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HomeMy WebLinkAbout0609 IYANNOUGH ROAD/RTE132 - HAZMAT �6� ����N� � � n�S 3\\�om� �4e�2ma� � Town of Barnstable f � Building Department artment ��- ' U v Brian Florence, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Pre-application for Business Certificate Date \ . \"-A 202-0 Map Parcel Applicant Information Applicants Namec2_> f�(�►/�,1�11 S Applicants Address c7^ !� Email Address 1✓ �° C��� Telephone Number 1_AM-SW\Q Q`©L0 Listed [ --Unlisted ❑ Business Information New Business? � a_ '�J 1 � es No Business is a registered corporation? ________________________. Yes No If yes Name of Corporation 7i2CMSICA=z' Does business operate under the registered corporate narpe? No Is the business a sole proprietorship or home occupation? _________ Yes �No� If yes then a Home Occupation Registration is required—See Building Division Staff Name of Business Business Address Type of Business Building Commissioner Office Use Only Conditions Building Commissioner 1 , Date 1 ZGU Clerk Office Use Only TOWN OF BARNST BLE -/ UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION OWWNE,R/AND INSTALLERINFORMATION ADDRESS: AP NO.. PARCEL NO. �©l OWNER NAME: �� �� /1 ��� �(.t LLAGE: INSTALLATION DATE: 1_ / BY: la)IAI/V ADDRESS: f,/ YZ / r t CERT. NO. r �T T TANK INFORMATION LOCATION OF TANK: _ YXA CAPAC I TY�� TYPE± - .ri. AGE FUEL/CHEM I CAL TESTING CERTIFICA`T�ION C ] PASS C ] FAIL DATE LEAK DETECTION CHECK IF N/A TYPE/BRAND ZONE OF CONTRIBUTION YES C ] NO DATE TO BE REMOVED ] / FIRE DEPT. PERMIT .I,SSUED , I YES C ] NO DATE CONSERVATION Cam] CHECK IF N/A DATE BOARD OF HEALTH TAGlI �`NO ]C ]C ]C. ]C ] DATE ,� p PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD 4 f - -_-- - - . -Bud-got Cudget Rent a Car A Budget Rent A Car System Licensee dMt a Cap G c y i Carol G. Beckloff Manager_ Budget, M Irulependent Budget System Licensee Budget Rent a Car of Hyannis SEARSP.O.Box 980 Hyannis,Massachusetts 02601 Rent a Car (508) 775-3832 r ^2' 4 MENEM ! f`- DEPARTI.'ENT .OF UI3L1C 'SAFETY, OI=-17I[:E F�i�EV E1LI`► I O N f' v�► Q - f Date Form F.P. 290 Part 4 TO MAINTAIN AN EXISTING/.I ,' UNDERGROUND. STORAGE'FACI.LITY fi In accordance with' the `provisions of 527CMR9.24 this p`rTit tc maintain an existing/new underground storage facility is granted to: Location of property: Cornier Rte. 132 , ;Ni htingale—Jane Street address Owner of property: Airport Leaajj � Inc": d%b/a/ Budget Rent a f 1r Full name of person, firm or corporation Rest rictions: y • z 4 Fee Paid:$ (M.G.L.A. Chapt 148"Sotj c 10A) , This permit will expire —2219 Date . f Head of.Fire Dept. or appoi d desig (0wner's Copy to be posted. at 'the storage facility with F.P 290 Part',3) .�. t.. a f 2. J .r - EM' ' M", 3d Y: FIRE DEPT r = STATE USE ONLY cEitimc�utim copy to be certified.by local` ,fire depaitflen LD.Number and: POSTED AT STORAGE F'AC I L I TY t '� Date Received Notification is required by Federal lac for all underground tanks that have been - 4. pipeline facilities(including gathering lines) regulated under the Natural (ias used to store regulated substances since January 1,1974,that are in the ground as of - Pipeline Safety Act.of 1968.or the Hazardous Liquid Pipeline Safety Act of 1979.or May 8.1986,or that are brought into use after May 8,1986.The information requested which is an intrastate pipeline facility regulated under State hm s: is required by Section 9002 of the Resource Conservation and Recovery Act.(RCRA),' S:surface impoundments.pit,,ponds,or lagoons: as amended. i 6.storm water or waste water collection system+. .. The priman purpose of ihis;notificwion program is to locate and evaluate under "' 7.Ilow-through process tanks: ground tanks that store or have.stored petroleum or hazardous substances. It is 8.liquid irapsorassociated Vitt henng lines direct li related tooifor Sits protluctionand cNpccied that the'infbrmation'you provide will he based on reasonabh•atailable' gathering operations: - r:cords.or.in the absence of such records.your knowledge.belief',or recollection. s, . 