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180 SULLIVAN AVE
e�*Nei r � � V APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074(PHONE) W-644-2511 EXT.230 DEPARTMENT DECISION PERMIT NUMBER. APPLICATION IS HEREBY: APPROVED: BLDG.PERMIT NUMBER: DATE INSPECTOR LOCATION OF WORK: D4 1V !jV° C C�< _S 77� APPLICANT: OWNER: TYPE OF STRUCTURE: o NEW BUILDING J NAME: �� O iG'� Ll N - ", . ❑ADDITION PHONE NUMBER- J� �� '-7)) • j PHONE NUMBER. a ` o ExISTING BUILDING ADD s:10 V�. �1V ADDRESS: `'yU 1 /3iiz m4l TYPE OF USE: w) �� Ll)/ r -T- cyo) ,( ❑RESIDENTIAL. ON,uviExCIAL ELECTRICAL INFORMATION: FURTHER DESCRIPTION OF WORK: TYPE OF INSTALLATION: n SIZE OF SERVICE: SIZE OF MAIN SERVICE: NUMBER OF METERS: NUMBER OF PANELS: NUMBER OF LIGHT CIRCUITS: ESTIMATED COST:S c) rj NUMBER OF SWITCHES: NUMBER OF LIGHT FDCFURES: FEE ENCLOSED:S ' NUMBER OF A/C CIRCUITS: ( ? FEE SCHEDULE:S18 PER$1,000 OF THE ESTIMATED COST. NUMBER OF POWER CIRCUITS: ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT IS$1.00 OVER (.26 CENT EDUCATIONAL FEE INCLUDED AS NUMBER OF OUTLETS: PART OF THE PERMIT FEE) THE UNDERSIGNED HEARBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICCU,T BUILDING CODES IN THE PERFOMANCE OF SUCH WORK. CONTRACTORS LICENSE NO.: r�IJ/' ,4'�7/ TYPE: STATE: SIGNATURE OF APPLICANT: \�, 1�/ ,� DATE: ' t .. 1. ...... f _ a- i 5, .�..i. '�1't"' !w.' y . �*,� 1 '' •r.,�,. •n f,x 'f 'b ;ia ..'-`' , .. R �'a. J� .� S A y ^.r • � r - -t" ;A ^ Y) t;' � � •i•• Yi'S- r'�+ �'�� a-�, 0.�..•°.'s��.' � - t,,�' a 4:�r/ .. ,• :7yF • �A. .Z i `* •i' M�J. 'i'•�� _ -.7,;� f $a. ;..(,. :• .;1•. ��.:y�a rr ; .'1-,�..« e , .Y. ', � ^ y. •" r;R , •: !' •.A/}� ..,,�•, i��' .. „a a` ♦•aN• _ :•� •�' _, .a� _-�'. if .jtm. 1 L'14•L. i' .1_4= K� a .! t' r .�' . 't.. �.. - a pA . 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"Y �. )' � W' i �Y4"'l' .-.,-!'f'C'.'I.:.! ..fit ` �... _ T AR LM/, �f'TiC. •.,Z.r7.f yf� r�.., HF 't"• r J > ' jr • f .,' } r' ),t t .y�i, 3K . s # *so +b�' �� �e -t .; . * y l ,k �'. + L, ,�� MI►t t�•` �bb auwV�•" X, « , .f josEft MFRRITT b CO �e e!3 { .� . .x 1�J •!•(jX.`.i�l��7y��♦�, .;, � '!1' z L1�_'� 'fir• •r � .�'X, .� ' t. .qj x,.r r` M, } f • ..�' 'r'r•5C y� '•` , '�1 �` "'4a i��'rl '��I'+ .Y P.♦, ,{ 7f. _ � �(:. ' - �+Ls .a y..s ,q.ri �� �� "�l.• � r . ��y-, :,,f, •u -•`r .��4 Via. �l tu. . a '•yf. ;a LL ♦ M ,�, - ,w}- k y1- F• -l. .�,�,.. :N-� "' _,; ' , K 3' '� F > 4 •'�Y 1 - 7c �' � ;'l sf.' .�•�•'M I: - I t•�xY.Aj�. � - +' .31 - � a• •Y`�•4 LIS . f_ - `- ) i I FEB 2 8 Sout I indsor BUILDI DEPARTMENT �t S._ th Windsor �u,�ui►vG DEPARTMENT U South Windsor BUILDING DEPARTMENT TO THE BUILDING DEPT. TOWN OF SOUTH WINDSOR This certified that this plan and specifications are true copies of the proposed building or alterations to be erected at gr` -D U Uf Street together with amendments stated in application and filed with plan and 1 agree to comply with all zoning, Building and state laws and such orders as shall be issued by the Building Department during pendency ut this application and final issuance of a building Permit. Signed This plan Is approved subject to the condition that orders and ordinances regulating building shall be complied with. Conditionally Approved These filed with Building Inspector 7 Cierf( F I _ z.�.lb f r is _ '' '( r `� I , �,:�,,��1�,r11O-4lIN..W-,—I:_:N,,f-��",�I��t.�;_�..I-,1�,,,t,,i�;",'.I.X�A._��I4—v,�'._�(,-.-1"—,&,I,—..I�I-�,,p.`�-__,_,��r�A_.,-,I�!.��.,�.,I�,;—��,-�0,-���.kr�_,�7,&—.,.I--_.(,.,--I��_�,-"�,-�:�-.1L'I�L i.,'I.�"1�.�Il,'-,I,;.--..i t,I 1l,,_,-4.";;_i�I,;,_-�.,,*-,-�-1t—..!����,��,.I�,__,1-�.I!I,-�_�1.1'����t,,%i�,;'�T,�_"�-%,.1�11.iA�I'. ,-1.--. 1. 11. j. ' - ( _. 16 .. . ; :,-A ,.-T�I1t._ .1 I. �t - - t ;i, T - a.. ' .. r I .. .: t ,:; :I _•r.._.. _ 2 -. ry_ c _,r " :.-'a ,Mc .,`tr^v ?"s��;7 0•"r•."-Vic•,r.#f" _ 0tityrr -iwl > �-,,..# - • I 't',`.' - .-:aJ_ 'ram +�r "'- 4 '._+ 7 i .. Rs, i�R i�i . w Y'sY t ."'F °` R.�:''+r�j.F��..s. 7er"t�' �y ,t�a "' E...•��'v�` a T: _ > .i.' o•. a W.x,y,i..,.;..y .a te.^a n�k !S.1•A '.`. 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A y -a'� a jaf.,,r lr> k.,sf�•( F� y`apiy :. - V+ '� e 1 I /•dam-', .%.'j & t, r r.t' g r a' 1te✓ 1 v a , �i#^' a t f.' �ay,`i3^{}tl pja�a of ;Y?� r, *,{,e a °' ',' c`�,.,"P...„.. / \ \ ' • •w tiffiI� , �r II ,.,• i�.�9 +4 1i�S4'11 .�" .�`-.�4T Y'�� .p. 4�� x \ EXISTING ' ` \ BUILDING R �da�«, ft _ /)J(( /^ k's8'-Y'Kt� _ 't. F Y.•> i riga�. tJs:. r ," .�na"x,�n n e r� ',fir - �,. i' 1 t 1�.,. " . �r r`77, 13{Q _rp� �.° y s t a #r, 1 i.: a s r nry .'r a ala(� %,_ rii�1y yy^f� �y S ., �p"r'/ \ 1�ry _ / ) ti Tl ` e tFr & ✓._ V4 k M. aT i dt +r '-e d',.. � t x' " a ^ .FF� 5 t t��,q p °e y s�C 9 x' �y�l� r � "'tiff ¢t+ q a i d .-III- t d h l W v [�(�J*c- r< >, t y r :'! a ^' y E,� 3 a a.. s�•? c:' `Y5.r.:a` �.I "'4 y _ r M1 f , r♦ -'b11 . J/ ��S \ J + a�. S„ }'• art" aye fit66 Y j~ C ` � , :`Ya K < + ;�t.. I , If �� 3 ",bra s!a - ' r x r, 1 J s _ yvv q •t''"' 3`? 't�` ] t.�'Y {`, >,S k '€ Y NL;t' r'[F4',a- I/�`, i f l r c" T s 5Fz ac te-,at 7 . r / ` t �r�"acF' - i •'a '.s +.' ` , �' 7 ayTrr �' 1 € rj' jFb '� �,ro \ 4-It ,1,- N`i,! $y '%a [ Lw��,,•�",#. EXISTING ISLANDS MAT . ,, , �i. '/; 1 ,-, »; ' ,A i'V, _. ' r ; / ''` �i CANOPY "j' v k' ,. �� p ,<p :r` ¢ ;hi } $, i ,' ' »¢ ;. \ �' ; SJ y i ' 4r' S 9�tc ba ti / / /J/ - s a Y ,.5* P S; Si. SR:k ✓r' ,.>a_i�'•�? S� } - __ axa"�,i .. tk• 1 "rt,_i'- F E+ s,y T1�'wa,�fa[ {E,' t ' / ` — —I ?, F r R z a ste a a :'C * r t to, , ,mac v .C.,.n.,r. ''tt- �'> �` [ 4 *} , <r a!y try , ~, j j. 'fir,y `4 } I I REPLACE EXISTING 500 GAL. + �/ ( STELL Ut�'D£RGROUND FUEL OIL t , a r° ; F } , I, � - , p�� ..� N $ 4 F TANK WITH NEW 1,000 GA.. � 4: ';g r, ", 1,��. � i -- I t t =IBGLASS FU£i, OIL TAd1:. ( a t .. T,.' t z , ,Jlasir'^ar .,] � .! .,i Y xi'S�' a ... '. a. , N a' ' ,, + L >} x Y r a . +. '.i. . a,. / r— 1 " ,a . '0 , ,} F�. 4 r -,.�j ?9i# , '�,' a�CaEy, �f v .�—� _ ° I 6 $` t� s>L Fn-4' }.,�r.t - at �,�, { .. r �. ..�1,�• �, _� s2 n; s rr ? .a+,s.,.[I., I ti, ,sj{f d ti F �� a� ,A-.^ 'V .°3 f_ y k k A II / ' -- I ^7..'�3 a r° t�•.' t1.. R Yb- •mk+� 3 t NEW 2" DIA_ FIBERGLASS ! r , +� qa . •' / �x PRODUCT PIPING, CONSULT I I '� f SHELL ENGINEER TO CONFIRM `I` _ � ; t.T� c '�¢ - x `s PRODUCT DESIGNATION I 1 _ ,. ,.., �. EXISTING U_G_ STORAGE I '%' - TANKS 4_/80,00" C .-EXIST NG I_D. SIGNS TO REMAIN I. , II..I��Z)I 711 . \ 1 �.."- I*\'.-._--1_1�._,I�_�\I.I Il�-.lIiIIt;ozI,-,lo 11/�1 l\1l_I1._0I\I._-�,I�I%—,�,1\4.-�;�\x5,\`(.lV.l�nI.\,.��I _ __ II ,:! ___III,, _-__--1-111-,\-.--—1 e—,--,O-� - - )z_._� I. ___ �I .-%....\....I... —I."..r-..-.....,-/ �;.,\-,_-.�.1 w�I�I..."-..:...—I.\I.—\--—�_I. .-� % 44- .".6, I. PE � III EXISTING APPROACH EXISTING APPROACH - NOTE_: A-) A t zOp PROPERTY LINES AND OTfIER MARK DATE REVISION IY APYO __q-_1l,q1�.1R,.1,.1-�.-1.."-_--.".1�,,'--I".m...--..,.-,-,1.-1--1----.-1,,I-,,,�/,-Z---*--.'-,--,_*..,4,��,I�,11--"1_�\-_,I_'_1—�_-',-t1I--,1-I.-.)-e---�-,,)"�__'_-__t_1-_-.-1--1-,\-\.-,-<I—"\1--�—1-,'l/ I-'l-1,\.0_l._.-./I�-I--/-\I\/ . Iz-.x,--,-o-r-,)I/-_�-lpeI\—\I�,.I l"-—I,—,,-III Li;:,iI11 I—.I I 1--—A\-U---I\X%D_--_%I INFORMATION SHOWN ON THIS PLRN WAS OBTAINED FROM A DRAWING ENTITLED SHELL OIL COMFRIA IY ________...__.._.,.—.____ "ALFRED ASSOCIATES INC_ SCALE 1" - 10' . DATE :AUG 1 . 1985_ PREPARED FOR SHELL OIL COMPANY, FACILI_fY # 31102, ' SULLIVAN AVENUE W8ODso 2LI�TN AVENUE_ SUU I H SITE PLAN EPLACEMENT FUEL OIL TANS SOUTH ' WINDSOR CTRMIT PLAN 18 Z O S ULL I V,AN AVENUE Z AYOUB ENGINEERING, INC. SCALE /"/_ /O� D" CNKD./AP'Y'0 I DATE 1-6-88 APPROVED.0 Z CONSULTANTS DWN. BY ! VOU3 ENG INC .. mPAWTUCKET, RHODE ISLAND (401) 7285533 D. ,i_ s 100 a WIC 206-7130-0208 T• Al -.. .. .. tx _ _. a � . �le _� r! ,r 1 III .., v �y t , L 1 " • 7 jF �; �e{, e y - .. .. ''�a'�" "1 .`tr -h••• y 17 ,. u> . �-,- : " ,:. r ,� ,F•r .'fie.. , tic - ."+ -O � - 4 slit t r o.' .. , 5 _ - •e ':. :' Lfeltgal' ,<•`;',�.^"�. U '.I'l: dk��.. `,. _:.._s r} t.. r-1�. .. '... _... •,:`� 'r `�.., ..r w. !. � - i ... t- I. t� .:.. -r Vw, ..P•.n ... ^A.'-•fi_.45-e r.yeR-rf',M,iyiW"...-7.�.f!r:/t�$-M°a ♦� , k n•. '.i... . : _.f, is Y • � ./• .. .. .- '.. .. _ :. r. ... �., j':�. .l - r. - .. •s=:,ir �. ��.J....�JF ,-l'- -.. C. t P_t, 4.. b.� -'*✓i [ - 'C.�, .r •,. ..r .. ,.. ,..•v .. .. .a q - -'HF1..•rt"i-- J►'.i'. : - •t •. -.,. : .. ,. 7!�b•,YiN6r HY*M�"{'a,-_a. _'.._ ,.:_ , :t - aa;; fi`"_ M1 -� :x•:�: ,, , :; . .,_ ., :-: 1, �� _ • "o: .>:.' .. lra♦.,. - - :....., r. .. }.y � erC'x•v.. ... - > - . � .. ,. ... �:., -.,Z:.`� Y�Y a#�� nt :.T.,dcr r1 1 - y _ r�< ::� � ..t ram. o- . c �fx, .