HomeMy WebLinkAboutAPD 10/01/26 Town Fair Tire Og Y.9 TOWN OF YARMOUTH BUILDING DEPARTMENT •R E C E i V E D
APPLICATION FOR DETERMINATION OF NON-APPLICABILITW i "PT o . 2026
BUILDING DEPARTMENT
4:.�RDOpATEO��� AQUIFER PROTECTION BYLAW §406.5.1.1 9y.
Applicant/Business Name:Town Fair Tire
Date: 2026.06.15
Property Owner:
Great Station LP
484 Station Ave 97 & 22
Property Location: Unit Map&Lot
Proposed Use:Automotive Tire Sales and Install
1. Has applicant fully complied with the Submittal Requirements of§406.5.1.1? Yes
(Attach copy of Hazardous Materials List)
2. Are the chemicals,pesticides,fuels and other potentially toxic of hazardous materials used or stored at the
site,or produced by the proposed use,in qualities not greater than those commonly associated with normal
household use? Yes X No
3. Does the proposed use meet all of the objectives and water quality criteria of the bylaw? Yes
The above applicant hereby acknowledges that the Building Commissioner may require the applicant to submit the matter
to the Health Agent of Board of Health and may require the applicant to demonstrate that he/she has received a favorable
report from the Health Agent or Board of Health. The Determination,if made,shall apply only to the individual applicant
and proposed use and shall automatically expire upon any change of use or transfer of ownership of the business. There
shall be no appeal from an unfavorable Determination of any such application,nor from a failure to act,except for filing
by the applicant for a Special Permit from the Board of Appeals as otherwise provided herein.
-7akiltba 7/4,446
Applicant Da
John Wypychoski
Print Name
DETERMINATION: The Building Commissioner,based upon a review of this application and information supplied by
the Applicant,here' :etermines that the proposed use satisfies the requirements of§406.5.1.1 and that the Applicant
• -• of appl o ,, Sp- ,,fin it under§406.5
C?V& cfalIgCrljt. 10--I-210
Aavoior
Building Inspector Date Health Agent Date
Form must be filed with the Town Clerk and copies of this form must be sent to the following departments(as
listed in§406.5.4);Water,Engineering,Fire,Health,Planning,Conservation,Board of Appeals.
Aquifer Protection District Waiver Rev: 07/24
of YA4t'>. TO: Commercial Applicants in the APD
o FROM: Yarmouth Health Department
zte.A:°�' , SUBJECT: Hazardous Materials
As part of the application process for a Board of Appeals hearing or Determination of Non-Applicability,
please complete this form and return it with your application. For further information concerning hazardous
materials regulations,contact the Health Department Office.
Please see the attached materials list included with this application for additional details.
In the conduct of your present and/or proposed business,do you store,use,or generate any of the following types of
Products? Please check all which apply and list quantities.*
Antifreeze,Engine&Radiator Flushes Motor Oil
Hydraulic,Brake,Automatic Trans fluid X Gasoline/Fuels
Grease, Lubricants X Degreaser/Cleaners X
Floor/Driveway Degreaser Battery Acid
X
Rustproofing/Undercoating Vehicle Detergents
Vehicle Waxes,Polishes Asphalt,Tar, Sealers
Paint,Varnishes, Stains,Dyes,Thinners Wood Preservatives
Dry Cleaning Solvents,Carbon Tetrachloride Floor/Fumiture Strippers
Other Cleaning Solvents X Rock Salt,Road Salt
Drain,Toilet,Cesspool Cleaners Refrigerants
Bug&Tar Removers Photo Chemicals
Printing Inks&Dyes Pool Chlorine
Pesticides,Insecticides,Herbicides Rodenticide,Fungicides
Nitrate Fertilizer Jewelry Cleaner
Leather Dyes PCBs
X
Electroplating Sludges Others(List)
Applicant Signature: Date: a S a
*Please see attached materials list on the next page
Rev: 07/24
South Yarmouth Chemical List
Fluids
Name Total Ounces Total Gallons Container Size #of Containers
Xtra Seal Bead Sealer 384 3 32 oz. 12
NCL Restorer/Armor All 32 0.25 16 fl oz. 2
Oil Cleaners
Name Total Ounces Total Gallons Container Size #of Containers
Fantastik 192 1.5 16 fl oz. 12
Glass Plus 64 0.5 16 fl oz. 4
Simple Green Floor Cleaner 256 2 1 gallon 2
Solvents
Name Total Ounces Total Gallons Container Size #of Containers
Berkebile 50-State Brake Cleaner 180 1.41 15 oz. 12
PB Blaster ProStraw Penetrant 132 1.03 11 oz. 12
Xtra Seal Rubber Cement 96 0.75 8 oz. 12
Xtra Seal Pre-Buff Cleaner 64 0.50 16 oz. 4
Xtra Seal Inner Liner Sealer 64 0.50 16 oz. 4
Lubricants
Name Total Ounces Total Gallons Container Size #of Containers
Ascot Hydraulic Oil 64 0.5 32 oz. 2
Murphy's Mounting Compound 256 2 1 gallon 2
Ascot Red Air Tool Oil 128 1 32 oz. 4
Total Total
1912 14.94