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1630 PHINNEY'S LANE - Health
163E Phvnneys Lane, A' 276� 033" 4 k'Barnstable5 r ,a n ma AM, h�NOFBTSTABLE LOCATION Q'f SEWAGE# (fVU VILLAGE A�flf%Cd Ge A , -S'SOR'S MAP&PARCEL . INSTALLERS NAME&PHONE NO._/u5 SEPTIC TANK CAPACITY ®� LEACHING FACILITY.(type) a (size) . 0 a �/ Q NO.OF BEDR OMS OWNER CAM PERMIT DATE: 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 v A wee 42 sY y„ 3=S14"PI No. lJ / Fee v r 1K.N THE COMMONWEALTH OF MASSACHUSETfTS Entered in computer: .PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2pprication for �D gponl *pgtem Cow5truction Permit Application for a Permit to Construct( ) Repair(W Upgrade( ) Abandon( ) U Complete System JMdividual Components Location Address or Lot No. �630 Owner's Name,Address,and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 'lope of Building: Dwelling No.of Bedrooms Lot Size �/ 3 / ��-' Garbage Grinder ( C� Other Type of Building S Ce No.of Persons Showers( ) Cafeteria( ) Other Fixtures y� Design Flow(min required) gpd Design flow provided(/ gpd Plan Date Z® .® � Number of sheets Revision Date Title Size of Septic Tank 1500 Type of S.A.S. e �*44 Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Boar f He It v Signe Date Z D Application Approved by Date Application Disapproved by: Date for the following reasons Permit No. Date Issued J✓"'--.vy`, ._�� ,,. ..y`..�.�� -,.- y-*--"-.•-vv..=�...�.......r...�..�- .. - � `r_�aa" -.i.^*" ' ._ �v...�i... -a"r.r-'- :g- .:s No. - '��J ./ h a � 1, Fee _ THE COMMONWEALTH OF MASSACHUSEW- - S t f Entered in computer: 1/ PUBLIC HEALTH DIVISI.ONl TOWN OF BARNSTABLIf, MASSACHUSETTS Yes 2pprication for Mtgpo4af-6p5tem Con5tructiou 30ermit Application for a Permit to Construct O Repair(Y� Upgrade O Abandon{ ) IF(Corrtplete System ®individual Components Location Address or Lot No. �63d pt y Owner's Name,Address,and Tel.No. Z76 -033 5Q' rz-" 5s0 Assessor's Map/Parcel j( e/ Installer's Name,Address,and Tel.No. Designer's N e Address and Tel.No. 17 Type of Building: V Dwelling No.of Bedrooms ( Lot Szell ` q=€t� Garbage Grinder (4)�U' Other Type of Building �e$,�^ ���e No.,,f.Persons } Showers( ) Cafeteria( ) Otlier Fixtures Design Flow(min.required) 5-5 0 gpd Design flow provided �j gpd Plan Date ✓c— Zd � S Number ot sheets Revision Date Title ✓ $/x 4ov D _5"l Size of Septic Tank! 15-00 Type of S.A.S. Gf����9¢ �P�^G,/ C!Ko*i Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of * Compliance has been issued by this Boar of Heath. Signed r'� Date 5;7 Z�G' Application Approved by Date Application Disapproved by: Date for the following reasons -."--Permit No. Date Issued _ ---------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance TH'fS IS TO CERTII��FY,that the On-site Sewagegisposal System Constructed ( } Repaired (V) Upgraded ( ) Abandoned( )by at �� j/J�e has been constructed in accordance ` p� with the provisions of Title5 and the for S S- r Disposal System Construction Permit No. ! --� dated / Installer /, r,r Ilvhh(t Designer #bedrooms Approved design flow d gpd . The issuance of this permit shall not be construed as a guarantee that the system will f�unc1 do a esi -tied. Date Inspector r. No. � (32 I ( Fee AQ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS 1 r �igpo!5at,*pgtem.Coo gtruction permit Permission is hereby granted to Const ct Repair /) Upgrade Abandon � ) System located at `, .3 f� 1361/7 V t / and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. ` Provided: Const~uction mu t be.comm letteed within three year-s:of the date f tli' e�rrm"t. Date 5 7� ��`� d App{oveby�_ �--`_ :cixon rzlpe f:=nl3inef.::ririg :inc FAX NO. :15083629880 Jan. ;-'E' 1E.1C:i :A: API P2 Town of Barnstable x , Regulatory Sferi vkes . �. 'Thomas F. Cciler,Dircctoi° Am •,W-. Public :Health Di.vigiun Tbnmas McKean,Direct:ma' 200 ►drain Street,Ayannkq,MA 02601.. .508 100-630a Ins-taller&Designer Ccrtiififtition Jli f rly.' ' Sevvag,e Perin ARSL kiar963)blicillil;l"a.l �r,t ' 1r'_ ID,c;�if�rue.r _ �+;.� ! ✓r �,� h°q a—►' instnue[t': -ar :�� ta1'�r/►-,- - 7 Address.: + ,.. 1f , � (�� �„ U✓- >• 11,1.E "`:�' � {��'�' Crf ,f l� �.� �l i i � ll,.��• ►i:r /2! !©/ �jj L(/d/ was issued a p;-,-,r':li[.Ili 14 il. *trj......--- (installer} S+ i'i.w ;; ,�.i.1Pt rt ��< )^r�_ �) r/1I1 �a.r� rasc�.d part tie,:rgr:, c`.l>r'tt --- (addr ill .4s)• , •/r .. ��jj ///��/yam/y/dated I i:4,itif[ Il.l t tl,�e si�ptis sytiteni rcfi�rcnced cthc�de v�ra insr�alle,r9 '>itkrfizl,tnl iinli, ,t +i-s :c8iia.g i:o -- - tta� '1,ic11 may include minor approved changes"sueli as I;a.t,r l rcd i '.1[, it ol.'tile c s;xibul.;;oa box and/or septic tank. l _rt:ifk% ic.l.a.fkt (]tf; s pi:i+� system referenced above wn,4 iiiwtalla�cl --- t,r e_ater t'.la an 10' 1 atend relocation,of the SAS or airy veitacal.1%.14 o afi„r of a 14 r ►:r r i of�ne tlt �411ky:;r:;llati,� sy ste�an) but•in accordance with Slate 8z Local l i�l,ll :iicrn:,.. :Er1 n t �rr����i Or c olrtil>_e(J ai-built by designer to follow. ' � r < �. r a I;�i:! i rnP:r`:> 6ligna.h><re) _ (Afft. :ALgtti i. i .n Il,..ta� 1 ]I'1 1 !►i F F2l'�1l l[l i l�[ 1(ti[1 �t1tA�tNS 1 ABL) j,TC 1H IEALTH DL515191[ ( 1�1 I 1 I IE M 9,I T, WE tl i Phtll'1i ilAhi�(.i'. 1LL_ 1g, ISSUED UNTIL BOTH 6I111L 11I'PD MILE �2i1 �t;lEl�', lD)f6U II-F�i $a40qST,Rf L,E PUBLIC H EA1AH DMSJC.N.TTlUVTK`t iY[+: - - -vij! `;q)1i.ejr:w ,p;:nrcectific; uonF n3-26-04°doc :.. , CAPE COD AGGREGATES CORP. 40 READY MIX DRIVE R 0.BOX 96 HYANNIS, MA 02601-0096 Date May 27 , 2008 IIE: 1.630 Phinney's'Lane Hyannis,MA I, Sam 'Lorusso, being a corporate officer of Cape Cod Aggregates Corp.,which is the owner of the property located at 1630 Phinney's .Lane,11yannis,MA,hereby attest to the fact that when the home was purchased in 1.989 by Cape Cod Aggre- gates Corp., it was a five bedroom home. :I further attest to the fact that no remodeling nor construction has been done to said home that would require any type of a building permit since that purchase in 1989. 11egardm, am Lorusso Title: / Cape Cod Aggregates Corp. (508)775-3716 FAX(508)790-3227 SHOP(508)778-6409 No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 0[pplitation for Miq;poaY *pgtem Con.5truction Vermtt Application is hereby made for a Permit to Construct( )or Repair( )an On-site Sewage Disposal System at: Location Address or Lot No. S w er's Name,Address and Tel.No. So 19kAeL,�_r 441U2:-_ Y Ca Installer's Name,Address/and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms 3 Garbage Grinder( ) Other Type of Building IZ#..A; No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the-)construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Tit e'5 of the Envi n: ental Code and not to place the system in operation until a Certifi- cate of Compliance has been issue -by this Board h. Signed Date 1`v2,V—1111 Application Approved y ^ Application Disapproved for the fo owing asons Permit No. Date Issued f:.i No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLES MASSACHUSETTS 01ppftratton for Mtgo5al *pgtem Cougtructton.vermtt 'Application is hereby made for a Permit to Construct( )or Repair( )an On-site Sewage Disposal System at: Location Address or Lot No. Ow er's Name,Address and Tel.No. 30 �w Installer's Name,Addres and Tel.Nc So-•,3(a-3645 Designer's Name,Address and Tel.No.. `7 a's 10 z c/ A'// Type of Building: Dwelling No.of Bedrooms Garbage Grinder( ) Other Type of Building Rat. No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Description of Soil Nature of Repairs or Alterations(Answer when applicable) Q 3,, I 1 Date last inspected: Agreement: The undersigned agrees to ensure the-construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions o�Tyyi 5 of the Envir• ental Code and not to place the system in operation until a Certifi- cate of Compliance has been issue this Board Signe `�- ��� Date y— j Application Approved { Application Disapproved for the fo owing asons .� Permit No. 9 - k4 Date Issued THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS Certtftcate of Compliance - THIS IS TO CERTIFY,that the On-site Sew a a Disposal System installed( )or repaired/replaced(�on by '�S'toccen for as has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Use of this system is conditioned on compliance with the provisions set forth below: Al N ,. No. — L Fee-- ` THE COMMONWEALTH OF MASSACHUSETTS. PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Mtgonl *p!tem Con5tructton Vermit Permission is hereby granted to V , to construct( )repair><,j an On-site Sewage System located at !iG and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. All construction must be completed within two years of the date below. Date: /� �— ��Approved by 4 No_'2a........ .................. 