•.` VP a F1-"l. ..'p - �-:'. �I '•' f� A'I _ r•,A ,� pia`'-4 '�. <:a r - F ,. .- _ ." _ _ - s +�v.. �•' ��+��.+. .I� �; f�+W, >"',Yf a_ _ _1�+.%.� I r,�,' x 1 a :S '' t: y • c l 9 v I q. r A'_, i•�" i.a iNg THE�upnll�; �it. bwR < f7r 41�?�t� -Ti is certiti-d'th;tttM$ i�lOn 'is'd"sV espies of thb•yfrtlpds2tl VYItt41111}� tfr q�n:ls4o"� i •erecte apt O .v� getltor Wlth amenflmer�ts st rtetd n p^Ac 1a' ariE \ tHcd with pl-h -an'il'I ag4ee 4o t ort p Yw� �F a-d Ing and state Sawa ari8 suc'�i otde�s as eln e r iss d by tlri Building Departntei t du�in8 fit is rpWISIRM"'eAa YiltaS 14Rt1541sri`e o `butl� Pori.it, ittinsd This Plan 11 sppr^Veta siiblect to khu `song,.arf�T tT ha+ orders and t rdlnancas'reewdttng �U�i9111�{ gpal� compiled wttnr ' wiir; �dltftpnslitr ADpr�9i! - ,.. •4 I i I r t c` n1�3 a. ny a 7' c. " i •'k'igt _ ' nth ° ti R , ff. r r { r i IN 4 21 H I . � ♦p )TJ yt , r 4 ' , i x 0� .. / \ ' `jo EXISTING BUILDING EXISTING ISLANDS, MAT a CANOPY - REPLACE EXISTING 500 GAL, STEEL UNDERGROUND FUEL OIL TANK WITH NEW 1,000 GAL. y i FIBERGLASS FUEL OIL TANK, NEW 2" DIA_ FIBERGLASS° �� J N PRODUCT PIPING, CONSULT ! I SHELL ENGINEER TO CONFIRM 1 •�4- �\ PRODUCT DESIGNATION i EXISTING U_G_ ,.,STORAGE TANKS EXIST NG I.D_ SIGNS TO REMAIN =ieo,oo' EXISTING APPROACH f EXISTING APPROACH NOTE: ►-i ., t PROPERTY LINES AND OT-HER MARK DATE REVISION Br AP'V'O - INFORMATION SHOWN ON THIS -"-- - ------__--- __ ___ PLAN WAS OBTAINED FROM A c DRAWING ENTITLED SHELL OIL COMP lys .'ALFRED ASSOCIATES INC. SCALE : 1" - 10' . DATE :A0G 1 , 4 198S_ PREPARED FOR SHELL OIL SULLIVAN AVENUE COMPANY, FACILI (Y # 31102, 180 SULLIVAN AVENUE, SOUfH >�+��� �-•����� WINUSOf2, CT- " E P L A �.3 I"' z CEMENT FUEL OIL TAI K' SOUTH - WINDSOR -� CT , . � 180 SULLIVAN AVENUE J 0 AYOUB ENGINEERING, INC. SCALE ifl= /0' o" CNKO./AP'V'0 DATE 1-6-88 APPROVED . CONSULTANTS OWN, BY 4 110US ENCG. /NC. s PAWTI IC'Il FT RI-lnnc 101 A III _ ■1 1 � 00 \ � lI EXISTING BUILDING cl ov < r` / � '/ � r r � •` EXISTING ISLANDS, MAT ' / ` a CANOPY / REPLACE EXISTING 500 GAL. STEEL UNDERGROUND FUEL OIL TANK WITH NEW 1,000 GAL. I FIBERGLASS FUEL OIL TANK. ' NEW 2" DIA_ FIBERGLASS PRODUCT PIPING, CONSULT SHELL ENGINEER TO CONFIRM PRODUCT DESIGNATION ` EXISTING U_G_ STORAGE — i - TANKS 4_/90,00 • / `—EXIST NG I_D_ SIGNS TO REMAIN EXISTING APPROACH i EXISTING APPROACH NOTE: MARK DATE _ fi O`iv" `;;' BY AP'V'D hROF'ERTY l._1NES AND OTt1ER ' ' INFOR110TION SHOWN ON THIS PLAN hf1S O8TAINEG FROM f1 DRANJIt�G ENTITLED SHELL : OIL COMPa,NY "fll-_FRE_U f1SSUCIAiES INC. SC:AL.f_ 1. " 10' . DATE :AUG 1 . 1985. PREPARED FOR SHEI-L OII- �143MV C:OMPARY. FACIL I f Y 1# 31102', 180 SI_L L I VON AVENUE. SOU I H SITE PLAN SULLIVAN AVENUE WINDS"�, CT. " 1;7EPLACEMENT FUEL OIL TANK SOUTH ' WINDSOR -, CTO z PERMIT PLAN 180 SULLIVAN AVENUE AYOUB ENGINEERING, INC. SCALE /0'- O" CNKD./AP'V'D DATE 1-6-88 APPROVED CONSULTANTS DWN. BY 4VOU5 E&I irvc . o PAWTUCKET. RHODE ISLAND (401) 728-5533 CNKD. BY D s 1006 C 206 7130 -0208 f 4 `io THE BUILDING DEPT. TOWN OF 3�Ut}I WIND Thls certified that this plan and specifications are tF copies of the proposed building or alterations to A erected at V together with amendments stated in application and fl4ed with plan and I agree to comply with all zoninP.i Building and state laws and such orders as shall b -. issued by I Bulldi Department during pendency of this application d issuance of a building petmit. Signed This plan is a prKed sdblect to the condition the, orders and ordinances regulating building shall be - complied with. �- - Conditionally ApproVed These fi with - - - J e1eSIF Building Inspector 1 Date J�&Ealy� SEP 5 1989 South Windsor BUILDING DEPARTMENT 6 ' • KEY PLAN ' Fo�M�p I'Ac w I l-fii I2als 5YI/I o L- .- __7 F 45T W I tJ D . glum L° M°. '0 FDrMEZ) FAO: ITH NISI- YE Li 01�1 : l rl� River ��N 24 }-IC>U R•S A NC I L- LA �' �- �•, x. M. I;F_P �ACKgROQNA 1, ,° 4�,, REGULARI 9 t ii/ ;' ; W IT[- YN H I T F L>=-f T�RS i \ .. '" ttlIFADED _ o. �:Cf A n/ °I SUPER ,9------ 4M .1 .�` �' ,?� Cash or F i �, SelfIll ° �, J Credit R.� ` O o 4 P< c 1 RegWx I - �► 0_00 9 � S SITE sbw SCALE: 1'=2,000' ExistingFreestanding Sin To Be Removed ?<`�% �` / 9 9 �a 2 2 /�B2. 2 Lf5 RS - 100 .S.F., 25 Height # :3 Q R e �, FOr-,MEi� FAC1= WITH IN- F-RCHAiCiEa�09 NOTES r ;a • .�� G • 'RICfa INFoIzI`AA71oN Q ww ✓ �. 1=VgT-IOt�1S �PSED 0tA U• S.C� 5 Z>RTZ)K\ 81. 76 t . - � 1.B4 i M 1 IU�u O I...►'t.' yAlZD I R 3 E.I�I'S'• I �E Existing Price Sian To BeRemoved 8 - - - - - - - - - - 24 S.F. - - - - - � � e3.2 �1;�� v f=►rc a -- I J �CE-�- ARE s� I S l�,r3loCo.I S.t; / 0,34 �}C-RES r 1T .: r ` - 8 8 82 �4 t Q`y ,00°�7 Proposed Freestanding Sign 90 S.F. • - �� .57 00000 PROPERTY DESCRIPTION BEGINNING AT A SET IRON PIN SET IN THE NORTHEASTERLY LINE OF SULLIVAN Buildi•n Sign �P AVENUE, 64 FEET WIDE, WHICH POINT IS 117.42 FEET NORTHWESTERLY FROM A g CONNECTICUT HIGHWAY BOUND AS MEASURED ALONG THE SAID NOftT14EASTERLY LINE B2 6 �` e 1 �G ; C, OF' SULLIVAN AVENUE; THENCE ( 1) RUNNING N52°45P 2011W BOUNDIN¢ 82 57 �-�� \ r�� 83�40 0 SOUTHWESTERLY ON SULLIVAN AVENUE, 1 SO.00 FEET TO A SET IRON PIN; THENCE ` m N G (2) RUNNING NORTHWESTERLY TO EASTERLY ALONG A CURVE BEARING TO THE �/ `✓y n f !� �3\\32 U RIGHT WITH A RADIUS OF -15.00 -FEET BOUNDING SOUTHWESTERLY TO NORTHERLY Exlstlnq Building Sign 34 S.F. , / Y% \ ,� A7 TLC ?kMCDQ=r�rTAA1 cllt 1 Tt)w►1 wtrt-.u1r• �.... r,r 11 R" •1.1 G(tJG41 AUIN Vr JLJl_l_A Vm" MVM14Ur- ANU KYt S I KtL I, -I Na ARC DISTANCE '` w 017 37.37 FEET (THE CHORD OF SAID ARC BEARING N 18°37.P 20'I E A DISTANCE OF e2 e 82 63 N Z 28.43 FEET) TO AN EXISTING MERESTONE; THENCE (3) RUNNING EAST B t25 C (S90000100E) BOUNDING NORTHERLY ON RYE STREET, 50 FEET WIDE, A DISTANCE OF' 180. 00 FEET TO AN E X I ST I N^ N iERESTONE; THENCE (4) RUNN I i JG S 18°37 P 2011 W 24 \ SOUNDING• EASTERLY ON' LAND NOW OR FORMERLY OF CONNECTICUT NATIONAL BANK, v 1LISTEE, 143.39 FEET TO A SET IRRON PIN, TO THE POINT AND PLACE OF / \8 J6 \ BEG INNING. CONTAINING 14,866. 1 L:OUARE FEET OR 0.34 ACRES. 5 8 4 �4 � I 82. 02 JCS B 8 B . 64 /83°27 8 20 % , Note 010/ B2. 78 .93.28 �� / / 82. 74 92g7 ` ��`�O 1 N VA I I l�L. t'"1 f"�s i 'E N J ZA j 7 v \\ `•� �� �.�J� +K* .�- a -1 r t--1 n o t'� o /1 ►. 1 I f^� r. S .o > n �• v , .' I -iCA 0 11 82.87 `� CON I�Dl�, M 17 "r / Z 82.0a / 62v 82 � • B3.2 09 nw \� �, nG� SQ•(/ V r- _�t�t..l oT�- ���B2 66.65 8 31 U Z\ � 83. 04 B2. 73 / 82� 62 01 8 - �\` i V O I C� N p�� a I m iT (/ �l�F.l�� 16LF�N`D I � 82.27 81 9 1 �?' B ,27 83'32 83 24 83. 0 83.27 q32vs I '� oQ-�r�E e 6 Freestanding Sign I 8' . letoo pro �� D GF 1-IY 'P-P K T a- a 2? I GO►�1G. � I uti10FF Bi. 72 151 1- a + By 1 B2.B5 82 49 Price Sign e1 2s 81.54 ..J TC)81. 76 180. 00 1 �IYJo`�E' 70 C H U 'PE-zzo L 81 57 '�J S L. N 52°45'20"W< 81.33�. G.-,a_�,� ►� �It - s31T a►�PROxllr\s-4T:= LoCgrloti 1ro.' WF;--E.R N\�41Q _ C� 82.22 B3.�'6 =81 86 Id' V•C.r�_ OM +SEGO"�S_ _ I �•a r F . �q•�9 DESIGN F'R N\_R_E�U�j as 144 7 1 •" Lands-cap'- 81. 77 . _ i e'.i-4. V\1 I hE- 82. 02 81. 73 8 23 Architecture r 81. 9 a ----- -- Planni ng ng C�,u•T F. _ '1 9.8 r/ 'T 81.50_ ��gj 81.69 \ _..._ - - -- - -- -- ------ -- SAS ET- _..--- - ----/ 491. 41 B?. 72 B1.50 1y?� 81. 40 91 c�U-�� 1�I�r 6.1. s_._ W.S. Phillips Barlow II �' To Design-Site Planners , ,, . .t t, . . t . . . . 1 56 Arbor Street J U L L f V A lV A V L/V U L Hartford, Connecticut 06106 203-231-8208 Prepared For: 10 8 6 4 2 0 10 20 30 Shell • Oil Company SCALE IN FEET WIC 206-7130-0216 INDICATED UNDERGROUND UTILITIES ARE BASED ON AVAILABLE DATA. THE LOCATIONS ARE APPROXIMATE AND All UTILITIES MAY NOT BE SHOWN. PRIOR TO CONSTRUCTION 180- Sullivan Avenue South Windsor, Connecticut CONTRACTOR SHALL CALL 1-800-922-4455 AND HAVE ALL UTILITIES MARKED ON GROUND. EPH MERRITT 6 CO. 1 V I South Wi�fi��N� BUILDING DES JtJWN OF SOUTH � ,r� that t ,a plan and specifications aro true v s s ne proposed building or alterations to bo -rcctedd hat e���L,,t) ,A,�Gyt� r 'VV S0t,t,�V4W Aye+��VG Street ^ngother with amendments stated in application and tiled with plan and I agree to comply with all zoning, Building and state laws and such orders as shall be issued by the Building Vepaftrnent during pendency of this app' ation and final Issues a of a building permit. Signed This plan proved subject to the condition that orders and dinances regulating building shall bo. complied with. Conditionally Approved, These filed with Building Inspector,, Clerk Date Mir �~14 =�ICATION 09 ZONING COMPLMN^10 Proposed buliding(s)r USe(s) and/or structure(* as shown on this plan appear(s) to ,be �b s conformance with current South Wind regulations. Variances and special excep c:-! �,+��s► s :may., apply r y 3�i s r• ,,, Irg Enforcement Office DESIGN > . .................................................. ................................................... .................................................. ................................................... ............................. ............................................... ............................................... ............................................... ............................................... ............................................... ............................................... ............................................... ................................................ ............................................... ............................................... 24'-1" EX. CANOPY EX. SHINGLE ROOF TO REMAIN -__�T° i� EXISTING GRAY TRIM AND SIDING EXISTING GRAY FASCIA .:::.::::::::::::::::............... ..... ::.. :::c AND GUTTER _- EX. STRIP LIGHTING TO BE REMOVED (TYP.) EX. GRAY BAND 7.7 -- - // o I 1 �, ---EX. GRAY BRICK �L_ I I I \ - 744- - ---- _, __ Rmal I all I ............................ 56 Arbor Street Hartford, CT. 06106 5' 860-231-8208 Fax: 236-9220 Prepared For: — EX CANOPY ELEVATION — EXISTING (TYP . ) Mutual Oil 1 BUILDING WEST ELEVATION2 A-2 SCALE: 1/4 = 1 -0 4-2 SCALE: 1/4" = 1'-0" Company , Inc . 863 Crescent St. Brockton Massachusetts (508) 583- 7777 z - r . PAINT TRIM AND SIDING - -- WHITE _ PAINT FASCIA AND 7 -8 ---- GUTTER WHITE - "- ---- - -1-T�I-i--�� Proposed - 70 oe 24' EX. CANOPY C o n v e n i e n c e RED COPY Quick Store INTERNAL ILLUMINATION, Stop xRED SIGN BOARD �Z RED BAND 7. FURNISHED BY OTHERS, WHITE CC3Y INSTALLED BY G.C. 1Sullivan venue South Windsor, CT E r -� 0 _---PAINT BRICK WHITE WHITE CANOPY - -- 7' - --- - ` ; / (TYP.) RED COPY E�' I INTERN ILLIMINATION - --- PAINT CANOPY COLUMN NEW STOREFROIT BY OTHERS. G.C. TO OPAQUE, EXXON RED PANELS BEHIND WHITE (TYP.) E L EVAT I 0 N S COORDINATE R.1. WITH STOREFRONT CASHIER AREA SUPPLIER 0 NEW STORE FRONT 'v � 3 BUILDING WEST ELEVATION — PROPOSED A-2 SCALE: 1/4" = 1'-0" Date: 4/30/02 a N Scale: AS NOTED Drawn By: JHL o Checked By: MGS 5 Project No: 2434 fn File: 2434-BLDG N M co Rev: 0 4 CANOPY ELEVATION — PROPOSED 5/14/03 SDA S A-2 SCALE: 1/4" = 1'-0" a� M 0 0 0 J CD rn M I> A - 2 J Q 7 M N N N LL rn C ti APPLICATION FOR ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT l'�,vCDuA APP OV 1540 SULLIVAN AVENUE Bldg. Permit# k J 644-2511 ext. 230 Date Building Inspector/ Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 80 5LA I I I D 17 6y-,O_ Ovcr$1,000= Street No. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT ck� S(1 C7—k 'S S S APPLICANT ADDRESS 39 CT 06go APPLICANT'S PHONE # OWNER �0W N SFq< OWNER ADDRESS 63 C, OWNER PHONE C> 3 — O ESTIMATED COST$ C � � IS THIS A CONTRACT COST? Yes P< No FEE ENCLOSED$_ S TYPE OF JOB: ' 2` f��$Q .CO�� New Installation Alteration/Addition/Repair 6 No DA E1 e�eC6 clan ,,,,ill BullPerm�� run ewer- +o sty locnho4s) Revised 03/05/10 old 130 0 1a APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIAT D WITH A BUILDING PERMIT APPLICATION? YES ❑ NO 0 RESIDENTIAL CURRENT USE AND OCCUPANCY (S4 S Sbc() BUSINESS ASSEMBLY FUTURE USE AND OCCUPANCY ❑ EDUCATIONAL ❑ INSTITUTIONAL ENGINEER'S NAME PHONE ❑ FACTORY ❑ STORAGE ADDRESS ❑ GARAGE ❑ MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF SERVICE SIZE OF MAIN CONDUCTORS NUMBERS OF METERS NUMBERS OF DISCONNECTS AND RATINGS NUMBERS OF PANELS NUMBERS OF DISCONNECTS REQUIRED? ❑ YES ❑ NO NUMBERS OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK �(WA rzinopv 611A Pylon S ns 4?-> e)Q s S=box is t6Ee. Ci q �,/ e lec+rtc�I tv R.tA_T wee- 4-o SUM (omfioas oe) cqq:! & THE UNDERSIGNED HEARBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFOR- MANCE OF SUCH WORK 'E LC-. ©l g7�S1 —C7 CC:7 C71— CONTRACTORS LICENSE NO. TYPE STA TE SIGNATURE OF APPLICAN DATE DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT MIT#ER Application is hereby: TOWN OF SOUTH WINDSOR P I ER j T# BUILDING DEPARTMENT �OED�� 1540 SULLIVAN AVENUE Bldg.Permit 644-2511 ext. 230 3 Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 FtTenantD:esign:ation Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Apt.No. LA APPLICANT 5 � I Ge- "J M3 7 APPLICANT ADDRESS 15 0 L L I df ` VC s CX-A-+(n L 4- - V-,-d- O/- APPLICANT PHONE# b 9 6 ( O 0 W N St OWNER OWNER ADDRESS I ( A l e GJ � Ve-" "CL d C-f 2- 0 • F, OWNER PHONE C 3 51 5T 7 C ;D ESTIMATED COST$ 5 C V IS THIS A CONTRACT COST? _Yes _No FEE ENCLOSED$ S c � TYPE OF JOB:S OR-CO� New Installation _Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? ❑ YES ❑NO ❑RESIDENTIAL ❑BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY ❑MERCANTILE❑EDUCATIONAL FUTURE USE AND OCCUPANCY ❑INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑STORAGE ❑GARAGE ADDRESS ❑MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION S:—E OF MAIN DRAIN NO. OF TOILETS STYLE NO.URINALS STYLE NO.OF BATHTUBS NO.OF SHOWERS NO.OF LAVATORIES NO.OF CONDUCTORS SIZE NO.OF STACKS SIZE AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS NO.OF OTHER FIXTURES KIND ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW ❑YES ❑NO SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR SIZE OF DUCTS SEWER OR SEPTIC TANK SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER WATER HEATER: TYPE MANUFACTURER DESCRIPTION OF WORK THE UNDERSIGNED HER BY APPLIES FOR A PERMIT TO PEYMORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. Cc<:", 'e. CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT / OVED 1540 SULLIVAN AVENUE Bldg.Perm�t#, 644-2511 ext. 230 3� Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 F;YenantDesignation Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Apt.No. APPLICANT `J "6& ( & APPLICANT ADDRESS R LL) VA 1) It-V'� APPLICANT PHONE# O 'y g 110 r--g O 2— W N S Z-4 OWNER F t r )-4 A-5-- Q ADD,b I < OWNER ADDRESS /V G--w ID V t-- > -ram p 6 tj Z 0 + OWNER PHONE C ESTIMATED COST$ 0-0 IS THIS A CONTRACT COST _Yes _No LG Q �G FEE ENCLOSED$ �5 !� TYPE OF JOB: OSo R-C o New Installation Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A ❑RESIDENTIAL BUILDING PERMIT APPLICATION? ElYES ElNO ❑BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY ❑MERCANTILE❑EDUCATIONAL FUTURE USE AND OCCUPANCY ❑INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑STORAGE ❑GARAGE ADDRESS ❑MUCED USE (Other please specify) CITY STATE ZIP TYPE OF INSTALLATION/WIRING METHOD SIZE OF SERVICE SIZE OF MAIN CONDUCTORS NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑YES ❑NO NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCREMON OF WORK THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. CONTRACTORS LICENSE NO. TYPE ) STATE SIGNATURE OF APPLICANT S �/�— N DATE • 0 i �jj NOTE: A PROPERTY LINES AND OTHER MARK GATE INFORMATION SHOWN ON THIS REYISIOM Illy AP'Y'0 PLAN WAS OBTAINED FROM A DRAWING ENTITLED SHELL O "ALFRED ASSOCIATES INC_ IL COMPANY _ SCALE • 1' - 10' . DATE :HUG 1, 1985. PREPARED FOR SHELL OIL COMPANY, FACILITY # 31102, 180 SULLIVAN AVENUE, SOUTH WINDSOR, CT. " SITE., PLAN EPLACEMENT FUEL OIL TANK SOUTH WI NDS OR :.PERMIT PLAN , C T 1 SULLIVAWAE.-UE AYOUB ENGINEERING, INC, SCALE ���_ loi- CNKO./AP'Y'0 CONSULTANTS DATE I-6-88 APPROVED PAWTUCKFT RNnnc ��, ..._ 'FIN- By 4 VO/iR FAir- 1 'Fly V 1/4 * I �-/( .57 • VQ�, C� ,• ZCNIr7G BO'!RD 1F APPF.ALs 'f ` �il ►�1�2(� `y! Tapping Elementary School /,, ^ February 6, 1964 f� " i� ul `� s 8:15 p.m. � r the ; embers Present: Messrs. E. Havens, P. Shaughnessy (alternate for !ter. Provost), R. Gilligan, Dr. R. Laurie, and Mr. R, Reeves, Chairman. (Alternate W., Boucher was also present at the Public Hearing. ) PLIC ATICK JZ1 - Arnold L. Newman, 2281 Ellington Road, rapping, requests a anee to construct a garage closer to the front line than permitted. Mr. s'ewman appeared and explained that the reason for requesting a variance was that the location of the present rear entrance to his hem would not allow for the construction of the garage on the side of the house without blocking out the on3,v window on that side. He showed the Board the plans for the garage and the layout of the house. EP'LICATICt+; &3 - John H. Hoyt, 260 Graham Road, Lapping, requests a variance to allow construction closer to the front line than permitted. Mr. Hoyt stated that this variance was for an addition to his home. The position of the house on' the lot and the location of the septic tank and well prohibit eonstruetion in any other direction. The