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0010 ATTUCKS LANE - Health
1 �G b 3225 MAIN STREET P.O. BOX 226 BARNSTABLE;• MASSACHUSETTS 02630 CU CAPE COD (508) 362-3828 ` Fax (508) 362-3136 . www,capecodcommission.org - .COMMISSION CERTIFIED MAIL—RETURN RECEIPT REQUESTED Tracking Number: '701.6 1370 0000 3691 0536 April 18,2017 Ms.Eliza Cox,Esq. - Nutter,McClennen&Fish Project: Greenside Office Park PO Box 1630 10 Attucks Lane,Hyannis,MA Hyannis,MA 026o1 CCC Project#: LR16021 Dear Attorney Cox: This letter serves as notice that the above-referenced project has been referred to the Cape Cod Commission (Commission)as a mandatory Development of Regional Impact(DRI)under Section 3 of Chapter A, Code of Cape Cod Commission Regulations,Enabling Regulations.Governing Review of Developments of Regional Impact. The Commission received the referral from the Town of Barnstable through the Barnstable Building Commissioner,Paul Roma,on April 13,2017.Enclosed is a copy of the referral form. In accordance with the Cape Cod Commission Act,the Commission is required to schedule a public hearing within sixty(6o)days of the receipt of a DRI referral,which date in this case is June 9, 2017. Pursuant to the Commission's Enabling Regulations,upon receiving notice from the Commission of the.proposed development's referral as a DRI,the Applicant shall file an application for DRI review.No municipal development permits.may be issued until the Commission completes its review and issues a DRI approval. The Commission received a Limited DRI review application from the Applicant on March 22,2017.and Commission staff is reviewing the application materials submitted to date. Jon Idman,Chief Regulatory Officer at the Commission,is the project manager and your contact person. Please do not hesitate to contact Mr.Idman should you have further questions. Sincerely,. Gail Hanley Commission Clerk cc: Royden.Richardsori,CCC Barnstable Representative By certified mail: Elizabeth Jenkins,Barnstable Town Planner&DRI Liaison Ann Quirk,Barnstable Town Clerk Raymond Lang,Chair Barnstable Planning Board Paul Roma, Barnstable Building Commissioner Brian Florence,Chair Barnstable Zoning Boar&of Appeals . Thomas McKean,Barnstable Health Department Tom Lee,Chair Barnstable Conservation Commission a � 3 2011 .APR Development: pment of Regional Impact (DRI).' Referral Form. copy of the original municipal development permit application or site plan sew, subdivisions.or other application showing the date on which it was.received by the Municipal Agency. Receipt of this information via the U.S. Mail or delivered in person to the Cape Cod Commission constitutes a referral for purposes of Chapter 716 of the Acts of.1989, as amended. Referred by: Town and Agency Barnstable Official Building Commissioner x Mandatory referral Discretionary referral Limited Discretionary Referral (please see the back of this form) Project Name Greenside Office Park Project Proponent Name J.Bruce MacGregor,Trustee of Island Sun Nominee Trust Address c/o Eliza Cox,Esq.,Nutter,McClennen&Fish,LLP,P.O.Box 1630,Hyannis,MA 02601 Telephone 508-7909-5431 Brief description.of the project including, .where applicable, gross.floor area, lots, units, acres and specific uses: Redevelop site currently used as a truck transport terminal and trailer and a container sales&rental business by demolishing existing structure and removing existing uses and equipment,and constructing 2 office buildings consisting,respectively,of 20,018 and 4,900 square feet,together with numerous site improvements including,new parking areas,re-designed access/ egress;storm-water drainage system,connection to municipal sewer,revegetation of adjoining leased land,and significant landscape improvements. Proposed office uses include approximately 10,000 square feet of medical office and 14,918 square feet of professional-office. _. Project location: 10 Attucks Lane,Hyannis List municipal agency(ies) before which a municipal development permit is pending: Site Plan Review. Print Name of Authorized Signature Date . Referring Representative F GROWTH MANAGEMENT RE MO DEPARTMENT town.barnstable.ma.us/Growth Management 200&367 Main Street•Hyannis,MA 02601 t .eAYN8iA8tY,i JoAnne Miller Buntich I DIRECTOR GROWTH MANAGEMENT DEPARTMENT Joanne.bunbch@town.barnstable.ma.us 508-862-4735 Town of Barnstable•200&367 Main Street•Hyannis,MA 02601- Lavelle, Timothy From: Malkus, Karen Sent: Wednesday, February 10, 2016 3:38 PM To: Lavelle, Timothy Cc: McKean, Thomas Subject: FW: 10 Attucks Lane Tim, \� Tom asked me to redirect the question below to you- he wonders if you could change your hours on next Friday, so you could attend a meeting about a proposed office building with Growth Management. n When: Friday, February 19, 2016 1:00 PM-2:00 Where: Room - GrowthMgmt Conference Town Hall �SIn QCXos5�sfvM-- The property at 10 Attucks has several fuel tanks that would need to be removed. The building is in the GP zone. There is no sewer available and the 330 rule applies-so they could build and office about 13,000 square feet with a septic. (' I will be out of the office until the 19th. �CO`OGi� 2D�D��C7CCt'� Please let Tom know at your convenience. �� Thanks, Karen From: McKean, Thomas L)hv'� -AUW kKL, �OM Sent: Wednesday, February 10, 2016 11:07 AM To: Malkus, Karen ,e1 ON �� � Subject: 10 Attucks Lane Karen, Al k4i b+e- Are you available to attend this meeting on Friday Feb. 191"at 1:00 pm? This is about a pre-application meeting for an office building. When: Friday, February 19, 2016 1:00 PM-2:00 PM (UTC-05:00) Eastern Time (US &Canada). Where: Room - GrowthMgmt Conference From: Peacock, Stacey, Sent: Tuesday, February 09, 2016 8:55 AM To: McKean, Thomas Subject: RE: Declined: 10 Attucks Lane HI Tom, 1 f I have been advised that it is a pre-application meeting for an office building. Sincerely, Stacey - From: McKean, Thomas Sent: Tuesday, February 09, 2016 8:49 AM To: Peacock, Stacey ' Subject: RE: Declined: 10 Attucks Lane Please send me more information as to what this meeting is about. I can try to fit the correct person to the project based on expertise. From: Peacock, Stacey Sent: Tuesday, February 09, 2016 8:47 AM To: McKean, Thomas Subject: RE: Declined: 10 Attucks Lane Good Morning Tom - Can you send someone from your staff to this meeting in your place? If you let me know who you will send I can send them out an outlook invitation. Thank you, Stacey -----Original Appointment----- From: McKean,Thomas - Sent: Friday, February 05, 2016 1:09 PM To: Peacock, Stacey Subject: Declined: 10 Attucks Lane When: Friday, February 19, 2016 1:00 PM-2:00 PM (UTC-05:00) Eastern Time (US &Canada). Where: Room - GrowthMgmt Conference No available on Fridays. 2 r J G" V � Health Master Detail - Page 1 of 1 wu� ;� sanf3(�>✓ w. '"„�».ww .+,C' � �`;. ,. �v,.. �.+ � � ry 1 ,"; Logged In As: TOWN\stantond Health Master Detail Wednesday, February 10 2016 Application Center Parcel Lookup Selection Items Reports Parcel Septic Perc T Well Fuel Tank Parcel: 254-015 Location: 10 ATTUCKS LANE, BARNSTABLE Owner: MACGREGOR,i BRUCE TR Business name: ISLAND SUN _. I Business phone: 3622721 I Rental property: ❑ Deed restricted: ❑ Number of bedrooms :F-77770( Contaminant released: ❑ Fuel storage tank permit: ❑� ii -S ve Parcel Changes x �� �a-�r Return to Lookup � Parcel Info Parcel ID: 254-015 Developer lot.- Location: 10 ATTUCKS LANE ' Primary frontage:250 Secondary road:IYANNOUGH ROAD/RTE132 Secondary frontage:270 Village:BARNSTABLE Fire district:BARNSTABLE Town sewer exists_at this address:No Road index:0048 Interactive map: Town zone of contribution:WP (Wellhead Protection Overlay State zone of contribution:IN District) Owner Info Owner: MACGREG OR, I BRUCE TR, Co-Owner:ISLAND SUN NOMINEE TRUST Streetl:DRAWER W Street2: City:HYANNIS State:MA Zip: 02601 Country: Deed date: 1/22/2004 Deed reference:18148/162 Land Info Acres: 3.18 Use: TRK TERM Zoning:RF-1 Neighborhood: CI11 Topography: Road: Utilities: Location: Construction Info Building No ear Bull Gross Area Living AreaBed room Tathrooms 1 1954 11134 10734 01 0 Full 0 Half Buildings value:$338,000.00 Extra features: $0.00 Land value: $440,500.00 3 . I ct,G�G S 'f°`�at.I S��i.L-� : g fol�.17 afQ•� � e ��— 12D 9�I 3 �o o /Z�1s4S Opt �3. http://issgl2/intranet/healthMaster/HealthMasterDetail.aspx?ID=254015 2/10/2016 Health Master Detail Page 1 of IT Logged In As: TOWN\stantond Health Master Detail Wednesday,February 10 2016 Application Center Parcel Lookup Selection Items Reports Parcel I Septic I Perc I Well Fuel Tank Parcel: 254-015 Location: 10 ATTUCKS LANE,BARNSTABLE Owner:MACGREGOR,3 BRUCE TR l Tank 1,1/4/1986 Tank 2,1/4/1986 New Fuel Tank... — Tag number: 00966 — Install date 1/4/1986 J Location: B(Below ground)My Capacity(gallons) : 6000 Construction: FD(Fiberglass Double-wall) v Meets 326-8(d)standards: ❑I Leak detection: ❑ Cathodic detection: ❑ Not in ZOC on Split lot: ❑I Fuel stored:IG(Gasoline)_ Fuel storage reason:113(Business Use) 21 Removal company: Select company Licensed Site Professional: Select name v I Unregistered removal: El Removal date : _ i 0 _ Removal notification date: 2/20/2007 Leakage on removal: ❑ F7777 Abandon date :(— Abandon status: Select.status I Variance date:1-11,117Variance granted: ❑ Release tracking number: — Comments: HYDROSTATIC TANK-GLYCOL WATER. r—Delete Tank u; `. I j Test 1 New Fuel Tank Test j Notification date 9/10/1999 Date �- Result: Select result0 _._._ — Comments: [� Delete Test Save Fuel Tank.Changes Return to Lookup http://issgl2/intranet/healthMaster/HealthMasterDetail.aspx?ID=254015 2/10/2016 Health Master Detail Page 1 of 1 �M- ^ M ''°°`" �x Logged In As: TOWN\stantond Health Master Detail Wednesday,February 10 2016 Application Center Parcel Lookup Selection Items Reports Parcel I septic Perc I Well 1 Fuel Tank Parcel:254-015 Location: 10 ATTUCKS LANE,BARNSTABLE Owner:MACGREGOR,3 BRUCE TR Tank 1,1/4/1986 1 Tank 2, 1/4/1986 New Fuel Tank... —-----J ....._. ........ _ Tag number: 00965 Install date: 1/4/1986 j Location:113(Below ground)�II Capacity(gallons) : 8000 Construction: FD(Fiberglass Double wall) v, Meets 326-8(d)standards: ❑ Leak detection: ❑ Cathodic detection: ❑ Not in ZOC on Split lot: ❑ Fuel stored:I D(Diesel) Fuel storage reason: B(Business Use) Di Removal company:1.Seletcompany 'v Licensed Site Professional:I Select name —,v�, Unregistered removal: ❑ Removal date:F � Removal notification date : 2/20/2007 Leakage on removal: ❑ Abandon date:I� ` Abandon status: Select status Variance date: Variance granted: ❑ Release tracking number. TM Comments: (� HYDROSTATIC TANK-GLYCOL WATER. De"letee nk,<Ta Test 1 New Fuel Tank Test - Notification date : 9/1 011 9 9 9 _ Date:F77777 Result:I Select result MY Comments: Delete Test` �I Save-Fuel Tank,ehanges 71j77RiifLTrn to Lookup FI� c http://`issgl2/intranet/healthMaster/HealthMasterDetail.aspx?ID=254015 2/10/2016 Health Master Detail Page 1 of 1 Logged In As: TOWN\stantond Health Master Detail Wednesday, February 10 2016 Application Center Parcel Lookup Selection Items Reports Parcel Septic Perc Well Fuel Tank Parcel: 254-015 Location: 10 ATTUCKS LANE, BARNSTABLE Owner: MACGREGOR,7 BRUCE TR Well 4/4/2002 New Well... Permit r"ntr j n Issue date : 4/4/2002 Complete date umber: �� � Well type: Select well type '' Destruction permit number: Comments: '� Delete Well monitoring well 11/16/2001;4/4/02 New Well Test... Date: E Result: Select resultE --- Comments: w Save Well Changes ! Return to Lookup f http-,//issgl2/intranet/healthMaster/HealthMasterDetail.aspx?ID=254015 2/10/2016 Date: /0/ /09 TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: uAi 7154-4 AJb )67,/L�� BUSINESS LOCATION: ) 417mczf E P &YivvS1- 631,9 ,Q �/DecGH �® INVENTORY MAILING ADDRESS: R ���= >s TOTAL AMOUNT: TELEPHONE NUMBER: �� .341,K 71 7 4A5 G Go�S CONTACT PERSON: PCm t EMERGENCY CONTACT TELEPHONE NUMBE : MSDS ON SITE? TYPE OF BUSINESS: dH/PPrw4&ar7;wes ewj/A f�t7i ���4t�S tom, VAJ 3-1W.)67e INFORMATION/RECOMMENDATIONS: N-07E 24-r -=xr/N40/S//6es uera Fire District: �/A- . �o vo2c--D RAC S/,uS knld .zFBSoRBQuT /(,¢7MR2 lief©,t1 S.1?F. 1-3A✓ A/ST�BIE �20Dq o/D LiC S� i C40!! ' Pe_, Al ®GS 1Z2) b4q oRst7?vEI�. -)w 7,vz- Two a 7-` 6X-6- /-Z-57V� A-N PAJSt1� Q J �,"0 2—0 7 Waste Trr:f� NIV��3��z�z! Last shipment of hazardous,wa ste � [ Name of Haulers 2 6-W Destination: 3-4F2 y ZL 6rQA)57P,�/5l Waste Product: a« L> PS Licensed? 