yard# Q02 Type oflnedgas Tank yard address 235 Commercial Street Lynn, MA A / C, t City or Town `X-' t errni PAID# l � O0 K--() t# Date of Issue f��,l lr� Date of expirallon D igle approval number: 2004Y 908 660 Dig Safe Toll Free Tel. Number-800 322-4844 ture!Title cf Officer granting per After removals)("Consumptive Use fua ) Form FP-290R signed by Local Fire Depi.to UST Regulatory Compliance Unil, Department of Fire SeBox 102 ,Sale Road,Stow,MA 01775. 'International Fro Code Institute FP-292(revlssu 4197) l�(y�0 Nc,v 1 .�^-0PM k 0159 P. 6 4� �� acre y�� 3rzwr Fire 00 ,Make Miloatlon to local Fira Department. !I ptlrtmetti pOtalns arYgtna(pppfic8110h snd I sues duplicate as permit. �� APPLI �IT� aid `� for storage tank removal and transppnetlon t0 a rq E R l Y`I T Fee. of M,G,t"Chapter 14 , Sec�leh 38� 627 G1�R pp ,ved tarik disppsai yard In accordance wifh the provisions i+ 8,da,application N hereby made by: Tank Owner Name(please print) William k7_ Hayes Address 4 vute 5A k �s�West 13arrrstable, MA Sra+s z� , GOmpain Enviro-� yName Safe Corporation Addresa 140 Jan Sebaet;ian Dr Sandwi Co.Orindividual v nl S18nalt"(if e Pply'i r Address ng for Rerml r Sill" a Of appfYing for pertntl) n IFCI"Cerilflaq athar�� IFCI'Certified f-i LSP 8 'rank Location 640 Route 6Ar West. — . 8a>:nstabl®i MA - lY Tank D Substance t,eet Stored 12 o i I lmanslons(drarTiolerx fangg,} „Sx`j Remarks: Flrrm lransporfingwaSte Envi r'O—Sage Corp. FiszafdauBWasiemecnffeslR AM81.5732 ' StOteUa# 929 APpr�ved tank d(sppsal yard • 9"Ma -r —�' I:.P,A. MAD 913 5 2 6 9 3 Z 3 Tank yard* TYRA of inert pas TT��Tankess- City or Town Date or tssuB FDIOd! Permit# Dig safe a Cate of explretlon , PArOvalnurnbor, 20042504250 Slgnalura/-Tile of ofricor granting 19 Safa Toll Free TeL Number-8 ,'=-4844 e !�permit After removal(s)("Consum M 00"llance Unit,De pnl o Use fuel til lank exempted)$end Fgrm Pp.290 partrnerll a Fore Setylces,R0,BOX 1025,Stal9 Road,Slawnl,rlq tJin6 '(nfematlonal Firs 9 Yl Fire bepl"to UST Regplatory. Code Instllt�to • �P&92(MVlsad 4187) 90 30dd I'[T rl rrTr.i Nc'vr 181. /010 1 :Z'01PM � ! Vor 015_9�.'P, UP �C1 E I�1 . : JUN28naf �" r�r d I ) •'r (29 h••'I �1 '� /1y.', �YYVWVYI � (�/may��� (l��.� ���p',�/p�r �.)1. I/��I].���I,���p/ - :I�•./�,'. AECEfIPT. F D! Pos OU D:gT ,. ;�$`'f;! ::.1,ir: <<' S AL,QF Ulil6t, .U t E_L'�91ORA0�'�A�IK t '��. 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Vi,. -`r�. -;;rv'::`i`�'ii }'.`Y„oyi �:.. c :i••: .,%{:':'N�9VMrY� ,�i Ltd �r..r...•$:ti'f-. `-:.. <[�''.�''•s,,,• ,h• '�,'t,',Y ht - _l}�r., .:LI�I,Y., �`5.-ih' `�±<•�','�U:��t��rl���'?9�° .. '.�..i� ,,,�-; ,...: _ ''''•` t`'i' ."•=!�': .7 _ �i[evai[a �� P'ireX?.opa UR illJbr t � ble) tni sink �lel'/Uperafor to.mail revised copyof Notiif 4 i lDfflce of the St>ife Fflire Mars�aT,P.Q$ax Yp25 atiott Form(I+'PZ�O, or PZ90R)to :UST Colnp iaioice, Stag R�nad,•Stow,:hr k!.0x7 LO .-�R%! i Vendor information Mid-City ,Scrap h-an & ,Sal Salvage Co., Inc. =�+ ENV i Ra SAFE CORP 548,State Read M P.O.$ox 157 w Westport, MA 02794-0157 Telephone 53S-05-7831 P Fax 508-675-2904 SANDWICH Cartier Date B 1]R32 Ticked Mumber � L2_ 6/151Z+ CASH $92$2 Description Cross Tare Net UNDERGROUND TANK 2E6AJi0 F-4620 Leg$ price Ext. Price x 198� $. 