front line in question is on a right of wary which is not actually a street at present. LICATI_343 - Atlantic Fence Company, P.O. Box 142, South Windsor, requests a tenporary and conditional permit for storage in an existing tobacco shed on Olendale Road. i.64 Mr. Reeves stated that this appeal was being withdrawn without prejudice at the request of the appellant. APPPPLSCATICN #34 - J.E.S. Realty Company, c/o Edwin A. Lassman, 37 Lewis Street, Hartford, requests variances to permit a gasoline station in an Industrial Zone, illuminated signs in excess of permitted use and a lot less than minimum size with less than minimum front and rear yard lines; and a specific exception to allow a motor. fuel station with limited repairing on property at the intersection of Sullivan Avenue and Rye Street, South 1ndsor. Mr. Lassman appeared before the Board representing J.E.S. Realty. He pointed out the changes which had been made in the planned service station since the appeal in October. The islands would now be landscaped rather than of asphalt, the building would now be of a colonial style and the building would be moved on the property to conform with one of the necessary front yard requirements. The lot size will be 13000 square feet. Also, the access from Sullivan Avenue had been made safer. Yr. Cunningham and Mr. Babik ian of the atlantic Refining Company answered questions from the Board concerning the operation of the station and the type of business they expect to have. The operation will be considered as a neighborhood station With the hours set by the operator, but probably in the range of 7 a.m. to 9 or 10 p.m. 1 t�w ), j Mr. Lassman stated that this is planned as an attractive addition to the surroundings. The property is to be o.med by J.F.S. Realty, but the Atlantic these } Refining company will have atwenty--year Lease and under this lease y will retain all control of the gas station. j. pr. Fred Babitt of Farnham toad spoke in opposition to this appeal. He i stated that there was already a station on Rye Street which served the neighborhood and that there were enough stations closed on Route 5. APPLICATION #342 — J.E.S. Realty Company, c/o Edwin �. Lassman, 37 Lewis Street Hartford, requests a State Hearing for a gasoline station and limited repairerlg license on property located at the intersection of Sullivan +venue and Rye St, Mr. Lassman stated that this was the station in question in Appeal 0" and he { felt this use of the land -mould be a good one. NO FURTHER DISCUSSION FMCUTIVE SESSICK ' GENERAL, a [ g dr. Gilligan nominated Shirley Stewart for the position of Secretary to the Zoning Board of Appeals. The nomination was seconded by 'Yr. Havens. Voted unanimously. Dr. Laurie moved that the Secretary be deemed Secretary of the Board as well. Mr. Gilligan seconded the motion. 4 t Voted unanimously. Mr. Gilligan moved that the Secretary be compensated at the rate of ^42 per hare Dr. Laurie seconded this motion. Voted unanisuonsly. f: fh Town :attorney Frank .Ahearn met with the Board to discuss the revision of the By-Laws. He also stated that in regard to the second appeal from the J.G.S. ti Realty Company, the Board does not have to be hearing the sam appeals over and �.i over again. It is up to the Board to determine if there has been a substantial change of circumstances. If this is the case, the application can be heard. Following this discussion, Yr. Ahearn heft the meeting. !pl ;; Mr. Reeves stated that since the last r.�eeting, there was a request from Joseph i '.loran that we consider the state requirement that the Town of South lindsor lend +irk its approval for a dealerm s license on the premises formerly known as Eastwood Yotors and Hartford _Automatic Transmission. The members contacted agreed to si&A the card and it .was returned to Yr. '-loran. :Y.e budget request and previous expenditures Aare discussed. 1 4,� r • . l i `Yr, Reeves read a letter requesting that the Board members reviewa regional plan tic model made up by the Capitol legion Planning 4gency and make any comments or ill ` suggestions to the Planning and Zoning Commission. application 341 - 9rnold L. 'lexman Mr. 'ravens moved that a front line variance be grunted because of the nature and eonstr uetion of his home. If the garage gas constructed on the side, it would block out the only window on that side of the house. 'Ar. Shaughnessy seconded ;reet, the motion. :rerts . St. All in favor. None opposed. I he It :has a unanimous vote -and so ordered. EFFECTIVE DATES 'March 16, 1964 bylication 042 - John H. 19 Y Mr. !?illigan moved that the variance be granted as stated in .application #342, since the lot and the placement of the house would require a variance to expand =Y it to any extent. Mr. Havens seconded the motion. AL' in favor. None opposed. It :vas a unanimous vote and so ordered. M F'ECTIV3 D:ATZ s Yarch 26, 1964 1. Application 343 - 4tlantic Fence Company ithdrawn A- thout prejudice by request of the appellant. `1OU* Application #344 - J. .S Realty Company Mr. Reeves stated that the ?card must first decide to its satisfaction that a material ch;zge in circumstance had taken place since a similar appeal was denied in Cctober 1963. Dr. Laurie felt that the new appeal was completely different since the first one and was for a specific exception only and the new one involved variances as :hell. Aal "r. Reaves cited the changes planned in the building itself and the access from Sullivan ;venue as additional reasons for hearing the appeal. ],end Dr. Laurie moved that the 3oard consider this variance on this property since the appeal is presented as a request f or a variation of the zoning requirements rather lad than a specific exception under Section 9.4(b), as formerly preaented, and the ' sip physical layout of the building has been altered for the better. `sr. Gilligan seconded the motion. All in favor. None opposed. It was a unanimous vote and so ordered. !Tr. Reeves read the zoning regulations concerning gas stations and stated that the requirements to be net here :here mostly concerned -.Pith traffic and fire hazards. i , r .3 Dr. Laurie pointed out that the rear yard line nwn conformed to regulations that only one front line variation xould be required. Fe said that some variation would be required to make any use of the property because of its ! size. '"r. pavens did not feel that a gas station here would present a traffic or r hazard snd could be a definite asset to the area. !r. Gilligan thought the clearing of the land and the lighting of the station would give cars a better view of the intersection. n ' Dr. Laurie moved that the appeal be granted: j 1. Specific exception - "_'his appeal would conform to our regulations 3.33. Under this section the Board feels that the property would ' not be depreciated but would be enhanced and that the illuminating of the location would help to call attention to the intersection. 2. We further grant the variation of the zoning ordinances to permit ! 117.3^+inated, non-flashing signs as requested. 3. The variation to create a lot less than the required q square footage � . and variation of front yard line is also granted. The Board feels ; . that the size and shape of this particular piece of land makes its use without variation an impossibility. "< ! Mr. Gilligan seconded the motion. ,ZI in favor. done opposed. hr It +gas a unanimous vote and so ordered. EFFEICTMS DATE: March lb, Ig6fj ,Application #345 - State HegkZ J.E.S. Realty C092LJ r Pr. Laurie moved that the application for a gas station and limited repairer's j license be approved. Messrs. Gilligan and Shaughnessy seconded the motion. All in favor. ?done opposed. It was a unanimous vote and so ordered. 'E rm- rATE: March lb, 1964 .;: Respectfully submitted, i Richard C. Reeves, Chairman .. f MAar AR.A MA AT A AM-�, \ CON DUL.a_T GAP GO[D O0.1P ---/L„PIP4, pLu4 �] GONDULCT-GLRMP IA"►Ipf n aAIIAST FUAN.ywap 110 VOLT SUPp�v!'14.-L wITM LUM1-49 FOR MERCURY VAPOR FLOODL/GH/r CONDL,CTOa(TT►[a0) ALUMINUM I MOUNT/NG,,�N S/GN ST,gNDARD SALLA3T BOX , SEE VWO. S-/5-6TO7. waATNLRFRDOF WALL) CORD Gaff TUa1NCa CONN[GTOa 3-J^Set.HD, SET SCCrWJ- AL LONG yo CLAMPINL PLATS - - 314N FRAM& /•URN/JNCD W/rN ADAPTER W - IL-LA RD. NaAD SC[fW .00.11.WASMaR,SMALL►aeOF }42 Ft OODL/6N7 ADA�TEt wwoN cq IyNfJ NUTS. 7o1Pe/ro11-)))) _ IU4 N/JNEO 'w/rN J/6N STANOARO S E C T I O N 'G-C' VN Sc-a J'•I'-W. m A� PCL.Ico cAT7•19Co-TLV a 14N L14HTIN•uulT. r.1 IaO W.�V NO" 'C ONOu1 T•MYj•LO N4 7 "CONDUIT-16.