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Home My WebLink About2171 MAIN ST./RTE 6A(BARN.) - Health 2171 Main Street Barnstable w A f o . Make application to local Fire Depart!�'t, Fire Depart .t retains original application and issues duplicate as Permit. Ma9ld C APPLICATION and PER for storage tank removal and transportation to a y- ardsposal ' ``�'I1' Fee: 10.00 of M.G.L. Chapter 1481 Section 38A, 527 CMR 9.00, applications er by mtade b accordance with the provisions • y Tank OwnerName(pleaseprint) Barnstable Comedy Club .. X „ Address 2171 'Main Street s Barnstable MA 0263.0 UjIMUM Le • . ware Company Name F n v; f e paw Co.or Individual Address P`.O.Box 304 , Sagamore Beach a PYru Pm,r Address Signat re if applying for permit) P&U Signature(if applying for permit ) p IFCI Certified Other O IFCI Certified .0 LSP# • --___ Other . Tank Location 2171 Main Street , Barnstable , MA 02630. Sleet Attdre;s Tank Capacity(gallons) 5 0 0 cta 11on Substance Last Stored #2 Fuel Oil Tank Dimensions(diameter x length) Remarks: Firm transporting waste .Envior-Safe Co. •329 State Lic.# _ Hazardous waste manifest# E.P.A.Ta Approved a-k disposal yard Turner Salvage Co Tank yard# #0 0 2 Type of inert gas NSA 1035 Commercial Street Tank yard address Lynn, MA CityorTown Barnstable Fire District �l�1 ! FDID# Permit# Date of issue Aug. 1 , 19 9 7 ate of expiration Au qu s t 4 1997 Dig safe approval number. 973003597 ig Safe Toll Free Tel.Numbe 800-322-4844 Signature/Title of Officer granting permit After removal(s)send Form FP-290R signed by Local Fire Dept. o ST Regulatory Compliance Unit;One Ashburton Room 1310,Boston.MA 02108-1618_ Place, =P-292(revised 9/96) r a �7- C) BARNSTABLE FIRE DEPARTMENT 3249 Main Street -P.O.Box 94 !;a`18$? o' Barnstable,Massachusetts 02630 508-362.3312 FAX: 508-362-8444 WILLIAM A.JONES III,CHIEF GLENN B.COFFIN,C"TAIN FIRE PREVENTION UNDERGROUND STORAGE TANK REPORT Property Address: 2171 Main Street Property Owner: Barnstable,Comedy Club Removal Date: 01 August 1997 0945hrs. COMMENT: Witnessed the removal of a 500 gallon U.G.S tank from this location. The tank appeared to be OK, with no signs of leaking. The excavation site also had no odors of fuel or discoloration. The contractor was advised to remove the tank from this location and backfill the hole. William A Jo es, Fire Chief TOWN OF BARNSTABLE c 0 L.00ATION_.21 / T iY SEWAGE # VILLAGE1,s%c,Llg�, ASSESSOR'S MAY & LOT 0,17— Q �� INSTALLER'S NAME & PHONE NO.,j . e� -e SEPTIC TANK CAPACITY LEACHING vI�) FACILITY:(t ��' (size) L � T [DATE O. OF BEDROOMSr PRIzVATE WELL OR .PUBLIC-WATER Bt OR O�/NER __ 7 �s .d — .4r/p-1 ATE PERMIT ISSUEI,: L / �' COMPLIANCE ISSUED .ARIANCE GRANTED: Yes I^Io r . 2� MUST,'Odic TO SEWER No................ rr J Y Fims .... `7/ ........ THE COMMONWEALTH OF MASSACHUSETTS BOAR® O HEALTH �y r . ...............OF.......... Appliratiun for Uiipuiial Works C omlrurtivat Prrmit Application is hereby made for a Permit to Construct ( ) or Repair (�an Individual Sewage Disposal System at s L do - ddre or Lot No. - - . /yam / Ow er Address �S.3f" / ......................... .............................. ----...:---•-.................................. Installer Address Type of Buildir;9 Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building ............. No. of persons..--.--..................... Showers — Cafeteria QOther fixtures .------•---•.-•--------••------•---•---.---•--••••-•••.-••-•••-•-•-••........-•-•••-•-•-----...••••----•-....-•-•--•.....................•...---•----- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic.Tank—Liquid capacity------------gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area........_......,....sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch- Depth of Test Pit.............----... Depth to ground water........................ Gi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water....................---- Ix ••••--•••-•-t................................................................................................................................................. O Description of Soil........................-- S .