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HomeMy WebLinkAboutApplication for Permit to Maintain an Existing/Underground Storage Facility - Permits - 1 MASSACHUSETTS AVENUE 7/13/1990 C ` 1 § 't 4` vrA ' mm' "n '�? s o 1r a (" t. t a :.-.'Fir~ i + �( YF" �jjTTI ( y � SrV.` }..i f M" r IRE. LEl i. Sl"ATG e ONLY clef;t'i'At 1pv i �� S2Ubrn2t .O ' Ifl fVrintt+i_r `=1W LOCAL FIRE DEPZkz` MENT 4.U.tEt.F(cri.l.ctt �--------� ,. IS��L a F a y„ �� 'r. •s . a r� z 3sdn4.� r Notiiicelirin to required h% Frtlrral IAW for;if€rndergrntind!silk%ilim lt,t%c heen d" i+Ilrrhnc Ltrlh4ri, (utih,%fn, }aihcfsn' Iani,) r:I L!,ut,i tn'Jil Ill' \,uw.'' L nttd to Wr t fet'islllyd suh%tinfr%%latir !soul%I,197q,flea€sir in the tfuurld AN❑f I'r;sc!tr!r�ah'I% :1i l,It iv(,�,of Ihr tl.lno%loll I ttluiJ I'Iprinu\ati t% Ail,i( ly'4,rl hts)A,I9f ow fist ire Itrno[;hl inf•t vsr:(Irr r%Ii%S.€4K6."I hr Inrorniatimo rerlurtited Wht�h r,.nl uosa,l:uc I'li,rirnr I:IrrhEt rr)'Ifl:uc r urlrttl tic.!:, Ian.,i%rtrrtlhtd Jl)�re(tl)fIPN)j of lllt 1{pinifer f oll%ef%gllom Aid lZrfu%'rr}Acl,(Jt( Ita), �,,ulla%r willouadnrinl fnl%,piultl,,ui I:IFr„n,,sr■rnersded. 6.,t,ant u:un nl ua,tc uaSrr it+ltr%tr.'n,%lira;% i I he I,frnlan pU+f%n,c r'I Itii,lu,lilll'lilinn 1,1urnSirl i,Im h>Ca1C and l%Ithialc llndcr- 7,il,iri.11ni'll):I%pltq'l'%%lank%, }lntilld I:F " fllaf ,InfC fir )I'll I' %lurid R•tt nlc•Ilin I'1 h;%!alllttln vm)r,til Ulgtin!!I.I„tu;1,„lira lrtl ;Ithclme'Ijir,t€rtecll%li l,Ilitlfi„a i i i%T n r% I I E t I ':Via,)It•.Srr<ntotanJ r%prto'd drat the Itllur.na!ont %uu pimitir %ci€I hi ha,td on Irltu>nahl% a%ailahfi. Is%Ih:lin(!oja'ran%+n,: � rccr+rd%.rr,m lh:ah%enu't,I loci%ritiunl%.%our knti+%!c 1pi.hchrl,ur lacnllrrooll 9• ,Ill:;lge lank, ,lluatid in art 1Shn11%nl ,i'nfif)' tit'%'llrin '1(9)2of M RA, it, an'CfzJcrf, fctZtlirc% tlral- tntlC%, lttlnagnll,in!:.dldl,,half.rlli,lu;.iln !hr+I•il.rJ'c:.:Ill:,,rlvaliJupitn%:r,Ih,t%iI!ir f%rm€•'rd.o,trtrn r! lm,frr€trrx:nd Ian€v lh.rt vluiC rrgndalt'd%uh.ijlilec' Tint,(!toil!% rnlatc nl lilr Boll rlc,iKnalyd `,rrte ur i,,,-ai ;i}rttcle%id the t%J'Ienrt' of than lard,. £h%rtc, life;,il, \%hill Sul'%tar,Cn :frr' (o%Cft d' 1':, n%arraaiii ni icy,rr+,o. nil ,t l+l=!t n, u'Itttii Iat ;n r,%,r t'� c ill:,n oral 't I ,Irnd ,turaflc tank in i:,f c'n �.,ianni"'I 'r+, I`7h•i, ,rI Etttun%i,ai:al•, ru,k.I}!ai i„rl,; t i.riJ,uh,l.:•:c. I!?