%0N4 /a1�T1a Roo - T-7"LONQ FLUORa Sca NT LJ�MP C AT.A MT "T..CONOULIFT Y&"TNIN WALL ]•L4j'f�i' YURNIf N[D LUM1IN Alal. / lrrRA NIA✓F IiI! UNION / Z'llI7M NIAvr A/P! �•MAJr AAM JUNCTION�)< MAJ/ AAM JtII V! 7ta y!"L•N4 `' �TNIN WALL TUaNrl 1L A NANvlR JT4A/ NfA1•JL/I 47 \ A' / i C[AMI 1 I ONDUIaT n"C LAMPINa • I 1- _1 MOUNTINf�}LAT[ PLATa - - - - WaATNLLPIo°F SOCe[T C.I.rNa ICPN FRAME N I yY —1 _ _�•• �FIT TIN 41••o —— 3 1 4 N n N F. - o o __ ' 8" 1► HALF 3ECT"10N g-E '4 V fo / -- P' ° SLAL♦J"•11-D11 _0 CAT 1930-72V a 11�t f ° a -- SION LIa NTIN4 UNIT TOTAL WATTAQ[ FOR y1aN ll Iy M Uj I • /URNI•NfO WITH fISN LUNIINAIR"as -73 W• 2 \ � •V �. LTA NDA■O. h WhV I FOR ASSa Maly AND INSTALLATION OF SIC.N LIOINTI N4 UNIT O ti ON SI4N ]TAN DARD of/•a TO MAN UFAGT URa R'S STaP SY STI/ INSTALLATION Da7AILA(Pa Mc° DWc4'W�E 009� W FURNI&HED WITH UNIT. li ti CONDUIT-- WNATNLRPROOF(THIN WALL TU""', t&wINICTOL •T'CON DU L[T h.1 T.- WALL Tu/1.4 C''..ONOUIT UNION '� �KUNT-LLl / S IaN PR.AMt W[,aNT r,OR SIGN ONLY 90'r �ec wA�ia, /a'GLAMFIN4 vLATt a Nat NUT ��`��"•Q.MO. DOLT, ° L.T WA&.aa• �C T ION A-A- +Mu 4 SCALE,-4".11.0" 1 Mar UT.. I 0 e N I ArLANr/C •I'.79'lNAA4ELl0 J/aN O 1 PV/TN J/•N JUIIORr AAAc&4rr r0 •1 I a THE OWNER SMALL FURNISH COMFLETE, TMG 514N s N • CTANDARD WITH ANCHOR RODS)ATLANTIC CNAM[LED "Ima '� SIGN AND FL000.1fINT ADAPTER FOR MOU NTINGI MLRCUitY VAPOR FLOODLIgNTS. /*. w ALL OTHER. MATEPLIAI- SHALL DE FURNISHED "/yr jTNID.YI7M JTANO RO. by CONTRACTOR.iII•t a'•>t l��L•'`�Jw•♦pN IIeAf'U�O�Paq��/aySs�ti;:I1 1�♦M•Da1t�•,,Q yV��)J l,,I ♦Y��LQTlr II �UD3ZW�'rVp�ho>t` vM•Ya NAWWM O2 N- 1Ct°L0�L VNV YU r,GC3iAOlo NAOu tWO/N✓N!L fAL 7,CN RoOiOV✓lTNARf/./7fAoO/(LC/OL.J C wON•TOn✓•tO[7V AAO/f.0Z✓GI a a�- iu-4otr u4cSa! t •^ J C�I A t'�fe 1y1 e •Nf •OI- fD_• D =fj AIJ NM IGN'ANA&NOrAOA O* K- a' NOTE :3•dosr IAACA'fr/✓AN/JN JOMINIMJM _:ML-13EAKIN4 VALVE 2000�/S°. REQU4RC0 t•*. •APO,TJ w/rN J/ON J/ON PRAMS DETAIL rAAI 0 C IG4OIh.KTHICK DAdL rLAT[p l/ i qt Cl0V3f-NND3 f.PLOS/OMPPOOA✓UNCr/GW 4J/DNIL4� F_- cJ-JrO A/I! CONOutfTWlrm Ai *6uAs360 UNC7/ON CONDU[l7 yJ Z CRO✓3f•N•DJ CN/CO•A"SfALW4 COM- MAST ARM O f CN/co'A'F/LRE INC.IOWENN03 N MIt! COWD✓IfT wrAllOu C-N aEr 35a(Tr/ rONO V aCT ` O NOt! / co ow, 4',I M.tt Sa C/'A{lJ��l wNa. J/&,CONOV,r /S O t 'r•r" CALLCD !' R. /o*M 040,ove"oA CMA/-" L- /N BSI OI CaNcAa►!RI►J/--'�- �J- : �I & 1'�• -NOTE M q/IL/Mf O</0✓NOAT,ON 1 /OTTOM 01 P,Pa GO�L+MN aAsa I.ATa T OlLeN AAOf J/�- a /^CO/JOU/r O a 1 IrAVa a-co ATa of Me•I-IO10 PL IML■ as reed SI N 1 AS�LtLO /04 w� II F • • I I► Ow/GLNl4ALPLAN ♦ ■Rac IoN. ti Ta,DOLTs,AND SuraAaa aw5c f0{/NDAT/ON PLAN Iqr I 1� �! Z LAT[ TaAaeva ouc♦fT PLATaa Ta lcAl!_/••/=e' ��yy h F``1 • I I►I • MAN•A,FL LQ. MO NDA D PA.1 TiO''' r=CR NEW STATIONS ONLY • h I�Te���1..F. ► (iEa A.R-CO.STANDARD pA1N IN4 LI ILAT10. �•r •I OR rNCR PAIN NG. "IW�aN PLI� I� NO fOR°1J after OA40l. ♦ 4 Oya IN ' ► 11 ,y ! V t __ __ _ THE ATLANTIC REFINING CO. M�},I-.� P1, �---- 1 AOUIC"AfA/NJr H'f4.w/ i a r ENQ1N[ERIN6 AND CONSTRUCTION DEPT. ./ MARKLTING TERIORI[S DIVIaION V 4i♦ Q I Z R T ZGa S.80.0AD ST. PNILADELPNIA7PA• QOL • 2 CO Veit `C;'a • •-- STANDARD DETAILS AND°OUNDATION FOR IiSO/YM ?OZ `� 'J S j _j TYM SIGN STANDARD FOR ATLANTIC CNAMELEV SIGN 2U� It T- �- I ti F= yLIT����LIRti VAPOR F-DODLIG»T5. V,zr • • q a.A Aa� ppa j _ ° t a STAcs .I��/. -=_a'�: f.. wANa[D DLRM OF►ail- V &e.LG s .1pnp •/ - V♦\ � D•-({I AT1ON /AOH G.j'�TO(�141 CIJ� OIPOtI �7UC T1°N /' ELEVAT/Ql�/ OF ""° C/�N a .�.t o.. DY.•!I. NO. N P Jcelo [S V A l�'• r Rl+IM1 PNNf1u u.tAI:H.3 0 SCALE / •/-()' DATL •,R[VI SIDN .AMR S-15-GZ05- x� -- J 1 1 ' 1 # 48 Self-Serve Price Sign Numerals: 25" Size: 8' 0" x 6' 3" Area: 48 Sq. Ft. ; James B. O'Toole Co. 224 PARK RD.-WEST HARTFORD,CONN.06119 TEL: 236-5754 `^- FrION� s� 0 w 6 LAM:el Al.ew SINKS — L pcA71 Ae1 D GiAL APPLICATION FOR PERMANENT SIGN PERMIT Toning Approval: 5 Q�L 1 180 Sullivan Avenue Ref. Est. Cost: $ S t`- Final Inspections: No. 29576 Permit Fee: $ 105 Building 8N10> Approved: Zoning A I s(p3 Electric Permit# Applicant/Business Name QU�( j�*�� { P roVA V-, S4v.7rE Address I!Zb. SC I 11 ;jjT6L,-,- 61/,L---P1RV P_ _ u1_Phone Location of Sign C'L 1 L('VC'" AL1'ey%[A3e . GG,. C.0'3%6Sin_7-one TYPE of SIGN: ❑Wall or Free-standing {, New or❑ Replacement Illuminated?0"Yes ❑No Proposed Sign Size(square feet) Sign Height No.of Existing signs on site Free-standing Wall Description of sign materials and lighting: raV0.I #SL0 4�n j�,' e,— ATTACH DIAGRAM OF d-'t a Iter Slr�r�� SIGN INCLUDING I have read, understand and agree to abide by the South Windsor Zo*Regulations,Signs. DIMENSIONS Applicant Date .5/D G Property Owner - $t'1 Date S�bG�d3 UNDERGROUND STORAGE PG of STATE OFCONNECTICUT EPHM•6 Rev.12i91 2• w Department of Environmental Protection A SITE I D Q FACILITY NOTIFICATION ' I /_� UNDERGROUND STORAGE FACILITIES PROGRAM 3 FOR STATE "6 Bureau of Waste Management AGENCY USE ONLY z • 165 Capitol Avenue.Hartford.CT 06106 B DATE RCVD BY D.E.P C DATE Er 1a. ❑ FIRST NOTIFICATION SITE I.D. �• TEL.566-4630 �4w[r4h OR PLEASE TYPE OR PRINT.ALL THREE COPIES MUST BE LEGIBLE D GRID COORDINATES E.DOES FACILITY MEET NEW t- bV SUBSEQUENT (If checked, Refer to INSTRUCTIONS FOR FILING NOTIFICATION before completing form. �/ �/ __ NOTIFICATION enter no.) P 9 X i YES LOCATION SITE NAM f r NO.AN ST ET NEAREST INTERSECTING STREET eIR WN !- STAT 5 LATITUDE LONGITUDE J I �i� /� �J//9) �j (I/�/� � lV O I II o I tt 4. OF FACILITY 1�� (A..-� /SJl Y V � Van / WIA61 � BUSINESS NAME AND NAME t AJD E N STATE ZIP CODE TE EPHONE 6. MAILING ADDRESS `,�y,�, �' l f� Ovid �"-IX �T �� �> �.ic)v// ZNAME O ND STREET OWN ,STATE IP ODE TELEPHONE 7. FACILITY OWNER // 1 8. TYPE OF OWNER PRIVATE STATE MUNICIPAL FEDERAL (G.S.A. NO. ). OPERATOR/CONTACT NAMET /��'�(/J)� /� NO AND STREET CITY OR TOWN - STA ZIP CODE G�" TELEPHONE 9. PERSON �G11/ ��C +�� �^ / 1V� >��'4J�/�[���/1 ?0 4 tta 11b. 1 i26:STATUS 13. E 14.CON�ENTS 15.CONSTRUCTION 1 .PROTECTION �INOa 18. 1TFAfLUR CONTENTS MATERIALS a.INTE_R-NAL ¢_EXTERNAL PIPING SYSTEM DETERMINATIC -ANK I.D. DATE OF z H TOTAL o EST.QUANTITY DATE 0 CHEMICAL NAME OF PRINCIPAL cnwo E z z E g"a z b MONITORING CONDUCTED a ut Lu o 0 0 ¢ rn o o o - o c�o a z m DATE OF INSTALLATION m CAPACITY < LEFT STORED TANK 0 v SUBSTANCE w g¢� w`aL'i z v Cl- Q v w`m INSTALLATION SYSTEM If"YES'.enter'DATE. w R z a (If any) LAST j a =g (not trade name) cc w uJ z p.� ? z uJ o¢ ¢ rz a o OR ( and attach results). (Mo.iYr) a— (Gals.) Z g LL— ¢ (Gals.) ¢ USED o w 0 (Enter CA,S No,if known) mwo n U M 0 O n o W a— REPLACEMENT (Specify type Of'NO* enter"NO" LL¢ a d U (Mo.Yr) J (M0'Yr) from fistBl 1 Example 5/75 30 5000 X X Heating fuel #2 X X H 3 H 5/75 U NO r Example 7/60 — 8000 X 8/78 X 1,114,-Tricloroethane X X E 7 W 7/60 U CAS #79016 A 1 , t w C3 r+ uk cn 7 _ 22. CERTIFICATION: I certify 22a SIGNATURE 22b DATE SIGNED 20. HAVE YOU ATTACH ETC F NKS AN LO ATION. YES fly under penalty of law that I have personally examined 0 7I / l and am familiar with the information submitted in this and all attached documents and that �/ O 21. COMMENTS) Llkr v47 � �� based on my inquiry of those individuals immediately responsible for obtaining the X t /� IJ�Yer v/ , information,I believe that the submitted information is true.accurate and complete. ��JJ1— 22c. (T Pnn) 22d.OF ICIAL TITL or a.. U C� // /�%a" PerieMies:any owner who knowingly fails to notify shall be subject to a civil penalty not to repre,;,Cf) Ll.l �—.^ exceed$10,000 for-UchjAn for which notification is not given or for which false information _ ,s submittedmil r, ZZ �C COPY 2: SEND TO LOCAL FIRE MARSHAL i 1 �� . . 6'-2" U-, E*�O RED COPY, WHITE BACKGROUI i BLUE PANEL [Quick Stop WHITE COPY, BLUE BACKGROI s Reg�er 0.0010 Pius 0.00 9 82.79 SF Su 0.00 0 Diesel 0.00 9 10 N WHITE STEEL SUPPORT POLE 5'-3" ol 1 PROPOSED GROUND SIGN ELEVAT L-1 SCALE: 1/4" SIGN TABLE EXISTING DWG. QTY DIM SF/EA TOTAL HT 0 NO. (ft) SF (ft) Ground Sign l 6 x 15 36 90 25 In Ill 90 TOTALS 1 -' p . F: , • NEW 6" REINFORCED CONC. MAT NEW 8" REINFORCED CONC. MAT PROPOSED 12,000 GALLON DOUBLE WALLED LOW OCTANE GASOLINE UST d REPLACEMENT lool GROUND SIGN IN e SAME LOCATION AS a• EXISTING SIGN FURNISHED BY OTHERS, BASE & ° ELECTRICAL BY G.C. //• '� \ / e - � D. ° d , ems.. •�/ • \ � s._e • p SINGLE .�• �./ �,� ��• °���c0 3" VENT �� ®� o '00 4, 00. \�c�4„\1 RISER, GASOLINE rn�y vz. SN ° p/ rLl b �Q \M\N �'• �\G'��' PROPOSED DOUBLE—WAI •6,000 GALL VENT ��' \\� •6,000 GALL s� \ p GASOLINE RISER, DIESEL -- EX. CB SNET 0#147 i n (�gIIV MAY 1 5 2005 South Windsor BUILDING DEPARTMENT Ave-_ -k, -on 1 th ---...Aril inrC�ctur �-----... .