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 60 r Antifreeze (for gasoline or coolant systems) Misc. Corrosive NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) 15' Hydraulic fluid (including brake fluid) Refrigerants 05 Motor Oils g-miab 10 k&vE Pesticides IT NEW JM LISEJjl�j'0 va�p 17k�sK,�� D a 5P,4c6 (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 ��•S Battery acid (electrolyte)/Batteries 116/eeS 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 re overs, deglossers (including chloroform, formaldehyde, 1(r) eo G,kt l46 c,4PACAq ti,�atKh0C�5 7J Misc. Flammable ,&k8jA_ r wrm—3S-4ku-c" hydrochloric acid, other acids) Floor &furniture strippers wiN /06Ai, 4,T Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil.& stain removers PROAA- le TA-A/,fS_ aSC7> Ta 6P&W krE (including bleach) ME- /1'--oR/CUl� AIeE S T keb 6AJ S/ir Spot removers & cleaning fluids /Af q �i20T� ✓E� (dry cleaners) Other cleaning solvents /6—d Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Number Fee 195 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Sun Leasing Corp/Sun Island Delivery 10 Attucks Way, 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 C^ td f r R, Town of Barnstable Barnstable 4 VE rOwti Regulatory Services Department � o ;aicaCfty • Public Health Division + BARNSTABM ` � 200 Main Street, Hyannis MA 02601 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. 0 �7 DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT `" �"` V NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT U TELEPHONE NUMBER h^� ' '� f d- r7 Z SOLE OWNER: YES NO cz IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDREaS>AF ALL PARTNERS: to c° > 77 1f Q i IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. o y a' b 706 STATE OF INCORPORATION 1 I O�— FULL NAME AND IJOME ADDRESS OF: PRESIDENT �[ . ru U TREASURER O CLERK S NAT RE OF�A/PP T D RESTRICTIONS: HOME ADDRESS CP � ! �- / HOME TELEPHONE# le Q:\Hazmat\Haz Mat Application2008.DOC G Contingency Plan for Hazardous Material Management Island Sun Delivery, 10 Attucks Lane, Barnstable, MA Spills within the building that do not impact soil and/or groundwater do not require notification. Any spills of 10 gallons or more that enter the ground must be reported immediately to the MA DEP(within 2 hours),Town of Barnstable Board of Health and Fire Department(within 1 hour). Any spill of diesel fuel or waste oil should be brought to the . immediate attention of the Facility Manager. All spills of oil or fuel should be cleaned up immediately. Board of Health: 508-862-4644 Fire Department(Barnstable Village): 911 DEP Contact Number: 888-304-1133 Barnstable Water Company: 508-362-6498 SITE CONTACT Named and OFFICE NUMBER: Robert Buckley-508-362-2721 ALTERNATE CONTACT NAME AND NUMBER: Michael Bearse-774-368-0325 Any spills of diesel.;fuel requiring notification to DEP also requires calling a Licensed Site Professional and/or spill cleanup contractor. Environmental Compliance Services 607 North Avenue,Suite 111,Wakefield,MA 01880 Business hours: 781-246-8897 After hours: 800-789-3530 Cleanup: A spill cleanup kit is located in the shop. The kit contains absorbent booms, socks and pads to contain and absorb spilled oil. Use the booms to contain the lateral extent of the spill and absorbent pads to capture any oil caught behind the booms. Replenish the spill cleanup kit, as appropriate, and prepare an entry in the spill log located in the main office for any spills requiring notification. Storage/Maintenance: Diesel fuel is stored in two(6,000& 8,000-g)double-walled underground storage tanks (USTs) equipped with leak detection. The area around the dispenser is paved, and no catch basins are located in proximity to the UST/dispenser area. The spill containment system for the USTs consists of a glycol fluid in the interstitial space of the UST system that is maintained at a positive pressure relative to the UST contents by a reservoir located in the shop. The fluid reservoir is equipped with an alarm that can be tested. As part of this plan, the fluid reservoir alarm system should be checked periodically and the fluid reservoir examined for evidence of significant fluid loss, and the inspection should be noted on the inspection log located in the office. Small amounts of lube oil are handled in the shop area. No floor drains or catch basins are located within or immediately outside the shop. Waste oil is temporarily stored in 55-gallon drums, and the material is used to fuel a licensed oil burner. The oil storage areas should be inspected periodically, and the results of the inspection noted on the log located in the office. town of Barnstable Find Map/Parcel 254015 z r Health®epartmen#Health System ?� aHut uy MaplPaicei 254015 i,._ �� � � � w. 0 ` - Tank�Nbr 01 g Nbr 00966lnstailetl 01/04/1986 Location B s` =b T t Nottficat on Date 09/10/1999 Status Date Removal Notificatioir n Date: # 01/05/2006 s � 01, � r Ja y t r � l7emoVa)5,17 s w ;y : Variance """ y �.......... v sa Y� Fuel Stored FueixStorage Reason B� Capacity C s ucttonMooe Detection Cathodic Detection StorageTanklnfo� 006000 FDRK �AdditionalDetails��� ",HYDROSTATIC TANK GLYCOL WATER. ��� r , ,,. s „ o. 4 to,'y "4cl u �� Town of stab nle Fintl Map%Parke 254015 � � I ; ¢ Heait BarDepartment Health System �x # HMV , iow �AAapIPa cei 254015 x .; . r Tank Nbr44 ti 02 ,TagNbr 00965 y IgStalietl 01/04/1986 Location y �� Test Notification Date 09/10/1999 ? � ,�,,��,� �.;� � Status� pate� RemoveN tificatlon©ater 01/05/2006 �� ty i '00 jk Fu�ela5tored D FueixStora Reason 'B FT ga'� a �� � Capacity C ; s ct►on teak®etection Cathotl�c DeteC#ion Story a Tank Info 008000 '' =D I � Ad itional°Details HYDROSTATIC TANK GLYCOL WATER i -From: 01/18/2006 10:00 #019 P.001/001 ENS U" Environmental Sofutions for Business January 18,2006 By Facsimile(508-790-6304) &Certified Mail 7004 2510 0000 0685 6947 Mr. Thomas A.McKean,RS, CHO Town of Barnstable Public Health Division 200 Main Street Barnstable,MA 02601 Subject: Request for Hearing UST removals (No, 1 and No. 2) Island Sun Nominee Trust Hyannis,MA Dear Mr.McKean: This letter is written on behalf of Island Sun Nominee Trust. The purpose of this letter is to request a hearing concerning the order dated January 5,2006 by the Board of Health to remove the two underground storage tanks at 10 Hadaway Road. The letter ordering the UST removals was not sent by certified mail or by other means that would suggest an urgent response. Accordingly,because the principals of Island Sun Nominee Trust were on holiday,the letter was not opened and reviewed until January 17, 2005. Calls placed to your office in the past 2 days seeking information concerning the order and hearing process were not returned. Please contact the undersigned at 978-670-0755 with a hearing date and so that we may discuss the process. Sincerely, ENSOL,Inc. ;OfmasP. y Executive Vice President cc Island Sun Nominee Trust/Sun Island 100 Treble Cove Road, Billerica,MA 01862 (978)670-0755 FAX:(978)670-0767 - I Number Fee 860 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Sun Island Delivery 10 Attucks Lane, 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, 2008 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN SUMNER KAUFMAN,M.S.P.H. 7/1/2007 PAULJ. CANNIFF,D.M.D. THOMAS A. MCKEAN,R.S.,CHO Director of Public Health IIw k1 r 1. Town of Barnstable - Regulatory Services Thomas F. Geiler,Director HA8` g Public Health Division � a Thomas McKean,Director _ 200 Main Street, Hyannis,MA 02601 Officc: 508-362-4644 Fax: 509;790-63*1 Application Fee: $100.00 N � c� rn ASSESSORS MAP AND PARCEL NO. DATE a co APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT � J NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT IV TELEPHONE NUMBER_ S '_ o� 7 2-� SOLE OWNER-.-I/—YES NO 'IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. 0 qa` -7 l CO 70 STATE OF INCORPORATION i r L GA FULL NAME AND HOME ADDRESS OF: X(66Pj PRESIDENT . , rt(( TREASURER 0 ga CLERIC r 'C =N�o SIGNATURE bF APPLIC P RESTRICTIONS: HOME ADDRES DG� HOME TELEPHONE # 22 Zoo/l00 12 SNVdi-Nns H W 9680S1 xvi LV:VL LOOZ/9Z/90 1.N. ISLAND DELIVERY Route 132, DRAWER "W,,, Hyannis, Ma 02601 Tol. 362-2721 or 1-90-6.2 ',134 June 26,2007 Town of Bamstable Public Health Division 200 Main St Hyannis,MA 02601 Please find enclosed our W 19515 for the hazardous permit fee.We Have hired the firm of Enrol to do our conftecy plan that they estimate will be completed by mid July. I will forward a completed copy to you as soon as I receive it sincerely, /11/w . Bruce MacGregor Z00/zoO18 SNV81-Nns Z8vvZM031 xvi �t:tL L00Zf9Z190 xi ISLAND DELIVERY Route 132, DRAWER "W", Hyannis, Ma 02601 • Tel. 362-2721 or 1-800-622-1300 June 26,2007 Town of Barnstable Public Health Division 200 Main St Hyannis,MA 02601 Please find enclosed our ck# 19815 for the hazardous permit fee. We have hired the firm. of Ensol to do our contingecy plan that they estimate will be completed by mid July. I will forward a completed copy to you as soon as I receive it. Sincerely, I�WuAac .Bruce MacGregor meµ: 00 t Sl > Q D .. W W f"' � rn Town of Barnstable r . �oFz rM Regulatory Services Thomas F. Geiler,Director r. + ' 8 ; ' Public Health Division '�enanA+" 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 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN I t t GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT AA-- .10 TELEPHONE NUMBER 50 'z�' SOLE OWNER:—k/—YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. C, LIO 1 �° 70 a STATE OF INCORPORATION (� CA— FULL NAME AND HOME ADDRESS OF: (6 6117 7 PRESIDENT ✓, r�1 S SG� / (' TREASURER 0 G CLERK 1'0-iQL SIGNATURE OF APPLICA RESTRICTIONS: HOME ADDRE 3cv G D(,71 HOME TELEPHONE # � Number Fee 860 THE COMMONWEALTH OF MASSACHUSETTS $10o.00 Town of Barnstable Board of Health This is to Certify that Sun Island Delivery 10 Attucks Lane, 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, 2007 unless sooner suspended or revoked. ---------------------------------------- - WAYNE MILLER,M.D.,CHAIRMAN SUMNER KAUFMAN,M.S.P.H. May 24, 2006 PAUL J. CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health e ' I P� Town of Barnstable �oFSH�r Regulatory Services fJ�� /�J /(/n JJ 'J J�410l Thomas F. Geiler,Director L 1 *" Public Health Division 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 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT D«M rAG' t I 1 NAME OF ESTABLISHMENT Cv S C(/Yl d I ADDRESS OF ESTABLISHMENT �� w TELEPHONE NUMBER -SOLE OwNER:-2�YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: - - Ai IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. —W STATE OF INCORPORATION (ti FULL NAME AND HOME ADDRESS OF: PRESIDENT -Lk 5t,vv TREASURER 5'Y 0. CLERK ` SIGNATURE Of OLE T y, RESTRICTIONS: HOME ADDRESS HOME TELEPHONE Haz.doc,'wp/q 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 FAXED 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 at 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. . ♦ 1 • .of For further assistance on any item above, call (508) 862-4644 Back to Main Public Health Division Page b Town,of Barnstable °Ft r Regulatory SeAgeP 8AR Thomas F. Geiler,PIMT15Mr 4S TABLe. 9BAMSrABM MAS& � Public Health Divi039. sion P 5. 0 (O '°rFc tiu►+°' Thomas McKeam-Director 200.Main Street, Hyannis,MAC 41 Office: 508-862-4644 Fax:..508-790-6304 Application Fee: $100.60 , ASSESSORS MAP AND PARCEL NO. DATE d�J APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT .L Ll/V (%� _ l NAME OF ESTABLISHMENT CA , ADDRESS OF ESTABLISHMENT 10 0-tA Gk S L..1 A/ —L, TELEPHONE NUMBER U N I � � SOLE OWNER: YES NO cz IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF�ILL PARTNERS: , --s Q0 P; ry r rn IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. I D'—716 7&o STATE OF INCORPORATION ► "�� FULL NAME AND HOME ADDRESS OF: GG PRESIDENT -7-2, r V—N\Gk-C TREASURER . CLERK U SIGN OF APP I RESTRICTIONS: HOME ADDRESS � HOME TELEPHO # Haz.doc/wp/q hL 0 90 180 scale P=90' ♦`�` ` - -MSTAR ��v - - _ - _ _ Easement - - ' - - - estimated ` \ \ \ .