„ tirct,1Q,1 rcli•U: dfiri I?rnl iial%.lu,! f,Cl't'rt:%ho t%%%rt, it)IIt!Jl'rt:it+roll%torat:C!auk JihncJ ❑, h.v,u•-ic%u, nt •.ct of t, €, -i ti-1r uE Ihr t r,'.:ptChrn+it:`I�mif...rtwwal Irt'J l;,,It,r•-ti�tatir.ti,C.ar t!r,€,r:ruts nl ri}ri:{;nrsl,ult,l.tnc%',.and RC,poit,t• i „nq,Cu„torn.!nJ f r".} !ir, •1�1,+4 IU+I!S{-1 fi( 1 13.H,i}.11tt'fvC%'}%liim%,t 3 (h) in the ca,c ci(ant onJCryio find %tnr:lgc will. tit;r,e hckolc 1'uNvTI1hcr h 19S.1 ;;n%i ,uh,tnsct' iigul:mnl;t• h:v.n%i,+tn float, uoJC, �ubinlc( %,I lt('R 1 f% sl,%, ZICI fti'1,n�'cl rnu,C ufr IIIeI Ju4'.;la'. r>cRull,%hu U51 hcd,I re!t I:I[l k n!!tiled t.r i C l%hr l ul C Illc'ttl L-1 I'cl l 1,fell III e .cr,tt! '•i•n attt I1.1 is I;1,0111(1i111%%I ntl:I.`rf tl rtr a 111.11trla l if IN!tlt,cair'Ina,llwn of it,tilt' cnnJif ii.n,il( irm tt'ranrr1:rir,i -I i•,u€ € ( Ji;grCi, I a rcnhrrt a::J I•I 7 p%find,Ix"I ltsha! Tank% Art lnrluded.' 3 n;€rtgrnunJ ,t,%rl}'c rani. iv riCliniJ a,,nn oar or "%Etr,ut•rnih ah,nhriC)- ( cnrrthaxar.un of lank%that I I I iv i•,i d ftt contain art aicurtniL%unm"1"ICgufated %uh- 1ltlere lit N'allh' Cut'':E•I''!rJ att,irl:%:ui,tit !Inm, .hroufv h , nl In the aJdry., %ranee, and 12)x ham v_oIUInC(irciuilftE WIMUCICd unticr):ruund Ilipu:g)i%1(1r i of j pnesl,11 the loft of Ihr,paix €i nlnrrhro::rthlhFgroorui 5orncer.amplcv:uCUnticr}rn'tntillanl.,,Iuring: l.ga,n!iric'. U,cdotl.u(dic,t)Iucl.an,i2.indu,iriai,oAcnl%.Ex,Itilc!:,,hcrhtcidc%olltoorg;,Iti, �1hcn'Tu\ofi!}.' 1.0%%I%I%ollln%!Cr�rnnnd,Iniirc,al%i%uto,i,irrhalha%rt 'cn 1%har Tangs Are F'"IL"Itd' r:111,% fcl)lowd llom the ground rry not %tthicil to talsn out 0l oper:tti,,tt idler _lama:% I. IQ74, tltC)n,ond.Inu,l rnlify h% I'.ArfiCelmn.Othcr f;:nk,CertlstlCJ from i;olihc,ltion:lic M.1% X, Nm, 2.(),A ri•(I,q hP hl iltr:,l tide!ri nW%t!%t,%L.i Ili lank,rtit,+Inc alil'r !%I.f% 5. I.ian)of rc,rd(niial l:olk,of Pfnaltic%: Rat miner Nilm kno,0110% fails fit nalifl m%ohmils fn!%e informilloft rpne I'RX)galimr, 11 Ic„iapatil�itwd I "of Irtf'ifII1 11 1 Ile I NX6.nm,l null!) n.ithln 3(!Ja%,t•I h=InglnE 111C t,tnl,rnio trC fill none t!n)fnCICi,cl f,l.1 .: , J.Ian(.c% I:r,tk,;tl,edfi,r%IUfinxhia;nikenllore'till%t,nipiilfu%%'t'It11x`pli'Ill:,f,n!sirC,l„rct) shall he %uhject ! ci%il Pf"A14% not to tteerd Sif),p(t{i roe tech lank for %+hleh 3. notification is not rs Ri%s en or fur Which fait hifnfmation i%u!hrni€ted. 7. f lcau s)'Irz pr jYrinJ ir1 itlk:+fl itcrTl>:cxcejll"%iYna(urc"ill5cctinn V,phis ft)rni nl(ut bt r(nnl)Icrcc![ur frldic:Ylr Ilunitx•r tt[ """'�"`each location tantainlrlg undcrgrotrrld sEnrage Tanks.3(mt)rr Shan 5 le€li:�il(C(111'ni'tj;lt Etll\I(,i':1tlLtl}, � Clsnlinll:(lltlrl�irci'1, }pitoti><npy Il:c rc%cru.