• �Q" eA � � 'Ap :ram 751 cle � ig(v-j Shell Oil Company Corporate Ridge 17S Capital Blvd Ste 300 Rocky Hill CT 06067 Hartford Retail District June 20, 1994 1 South Windsor Fire Department Drawer "R" ' South Windsor, Connecticut 06074 Dear Fire Marshal: SUBJECT: NOTIFICATION OF UNDERGROUND STORAGE TANKS SHELL SERVICE STATION 180 SULLIVAN AVENUE SOUTH WINDSOR, CONNECTICUT 06074 Enclosed is a copy of a Notification for Underground Storage Tanks for subject Shell service station for your records. This is to notify you of the Line test 04/01/94 & all passed. If you have any questions, please contact me at (203) 571-3139. Very truly yours, Pamela Marshall H.S.& E. Clerk PM attachment • 1-- ILOCATION: /)Cli AVE h/,- so/ � � S .�d- 616 � c.1 I.r —N—r. sonluros: k Sab'-O/f� Nw 1y N��OM. / 111�Ib�.l Ir.l�uwl ,r.Ilr�N. s llLuoN roll Tl{T. — S 4 r tiw//A .nA/ �• S7A. f' —7-T- VA J� �rJ✓ �� /.�'f 6 ! s rtsi Ntoutsm si: MArk Jrrl i,,�It 111 •5►1CYa INs,s UCT1ON{: 1 CON/NACTOA OA COYIAIR""NG R{l Y/CNANICISI 14AYI •t/e r><�tw s7 ' A A Sri✓ ct A A TAN/TEST To It ❑its s YA/1 ANO r"O/ YA DI W1TN TNIs UNI Test? �o ►UYi OA D6pINsIAs p O~ CovIA UTAOIIYATl / 16 WIAIN/ W ��` IIM"MTUA1 IN I"IS_1_-C ovlll UNls sUA14 of"" p.tl 11 IOtNM 12 ilYt Is LOG Di TEST PROCEDURE& N MIssUNI Is Yocuml Is TUT Dlsutts [ACM UNI AY SHUT TtYP/AATU SI f os VI IItAO1NGNET AS Miss) IY,UTAA1) WUINIA.sic. Wool AITIs sIIONI A/Tls NA CNot COIIClUswNL stPAlAs AND COPYInks l S7A O SO S� sloo 0 -N 2 .D —LrjA 0 -Co?-0 H SU Otoo jolk-ohooAp 00y0 #Y 6o in 0 oo2 oo60 - u SO p 1 .S # So so O O 000U s / 0.2 50 So ZOO .0040 DQC"� S0 50 0 OOC"o ElfSO o/2u OOOC) ooc-ov I aid k Sv O Z r p 1-0 CIr_c/w,1 L,t -7ti T T o S 4 0 io 2 v o 0 tow So 0230 0100 00 0030 %'o So o a x �050 50 of D/z -.op -00-70 f yG5150 O/0 ,002 - -oas rl D ' +oo tea. ;1,�,•C`r�S�— i ,` i .. ._ , a s Shell Oil Products Company 211 Riverside Drive East Hartford,CT 06118 Connectfcut/Westchester fetal District September 2,1998 CERTIFIEDMAII. 1"awria► a RETURN RECEIPT REQUESTED Mr.Gregory Piontek Connecticut Department of Environmental Protection Underground Storage Facilities Program 79 Elm Street Hartford,CT 06106-5127 Dear Mr.Piontek: This letter provides notices to the Connecticut Department of Environmental Protection,Underground Storage Facilities Program that the Shell Oil Products Company facilities referenced in this letter(listing attached)are in the process of being transferred to a new owner,Motiva Enterprises LLC. This change in ownership and operational control is the result of a joint venture between Shell and the parents of Star Enterprise. We would ask that the transfer of the subject petmits/licenses to Motiva occur effective on October 1,1998. Registration revisions should be directed to: Adrienne Cerniglia Motiva LLC East 211 Riverside Drive East Hartford,CT 06118 Should you have any questions concerning this activity please contact me at(860)568-5851 Ext.216. Your assistance with this matter is appreciated Sincerely, Jennifer L.Szepansld Safety,Health and Environmental Compliance Representative Enclosure Cc: Local Fire Marshals PERMITTRANSFER.DOC i� Conn-Westchester District Dealer Wic LW TAC # Location Name Address City State Zip Code Phone Dealer Name 20604760239 01 13735 NANA CORPORATION 991 BLUE HILLS AVE. BLOOMFIELD CT 06002 (860)243-8182 MENSAH,MAVIS 20616320386 03 05128 WEST STREET SHELL 207 WEST STREET CROMWELL CT 06416 (860)635-2229 ROSSINI.ROBERT J. 20616320428 02 30950 PERMANENTLYCLOSED RTE 72 6 KIRBY RD CROMWELL CT 06416 (860)635-1036 PERMANENTLY CLOSED 20617680242 00 38613 BOB AUDETTE,INC. 1095 NORTH MAIN ST DAYVILLE CT 06241 (860)774-9161 AUDETTE,BOB 20621530334 00 52683 FOUNDERS PLAZA S/S,INC. _ 184 PITKIN 8 DARLIN EAST HARTFORD CT 06108 (860)528-1055 HOHMANN,GREGG 20621530524 08 19980 ISCHOOLST SHELL FM II 123 SCHOOL RD EAST HARTFORD CT 06108 (860)289.7558 SCHIAVONE,DAN 20622500120 04 08640 FLANDERS SHELL _ 113 POST RD EAST LYME CT 06333 (860)739-6065 MAGLIANO,MIKE 20623400163 06 68071 BRIDGE STREET FOOD MART 172 BRIDGE STREET EAST WINDSOR CT 06088 (860)623-2622 KOBEISSI,HUSSIAN 20624480131 07 65639 RAFLEY, INC. 105 RAFFIA RD ENFIELD CT 06030 (860)749-0584 RAFFIA,GARY 20628560250 01 39333 GLASTONBURY SHELL 2749 MAIN ST GLASTONBURY CT 06033 (860)633-1112 EVERETT,JAMES 20628560417 09 22872 BUCKINGHAM SHELL 2088 HEBRON GLASTONBURY CT 06033 (860)633-4155 ELLISON JAMES 20631100219 TEMPORARILY CLOSED RT 12 d PLEASANT VALLEY GROTON CT 06340 (860)446-1717 TEMPORARILY CLOSED 20631100532 08 39236 J&M INVESTMENTS 820 POQUONNOCK RD GROTON CT 06340 (860)445-1053 PATEL,JOHN 20633680283 00 17293 J.N.M.SHELL 949 ALBANY AVENUE HARTFORD CT 06112 (860)249-2150 MENSAH,JOE 20633680135 01 07131 TONYS SHELL SVC. 831 MAPLE AVE HARTFORD CT 06114 (860)956-4161 SCHIAVONE,ANTHONY 20633682032 08 68094 CAPITOL SHELL FOOD MT 11_ 335 CAPITOL AVE HARTFORD CT 06106 (860)249-4892 SCHIAVONE,DAN 20633682123 07 03988 Q.L.S.CORPORATION 1620 PARK STREET HARTFORD CT 06106 (860)523-9329 ROSSINI,ROBERT 20638700136 02 38614 L.M.G.,INC. 114 RIVER ROAD LISBON CT 06351 (860)376-3936 GUERTIN,ED 20638760635 01 70611 ISILVER LANE SHELL _ 252 SPENCER ST MANCHESTER CT 06040 (860)646-0879 PURKS,SCOTT 20638760767 00 58123 SAFO'S ENTERPRISES, INC. 161 TOLLAND TPKE/RT83 MANCHESTER CT 06040 (860)647-9702 JAAFAR,ADNAN 20638760924 08 22478 SHELL FOOD MART 288 WEST MIDDLE TPKE_ MANCHESTER CT 06040 (860)649-9117 GUPTA,HEMANT 20652500131 07 44983 NORTH STONINGTON SHELL 324 CLARKS FALLS/1-95 NO.STONINGTON CT 06359 (860)599-4581 HEINEMMAN,JEFF 6 NOLA 20654400116 08 38897 GREAT PLAINS ENTER-INC 684 WEST MAIN ST NORWICH CT 06360 (860)823-1543 MAGLIANO,MIKE 20654400322 06 12123 B.J.P.,INC.,DBA B.J.P.SHELL,INC. 565 W MAIN ST NORWICH CT 06360 (860)887-1042 PATEL,JOHN 20654400421 05 80155 CLEVERETT INC 168 WEST TOWN ST NORWICH CT 06360 (860)887-0321 EVERETT,JIM 20659160145 03 05258 L.M.G.,INC. 600 NORWICH ROAD PLAINFIELD CT 06374 (860)564-2810 GUERTIN,ED 20662220381 08 51590 INTERSTATE SHELL 647 SCHOOL STREET PUTNAM CT 06260 (8601928-2653 NAIEFEH,BASSAM 20671300216 08 24587 BOMA INC 180 SULLIVAN AVE SOUTH WINDSOR CT 06074 (860)528-0182 ZIDEK, PETER 20678500198 07 69614 MICHAEL MAGLIANO RTE 1 AT NO.WATER ST STONINGTON CT 06378 (860)535-3512 MAGLIANO,MIKE 20683980278 03 58003 VERNON SHELL SVC. INC. 448 HARTFORD TPKE. VERNON CT 06066 (860)872-8183 NAIEFEH,BASSAM 20692990110 2 16287 T.A.OPERATING COMPANY 327 RUBY ROAD WILLINGTON CT 06279 (860)684-0499 TRUCKSTOP OF AMERICA 20694520253 04 09434 K.R.S.,INC. 191 AND KENNEDY RD WINDSOR CT 06095 (860)285-0418 RALEY,DOUG 20694860162 TEMPORARILY CLOSED 361 SOUTH CENTER ST IWINDSOR LOCKS CT 06096 (860)623-7020 TEMPORARILY CLOSED 20694860279 87 1 59509 1 NANA CORPORATION 80 TURNPIKE ROAD WINDSOR LOCKS CT 06696 (860)627-8010 IMENSAH,MAVIS wmm�w J:\,SPT219\EXCEL198ROSTER.XLS 4/6/98 Conn-Westchester District Dealer Wic LW TAC# Location Name Address city State Zip Code Phone Dealer Name 20601360173 08 44520 B.BUTLER 8 S. BUTLER 696 MAIN ST ANSONIA CT 06401 (203)736-9414 BUTLER,BRUCE 20601360256 07 73625 ALI SHELL FOOD MART 18-19 MAPLE ST ANSONIA CT 06401 (203)732-3292 KHOKHAR,MOHAMMAD 20611560184 01 01807 CHESHIRE SHELL 831 SOUTH MAIN ST. CHESHIRE CT 06410 (203)272-7033 MOUCO,JOHN 20612580157 08 13626 ISHELL SERVICE STATION 115 HIGH STREET CLINTON CT 06413 880)869-5333 BRUCE,HORACE 20612580223 07 38898 IHORACE E.BRUCE 196 EAST MAIN ST CLINTON CT D6413 (860)669-1909 BRUCE,HORACE 20618400145 03 16839 VALINSKY BROS INC II 360 NAUGATUCK AVE DEVON I CT 06460 (203)878-9516 VALINSKY,GENE 20618700221 05 64271 DURHAM SHELL 336 MAIN STREET DURHAM CT 06422 (860)349-8632 QUARTUCCIO,KEN 20622000469 02 56251 PERMANENTLY CLOSED 95 FRONTAGE RD EAST HAVEN CT 06512 (203)466-7531 PERMANENTLY CLOSED 20632420327 01 16182 D3 D SHELL SERVICE 2100 WHITNEY AVE HAMDEN CT 06514 (203)288-1744 SAMUELS,DAVE 20632420464 00 93246 MAK,INC. 144 ARCH ST HAMDEN CT 06514 (203)773-3122 CHANDRANI,SADIQ 20632420525 09 53008 SPELKE ENTERPRISES,INC. 1994 WHITNEY AVENUE HAMDEN CT 06517 203)248-8320 WING,NINA 20643520388 05 08382 VALINSKY PETROLEUM INC. 524 NEW HAVEN AVE MILFORD CT 06460 (203)877-8768 VALINSKY,JOHN 20643520867 00 38551 ALI SHELL FOOD MART 364 BRIDGEPORT AVE MILf=ORD CT 06480 (203)877-1006 KHOKHAR,MOHAMMED 20643520917 09 03438 SANG YUEL YOO 1345 NEW HAVEN AVE MILFORD CT 06460 (203)874-6803 YOO,SANG YUEL 20643520685 02 10398 MOTORCADE,INC. 190 WOODMONT AT 1-05 MILFORD CT 06460-2860 (203)878-3062 O NAM,KI 20647260965 08 25419 RTE.80 SHELL 1228 QUINNIPIAC AVE. NEW HAVEN CT 06513 (203)469-0789 FICORILLI,RICK 20647260668 01 37888 M 3 S ENTERPRISE 1 WHALLEY AVE NEW HAVEN CT 06511 (203)865-8410 CHANDRANIS,S 