33 DTHE COMMONWEALTH OF MASSACHUSETTS EALm.TH OF Apphration -for IN-4pagal Workg Totulrurfion Urrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: > Z ----- ---------_-----_---- ------------------- r.... cation n-Address Pf .. ........... ..........................................or Lot No......................................................... r Address ......... ....... . ------- . ................................... ................................................................................................... Installer Address in < Type Build Size Lot............................Sq. feet U Dwelling ' No. of Bedrooms-------\3---------------------------Expansion Attic Garbage Grinder ( ) —1 C14 Other—Type of Building ---------------------------- No. of persons_.--__-_-----_____-_.._-_.-_ Showers Cafeteria ( ) PaOther xt s .... -----------------------------------------------_------------------------ ----------------------_- ........... ...... -------------------Design Flow. 3..L/....................gallons per person per day. Total dally flow......... ---------L flow........._----___- ....._.gallons. P4 Septic Tank lLiquid capacity-hid-dgallons Length________________ Width._---..____-.. Diameter---.__..._-__-- Depth...----_-.-.... Disposal Trench—No. ..................... Width. Tot I L gth ---- - --------- Total leaching area--------------------sq. f t. See pa Other Distribution box ge Pit No.1------------------ Diameter/O& b T I leaching area ------sq. it. Dosing tank ( 1/. a 7------------ Percolation Test Results Performed by------------- ............................................................ Date---------------------- - ==i Test Pit No. I................minutes per inch Depth of Test Pit-.____-___________-- Depth to ground water.......4?4----------- L14 Test Pit No. 2----------------minutes per inch Depth of Test Pit_-____---__________- Depth to ground water.._......_-__--_-_-- :_. �+ - .... , ... ........ .. ............................... ... ........ ---------------------- 0 Description of Soil---------------- Q. 3. ......... -------------- ------------------------- ------------- W --------------------------------------------------- ............. .. ..... ------ ---- -- ---- ---------- -- ------------------____---------- ........ ---------------------------------------------------------------------------------------------------------------------------------------------------------- U Nature of Repairs or Alterations—Answer when applicable----------------------------------------------------------------------------------------------- --------------Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the'provisions of Article XI of the State Sanitary Code— The undersigned further agrees not to place,the system in operation until a Certificate of Compliance has be ued by t d ea 01 el S* -------- ... e Application Approved By------------- - -- ------- . . ....... ate Application Disapproved for the following reasons:............................... -------------------------------------------------------------------------- ------------------------------------------------------------------n................................................................................ ------------------------------------------------- Date PermitNo......................................................... Issued... ................ ----------- No......................... FEs... ................. THE COMMONWEALTH OF MASSACHUSETTS BARD OF HEALTH _---- ------OF......� :.ys!. . .... ...................... Appliratinat -for viapniittl Works Tonstrurtion Prraaait Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: - =------- - ------ ------•------- ... ' F cation-Address or Lot No: r Address W A Installer Address Q Type Buliiin Size Lot----------------------------Sq. feet U Dwelling Sks No. of T3erooms-----------_ -- Expansion Attic ( ) Garbage Grinder ( ) p� Other-Type of Building ___ --------------_-------- No. of persons Showers ( ) — Cafeteria ( ) d Other xt es -----------------=------------------------------------------------------------------------------- ------------ ------- -- -- w Design Flow..:n.... - --_-____gallons per person per day. Total daily flow................... gallons. WSeptic hank I-Liquid capacitv_14rid'+Clgallons Length---------------- Width------.......... Diameter---------------- Depth--:._-____.._.- x Disposal Trench•—No_____________________ Width... __. Tot 1 L gth _ _ _----___. Total leaching area--------------------sq. ft. _ Seepage Pit No. Diameter,ef"_ b ........... Total leaching area.____.___..-____sq. ft. z Other Distribution box ( ) Dosing tank ( ) a Percolation Test Results Performed by-------------------------------------------------------------------------- Date............________. Test Pit No. 1----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water...... fs, ¢-¢---------- Test Pit No. 2................minutes per inch Depth of Test Pit-__-_____-..______-- Depth to ground water=_._......._.________... a * ................................. a O Description of Soil----------------_I --•- x (� I ------••-- ------------------------ w UNature of Repairs or Alterations—.Answer when applicable-------------------------------------------------------------------- ........... ------------------------------------------------------------------ ----------------------------------------------------------------------------------------------= ........ Agreement The undersigned agrees to install .the. aforedescribed Individual..Sewitge D.isposal.System in"accordance with the provisions of Article XI'of the.State Sanitary-Code`' The undersigned further agrees not.to place'the system in operation until a Certificate of Compliance--has bg2wis ued by d e } - ;- -- - •-- Date A plication Approved By-------------- -- ----- ••-•-- ------ Date Application Disapproved for the following reasons--------------- ------`----- ---------------•-------•-------------•-•---------------•-----•---••---••-------- -, ;..: ADD Permit No-------------------------•---=•---------•--•----------•-. Issued....... ----- --- ;....... . t THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTH ........ OF.-.: t ,L, ,.................................................... (Irrfifira' tr of 011intph aurr HI SJIS TO C IF That the Individual Sewage Disposal System constructed (4#�or Repaired ( ) by... t - ---------------------•---------•--- v 7 Installer at.- ---- F has been installed in accorda ce with the provisions of Article XI of e State Sanitaryt, d as scribed in the a ------------------- application for Dis osal Works Construction Permit No-________ dated._ 2 __ PP P, e f * ��7q--- THE ISSUANCE OF THIS CERTIFICATE.';SHALL NOT BE CONSTRU SAG NTEE THAT THE SYSTEM WILL ON •.-- -- - - 'A CTORY. DATE............... ----------------------=----•---------------- Inspector----------- -�-'-�--------------- --t --------- THE COMMONWEALTH OF MASSACHUSETTS BOARD 'HEALTH' -•OF / ,. ......... . . .. No.•... i .......................... FEE4 %xiv at ork - a #rurtion Prruti# Permission is hereby.granted.- ..... +-------------------------------------------------- ................................ to Cons c ( , ) or k air ( an Ind'vid Sewage Dtspo System ----------- x Street as shown on the application for Disposal•Works Construction P t_N00— ... *of d_.�� � -7 y........... -------------------- Bt DATE...........................................=-------------------------------------- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS ...,a ,.* L e µti,;!r�: 7fyr R ,i_ +ri t(~�.,► ".:.4'Y ry.'V'!FY hk 'y.'h.F .' '`,�. :Q;', rY�� a _ - - - s. 'f tit J. AR1rd SARGARA i. OERRIOR / to cc 0PS 120 fAto 0 C» + ! Z S®O'09�20E 115.92 S 76015'40"E 160.62 _ STJo14'20"E i0o 55 cv CBMow - . O ._ �, L. PAUL AND LILA LEE LORUSSO Y. SK. 1401 PG 145 ul �0 y a N I CB 7,am�' is 320.00 P MA�OLD F. {�ITTEpS�a YER Ea � z , �I a„-�- 02� s6� Cj- ,bb /J GLG' --*:f fed v 200,5 Yll A �3' T 295004001 own of Barnstable Find MaplParcelo , " z Flealth Department HealtFiSystem / ryl Y n. A, T nk Nbr 0 TagTb 00040 Installed 10/01 85� Location B ' Test Flotification Date T7777771 Status paf � Rem�ovai�N�ificatio'n�Date��� � � � � � ti� a , � Test k �WOW r ' e � dar Fuel Sto a G FUe Storage Reason B �9 � '� apaci �Consttuct�an� �eak Detect�an Gather is Detection a '.. Stor ge Mall nfo 02500 F z Y zAdditionalDetails DE TED PARCEL REVISIONS CMPLT � � ��,"r �' ,�' -�'ao✓`rcr ^�'� yes ^"�°- z � y.c � a cap,, ? Am Z a. Add Change y s 'S -0u,rns+xb(4- 19D TO; f cvv-IN171i vvvjej�jn V--,Yj 20C)5 -k4- 2 A" ALOZ" I� s -dill �Oad- � (/y S OPT7 C )0o ar Town of Barnstabte Find Map arcet 295004001 'Health Departmenu ealth Syste{m mll yi y < x �� a Map Parcel 295004001 ..._ , �� Tank�Nbr 01 fag Nbr 00039 I Instalied 10/01/1985!fLocati n B a f, Test tV�ifeation Date y S§tatus Date Removal 1VotifIcation DateF� r � ,Abandon' .e1{ ✓ ,[, � 2emoval 05/19/2004 ' ' �/�ariance Fuel Stored D , FuelSto�age ReasonBxs Capacity Constructwn ��s Leak Qetection CathodreDseteectwn , Storage Tak Info 010000 FDA y a `Addit€onaliDetai DELETED PARCEL REVISIONS CMPLT CJQV�� `:• Btliv a® \ 1 10'°0 0 CA 53 Town of Barnstable Regulatory .Services Thomas F. Geiler.Director Public `Health Division Thomas McKean,Director 200 Main.Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 To: CAPE COD AGGREGATES CORP Date Thursda ,January 05,2006 P 0 BOX 96 HYANNIS MA 02601 RE:Underground Storage Tank at: a—GONSALVES ROAD Map Parcel: 295004001 Tank NO: 01 Tag NO: 0003'9 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 locat 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 Bo 'd of Health within ten(16) days after this order is served.. ,v o Per Order of the Board of Health .L Thomas A.McKean,RS;CHO W Health Agentb � ct; F'RFBARNSTABLE FIRE DEPART NT 'X �u��PBusy`�c,a: 3249 Main Street-P.O. Box 94 y' 1927 Barnstable,Massachusetts 02630. ` `•.•:�'.----•- _° 508-362-3312 - SSA�Hus FAX: 508-362-8444 Robert M. Crosby Glenn B.Coffin FIRE CHIEF DEPUTY FIRE CHIEF rcrosby@barnstabiefire.org gcoffin@barnstabiefire.org V y U' r,May 19,i2004 Report of Tank Removal- The 10,000 gallon UST used for fuel oil was removed from this location. rThe condition of the tank was eccellent. There appeared to be no leaks of fuel oil into the environment or excavation. There was however t�'`� release ofaksrnall amount of Brine Antifre_.eze ScutloR,� ` """ " also`known a Anular`4Space Fluid from the interstat[d area between the mne'r arrd-outer fl1. 1 ss-anrl wail 1 This fluid is usually IAM(,.edwithin{themter rtlals acefr {lie Grp e pressure testing. The tar l '': `` 11-w ruptured NEMI eye t caul'ng hole f approxi ,��mtd1amete.r® rotoQ a an,�w�a J s augsed the release as P, a �j � u` 0. p xlrnatelyr#wo ree gallons of`flulc� n otNe�c, vtQn to The "staining rs �o e rerr�o�er' r tl� W U 11 ,, owed p`ff site y nviro- a e 4avatlo an= r x i x =Nl s br a Safe Co� ora Ian On rerneua;l. a t Fusingro r .e ^� ab the tank to leak more Inter I arl f 5°'Ot1to fxe eve rt' Theea�kacontained. y 4 ,tyTaw,. .,�.-...._..� a.> with absorbent material s"and the11gu1'c�cleanedxfromtfepavement initially I was uncertain as to the type of mafenal and'su.ggested.tha#the=site be tes"t"ed by the appropriate personnel to assure that there was no contamination.. However, MSDS sheets from Owens-Corning suggest that this a material is not hazardous and primarily water based. The LSP on site upon my return to the site wanted . authorization for a full UST evaluation if he was to do any evaluation. There being no product:spill and only the interstitial spill in very limited quantity, I allowed for back fill of the.excavation and removal of the tank. All interior tank contents and interstitial .contents were removed and the tank is to be disposed of at the Bourne landfill. Copies of this`report-to be distributed to the Barnstable Health Department, Cape Cod Commission and the.Cape Cod Aggregates Co. Interstitial f ched. e I eput www.barnstablefire.org CAPE COD AGGREGATES CORP. Ed Lambert 40 Ready Mix Drive (508)778-9464 P.O.Box 96 i Fax(508)790-3227 Hyannis,MA.02601-0096 i . a Town of Barnstable Q¢ Regulatory"Services sue 'y Thomas F. Geiler.Director k� Public Health Division Thomas McKean,Director 2001VIain Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 To: CAPE COD AGGREGATES CORP Date Thursday,January 05,2006 PO BOX 96 HYANNIS MA 02661 e -RE:Underground Storage Tank at: GONSALVES.ROAD Map Parcel: 295004001 Tank NO: 02 Tag NO: 00040 � R Our records indicate that your underground fuel(or chemical)storage. nk is over 20 years old,and has not been removed as required by section 326-3:subsection 2 of the Town f 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: C3 You may request a hearing.provided a written petition requesting same is received by the Board of a Health within ten(10) days after this order is served. j i Per Order of the Board of Health Thomas A.McKean,RS,CHO. ._ D Health Agent — co to M Comrrionwealtho 1Vlassachusetts 3 6.7 M Street Hyannis;lVlassachusetts"02601 , ;REG $TRATION Date Apnl 29, 2005 Fee: $52 50 This is to certify that HYANIIS SAND & :GRAVEL. CAPE COD AGGREGATES CORP has, in accordance with the,provsions of Chapter 148, Section 13 of the General Laws, f led w�th'me a',' certificate of registra xon setting forth that HYANNIS SAND GRAVEL CAPE COD AGGREGATES CORD:is the holder of the license gra`ned on 02/04/86 Book 150172 Page , for;the Lawful use of the lu ;or other'structures) situated or to be situated at 40 CEMENT COURT WANNIS as:related to the KEEPING, S'FORAGE :l�1. N�TFACTURE OR SALE OF FLAMIVIABI;ES`OR el LOSIVE'S 'F Parcel Underground Y,~Above ground Tag # Total %capacity in g lons and type of fuel 40 2500`GAS : • (Signature) *NOTE. A .Certificate of Registration must be fi1'ed 4 on o'r before Apnl 3Oth of:each year; ( REGISTRATION MUST BE CONSPICI70USLY POSTED ON THE PREMISES lo THI , u Lf panngwry y Find Map Parcel ,295034001 '% Flnd Qwner �s 1.�%�f' ����r 'emu -- r v' -_... � •" s 7 ''i Parcel�IcJ 295004001 Def D: V Account No 003553 Parent 0208448 # ;r 1006 t K DevelLot LOT 4 LoSa a 4.38 Acres I ......... z , CurrOwn CAPE COD AGGREGATES CORP r' State C la"ss, 440 rsy /;ail .-�'n A� No Bldgs Area 00000000 P O BOX 96 Year Atlded." 86 � y� MA HYANNIS 02601 Maw sewer accted 030189 = �f2efere�Ce C116997 � ' �� a Condo Gompiex Building UnVM it January 1st',CAPE COD AGGREGATES CORP Deed MMYY: 0389:Deed R'ef C116997 1%alues�� t ands 000113900 Bwgs�000000000 666r Features 0000000000 i ...; � LocationFR 0 NSALVES ROAD Road Index 2277 Frntg 0635 ' Fire Dist BAD F v KIDD S HILL ROAD See Mtlex 21�77rc rntg 0536 �'�� l rri/F ''r vir ti�� 33F �i+3 ttF ar y�hfa xaSS iW >. Ml T S� 4 Massachusetts Department of Environmental Protection Customer Code#: 398317 Bureau of Waste Prevention — Stage II Vapor Recovery Program Stage I.I Form C Annual In-Use Compliance Certification A. Stage II System Documentation 1. Stage II Syst Location :-CAPE COD A GATES CORP Name of facility where the Stage II System is installed 195 KIDDS HILL RD Facility address. HYANNIS __ MA 02601 City/town State Zip code 2. Stage I,I:.System Responsible &ficial#1 (point of contact for Stage I1correspondence) LA.URA PETERSON (508)775-3716 Name of Stage II System Respoftible Official' Telephone number PO BOX 96 Mailing address HYANNIS MA 02601 City/town State Zip code 3. .. Stage II System Responsible Official#2 (fill out only if applicable) MICHAEL THOMAS... (508)775-3716 Name of Stage II System Responsible Official Telephone number 195 KIDDS HILL'RD Mailing address - — HYANNIS MA 02601- City/town -State Zip code 4. Stage II Annual Compliance Fee Billing Address. LAURA PETERSON (508)775-3716 Name of person to whom annual compliance fee is billed Telephone Number CAPE COD AGGREGATES CORP Name of company PO BOX 96 . Mailing address - . HYANNIS MA 02601 City/town _ State Zip code 5. Stage II System Executive Order#: G-70-52-AM, Balance 6. Is the pre-completed Stage II system documentation contained in �/ A.1 —4 correct? 0 Yes • ❑ No If no, please print the correct information to the right, on the same line. B. In-Use Compliance Testing and Submittal Requirements 1. In-Use Compliance Tests Required to be Performed and Passed. 1. Pressure Decay,2.Vapor Tie, 3. P/V Relief Vent 2. Testing arid'Submittal Dates For this Form C to be submitted in compliance with program requirements; the envelope ufied to mail the required Form C,to DEP must be postmark dated on or before 9/22/ZOOS. All required compliance tests must be performed and passed within the 30 days prior to the date postmarked on the envelope used to submit this Form C to DEP. r Massachusetts Department of Environmental Protection Customer Code#: 398317 , Bureau of Waste Prevention - Stage II Vapor Recovery Program Stage II Form C Annual In-.Use Compliance Certification C. Compliance Testing CompanyCertif.ication To be comp) d by the'Compliance Testing:Company only Na a of Compliance Testing ompafi .(please print) 7`- 2. DEP Stage LI Compliance Testing Company ID#: � -mod T 3. Installed Stage II.System Executive Order#: SZ T— ive_ 4. Are you in compliance with the requirements to confirm, prior to performing required compliance tests, that all required above ground Stage II,system components are installed and are the correct components in accordance with the system's currently applicable Executive Order? Yes ❑ No 5. Ho many gasoline storage tanks are associated with this Stage II system? One (if one, skip to.question 6) ❑Two or more(if two or more, please answer the follQW'ing question) For a gasoline dispensing system with two or more gasoline storage tanks, are you in compliance with the requirement to confirm, prior to performing required compliance tests,that the gasoline storage tanks are properly manifolded in accordance with the system's currently.applicable Executive Order? ❑Yes ❑ No 6. Are you in compliance with the requirements to perform each-compliance test in accordance with.'