%tdr.€tflcf ssllf)Il'l'ilnI111Uatl()El 11Y1'l'IS Et1(fYl%ti)Cnl' :Illal'ftl'tl �__ _ _-� I f rhvnor f'fanle{Corpora[rmn,lndrvldu8l,PnUfiC,Rgoncy,Or Olttur En(llyj _ !�` �' {If same es Section 1,mark box here �,.,�J �����©�"����-T" ------------ Fnciiily t�amQ or Coralpalny Sire Identifier,t3s afsplicable ( Sweet Adciraex — 1 -3 �IA;S, AVErdUE �_ ME.RRIMACK VALLEY OIL CO. Count ES5£ Street Addiess or State R Ia f•as applicable _ 1 -3 h1AS5. AVEN r{Qhi ANDQVEIt ZIP Code � Count 11A _ Q1845 ESEX .. Area Code phom fJumber cif nearest r�A iJ C1•t r3cie le /� p a� _ 5t33-3131 IRTfI ANDOVER Type of Owner (Ilrark aft 11mi npVry[A]) Priv'a!r•r;r I{1Cr:atU - tall floe tti>,.,i(la=tP,lg ( mm�tlt I cf( Former E r!r,,r;;;'i_;nv; arc°lot rile!:ern land%%'l t}ten t-J �_ _ C7wnt r;hip larl•ls of EhiS f E (t3;,/t.faClid' f.D.rlo- ti an Intilan ra;erva`rorl car ! unCerlanl 1U .ilO t —,—^• Oil C)ttlef Indian IruSt t,lftd3 fa�a4� .FW� �'bs;lr j`�j� `r�% 3�.ppv,ri+�r,•ti i+}p��{ ��t`. J�•%:x : '� r�Y Ire, "�.,,� 1y Sri�`a' t �1� MUM s4 tYt�:rdJ,°.LYIt' 'q� . ' fr t.. ,:t'•f Y`,` a ',`1 H G'r'yZZ. 1: 1,q ►F: arw11 .�t t it .. x} :ra d € i;j tJarne(Ii.,ante e}Ser;r,r,n I.nt+Irk hnx here C-� 1 Jots"+i#Il� !i r , 1 11r'n Cc)c!cr PhDria Number +J1LL.IAI O. f� 1tl%IIPf ��a 583 3131 r� � 'x=Yk•�[Y'r �L� t•!'x,� Y�i..rr r'f,�t`,.�j'f�ra'' lave,r�'Y,1��,s` x ITt�J�t-s)' r,�' •�,tnv>rt'S of� s ��i R,-����'` t. `. r �i,• r �t� r'R� T` � �,Mt- riL..:r32Ai�ca.-i,Edairll sri�.rlrr �A:;.�.i-14uaJSi._*:�n`.x-..rti.}hdiyl.':4t�R r ii I `�f i '% h"� � A ............... .�:aa�l�,.CL'�i31 +� .o�li� s�'Gi� ';t.'2:},r, Mark ho witf,only if illis Is wl a!llended ur subsogtient ool!fira?ion for ihis location ' .r ) :.4 t'G�er�� �di111 • r `�Iry p` (T'ii+ letdl f l:mtt9i>,4 r, d ) ' Y gg ' 'riSti rF-s. I certify Urn"f�r pCrlaitV rrf law IN11 f hava polsonaily examined and afn f,)mili&Frith the irlformltion suhrilitted m lhis and <0 Jitinet) d documents, and than ;rased cfl Ply ingttir y of lhose in(JM(JLMls it€lrneclialely 1-0sponsible for obtaining the inforsilation, I believe i�iat thE3 submitle l ir,jorr)Yail�n is lrue,accUrate,and rornpiete. Name—an d U!ftcial I111e r,;'U:J:IF r,r rtwrter'S auIhorized represenlativ -Cinr1%t( IILLIAM D. OWITFrl ,��..,.