9• storage tanks xiutaicd,in..an undcrgniund area(such a a baseman. c;ir. v mineworkmg:drift.shaft `sir itsnn�1)if the storage tank is situated upon or ahow life Who Must Notify? Section 9002 of* RC'RA, as amended: requires that, unless / < surface of the floor. exempted.owners of underground tanks that store regulated substances must notify +' designated State or local agencies of the existence of their tanks.Owner means '," What Substances Are Covered?The*notification fcyuircmcnt+apph ut under (a) in the case of an underground storage tank m use on No\ember 8. 1984,or: ,ground storage tanks-that contain-regulated substances.This includct any substance r t t rought.iptp use oiler that Aate.and person wh<i Diem an underground storage tank Tt '$defined as,,.hazardous.in•section 101',(14►,of,the Comprehensive Environmental o,citGtr�he.storage,usr.,ordisjxnstngufrrj;ut tcdsutistanccw'and Respnn+v C9mptr1wU6nandl.iabtbnAct�1,1980(C'ERC'I,A):rittiahre�ttpticinitf,+�; !b) in thecax,ofany under ound.tora tanl.inilbrfate;Nmmi Sd':. timcfsubcimri Krc mated vlwiard uC;ga>tz`undcrtiubtiticGraf;RCRA�It'ak+ri '' D tnolnrigeriri'u�onthntdatr.pie+pintos•w'ltaow'ricdiauht�n><iti+mrdiairfy�uciirrr, S. inciutSa.'petiakwm,tj:.�ruikat�tir'ant•'(rycuanthc'r�i+fa•fiiehn.liyuidal.tandard" z'•- =h. Ar61•.mmtr.,nt,n Of ih use " conditions isf temperature and prr+.rure( dcgrcts Fahrenheii and 14.7 pound••per �Fh>a lanky Ate lncludtd l nJriE, r nd .ture�c tool, , dellntd , ant one ur .yuan mchahsulutel. . tumbination of tank+_tha),.(I)t u,e�l�u c�un�ain an accumul.itiun,olsrnk,ula��d r;,u., y� w,Natlfy'- 'etrttplktifds,tnMtCrFa�;�fi •,. UtQ • � - 4�istnces:'and(2)whnfir;rolu�t�icludtng.ecirineac`dat�t�crgr�r�tptnli7'+�It)?`r�. •.: Matt 'tf��i�'th�,.y�t�g� �' udobleoedicxlgt'ucl.and2mrdustrnwlscel r�t. pcltcidcsth hcidesurfumtgantw41 I;,When ToNotifj' t:OwncNa u eipround torn etanksintreortAatharet+ein taken out of or+crauon aitev Jitnuan'1.1974•but still in the ground,mpst notify by What Tanks Are Excluded.' Tank%iemorrd from the ground are not suh)cm to &Mar N.198A.2:(1,►nrn who hying underground storage tank+imo use alter May K. notifcation.Other lank%cSc'ludcd from notification are: " " 'Ma% must 6.2. 'Arwr%tho bs of bringing the tanks into use. Ltarmorrt%idential tank,otLIMgallumurkssrrparit)uwdlorstoringmtharrul f for noncommercial purpovv: " ' 4 f Penalliest;Any ownn who knowingly falli to notify or submits false information 2.tank%u+call+r♦ionnyheatingoilforcon%umptitctrwontheprrmixsAWr0%and:`.:� ' shall be subject to a civil penalty not to exceed S10,000 for each lank for which 3•septic tanks: 1- notification is not given or for Ahich false information is submitted. �•+, A f.y:� d• 1Y r°j +,'sr ti� ," :. w 704 ... .r„ r'`i. • 1 -'�+• f,' Please n•pe or print in ink all items except"signature"in Section V,Thts foim must by ct mpleted'for-, `_ Indicate,number of each location containing underground storar a tanks.If more than S tanks,are owned at this location ut continuation sheets rihotocop�'the rex_erse side.and staple continuation sheets to this form r "<..r ', t•- _ attached. Own r Name(Corporation Individual•Public Agency,or Other Entity) same as SeCtit)n 1,mark box here�) ail port Leasing•' -Inc it, _ ... . r _� 6/ B tA.,e ige t: Rent- •A G 2_r � � ' �° I�Facility Name or Company Slte Iden(Ifter,as applicable Street Address l f � ) s '� kra - ;fir Corner RtP 13�NightingalP TnnP Vi f . County 1 t� ' Street Address or State Road as applicable $ i• .i, Parnstah e Crt Statern ZIP Code County j + , �o'Hyarinis ' :' ,4.. Mai: t , 02601 zf` : 't� Al y•. ,r , f Area-Cadeov--Phone number rl, W �� `• t ?a ":+iY r{. >`t C '.i•;.R.&.,.s;�. t4s.4+ Y`t,' .ky `s'� (617) 'i MM Type of Owner (Mark all that apply t _ ff.ate ' Indicate.:at < Mark box here if tank(s) ' Current ❑ State or Local Gov t Por ova r '• number ofs. t " are located on land within ❑ . ❑ Former ❑ Federal Gov't - E ❑ Ownership w '`tanks at thist °r3;1 is;' tf4 t an Indian reservation or `. g (GSA facility 1.6 no uncertain F location on other Indian trust Iands..SV\`1 ' t aY`t'h. ♦ y ,� • • • • - i Name It same as Section I,mark box here ❑) S x I `Job Title z �t 1 ��� t ; ` s ��+ .Area Code Phone Number ( `'f' i -.... { n.,.: ,;w.L..,. $rµ..,....