-4-0, - ------------------------------------------------------------------------- W ----------------------- U Nature of Repairs or o —*§� tbd P �'� - . .................. EKk Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITiE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beed issued th b r of heal .�. -- ................ •... .:.. Application Approved BY ---------•••-- ................. . �D — . ................... Date Application Disapproved for the following reasons----------------------------•--•---------•------•-----------•-------------------•----------.....----............ ....................•------•-•--•----------... ......................................................................................................................................................... Date Permit No.......... ..... . �� IssuecL --� . . -. .......... -•---- Date N�f�__...._..�_.. }`�1 ,.,,.f Fps THE COMMONWEALTH OF MASSACHUSETTS BOARD yOF HEAL 1-1 .................OF......... `..� �./ Appfiration for Uhipasal Works Totnirurtiott Fautit Application is hereby made for a Permit to Construct ( ) or Repair ( n Individual Sewage Disposal SystT!'At -!.�...!�1.la......�� ........ ....---------------------------------------------------------------------------------------- t� ` q�C...... ---- or Lot No. ..�..::�1.1� _...:.. �'.i•��7" e � ....- • -•--•--•....... ............•---•---........-......_- Address-----------•-------••------............-.._ ! ��.. .....I............I....... .......................... .......••---•------------•---•.....--•--.......-------•-------------...........------...........-- Installer Address Type of Buildit / Size Lot............................Sq. feet Dwelling—No. of Bedrooms..,.....................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) � Other fixtures ...................................................................................................................................................... W Design Flow............................................gallons per person per day. Total daily flow-----------------------_....................gallons. 04 W Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No. .................... Width.................... Total Length.............. Total leaching area....................sq. ft. Seepage Pit No------------------_ Diameter............__...... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ a Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 ........................... . ................................................ -----•-----•--....---------------------•-----------------•--...... O Description of Soil..................... �� .R----_... - ----------------------------------------------------------------•_.. - UW ••-•------------------------•-----------•••---•-----------.....-••------••••--.....-•••------•-•-•-;------------------ �- Nature of Repairs or Alterations—Answer when applicable-------------= " "' 'f .................................................---•-•--...-----•-----------------......_•--------•-------....--•----------•----......•-----•--•-•---•--------•-•-•---•-•--••••--•-••--------•-.••---. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT11, 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be issued t of heal _ ti — Date _`5 Application Approved B �' L-1/6 �'f ........................................ Date Application Disapproved for the following reasons:................................................................................................................ ........--•---------------------------------------------------------------------------------------------------------------------••-------------------------------------------------------------------••- te �. `=- --------- Issued.............. _ a Permit No.............. Ct ' ----- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALT C/�, �..............oF...... �. Trrfifirttfr of Tontphatta T, SjS CERTI f�Y,That thQndividual Sewage Disposal System constructed ( ) or Repaired Installer at.--- j�° Wr ......�_r......, v ......