HomeMy WebLinkAboutflammable storage permit renewal 2026ItE
May 12.2026
Yarmouth Fire Department
Fire Prevention
96 Old Main Street
South Yarmouth. MA 026&
FP6 Flammable/Combustible Storage Permit Renewal - N & K Holdings, LLC
Cape Cod Farms - 252 Main Street, West Yarmouth, ML02673
To Whom It Mav Concern:
Allas is an environmental and compliance consulting firm retained by N & K Holdings, LLC to assist
with their storage tank compliance program. In this role, I am writing to renew the FP6 Flammable and
Combustible Storage Permit for the above-referenced facility.
Please find enclosed with this letter the documentation and remittance needed to apply:
I . FP6 Flammable/Combustible Storage Permit Renewal Application
2. Third Party Inspection Report
3. Remittance in the amount of $50.00-Check#1099
Our client requests that the renewed permit and future renewals be sent to us at the following address for
processing and distributing to the site:
Thank you for your assistance. Ifyou have any questions or need any further information, please feel free
to contact me at 614-324-9172 or via email at ethan.miller@oneatlas.com.
Sincerely,
Atlas
Ethan Miller
Compliance Analyst - AST/UST Compliance
685 Grandvierv Avenue, Columbus. OH 43215
6l4-43i-01 70 | oneatlas.conr
Enclosures
N&KHoldings,LLC
C/o Atlas
685 Grandview Ave
Columbus, OH 43215
FP-006
(Rev. 6/23)
?'ty
) Return com
"/or'/L"r*r/"r*ffi
/{oor.Yarmouth
Application for Standard Permit
pleted application to I
Permit Number
City or Town Yarmouth
Date 5/t? t?0 6
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section l0-A application is hereby made
by N&KHoldings,LLC 614-324-9172
OIG SAFE NUMBER
(Full Name of Pe6on, Fim or Corporalion)
c/o Atlas, 685 Grandview Ave, Columbus, OH 43215
(Phone Number)
(Addrcss:Str€et or P.O. Box, City or Town, Zip Code)
for permission to (state clearly purpose for which permit is requested)store flammable/combustible liquids in (2) underground
storage tanks: (l) multicompartmental tank of 10,000 gallons RUL gasoline and 5,000 gallons PUL gasoline:
l) multicom anmental tank of 10,000 gallons RUL gasoline and 5 000 gallons dieselp
Date lssued-rejected By Ethan Miller (authorized representative)
(Signalure of Applicanl)
Date of expiration Fee $50O0 Amount Paid $50.00
Vr*-*r*r".*l r/ a//"r"r.L*h
V,tyt€,,*Yarmouth
FP-006
(Rev.6/23)PERM!T
City
oate.511212026
Permit Number (if applicable)
ln accordance with the provisions of M.G.L. Chapter 148, as provided in l0-A
N&KHoldines,LLC
or Town: Yarmouth
this permit is granted
DIG SAFE NUMBER
Start Date
to
for
(FullNam6 ofPelson, Fim or Conoration)
storage of fl ammable/com bustible liquids undersround:25k sal. sasoline & 5k sal. diesel
Restrictions:
Cape Cod Farms - 252 Main Street, West Yarmouth, MA 02673
Signature of Official Granting Permit:Ti e
PLEASE NOTEIHAI ONLY APPLICATIONS WTH ORIGINAL WET SIGNATURES W]LL BE ACCEP'ED. PIIOTOCOPIES OT APPLICANONSWII- NOTEE PROCESSEO,
+ This permit must be conspicuously posted upon the premises E
Start Date:
of
Name of Compelent Operator (if applicable) _ Ced. No. _
(Slreel and # or Descdbe Localion lorAdequal6 ldentification)
Fee paid $ 50.00 This permit will expire on
-
CAPECOD FARMS: 1578
Thfd Party Inspection (TPI)
1. Did tlE Orner submt an UST sysbm registratim to F4asOEP?Yes
Fq arry bnk installed on q afbr l0lll2l, did he Oriner subnit to MasOEP?
2a. A copy of @rtifcation ftom UST irEbller?
2b. A cop/ of asiuilt pbrE?NA
3a. Chan gR in -prod Lrct notjfiction?NA
3b. Tank temp out-of-ervice nctification?NA
3c. Temp qrt-of-servie tanks bro(Eht back inb servce mtjf i@tioo?NA
3d. Tar*( removal rptincatim?