.1 enced fest procedure?. .,�� ❑ Yes ❑ No 7. For each required compliance test, provide the:. Date Test First Res At of First Date Test Nrformed rformed Test fpss/Fail) and Passed a. Pressure Decay test -05 b. Vapor Tie test c. P/V Relief Vent.test d. Dynamic Back Pressure/ Liquid Blockage test AS e. Air/Liquid Volume Ratio test f. Healy FillneckPressure test g. Healy Vapor Return Line test I certify that, (a) I have personally examined the foregoing and am familiar with the information contained in Section C. and all attachments and pertain to Section C., and that based on my inquiry of those individutils immediately responsible for obtaining the information, I believe that the information is true;accurate and corriplete. I am aware that there,are significant penalties for submitting false information, including possible fines and•imprisonment; and(b) I am fully authorized to make this attestation on behalf of this Stage II Compliance Te o pang. Panted Name Of Compliance Testing Company Signat r of Compliance ompany t ate Responsible Official Responsible Official , 5/17/05 • .Page 2 of.4 f Massachusetts Department of Environmental Protection . Customer Code#: 398317 c Bureau of Waste Prevention —Stage II Vapor Recovery Program Stage II FormC Annual In-Use Compliance Certification D. Stage II Facility Compliance Certification To be completed by the Stage II System Responsible Official only. 1. Facility Operation, Maintenance and Record Keeping a. Are you in compliance with the requirements to correctly operate and maintain the Stage II system in accordance with the system's currently applicable Executive Order? �s ❑ No (if no, see D.2.below) Stage II System Responsible Official attesting to compliance Status ❑ #1 ❑ #2 b. Are you in compliance with the requirements to visually inspect the,Stage II system e*r'y% seven days to determine if any components.are incorrectly installed,.non-functioning or broken? Yes ❑ No (if no, see D.2 below) Stage II System Responsible Official attesting to compliance Status ❑ #1 ❑#2 C. Are you in compliance with,the requirements to immediately repair or remove from service any compo nt determined to be incorrectly installed, nonfunctioning or broken? Yes ❑ No (if no, see D.2 below) - Stage II System Responsible Official attesting to compliance Status ❑#1: :w` ❑#2 d.' Are you in compliance with the requirements to conspicuously post"Out of Order"sigh on incorrectly installed, nonfunctioning or broken components immediately upon being Gemoved from service? I.*. . es ❑ No (if no, see D.2 below Stage II System Responsible Official attesting to compliance Status ❑#1 ❑ #2 e. Are you in compliance with the requirements to re-install, repair or replace all incorrectly installed, nonfunctioning.or broken components within .14 days of determination or to take such•` components out of service in accordance with the interim DEP Policy on Dispensing'of Gasoline ThrouQPrb Stage II System With Defective Components? Yes ❑ No (if no, see D;2 below) Stage li System Responsible Official attesting to compliance Status ❑#1 . ❑ #2 ` f. Are you in compliance with the requirements to correctly maintain on site all inspector•training, compliance testing and Stage II system maintenance records? es ❑ No (if no, see D.2 below) Stage II System Responsible Official attesting to compliance Status ❑ #1 ❑ #2 g. Are.y in compliance with therequirements to perform all required in-use compliance tests? Yes ❑ No (If no, see D.2 below) Stage II System Responsible Official attesting to compliance Status ❑ #1 ❑ #2. 5/17/05 Page 3 of 4 ILa Massachusetts Department of Environmental Protection' Customer Code#:3983�7 Bureau of Waste Prevention—Stage II Vapor Recovery Program I Stage II Form C. Annual In-Use Compliance Certification 1. Facility Operation, Maintenance and Record Keeping(cont.) h. Was each required in-use compliance test passed on the first try? es ❑ No i. If no,'are you-.in compliance with the requirements.to correctly repair the Stage II system and pass the applicable in-use compliance tests(s)within 14 days of the date.the system first failed the test(s)? ❑Yes ❑ No(If no,see'h.ii. below) ii. If no,are you in compliance with the requirements to stop dispensing gasoline after 14 days from the date of the first failed test and to conspicuously post"Out of Order"signs on all gasoline dispensers, until the Stage 11 system was correctly repaired and passed the applicable in-use compliance test(s)? ❑Yes ❑ No (If no,see D.2 below) . Stage II System Responsible Official attesting'to compliance Status ❑#1 ❑#2• i. Are you in compliance with.the requirements to perform and pass all required annual in-use compFance tests wi in the 30 days prior to the date postmarked on the envelope used to submit this Form C to DEP? es ❑.. lo(If no, see D.2 below) Stage 11 System Responsible..Ofificial attesting to compliance Status ❑#1 042 2. Compliance Status and Actions to Ensure Future Compliance , For each question answered"No"to in D.1 above, please identify: a. the non-compliance attested to; b. the action(s)taken to return to compliance and date completed; and c. • the action(s)-taken to•ensure future compliance and date completed. Please print. If more space is needed, please use additional pages as necessary. I certify that(a) I have personally examined the foregoing and am familiar with the information contalhtd in this document and all attachments and that, based on my inquiry of those individuals immediately responsible for obtaining the information,.I believe that the information is true, accurate and complete. I am aware that there are significant penalties for submitting false information, including possible fines and imprisonment;.(b)systems to maintain compliance are in place at the,#acility and will be maintained for the coming year even if the processes or operating procedures are changed over the course of the year; and, (c) I am.fully authorized to make this attestation on behalf of the facility. Printed'narie of Stage II System Responsible Signature of Stage I stem Responsible x t` Date Official#1 Official#1 dq j. Printed name of Stage II System Responsible. Si�n.ar S age I System Responsible Date Official#2 Official#2 5/17/05 Page 4 of 4 f October 8, 1985 Iir. Samuel A. Lorusso Presideriti Hyannis Sane: c& gavel P. 0. Box 96, Iiyannis, Viz . 02601 Dear Mr. Lorusso: We are in receipt of'your recent letter notifying us that you are going to replace both the 2,000 9411101, gasoline and the November 20, 1985. 10,000 Gallen diesel fuel tank by It will be necessary for .ydu to obtain a permit from the Selectmen's office and pay tree Town Clerk $10.00 for the permit. Chief Jones, of the Barnstable Fire District issues you a permit to remove the tanks. An application to install an underground fuel tank must be obtained also frond Chief Jones. This application raust be approved, by the Board of Health and Conserwq Pona %orZr:iission before a permit is issued b V the Fire District. i our business is located in a. Zone of contribution. The net, tanks r'a'List be enclosed in a liner constructer) oa' impermeable material, Enclosed . is a copy of. our Underground Fuel 'Tarfk Regulations and sari 5t ecilfications.for the ii�Stallc tion of a liner. If you have any questions, please call 175-1120, extension 182. Very truly yours, John ». F.elie Director of Public Health JMK/M i cc. Board of Selectmen Barnstable Fire District i f w If7 Department of Public Safety Division of Fire Prevention and Regulation Notification for Underground Storage Tanks STATE USE ONLY DEPARTMENT OF PUBLIC SAFETY ID NUMBER . FIRE DEPT. MAdL TO: P.O. BOX 490 - nWSBURY, MA 01876 DATE RECEIVED ❑ A. FACILITY ❑ B:AMENDED __ ❑ C. CLOSURE A. Date Entered Into Computer B. Data Eritry Clerk Inn i_ als _ No.of tanks at facility No.of continuation sheets attached' C. Owner WasContacted to s E . e INSTRUCTIONS Clarify Responses. '_ments�"11 �� Please jype or print in ink all items except'signature"in section V.This form f must be completed for each location containing underground storage tanks. hf more than five(5)tanks are owned at this location,photocopy the following e & sheets, and staple-continuation sheets to the form. GENERAL INFORMA Notification is reauirsd by.Fsderal law for all underground tanks that 3.septic tanks; have been used to store regulated substances since January 1,1984,that 4.pipeline facilities(including gatnenng lines)regulated under the Natural Gas ' are In the ground as of May 8,ism,or that are brought Into use after May 8, pipeline Safety Act of 1968,or the Hazardous Liquid Pipeline Safety Act of 1979,or 1986.The Information requested Is required by Section 9002 of the Resource .which is an intrastate pipeline facility regulated under State laws; Conservation and Recovery Act,(RCRA),as amended. S.surface impoundments,pits,ponds,or lagoons; 6.storm water or wastewater collection systems; The primary purpose of this notification program is to locate and evaluate 7.flow through process tanks; underground tanks that store or have stored petroleum or hazardous substances. 