20647261211 03 03489 GERALD E KATZ 141 WILLOW ST NEW HAVEN CT 06511 (203)777-4359 KATZ,GERALD 20647261344 02 39376 INTELEX,INC. 1372 WHALLEY AVE NEW HAVEN CT 08515 (203)387-7187 CHARANIA,MAHMOOD 20650000282 09 01694 ISHELL SERVICE STATION 1645 FOXON RD NO.BRANFORD CT 06471 (203)488-2968 DELIZIO,WILLIAM 20652020619 01 03774 MORRONE'S,INC. 77 WASHINGTON AVE NORTH HAVEN CT 06473 (203)239-2401 MORRONE,GEORGE 20652020734 00 70790 BABU MOORE 272 MAPLE AVENUE NORTH HAVEN CT 06473 (203)234-0189 MOORE,BASU 20657120125 09 07326 ORANGE SHELL,INC. 249 BULL HILL LANE ORANGE CT 06477 (203)932-2238 VALLIE,ROGER 20857120422 06 13783 LAMPOST CONVENIENCE,INC 340 BOSTON POST RD ORANGE CT 06477 (203)795-1098 JASER,JOHN 20668340134 00 20050 SEYMOUR SHELL N MAIN AND DAY STS SEYMOUR CT 06483 (203)888-2548 DEMSKE,WAYNE 20685000117 09 51839 CENTER ST.AUTO INC. 398 EAST CENTER ST WALLINGFORD CT 06492 (203)265-9770 QUARTUCCIO,KEN 20685000299 08 02728 COLONIAL SHELL SVR. II 1059 NORTH COLONY RD WALLINGFORD CT 06492 (203)269-1539 BEAUMONT,RICH 20685000323 07 72232 PLAZA SHELL SVC.,INC. 946 N COLONY WALLINGFORD CT 06492 (203)269-3550 CLARK,TIM 20690270168 01 25427 CAMPBELL AVENUE_SHELL 659 CAMPBELL AVE. WEST HAVEN CT 06516 933-( )203 1424 FICORILLI,RICK 20690270341 08 00514 MSK,INC. v 444 SAW MILL ROAD WEST HAVEN CT Oasis (203)933-1648 KIM,TAE HUN 20695800167 00 18548 WOODBRIDGE SHELL 1660 LITCHFIELD TURNPIKE WOODBRIDGE CT 06525 (203)397-1321 STIBER,JOHN J:\SPT219\EXCEL\97 ROSTER.XLS 4/6/98 Conn-Westchester Dlstrict Dealer Wic LC TAC# Location Name Address City State Zip Code Phone Dealer Name 20605780533 09 54852 ALI TRADING CO.,INC. 2613 MAIN ST BRIDGEPORT CT 06606 (203)384-1107 KHOKHAR,MOHAMMED 20605781119 01 50110 REHMAT TRADING,INC 289 HUNTINGTON TPKE BRIDGEPORT CT 06610 (203)332.7555 ZULQARNAIN,TARIO 20605781317 09 02016 SERVICE RITE SHELL INC 4402 MAIN ST BRIDGEPORT CT 06066 (203)374-4577 PIETROWSKI,ROBERT 20605781416 08 22282 JOE E BROWN'S SHELL 915 NORTH AVE BRIDGEPORT CT 06604 (203)384.8274 BROWN,JOSEPH 20505781549 07 12447 DAVE'S SHELL SERVICE 1917 BOSTON AVE BRIDGEPORT CT 06610 (203)330-0872 FODOR,DAVID 20625500622 06 67017 COLONIAL EAGLE INC 2047 POST RD FAIRFIELD CT 06430 (203)259-7558 ANCKER,LARRY 20625500739 05 06319 FAIRFIELD BRAKEBWHEEL 2271 BLACK ROCK TPKE FAIRFIELD CT 06430 (203)334-3265 MACKENZIE,HUGH 20630600185 02 03484 PUTNAM SHELL INC 401 WEST PUTNAM ST GREENWICH CT 06830 (203)661.2485 MORETTI,CARMEN 20643920158 09 37120 CENTER SHELL 604 MAIN STREET MONROE CT 06468 (203)261.2206 BODNAR,DAVID 20654061215 07 22336 EGAN'S AUTO CARE 551 MAIN AVENUE NORWALK CT 06851 (203)847-1518 EGAN,HAROLD 20654060217 09 02087 SMITTY'S SERVICE CTR. 207 WESTPORT AVE AT DAWES NORWALK CT 06851 (203)847-2240 SMITH,DAVE 20654060365 08 94449 EGAN ENTERPRISES,INC. 86 NEW CANAAN AVE NORWALK CT 06851 (203)75M404 EGAN,HAROLD 20654060431 07 02089 WEST AVENUE SHELL,INC. 94 WEST AVE NORWALK CT 06854 (203)838-2177 MUSACCHIO,NICK 20654060563 06 61865 RED EAGLE,INC. 640 MAIN AVE/W ROCKS RD NORWALK CT 06851 (203)847-2021 ANCKER,LARRY 20654060928 02 58581 R.E.D.ENTERPRISES INC 395 MAIN ST/GLOVER AVENUE NORWALK CT 06851 03)846-2785 DORM,ROBERT 20654061090 09 83024 ANCKER EAGEL INC. 247 MAIN AVE NORWALK CT 06851 (203)846.3469 ANCKER,LARRY 20654061181 08 30614 BALD EAGLE,INC. 30 BELDEN AVE NORWALK CT 06M (203)847-0089 ANCKER,WALTER 20654060746 04 28667 HANCOCK STATION 714 CONNECTICUT AVE. NORWALK CT 06850 (203)853.0656 HOAK,FRANK 20655420147 05 10279 RIVERSIDE SERVICE INC 1285 EAST PUTNAM AVENUE OLD GREENWICH CT 06678 (203)698.1614 JAGODZINSKI,ALBERT 20669020131 07 93596 BRUCE BUTLER 99 BRIDGEPORT AVE SHELTON CT 06484 (203)924-1250 BUTLER,BRUCE 20671200143 01 38029 J&T SHELL,INC. 307 CONNECTICUT AVE SOUTH NORWALK CT 06850 (203)866-5361 JUDGE,CHARLIE 20677180216 08 02118 BROAD STREET SHELL 38 WEST BROAD STREET STAMFORD CT 06902 (203)327.1146 RAYNOR,TERRY 20677180414 06 02120 GRAND PRIX SHELL,INC. 2666 SUMMER STREET STAMFORD CT 06702 (203)348.2345 LOVALLO,JOE 20677181032 08 42188 FIVE STAR INC 243 WEST AVE STAMFORD CT 06902 (203)327-7837 KHURRAM,NOMANI 20677181123 07 02126 HIGH RIDGE SHELL,INC 899 HIGH RIDGE RD STAMFORD CT 06905 (203)329-9947 RUSSO,RONALD 20677181230 06 13157 SPRINGDALE SERVICE,LLC 1039 HOPE STREET STAMFORD CT 06907 (203)327-8764 STROFFOLINO,RICHARD 20677181479 04 66593 MARJON ENTERPRISES 339 HOPE STREET STAMFORD CT 06W6 203 327-8584 IOLI,ARTHUR 20679300275 00 55450 BROADBRIDGE SHELL INC _ 2275 BROADBRIDGE AVE STRATFORD CT 06497 (203)375-1805 ZOCCO,JOE 20679300556 07 40659 SILVER DOLPHIN A/C,INC. 145 LORDSHIP BLVD. i- _STRATFORD CT 06497 (203)377-5705 MCKENZIE.STEVE/DONNA 20679300663 06 62386 ALI SHELL FOOD MART 2850 MAIN STREET STRATFORD CT 06497 (203)375.6000 KHOKHAR,MOHAMMED 20683020232 08 58628 ITRUMBULL SHELL 5771 MAIN ST TRUMBULL CT 06612 (203)261-3240 GANGEMI,SEBASTIAN 20691120230 06 00922 IPANCOAST AND SMALL INC 11530 POST ROAD EAST IWESTPORT CT 06880 203 259-7467 SMALL,BOB 8 DIGUISEPPI,STAN J\SPT219\EXCEL\97 ROSTER.XLS 416/98 "OIL Conn-Westchester District Dealer Wic LW TAC# Location Name Address City State Zip Code Phone Dealer Name 20606460556 07 76463 O.L.S.CORPORATION 1462 FARMINGTON AVE. BRISTOL CT 06010 (860)5893777 ROSSINI,ROBERT 20607480140 08 19333 BROOKFIELD SVC,CTR,INC _ 49 FEDERAL ROAD BROOKFIELD CT 06804 (203)775-1072 SLACHTA,ROSIE 8 EVANS,BILL 20616660377 02 50041 EXIT 8 SHELL 101 NEWTOWN RD DANBURY CT 06810 (860)798.1140 BENEDICT.GARY 20616660211 03 02024 CARMEN'S SHELL SVC 120 NORTH STREET DANBURY CT 06810 (203)790-6936 CIANFLONE,CARMEN 20624200182 09 50630 JELMWOOD FOOD MART,INC 1593 NEW BRITAIN AVE. ELMWOOD CT 06110 (B60)521-1271 CHOUDHRY,TAHIR 8 MEHAR,SALEEM 20626180218 00 21385 KAR KRAFT INC 342 COLT HIGHWAY(RT.6) FARMINGTON CT 06032 (860)677.4415 KRAFT,KEN 20626180317 09 21463 RIDER ENTERPRISES,INC, 860 FARMINGTON AVE FARMINGTON CT 06032 (860)677-7569 RIDER, PATRICK&BRIAN 20633680325 09 03817 S&S SHELL 510 FARMINGTON AVE HARTFORD CT 06105 (860)523.4270 SCHIAVONE,ATTILIO 20646240745 03 36777 DAN'S SHELL OF NEW BRITAIN,INC 345 COLUMBUS BLVD. NEW BRITAIN CT 06051 (860)224-8506 SCHIAVONE,DAN 20646240851 02 39098 WESCOR,INC. 1144 CORBIN ANENUE NEW BRITAIN CT 06050 (860)827-9327 WESTALL,STEVE 20648200184 01 74803 S&S SHELL-NEWINGTON 430 NEW BRITAIN AVE NEWINGTON CT 06111 (860)666.2429 SCHIAVONE,ATTILIO 20648200556 07 04297 DAN'S SHELL 295 MAIN STREET NEWINGTON CT 06111 (860)666-6511 SCHIAVONE,DAN 20648620274 09 19354 MARK PETRINO 67 CHURCH HILL ROAD NEWTOWN CT 06470 (203)426-7942 PETRINO,MARK 20663920237 03 08250 COPPS HILL SHELL INC 130 DANBURY ROAD RIDGEFIELD CT 06877 (203)438.2433 KELLY,TOM 20670040250 01 58571 TOWNLINE SHELL,INC.II RT.44 BUSHY HILL RD SIMSBURY CT 06070 (860)658-7232 SCHIAVONE,DAN 20671400214 06 22998 SOUTHBURY SHELL,INC. 121 MAIN ST NORTH SOUTHBURY CT 06488 (203)2644420 WOZNIAK,NICK 20672420377 02 44008 SOUTHINGTON SHELL 655 QUEEN ST SOUTHINGTON CT 06489 (860)628-4886 ROSSINI,ROBERT JR 20687040327 01 87376 MEADOW STREET SHELL 311 WEST MAIN ST WATERBURY CT 06702 (203)755-3618 PIACENTINO,JOE 20687041341 09 42102 BILL'S SHELL FOOD MART M WOLCOTT WATERBURY CT 06705 (203)759-0542 BURKMAN,WILLIAM 20690210248 06 94066 O L.S.CORPORATION 2512 ALBANY AVE 8 N MAIN WEST HARTFORD CT 06117 (B60)236-5459 ROSSINI,ROBERT 20690210115 07 03921 O L.S.CORPORATION 338 PARK RD WEST HARTFORD CT 06119 (860)523-4287 ROSSINI,ROBERT 20690210479 04 19342 DAN'S SHELL 456 NEW PARK AVE. WEST HARTFORD CT 6110 (B60)233-8384 SCHIAVONE,DAN 20690210511 03 65062 SOUTH STREET FM,INC 1 SOUTH STREET WEST HARTFORD CT 06110 (860)665-7100 SCHIAVONE,DAN 206935W330 06 26497 GEORGETOWN SERVICE,INC 912 DANBURY ROAD WILTON CT 06897 (860)544-8727 KELLY,TOM&MCDEVITT,STEVE 20695840213 1 05 1 03918 1WOOD13URY SHELL FOOD MART 24 MAIN ST NORTH WOODBURY CT 06798 (203)263-2726 IZZO,OLLY J.\SPT219\EXCEL\97ROSTER XLS 4/6/98 7 1 f 1 UNDERGROUND STORAGE PG of I STATE OFCONNECTICUT ` EPHM-6 Rev5i94 A DATE ENTERED 2 Department of Environmental Protection a r 9 FOR STATE C FACILITY NOTIFICATION UNDERGROUND STORAGE FACILITIES PROGRAM s AGENCY USE ONLY • Z Bureau of Waste Management s' B FEE BILLED C FEE RECEIVED O FIRST 79 ELM STREET.Hartford,CT 06106-5127 Y�r a ❑ NOTIFICATION �� j TEL.(860)424-3374 w OR SITE I.D. _ D GRID COORDINATES E DOES FACILITY MEET NEW REOUIREMENTS7 U) OR TYPE OR PRINT.ALL THREE COPIES MUST BE LEGIBLE X Y YES ❑ NO Zb SUBSEQUENT l checked. Refer to INSTRUCTIONS FOR FILING NOTIFICATION before completingform. NOTIFICATION enter no.) � LOCATION SITE NAME NO AND STREET NEAR ST INTERSECTING STREET CITY OR TOWN STATEI 5 LATITUDE r LONGITUDE 4- OF FACILITY BUSINESS NAME AND NA N S E R TOW TOWtr STATEI' ZIP CODE TELEPHONE 6. MAILING ADDRESS ) m NAME AND STR O STATE _1=RORE Z 7. FACILITY OWNER 1 ) O H w C�� �[� U 8.TYPE OF OWNER PRIVATE ❑ STATE ❑ MUNICIPAL ❑ FEDERAL(G.S.A.NO. ). OPERATOR/CONTACT E NO AND STREET CITY OR TOWN STATE ZIP CODE TELEPHONE 9. PERSON rJQ ( 10. 