� + MW-24 ♦ �Qa°� \ Golf Course MW-23 BMW-24D2 �a`e�co♦ \ Superintendent's MW-24D1 MW-25 aa�o House ♦ Ss�° temporary Pece W-15 '_01 well point refusals + ♦♦ ♦ ♦ NSTAR MW-I6 \ + MW-14 ♦Easement HWH-3 HWH-6 MW-12 MW-11 `� \j stimated) \ MWd3 " - 1 . Golf Course\ ' �' ft maintenance MW-4,MW-4D1,MW4D2 \ arage \ M22 HWH-5 ♦` ` \\ 1 MW 7 ' unpaved \\ W_ -�-� �. — MW-9,MW-9D1,MW-9D2 Key \\ MW-19 MW 18 ♦ — MW-10,MW-10D1 .�. property \\\ , ; -�- MW-20 \ boundary \ \ / paved N '�o, electric poles .\\\\ / �'�M W-M) �- MW-21 \\ + monitoring wells \\ ♦ I MW + STs \I \ \ ♦ �� dispense MW-61 -- disposal site II Mv� Sun Island 1 1� Terminal I l I Tttl�V Septic potable I Systeht water well \ \♦ paved unpaved ♦ l MW-5 I 1 I \ \. \ I 1 1 \ \ +MW-7 I \ \ I I \ I % \♦ Rte 132 Old Rte 132 Hadaway Road ENSOL, Inc. Figure 3.1: Monitoring Well.Locations Based upon Town of Barnstable 1 V _ p Class B 1 RAO TN 4-165 7 - 9 10 HadawayRoad, Barnstable, MA Assessor's Map#254 .FebruafY 2005 0 � � � � i Cam. �yy (//%®q A-V_� 4ev .. .t-,_-�.p .. .... ., FO Q 1,�l!) O . \\ I \� ECG 8/ -49 �a /0, n Ml N� .r2°� � IS0 09o/ 0 TA4y EL Tom EL.11.2 \ � 1 � RROPOSED 00� ssessor's map and lot numberP�...... •••.••••••• 'SEPTIC SYSTEM MUST BE INSTALLED IN COMPLIANCE PP WITH ARTICLE II STATE_ Sewage Permit number............ 1. ..:......:....... SANITARY CODE AND TOWN GU °`THEt TOWN OF BARNST.�iIBLLATIS, rd . Z 89H39TA33M i NAM. .�0� BUILDING . INSPECTOR �o m p' APPLICATION FOR PERMIT TOiamie. ................./ .�� ......................................................... TYPEOF CONSTRUCTION ................t Zee ........................................................................................ .......................... ...,9 TO THE INSPECTOR OF BUILDINGS: _ The undersigned hereby applies for a permit according to the followi information: VZ-07- #off �ffVA1,K �i �4-.nJ �-.e./jLL Location ......... ................................. ................................. ...........:........ ..........................................................:....... venrYnwc Diagram of Lot and Building with Dimensions Fee ................. ....... .:................ SUBJECT TO APPROVAL OF BOARD OF HEALTH I , �d r h . :< _ . �- .- - �.�I w4. elk tw I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name''I`j %. .. . 9IOZ/9I/Z I—bas8LZ09ZZ=it!ddnuL xdse-lI." old/n�z dold/oun.qut/ZIbssl//: 4 TOWN OF BARNSTABLE t;. LOCATION t UtzC Ave SEWAGE#.OIC6#`y3o VILLAGE C �erv.��e . ASSESSOR'S MAP&LOT a;Z -� INSTALLER'S NAME&PHONE NO. '�� SEPTIC:TANK CAPACITY..,Z Po t? 1� X `L,EACHIIVC FACII:ITY;(type)�o.s"�S . fit. (size) NO.OF BEDROOMS&•__ BUILDEROR9/W�NER PERMTTDAM �1u C�iTCOMPLLANCE DATE.. w _ Separation I ,Betweeii-the " I'. Maumum Adjusted Groundwater Table and Bottom of I eachurg`FaciLty :Feet m r Prnyate Wator Supply Well and Leaching Facility (Tf any wells eust' i f t a: x �� on site or wittun 200 feet of leach""facthty):� any Edge of Wetland and Leach"g FactLty(If any well' al z ands east 300 feet of leaclung'fac�Lty)' � ��, , � i Feet ��I Furtushed,by tcrr�+rl""�ansyrr' g"� =` 'ir ±J ,.rks,z,,,+Rr>�5.�-'vt3warw.,�+�:�w.•.+ieau�Kzs? 1��5 r y s tt.. �r �y r�4 �� . _ i \ A3 . ag 7 Rq . a a 5' I3o I 32nd llingsd r LC L'�An6N /9o? G f c,*-7—&4,ej&1UV SEWAGE# 1`610 VILLAGE C�ii.�r%ri2y�%�F ASSESSOR'S MAP &LOT- r INSTALLER'S NAME&PHONE N0. M t~e� :sl - L(c�-8SdOi SEPTIC TANK CAPACITY /tea o s,9 I, 7-Q d LEACHING.FACILITY: (type) /T2e3°��^ �X13�' (size) NO.OF BEDROOMS BUILDER OR OWNER C A I�tQ r�s PERMUDATE: g ~99 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by q � 1 ,•o:�..�.art I TOWN OF BARNSTABLE LOCATI6N VIT LACE ASSESSOR'S MAP & LOT 0 0 a 9 Y INSTALLER'S NAME.,& PHONE NO. Ae-N C_.on,57 SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (Size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATERPvb �- I BUILDER OR OWNER ,19 bo i DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No \ r � ,. DO°+ 1"Po0,Ai477A E 1 �� I n J �GQ Vh J oO,$T s- 0 90 180 scale P=90' . �V _ Easement ; \ - - - (estimated) �� \ MW-24 Golf Course MW-23 MW-24D2 Superintendent's MW-24D1 W-25 House temporary cGess`oaa \ well point refusals -+ \-+- 15 NSTAR \ — _ MW-16 \ MW-14 -+- Easement \ HWH-3 HWH-6 MW-12� MW-11 `� stimated) / \ MW=13 < t Golf Cours\ ' 4- \ t maintenance \ MW4,MW4D1,MW-4D2 age M)N&22 HWH-5 ♦ unpaved MW 7 W -iF- MW-9,MW-9D 1,MW-9D2 Key MW-19 MW 18 ♦ • — MW-10,MW-IODI property \� — �r MW-20 � a • boundary / paved N / MW-10 electric poles \ ; -�- MW-21 MW-lam • �- monitoring wells \ 1 Mw 2� • STs \1 \ \�.� - > dispense MW- 61 -- disposal site I -�- Sun Island 1 MW-3 1F-1 Terminal i I Title V Septic potable I Syste)n water well I paved unpaved 1 �. 1 I MW-5 1 I I 1 1 1 \ BMW 7 I 1 � I 1 0 . I 1 Rte 132 Old Rte 132 Hadaway Road ENSOL Inc Figure 3.1: Monitoring Well.Locations N Class B-1 RAO, RTN 4-16597 Based upon Town of Barnstable 10'Hadaway.Road, Barnstable, MA Assessor's Map_#254 Februafy 2005 r 0 26 52 approximate scale 1"=26' golf course M -12.' maintenance garage , WH-5 • 38(MW-11 �(HWH-3 38( MW-4D MW-4Da MW-13 MW-4 i disposal site boundary MW-22 HWH- i. property li � MW-17 MW-9D1 MW-10D1 (approkimate) tom ( ( MW-8 MW-9 MW-10: MW-18 , MW-9D2 M W-20 • r , MW-21 MW-1 D • • X • MW-1 ; � • I • MW-2 USTs&Disp nser MW-3 Sun Island Terminal ENSOL, Inc. Figure 3.2: Blowup of Disposal Site Class B-1 RAO, RTN 4-16597 N Depicting Monitoring Wells 10 Hadaway Road, Barnstable, MA Based upon Town of Barnstable February 2005 Assessor's Map#254 ENSOL Environmental Solutions for Business March 1, 2005 Certified Mail —Return Receipt 7004 0750 0003 0651 3702 v Mr. John Klimm,Town Manager Town of Barnstable 367 Main Street \ a Hyannis, MA 02601 tj Subject: Notice of Response Action Outcome 10 Hadaway Road, Hyannis; DEP RTN 4-16597 �� S Tier 1C Permit#W031361 I Z•� I�o1 Dear Mr. Klimm: On behalf of Island Sun Nominee Trust as owner of the above'referenced property, and in accordance with §40.1403(3f)of the Massachusetts Contingency Plan (310 CMR 40), the purpose of this letter is to inform the Town.of Barnstable of the issuance of a Class 13-1 Permanent Solution Response Action Outcome (RAO) for the above referenced disposal site. The RA Statement and other documents describing the investigation of the disposal site are on file for public review at the Massachusetts Department of Environmental Protection (DEP) Southeast Region Office at 20 Riverside Drive,Lakeville,telephone 508-946-2718. For your convenience, please find attached a Summary and figures depicting the sampling locations. Please contact the undersigned with any questions regarding this letter. Sincerely, ENSW, Inc. omas P. Army President cc: Island Sun Nominee Trust • DEP Southeast Region Office Tom McKean, Director, Board of Health 200.Main St, Hyannis • Jon Erickson, Superintendent, Barnstable Fire District Water Dept 100 Treble Cove Road, Billerica,MA 01862 (978)670-0755. FAX:(978)670-0767 f 5 ENSOL, Inc. §1.0„ Summary The Barnstable Fire District(BFD) has two water supply wells adjacent to the Hyannis Golf Course in,Barnstable, MA, and as part of the management of these water wells,BFD periodically tests groundwater at sentinel wells located on the golf course. In the summer of 2001,MtBE, a gasoline additive; was identified in sentinel well HWH-5, which is located adjacent to the 10 Hadaway Road property. An underground storage tank(UST)used to store gasoline was located approximately 160 feet away from the sentinel well on the 10 Hadaway Road property. The UST was installed in 1986 with a second UST used to store diesel fuel; the USTs were of double- wall, fiberglass construction and were equipped with a leak detection system. A loss of product from the USTs would have been evident, and no such evidence was observed. Nevertheless, the Department of Environmental Protection (DEP) issued a Notice of Responsibility (NOR)to Island Sun Nominee Trust,owner of the 10 Hadaway Road property, in connection with the MtBE release. In the late-fall of 2001, the gasoline transfer_lines were upgraded from a single-wall fiberglass pipe to a triple-walled pipe with a sump at the UST; a sump was also installed beneath the dispenser. The lines were tightness tested and found to be tight. In the fall of 2002,Island Sun Nominee Trust discontinued the use of the UST for gasoline storage;a revised FP-290 to that effect was provided to the Barnstable Fire Department. No substantial amounts of gasoline are stored at the 10 Hadaway Road property. A soil and groundwater investigation began in the late-fall of 2001 to identify any soil contamination that may be acting as a source of the observed MtBE, and to assess the extent of MtBE impact._'Over the.course of the next 2 years, 5 soil borings were advanced around the UST system-and approximately 10 advanced down gradient of the system with soil sampling. No evidence of significant soil contamination that might be causing the observed MtBE was ever found. Thirty-three groundwater monitoring wells were installed as part of the assessment of the extent of contamination. Monitoring wells were installed at multiple depths to assess the potential for vertical migration; monitoring wells were.installed on the 10 Hadaway Road property and on the Hyannis Golf Course to identify the extent of contamination. The groundwater study within 1-year of the NOR identified a fan-shaped area approximately 160 feet long and approximately 50 feet wide emanating from the UST area where MtBE was observed in groundwater. This area is identified as the disposal site. Testing down gradient of this area as part of the Phase II assessment did not identify levels of MtBE in groundwater, and testing at depth in the aquifer did not identify evidence of vertical migration of MtBE-containing groundwater within the disposal site. Once the UST transfer lines were upgraded,levels of groundwater MtBE began to drop exponentially, and within approximately 1 year of the upgrades, levels of groundwater MtBE were below the Massachusetts Contingency Plan (MCP) cleanup standards. EN50L—Environmenta(Sofutions for Business ENSOL, Inc. A Phase II Scope of Work was submitted to DEP with a Tier 1C Permit application in October 2002. The Tier 1 C Permit^031361) was granted on March 3, 2003. The Phase H Scope of Work proposed sampling down gradient of the MtBE-impacted area P P g g P (disposal site) to assess whether the plume was migrating toward the BFD well field, and to perform further evaluation of flow paths within the disposal site. Periodic monitoring of the existingwells was also proposed. P P During 2002-2003,the Phase H monitoring wells were installed and tested. The temporary well points proposed for use beneath the NSTAR overhead power lines could not penetrate a layer of cobbles; otherwise, all of the proposed Phase II work was completed. No evidence of down gradient migration of MtBE from the area of impact was identified, and continued monitoring of the disposal site groundwater demonstrated that the levels of MtBE were continuing to decrease. For the past several years, levels of groundwater MtBE at the disposal site have been below the Method 1, GW-1 and Method 1, GW-3 cleanup standards. This Phase II Comprehensive Site Assessment Report documents the Phase II activities as well as summarizing and updating all of the work.performed as part of the Immediate Response Action and the Phase I—Initial Site Investigation. The risk posed by the observed soil and groundwater contamination was evaluated using a Method 1 risk characterization, which concluded that a Condition of No Significant Risk existed in connection with the disposal site. A Notice of Activity and Use Limitation was not required to reach that conclusion. Therefore, a Class B-1 Permanent Solution Response Action Outcome (RAO)is being submitted to the Department of Environmental Protection with a copy of this report. In the opinion of ENSOL, Inc.,no further assessment or remediation of the MtBE release from the former gasoline.UST system at 10 Hadaway Road is required, EN50L-Bnvironmental Solutions for Business n 11 1 • t w b� \ AOr ut basema.pAgn W31/200410:10:18 AM irorrn a� is1 I MN OF SW4TAKE arr sMnD aepoNs«�b ., EN�d T OF" lC w�+d�6•i+r0�ape�er�t'iYa�t �.' �B1 MAIN SIREET �a1s11oe�e1 W hyMgei ab sr arAM W%VA 02601 Town. of Barnstable �T►+E Regulatory Services e Thomas F. Geiler,Director OV Public Health Division 9 '°TEo °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. DATE ��v APPLICATION.FOR PERMIT TO STORE.AND/OR UTILIZE MORE THAN. 111 GALLONS.OF.HAZARDOUS MATERIALS FULL NAME OF APPLICANT 5 1 du, rrn. NAME OF ESTABLISHMENT 6 ADDRESS OF ESTABLISHMENT TELEPHONE NUMBER ��C6 (P SOLE OWNER: V YES NO `'��` C�� IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS O ALL PARTNERS: o j� yO AST�e�F IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. D STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT -T, P�f V. TREASURER .J. � � /CLERK 1D 3 � -7 SIGI AT OF APPLICANT RESTRICTIONS: HOME ADDRESS/ �` /'"� HOME TELEPHONE# Haz.doc/wp/q 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 thandle hazardous waste spills, etc). In addition, please mail the required fee amount of$160.00. 