8.liquid traps or associated gathering lines directly related to oil or gas It is expected that the information you'provide will be based on reasonably production and gathering operations; available records,or in the absence of such records,your knowledge,belief,.or, 1 9,storage tanks situated in an underground area(such as a basement,cellar, recollection. mineworking,drift,shaft,or tunnel)if the storage tank is situate upon or above the Who Must Notify?Section 9002 of RCRA,as amended,requires that,unless surface of the floor. exempted,owners of underground tanks that store regulated substances must What Substances Are Covered?The notification requirements apply to under notify designated State or local agencies of the existence of their tanks.Owner ground storage tanks that contain regulated substances.This includes any means— substance defined as hazardous in section 101 (14)of the Comprehensive a)in the case of an underground storage tank in use on November 9,1984,or Environmental Response,Compensation and Liability Act of 1980(CERCLA),with brought into use after that date,any person who owns an underground storage the exception of those substances regulated as hazardous waste under Subtitle C of tank used for the storage,use,or dispensing of regulated substances,and RCRA.It also includes petroleum,e.g.,crude oil or any fraction thereof which is b)in the case of any underground storage tank in use before November 8, liquid at standard conditions of temperature and pressure(60 degrees Fahrenheit 1984.but no longer is use on that date, and 14.7 pounds per square inch absolute). g any person who owned such tank immediately before the discontinuation of its use. WAere To Notify?Completed notilicauon form. %hiwld be .ent to the addre- e it the State a so requires, gixen at the top of Ihi.page. agency eq any facility that has undergone any dwges to facility information or.tank system status(only amended tank information needs to be included). What Tanks Are Included?Underground storage tank is defined as any one or combination of tanks that(1)is used to contain an accumulation of'regulated When.To Notify?1.Owners of underground storage tanks in use or that have substances;and(2)whose volume(including connected underground piping)is been taken out of operation after January 1,1974,but still in the ground,must notify 10%or more beneath the ground.Some examples are underground tanks storing; by May 8,1986.2.Owners who bring underground storage tanks into use after)vtay 1.Gasoline,used oil,or diesel fuel,and 2.industrial solvents,pesticides, 8,1986,must notify within 30 days of bringing the tanks into use. herbicides or fumigants. What Tanks Are Excluded?Tanks removed from the ground are not subject to notification.Other tanks excluded from notification are:. penalties:Any owner who knowingly fails to notify or submits false 1.farm or residential tanks of 1,100 gallons or less capacity used for storing Information shill be subject to a civil penalty not to exceed$10,000 for each momr.fuel for noncommercial pubes' r tank foo which notification Is not given or for which false information is ' 2.tanks used for storing heating oil for consumptive use on the premises submitted where stored;. . R n (.OWNERSHIP OF TANK(S) ii. LOCATION OF TANK(S) /' � ACM nFs 6 bk� M required by Stater give the Long; .+tk location of tanla by degrees,m nute6,and seconds. • Exartples tat 42,36,12N Lore:8aS5 24,17W owner. m St"gPrJration,Individual,Public ryen�r-,Other Entity) s l� Y !(iit11 S Street Adds Latitude Longitude Y/a/11/ iS i � �✓ �6 a/ 5R ,y/��U 1 j�r (11 tars as Sea Ion 1,mark box here M) Facility Name or company Site identifier,a applicable stme m �FC!tr1)1/�►rJ/t� Street Address(P.O.Box rot acceptable) County Phone Number(fm9i5de Area Code) city state ZIP,Foue— my uncpa xy FORM F.P. 290 (rev, 10190) Page 1 i IX. DESCRIPTION OF UNDERGROUND STORAGE TANKS (Complete for each tank at this location.) 1 ) dank Identification Number Tank No. �.. Tank N - Tank No. o. Tank No. - 1.Status of Tank Tank No. (mark only one) Currently in Use E:_Y� - � Temporarily Ovt of Use �r+.mow.b r oul»ct cn u Permanently 0W1of Use (---I (Rrn.oe«c ra,i.kn ix.) i Amendment of Information 2. Date of Installation (mo.7year) i 3. Estimated Total Capacity'(gallons) l.� r)oo d'Sao 4. Material of Construction (Mark all that apply) Asphalt Coated or Bare Steel . Cathodically Protected Steel i � � i Epoxv Coated Steel i I -----=—� ' I COmposite (Steel with Fiberglass) Fiberglass Reinforced Plastic I � i (—� L—�—J oLined-Interior Double Walled Polyethylene Tank Jacket Concrete -----, Excavation Liner Uriknown Other, Please specify Has tank been repaired? ty I Q 5. Piping (Material) (Mark all that apply) Bare Steel I I i Galvanized.Steel x: Fiberglass Reinforced,Plastic'i ' ' l • _ Copper I � I Cathodically Protected ----_ Double Walled Secondary Containment Unknown Other, Please specify _— 6. Piping (Type) (Mark all that apply) Suction:no valve at tank Suction:valve at tank -------------7"i pressure, �j E== I —IiI Gravity Feed f Has piping been repaired?I NO Page 3 �: • F I. CERTIFICATION OF COMPLIANCE (COMPLETE FOR ALL NEW AND UPGRADED TANKS AT THIS LOCATION' �1 Y FTank Identification Number I Tank No. i Tank No. Tank No: Tank No. Tar, No. i nstatlation I 4 I A. Installer certified by tank and I - piping manufacturersJ� B. Installer certified or licensed by the I implementing agency C.. Installation inspected by a i registered engineer ] D. Installation inspected and approved by implementing agency E. Manufacturer's installation check- lists have been completed F. Another method allowed by State agency. Please specify. 2. Release Detection. Mark all that I I ( apply), TANK PIPING TANK PIPING . TANK PIPING TANK PIPING T-1,NK PIPING A. Manual tank gauging B. Tank tightness testing id C. Inventory controls D. Automatic tank gauging E. Vapor monitoring F. Groundwater monitc*ing G. Interstitial monitoring double walled I _ tank;piping j i I• � H. Interstitial mcnito6ng'secondary containment I. Automatic line leak detectors J. Line tightness testing K. Other method allowed by i I Implementing Agency. Please i specify. j I I 3. Spill and Overfill Protection ►' i A. Overfill device installed � �' B. Spill device installed _ i OATH: I certify the information concerning-installation that is provided in section X is true to the best of my belief and k�cw'e Installer: Name Signature Dz: Po.sr,ioh Compa7..y r , f R Notification' for Removal or Closure of In Place Storage Yanks Regulated Under 527 CMR 9.00 Forward completed form;signed by local fire department,to:Mass.UST Compliance Unit,;Fire . - Dept.of Fire Services,P.O.Box 1025-State Road, Stow,MA 01775ceived:Telephone(978)567-3710t. ID#(Fire Department retains one copy of FP-290R}: t. Sig. <`:This form is to be.used for notification for removal of Underground Storage Tanks/ - •Piping. If a storage facility has UST's whichare to remain in use, an entire,amenderl FP-290ty Number _ (long form) must be filed.-. B. Date Entered C. Cleric's Initials Note: "Facility street address"must include both a street number and a street name.. Post office box numbers are not acceptable, and will cause a registration to be D. Comments returned. If geographic location of facility is not provided, please indicate distance and direction from closest intersection, e.g., (facility at 199 North Street is located) 400 yards southeast of Commons Road (intersection). 1. OWNERSHIP of TANK(S) 11. Locmow OF.TANK(S) Owner Name(Corporation,Individual,Public Agegcy,or Other Entity) If known,give the geographic location of tanks by,degrees,minutes,and . seconds.Example:Lat.42,36,12 N Long.85,24,17W (� 1 C r Latitude_ Longitude — _— _5 Street Adbress I Distance and direction from closest intersection(see note above) { Facility Name or Company Site identifier,as applicable Chi I state Zip Code Street Address(P.O.Box not acceptable-see note above) ty1 City a - state Zip Code Phone Number(Include Area Code) Owner's Employer Federal ID fF .County Ill. TANKSIPIPImG REMOVED OR FILLED IN GLACE Tank Number Tank No. E Tank No. Tank No. Tank No. Tank No_ 1.Tank/Piping removed or filled in place (mark all that apply) A. Substance last stored B.Tank capacity gallons /-D C. Estimated date last used (mo./day/yr.) —`j D. Estimated date of removal (m.o./day/yr.) . E.Tank was removed from ground F. Tank was not removed from ground �� 0 Tank was filled with inert material _ Describe material used: _ ____ _ __ G.Piping was removed from ground H.Piping was not removed from-ground I. Other, please specify - FP-29OR(revised 5/98) OVER + Tank Number(cost.) Tank No. Tank No._.`'_ Tank No.___. Tank No. _ Tank No.�__ 2.Tank closed in accordance with 527 CMR 9.00 Qi Yes ❑No O,Yes ❑No JD Yes ❑No ❑Yes ❑No ❑Yes ❑No , A. Evidence of leak detected ❑Yes .%No o Yes ❑No ❑Yes ❑No ❑Yes ❑No ❑Yes ❑No B. Mass. DEP notified ❑Yes to No ❑Yes ❑No D Yes ❑No ❑Yes ❑No ❑Yes ❑No 1. Mass. DEP tracking number. 