3e. Clce+ift pbc notfiGtim?NA
3f. As-ssnErt reports fror CIP and tank rerno,/als (tank remor'als as of 10/UN2I)1 NA
39. Source ard cause of reportable releases?NA
4. Has th e most recert conplb rEe certificatim furm bee n cofiplebd and stb nittsd tc l4assDEP Yes
310 C|YR 80.34?
5. The LegBl O^i ner of he UST5T Yes
6. The O^/ner Conbd?Yes
7. The operator of he UST5 (if apdic e)?
Is he regi*ratim data fue, aco.r rate, ard cqnpbE br:
8. the Contad?
9. The Faclity lcatiql?Yes
regi$ration data, accuate and comdete fur: "ansr'ver for each tanlVUST sy$em"
Yese?
Is he
10. The Faci
11. Applaable finandal resmdtility irEtrument: pick one from dropdo\,li n list 21)
12. Effective period of coverage?Yes
13. l,lanE of issr er/ho lder?Yes
14. l'ledranism Nunber (if applicdble)?Y€s
15. Per occurren @ Yes
16. Agg regate co,r'erage?Yes
Yes?ned
Is he regiSration data acoJrate and cD mplete for: ( Epeated for each tan k)
17. Has rle FR been tur the
DEP Tank ID#7
18. Tar* ir6blatim date?Yes
19. FR ir6[unErt?Yes
20. GPS c@rdinates?Yes
Yes
Yes
Yes
Yes
25. Prcdud u sed br?Yes
26. Tank StatL6?Yes
27. PpirE and fittings co(6tr[ton nEterial?Yes
28. Ppi.E descri*bn?Re so lve d
29. Turbhe sJmps?Reso Me d
30. lnbrmedbts Sumps?Yes
31. Dbperser S Reso ked
32. Spil BLrkets?Res l/ed
I510212025 10147 AM
Registr*ion, Notific*ion, and Submitlab
tf apptcable, did tre Owner q Operator srbnt tc l4a$DEP (80. n(2))
NA
NA
A. Registretion - Owner/Operator
Is he regjSration data acorrate and omdete for:
l
Yes
yes
A R€gistation -UST SlEtem - Tank (1)
I 21. Tark ctrEtn-Elim material?
J2. Nrrb€r cf t-k ."r*,tr-rrtr?
[z:. or""w J "*t i#*rt,*ml -
!24. pro-q stqedln each .rnpartnentz
CAPECOD FARMS: 1578
Thtd Party Inspection (TPI)
ResoVed
Reso Ved
Reso Ved
Reso lved
37. Tank Cathodic Protectbn Systsm?Yes
38. PDirE Cathodic Protection System?Yes
39. If ttEre has bee n a cha rEe of prod trct Sored sirre tre b * TF{, is therc reccd of cqnp lance NA
with reglirerrErts cf 310 CMR 80.41?
40. If there has been a change of bnk status shce ttE last TPI, is here a re(trd of (Dnplb nce
with requirenEnts of 310 CMR 80.42-310 O{ R 80.47, as apdi@de, for eadt cha rEe of bnk
Is he regi*ratim data acqJrate and @mplete fq: ( epeated for each tank)
NA
DEP Tank ID#8
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
27. PDirE and fittings constrlroon nEterial?Yes
28. PirirE descri bn?ResoMed
Reso lr'ed
Yes
Re so Ved
32.Btrkets?Reso lve d
33. Overfill Prevent on Devies?Re so lve d
34. Tark Leak Detectbn Sysbm?ResoVed
35. PbirE Leak Detectim Systsm?Reso l/ed
Res ked
37. Tar* Cathodic Yes
38. Pping Cathodic Protectim System?Yes
39. If there has been a charEe of prodEt $ored sirre he bS TPI, is ttEre record of cornplance
with reqrirenErts of 310 CMR80.41?
NA
,10. lf tlEre has been a clErEe of bnk statJs shce tlre last TPI, is here a recqd of aofiplE rEe
with requirenEnts of 310 CMR 80.42-310 04 R 80.47, as apdi@ Ue, for eadr charEe of bnk
1. Except as provijed in 310 CI4R 80.37(2), at the tinE of Th id -Party Inspection, was a Oass A, B Yes
or C operabr present?