--•-.' - r, - --- _ •-------------•--------------- has been installed in accordance with the provisions of TIT Z 5 of The State Sanitary Code as described in the PP I , -�2"i _ - _ application for Disposal Works Construction Permit No......................�..__;; __7_.. dated___.._____._ ^_-..---------------------------------I........ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CO TRUE® AS A UARANTEE THAT THE SYSTEM WILL FUNCJIOP § TISFACTORY. A � p� DATE..................... .L1...................................... Inspector.... ..-- . THE COMMONWEALTH OF MASSACHUSETTS MUST CONNECT TI ,TOI V STWER BOARD F HEAOF C ................ ........ Ux............. W i i r9iAf 1 � FEE � 1 ' � ga rrtni# , � Permission is hereby granted.-• -•--•--•....................: ..... .----........................................................... r to Cons �t•-{ or. pit ( an Ind Sewage D ov S s, Street �. _ > l µ as shown on the application for Disposal Works Construction Permit Noj_,.__... 1 .:1 Dated_.f'•':::-_ _ , a of • Board of Health DATE................ '... --•—•.............................................. FORM 4'155 HOBBS & WARREN.. INC.. PUBLISHERS f J f 7C25 , , , 20 .00 THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH -Town...................OF............Barnstable - - - -------------------------------------------------------------- ApplirFation for Dispaii al Works Tomitrnrtiun Fautit Application is hereby made for a Permit to Construct ( ) or Repair kX) an Individual Sewage Disposal System at: ...... Route 6a �t Earnstable al�f �� ................_. .......- ....at ...................................... Location-Address or Lot No. .............1ef f.--.A III.=...................................................... .......-•--•••--••-...-----••---......---•--•--•••••-•------•-•....--••------------•-•---•---•••-. Owner Address ........................................... .......•---•-•-•--••---••--••••-•-•-••---.........•-••-•-••••---..._•--•-••--•-•-•--..._..-•--•••- Installer Address Type of Building Size Lot............................Sq. feet �., Dwellingx No. of Bedrooms.............4.............................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons.....--..................... Showers ( ) — Cafeteria ( ) d Other fixtures ------------------------------------ W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter.....--......... Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water.....................--. Gt, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water....--.................. P4 •---•••--•-•------------•---------••-----•---•--•-•-•-••••-••••----•-•......••-•.................................••----•--••-•-•---••-••-•-•....-----....... 0 Description of Soil....................................................................................................................................................................... �4 •--•-•--•-•------•----•-••-••••-------•--•-•---•-•...........Sand....ravel•-••••--•-••--•----•-•-••---•--•---•......--•--•.... W --- ---------- ----------------------------------------------------------------------------------•-------------------------------------------------------............................................ U Nature of Repairs or Alterations—Answer when applicable--....................................--.........--................--............._............. 1.-1-50-0••gallon•--tank -2-1000 gallon -leach pits . Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with I'1T�'It� the provisions of :y::..- 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b n issued by t bo rd of heal�h. Si ned 'i...� `.C!__� 11,jij, • . .....5,/2a-/5-0........ Vate Application Approved By.. 9--.....•. Application Disapproved for the following reasons:........................................................................... ..--•----------•--------------••-•-------•------------........------------------------..................................................... Date Permit No.-•--- �� ----- Issued........ —�� ------------. No.`.: - -- I Fes$ .....20:.c'�... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH App irtttinn for Uinpunttl Wnrka Tnnitrnriinn Prrnti# Application is hereby made for a Permit to Construct ( ) or Repair kX) an Individual Sewage Disposal System at: 2t .....L€� 1�? _ ................_^------------•'-'----Location-•Address--•-----....-----._...----------•- -------------...-•----•---...----------^ or Lot No. ...--------•--.....-------------------- ..•.........: __-1 -:3.. �_�! � ----- --------------------- ........... ..........----•-........................•.... -•---•--•------......_........................ Owner Address Installer Address d Type of Building Size Lot............................Sq. feet Dwelling . No. of Bedrooms............. .............................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures ---------------------•••..........•••-- . W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width-_............._ Diameter---__-_________- Depth................. x Disposal Trench—No..................... Width.................... Total Length____................ Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ 1.4 Test Pit No. 1---_............minutes per inch Depth of Test Pit.................... Depth to ground Water_-_-_-..-__-_-_•___•_--. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ W ------------------------•--------------------------------------------------------- p Description of Soil---------------------•-------y,-----.�: ----�-- S,N. .a. V ---•---••••••-•-•••--•----•--•---•-••-•--•-••----•--•------ ... W UNature of Repairs or Alterations—Answer when aimlicable.__________________________________----_. . —................... ✓\i...% ,/_.�_I..... L:J 2S.Sc ....A.�... .i .. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TTT .i-. p 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b n issued try to board of heath. d r' '-.Sign sf fb ° r - �'{ q'�PYr✓•Y+t c L` f�------ ! ........... -- ^`\7 (._s ¢7 ate E` �y —f/ D Application Approved BY = _ Y �------------- ., ate Application Disapproved for the following reasons:--.- ;.-------•---------'---------•------------------•------------------------•••..._.._...--•------...._._.� --------------------- _-�-----�-- ----------- �--------._------------_------------------_----•-------------------------------------------------- ---------------------••---•--- � � r � � � Date Permit No.......................................................- Issued-•--•�- I" THE COMMONWEALTH OF MASSACHUSETTS lh BOARD OF HEALTH :i°(,)w Sa stable .. - �rr�ifirtt� of f�unt�littnr�e THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (X ) by.......... =_ta�_„� Jr.- -- Installer Route Ga West barnstablE.! at...................................................................................................................................................................................................... has been installed in accordance with- the provisions of ->j �he State Sanitary d �g ff r�ritied in the application for Disposal Works Construction Permit No----------------------------------------- dated....- ................. THE THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FU CTION SATISFACTORY. DATE..... ___________•.._---_---•---------•------------•--- Inspector...=��`�= = - .� C ........ --•--•----•--••---- --- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH To Il ...........OF............ Bar"9staL-Ae No......................... FEE........................ Disposal Workii T11ma nrton antic J.P.Macomk)er Jr. Permissionis hereby granted-•-------------------------- ------•-----•-•--.-•••-•----------••-------•-..........._..-•-••.....--•--•--•--•................................ to Construct ( ) or.Repair (`� ) an Individual Sewage Disposal S stem Rou1;a 6sa lr;,dst Barnstaf�1e atNo.-•------•••-• --•-------------••-•--------------•-•--•••---•-•-•----. ---••••••. -•......- r� �1------------------ /� -..._............- -'l- eetcs as shown.-on the application for Disposal Works Constrci'ction 6PeFi tylV o.1-�_.= �D ated.......................................... Board of Health DATE- -------•............................... FORM 1255 HOBBS & WARREN. INC., PUBLISHERS 1� s 1 -7 �- 4 4 ` L_ 4 r. 28. 