2.Agency or company performing y;C-<Ds contamination assessment `527 CMR 9.07(1),see"Commonwealth of Massachusetts,Underground Storage Tank Closure Assessment Manual'April 9,1996 DEP Policy#WSC-402-96 I declare,under penalty of perjurythat 1 have personally examined and am familiar with the information submitted in this and all attached documents, and that based on my inquiry of those individuals immediately responsible for obtaining the informa- " tion, I believe that the submitted information is true, accurate, and complete. Name and official title of owner or owner's . Signature: Date; authorized representative(Print) I pe- �, UP _ZU_DZ f FP-29OR(revised 5/98) ` v f Appendix lR - Renewal Application for Certificate of Compliance for Dispensing Facilities THE COMMONWEALTH OF MASSACHUSETTS Department of Revenue Underground Storage Tank Board, 200 Arlington Street,Floor l-C - Chelsea,.Massachusetts 02150-0001 RENEWAL APPLICATION FOR CERTIFICATE OF COMPLIANCE FOR DISPENSING FACILITIES I. INSTRUCTIONS Please type or-print in ink and sign the owner/operator certification on the reverse side. A copy of the current tank notification form FP-290 must accompany this application Also enclose-a copy of: (1)Fire Department Permit to Maintain a UST System(FP-290 part 3) (2)If a Marina,•a Marine Fueling Permit(FP-294) U. OWNERSHIP OF TANK(S) III.•LOCATION OF TANK(S) Owner Name(Corporation,liftvidbttl,or.Other Entity) Fac�— e(Corporation, , 'vidWl,or Other Entity Street Address Street Address (P.O'Box not acceptable) 0 , I }���,�,s r^C1f=1 OD-i-00 '1 c�r,nls 171A Q ' I p State � Zip Cif e �f11S'M((1 Mail Address if Different from Street Address County Phone Number(Include Area Code) Phone Number(include Area Code) IV. GENERAL-Facility Identification(COC)Number: I QES� FP-290 attached to this application? <Yes If not, do not submit Appendix 1 R application Fire Department Permit attached? <<Yes If not, do not submit Appendix 1R application } Marine Fueling Permit attached?. <Yes 6Not pplica V. UST COMPLIANCE TESTING ' Cathodic Protection System Report Attached? <Yes. <Not Applicable-UST system is Fiber las, Composite; Check Applicable Category <Sacrificial Anode System <Annual test(—.85mv to-.90mv) or <3-yr test(>-.90mv) attached. _ <Impressed Current System Attach annual test survey report. Product Line Test Report,Attached? ' < Yes < Not Applicable Check Applicable Category: < Pressurized-Attach annual line and line leak detector iest report. < Pressurized equipped with interstitial monitoring-No test required. < Suction,check valve at tank-Attach 3-year test report(No.test required if equipped with interstitial monitor) < Suction,check valve at dispenser only,none at tank—No test required. Note:Failure to provide applicable test reports may result in the revocation of the current COC and disapproval of the COC•renewal application. FonnM-] Rev.5ivo3 Page i ofl •. Continued`on Reverse Side APPendix,IR; continued VI. CERTIFICATION Owner/Operator Certification I'certify that this Dispensin'Facility is in full compliance with the provisions of 527 CMR 9.00,503 CMR 2.00 and M.G.L.Chapter 21J. I'certify.that to the'best of my knowledge and belief the UST System is in Full Compliance with state and federal UST regulations for December 22,.1998. I hereby consent to all audits of anypayments,submissions to the Board,and inspections made pursuant to law and incidental to the issuance of licenses,registrations,permits,certificates and the operation of this UST System. I further certify that I ain authorised to execute this form.•1 declare under the.penalty of perjury that to the best of my knowledge-and belief the statements made and information given herein are true as of the date of this application: I am aware that there are significant penalties for submitting false information,including possible fines,civil penalties and imprisonment Check One: Owne Owner/Operator Signature: Date: /o a 6 Y < Operator Professional Engineer Certification—Substantial Modification of UST System I certify that all UST System testing,leak detection,corrosion protection,spill containment and overfill prevention meets the requirements of 527 CMR 9:00 for this type of UST System as documented on tank notification form FP 290.I declare under the penalty of perjury that to the best of my knowledge and belief the statements made and information given in the above certification are true. , Professional Engineer Certification is required if a substantial modification has occurred since the issuance of the current COC. (For details,refer to 503 CMR 2:07(2)(d)(2) Signature: Date: Name,Address,and Mass.P.E.Reg.# P.E.Stamp (required) OFFICE USE ONLY - Reviewer initials: r Date Stamp Was owner/operator contacted for clarification? <Yes <No - a Findings: UST Registration current? <Yes <No Permits and.Tests reviewed? <Yes <No Annual tank fees current? <Yes <No ; < APPROVED < DISAPPROVED Name - Reason for Disapproval: Title Form 21J-.1.Rev.5/1/03 Page 2 of 2. r , C�/�ea��2ar7o�2u�ea>! aC�/t�a��acu� a / 672— nCl rr� �C% ���Cli9GJJ?Ci r "G%e uxr r�ie�z.0 a 'G-� cope K9'7"c--G lfire aPl/.e PERMIT" To Maintain an Existing/New Storage Tank Facility, for Storage Tanks Regulated under 527 CMR.9.00 I In accordance with the provisions of 527 CMR 9.00 this permit to maintain an existing/new storage.tank facility is granted to: Location of property: Ready Mix Drive , Barnstable, MA Street address Owner of property. Cape Cod Aggregates Corp Fu11 name of person,firm or corporation Number of storage tanks- 1 aboveground _underground Facility to be,maintained in accordance with the restrictions described below: 10 , 000 gallon AST for Eu.pI Q i i --;' oT aq!C fC) A �i Plant � I Fee paid: $ 10 . 00 (M._G.L. Chapter 1.48, section. 10 ), J:. This permit will expire 0.3 /0 8 1-0-7 Date Signature of H ad of Fire_Depanment or appointed designe (Owner's copy- To be posted.at the storage facility) FP-290 Permit.(revised 3/00) .. -------- ---- ----------- — --- ----- ---------- �\ fZ d C �aG�ceLt� Cozecutrine q ace o m&c�- Notification for Storage Tanks Regulated Under 527 CMR 9.00 Forward completed form,signed by locahfire department,to: Mass. USTProgram,Dept. Fi re Dept. Use Only of Fire Services,P.O. Box 1025-State Road,Stow,MA 01775 Use Form FP-290R to notify of tank removals or closures in place. Date Received: Telephone(978) 567-3710. Fire Dept. ID# (Fire Department retains one copy of FP-290) Fire Dept. Sig. ❑ A. New Facility(see instructions,#1) . O B. Amended C. Renewal State Use Only INSTRUCTIONS: Form FP-290(Notification for Aboveground and Underground Storage Tanks)is to be completed for each location containing underground or aboveground storage tanks regulated under 527 CMR 9.00. if more than five tanks are owned at this location,photocopy the following pages and staple continuation sheets to the form. The FP-290 A. Facility Number must be completed in duplicate. Although the form may be photocopied,the facility owner or owner's representative must sign each copy separately;photocopied signatures are not sufficient. Both copies of the FP-290 are to be forwarded B. Date Entered to the local fire department,who will check all information and certify the forms. The fire department will retain one copy of the FP-290 for its records,and the facility owner shall be responsible for forwarding,the other copy to the C. Clerk's Initials Dept.of Fire Services at the address above. The local fire department will issue the:permit portion of the FP-290; however,registration is not complete until the FP-290 is received and checked by the UST Regulatory Compliance Unit. D. Comments All questions on this form are to be answered.Incomplete forms will be returned. 1"New Facility"means a tank or tanks located at a site where tanks have not been previously located. 2"Facility street address"must include both a street number and a street name. Post office box numbers are not acceptable,and will cause a registration to be returned.if geographic location.of facility is not provided;please indicate distance and direction from closest intersection,e.g., (facility at 199 North Street is located)400 yards southeast of Commons Road(intersection). INFORMATIONGENERAL Notification Required Exception:(a)a farm orresidential tank of t,100 gallons or less capacity used for storing motor Fire Prevention Form FP-290,is to be used as Notification,Registration,and Permit for fuel fornoncommenciai purposes,or(b)a tank used for storing heating oil for consumptive aboveground and underground storage tanks and tank facilities regulated under 527 use on the premises where stored are not required to be registered under 527 CMR 9.00. Code of Massachusetts Regulations 9.00.No regulated aboveground or underground penalties:Anyownerwhoknowinglyfailstonotityorsubmitsfalseinformationshallbesubject storage tank facility shall ( installed,maintained,replaced,substantially modified. to a civil penalty not to exceed$25,000 for each tank for which notification is not given or for removed without a permit(FP-290)issued by the head the local fire department which false information is submitted.