NA
2. Is here a curert li$ d Clas A, B and C operatqs desigrEted to each UST Syiern?
3. Are all desigrEH Class A, 48, B and C Operators MassDEP @rtiftsd IJST Class A, ryB, B or C Yes
Desiqn Specs furTar*s - 310 CMR 80,17 (repeated foreach tark)
DEP Tank ID#7
Insblled m/aftsr lan 2,2015
1a. Were any UST sy$ems irEblled on or after Jan 2, 201')No
Insblled on/aftsr Jan l, 1989
2a. W6 the tank irEtalbd m or after lan 1, 1989?Yes
2510212025 l1t47 AM
A, Regisb€tion - UST qFtern - Tank
33. Overf I Preventon Devices?
(1)
34. Tark Leak Detectbn g/stsm?
r :S. Piri* f-""t OA*ti- *erZ
J@
i 18. Tark irEtslatim date?
j 19. fR irrsrumrt?
I 10. GPs csdinates?
l
Yes
21. Tank corEtrrcton material?
22. Number of tank compartmnts?
23. Caoacitv of erch csnErtrErt?
tr4. P,od,d stced 'n each coln ?
t2s. imdrd;sed tur?
-
| 26. Tar* $atus?
i?e.Iwbne X4p!?
l30. Inermedae sumr? _
I 31. DbperEer sunF?
36. Arrtornatic Line Leak mectbn SysbmT
Yes
c. Tark and Piping - Instd lation and D€sign (1)
CAPECOD FARMS: 1578
Thid Pa'ty Inspection (TPI)
3. For Ta r*s lr6talled ql or after Jan 1, 1S9, is he extsti.E tark orE of fle followirE required yes
a. Lbted doLble-walled catlpdca lv-proteded metal tan k <b>
b. LiSed doLbb-\ Elbdfiberglass reinbrced pla*ic tank <b>
c. Li$ed doile-walled corpGiE tank <b>
d. Li$ed dolib-uBlEd jack&d Seel tank <bD
310 C[1R 80.1 1 < br>e.nk
Listed (hrd*walled
fiberglas rehbred plastic
tan k
3a. PIeae identjfy the tank type:
Des ecs for Pi h , 310 CMR 80.18
4. Was thls l.rST system in$alled in aaqdarce wih 310 CMR 80.14 hrorgh 310 CMR 80.22 and No
e: !48 *e oil ?stil not @rtain
5. Pleise iden ttE for ea dr tan k select me or : 310 04 R 80.1 1 PressJ dzed
6. Was tfp irEEled between Jao 1 and lan 2015? 310 CMR 80.Yes
Nm-cDrodide matsrbl:
sirElewalbd wth se@ndary
containmenl or doude.
6a. If yes, dease dertify the frping:
waled
7. Wds the irEbled o Jan 2015? 310 CI1R 80.1 No
Des ecs for Tanks - 310 CIYR 80.17 ilr each
DEP Tank ID#8
la. Were USI irEblled on or afterJan 201t
Insblled on afte r lan 1989
2a. Was the tank irEtalhd on or after Jan 1989 ?Yes
3. For Ta ri(s lrEtalled m or after Jan 1, 1S9, is lhe exbtirE tar* trE of tle fdloldirp required yes
a. Lbted do uble-walled cathodi(a It-proteded metal tan k <br>
b. Lised &Lbb-!^a lbd fiberglas reinbraed pla$ictank <br>
c. Li$ed doLblewalled CDrpcite tank <br>
d. Li$ed doubh-,rclbd jackeEd $eel bnk <br>
310 CMR 80.1 <br>1 ee. Lbted bnk rp less
3a. Hease idenbfy tfE tank type:
Des for h - 310 CllR 80.18
4. Was this UST sy*em in$alled in accordance wih 310 CMR 80.14 hrough 310 Ct"lR 80.22 and No
exam r.€$e oilstil not contain
5. Please tlE n for ea dr tan k select me or 310 04 R 80.1 1
6. was the ir6bled between Jan 1 198 and Jan 2015? 310 CMR 80.Yes
llon-corodiue maErbt
singlewalhd wth se@rdary
cortainmenq or dodre
6a. If yes, dease defltify tlE Eifinq
waled
NO
1. Period ic vbual lr6pedions Ae tlEre reco.G or logs *lo i irg cqndian@ wih the peiodic
Inspectio16 Requiremerts at 310 Ct4R 80.35 tur leak detsction equitrnen!, sfill bfkett sumF,
ard ovefill protsctim; including dentfyhg operational or mairtenarEe is6ues, and rEking Iepairs
Yes
2. Records of Repair/replacenEnt. For UST componerts hat were mt properly operatirE or
mainbhed, ale tlEre recorG of cornponent repair or r@lacenEnt in accordancewith 310 CMR
Yes
tlll
3slo2l2025 10i47 AM
$.3?