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 TOWN OF BARNSTABLE Date: 7 1 .2 / 0 TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: fie • BUSINESS LOCATION, INVENTORY MAILING ADDRESS: `' TOTAL AMOUNT: TELEPHONE NUMBER: O g ' 3 6 2- - 277 2- 1 Ll I Q I gAAo77S CONTACT PERSON:— 62�� ECL�e_ I EMERGENCY CONTACT TELEPHO NUMBER: 5 09 - ELM MSDS ON, SITE? TYPE OF BUSINESS: 42��� ( INFORMATION/RECOMMENDATION 1-6-QefA &ee- Fire District: © e-�n S '6 0-erl %o t��� S 5 �' e P�YtRvJ e->�vt- � �,2 �° s--/i 0 y Wa a Transportation:. Last shipment f hazardous waste: Name of Haulers - Destination: Waste Product: NC 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. 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 60NEW SI�SED Cesspool cleaners D Automatic transr>'ii'ssion fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides 5lEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) U iesel Fuel, kerosene, #2 heating oil NEW USED �Z 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 Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's O Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) NEW USED Any other products with "poison" labels I 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 Date: 7 / 2 / 6 cY TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: C-e • BUSINESS LOCATION: ® INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: O 9 s 3 Co Z - 2- Z 1 9rzll�»5 CONTACT PERSON: EMERGENCY CONTACT TELEPHO NUMBER: 5-0 - CI L157- 179S /MSDS ON SITE,? TYPE OF BUSINESS: jqry Z 0 INFORMATION/RECOMMENDATION _ �- - �'e-- Fire District: s kae _.._. s " -b t s WA5 e e419A`' s�! Wabfe Transportation: - = Last shipmentlfehazardous.waste: 5W-0 Y Name of Haulers - w Destination: Waste Product: C Licensed? Ye No Ny OTT : 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 600 5 �1 SED Cesspool cleaners Automatic traLi nsifii'ssion fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides SVEW USED (insec'ticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) O iesel Fuel, kerosene, #2 heating oil NEW USED 2- aA 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) Caul Grout Swimming pool chlorine �- 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 O 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) 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 REGISTRATION FORM ,r DBA: Sun Leasing Corp. fax: _ corp name: Mail Addr: location: 10 Hadaway Road,Hyan 11 nis street: 10 Hadaway Road mappar: city: Hyannis contact: state: Ma telephone: 508-362-2721 zip: 02601 emergency: SDg 9LJ�5; 1 "7 W ,person interviewed: Business: _ >I�nspection date 1: Y " -— t• category: �. ..... i inspection date 2: type: 4UA�14 a inspection date 3: public water ❑ indoor floor drains ❑ outdoor surface drains license required S El private water ❑ indoor holding tank mdc El outdoor holding tank mdc ❑d currently licensed / � Mown sewage ❑ door catch basin/d ell ❑ --- -- �J g m �yw outdoor catch basin/drywell ex 5/30/2004 El date:on-site sewage ❑ indoor on-site systj ❑ outdoor onsite system .. --- compliance: incomplete 1 � I s RF v Page 2 Town of Barnstable-Health Department HAZARDOUS MATERIALS REGISTRATION FORM 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 1: CA tavN Y'Q,4� S waste transporter 2: 624, fly �..._ ' COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION SOUTHEAST REGIONAL OFFICE s 20 RIVERSIDE DRIVE,LAKEVILLE,MA 02347 508-9 6s2700 EIE �6 MITT ROMNEY ELLEN ROY HERZFELDER Governor 2003 Secretary KERRY HEALEY Lieutenant Governor RNSTP'BLE EDWARD P.KUNCE DEPT: - Acting Commissioner February 25 2003 Paul DeRuyter, Trustee RE: BARNSTABLE-BWSC/SMP RTN 4-16597 Sun Island Transport 10 Hadaway Road 10 Hadaway Road TRANSMITTAL #W031361 Barnstable Massachusetts 02601 NOTICE OF PERMIT EFFECTIVE DATE Dear Mr. DeRuyter: Enclosed please find the first page of the Permit that you accepted and signed for the above- referenced site indicating the Permit's effective date of March 3, 2003'and expiration date of March 3, 2008. The effective and.expiration dates are calculated based upon the date the.Department of Environmental Protection, Bureau of Waste Site Cleanup. (the Department), received'the signed Tier IC Permit from you. Please attach this page to the.Tier IC Permit already in your possession. The Department urges you to review and familiarize yourself with the terms and conditions of the Permit and the Massachusetts Contingency Plan (MCP), 310 CMR 40.0000 et seq., in order to complete the required response actions within the timelines set forth therein. Failure to comply with the deadlines in the Permit and-MCP may result in the Department taking•enforeement actions against you,including, but not limited to,the assessment of Administrative Penalties. Please be advised that if a Response Action Outcome (RAO), pursuant to 310 CMR 40.1000, or Remedy Operation Status, pursuant to 310 CMR 40.0893, can not be achieved at this site prior to the expiration date of this permit, an application for a Permit Extension must be submitted to the Department. Such application must be filed with the Department 90 days prior to the expiration date of this permit. If you have any questions please call Mr. Michael Whiteside at(508) 946-2704. Sincer - 1 @ erard M.R. Martin, Chief ' Site Matiagement&Pe=tting Secti6n �F M/MCW/re This information is available in alternate format.Call Aprel McCabe,ADA Coordinator at 1-617-556-1171.TDD Service-1-800-298-2207. DEP on the World Wide Web: http://www.mass.gov/dep ��r0 Printed on Recycled Paper Barnstable-BWSGSMP RTN 4-16597 Page 2 of 2 Notice of Permit Effective Date CERTIFIED MAIL NO. 7001 0320 0001 4832 6597 Enclosure cc: (without Enclosure) Board of Selectmen 200 Main St. Hyannis,MA 02601 Board of Health 200 Main St. Hyannis,MA 02601 Thomas P. Army ENSOL,Inc. 100 Treble Cove Road N.Billerica, MA 01862 DEP-SERO Attn: Cathy Kiley, Permitting Branch Chief Data Entry s I `* COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION t. _ t SOUTHEAST REGIONAL OFFICE 20 Riverside Drive_ Lakeville. MA L845 94,6— JANE SWIFT BOB DURAND Governor C Secretary 2UREN A.LISS �TN RN'3_r B Commissioner DEPT .CE C (arr November 27, 2002 Paul DeRuyter, Trustee RE: Barnstable-BWSC/SMP RTN 4-16597 Island Sun Nominee Trust Sun Island Transport 10 Hadaway Road 10 Hadlaway Road-t= Barnstable, Massachusetts 02601 TRANSMITTAL 9W031361 INITIAL PERMIT APPLICATION STATEMENT OF ADMINISTRATIVE COMPLETENESS Dear Mr. DeRuyter: The Department of Environmental Protection, Bureau of Waste Site Cleanup (the Department), has completed its Administrative Review of the Permit Application for the above- referenced.site and determined it to be administratively complete. This determination was made on November.27, 2002. Accordingly,the-Department will begin its Technical Review. According to 310 CMR 4.04, the Department now has to complete its Technical Review and issue a fmal decision to grant or deny the permit. The Department may request additional information during the course of the Technical Review. This Initial Technical Review Period(T-1) shall result in either a decision to grant or deny the permit, a proposed permit decision, or a statement of Technical Deficiencies. As a result of the-Public Notice, the Department did not receive notification by any individual of their interest in reviewing and submitting written comments on the permit application. However, the permit application for the above referenced site is now available for review in the Department's Regional Service Center located in Lakeville,.'Massachusetts. Interested parties may refer to 310 CMR 40.1400 for additional public involvement opportunities during the site investigation and remediation process. In a letter dated October 24, 2002, the Department did receive written comments on the site investigation, Immediate Response Action Completion Report and Tier I Permit Application from Mainstream Engineering, Inc. on behalf- of the.Barnstable Fire District's Board of Water Commissioners. The Department will consider these comments.during the Technical,Review Period. This information is available in alternate format.Call Aprel McCabe,ADA Coordinator at 1-617-556-1171.TDD Service-1-800-298-2207. DEP on the World Wide Web: http:/Avww.mass.gov/dep Z"«1 Printed on Recycled Paper f Barnstable-BWSC/SMP RTN 4-16597 Page 2 of 3 Statement of Administrative Completeness Pursuant to 310 CMR 40.0722 (2)(e) and 310 CMR 4.04(2)(b)2.c., if a Statement of Technical Deficiencies is issued, the applicant shall respond to the Department within 30 days of issuance of such Statement of Deficiencies by submitting any additional material to support the application and address deficiencies. Pursuant to 310 CMR 4.04 (2) and 310 CMR 40.0721 (5), a determination of Administrative Completeness shall not constitute any finding with respect to the technical suitability, adequacy or accuracy of the material submitted, and shall be no bar to a request to amend, revise, replace, or supplement such materials based on technical suitability, adequacy or accuracy. The Department may request additional information during the course of the Technical Review. Withdrawal of the permit application shall be subject to the provisions of 310 CMR 4.04 (3) (d). In accordance with 310 CMR 4.04 (2)(f) and 310 CMR 40.0720 (3),the applicant and the .Department may, by written agreement, extend any schedule for timely action or any portion thereof. Provided your application is technically adequate, and none of the contingencies outlined in 310 CMR 4.04 occur,the Department will issue.a final decision within the timeframes listed in 310 CMR 40.0722. You will be entitled to a refund of your application fee should the Department fail to complete its final review of your application and make a decision to grant or deny the permit within these timeframes. If you have any questions,please call Michael Whiteside at(508) 946-2704. Sincerely, 94 erard M. R. Martin, 'ef . Site Management&Permitting Section M/MW/re CERTIFIED MAIL NO. 7002 2030 0006 4996 9470 RETURN RECEIPT REQUESTED cc: Board of Selectmen P.O.Box 34. Hyannis,MA 02601 Board of Health P.O. Box 34 Hyannis,MA 02601 Barnstable-BWSC/SMP RTN 4-16597 Page 3 of 3 Statement of Administrative Completeness cc: Barnstable Fire District P.O. Box 546 1841 Phinney's Lane Barnstable,MA 02630 ATTN: Jon Erickson Thomas C. Sexton,P.E. Mainstream Engineering, Inc. P.O. Box 400 62 Main St., Suite 1 Kingston,MA 02364 Thomas P. Army ENSOL, Inc. 100 Treble Cove Road, Suite#1 Billerica, MA 01862 DEP-SERO Attn: Cathy Kiley,Permitting Branch Chief Data Entry COMMONWEALTH OF MASSACHUSETTS E EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT-OF ENVIRONMENTAL PROTECTION SOUTHEAST REGIONAL OFFICE 20 Riverside Drive_ Lakeville. MA 02347 503 946-2700 JANE SWIFT BOB DURAND Governor Secretary LAUREN A.LISS Commissioner (� November 27,2002 Paul DeRuyter, Trustee RE: Barnstable-BWSC/SMP RTN 4-16597 Island Sun Nominee Trust t;Sun Island Transport,,. 10 Hadaway Road 10 HatlawayZoad Barnstable, Massachusetts 02601 TRANSMITTAL #W031361 INITIAL PERMIT APPLICATION STATEMENT OF ADMINISTRATIVE COMPLETENESS Dear Mr. DeRuyter: The Department of Environmental Protection, Bureau of Waste Site Cleanup (the Department), has completed its Administrative Review of the Permit Applirmcation for the above- referenced site and determined it to be administratively complete. This deteination was made on November 27,2002.