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HomeMy WebLinkAbout0119 PIN OAKS DRIVE - Health (2) fi19 PIN OAKS DRIVE, BARNSTABLE ,I ;II � 1 , TOWN OF BARNSTABLE BOARD OF HEALTH fig / ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION Date !,7��jj I ( + Time: In Out x Owner eowqn- G . Li JInJG'75-1 1M Tenant eu&-A Address 3q/J bmq Address 13 D PW 6 G&f'VV cwz. LitW5ikRt , Mj Compliance Remarks or Regulation # Yes NO Recommendations 2. Kitchen Facilities 3. Bathroom Facilities Wt - 4. Water Supply 5. Hot Water Facilities 0 6. Heating Facilities ®� 7. Lighting and Electrical Facilities 8. Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use - 12. Exits ' 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal t • �� 17. Temporary Housing �- 18. Driveway Width \S ,•� lZ� r lZ Z- 19. Number of Tenants Observed i PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition Number of Bedrooms 7 Number of Vehicles Allowed (max) Number of Persons Allowed (max) Person(s) Interviewed �A Jl Inspector If Public Building such as Store or Hotel/Motel specify here , ` a TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II:MINIMUM STANDARDS FOR HUMAN , V HABITATION Date Time: In CO v Out (D 1 y Owner � Tenant -- 3 LI f 5 Address Address o -.. Corn I! ce Remarks or Regulation# Yes NO Recommendations 2. Kitchen Facilities - . Proved:.` -= 3. Bathroom Facilities 4. Water Supply 5. Hot Water Facilities 6. Heating Facilities ' 7. Lighting and-Electrical Facilities 8. Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal 17. Temporary Housing 18. Driveway Width 19. Number of Tenants Observed PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition Number of Bedrooms Number of Vehicles Allowed (m x) 3 Number of Persons Allowed (max) _ Person(s) Interviewed Inspector If Public Building such as Store or Hotel/Motel specify here Y-`v - r Health Complaints 18-Nov-97 Time: 11:00:00 AM Date: 11/17/97 Complaint Number: 1102 Referred To: GLEN HARRINGTON Taken By: KATERINA SOLDATOV Complaint Type: ARTICLE XXXIX HAZARDOUS WASTE Article X Detail: Complaint Description: FD called to have someone witness a leaking underground storage tank. The UST was a 2,000 gal. #2 fuel oil storage tank. UST was 19 years old and out of service for last 3 years. Property had natural gas installed. EnviroSafe and Bruce MacAllister from Shoreline were pulling the UST. UST was loaded in box truck when I arrived. Pits and perforations were observed along entire bottom of UST. Chief Bill Jones from Barnstable showed up. He left remedial measures up to me. Actions Taken/Results: Before Chief Jones showed up, I had discussed with the owner the necessity to hire an LSP. The LSP will determine what the remedial measures are necessary based upon PID Headspace results. Envirosafe did not have a PID on-site so they called ENSR. Joe Salvetti and Tad were to visit the site as LSP and consultant PM. Joe or Tad were to call me when they assess the excavation and come up with a plan. Investigation Date: 11/17/97 Investigation Time: 11:00:00 AM 1 Z000 u.S e dAT,, S.e,f 3 ok.40'0V-4 44... re ���4 IUA ate- "/" J C-a-et a- cu,n s dt; J C erz� _:�7o j'1s • • rFiAf"y"4a, BARNSTABLE FIRE DEPARTMENT s OU 9 s 3249 Main Street -P.O. Box 94 o\ 18 8 7 0' Barnstable, Massachusetts 02630 �'♦� 4 tN 508-362-3312 �'ti►fY1� FAX: 508-362-8444 WILLIAM A.JONES III,CHIEF GLENN B.COFFIN,cAPTAIN FIRE PREVENTION UNDERGROUND STORAGE TANK REPORT Property Address: 119 Pin Oaks Drive Property Owner: Dr. Charles Heath Removal Date: November 17, 1997, 1030hrs COMMENT: Witnessed the removal of a 2,000-gallon U.G.S. Tank from this location. The tank had holes in it, and there were signs that it had been leaking. The excavation site had odors of fuel and discoloration. At this time the Town of Barnstable Health Dept. was notified. I met Inspector Glen Harrington at the site. He advised me that a Joe Salvetti a L.S.P. of Ensr, Inc would be coming to take over testing of the site and clean up. The contractor was advised to remove the tank from this location. William . J nes, III Fire Chief Make application to local Fire Department. Fire Department retains original application and issues duplicate as Permit. s &�yi -moo O3� APPLICATION and PERMIT EFee:: $10. 