Instalied on/aftsr Jan 2, 2015
7. Was the iipirE ir6la led on/afterJan 2, 2015? 310 CMR80.l8(3)
lG2l 6 reqrired? 310CMR80.35(1)tlrouqh (7)
No
Listed double-walled
fiberglass rehbred pla$ic
tank
Prescl ized ppng
CAPECOD FARMS: 1578
Th'rd Pafi Inspection (TPI)
3. IrEpectior6 of Sngle-Walled Lined Tan ks For SrEle waled tanks lned m or before Jan 2,
2015, are tlere le cords stDlving @ npla nce with internal irEpectb n reql ie nEnts per 310 CMR
80.2(6Xa) ard (b)? Thb hdudes an hspection &j,dlhe d t0lLlm22 and every 5 years
thereafbr.
NA
4. Bectrfal EWiprnent lre allebdri@lequiEnenL comporents ara alarms activated and in
wo rkh g cofld itjon ? 31 0 CM R 80 .24{2)
Yes
5. Adivated Abms. Are there indicatjo 16 of triq or currenty adivated |JST system alarms $Et
may indaate fie preserrce of a leakage or release (ircl.lding in-bnk overfill abms and high level
alarn6?) 310 CMR 80.24(3).
Yes
6. Response toAlarms Are there repo rts or logs showirE respon se to every U SI sy$em a b rm
that may indicaE the pr€sen@ of a leakaqe or release?
Yes
6a. Do the reports or logs irEludethe dats, cause and arry corredive actims taken? [CMR 80.24
(3) ard 310 04R80.361
Yes
7. Gher Obervatior6. Ale tlEle any obervatjorE, i]cLding visual or olfactory observatiorE,
that may jndicats tlE presene of a leakaqe or release? [310 Ct4R 80.47(7)a.141
No
8. TOS Requiremerts. If any of he U ST sy{ems are E npo(arily out-of-service, are th ey beirE
maintahed in acaordance with the requirements li$ed beloyr? [ 310 CMR 80.42]
NA
a. rcnnval of all sold arts liqrid material, rerder tank inert
b. cao loclt arts secure all fil lhes and fill piles agairEt tanTerirE
c. vent lines kept open and opeEble
d. operate and mairtain cahodic protectjon per 310 CMR 80.29, if apdi@ble
e. TPI irEpedims every 3 yea rs
f . sufrnit Comdian@ CertFication to t4asoEP
g. mairtain FirEndal ResponSblity
9. Permanert Cl6ure. If anyof the USTsy*ems were renDved or d6ed iftplace, did he O{ner NA
or Operabr corndy with 310Ct4R 80.43, hcLdirE thefollowirE?
a. RerDvalard proper nEnagenEnt ofEnk conterts <hr>
b. Conducthg en\,irormertal asesgnent <tr>
c. tl,otifyirE IYSOEP <br>
d. $brnital of reqJired docunErtatbn tc MassDEP <br>
e l"laintaining ecords <br>
Y fi
1. Is each product fil pipe equipped witir a sfill hrcket?Yes
2. Is each spil h.rd(et dea n and free of sDld arts liqrid material?Yes
3. Is each pil hrd(et ard coyer ftee of sacks and holes?Yes
4. Are there records hat each still hJcket was perbdically int@rty tested on or bf,fue 10113122?
4b. What is tlE date of the mGt receflt periodt htegrity test on 6 before f0/ 8/22? 310 CMR
3 E m or after 1
Yes
6/1612022
n ote:310 CMRe
80.
o nce
5. Ale there recor& hat each sfill bucket was perbcXcally integrty tested on or after 10/14/22?
310 CMR80.28(2)f
NA
6. If fre spil hrket(s) failed he tsst, are tlEre records of a repair or replacerneflt?NA
7. If be Sil hrket !€s repaired or redaced, are there records to show it passed an inteqrty
test?