(MGL Chapter 148,section38H,527 CMR 9.00) The owner of any storage facility shall within seven working days notify the head of the. ' local fire department and the Dept.of Fire Services of any change in the name, Aboveground.Storage Tanks - address,or telephone number-of the owner or,operator of astorage facility subject to 527 CMR 9:00.requires the registration of any aboveground storage tank..which,meets the regulation by Chapter 148,Mass.General Law and by 527 CMR 9.00 following definition:a horizontal or vertical tank,equal to or less than 10,000 gallons Underground Storage Tanks capacity,that is intended for fixed installation without back fill above or below grade,and is - Each owner of an underground tank first put into operation on or after Jan.1,1991, used for the storage of Hazardous Substances,Hazardous.Wastes,or Flammable or shall,within thirty days after the tank is first put into.operation,notify the Department of Combustible Liquids. Fire Services(the department)of the existence of such tank,specifying,to the extent Exception#1:Aboveground tanks of more than 10,000 gallons capacity regulated by520CMR known,the owner of the tank,date of installation; capacity,type,location,and uses of 12.00(Requirements for the Installation of Tanks Containing Fluids Other Than Water in such tank.By no later than Jan.31,1991,each owner of an underground storage tank Excess of.10,000 Gallons)are not required to be registered under 527 CMR 9.00. . that was.in operation at any time after Jan.1,.1974, regardless of whether or such Exception#2 (a)a farm or residential tank of 1,100 gallons or less capacity used for storing tank was removed from beneath the surface of the ground at any time,shall notify the motor fuel for noncommercial purposes, or (b) a tank used for storing beating oil for department a the existence of such tank,specifying,to the extent known,the owner of consumptive use on the premises where stored'are not required to be registered under 527 the tank,date.of installation,.capacity,type,and location of the tank,and the type and CMR 9.00. quantity of substances.stored in such tank,or which were stored in such tank before the tank ceased being in operation if the tank was removed from beneath the surface Penalties:Any person who knowingly violates any rule or regulation made by the Board of Fire of the ground prior to the submittal of such notice to the department.Such notice shall Prevention Regulations shall,except as otherwise provided,be punished by a fine of not less also specify;to the extent known,the date the tank was removed from beneath the than one hundred dollars nor more than one thousand dollars.(MGL,Chapter 148,section surface of the ground prior to the submittal of such notice to the department.The 10B,and 527 CMR 9.00) . operator of any tank that has no owner or whose owner cannot be definitely ascertained,shall notify the department of the existence of such tank,specifying,to the Where to Notify?Two completed notification forms should be signed by both the tank owner extent known,any information relating to ownership of the tank,and date of and the local fire department.One copy will be retained by the fir edepartment,and the tank installation,capacity,type,and location of the tank,and the type and quantity of owner shall send a separate copy to the address at the top of this page. substances stored in such tank,or which were stored in such tank before.the tank When to Notify?1.Owners of storage tanks in use or that have been taken out of operation ceased being in operation if the tank was removed from beneath the surface of the must notify within thirty days. ground prior to the submittal of such notice to.the department.If the tank was I abandoned beneath the surface of the ground prior to the submittal of such notice to Owners and Operators of Regulated Storage Tank Systems must maintain records the department,such notice shall also specify,.to the extent known to the owner or certifying that all leak detection,inventory control and tightness testing requirements operator,the date the tank was abandoned in the ground and all methods used to for the Regulated Storage Tank System are current.These records must be readily stabilize the tank after the tank ceased being in operation. avairablefor inspection.. I. OWNERSHIP OF TANKS) II. LOCATION OF TANK(S) Owner Name(Corporation,Individual; Public Agency,or Other Entity) If known,give the geographic location of tanks by degrees,minutes,and r seconds.Example:Lat.42,36,12 N Long.85,24,17W �. - Latitude Longitude Feet Address Distance and direction from closest intersection see mstruc6ons Facility Name or Company Site identifier,as.applicable Cif— a51Te Pao—Te— Street Address(P.O.Box not acceptable-see instructions#2) County - City - State Zip Code Phone Number(Include Area Code) _ - Owner's Employer Federal ID# - .County - - FP-290(revised.11/96) Page 1 Ill.-TYPE OF OWNER IV. INDI/AN LANDS ❑ Federal Government ❑Commercial ❑ Tanks,are,located on'land within an Indian Reservation or on ❑ State Government (storage and sale) _ other trust lands. Private ❑ Tanks are owned by native-American nation,tribe,or individual. El Local Government (storage and use) V. TYPE OF FACILITY Select the Appropriate Facility Description: (check all that apply) , Gas Station Marina Trucking/Transport Petroleum Distributor Railroad Utilities Airport Federal-Military Residential Aircraft Owner v_ Industrial __ Farm Vehicle Dealership Contractor a Other(explain) VI. CONTACT PERSON IN CHARGE OF TANKS Name: U_A-t i-_�, C) Address: Phone Number(include areeay code): Job Title: �6� i�c=r OC1 is S lA i l l RA Home. 'l��tflni`� M(--A 02LIO1 Business: ` /-7r-' VII. FINANCIAL RESPONSIBILITY ❑ l have met the financial responsibility requirements in accordance with 527 CMR 9.00. Check all that apply: -- -T -- =.- -r- =—= ------ ❑ Self..Insurance ❑ Guarantee ❑'Letter of Credit ❑ Commercial Insurance ❑ Surety Bond ' ❑ Trust Fund ❑ Risk Retention Group X State Fund ❑ Other Method Allowed .Specify VIII. ENVIRONMENTAL SITE INFORMATION : This information should be available from local health agent, conservation commission, or planning department. 1. Tank site located in wellhead protection area ❑Yes `X No o unknown 2.Tank site located in surface drinking.water supply protection area ❑Yes 'XNo o.Unknown 3.Tank site located within .100 feet of a wetland ,' - ❑Yes %No ❑ Unknown 4. Tank site located within 300 feet of a-stream or water body ❑Yes 56 No, ❑unknown IX. DESCRIPTION OF STORAGE TANKS AND PIPING (COMPLETE FOR EACH TANK AT THIS LOCATION) Tank Identification Number Tank No: r Tank No: Z Tank No. Tank No. Tank No. 1. Tank status a. Tank mfr's serial#(if known) lud b. Currently in Use [ IF Ans, c..Temporarily Out of Use(Start Date) d. Permanently Out of Use e. Aboveground storage tank (AST)or ❑AST �K UST XAST ❑UST ❑AST ❑ UST ❑AST' ❑ UST ❑AST ❑UST Underground storage tank(UST) 2, Date of Installation (mo./day/yr.) �. ME Ap6l 2bg ' 3. Estimated Total Capacity(gallons) s to oc) FP-290(revised 11/96) Page 2 `f I ' Tank.ldentification Number(cont.) Tank No. Tank No. Tank No. Tank No. Tank No. 4. Substance Currently or Last Stored a. Gasoline ❑MV ❑ Marina ❑MV ❑ Marina ❑ MV ❑ Marina ❑ MV ❑Marina ❑MV ❑Marina Motor vehicle or other use . - ❑other-: El ❑other 0 other - ❑other b. Diesel Motor vehicle or other use ❑MV ❑Marina 'R MV 0 Marina ❑ MV ❑ Marina ❑ MV ❑ Marina ❑MV ❑Marina ❑other R other -❑other ❑ other; ❑other c. Kerosene 0 0 0 d. Fuel Oil' "Consumptive Use"tanks need not be registered. "Consumptive Use"fuel used exclusively for area ' heating and/or hot water. e. Waste Oil 0 0 0 0 f. Other, Please.specify --------------- ---- ----- ----- ----------- Hazardous Substance 0 0 (other than 4a thrta 4e above) CERCLA name and/or CAS number Mixture-of Substances Please specify 5. Material of Construction-Tank(mark only on ) , Bare steel(includes asphalt, galvanized and epoxy coated) 0 0 0 0 0 Cathodically protected steel Composite (steel with fiberglass) Fiberglass reinforced plastic(FRP) Concrete Unknown Other Please specify 6.Type of Construction-Tank (mark only one) Single walled Double walled Unknown Other Please specify d_ Is tank-lined?' ❑Yes No ❑Yes No ❑Yes ❑No O Yes. ❑No' ❑Yes ❑ No Does tank have excavation liner? ❑Yes X No • ❑Yes $2 No ❑Yes ❑ No ❑Yes ❑ No ❑Yes ❑ No FP-290(revised 11/96) ;` Page 3 Tank Identification Number(cont.) Tank No. Tank No: Tank No. Tank No. Tank No. 7. Material of Construction-Piping (mark only one Bare steel (includes asphalt,galvanized and epoxy coated) 0 0 Cathodically protected steel Fiberglass reinforced plastic(FRP) ] � 0 0 0 Flexible Copper ] 0 0 0 Unknown„ Other y I_j 0 0 0 Please specify 8. Type of Construction-Piping(mark only one) Single walled 0 0 0 0 0 Double walled 0 � 0 0 0 Unknown 0 0 0 0 0 Other 0 0 0 0 Please specify Has piping been repaired? ❑Yes ❑ No ❑Yes a No. ❑Yes. ❑ No ❑Yes ❑ No ❑.Yes ❑No Is piping gravity feed?. ❑Yes ❑ No' ❑Yes .❑ No ❑Yes .❑ No ❑Yes ❑ No ❑Yes ❑ No Date X. CERTIFICATION OF COMPLIANCE 1. Installation A. Installer certified by tank and piping ? 