0 0 for Storage tank removal and transportation to approved tank disposal yard in accordance with the provisio of M.G.L. Chapter 148, Section 38A, 527 CMR 9.00, application is hereby made by: ns • Tank Owner Name(please print) ]fir r`h a r 1 0 s u P a t h X ignature(il apllying for penmt Address . Piri Oaks Drive ,. Barnstable , MA 02630 Street city State Z- Companv Name Enviro-Safe Corp Print Co. or individual Address P.O.Box 30.4 , Sagamore , MA Pdnt Prim Address Si natur f - Pont 9 plying for p rmit) Signature (if applying for permit) IFCI Certified Other w ❑ IFCI Certified C LSP# Other Tank Location 119 P.in Oaks Drive Barnstable , MA 02630 Steet Address - Capacity(gallons) city Tank Ca p y(� ) — 2 , 0 0� ga 1 1 on Substance Last Stored $#2 Fue 1 '0 it Tank Dimensions(diameter x length) 3 ' x 12 ' Remarks: Firm transporting waste Enizirn-Sa.fe Carp State Lic. #_ 329 Hazardous waste manifest# E.P.A.# - Approved tank disposal yard - TllrnPr`-Sa hyario Tank yard# 002 Type of inert gas .L/A Tank.yard address cr�mmPrr i a 1 Street , Lynn , MA FatlyorTow— Barnstable Ei- -- Tl; ctri-t FDID# r11A19 Permit# Date of issue 11/17/9 7 Date of expiration 11/21/9 7 Dig safe approval number. 974604826 e Toll Free Tel. Nu ber- -322-4844 Signature/Title of Officer granting permit After removal(s)send Form FP-29OR signed by Local Fire Dept.to US Regulato Compliance Unit, One Ashburton Place, Nk Room 1310, Boston, MA 02108-1618. ry � + a FP-292(revised 9/96) L'LUCU t 1'i.1 1�?'1` Atli) OUSERVATIoll '1'S LOCATION ��� I'1_ / VILLAGE ( L NOS APPLICANT • �- •�l� ADDRESS DATE > 2—4-1 FEE ENGINEER vi= TELEPHONE NO. (Non-�gUnle DATE SCHEDULED TELEPHONE No. •A��I���dl�'��i►�A��d �b Nbi .. . . . . .. . . . . Applicant 1 s signature 9U8- L0,1L Loa DIVISION NAME . EXPANSION AREAS YES DATE � �"��� � TIMES TOWN WATER�ppIVATE WELL 7 � �'� ENGINEER ); BOARD OF 11EALT11 SKETCfI: EXCAVATOR (Street name,etc. �dimenaiona of lot, exact location of teat percolation tests, locate wetlands in proximity tO test l)oles)jea an(I NOTES: 10 toIr AcLool. ' #'Z �100( N �� D ERCOLATION RATE t A/ ell 424 ZiYJi� ! � `PEST IIOGE NO; ELEVATION: , 3. 1 Sl , 1i0L1: NO; ELEVATION: 2 /� 1 �' 2 3 cc�q,v Z 5�/3 • Z 6 5 M£f� IV/" b� 6 e e>1Wr 7 8 h 9 1=1NG 10 s Nb _ 9 w 10 FINE 1 1 11 5ANQ Pere rref N lift 12 t Z 12 vvLc&*-et13 14 No 13 w pvm 14 15 �vN(0 15 1616 SLIITABI,E FOR SUB-SURFACE SEWAGE: LEACHING FIEI,1)__LEC'1140 LEACHINU TRENCHES UNSUITABLE FOR SUB-SURFACE SEWAGE. REASONS, 11(•)'[E Et'101NEORING PLANS MUST S110W NUMBER AS:1I(1tJt:U Oid l'1:R(' 7'l::i'1' AI'PI,1('A7'1OI1 ------ . Ofit O ►NA1,( . CO�tE�I,h;'�ED TIj_EtUjj ) cO1'Y; „ i -1' _ _IU IiOAI(U O1'-IIt:AI,'1'II HI:IAINED 11Y APPLIC01,1' TOWN OF BARNSTABLE — UNDERGROUND FUEL AND CHEMICAL STORAGE PARCEL NO. 01 VREGISTRRA,fTTIO MAP N0. ',T /�/�3/� ADDRESS OF TANK: 1II�/` :� /{/Cjr`I*�r A21/2-t V I A A G E: '�,<t ir'1 t c=1�A eQ_ L.%. MAILING ADDRESS ( If ,DIFFERENT FROM ABOVE) : � OWNER NAME&c�C__.f fir. IJIFI '�'' fit"' `� r , :rr�° /- PHONE,:....... / ..2 t/ INSTALLATION DATE: � +�`, 1 2 BY",-:' l I ?n ,!firs L� 1. INSTALLER ADDRESS: �F �` /.<,�' /f *A A l %;M4,/�, -CERT. J0. *TANK LOCATION: 1 xnLx A— i tj .�1{ ��(yD G.IOR-2'a'Q"^'^T-A N.K,,,,LOCAT 2 ON W I"T'H RQOPQCT TO mU SSLD 2 NO) �, CAPACITY Oc7p TYPE!°OF TANK AG��YRS. FUEL/CHEMICAL TESTING CERTIFICATION FAIL DATE LEAK DETECTION [ I] CHECK IF N/A TYPE/BRAND�� �-- ZONE OF CONTRIBUTION [ ] YES [ `]'NO� DATE TO HE REMOVED FIRE DEPT. PERM I TI ISSUED [ ] YES C ] NO I TE 4� CONSERVATION CI- CHECK IF N/A baO 4A. DATE ! o . h ,rJr BOARD OF HEALTH !TAG NO. [ yy u ���, � DATE * PLEASE. PROVIDE, A SKETCH SHOWING TH K LOCATION ON THE BACK OF THIS CARD � c � � � �� o _ � ��� �� row �,���� _.