�Accordingly,the Department will begin its Technical Review. , According to 310-CMR 4.04, the Department now has to complete its'Technical Review and issue a final decision to grant or deny the permit. The Department may request additional information during the course of the Technical Review. This Initial Technical Review Period(T71) shall result in either a decision to,grant or deny the permit, a proposed permit decision, or a statement of Technical Deficiencies. As a result of the Public Notice, the Department did not receive notification by any individual of their interest in reviewing. and submitting written comments on the permit application.- However, the permit application for the above referenced site is now available for review in the Department's Regional Service Center located in Lakeville, Massachusetts. Interested parties may refer to 310 CMR 40.1400 for additional public involvement opportunities during the site investigation and remediation process. . In a letter dated October 24, 2002, the Department did receive written comments on the site investigation, Immediate Response Action Completion Report and Tier I Permit Application from Mainstream Engineering, Inc. on behalf, of the Barnstable.Fire District'.Board of.Water Commissioners. .The Department will consider these comments during the Technical Review Period. RED WED, . DEC _ 2002 TOWN Or i#AR 4STABLE HEALTH DEPT. This information is available in alternate format.Call Aprel McCabe,ADA Coordinator at 1-617-556-1171.TDD Service- =800-298--2207. DEP on the World Wide Web: http://www.mass.gov/dep Za Printed on Recycled Paper f Barnstable-BWSC/SMP RTN 4-16597 Page 2 of 3 Statement of Administrative Completeness Pursuant to 310 CMR 40.0722 (2)(e) and 310 CMR 4.04(2)(b)2.c., if a Statement of Technical Deficiencies is issued, the applicant shall respond to the Department within 30 days of issuance of such Statement of Deficiencies by submitting any additional material to support the application and address deficiencies. Pursuant to 310 CMR 4.04 (2) and 310 CMR 40.0721 (5), a determination of Administrative Completeness shall not constitute any finding with respect to the technical suitability, adequacy or accuracy of the material submitted, and shall be no bar to a request to amend, revise, replace, or supplement such materials based on technical suitability, adequacy or accuracy. The Department may request additional information during the course of the Technical Review. Withdrawal of the permit application shall be subject to the provisions of 310 CMR 4.04 (3) (d). In accordance with 310 CMR 4.04 (2)(f) and 310 CTTAR 40.0720 (3),the applicant and the Department may, by written agreement, extend any schedule for timely action or`any portion thereof. Provided your application is technically adequate, and none of the contingencies outlined in 310 CMR 4.04 occur, the Department will issue a final decision within the timeframes listed in 310 CMR 40.0722. You will be entitled to a refund of your application fee should the Department fail to complete its final review of your application and make a decision to grant or deny the permit within these timeframes. If you have any questions,please call Michael Whiteside at(508) 946-2704. Sincerely, erard M. R. Martin, 'ef Site Management&Permitting Section M/MW/re CERTIFIED MAIL NO. 7002 2030 0006 4996 9470 RETURN RECEIPT REQUESTED cc: Board of Selectmen P.O. Box 34. Hyannis,MA 02601 Board of Health P.O. Box 34 Hyannis,MA 02601 r� Barnstable-BWSC/SMP RTN 4-16597 Page 3 of 3 Statement of Administrative Completeness cc: Barnstable Fire District P.O. Box 546 1841 Phinney's Lane Barnstable,MA 02630 ATTN: Jon Erickson Thomas C. Sexton,P.E. Mainstream Engineering,Inc. P.O.Box 400 62 Main St., Suite 1. Kingston,MA 02364 Thomas P. Army ENSOL, Inc. 100 Treble Cove Road, Suite#1 Billerica, MA 01862 DEP-SERO Attn: Cathy Kiley, Permitting Branch Chief Data Entry TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair P-11V P satisfactory 2. Printers BOARD OFMP-Tr" 3.Auto Body Shops �L 4 O unsatisfactory- 4.Manufacturers COMPANY n -1-5[G[�a� �ei�,��zy (see"Orders") 5. Retail Stores �,, ` �J^ 6.Fuel Suppliers ADDRESS Ct (�l> > y7LVN L Class: 7.Miscellaneous )6HAb4 `!Rb CP( O 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) �5 . new motor oil (C) X transmission/hydraulic Synthetic Organics: degreasers _ 1 S� y� x Miscell eous: Qej x DISPOSAL RECLAMATION REMARKS: - 1. Sanitary Sewage 2. t W-1 (I /_�S�) W ter Supply I O Town Sewer ublic f � )kDn-site Private -0` 3. Indoor Floor Drains YES N0 O Holding tank:MDC — O Catch basin/Dry well O On-site system W61 A.001 104::ZLIM�s AucdaZ 4. Outdoor Surface drains:YES N0)L Q Holding tank:MDC MLS'Ojg�*'/ &ev,u( E O Catch basin/Dry well _ O On-site system 5.Waste Transporter Name of Hauler Destination Waste � � • . 1. CJ� �7�I Q./ Lgj NO 2. Person(s) Inte ewed Inspector ate Town of Barnstable °FtHE, � Regulatory Services Thomas F. Geiler, Director \ + HA MASS.LE, : Public Health Division 1639.9 MASS. ArEp3.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 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN I I I GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT IL> TELEPHONE NUMBER 5 C�`� (p ~� Z-• SOLE OWNER: YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL P'`D'TNF.R.C- IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. 0(4o�1 l(e-700 STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT MCA L� r (?— &3� TREASURE CLERK 1 SIGN TURF F APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE#_ Haz.doc/wp/q COMMONWEALTH OF MASSACHUSETTS Z EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS m 1 DEPARTMENT OF ENVIRONMENTAL PROTECTION SOUTHEAST REGIONAL OFFICE 20 Riverside Drive, Lakeville, MA 02347 JANE S ��, t- —•, r Governor � ' � � BOB DURAND Secretary `Y LAUREN A.LISS Commissioner April 25,2002 Mr. G. Howard Hayes RE: BARNSTABLE-BWSC/SMP Island Sun Nominee Trust Sun Freight Company Drawer W 10 Hadaway Road Hyannis, MA 02601 RTN 4-16597 IRA STATUS REPORT REVIEW Dear Mr.Hayes: The Department of Environmental Protection, Bureau of Waste Site Cleanup (the Department), has reviewed the above-referenced Immediate Response Action (IRA) Status Report prepared on your behalf by ENSOL, Inc. and dated January 2002. The IRA was conducted in response to a Notice of Responsibility/Notice of Response Action(NOR/NORA) issued on October 1, 2001. The NOR was issued due the detection of methyl tertiary butyl ether (MtBE) in groundwater from a monitoring well (HWH-5) located immediately downgradient of your property. Your response to the Request for Information issued by the Department on April 15,2001, indicates that a gasoline storage tank is located on your property in proximity to,.and upgradient of the monitoring well. Based on this information, the Department has determined that a release of oil and/or hazardous material occurred that resulted in the contamination of groundwater beneath the site. The Department has issued Release Tracking Number 4-16597 for this release. Two of the Barnstable Fire District's public water supply wells, Well #3 and Well #4, are located_downgradient of your property. Therefore, the Department has determined that,immediate or accelerated response actions are necessary to evaluate a potential Condition of Substantial Release Migration, as defined in 310 CMR 40.0006 (Page 1477). In accordance with 310 CMR 40.0412 (3), an assessment only Immediate Response Action (IRA)was conducted to evaluate the condition of Substantial Release Migration. Review of the IRA Status Report and subsequent supplemental investigation data indicates that the MtBE in the groundwater at the site exceeds the Groundwater Category GW-1 standard at MW-1 and MW-4,which were installed between the underground storage tanks,on the property and the existing monitoring well in which MtBE, had been previously detected. Subsequent supplemental investigation has confirmed the Department's position that the underground storage_ tank is a likely source of the MtBE detected in the aquifer. This information is available in alternate format by calling our ADA Coordinator at(617)574-6872. DEP on the World Wide Web: http:/Avww.mass.gov/dep T,�a Printed on Recycled Paper i BARNSTABLE—BWSC/SMP RTN 4-16597 Page 2 of 3 Notice of Responsibility-Notice of Response Action Therefore, the Department requires that the supplemental investigation.be expanded to include monitoring in the direction of the public water supply wells, to verify the nature and extent of the MtBE contamination and to determine whether the release will, within one year, likely be detected in the Barnstable Fire District wells. A plan to scale depicting the existing public water supply wells and associated "early warning" wells installed by the Barnstable Fire District, location of current wells at which contamination has been detected, and proposed monitoring well locations to determine the downgradient extent of contamination should be submitted to the Department. By this letter, the Department provides you the opportunity to perform the necessary response actions_ at the Site, as described herein, in lieu of the Department. If you do not take the- necessary response actions, or fail to perform them in an appropriate and timely manner, ,the Department is authorized by M.G.L. c. 21E to perform the work. By taking such actions in lieu of the Department,you can avoid liability for response action costs incurred by the Department in performing these actions and any sanctions which may be imposed for failure to perform response actions under the MCP as described under the Statuary Liability section of the Notice of Responsibility which you have previously received. If you have any questions regarding the information requested herein or wish to have a meeting to discuss this letter,please contact Ms. Terry Martin at the address above, or by telephone at (508) 946-2765. All future correspondence regarding this release must reference the applicable Release Tracking Number: 4-16597. Sincerely, rard ARM Chief Site Management&Permits Section M/TM/re CERTIFIED M AIL N0. 7001 0320 0001 4832 7006 j RETURN RECEIPT REQUESTED cc: Board of Selectmen P.O. Box 34 Hyannis,Massachusetts 02601 Board of Health P.O. Box 34 Hyannis,Massachusetts 02601 Barnstable Fire District Post Office Box 546 1841 Phinney's Lane Barnstable,MA 02630 ATTN: Jon Erickson r:� BARNSTABLE—BWSC/SMP RTN 4-16597 Page 3 of 3 Notice of Responsibility-Notice of Response Action cc: ENSOL,Inc. 100 Treble Cove Road Billerica,MA 01862 ATTN: Tom Army DEP-SERO ATTN: Mildred Garcia-Surette, Deputy Regional-Director Regional Enforcement Office(2 copies) Data Entry Massachusetts Department of Environmental Management= Office of Water Resources 107993 TYPE OR"PRINT ONLY Well Completion Report, 1.WELL LOCATION GPS (,O`PTIONAL) LATITUDE LQNGITIIQE Address at Well LQcatiort V __ -_Property Own , �U Subdivision Name: ! i Mailing Address: City/Town: Y - ,....� lP. S `�aLe CtylTown: i .�.f 1S 1Yl � �+►� � y Assessors Ma � j Assessors Lot#:._( NOTE..Assessors Map and Lot#mandatory rf no street address available`_P� Boardof Health-permit'obtained: Yes ❑. I��ot Required Permit Number Dateassued 2.WORK PERFORMED 3 PROPOSED USE 4:DRILLtNG°METHOD �I ew Well ❑ Abandon Domestic ❑ Irrigation ❑ Cable uger [ Deepen ❑ Recondition ESMonitoring ❑ Municipal ❑ Air Hammer" 0 Direct Push ❑. 'Replace ❑ Other ❑ Industrial ❑ Other` ❑ Mud'Rota ❑ Other a.WELL LOG Er Unconsolidated Consolidated 6.SITE'SKETCH pemoane�►tIsndmaft with distances) - H Permeability o m m T CD `n � m . Other Rock Type From (ft) To (ft) High how f c x IX --I 7.WELL CONSTRUCTION . !i CASING_ F v Total Depth Drilled f : From ft To ft Casing Material. Siz_e_O.D D..,_ On Well Seal Type Date Drilling Complete ;�� : ; � � �/. 9. SCREEN From (ft) To (ft) Slot Size Screen Type and Material Screen Diameter 10. FILTER PACK/GROUT/ABANDONMENT MATERIAL 11.ADDITIONAL WELL INFORMATION' Developed? es ❑. No From (ft) To (ft) Material Description'o Purpose Fracture /U t Z Enhancement? ❑ Yes *17No -Method Disinfected? ❑ Yes EtL-No 12.WELL TEST DATA(PRODUCTION WELLS) r � 13. STATIC WATER LEVEL CALL.WELLS) ". Yield. Time Pumped Drawdown to. Time Recovery to t Depth Below Date Method (GPM)<,-(his&min) (Ft. BGS) (hrs,&min) (R. BGS) Date Measured, Ground Surface (FT) 14. PERMANENT PUMP(IF AVAILABLE) Y5.NAWIEIADDRE;SS OF PUMP INSTALLATION COMPANY Pump Description Horse wer Pump Intake Depth ,^` 4 (ft) Nominal Pump Capacity. (gpm) 16.COMMENTS `! 