NA
1. Is each UST system equipped wih an over-fll pEvention devte?Yes
2. For each b r* e qi ilped with an orer-fil preventbn der'ice: wrEt type cf primary overlill devic AutcrEtic slut-off
h6 beefl irEtalEd?
3. For each tank: aIe any new or repbement bal float valves beirE used as a primary overfill No
4. Is each aubnEtic stuFoff rlevice, h igtF ler'el a b rm ard ball fbat cfrrecty irEblled and tu lV Yes
opera tion al?
5. Ale there records hat each ovefill preventim devae was teSed annually?
5a. lf Yei what is the date of the mct recent over-fill de,/ic annual test?
6. lf an o/erfill preventim device failed a E$, are tlere ieords of repai r or repbcmeflt?
4510212025 10:47 AM
preventjm device?
Yes
MloumE
r\lA
CAPECOD FARMS: 1578
Thid Pafty Inspection (TPI)
7. If he or'erfll prevention device was Epaired or replaced, are tfEle records hat sllou, it was
tested b indiGts that a r ill adivate at he @red leveP
NA
Ans/,,/er for each tank s)6tem;
DEP TanK ID#7
1. Were arry product di$erEers irEEled, repaired or repbed between 3l2Ll20M and
913o12021?
Yes
1a. If yes, is each disperEer equippedwith a s.lnp tlEt is cDrtinpusly mmised for lquiG Ltshg yes
a sunp ser6q?
2. Were arry product d iper6ers irEbled, rep3ired or repb@d oryafter 10/1/2021?No
3. Does he Tank have sj ?Yes
3a. Is each fimp contained in a tJrbine sump?Yes
4. Does he iacility fEve tank tlp gJnpi inEmediab sumF or disperEer sump6?Yes
5. Does fle fac have that,,,,/ere in*alled aftsr ?Yes
5a. If yes, are the sump6 conthLorEly montored for lquids using a sump ser6or?Yes
6. Ae all sunps dean and fre€ of sold and Iiquid material?Yes
7. Ale all surp serEcs pbed in accada rre with marufactus,s specificatbn or at he bwe*
pg6sbb lcatim in tre srrp?
Yes
8. Do allsump manhole @vers inpede water hfiltraton tc ttE 9Jmp?Yes
9. Arc all surp cor'ers free of crad6 and hd€s?Yes
10. Are here re@ds that eadr sLrnp was inEgrity b$edm or befqe 10113122? Heae note: yes
testhg is requied once every thtee yearq on or 10114122.310 CMR 80.27(7) a'rd 80.36(1)a
lft. What Ethedateof hemo$ recent FriodcsLmp htegrity te$ $q rf,fge L1lL3l22? 3tO 6lt6lN22
cMR 80.27(7)
11. Are here reods that eadr sump was inEgrity E*ed m or aftsr 10114122? 3t0 CMR80.27(7)ard 80.3ql)a
No
11a. If not/ are he smps hat were mt ts$ed ftorn EstirE? 310 OIR 80.27(8)No
12. If the sump(s) failed he ts$,are there records of a repa i or Ieplacement?NA
13. If tlE sumfs),,{as repaiEd or replaed, are here re@rds to *low it passed an intsgrity te$? NA
14. Are srnps in good @ratjrE conditiofl -for examde, do ttEy appear tc be liquid tght, free
from crackt holes or other darnage; free ftom @rrGion, breakage and r,1Ear; are fiphg boots
(hat seal tlE pirirE to he cmtairmert sJnp) ifttact and turEt onirE? 310 CMR 80.27(6) ard
310 CMR 80.35
Yes
Ansrier for each tank sFtem:
1. Were arry prodrct digersers irEbled, repaired or repbced between 3/2 V2008 and
B
Yes
DEP Tank ID #
1?
la. tf yes, E each disperEer equipped with a $rp that is cortin-Dusly mmtaed for lhui6 usirg Yes
a sunp ser6or?
2. Were arry product d iserEers ir6bled, repBired orrepbced ory'after 10/1/2021?No
3. Do€s he Tank have s.rbrnersble punF?Yes
Yes
4. Does he facility tEve tank bp sJnTs, intsmediaE sumpG or disper6er sumps?Yes
5. Does he facility have sun6 ttrat were installed aftsr 3/2 V6?Yes
5a. If yes, are the sump6 conthLEtEly montored for lqui6 udng a sump serEor?Yes
6. Ae all sunTs dean and free of sold and liquid material?Yes
7. Ale all sunp serEtrs p b @d in acco.da rEe with marufactrer's specificatbn or at he bwest Yes
pcdbE lcation in he srnp?