00 TOTAL.- $ t Ven-Ref: - Wciighmaster: Customer. x Comment: f ' CV Subject to Terms and Conditions as fisted on the Reverse Side of this Document- R 00 6 �'4 Nc,v, 18. 2010 1 , 29PM V0, 0 15 9 P. 3 Make 50g7 'S6Z i 2�r�. Ffre Department edtalns br1-§11nndl appfloa lohlend lssuas du. plloate a$Permit, Of a APPLICATION and PERMIT* for storage lank removal and traneportatlon to a Fe®: 1 Of M.Q.L.Chapter I4a, Seotlon 58A 5 7 1�Arpved lank•dlsposal yard in accordance with the provlsbns 2 GMR 9,00, app)toatlon Is hereby made by: ' lank 4woer Name(please por l) William J. Hayes x AddreaB ute 6A, tied t batrnstable r MA 6Naal c �1• Sht� BP , CompanyNarne EnViro—Safe Cprporation 14B Jan Sebastian Dr 5and'ri Ca.arindivldual ' Address Address Signature(If applying for p IQ C� Signature Of applying forpermlt) rl fFCP Certified Other_____ rn IFCI'Certlped f 1 LSp-#___ other ,TankLocatjvn 640 Route 5A, wort Barnstable, MA Tank Capaclty(gallons) Aft cl 0 61g1Ad6µ P 1 Subalance L'asl Stored Tank Dimensions(diarno[of x length) Remarks: Flan lrenCporUng waste EnVi•ro..Sa�® ocrp. 9leie Llc-N 329 . Hazardouswasle manifest# MA 617421 E,P,AA, MAD985269323 Approved tank dispose)yard 1 A }7`� (:KIP Tank yard N ' Type of(nod gas Tank y,-daddreas 235 Commercial Street .Lynn, IqA City or Town 5Y_ a:Dla# r - Permrl#��vj ` Date,of Issue � 7 Date of exp(ratlon o DIA seta approval number: 20042504250 ig Safe Toll Free Tel,Number-am322,4e44 Signature/nile of Officer granting permit ARer removal(a)("C4rwumplNd UW fuel oq tanks exampled}send Form FP•290F1 signed by I.00al Flto pa t,to Compliance Unl4 Department or Fire Services,I'.O,8ox led) elate Read,Stow,MA signed, P UST Regulatory rintemallonel Fire Code Inedluld . 60 39VJ AM QTW 00649LEIGGG J E0:01 Z15Z/90 Noy, 18' 2010 1 :28PM k 0159.`. P. L AIN 2 8 "O.C. .y::'nrt.:� .,�,:ir ref __ ^+�-.'•ti.-,.,t.-,,1-r— "'r-ORS+- .2! .IAci { PA f�ti� n'r •' �r'�R/i fM/' � vMW ! f "Q. 12p , ,- •'q _;.J - ;}..t ee.zoi. lit:CSIpY 0 DtSPMAL OF FiNdE RGROUND gjeE ''•#'::: 9rt�RAoE; �AME AMD AGDRESB OF,,ppPppRgOyy�ggpp 7A K. p "' • !1!tIi3�C'iT NN YAR .. 3' .548.8taee. ' 'Al :.•r° +' a.r PA6440 0�;.... n 1`�Hf ;f G, �, •' ruor.:.. -•°, n^1 ..MTh,. � ' ayerilgp.Itll ff' s. 1J:r �'I i:�': :rb.i::' �•1'•:!•h... .�1/„ �.:Sii:,1,:• P`! p,..©1�8Wf9� 'a•vr''i,fr., '?I' p8fsa �I� ,9f(�RU[19d'thB-' rtn a �ndipuryd'staet�tore p tank'dsliyered to 1ttUs."8 �R 3.UD P ` and'aco6pt e�►he ft'r.iniq��r�ricatvi trait®lbfi ' '';qpN ul er' di`Maa�achug -FiivPraire ql r.; feel 86or9+�1"aaik'dla'an In' „d;• ! �?g_eatsfln!so2::;; ..' ..., .' ....::.: ' .. .....:. ,fan; 9 Y A vali �:"�• _ ;..' - .. - �. � l±d6r. d'A,er�srtlw2Slestled,b L ";,.,�;,�;•�•.. .Y�► 'or Qmt ,ot , ��•ppp�,/�s�q9 Y•8• .i- �1"� :r priz9.d:Fe� wl.. •;s;:•;� .tn,roV 9+F 1� lfy:, N ,-�l4 A% y. n C,, 1. •'I. �'.f`'-•,...,'`:•,�.i-'�:�`•'-.1_'..1`."i, 11 'rF 8i ned'r'' f 0f' at Poi9sl►niiE be f r'eli�nAd� ••focal 1 0•,:;:,, .:head: EheflrH'd artilient:R ,= CH TANK:. T• p P! __ IRRQ ': nt'.�v,.5o2: Mti3,00 . -- ---u�=�<i:r,:wd::=�. �:i;:�:' .'';"'•. '•�fir ,:r. . ,. :.i, r •,;t'�,y; � '•k Y 1•:W. •'V' - :LANK- LIVED � OM• .J�. 