1T,.WELL DRILLER'S STATEMENT This well was drilled`and/or abandoned under:my supervision, according to,applicable_rules = t and regulations, and this rep it is complefe and correct to the best of my knowledge. Driller: J �� upervising Driller Si nature: 1 ") Re istration #: �C1 W EeL6L- e�J /�.�-1�(/�9 /.tfC l/ `07l 9 Firm: `S ' ar Date: Rig Permit#: I I I /I NOTE Well Completion Reports must be filed by the registered well driller within 30 days of well completion { w, .' ,.ti . , .. :., L w a B4ARl1 OF'.HEALTH COPYt '> e s . 4 $.R G i ,. e . t i • Y ? d-4 T t - 4 M v s • 4 ;a . . { k 4 4 b s {! ..L! a , { '-S r, i 4 _ Massachusetts Department of Environmental Management Office of Water Resources 110006 PfPE'`09! RINT ONLY Well Completion Report 1.WELL LOCATION GPS (OPTIONAL) LATITUDE' : LONGITUDE Address at Well Location:/U Property Owner: U A[1Z7 v R7/UA[ Subdivision Name: n/ Mailing Address: City/Town: f'r/n rt� City/Town: ,Q AZ AJ/ R � Assessors Ma t €r r'p��Assessors Lot#:�„f NOTE:Assessors Map and Lot# mandatory if no street available Board of Health permit obtained: Yes ❑ Not Required Permit Number Date,Issued 2. WORK PERFORMED 3. PROPOSED USE 4. DRILLING METHOD New Well ❑ Abandon ❑ Domestic ❑ Irrigation ❑ Cable , -,,�` uger � ` ❑ Deepen ❑ Recondition _ onitoring(o ❑ Municipal ❑ Air Hammer °°;❑ Direct Push ❑ 'Replace [--1 Other ❑ Industrial ❑ Other ❑ Mud!Tiota .C] Other - 5.WELL LOG a[ Unconsolidated Consolidated 6.SITE SKETCH(use Permanent landmarks wtth distances} H Permeability T v > From (ft) To (ft) � High Low V inn 0 m Type Other Rock T e o� x � �- hr\A >s . 7. WELL CONSTRUCTION 8. CASING - 1 Total Depth Drilled `. -From (ft) To (ft) 'Casing Type and Material Size O.D. (in) Well Seal Type — Date Drill' g Co plete 3a / d//T -0 9 SCREEN' From (ft) To (ft) Slot Size Screen,//pe and Material Screen Diameter 33 / ' - Ol 0 7�RZ-Q 1TJ Pv e G? 10. FILTER PACK f GROUT!ABANDONMENT MATERIAL : - 11:ADDITIONAL WELL INFORMATION Developed? Yes ❑ No From (ft) To (ft) Material Descriptions Purpose Fracture k5ew Enhancement? ElYes �a7No �r ' Method LL Disinfected? El Yes L'�-No 12.WELL'FEST DATA:(PRODUCTION WELLS) " 11 STATIC WATER LEVEL(ALL WELLS)' Yield `-Time Pumped Drawdown to Time :Recovery to Depth Below Date Method (GPM (hrs'g,min) (Ft. BGS) (hrs & min) (Ft. BGS) Date Me sured Ground Surface (FT) 14.PERMANENT PUMP(iF AVAILABLE} . , : 15.NAMEIADDRESS OPPUMPI INSTALLATION COMPANY Pump Description V Horsepower Pump Intake Depth (ft) Nominal Pump Capacity -gpm) 16. COAIIMENTS 17.WELL DRILLER$STATEMENT =his well was drilled and/ bandoned`under my supervision, according to applicable rules and regulations; and this ort is co I and correct to the best of my knowledge. Registration #:Driller sing Driller Signature, Firm: '� G•�-L �' �L( ���. .Date: OP- Riq Permit#: NOTE Well Completion Reports must be filed by the registered well driller within 30 days of well completion t ^ � a: �r �t a 5, BOARD"OF'HEALTH`COPIt , y5.<st t �e �t� t k4 .-s.ii M _�'c 4ceeak�.c Massachusetts Department of Environmental Management Office of Water Resources 114430 TYPE�ORY'RINT ONLY Well Completion Report 1.WELL LOCATION GPS (OPTIONAL) LATITUDE LONGITUDE f Address at Well Loca' n: '4JAW' O Ulf 1�AIJ r TI� - n_ Property Owner:•. Subdivision Name: (✓ ue jc- 056 Mailing Address: -. City/Town: t-L,oAL Al.I J � City/Town: � u�fi, :sA Assessors Map Assessors Lot#: NOTE: Assessors Map and Lot# mandatory if no t eeUad�dress available Board of Health permit obtained: Yes ❑ Not Require Permit Number Date,lssuedP 2.WORK PERFORMED 3. PROPOSE6 USE 4.'ORILLING METHOD, New Well ❑ Abandon ❑ Domestic ❑ Irrigation ❑ Cable uger- ❑ Deepen ❑ Recondition - onitoring ❑ Municipal ❑ Air Hammer El Direct Push r` ❑ 'Replace ElOther ElIndustrial ElOther ❑ Mud°' iota -_�,❑ Other 5.WELL LOG. cc Unconsolidated Consolidated 6,SITE,SKETCH (usE�perman-intiandmarks with distandes)' W Permeability c > Q ro v CIS From (ft) To (ft) High Low 0 CnCn (D 0 m Other Rock Type .� 701 kfiFt. , 3� 7 WRlLL,,C©NSTRUCn0N. ,:. $. CASING t Total Depth Drilled - • From (ft) To (ft) Casing Typ46d Material Size O.D. (in) Well Seal Type - Date Drilling Complete �� a T�` A E P�� r, .6/V I'--E -30 -o a, S.SCREEN : .v r From (ft) To (ft) Slot Size Screen Type and Material Screen Diameter 10.°FILTER PACK/GROUT l ABANDONMENT MATERIAL 11. ADDITIONAL WELL INFORMATION ' Y Developed? ❑ Yes ❑ No From (ft) To (ft) Material Description,;, Purpose Fracture Enhancement? ❑ Yes o a 7 Eyl<i U�(A�7` C�a,L Method, Disinfected? ❑ Yes (al--No. - t2.WELL TEST DATA(PRODUCTION WELLS) 13. STATIC WATER LEVEL"(ALL WELLS). e Yield ``Time Pumped Drawdown to Time Recovery to Depth Below Date Method min) JR. BGS) (hrs & min) (Ft..BGS) Date Measured Ground Surface (FT) ` 30 -ate Cr Q F 14. PERMANENT PUMP(IF MAILABLE 15.NAMEIADQRESS OF PUMP-INSTALLATION COMPANY Pump Description Horsepower Pump-Intake Depth - (ft) Nominal Pump Capacity (gpm) 16.COMMENTS 17.WELL DRILL.ER'S STATEMENT IThis well was drilled and/ abandoned under my supervision, according to applicable rules and regulations, and t is eport is comple a and correct to a best of my knowledge. Drill Q%l7 -toil Su ervisin Driller Si nature: `"-� Registration #: Firm: �G rz Date: �' �9 �_300 a Rig Permit#: NOTE: Well Completion Reports must be filed by the registered well driller within 30 ddys of well completion. S `..y E t s i s • a T ;4 >� ;I:t 7; _ a Ci.i 4 r v 4Fr t a #d t^� a'at 3 a Y 5.E f > ¢sya a tt +.ii a •#s t Y.s. a BOARD OF',HEAkTI� COL?Y t t - - F a t x.s ,,a... C n i t'l --k5 .4 4 t *' .- 1'u.'1 w. 3.- . e ♦ -a.a♦ i s s F 't 1 t-} " S b ♦i'C.X 9 1 4 5 4 1#5 s;t'4 S i F r,l a t k Massachusetts Department of Environmental Management Office of Water Resources . 109997 TI PE'OR PRINT ONLY Well Completion Report 1,WELL LOCATION GPS OPTIONAL LATITUfE , a ' LONG Address at Well.Location./—D. 44 A4 UJ4 R41,— Property Owner �UAT 64Af /()k( Subdivision Name Mailing Add k City/Town ! : Clty)Town. - f t <iCAd .1 rI7z1 C3. . f Assessors Map' Assessors Lot#t 61 S NOTE: Assessors Map and Lot#mandatory rf no str"eet address available' Board of.Health`permit:obtained Yes ❑C . 4. Not Required Permit Number Date Issued �- 2.WORK PERFORMED 3. PROPOSED USE _ 4. DRILLING METHQD- , D- ew Well ❑ Abandon El Domestic ❑ Irrigation ❑ Cable der ❑ Deepen ❑ Recondition onitoring ❑ Municipal ❑ Air Hammer- 'D Direct Push ❑ 'Replace ❑ Other ❑ Industrial Q Other ❑ MudRota ,❑ Other 5.WELL LOG oC Unconsolidated Consolidated G."BITS ItETCtI(use-I p I ermana,a landmaitswfnh ancea) LLJ Permeability From (ft) To (ft) High Low Other Rock Type o �C x 40 Lj f. L.=(9 ins 7.WELL CONSTRUCTION 8.CASING mN # Tofal Depth Drilled 0.'1�._I From O To (ft) Casing Typ46d Material Size O.D. (in) Well Seal Type Date Drilling Complete d� 30.0,' °fJ�Lz� (/L' q�'' ;vt(.,y :w 9. SCREEN From (ft) To (ft) Slot Size _ Screen-Type and Material Screen Diameter 10,FILTER PACK/GROUT/ABANDONMENT MATERIAL. « ii ,ADDITIONAL.WELL INFORMATION Developed? Yes ❑ No From (ft) To (ft) Material Descriptions Purpose Fracture Enhancement? ❑ Yes jtL-•No 45 C7 7 ' ,�8,�t7-p.tC tT�` �45a„— Method t Disinfected? ❑ Yes o 14.-WELL TEST DATA(PRODUCTION;WELLS) 1 .STATIC WATER LF1tEL(ALL WELLS). : : Yield `Time Pumped Drawdown to Time Recovery to Depth Below Date Method (GPM) (hrs&min) (Ft. BGS) (hrs& min) (R. BGS) Date Measured Ground Surface (FT) 14.PERMANENT PUMP(IF AVAILABLE) 15.NAMEIADDRESS OF PUMP INSTALLATION COMPANY Pump Description t Horsepower Pump Intake Depth (ft) Nominal Pump Capacity (gpm) 16, COMMENTS �•\.\�'1v _ - 17.WELL DRILLER'S STATEMENT This well was drilled and/or abandoned under my supervision, according to applicable rules �( N<V and regulations, and this iAport is complet and correct to the best of my knowledge.. N. Drill , '� � Supervising Driller Signature: Registration #: / . ;�a�,f (.� ,e. f (8 �� Firm: � Date: Riq Permit#: NOTE: Well Completion Reports must be fi ed by the registered.well driller within 30 days of well completion. a w. .*s v_ i ya.�. •a'ti'm a i s S k t r"i a k t r S.f._ i .d _s'- s s E ram:.s B+O-A. RaD«.O F_k:.:HEALTH COPY s 4 p'*. 4;" {...'c - :w s K, -:. � i..k;^ L♦ - n: r -El - INE►ok� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARMASS. 200 Main Street• Hyannis, MA 02601 1639 e,0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT tE0 MPy �i� Business Name: , `o D�I Date: Location/Mailing Address: Contact Name/Phone: " 2:l Inventory Total Amount: <50 MSDS: S License#: 9_ Tier II : Labelino: Spill Plan: �1�(�,S Oil/WaterSeparator: Floor Drains: Emer en Numbers: Storage Areas/Tanks: G e ,*, Emer enc /Containment Equipment: 4 • Waste Generator ID: JW6X362ATV Waste Product: lktLC 0 S Q; Date&Amount of Last Shipment/Frequency: 01 96 clapb6 Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS RO U�QhI i/� i11VQ� NOTE: Under the provisions of Ch. 111, Section 31, of the Gederal Laws of MA,hazardous material use, storage 7Antifreeze disposal of 111 gallons or more requires a license from the Public Health Division. ry 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 — V 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 I �c1 _,()A 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: Inspector: Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Number Fee 195 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Sun Island Delivery 10 Attucks Lane, 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 or,n�rq� Public Health Division- 5 °rt`4 : 1639-2014 Thomas McKean, Director MA 4g n, a` 200 Main Street, Hyannis,MA 02601 1,t Office: 508-862-4644 Fax: 508-79016304 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 I PERMIT' 26— 110 Gallons: $ 50.00 ❑ _ CATLGORY 2 PEW4 r- .1:11-—499 Gallons: $125-..00 CATEGORY 3 PERMIT 500 or more Gallons: $150.00 Ind' vsr pJk Gh�_ *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: LLA/\ .J-S WV` ct 5. NAME OF ESTABLISHMENT: 6U_AA 3—S (Ct/►rl )S& U e 6. ADDRESS OF ESTABLISHMENT: 16 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: Any)y)1,5 8. TELEPHONE NUMBER OF ESTABLISHMENT: 0 U b a1 Z 9. EMAIL ADDRESS: 10. SOLEOWNER: \� YES' NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME um t- l� A �—� I �I1��Q t"�-/ PRESIDENT ". YIM.2 C -3 �I�l W.401 1 TREASURERS 1 -5 CLERK 1AW 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE 97 -2-0Q\Application Forms\Haz Mat Appli Draft Jan201 ocx INE Tp Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • RARMASS- 200 Main Street• Hyannis, MA 02601 SO39.+ TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT �/ Business Name: (� � 01� Date: 1 A gb Location/Mailing Address: , Contact Name/Phone: '1 ci—9XkI Inventory Total Amount: MSDS: S License#:� Tier II : 6 Labeling: Spill Plan: Oil/WaterSeparator: Floor Drains: Emergency Numbers: Storage Areas/Tanks:" C) M Emergency/Containment Equip ent: 160L�i aste Generator ID: ;frk C�� °�1`r� Waste Product: aT. ate&Amount of Last Shipment/FrequencX:censed Waste Hauler&Destination: ther 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, storag7d disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid VOther 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: o/1im Inspector:, Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS °F SHE T° i Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARNSTABLE. MASS. = S 200 Main Street• Hyannis, MA 02601 �ptEDMP� ` TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name Sew [ate �GltiVer Date: 7 3 18 Location/Mailing Addres 1 e A etw1k- 3 4%Aqm n,3 I� Contact Name/Phone: a i D -3bZ-2'12 i ore avt - e Inventory Total Amount: %I TO Jr 1 1194,l6 SDS: 50P- - License#: )4k Cad 3 Tier II : o Labeling: b ( Spill Plan: l�+wt4t., �A � Oil/WaterSeparator: n� Floor Drains: o Emergency Numbers: a Storage Areas/Tanks: 0&Yto1� 1 Ri o a l %,o, ,w S m a tkc,2w,o • A �o•�b e I Emergency/Containment Equipment: Waste Generator ID: tJ 1A Waste Product: as&kt gce2-w- , of t �RQ-C6 Date&Amount of Last Shipment/Frequency: 0 1n,a,4-tWa.6k.L v AA,lceSkS Gt. •�1G��2 o�-k',\ erf� Licensed Waste Hauler&Destination: S Z-kJ V,\,ke"-Vt, 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. 