8. Do allswnp marhole covers inpede water hfiltration tc the slmp?Yes
10. Are here re@rds that eadr sunp was intsgrity ts$ed m or before l0ll3l221 Hease nde: Yes
Yes9. Ale all sunp cor'ers fre€ of cradG and hdes?
1)a10/14122.310 CMR 80.27 (7\ anl80.3testhq is rmuiedonce everythEeyeari m or after
5s10212025 to:47 AM
3a. Is each prmp contained in a trrbine sump?
CAPECOD FARMS: 1578
Thid Pafi lrspection (TPI)
G. Sumps (2)
10b. What b the date oF he mo* recent periodic sump i'ttegrity te{ on or befo{e 1Ol t3/22'? 3tO
cMR 80.27(7)
11. Are here re@ds that eadl sLrnp was intsgrity Eded on or afe r 10/14122? 3t0 CMR80.27
(7) and 80.3q1)a
11a. IF not, are hesumps hat were rDt ESed exemE from tsstirE? 310 O!4R 80.27(8)
12. If the sumf,s) failed he b$, are there records of a repa i or Eplacement?
13. If the sump(s)was repaiEd or repla@d, are there reorG to Stow it passed an intsgrity ted?
14. Are $nps in good operatjrE condition +or examde, do tfEyappear b be liquid tght, free
from crackS holes or other daruge; free from @rrGion, heakage and uear; are piphg boots(hat seal tfE ppirp to trre cmtainment sJnp) in-tact and turctionirE? 310 CMR 80.216) and
310 C|'IR 80.35
H. Cathodic Protection
1. Is each UST System protected from corrGon or cm$rrcted of non-corrosive nEterial?
2. For neld-con$ructed cahoda p(otectpn systen6, irEbled after 1/415, does [re OA/ner or
Operator have as-built raled plans?
Sacrific6l o( Galvanf Anode Sygems
3. Arc tlEre any sacrFidal or galvanf arbde systenE in$alled?
ImpEsed Current SysE n6 80. A(4)
4. Are there any impressedcurlent sy$ems irEtalEd?
I. Tank L€ak Dete.tionr Design Requirements 310CMR80.19
1. Tanks irEtalbd before Jan 1, 1989 (ex@fr emergency engine tanks): Ishebnkequippedwith
at least one of fie following Eak detedion methods? 310Ct4R90.19(3Xb)1.throuqh4:
a. ContinuoLlS MonitorirE of Inter$itbl Space <br>
b. In-tar* Molibrng (teds tank at least orrce per month) <br>
c. Continuous ifttank Monibrhg <!r>
d. In-tank Monitcrhg wih Sbtjstical Invertory Reconciliaton (SIR) <h>
2. Ta nlG Indalled on o. afEr Jan 1, 1989 (excefi emerqency engirE tanks): Is tlE tank equitped
with a systsm b contjnuo6v morits hhrditial space?
3. Rnergerrcy Eng he b nks irEtalbd m or after Jan 2, 2015: Is the tank equipped wth a systsm
to continuoudy rmnito( inErstaial spa@? 3 10 CMR 80.1 9(3) (a).
4. For a FEd-onsbuded tankwih a capacjty > 50,000 gals: 6 it uSng one of hefollowirE
meth oG?