2016 9: 1'LAM Vo. 8858^P. " Make application to local Fire Depart t, Fire Depar�t, t retains original application and issues duplicate as Permit. APPLICATION and PERMIT Fee:" -0.00 - � for storage tank removal and transportation to approved tank disposal yard in accordance with the provisions of M.G.L. Chapter 148;Section 38A, 527 CMR 9;00, application is hereby made by: Tank Owner Name(pleue' pant) Barnstable Comedy club X Address 2171 'Main Street Barnstable MA 02630 paid � ■ , Company Name f e Co.'or Individual Address P`,0•)30 304 , sagamore Beach e Address Signat a(if applying forpermit) Signature(if applying for permil) va +FCI Certified Other' ❑ IFCI Certified 0 LSP#. Other . Tank Location 2171 Main Street, Barnstable, MA 02630 Tank Capacity(gallons) 500 gallon Substance Last Stored . #2 Fuel oil,. Tank Dimenslons(diameter x length) Remarks: Fnntransportingwa$le ,Envior-safe Co, s 329 fate L1c,# Hazardous waste manifesl# E.P.A.# Apg2Jed'kn*disposalyWT_. urner Salvage Co _Tankyara** ' (#002 " Type of inert gas tJ f A 1035 'Commercial Street Tank yard address ]Lynn, MA CllyorTown Barnstable Fire District FDlt7# �) Permll# Date of issue Au . 1, 1997 to ofexpiratlon - Au ust 4 1997 Dig safe approval number: 973003597 Ig Safe Toff Free Tel.Numb e 800-322 4844 Signature/Title of Officer granting permll After removal(s)send Form FP-29OR signed by Local Fire Dept. c S.T Regulato Room Jai0, Boston,MA 02108-16111- ry Compliance Unit,One Ashburton Place, -P-292(revised 919e) F i. r AG, r, 28. 201 b 9: 1'LAM t No. 8858 P. 2 3249 MAIL Street-P.O.Bax 94 � � o u�etts 0208 V 0% 1$$9 v B stable,Massa�� 608-362-3812 4- A tNv+ � ]1".. 608-362-8444 GLENN B.COFFIN,caQraN WILuAM A.JONES Ill,CHIEF fIRE PnEfflMON UNDERGROUND STORAGE TANK REPORT Property Address: 2171 Main Street Property Owner: Bamstable Coinedy Club Removal Date: 01 August 1997 0945hrs. al of 500 gallon U:G.S tank from this COMMBNT: Witnessed the removal a g : location. The tank appeared to be OK,with no signs of leaking, The excavation site also had no odors of fuel or discoloration. The contractor was advised to remove the tank from this location and backfill the hole.' ; William A to es, Fire Chief Apr, 28. 201 b 9: 12AM k 8858 P. 3 BARNSTABLE FIRE DEPARTMENT 3249 Main Street-T.O.Box 94 Barnstable,Massachusetts 02630 508-362-3312 FAX 508-362-8444 8VILLIA61 A.JOKES nI;cmF GL9NN$.COFFIN,cAvyAtr RRE racveNr[o, . August 11, 1997 On August 6, 1997,I witnessed the removal of an underground at, 2171 Main Street in Barnstable The excavation was clean and odor free with no evidence of leaking or contaminated soil. The tank appeared intact on examination. I ordered the excavation site baA illed and the tank transported to the tank yard. 1 Glenn$. C f . . Tank—Data -Tank Removed From: Gallons_ ( No. and Street ) Previous Contents } Diameter_ Length (amity or Town ) Date ReceIved_23\(D\CjII k L Fire Dept. Permit # Serial # (if available)�� Note New Address: UAs barceonqAi �P�-� - Tank I.D. # (Form FP-290- , Rm. 1310 Boston, MA 0210&1618 Owner/Operator to mail revised coCXD 290R) to: UST Compliance, Office of the State cFi a Marsation hall 101 U or Fp- Conamonwealth Avenue, Boston,' Ma. 02215_ _ ... LL RECEIPT OF DISPOSAL- OF UNDERGROUND STEPJ, TQ1 ANK NAM.; AND ADDRESS j;�IRAlF�d 1 R�fC''rC1N ASV OF - 00 APPROVED TANK YARD �SALVAGE GO., NG. - Lc, 00 APPROVED TANK YARD NO. o Tank Yard Ledger 502 CMR 3L t `'� berm I certifY'urder PerbaltY of law I have personally exanirmed the urdex9rourid stOQ1 storage tank delivered to this `apPrvved tank Yard- by firm, corporation or.partnership and accepted arms in conformance with Kassachnisetts Fire Prevention Regulation 502 CMR 3.00 ?rwisiou>s for AFpruving Ltviergrvund Steel Stor 7k W dismantling Yards_ A valid permit was issued by LOCAL Head of Fire Depul rnt FDIDj � to transport this tank to this ya[d_ Nwdq and official title of apprbvW tank yard owner or owners authorized'representativec slcaT�►7vRE TrIZE D47£ SIQU This aiq d receipt of disposal mast be retunred to the local head of the fire departnant FDID1 _ _Pursuant to 502 CHR 3:0 TEACH Imm MUST ERVE A REC EZPr CF DISPOSAL) FORM F-P, 291 (rev. 11195) 'OVER) STATE gM M tRMIS OFFICE 00 - - N