112) Antifreeze 3.4 Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers a Hydraulic fluid (including brake fluid)! --e,/ y Windshield wash �- 0(t Motor oils 1%S kQDp to Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants 2 Miscellaneous petroleum products: Road salts grease, lubricants, gear oil 1+ ►*1� Refrigerants Degreasers for engines&garages I-+3 Pesticides: Caulk/Grout {ti insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries 2I Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine `r Paints, varnishes, stains, dyes Z �Z Lye or caustic soda "I Lacquer thinners 1,,r5 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: { o Ca-�I4 INFORMATION/RECOMMENDATIONS: o lgt44S a •�tS Y Inspector: L a-\t4- < Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS i IB►owe Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARM RSSLE.g`' 200 Main Street• Hyannis, MA 02601 059. �'0rE0MP TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: V% a &I'V ,r Date: Location/Mailing Addre : 1 o 444ug-Lq Lamgl, 8 ar sew a = r-a -i i Contact Name/Phone: -{ A a z �d,05 -3k,2-272.1 ate w.t,ti- Ra1u r�-��-�I�l e.► Inventory Total Amount: n' �I � ��e5�-1 MSDS: AAA nl-,2:0'0 51>5 License#: Tier II : No Labeling: OK Spill Plan:�AS Oil/WaterSeparator: Floor Drains: o Emergency Numbers: %e/ s Storage Areas/Tanks: SK+6K dt4j-o-( JA�YT141 WA4)+e.ot1 AS-re .� s(�O�bt������� 3ooyalwa. /}�►'+s'�` Emergency/Containment Equipment: Waste Generator ID: Waste Product: o► aK+. Date&Amount of Last Shipment/Frequency: vvt-f, -•, e_,4,,p mu..�k s ZX/y e Licensed Waste Hauler&Destinati n: Other Waste Disposal Methods: k5 s,+.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 —�L 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: Sa Gc2 )>aA--6Lc,--Vs v�o4- Rya .l L10�e__ . V eAN, 6a 't p `� w dC w �DV}Aoo�5 w+ ov�- et a e-yd rtf w�c, `c+Y Col crt,C> 5�S t.w - OR S: .,�. 5 4 s GLv. ,� c�y.c.le.lole� -1'0 2yw+loy�s oK. S• ,c, O Vt_^\e-1 e. w '`'` - Sot - vSc LJ A-e -%( owl INFORMATION/RECOMMEND IONS: Inspector: Facility Representative: M WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS ` to Number Fee 195 THE COMMONWEALTH OF MASSACHUSETTS $150.00 3 Town of Barnstable Board of Health This is to Certify that Sun Leasing Corp/Sun Island Delivery 10 Attucks Way, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. ---------------------------------------=---------- -------------------------------------------m----------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------- 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 I Town of Barnstable • o�t"E►+�,, Regulatory Services ti Richard V. Scali, Director " tox ""'�"'�"B�' ' Public Health Division 1639. Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304'r',4 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 1st=JUNE 3 0th):._ 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 fl S . A'late charge of$10.00 will be assessed if payment is not received by July 1st. i ASSESSORS MAP AND PARCEL NO. 0 DATE (D` (A 2 C) FULL NAME OF APPLICANT: NAME OF ESTABLISHMENT: cJ ✓I —� 5 ( V ADDRESS OF ESTABLISHMENT: 1 6 r 1 MAILING ADDRESS (IF DIFFERENT): (A vCC n it TELEPHONE NUMBER OF ESTABLISHMENT: EMAIL ADDRESS: SOLE OWNER: YES NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRESS,AND TELEPHO #OF: CORPORATION NAME ,5 V PRESIDENT G- TREAS R O CLERK ! rA S IF PREPARED BY OUTSIDE PARTY: P• .!SIGNATURE OF APP ICAN Name: r Company Address Telephone#: Email: Q:\P.pplicarion Forms\HAZZAPP Rev 16.doex Page 1 of 2 `oFt"E rok� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 ' BARMASSBLE 200 Main Street• Hyannis, MA 02601 EO39. JTOXIC AND nHAZZARDOUS MATERIALS INSPECTION REPORT Business Name: 500-3-514 Ve)�vtiy Date: Location/Mailing Address: J0kl-vck-s La+,.,t_ �$a.(--►cst'alvk- Contact Name/Phone: afi�. Qa�►c. JD$-�b2-�'721 �ec4 �12/ �/lr's�t ,� A16--IKSP. Inventory Total Amount: MSDS: License#: Tier II : v Labeling: 1D.44 Spill Plan: Yo Oil/WaterSeparator: N 1A Floor Drains: o Emergency Numbers: ze Storage Areas/Tanks: OD aA,ki o,l 1 w 4- ,1 VJ06f,$ , &VW- Emergency/Containment Eq ipment: .lXJ Waste Generator ID: Waste Product: 6 t 1 Ct Ikl<y I &Y-C qre Ae, Date&Amount of Last Shipment/Frequency: fi 04--,t4- r-ac- - v1ov1-re I%J IAjrt Licensed Waste Hauler&Destination: 2 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. kkV Antifreeze 6j�tS�,p6" Dry cleaning fluids 10 Automatic transmission fluid to Other cleaning solvents&spot removers Engine and radiator flushes ��o Bug and tar removers 10 Hydraulic fluid (including brake fluid)%° Windshield wash Motor oils 300W t SooAS - wwgkLt� el Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners (,DOD+ ppp Diese fuel, kerosene, #2 heating oil05T5 Disinfectants J.o Miscellaneous petroleum products: Road salts grease, lubricants, gear oil %?�S Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides IS Battery acid (electrolyte)/batteries }��,c�ti Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Z Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine LO _ Paints, varnishes, stains, dyes tb 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: 0.' t<J Cmyt , iko"k oyke&c5 . ORDERS: o44-�= txucs %AJV0<C? n%,A4 ,,,n. C%„M cvt, . INFORMATION/RECOMMENDATIONS: o 0,,A %%-ko G w.4. A ,&Sk I%-- v .12\n. c Q1,c-�i�ty aka.\k.�D�t. �.t �aw.�5}a�c,ow�GQtC�St�� • Inspector. o l I.IR, v Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS IKE rows Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMASS . . ' 200 Main Street• Hyannis, MA 02601 1639. �ArFDMP+ TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: Is Date: 17 3 r Location/Mailin Addre s: 10 + vcZs Laws Contact Name/Phone: Gt-i-' A ,jck Uoce:t �v— Invento Total Amount: ti 000 q J MSDS: -/es License#: (�5 Tier II : Labeling: -* ',t4 C&-1A*otr VC111 s Spill Plan: y�5 Oil/WaterSe arator: N Floor Drains: Emergency Numbers:�7 p � �D 9 Y Storacie Areas/Tanks: 1 4 1 R m a,lek-weli a e o.I - Emergency/Contain 4 fiameri�``� a c .� t� `J�isc1 v '�" �2'b0048 D06 Waste Generator ID: V So$36Z z, Z Waste Product: Aw+ cecZe Date&Amount of Last Shipment/Frequency: 9 SS a �v�+��'s2e•�e. S 1 0, o ' S 2.)( Yr Licensed Waste Hauler&Destination: JQe k�lee,, Other Waste Disposal Methods: I ''11 /� LIST OF TOXIC AND HAZARDOUS MATERIALS IVO �a1o1 c�•a 10- �v��ley��r�c.�/ -xoe�k06 v1AJ- 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 9 wa5A-a, 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: AA-ocA!!;�A-o-A-o'-c-e %wla.�.� -�•}�.c,eS, ORDERS: NJ- 0,A-t<kV2 INFORMATION/RECOMMENDATIONS: al Coin, oo r5 .e- � al QkSk-?, o A. w ✓X ExG25S 5koraq,`, w a��`^� a 5 ,nrn�, �ia-2� f2d Inspector ('4o bL2 66 oUc c� sk�5 Facility p > y Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS TOWN OF BARNSTABLE Date: / / /o TOXIC AND HAZARDOUS MATERIALS RfZMTF0MN FORM NAME OF BUSINESS: BUSINESS LOCATION: I �c�s �.G'kc, a rn's INVENTORY MAILING ADDRESS: J 14ya i rl IS TOTAL AMOUNT: TELEPHONE NUMBER: S'443 -362-,Z7Z CONTACT PERSON: o-4-, 094 EMERGENCY CONTACT TELEP ONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: SA -t�✓,, ^� fa��r fe als - r► �wf on s, ye S INFORMATION / RECOMMENDATIONS: Fire District: a� r 5 w -Avt y,ll hD+ h..- v o��n. 1�eerv+Ak)e� 2 M 'food @.0vk+q y a6 111, l� 3°, 6 K� Tta(G GwCYh�G4,'S Gi1.�Gr'�'or Waste Tr. AI✓6-o&3622'l2. Last shipment of hazardous waste: itlao 13 Name of Hauler: c�a-�'�� 1�.� Destination: 5�-/ �lee►ti, CcanS+a�, 1- - Waste Product: ed 4 IlcrS -r iyLf, 10re 4 ze_ Licensed?(i9� No 09 ygoZsf 2- f,W4.4tL D, l I s W!',ti P PL S,$-- 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 d'NEW5'5' YUSED /1D Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides / 'ndQ"r A� (insecticides, herbicides, rodenticides) A$p YNEW 9' USED 75� Gasoline, Jet fuel,Aviation gas Photochemicals(Fixers) Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED s Miscellaneous petroleum products: grease, Photochemicals (Developer) 1.5 lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine 0 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) .SQ Miscellaneous. Flammables f A.- �'la"``� 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) 1 Spot removers&cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers 4-i%x5 To Windshield wash WHITE COPY-HEALTH DEPARTMENT I CANARY COPY-BUSINESS Applicanti Signature Staff's Initials Number Fee 195 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Sun Island Delivery 10 Attucks Way, Hyannis, MA Is Hereby Granted a License. For: Storing or Handling 500 gallons or more of Hazardous Materials. This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2020 unless'sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2019 JUNICHI SAWAYANAGI THOMAS A. MCKEAN,R.S.,CHO Director of Public Health ,-r him Town of Barnstable THE Inspectional Services BARNS LE T[L. anrwsTnn E.te0'.R .cortirt Yaxxr Public Health Division W'RSTCtii uN.S 9F'=n14'viii 3W'1iTtvE ate,. 9BAPNSTABLE,$ XI C1 Thomas McKean, Director, rya �A 1639 ,0 Imo. rfo N,p�a 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304r; 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- 11I-499 Gallons: - $125:00 CATEGORY 3 PERMIT 500 or more Gallons: $150.00 V j *A late charge of$10.00 will be assessed if payment is not received by JulyP09 be, 41 1. ASSESSOR'S MAP AND PARCEL NO. �� 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: 1 1, r � 5. NAME OF ESTABLISHMENT: �- �w ►U� P/(� 6. ADDRESS OF ESTABLISHMENT: (U lam/ ` n 1 v1,t11 V 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: UV 1'! C� E A vol l 8. TELEPHONE NUMBER OF ESTABLISHMENT: b ` (D 9. EMAIL ADDRESS: t;1 10. SOLEOWNER: 1)41 YES NO IF NO,NAME OF PARTNER: �1'1. FULL NAME,HOME ADDRESS,AND TELEPHONE#O CORPORATION NAME �� � 15 t�M cat-- .3 i V�Pit PRESIDENT J '�d"('li{ �. b� 11 ,0 TREASURER , / l� S S UL CLERK Q C 1 U 9 j f12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: •j( COMPANY ADDRESS EMAIL: 1 SIGNATURE OF APPLICAN DATE Q:\Application Form S\Haz Mat App Revised 09-?- 8.docx Number Fee 195 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Sun Leasing Corp/Sun Island Delivery 10 Attucks Way, 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 IJ Iro C*le-� Tow of B sxable a-`8 3 3 �- egiaatory%ervices Richard V. Scali,Director Public Health Division E*: E MAS& 3 SBARNSTABLE, Thomas McKean,Director �� � 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 DULY 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: $150.00 X VI$ . *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, SHIP 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: UM J-6/0,1MCV 5. NAME OF ESTABLISHMENT: ` Y 5 0c,04 1- 6. ADDRESS OF ESTABLISHMENT: lb 6► 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: Oz loD� 8. TELEPHONE NUMBER OF ESTABLISHMENT: 3(o 9. EMAIL ADDRESS: 10. SOLEOWNER)LYES' NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE kOF: CORPORATION NAME -..,6 tAm Co rb PRESIDENT OLGql TREASURER S. M ouof CLERK 12. IF PREPARED BY OUTSIDE PARTY: • NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT ATE Q:\Application Forms\HAZMAT APP 2017 REVISED ocx Number Fee 195 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health t This is to Certify that Sun Leasing Corp/Sun Island Delivery 10 Attucks Way, 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. J� ---------------------------------------- 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 G' LVC r A ; f TRown of Barnstable eg story ervices Richard V. Scali, Director "o Public Health Division BARNSTABLE r KAM. Thomas McKean,Director 163942034Y+St eaeHStemt 200 Main Street, Hyannis,MA 02601 �Dg Office: 508-862-4644 �/ `" _ Fax: 508-790-6304 ,j 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: $150.00 191 4/ *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. O� SAD 2. IS THIS A PERMIT RENEWAL?-k-- 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: h Gl/V�f/� �.Q - r 5. NAME OF ESTABLISHMENT: �-- `� (�/YL to►-r-( � �' 6. ADDRESS OF ESTABLISHMENT: D ✓�,. C1 S J 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: ( nY\ 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: 10. SOLEOWNER:)CYES_NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME 5 ttM d... .,R.d h l/l/Yl PRESIDENT I' OL(oO( TREASURER rr L, !'