a. Arnualbulk tighhess Ed (LD rate 0.5 gallhr) <br>
b. In-tank monitor (leak detectjon test at lea$ 30 days LD rate = 1.0 galihr) plus buk tightrEss
test (=0.2 gal/hr) cortsucted at least every 3 years <b(>
c. Intank mmitrr (leak detectbn te$ at ha$ 30 days LD rate = 2.0 Sal/h0 ptrs hr lk tightness
test (=0 2 gallhr) conducted at least every 2 years <br>
d. Inven tory cont-o I (pe r DOD Directive 4140.25 ATA Airport F LEI Faclity g uidance man ual, or
equ Va bnt procedures) at least eve ry 30 days LD raE of 0.5olo of flow thoug h; a rd at lea$ every
2 years @nduct tank tqhtness ted (LD raE of 0.5 qa yhr) <br>
I. Tank Leak Detedion: Operating Rquirements
Please identiry tfu applrabb leak detection mettrod(s) in t6e
1. Cortinuous Inter$itb l9ace Monitoring Sydem
2. In-Tank F4onibrhg SysEm
3. Cortinuous In-Tank Detectbn Systsm
4. ln-Tank Monitorng SysEnE with SR
5. Field Cor6trucM Tan ks (>50,000 gals) L6irE Annual BrlkTankTbhtness Test
6. Field Cor6trucEd Tanl(5 (>50,m0 gals) usirE ln-Tank Monitor (3- year hrlk tank ted cycle)
7. Field CorBtrucEd Tan ks (>50,000 gals) tEirB In'Tank l"lonitor (two 2 yearbulk bnktest
cycle)
B. Field Cor6trucEd Tanks (>50,moc) LEirE iflventory co.rtrol (6f. 101U22)
9. Daily hvenbry lvlonibri'rg System for Shgle- ara DouUe-Walled Tanks w/o ConthuoLE
l4onitorinq
10. l4an€lTark CnugirE for SrnallTanks <1,moc
c6/1612022
No
Yes
NA
No
No
NA
Yes
NA
NA
Yes
No
No
NO
NO
No
No
No
No
NO
6510212025 10147 AM
No
NA
NA
Yes
J.Tank Led( Dftection: Operaun9 Requir€nenls - Continuous lntcrstitial Space
Monibring StEtem
1. Inspection andTestirg. 16of10/1/2l,arethererecordsthattlEcontinuoitsintersttialspace
monrtorirE systems were inspected ard teded annually in ac@rdan@ witt 80.26(2)?
1A. If ye' V\hat was the most recent date of annual inspedion and tsSirE?
2. Repar/Replace. If the hgecbon rcgjts iMicate ttrc need for repai or replacement, are there
re(Dds of tfpse repairs/repbenEnt? 80.26(2Xe) and (0.
3. Investgati.'rg a Leakageor Release. ,6of 101U21, F hesySem hdicated here was a Eakage
or a release, are here rccords of an i'tvesbgatjon?
4. Monhly Liquid Status Report. As of 10/1/21, are tircre records of monhly I qud sbhls
re ports? 80.26(3Xe)
5. TelirE after Repair/Replace. Ae there records that repaired or repbced cornponents pas-d a
test to determ rrE ope rability prbr to h e systsm beinq retu rrEd to service? I0.2 q 12)
T. Piping L€ak Det€ction (LD)
1. Was tfE ptpirE jr6Etled beforelan 1, 1989?
2. Was tlE ppirE ir6taled on oraterJanuary 1, 1989artspriortoMay28, 1999?
3. Was tfre pipirp inslaled on or after May 28, 1999?
T. Piping LD - Piping LD fa UST Syst€rns Installed on or *er May 28, 1999
Prping LD fo( UST Sy{ems lrEtalled on or After May 28, 1999
1. ts he folo' ,ing requied prinEry system be i'tg t6ed?: Continuo6 mon ibrng of intersttial
space equipnEnt indudes sump6 a rd SUmp sensors fcr tf€ UST slsEn6 insalled on or aFtsr May
28, 1999 ? (Does not apdy to European sJdion sylems and SW tjfinq between tanks.)
U. Automrtic Line Leak Debction Equipment
L AE tfEre any pEssunzed piping sysEn6?
2. Do the pressurized piping sy$ems havean automatt lheleakdeEdorT
3. As d 101U21, are fiere records that the a utornatf, lne leak debdors were te$ed annually in
acordance wifr 80.26(2Xc)?
3a. If Yes, what is th€ nDd rc@nt daE of an ann ual automatic line leak detecbr test?
4. If the E$ r€sults il,]daated tfE need filr repair or replacement, are here recD rds of flGe
re pairy rc dacement? 8 0.2 6(2 Xe) a rd (f)?
5. Ale tlEre reco(ds hat repaircd or replaced conponents passed a te$ tl determine operablity
prior to llE systs m be i'r q retr rn€d to se rvae? U.2ql2)
V, Fnancial ResponsibilitF Overviav
1. lshe UST hcilty lequied to have financial resongbility? If yes, ar6wer the questions in his
sectbn.