'Gdllo� •s q:r Pr� 1 a 0 onZU - e'vibu StFa t t P ; - ,.rr "•Lrf"'"�'s. - (f .a Dlam t.`'e f e� Q 'fit='`` ,,L• ::s.'.`•, - \, 1 Cy .�. 'Sac :1'n '�f::.�'., :,f'� r�`h:I..: �^'e::..� '.., •.4�."'.;..,}^a''. ttLBIIt•Pe Ser�a� tC d'v`ti'.� s stile)" T sink LD. , s' .I !t or ai Fp- - - Z90 Ownerl4perstor to Oil revised copy of Notific : ' 's p stion.Form(FPZ90,oY'FP�9gXt}tp:UST Cora lionco,. Office of thi$tai-e Fir'cMitrshal,'P.O.Boil 1p2r�StateRo p ad,'Sto�V,,11'tA,Q1775: on _nhrf AM QIW 006ZSL960S 60:0I b00Zl5Z190 mid-City Scrap Iron & Salvage Co., Inc. CD 'Vendor Jnfotmatian 548 State Road v P.U. Box 157—Westport, MA 02790-0157 E►vv Ro s E Telephone S08-6'75 7831 Fax 508-675-2900 M ' N SANIDW I CH � Carrier Date - Pay By Tine -Ticket Ntunher 06/17/04 CASH OZZ19 PM c�9163 's' m Description Grass Tare Net Price Ext, Price UNDERGROUND TANK 26300 2418%21 OD 00W cs e m cn N LD ' m TOTAL: $ Ven-Ref; r, Weighmaster: Customer: X Comment: Subject to Terms and Conditions as Listed on the Reverse Side of this Document. - cv D z, ' OF B,4 BARNSTABLE COUNTY 9 O DEPARTMENT OF HEALTH AND THE ENVIRONMENT v ... tz SUPERIOR COURTHOUSE ,. ` , ` �` POST OFFICE BOX 427 `I - BARNSTABLE, MASSACHUSETTS 02630 '9ssgCHUS Phone:(sob)375-6613 FAX(508)362-4136 FAX(508)362-2603 TDD(508)362-5885 UND RGROIIND TANK TEST RF..SUI.T.S NAME: WILLIAM HAYES DATE: 9/1/99 TANK LOCATION: 640 MAIN ST. W. BARNSTABLE MAP PARCEL: 157 001 TAG .97 ,979& 80 YEAR INSTALLED: 1979 CAPACITY: 1000 1000& 000 The recent check of the vapor monitoring well(s) near your underground storage tank (UST) did not detect any significant contamination. Because the use of soil vapor monitoring for UST leak detection is a limited technology we cannot,however,guarantee that your tank has not leaked. You should also realize that a "good" result from our test is no indication of how long the tank will remain sound. , Due to fiscal constraints,the Barnstable County Department of Health and the Environment has instituted a nominal test fee of$30 for one well and$10 for each additional well at a site. Accordingly, would you please send a check for$ 50 made payable tc B RN4TAB O 1NTy to: 7 Charlotte Shefel Barnstable:,County Department of Health&the-Environment' ... P.O. BOX 427JZ Barnstable, MA 02630' 4 •r3,f ,a Fi7 . The following,,items, if checked, also apply.to your UST: __JLWe encourage�the removal of older tanks before the expected leak(s)develop. We encourage the removal of tanks under 300-gallons-as-they-were-not-made�for underground use. Your UST doesn't appear to be registered and tagged as required by your Board of Health. It would be advisable to mark your monitoring well to prevent accidental usage. The soil conditions surrounding your tank are not ideal and may accelerate tank leakage. a A copy of ibis Metter has been sent to your Board'of Health and the records reflect the results of this tank test. If you have any questib ns please contact Charlotte-Stiefel at(508)-375-6620. cc: Board of Health: BARNSTABLE Whereas,the escape of fuel from an underground storage tank may result in civil and/or criminal liability of the owner,lessee,licensee, licensor,and/or other persons in control of the premises; Whereas,the