•, •(n,�e3a.; ,:5;` Carol G. Bekloff s.:}_ »: Mans er r.,� ` �, 8 2 �� }ih•yMP�. Arc.: � • • • -M .3;. •w;., i, . :( Y } 1b� ❑ Mark box here only f this is aft amended or subsequent notfficatiin for thts1i3catiorl • ?: ; fi3'ds: rl�'e"i' 42�4ar. " �'fi Ev%.` #}^ .t.i r�'. T� �E•n•7fi� 'i^ I certify under penalty.of law that I have personally examined and am famlllar with4 t el- oimatfon sir mfttedln this end allsat ached 1; s documents,and that.based on my inquiry of those individ.'uals immedfatel rasp slble`.forobtafrnng th'e information I beI eve. at the;'. submitted information is true i accurate,and T.,x Name and official title of owner or owners authorized representative g tube "6 tit r > , )ate.Si n d r d � i� tJ'f Yr s • • a. - .0 t. pn l!"-4 } '1 ",: ar$ctv2•;:` :a" ° p',w^a 'r•.fadPaMIKE �41124 ge l..r.,` U Form F.P. 290,Part.3 ......_ �_ ,.•__ _.. H ` 'Form FP-2, IOM-5-66-942692 amtttun�urttH a tt ttrhxttt ## 4 _ DEPARTMENT OF PUBLIC SAFETY—DIVISION OF FIRE PREVENTION _- 1010 COMMONWEALTH AVENUE. BOSTON -' (pity or Town) j 6 1s7d (Date) APPLICATION FOR. LICENSE For the lawful use of the herein described building.... or other structure...., application is hereby made.in accord- ance with the provisions of Chapter 148 of the General Laws, for a license to use the land on which such building.... or other structure.... is/are or is/are to be situated, and only to such extent as shown on plot plan which is filed with and made a ;part of this application. Q� d�MT/ C�Ac.c� :Nearest t _ 2 � 11 Location of land.. .....1. .........�........... � .....� cross s ree :../���"M"��'��� l� .......�A., ... Street una(b 4 /LI vL �i Owner of land..... ....(�J k�.th:1.Gl'J........;.......Address , ..........Q. L �......... r .. ... .............t::. .1. .....�. , Number of buildings or other structures to which this alication. ^ .. . ' NL-.................................................. . PP PP lies...:.: ... Occupancy or use of such buildings........ . . ,...Lc�,!11•1/1� ......................................... ................. Total capacity of tanks in gallons:—Aboveground .............Under rounder r g ............................. Kind of fluid to be stored in tanks.........�5.A50..,!!�-.... ., .. :../N Sc�,;G�t/(y 6�` n , �...1 .. :.t ;4.......... ? ... ........ Approved—Disapproved ......19 .......... ... . .( .. Si nature of Applicant) f .......................................................:....................................................... P0,(3D;K .... ( Y,�OV� (Head of Fire Dept.) iS .......... . ............... dui-" 3 2. .................... (Address) A- Sit - i i ff/ TOWN OF BARNSTABLE UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS NAME D v .ADDRESS(� /�/� � �`�/t°/C�����L�Cf� ILLAGE LOCATION OF TANKS: CAPACITY: TYPE OF FUEL AGE: TYPE: OR CHEMICAL (Give same information for any additional tanks on rever e ide f card) DATE OF PURCHASE OF EACH: 1. 2. 3. 4. DATE OF FIRE DEPARTMENT PERMIT: �� G� ►t r TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS Airport. Leasing, Inc. d/b/a Budget Rent A Car. of Hyanni"s° P. 0. Box 9,80 t 4 d.= Hyannis, `Ma y �, k• Rte. 132 `& Nig4tinga2.e Lane;} Hyannis . .. .. a 5 w ( ��'• R.... It. F l�.w� ` r� •� �2( k 4�r ' p. i x ,. � ar 't ¢ ¢r - .t�t i s X i V .. `r•V - .R r�- � ' i�r •- .. f,.� .. .. - � -. _. _; t. � .t' �• {its%+S. �^�.,., q � t"(^ i#. `• y .. et '+ `. ,M�.r -.. tee.. � 4� a 4V� �. ��y 4�.�&. r .. .. r f • a �• .q ., ♦.. �' k � a. - , { -. _. ,♦ - ��'.g:` . .. � .. r, A.Y.. � rr - J NAB LOCATION Airport: Leasing, Inc., Rte. 13?_ & Nightingale d/b,/a Budget,"-Rent`a car-of H_ yannis lane, Hyannis, .MA P Q. Bo c 98 � } -_ Hyan s,_:MA 02601 Book & Page -- DAted-granted Amount Stored 77/286 - April 119 1974, 6,OOO gallons. , underground not for DATE PAID re-saae MAR 151977 � ' -