HomeMy WebLinkAbout484 Station Ave Town Fair Tire APD Waiver Signed 10.01.26TOWN OF YARMOUTH BUILDING DEPARTMENT
APPLICATION FOR DETERMINATION OF NON -AP
AQUIFER PROTECTION BYLAW 4406.5.1.1
Applicant.'Business Name:
Town Fair Tire
Great Station LP
Property Owner: ..
Property Location: 484 Station Ave
Proposed Use:. Automotive Tire Sales and Install
RECEIVED
nrT 0 12026
BUILDING DEPARTMENT
By
Date: 2026.06.15
-.-Unit Map & Lot 97 & 22
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
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.
MWO
Applicant Da
John Wypychoski
Print Name
DETERMINATION: The Building Commissioner, based upon a review of this application and information supplied by
the Applicant, her etermines that the proposed use satisfies the requirements of §406.5.1.1 and that the Applicant
of appl o S it under §406.5
4 10
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
;o TO: Commercial Applicants in the APD
E,[ FROM: Yarmouth Health Department
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 DegreaserlCleaners X
Floor/Driveway Degreaser Battery Acid
Rustproofing/Undercoating
Vehicle Waxes, Polishes
Paint, Varnishes, Stains, Dyes, Thinners
Dry Cleaning Solvents, Carbon Tetrachloride
Other Cleaning Solvents
Drain, Toilet, Cesspool Cleaners
Bug & Tar Removers
Printing Inks & Dyes
Pesticides, Insecticides, Herbicides
Nitrate Fertilizer
Leather Dyes
Vehicle Detergents
Asphalt, Tar, Sealers
Wood Preservatives
Floor/Furniture Strippers
X
Rock Salt, Road Salt
Refrigerants
Photo Chemicals
Pool Chlorine
Rodenticide, Fungicides
Jewelry Cleaner
PCBs
*1
Electroplating Sludges Others (List) X
Applicant Signature: --dDate:
*Please see attached materials YAMlist 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 SO -State Brake Cleaner
180
1.41
15 oz.
12
PB Blaster ProStraw Penetrant
132
1.03
11 oz.
12
Xtra Seal Rubber Cement
961
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