use of vapor monitoring procedures is only one of several procedures that may be used to detect leaking or escaping fuel; Whereas,the reliability and experience of the testing procedure is limited;and Whereas,from location to location and soil to soil test results may vary due to a number of factors; The County of Bamstable and-the Barnstable County Department of Health&the Environment represent that while the test results give a fairly accurate reading of the vapor content in the well sites at the place and time of the testing,the soil conditions and condition of the tank and connections may be such that leaks could occur at the time of testing or shortly thereafter without detection. Similarly,the equipment is sufficiently sensitive as to detect fumes when, in fact,no actual tank or piping leaks have1occurred at all. Therefore,no party shall rely exclusively on the Rresults of the vapor monitoring test. no the County of Barnstable nor the Barnstable County Department of Health &the Environment shall be liable to any person either for the failure of the test to detect a leak when such a leak has,in fact,occurred or for the detection of readings which may indicate that vapors are present in the soil when,in fact,no leak has occurred. Neither the County nor any department thereof shall be liable for any faulty or overly sensitive readings resulting from the taking of such test. i r ty N ..---.....��.t�'. . � � Fmc....�'... .............. . i THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH "OA V ­ OF......................................................................................... Applirtttinn for Dispwi al 1vorkii unutrnrtiun Prruti# Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: --•.............- ` :....�.. :... W�. ............. -•--............_•..------•....---••-....... ...........------------•.........--- •--•• Location-A d ress - or Lot No. Owner Address Installer Address Type of Building/ Size Lot... .................Sq. feet V Dwe11i�No. of Bedrooms__ __.__ ___ __ Expansion Attic ( ) Garbage Grinder ( ) �+ aOther Type of Building u...___. No. of persons____________________________ Showers ( ) — Cafeteria ( ) dOther fixtures .-- -------•--------------------------------------------------------------•--------------------------------------...._..------•----•.------------ W Design Flow.................L j._. gallons per person per day. Total daily flow............................................gallons. WSeptic Tank Liquid capacity��allons Length................ Width........:....... Diameter................ Depth................ x Disposal Trench—No..................... Width.._._ . .._:..._.. Total Length...... Total leaching area....................sq. ft. D_ meter..... ' l� . Total leaching area..................s ft. Seepage Pit N ,� :__ Depth below inlet....... g q. Z Other Distribution box ( . D�smg ( Percolation Test Results Performed by.., r— .. .. .- ....... Date...../�.'_.../ �9 a Test Pit No. 1................minutes per inch Dept of Test Pit.................... Depth to ground water........................ Pz4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ W -------- ................. - ............... .. O Description of i1.