0 0 manufacturers . B. Installercertified or licensed by the implementing agency C.Installation inspected by a registered 0 engineer D.Installation inspected and approved by. the implementing agency E. Manufacturers' installation checklists have been completed F. Another method allowed.by 527 CMR 9.00. Please specify 2.Tank Leak Detection Tank Tank Tank Tank Tank (mark only one) A. Double-wall tank-Interstitial monitoring B.Approved in-tank,monitor a C.Soil vapor monitoring (check one below) ❑ lo ❑ Monthly ❑ Continuous E: Inventory record-keeping and tank testing ❑` 1:1 •E] ❑ f F. Other method allowed by 527 CMR 9.00.. ' Please specify FP-290(revised 11/96) Page 4 Tank Identification Number(cont.) Tank No. Tank No�_L Tank No. -Tank No: Tank No. 3. Piping.Leak Detection (mark only one) Piping Piping . Piping Piping Piping A.Pressurized a. Interstitial space monitor ❑ c ❑ , ❑ ❑ b. Product line leak detector ❑ L ❑ ❑ ❑ (mark all that apply below) R Automatic flow restrictor* ❑ Automatic shut-off device* ❑ Continuous alarm* * Also requires annual test of device and piping tightness test or monthly vapor monitoring of.soil. B. Suction: Check valve at tank only ❑ ❑ ❑ ❑ (Requires interstitial space monitor or line tightness test every three years) ❑ interstitial space monitor ❑ Line tightness test . C. Suction: Check valve at dispenser only r� ❑ ❑ (No monitor required) LJ D. Other method allowed by 527 CMR . 9.00. Please specify 4. Date of last tightness iesi(tank&piping) _ 5:Gravity feed piping ❑ IMM, ❑, 6. Spill containment and overfill protection Tank, Tank Tank A. Tank Tank A. Spill containment device installed B. Overfill prevention device installed , ❑ ❑ ❑, 7. Daily Inventory Control (mark only one) A. Manual gauging by stick and records ❑ ❑ ❑ ❑ ❑ . reconciliation B. Mechanical tank gauge and records ❑ ❑ El ❑ reconciliation C. Automatic gauging system: ® ❑ ❑ Tank Piping Tank, Piping Tank. Piping Tank' Piping Tank Piping 8. Cathodic Protection (if applicable) A: Sacrificial Anode Type ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ B. Impressed Current Type ❑ ❑ ❑ ❑ ❑ ❑ ❑. ❑ ❑ . ❑ C. Date of Last Test Certification of Compliance.No.: X1. CERTIFICATION (.Read and sign after completing all sections) NOTE:Both the copy being sent to the Dept.of Fire Services and the copy retained by the local fire department must be signed separately. A photocopied signature will.not be accepted on either document. I declare under penalty of perjury that I have personally examined and am familiar with the information submitted in this and all attached documents,and that based on my inquiry of those individuals immediately responsible for obtaining the information,I believe that the submitted information is true,accurate,and complete. Nam aan�d.ofricial title of/jowner or owner's authorized representative(Print) Signature: / Date:_ l�0iLfC4 L, 4, 9 �IT,L/�. � GSc �C�- L(!Y>�'' A C� FP-290(revised 11/96) Page 5 Barnstable. Fire Department; 3249 Main, ST - Post Of f ice Box: 94 Barnstable, ` MA 0263.0 A - ` Permit Certificate - .'General with: Seal Date.' 1.1/01/2005 Business Name:, Hyannis, Sand and Gravel Address: 1630 Phinney,' s . LANE Barnstable, MA 02630° 4 Phone: OFFC 508-775-3716 The following permit has been issued: ` -Permit No. 980503 Type: FLAMSTOR Storage of Flammable Liquid * Issued Date: 11/01/2005 Effective Date: 11/01/2005 Expiration Date 11/01/2006 Notes : Must .comply with Town and State regulation'on . storage of flammable liquids . To store noYmdre than two thousand five hundred (2, 500) gallons of gasoline "fuel in approved -tank storage area on property. It is the business 's responsibility to "ensure that."conditions are in . accordance- with applicable State' a'nd Local fire regulations . : Please c ntact Barnstable ,Fire Department for more information. Inspector: Christopher J Olsen'- f Date± yr + 11/01/2005 16: 47 Page. 1 033 Ulain. Street *� as _ ^ ry. •xa.�. e, Centerville y No f 254LO. ++oarer:nc ;xR! SYSTEM PROFILE EKED WITHCMAGNETICTTAPSHALL E OR BE NOTES (NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. (SEE VENT NOTE ON PLAN) 1. DATUM IS APPROXIMATE NGVD ACCESS COVERS TO WITHIN 6" OF FIN. GRADE 2' H-20 CAST IRON COVER TO GRADE OR CONCRETE 2" PEASTONE OR GEOTEXTILE COVER TO WITHIN 3" GRADE, COORDINATE W/ OWNER \ 2, MUNICIPAL WATER IS EXISTING \ TOP FOUND. EL 85.0' FILTER FABRIC OVER STONE 3. MINIMUM PIPE PITCH TO BE 1�/8" PER FOOT. �000s 78.0 MINIMUM .751 OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM PRECAST H-to BLOCKS OR 4. DESIGN LOADING FOR PROPOSED PRECAST DBOX RISERS (rep.) PRECAST RISERS AND LEACHING CHAMBERS TO BE AASHO H-2Q 76.8' p TOP SY . EL. 74.5 SEPTIC TANK TO BE H-M. 2'r 4 0SCH40 PVC. H-20 •._ PIPES LEVEL 1ST 2' �4, MORTAR ALL COMPONENTS \/'S EL. 73.5 4' :M. 1500 GAL H-10 ° ENDdl. SIDES 5. PIPE JOINTS TO BE MADE WATERTIGHT. Qca, ".i *EXISTING 10" SEPTIC TANK 14" °00000 :. ;.. ;• - .. : • .. ;°0000000 c m °000°°°° 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE l�C 75.65 TEE TEE 75.4' ®®®I ��®� ®®��®® � � '°°°°°°°° WITH 310 CMR 15.000 (TITLE V.)'' Q p� • . o 0 0 0 0 'aoc°corn >00000000 06 0000°0000000 O '000000"o >00000000 (0 y.ico GAS BAFFLE..: +0000000000o N >°0000000 0000°000 >°o°o°o°o ®®®®®® ®®® ®® ®®®®®®®� ;°0000000 c ' ,00000000 0000000° 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND cap , NOT TO BE USED FOR LOT LINE STAKING OR ANY a �. •:�` . : 4' LIQ. LEVEL (ACME OR EQUAL) 73.86 73.69 ' ° ° ° ° EL. 71.5 0 o OTHER PURPOSE. •• , ;��p�pOp'p�p��,��0�0�0g0�0?�°o_O O"'Oo*O.O_� w p p 1 L �.c' , o �. 3/4 -1-1/2 DOUBLE WASHED STONE 4' MIN. H-20 500 GAL LEACHING CHAMBER BY ACME PRECAST OR EQUAL 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4 PVC. Q 4 (4) UNITS REQUIRED DEPTH OF FLOW = ALL AROUND PRECAST STRUCTURES p 9: COMPONENTS NOT TO BE BACKFlLLED OR TEE SIZES: f 6 ,CRUSHED STONE OR MECHANICAL OVERALL DIMENSIONS TO OUTSIDE OF STONE: 42.00 X 12.83 I_ INLET DEPTH = 10„ COMPACTION. (15.221 (2]) b CONCEALED WITHOUT INSPECTION! BY BOARD OF HEALTH AND PERMISSION OBTAINED FROM BOARD OUTLET DEPTH = 14" OF HEALTH. 10. CONTRACTOR SHALL BE RESPONSIBLE FOR LOCUS MAP CALLING DIGSAFE (1-888-344-7233) AND 6 BOTTOM TH-1 VERIFYING THE LOCATION OF ALL UNDERGROUND & SCALE 1"=2000't MIN. ( 2.5% SLOPE) ( 5.7% SLOPE) H-20 ( 1 % SLOPE) NOO GROUNDWATER FOUND OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF LEACHING WORK. ASSESSORS MAP 276 PARCEL 33 FOUNDATION EXISTING SEPTIC TANK 27' D' BOX 21' FACILITY 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE REMOVED 5' BENEATH AND AROUND THE LOCUS IS WITHIN GP AND MEDICAL SERVICES *THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL PROPOSED LEACHING FACILITY. OVERLAY DISTRICTS UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM AN EXISTING SEPTIC SYSTEM SHALL BE PUMPED AND REMOVED. 13. NEW SEPTIC TANK TO BE INSTALLED AT SAME ELEVATION AS EXISTING. LEGEND 115.93, 14. DWELLING AND EXISTING SEPTIC SYSTEM BUILT IN 1974. o 99 EXISTING S CONTOUR M Aso 62. SYSTEM DESIGN: X 99.1 EXIST. SPOT ELEV. -fga - .,PROPOSED CONTOUR GARBAGE DISPOSER IS NOT ALLOWED 198.41 PROPOSED SPOT EL. TH7 H TEST HOLE DESIGN FLOW: 5 BEDROOMS 0 110 GPD = 550 GPD USE A 550 GPD DESIGN FLOW 2� SLOPE OF GROUND UTILITY POLE 1.03 ACRE LOT SHOWN SEPTIC TANK: 550 GPD (2) = 1100 FIRE HYDRANT. ON P8 287 PG 40 ! USE A 1500 GAL. SEPTIC TANK wm- Nor Nt S oo"INY mmm w mom , J LEACHING: . TEST HOLE LOGS SIDES: 2 (42 + 12.83) 2 (.74) = 162 GPD BOTTOM 42 x 12.83 (.74) = 398 GPD ENGINEER: DAVID FLAHERTY, R.S., SE2755 /i i W TOTAL: 756 S.F. 550 GPD WITNESS: DON DESMARAIS, R.S. Z USE (4) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL) MAY 15, 2008 M DATE: *. ^o WITH 4' STONE ALL AROUND 2 PERC. RATE _ < 2 MIN/INCH CO a � � CLASS I SOILS P# 12197 11 J EXSISTING SEPTIC 11 EXISTING 5 BR TANK ELEV. ELEV. Z / DWELLING TANK APPROVED DATE BOARD OF HEALTH (1974) & , MA o" 4 77.0' o" 4 77.0' � 8, 82 TOP FNDN. 81_ TITLE 5 SITE PLAN al 18" FILL 20„ FILL oll ELEV.=85.03' 80 BO_ OF A A oll �� w w w 79 79-- LS LS , ,0.0 78-- 1630 PHINNEY S LANE 20" 10YR 3/2 22" 10YR 3/2 �l ry _ _ _ ,,-TH,,, (HYANNIS) BARNSTABLE, MA 11 WIRES _ - . TH-2 B B /l °H GRAVE DIRT - - M PREPARED FOR DRIVE I `,�, '` `' �. 77 LS Ls I , • I BORTOLOTTI CONSTJ " 1 OYR 5/6 74 5' 1 OYR 5/6 _ v� I ,r.,. . • :......_"' :' I PROVIDE VENT WITH CHARCOAL FILTER 30 30" 74.5' S. ' ( SAM LORUSSO c/o -,_ '�:'k ''�•''''°'�'''""•' / AND BUGSCREEN FINAL PLACEMENT WITH I I HOMEOWNER CONSULTATION) AREAS` / CAPE COD AGGREGATES, INC. PERC C C iiiiiiiijilljlllllliiillillilillilI 75 DATE: MAY 20, 2008 BENCHMARK 7: 74- CORNER CONCRETE 73 320•00, M S M S STEP EL. = 77.27' f off 508-362-4541 OF qSs �.ZNOFAfg8 fox 508-362-9880 downcope.com 2.5Y 7/4 2.5Y 7/4 DANIELAO.IALA . °� DAANIEL -ri dOWN cope engineefingr iac. CIVIL �' OJALA o No.46502 No.40980 Civil engineers 126" 66.5' 120" 67.0' �-�° �`` �O ASS land surveyors NO GROUNDWATER ENCOUNTERED Scale: 1 20 " /ONAL ° q SU NJ 939 Main Street Rte 6A= YARMOUTHPORT MA 02675 DICE 08-098 0 10 20 30 40 50 FEET DATE DANIEL A. OJALA, P.E., P.L.S. 08-098 BORTOLOTTI_LORUSSO.DWG (DDF)