� �v QaI��Inn�a ;iq •i"�'tt, :¢�i:�'I�"�i; r- ,•3� ^�. _.—�._�'—_.._. 7/���Pn —__._-- $ e s' �T x: - y yy �3{-'' c'"g! r� �: c� a � rS4:."i !1! 11ti '2 i R M8�� PATOB REALTY TRUST ) -l ' AV[, / s owmx oo Nm (/xxn vdom`U������-��-�-��--�����_--' L»o`««»(Ij»m v*«um`/V]��^'�� ,000wm ` Tank Identification No (v ABC | k No 1,Status of Tank P('1manowly Out of th-le . 4,Mitterial of Constructionu | ' "°"°""' � ~ --- _--,.. p.~.. Unknown None X-- Unknown 8,External Protection Unknown 7.P4)Ing Bare Steel Galvanized Steel E Calhudical1y Protected Unknown Other, Mease Specify J.Substance Currently or Last Stored a. Empty In Greatest Quanfily by Volume b. Pelrokum (Mark all that&POY M) Diesel Kerosene Used Od c. n���uuuumm�o � 011 Chemical Abstract vice (CAS) No. d. Unknown tiskon OW Of 5VrViCf--) a. pxu~z ] --------'-'-- ----- » _ . ! -] Mlass . Ave. a�� � rtt1� of Btt�ce�s DEPARTMENT OF PUBLIC SAFETY—DIVISION OF FIRE PREVENTION APPLICATION FOR PERMIT TO MAINTAIN AN EXISTING/NEW UNDERGROUND) STORAGE FACILITY To: Head of Fire Department _ /lot,tK a vs 19 ? 0 City or Town date Application is hereby made for a permit to maintain an existing/new underground storage facility as required by 527CMR9.00: Permits. Location of property: ►- NI6 jJ . Q ve k v e Street address Owner of property: PATM P� I3,Ak I f^ f Res 1 Futl name of person, firm or corporation �� t t Signature of owner or authorized representative: Fee:$ to (M.G.L.A. Chapt. 148 Sec. 1OA) (Fire Department's Copy to be Filed with F.P.290 part 2) Form F.P. 290 Part, 4 Pe 4 DEPARTMENT OF PUBLIC SAFETY"'"""'D[VISION OF FIRE PREVENTION PERMIT 19 �te TO MAINTAIN AN EXISTINGM EW UNDERGROUND STORAGE FACILITY In accordance with the provisions of 527CMR9.24 this permit to maintain an existing/new underground storage facility is granted to: Location of property: - pJ . rtlle d v street address Owner of property: PA T rr/� " j �' !-S Full name of person, firm or corporation Restrictions: sfi V f Fee Paid:$ (G: (M.G.L.A. Chapt. 148,Sec. tOA) Form F.P. 290 Part a This permit will expire /2 19`// Date signacui, of Head offire Dept. or appointed designee (Owner' s Copy to be posted at the storage facility with F.P.290 Part 3) -