- 1� •. ............ �. / "`t.:, '" _ -�` y x W .....{1 � .0.- ------------------------------------------•---------------- W VNature of Repairs or Alterations—Answer when applicable._.............................................................................................. ---------------------•------•---------------------------------------------......._....----•--------••-----.....•--••----•-•-•--•--------•----•-•••••---•-----••............................---••••-----. Agreement: The undersigned agrees. to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T ITLZ 5 of the State Sanitary Code— The dersi further agrees not to place the system in operation until a Certificate of Compliance has been issue by the bo of health. igne •--- -------------------•--...._......-•--- --------•-----•-................ Date Application Approved By.. ----------------- rj.�--� 9�- .............. . Date Application Disapproved for the following reasons:--------------------------- - ...........................................................Da.t e.............. -•..........................•---•---------•-----...-•--------------..........------........--------...-------------•---•---•-•-----••-----•-•--...••----•---------...-••-•--••--••---•-•-••----........ t� Date PermitNo........................................................ Issued-..... ..... (.__..._•---.._..--•-------- Date N0.5t.— Ynim THE COMMONWEALTH,OF MASSACHUSETTS BOARD OF HEALTH .. O F...:.:................................................................................... Appliratilaaz fur '` i u al i ,ark C> omitrur#ion Permit Application is hereby made for a Permit to Construct ( ") or Repair ( ) an Individual Sewage Disposal System at ... ~:... ..c : : . +c:�.�� ..... ............:............................... ......._..--- ............_...-•-....... -•. - Location A dress - or Lot No. :-----•-----•-•--------------- .............. r .: ............ Owner Address KInstaller Address ± Type of Buildings Size Lot__..... ......Sq. feet �-, Dwellig.—No. of edroom Expansion Attic ( ) Garbage Grinder ( ) aOther4E Type of uilding j_+_ L_'__'____ No. of persons............................ Showers ( ) — Cafeteria ( ) d Other fixtures W Design Flow............. __ ... ,.gallons per person per day. Total daily flow__________________...................................... 9 Septic Tank2t Liquid capacity/SOW.gallons Length................ Width_ ____.__ Diameter_____ _________ Depth................ Disposal Trench`� No. .�___. Width_. Total L'ength ___ Total leaching area....................sq. ft. Seepage - � 'p �" O, o... Total leaching area..................sq. ft. S"ee e Pit No. ____.. D-ameter.__. _ �_._: De th below inlet _._ Z other Distribution box ( Dosing a Percolation Test Results Performed by.. ,... _ _. '�...... Date_ _' Test Pit No. 1________________minutes per inch Depth of Test Pit:................... Depth to ground water.:....................... GL, Test Pit No. 2................minutes per inch Depth of Test Pit ._...... _ . Depth to ground water........................ kl­ 7 O Description of ` i ` '" `..