! CLERK tk*,v I b , o r 10 QA A n 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: f COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT Q:\Application FonnsUiAZMAT APP 2017 REVISE .d cx �T Q Number Fee 195 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that Sun Leasing Corp/Sun Island Delivery 10 Attucks Way, 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 "J j® :s Town of Barnstable Regulatory Services Richard V. Scaii,Director i { ` MASS. Public Health Division '°rFcr ° Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.0.0 ASSESSORS MAP AND PARCEL NO. �. Jf U� �� DATE !'J 1 (5 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT LC/1/Ld. V NAME OF ESTABLISHMENT T Lm / L I ADDRESS OF ESTABLISHMENT dk i TELEPHONE NUMBER SOLE OWNER:'4YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. () 106 STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: / PRESIDENT rc/1 r TREASURER IA A ,e CLERK AIL SIGNATbU OF AP LI T RESTRICTIONS: HOME ADDRESS J U -! 6ac n n HOME TELEPHONE# ) r, • a-7 Z/ / CAcache\Temporary Internet Fi1es\0LKD3\HAZAPP Rev2015.DOC pk' Town of Barnstable Office: 508-862-4644 Fax: 508-790-6304 a Regulatory Services Department • snawrnO a Public Health Division . Mass• Thomas A. McKean,CHO 200 Main Street, Hyannis, MA 02601 Payment Receipt Hazardous Materials Payment received: $100.00 (Check) on 6/11/2015 � V�4 ,Check number: 26325 Check amount: $100.00 Name on check: Sun Transportation EBusiness: Sun Island Delivery Owner: 3 BRUCE TR MACGREGOR jAddress: 10 ATTUCKS LANE, Barnstable I i l • L r, Number Fee 195 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that Sun Leasing Corp/Sun Island Delivery 10 Attucks Way, 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 J Town of Barnstable tR �oFtHE rOwti Regulatory Services Richard V. Scali, Director ` B" ASS.M + Public Health Division 9� 1�9 ,0�' iOrFo 3�° Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 1/ ASSESSORS MAP AND PARCEL NO. C� DATE ' APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT UMj NAME OF ESTABLISHMENT UAA J GJ /a�d ADDRESS OF ESTABLISHMENT I(� A44g r✓ 5 4AAg ugainy TELEPHONE NUMBER �• SOLE OWNER: YES NO IF APPLICANT IS A PARTNERSHIP,.FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. �700 STATE OF.INCORPORATION , FULL NAME AND HOME ADDRESS OF: PRESIDENT �'• �c- ID J4 lut L( Cj TREASURER - - r .Pry CLERK SIGNATURE CANT RESTRICTIONS: HOME ADDRESS I� ,� ((/Y►��it t'`� HOME TELEPHONE# Q:\Application Forms\HAZAPP.DOC f Contingency Plan for.Hazardous Material Management Island Sun Delivery, 10 Attucks Lane, Barnstable, MA i Spills within the building that do not impact soil and/or groundwater do not require notification.Any spills of 10 gallons or more that enter the ground must be reported immediately to the MA DEP(within 2 hours),Town of Barnstable Board of Health and Fire Department(within 1 hour).Any spill of diesel fuel or waste oil should be brought to the immediate attention of the Facility Manager. All spills of oil or fuel should be cleaned up immediately. Board of.Health: _ 508-862-4644 Fire Department(Barnstable Village): 911 DEP Contact Number: 888-304-1133 Barnstable Water Company: 508-362-6498 SITE CONTACT Named and OFFICE NUMBER: Robert Buckley-508-362-2721 ALTERNATE CONTACT NAME AND NUMBER: Michael Bearse-774-368-0325 Any spills of diesel fuel requiring notification to DEP also requires calling a Licensed Site Professional and/or spill cleanup contractor. Environmental Compliance Services 607 North Avenue,Suite 111,Wakefield,MA 01880 -" Business hours: 781-246-8897 After hours: 800-789-3530 Cleanup: A spill cleanup kit is located in the shop. The kit contains absorbent booms, socks and pads to contain and absorb spilled oil. Use the booms to contain the lateral extent of the spill and absorbent pads to capture any oil caught behind the booms. Replenish the spill cleanup kit, as appropriate, and prepare an entry in the spill log located in the main office for any spills requiring notification. Storage/Maintenance: _ Diesel fuel is stored in two(6,000& 8,000-9)double-walled underground storage tanks (USTs)equipped with leak detection. The area around the dispenser.is paved, and no.catch basins are located in proximity to the UST/dispenser area. The spill containment system for the USTs consists of a glycol fluid in the interstitial space of the UST system that is maintained at a positive pressure relative to the UST contents by a reservoir located in the shop. The fluid reservoir is equipped with an alarm that can be tested. As part of this plan, the fluid reservoir alarm system should be checked periodically and the fluid reservoir examined for evidence of signif cant fluid loss, and the inspection should be noted on the inspection log located in the office. Small amounts of lube oil are handled in the shop area. No floor drains or catch basins are y located within or immediately outside the shop. Waste oil is temporarily stored in 55-gallon drums, and the material is used to fuel a licensed oil burner. The oil storage areas should be inspected periodically, and the results of the inspection noted on the log located in the office. Number Fee 195 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Sun Leasing Corp/Sun Island Delivery 10 Attacks Way, 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 w*A V Town of arnstabk of 1ME Regulatory >ServiCeS Thomm F. GeEe3'j Director } i � aaaivcr��r.x � . $ Pubic Health Dion �p i43g• 1g 2DO Main Strut, Hyannis, MA 02601 CECz: 508462-4644 Fah: 5o&790-6304 Appliaa#ion Fee: $100.00 ASSESSORS SAP AND P.A�R= APPLICATION FOR PER NET TO STORE,AND/OR Z7TH= MORE THAN III GALLONS OF HA ARDOUS MATERIALS FULL NAME OF APPLICANT r NAME OF ESTABLLSEI�= (� -ADDRESS OF ESTA37,7S$11= v V I � 'I W,LITEONE 1NTTA BER �L� 3G�' ZZ ) SOLE Off: YES PTO IF APPLICANT IS A PAR N- R=,.FULL INAM+,AND HONa ADDRESS OF. L= PARTNERS: I I j I Zn APPLICANT IS A CORPORATION: FEDERAL IDET'1'IFICATIOIT NO, Y d, 716-�� I STATE OF INCORPORATION. 01- -7=MA ME AND HO I ADDRESS OF: :PRESIDENT Z CLERK�16L I E SI�i tATI7AE OF A.PPi�I R STRICTIONS' HOB ADDRESS d L4 HGAU T=HONY # nun 6a. z/ % afl�iq Contingency Plan for,Hazardous Material Management Island Sun Delivery, 10..Attucks Lane, Barnstable, MA Spills within the building that do not impact soil and/or groundwater do not require notification. Any.spills of 10 gallons or more that enter the ground must be reported immediately to the MA DEP(within 2 hours),Town of Barnstable Board of Health and Fire Department(within 1 hour).Any spill of diesel fuel or waste oil should be brought to the . immediate attention of the Facility Manager. All spills of oil or fuel should be cleaned up immediately. Board of.Health: . 508-862-4644 Fire Department.(Barnstable Village): 911 DEP Contact Number: 888-3044133 Barnstable Water Company: 508-362-6498 SITE CONTACT Named and OFFICE NUMBER: Robert Buckley-508-362-2721 ALTERNATE CONTACT NAME AND NUMBER: Michael Bearse-774-368-0325 Any spills of diesel fuel requiring notification to DEP also requires calling a Licensed Site Professional and/or spill cleanup contractor. t Environmental Compliance Services 607 North Avenue,Suite 111,Wakefield, MA 01880 Business hours: 781-246-8897 After hours: 800-789-3530 Cleanup: A spill cleanup kit is located in the shop. The kit contains absorbent booms, socks and pads to contain and absorb spilled oil. Use the booms to contain the lateral extent of the spill and absorbent pads to capture any oil caught behind the booms. Replenish the spill cleanup kit, as appropriate, and prepare an entry in the spill log located in the main office for any spills requiring notification. Storage/Maintenance: Diesel fuel is stored in two(6,000&8,000-g)double-walled underground storage tanks (USTs) equipped with leak detection. The area around the dispenser is paved, and no catch z basins are located in proximity to the UST/dispenser area. The spill containment system for " the USTs consists of a glycol fluid in the interstitial space of the UST system that is maintained at a positive pressure relative to the UST contents by a reservoir located in the ' shop. The fluid reservoir is equipped with an alarm that can be tested. As part of this plan, the fluid reservoir alarm system should be checked periodically and the fluid reservoir examined for evidence of significant fluid loss, and the inspection should be noted on the inspection log located in the,office. Small amounts of lube oil are handled in the shop area. No floor drains or catch basins are located within or immediately outside the shop.,Waste oil is temporarily stored in 55-gallon drums, and the material is used to fuel a licensed oil burner. The oil storage areas should be inspected periodically, and the results of the inspection noted on the log located in the office. i � E , } Number Fee 195 THE COMMONWEALTH OF MASSACHUSETTS $loo.00 Town of Barnstable Board of Health This is to Certify that - Sun Leasing Corp/Sun Island Delivery _ 10 Attucks Way, Hyannis,MA 02601 - ls`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 PAU_L J.CANNIFF,D.M.D. 6/30/2010 JUNICHI SAWAYANAGI THOMAS A. MCKEAN,R.S.,CHO ° Director of Public Health Town of Barnstable DE1HE r Regulatory Services P ti • `` ° Thomas F. Geiler, Director BARNSTABLE, MASS. a )Public Health Division 9�o i639 AIf0MA�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. 0 1 DATE lY APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT S I NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT . 10 A-4 A alwjLt TELEPHONE NUMBER t5ba a SOLE OWNERIVES NO ' IF APPLICANT IS A PARTNERSHIP, FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. O7 �11& f co STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT 3'. C.L M4 L Q f ?j 1 a n TREASURER r It, U Z Gt_ CLERK r h2V t, Aq r-�A&.62' • SIGNATURE 6F PPLI RESTRICTIONS: HOME ADDRESS 32 HOME TELEPHONE # �. Flaz.docAk p/y , MAIL-IN REQUESTS - y Please mail the completed application form to the address below. 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 inailing 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. In addition, you must mail the required fee amount (see fees at 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 P Back to Main Public Health Division Pake- ,4 Town of Barnstable Op1HE Regulatory Services °. Thomas Health F. Geiler,Director a AA MAASAFiT.F� i S. �abli r Division ?Fn 59. Thomas McKean, Director 200 Main Street, H7annis, MA 02601 Office: 508462-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. ` DATE lU 1 v APPLICATION FOR PERNUT TO STORE AND/OR UTILIZE mORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABT 7SBMFNT is UJY\ ( It Vj/)L-,,4 ,- ADDRESS OF ESTABLISBAIENT I TELEPHONE NUMBER SOLE OWNER: YES NO -7 a , IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL ~= PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. d `1�� (w (O STATE OF INCORPORATION M A FULL NAME AND HOME ADD RE OF: PRESIDENT-( a O TREASURER S / C'7,FRK u NATUREOF FUUNT RESTRICTIONS: HOME ADDRESS G 40 04- HOMT TELEPHONE# '1�1 'S a.�I Z— Haz dadwp/q Barnstable $]IMP.NSTASMTown of Barnstable >Dl Regulatory Services Department 2007 Public Health Division 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO Date: April 1, 2009, TO: Howard G. Hayes Trust 10 Attucks Lane Barnstable, MA 02630 o p RE: n �O U derground Storage Tank at: 10 Attucks.Lane Barnstable,MA Map Parcel: 254015. Tank NO: 1 Tag NO: 00966. Our records indicate that your underground fuel (or chemical) storage tank is over 20 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 ��tME tph„ x ♦ Barnstable SARNSTABLE. 9 MA 1639. ON Town of Barnstable Regulatory Services Department 2007 Public Health Division 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO Date:April 1, 2009 TO: Howard G. Hayes Trust 10 Attucks Lane Barnstable, MA 02630 RE: Underground Storage Tank at: 10 Attucks Lane Barnstable, MA Map Parcel: 254015. Tank NO: 2 Tag NO: 00965 Our records indicate that your underground fuel (or chemical) storage tank is over 20 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 IL A AAk(AUO 4-Ac �axnLl /// I C® KEEPING YOU ORGANIZED No.HDSu 2-953L WD€INusA GET ORGANIZED AT SMEAD.COM