HomeMy WebLinkAbout0119 PIN OAKS DRIVE - Health (2) fi19 PIN OAKS DRIVE, BARNSTABLE
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TOWN OF BARNSTABLE
BOARD OF HEALTH
fig / ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION
Date !,7��jj I ( + Time: In Out
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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
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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
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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
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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
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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
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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
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