2. Arc all UST sydems coverd by a financial resorEibility nEdranism?
3. Are all Fhancjal Responstrlity mechanisrns currertly in effed?
4. Does he Finanoal Re$ongbiity mechanign slpwthe apdiGble ninmum per occurrerEe ard
aqq rc gate @veraqe requirements?
Indicate the releva nt type( s) of FirE rcial Res@nsbilty h use for tfE faclity
5. Underground StoragE Tank Fetroleum Produd Cleanup Fund (2 Program)?
5a. Copy of curent CertficaE of conplb rce in accorda rce with 310 CMR B0.59(2Xa)?
5b. SE ne d certincatb n of Financial Responsitilty h aaordance wth 310 O.4R80.59(3)?
6. Cornrrcrciai Insrrance (ln accordance wifr 310 CMR 80.5E2Xb)?
7. Financb I Te$ of Sef Inerrance (In acordance wih 310 CMR 80.59(2 Xl)?
B. Guarantee (ln ac@rdane with310 CMR 80.59(2XkX
9. Rid( Rebntion Grdp Coverage (ln acordance wth 310 O4R 80.59(2Xb)?
10. A Surety 8oM (ln accordancewrth 310 CMR 80.59(2Xc))?
11. Irrevocab le Sb ndby Leter of Cle dit (ln accordan ce with 310 CMR 80.59 (2Xd )?
12. Local C{ve mment Fharrial Test of Insurarce (ln ac@rdanc with 310 CMR 80 59(2 Xh))?
13. L(al Gove nment Guarantee (ln accordarrce wth 310 O{ R 80.59(i))?
14. Local Govemmert Bond Rathg Tel (ln aaordance wth 310 C}4R 80 59(2Xf))?
15. Local Govem ment Furd (ln accordarre wth 310 OaRm 59(2)(q))?
Y€s
wo2lna
l'lA
NA
Yes
I\A
No
No
Yes
Yes
Yes
Yes
Yes
Mlo2l202s
NA
NA
l510212025 ru47 AM
CAPECOD FARMS: 1578
Th'rd Party Irspection (TPI)
Yes
Yes
Y*
Yes
Y*
Yes
Yes
l',lo
I'lo
I{o
t'lo
I{o
No
l',lo
I{o
tlo
llo
CAPECOD FARMS: 1578
Thid Party Inspection (TPI)
1. Is there dgnageathe USTfacilty in accorda rre with 80.25(1) hat indi(atss what step6 to
folloy, in an ernerqency?
Yes
2. Is here a writtsn Enerqency Resporse Procedr re in accqdance With 310 CMR 80.25 (2) for Yes
I atte$ urder the perElties of law; (i) that I am a certfied thir+party irspectq in corndiance wih
310 CMR 80.49(4); (ii) that I persnally Mormed his hspecton of the UST fdcility in acordance
with the 310 CMR 80.49(4, and havirE fully ccrnpbtsd thb reM, believe tfre ortents of his
repod a nd all attachments to be true and accuate 6 of the tinE cf the inSedio; and (ii) fiat
all the hfornEtjoo pror'ided to me by the Owner and Operatcr rreessary to conplete this report
is, b tlE be$ of my knowledge, tsue, acorate, and cqndets. I am awaE that here are
signillcart penalties indudirE, fut nct tmiEd b, pcsbb fines and inprbooment for sJhnitirE
false, inaccurate, or hcorndete inbrnBtim.
how em ard cm
Inspectrr NanE:Tyler O rrad
Date of Irspedim (ul03l20E
lnspecbr SillrEture:See Additimal Inbrmation
8510U2025 t0i47 AN
CAPECOD FARMS: 1578
Additbml Informatbn
DEP Tank ID#
compo rEnt in stall dates are being u pdated
5. Are tfEre records hat each sfill fucket was perbdically irtegrty tested ql q &q 10114/22?
310 CMR 80.28(2)i
not yd due tur testhg
11a. If nct, are hesumF hat were mt ts$ed exern frsn EstirE? 310 CI"IR 80.27(8)
not yet duefor Esthg
11a. If not, are h e sump6 hat were mt E{ed o(ernd ftqn EstirE? 310 CMR 80.27(8)
sumps not yet due for testing
Inspecbr SEnatrre;
9510212025 10t47 AM
CAPE COD FARMS (1s78)
Violation List
No Violations Fou nd
510212025 t0:47 AM 10