--.. U ----------•-•--------. - --- W ....................--------•-----••••=-•---.....----;•-•-••. = = -----------------------------•-••-----=--•-••--•-••......_..•--......_..•••-•••._........_...._ U Nature of,Repairs or Alterati6ns—Answer when applicable.-------------------------______.............................__......................... ________ .................................................. _ ........... _ ------ •-•••- •- ..-- ---•---•- Agreement f The undersigned agrees to install the aforedescribed 'individual Sewage Disposal System in accordance with the provisions of TITLE, ;5 of the.State Sanitary Code— The undersigned further agrees not tovplace the system in operation'until a Certificate of Compliance has been issued by the board of health. Signe ---------- -----------------------------------:.....................--....... .......................... Date Application Approved B ....:- - •--- -- - --_••- ----E----- Date Application Disapproved for the following reasons:...........................------------•--------------•--------------------.__................................. ..:_._...-•----------------•-•----------......__....-••••-•---....__.:. - - -------------•-------------------------•-- ....... ------ . Date Permit No....................... x ................ Issued.................• -7?-.....................-- Date --THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEALTH' 'It .... OF.... .... C ................................... Qurrtilirate of Tum0aurr T SjTO rC IF ,; , hat the Individual Sewage Disposal System constructed,( or Repaired ( ) by....• ---_..... ............................ -•----•-------•--------------------•-...-----•-•---_--_._ q` nsta.171 1 /j at ............... -':..- ..... _. .- f �Z ��' �`}�� ++d'�; has been installed in accordance with the pr•:visions of r j of The State Sanitary Code as described in the rapplication for Disposal Works Construction Permit No ____�� '______________________ da.ted_...d�y :i ..__ .,________.__._.__ THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. t t DATE.-•--------•--•••--••-•--•--....• °- Inspector.- { -----..._•-•-•---•- .._....--- ------ i THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEALTH ... ...OF.......... .. ............................................... No............. FEE...% , r .......... rrmi� Permission is hereby ranted " V .......................... 7to Construe ( r Re it ( an Ind 1du Sewage Di posal S s t atNo.t...... �` �� Q:..."° ,........� �! ......... -----•--••---•--------------•- . '"' Street . �'" ruction Per ated/_ _ './. , '................ V... as shown on the application for Disposal Works Const .-•-•-- .--- ---••--------••----- Board of Health DATE.. ...... ................ •............. FORM 1255 HOBBS & WARREN. INC., PUBLISHERS + "` f f. Is Barnstable �Ver, Town of Barnstable �R""R MAS& Regulatory Services Department Q Public Health Division 2007 200 Main Street, Hyannis MA 02601. Office:508-862-4644 Thomas F.Geiler,Director Fax:508-790-6304 Thomas A.McKean,CHO To: Date: April 1, 2009 William J. &Patricia D. Hayes PO Box 804 Dover, MA 02030 RE: Underground Storage Tank at: 640 Main Street West Barnstable,MA Map Parcel: 157001 Tank NO: 1 Tag NO: 000978 Our records indicate that your underground fuel (or chemical) storage tank is over 30 years old, and has not been removed as required by section 326-3: subsection 2 of the Town of Barnstable Code regarding fuel and chemical storage systems. You are directed to remove this tank within sixty(60) days from the date of this notice. After your tank is removed, please furnish this office evidence in the form of a permit from your local Fire Department within ninety(90) days of the receipt of this notice. You may request a hearing provided a written petition requesting same is received by the Board of Health within ten (10) days after this order is served. Per Order of the Board of Health Thomas A. McKean, RS, CHO Health Agent i Barnstable �IHE1. o� Town of Barnstable 9 BAR1NSTA.LE Regulatory Services Department A Public Health Division 2007 200 Main Street, Hyannis MA 02601 Office:508-862-4644 Thomas F.Geiler,Director Fax:508-790-6304 Thomas A.McKean,CHO To: Date: April 1, 2009 William J. &Patricia D. Hayes PO Box 804 Dover,MA 02030 RE: Underground Storage Tank at: ply 640 Main Street West Barnstable,MA Map Parcel: 157001 Tank NO: 2 Tag NO: 000979 Our records indicate that your underground fuel (or chemical) storage tank is over 30 years old, and has not been removed as required by section 326-3: subsection 2.of the Town of Barnstable Code regarding fuel and chemical storage systems. You are directed to remove this tank within sixty(60) days from the.date of this notice. After your tank is removed,please furnish this office evidence in the form of a permit from your local Fire Department within ninety(90) days of the receipt of this notice. You may request a hearing provided a written petition requesting same is received by the Board of Health within ten(10) days after this order is served. Per Order of the Board of Health Thomas A. McKean, RS, CHO Health Agent 77 Barnstable DIME Town of Barnstable o� r Regulatory Services Department Public Health Division 2007 200 Main Street, Hyannis MA 02601 Office:508-8624644 Thomas F.Geiler,Director Fax:508-790-6304 Thomas A.McKean,CHO To: Date: April 1, 2009 William J. &Patricia D. Hayes PO Box 804 Dover, MA 02030 [-D-)W7 RE: Underground Storage Tank at: 640 Main Street West Barnstable, MA Map Parcel: 157001 Tank NO: 3 Tag NO: 000980 Our records indicate that your underground fuel (or chemical) storage tank is over 30 years old, and has not been removed as required by section 326-3: subsection 2 of the Town of Barnstable Code regarding fuel and chemical storage systems. You are directed to remove this tank within sixty(60) days from the date of this notice. After your tank is removed, please furnish this office evidence in the form of a permit from your local Fire Department within ninety(90) days of the receipt of this notice. You may request a hearing provided a written petition requesting same is received by the Board of Health within ten (10) days after this order is served. Per Order of the Board of Health Thomas A. McKean, RS, CHO Health Agent TOWN OF .BARNSTABLE - WNDERGROUND F AND CHEMICAL STORAGE REGISTRATION pi MAP N0. /S7 PARCEL NO. ADDRESS OF TANK: b �, VILLAGE: �t,r �,. � • . ram MAILING ADDRESS ( IF DIFFERENT FROM ABOVE) : " OWNER NAME: t / r �`S it . r►� c "r PHONE: INSTALLATION DATE: ,�' BY: c)ct ceg c 4- J G f tv�^ l� ^!GTALLER ADDRESS �r ►.. �' Gr S S, CERT.NO. *TANK LOCATION: �' - (0K0ORI't TANK LOCATION WITH MKMPKCT TO WUl"0XN0) ; CAPACITY I l� TYPE OF TANK AGE _It_YRS. FUEL/CHEMICAL TESTING CERTIFICATION [ ] PASS C ] FAIL DATE LEAK DETECTION C ] CHECK IF N/A TYPE/BRAND ZONE OF CONTRIBUTION C ] YES CX] NO DATE TO BE REMOVED r�Ol ✓ t { FIRE DEPT. PERMIT ISSUED C ] YES C ] NO DATE ' CONSERATi=ON C ] CHECK IF N/A DATE / I BOARD OFF±HEALTH TAG NO. C ] DATE I l 7 U f t A I ;rr ` t * PLEASE PROVIDE A .SKETCH :SHOWING THE TANK LOCATION ON-THE BACK OF THIS CARD TOWN OF BARNSTABLE - JNDERGROUND` FUEL AND CHEMICAL STORAGE REGISTRATION `1)efflqL�..- / J MAP NO. o PARCEL NO. () fJ l t?�o ADDRESS OF TANK: oe r' V. V I LLAGE: Numbdor wtr�mt ,.._ MAILING ADDRESS ( IFDIFFERf1ENT FROM ABOVE) : OWNER NAME: I n► ;-I j I l'r PHONE: 31(2. INSTALLATION DATE: 1 9 7 I BY: "jc�paS t^A o r INSTALLER ADDRESS: ( I C��r� �E'/�i� i� �S CERT.NO. *TANK LOCATION: _ _ _4 _41r " (DLOCPR TANK LOCATION WITH R..F-KCT TO OUILDIND) j CAPACITY d G O TYPE OF TANK AGE �YRS. FUEL/CHEMICAL ref TESTING CERTIFICATION C ] PASS C ] FAIL DATE LEAK DETECTION C CHECK F N/A TYPE/BRAND 0 1 ZONE OF CONTRIBUTION C ] YES [ ] NO DATE TO BE REMOVED I FIRE DEPT. PERMIT ISSUED C ] YES C ] NO DATE CONSERVATION C ] CHECK IF N/A DATE if z y ` hu'?V HOARD OF HEALTH TAG. N0. C19 ] DATE � � r 4 PLEASE PROV:IDE .A SKETCH SNOWING THE TANK LOCATION ON THE BACK OF THIS CARD •TOWN OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION f` MAP N0. � � PARCEL NO. 00/ ADDRESS OF TANK: [ E> , f_ VILLAGE: Numbmr, MAILING ADDRESS ( IF DIFFERENT FROM ABOVE) : Poof .Aox �''^� I�. J y r t OWNER NAME: t o t-i �!C • p clams PHONE: INSTALLATION DATE: t ! BY: I KISTALLER ADDRESS; 5�8� ► .�' Q � '�S i'. CERT.NO. *TANK LOCATION: 4. (D-i=OA Z't TANK LOCAT S jON W Z TH 1'16BP•KC7 TO BlJ Z LD I Nm) CAPACITY /00y TYPE OF TANK AGE 1© YRS. FUEL/CHEMI CAL" F TESTING CERTIFICATION C ] PASS C ] FAIL DATE LEAK DETECTION [ ] CHECK IF N/A TYPE/BRAND _. . ZONE OF CONTRIBUTION [ ] YES [ ] NO DATE TO BE REMOVED FIRE DEPT. PERMIT ISSUED , [ J YES [ ] NO _ DATE CONSERVATION [ A CHECK IF N/A DATE I . } J� HOARD OF HEALTH TAG N0. [ � ] DATE 14 PLEASE PROVTDEA SKETCH SHOWING THE TANK LOCATION ON THE HACK OF THIS CARD 5 TOWN OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION LY// Lk '� �j3 MAP N0. PARCEL N0. o/ o ADDRESS OF TANK: �4 4/0 . t.� �. VILLAGE: t�. ��i �v �+S<� O MAILING ADDRESS ( IF DIFFERENT FROM ABOVE) : OWNER NAME: taY, S rr LA e/;- PHONE: 3 v INSTALLATION DATE: BY: ' INSTALLER ADDRESS: � S�t?r w.. P ������i`_ CERT.NO. . *TANK LOCATION: A'a 7A ~i 14 P. - (OKSCRIWK TANK LOCATION WITH NKUPKCT TO HuiL0D^IN® CAPACITY U0 0 TYPE OF TANK AGE _ YRS. FUEL/CHEMICAL €f M TESTING CERTIFICATION C ] PASS C ] FAIL DATE LEAK DETECTION [ ] CHECK IF N/A TYPE/BRAND fC� ZONE OF CONTRIBUTION [ ] YES [ ] N0 DATE TO BE REMOVED l ! FIRE DEPT. PERMIT ISSUED C ] YES C ] NO DATE CONSERIl;AT.ION [ ] CHECK IF N/A DATE I HOARD OF `HEALTH TAG N0. 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