1la 11b. 12a. 2b.STATUS 13 TYPE OF 14. O TENTS 15.CONSTRUCTION 16.PROTECTION 17. GRAL 18. 1 ILUR CONTENTS MATERIALS a.INTERNAL b.EXTERNAL PIPING SYSTEM DETERMINATION b. CONDUCTED) TANK I.D. DATE OF TOTAL 0 EST. QUANTITY DATE CHEMICAL NAME OF PRINCIPAL m o E Z Z E z DATE OF MONITORING z W W i m UO 0 UO o� INSTALLATION CAPACITY w z LEFT STORED w TANK ¢o Q 0 SUBSTANCE Q o ° 0 0 0 o u, 0 o om INSTALLATION SYSTEM (If`YES enter"DATE" d rn Oa l > o U— W JI=♦- a wa m uN �— i Mo./Yr. w w z O U O U w > c� ( ) x s (Gals-) 0 Z a I (1/any) LAST a w o (not trade name) cr LLO J = ; Z J =w a a =w = N ¢ OR and attach results). w = ? m z (Gals.) ¢ USED o? _ (Enter C.A.S No..if known) m m z a O aJ -' Z <o Cr a O O n ' ow ¢� REPLACEMENT (Specify type (If"NO enter"NO") _ Q (Mo./Yr.) E U LL M rn U a U X rn c>s a Mo./Yr. ( ) ( ) from list B) Example 5/75 30 5000 X X Heating fuel#2 X X H 3 H 5/75 U NO Example 7/60 — 8000 X IBM X 1,1,1,-Tricloroethane X X E 7 W 7/60 U — CAS#79016 U Z 0 w K 0 I-I WIC 16LA o� I 20.Hl V? ❑ YES 22.CERTIFICATION:I certify under penalty of law that I have personally examined 22a.SIGNATURE 22b.DATE SIGNED o G. Other: If metallic piping Connections and am familiar with the Information submitted in this and all attached documents and that 0 21' (i.e.flex connector)are in contact with soil, based on my inquiry of those individuals immediately responsible for obtaining the information, the}�are Cathodtcally protected/isolated I believe that the submitted information is true,accurate and complete. U Penattiea:any owner who knowingly fails to notify shall be subject to a civil penalty not to 22 O ICI ITLE tot owner or seautnative). w Wzth ziprepresentative). Uq exceed 5t0 0 _s-eah�nkeach�nk for which notification is not given or for which false Information is submitted. 1110 COPY 2: SEND TO LOCAL FIRE MARSHAL UNDERGROUND STOR PG of STATE OF CONNECTICUT EPHM-6 NEW 10 85 Department of En—onmentol Protection FACILITY NOTIFI.CATIO # 2. UNDERGROUND STORAGE FACILITIES PROGRAM 3. FOR STATE A.SITE I D. Q HAZARDOUS MATERIALS MANAGEMENT UNIT . AGENCY USE ONLY z 165 Capitol Avenue,Hartford,CT 06106 Q FIRST C, B DATE RCVD.BY D EP C.DATE ENTERED lo.D NOTIFICATION _ TEL, 556-4630 V OR 5'F I'D. :A� PLEASE TYPE.ALL THREE COPIES MUST BE LEGIBLE! a~ns,,,,�.�s ss b.©SUBSEQUENT rH checked. D.GRID COORDINATES E.DOES FACILITY MEET NEW REQUIREMENTS? NOTIFICATION rarer Nn Refer to INSTRUCTIONS FOR FILING NOTIFICATION before completing form. YES ❑NO LOCATION SITE NAME NEAREST INTERSECTING STREET Stre ATITUDE LONGITUDE O i rr 4. OF FACILITY SM11 Service Station ` 180 Sullivan Avme a et South Windsor CT O r rr BUSINESS NAME AND NAME . - ------ �- 21PCODEI TFLE^�^'�- cc6. MAILING ADDRESS Shell Oil Company 1 22 Waterville Road Avon I CT 06001 203 678-7008 Z NAME - Q 7. FACILITY OWNER Shell Oil ComparW ' 22 Waterville Road Avon CT 06001 203 678-7008 Uj N 8. TYPE OF OWNER PRIVATE LJ STATE ❑ MUNICIPAL ❑ FEDERAL(G-S.A.No. STATE OPERATOR/CONTACT NAME CITY OR TOWN ZIP CODE TELEPHONE 9 PERSON Peter Zidek ' 180 Sullivan Avenue I South Windsor CT 06074 201 528-0182 10. 110. 11b 112a. 12 b. STATUS 15.CONSTRUCTION 16.PROTECTION 17. INTEGRAL 1 DATE CONTENTS MATERIALS o.INTERNAL b. EXTERNAL PIPING SYSTEM 18. 19. FAILURE TANK ID. DATE OF TOTAL I EST.QUANTITY TANK CHEMICAL NAME OF PRINCIPAL a. b. DATE OF MONITORING DETERMINATION INSTALLATION .Q - CAPACITY w ' LEFT STORED = SUBSTANCE o z z z z — INSTALLATION SYSTEM CONDUCTED? Z v LAST s,= c (not trade name.) v ,a o o o o ii Q < OR (Mo./Yr.) _ (Gals.) w o a i (if ony). > 1 C U °C - _ ul O u uu a D o^ (if"YES",enter"DATE" <Z O USED a a W (Enter C.A.S. No.r If known) w w O Q a= I a a ? v= <- = REPLACEMENT ?Specify type and attach results). Z mQ— i (Gals. w (Mo./Yr.) �. f 2 0 m W ii p N o Z Z U 0 0 3 V O O�n o p s ae _ U N S u n. (Mo./Yr.) from list B) pl"NO'',enter"NO') Example 5/75 30 5000 X X Heating fuel#2 X X H 5 5/75 U NO le — 8000 X $ X 1, 1, 1,-Trichloroethane Exam 760 78 X X 7 760 E p / / /� CAS fr79016 / V -- (-12, 12183 130 85 g _ 82 1 _ 12/83 /30/85 -- U 12/83 30 12,000. 1 X _ 12/833II/85 - ' 30 1.000 X Copper BF KOORS No 04 ? 5 550 1 X FX Fuel 011 20. HAVE YOU ATTACHED TCH OF TANKS AND LOCATION? YES 22. CERTIFICATION: I certify under penalty of low that I have personally 22o.SIGNATURE 22b DATE SIGNED examined and am familiar with the information submitted in this and all attached x i z 21. COMMENTS Removed old fuel oil tank• documents and that based on my inquiry of those individuals immediately responsible I 7j 7/24'90 � 0 Installed new fuel oil tank• for obtaining the information I believe that the submitted information is true, aulhodzed or owner 22d.OFFICIAL TITLE lot own k accurate and complete.Penalties:any owner who knowingly foils to notify shall be owner or wsubject to a civil penalty not to exceed$10,000 for each tank for which nolificohoin M. Daniel McGill Engineer is not given or for which false information is submitted. COPY 2: SEND TO LOCAL FIRE MARSHAL IRV Shell Oil Products Company Corporate Ridge 175 Capital Blvd Ste 300 Rocky Hill CT 06067 Connecticut/Westchester Retail District September 23, 1996 South Windsor Vol. Fire Department Attn:Fire Marshal Drawer"R" South Windsor,CT 06074 Dear Fire Marshal: SUBJECT: NOTIFICATION OF UNDERGROUND STORAGE TANKS SHELL SERVICE STATION 180 SULLIVAN AVENUE SOUTH WINDSOR.CONNECTICUT 06074 Attached is a copy of a Notification for Underground Storage Tanks for the subject Shell service station for your records. On June 18, 1996,all gasoline tanks and lines were tested and passed. If you have any questions,please contact me at(860)571-3137. Sincerely, 1tnifer L. epanskissistant Attachment `" e . -, .:uABW:w.i .:✓,fa�2. ' %A\l.. i�� r/�.. .•r i�, .. TANKNOLOGY CORPORATION INTERNATIONAL 5225 Hollister,Houston,Texas 77040-6294 Phone(800)888-8563 FAX(713)690-2255 Certificate of Tightness Service Order *: 177813 Test Date: 06/18/96 Underground storage tank system(s) tested and found tight for: Tank Owner: SHELL OIL PRODUCTS CO . Test Site No.: 20671300208 Test Site Address: SHELL OIL PRODUCTS CO . 180 SULLIVAN AVENUE SOUTH WINDSOR , CT 06074 4Tank(s) only, 4 Line(s) only, 3 Leak Detector(s) only. Tank sizes & products tested: 1 12000 NO LEAD PLUS 2 12000 SUPR UNL 3 1000 HTG OIL 4 12000 REG UNL Lines Tested: 1A NO , 2A SUP , 3A HTG , 4A REG Y. Leak Detectors Tested: XX2695 0940 FX1 XX2695 0937 FX1 XX2695 0938 FX1 ` valid only v6�ttt 9y Corporate Seal Unit Mgr.Certificate Number 8 Name Y F O ` 290 STEPHEN KULIGA 06/97 yam? Y /DELAWA�E\ U.S.Patent#4462249,Canadian Patent*11856933,European Patent Appl.*169283 TAWNOLOGY 3 VacuTect are trademarks of TANKNOLOGY CORPORATION INTERNATIONAL Note: See VacuTect Report for tank a w% location drawtn9. � _. !1 r l: {, :I° t', ' i -. - ..� ,-`. �, � �- r PG of STATE OF CONNECTICUT EPHM-6 Rev.5:'94 , UNDERGROUND STORAGE 2• Department of Environmental Protection FOR STATE A DATE ENTERED FACILITY NOTIFICATION I UNDERGROUND STORAGE FACILITIES PROGRAM 3, Q J Bureau of Waste Management ®r:O ❑ AGENCY USE ONLY Z FIRST 7U ELM STREET,Hartford,CT 06106-5127 B.FEE BILLED C.FEE RECEIVED NOTIFICATION TEL 203)424-3374 U SITE LD. • W OR PLEASE TYPE OR PRINT.ALL THREE COPIES MUST BE LEGIBLE D.GRID COORDINATES• E.DOES FACILITY MEET NEW REQUIREMENTS' (1) SUBSEQUENT (If checked, I NOTIFICATION enter no.) Refer to INSTRUCTIONS FOR FILING NOTIFICATION before completing form X Y YES NO LOCATION SITE NAMES NO.AND STREET ,1 �y NEARES NTE - -, --�-FT `�-l�- - .'.' l y �/�' STATE 5.LATITUDE LONGITUDE 4. OF FACILITY Jv[ 1, _�L/�_11-� V �.i 1!/� l•1 �u I), loo n O w— �cls L�7�0 4 j) 1 J ) .I—sc C 1 O t I t O r I BUSINESS NAME AND NAAME' 1 /� (,� O. STREET / `t n/, R TOWN STATE ZIP CODE /� TELEPHONE 6. MAILING ADDRESS 1� �' t �1 V�l�.�l: "'�' e-1' I Zo V L�� � I c-i c c-6) (.�� -7 (- �i uQ m NA NO AND STREET I C OR TOW STATE LP CODE TELEPHONE O 7. FACILITY OWNER ���►n� �I J /� ( } H - Lu 8. TYPE OF OWNER X PRIVATE STATE MUNICIPAL FEDERAL ( G.S.A. NO. }. OPERATORICONTACT e/+� / NO.AND STREET CITY OR TOWN / ZIF TELEPHONE / 9. PERSON C `L Z t l t e'(v1� �gFlyl lT �/ /�I �YN `Cyly/G�10. 11a. 11b 12a. 12b.STATUS 13. 14.CONTENTS 15.CONSTRUCTION 16.PROTECTION �G 18. } ""r3` 1-LIAE CONTENTS MATERIALS a.INTERNAL b_EXI F HNAL _ PIPING SYSTEM DETERMINATION TANK I.D. DATE OF u TOTAL o EST QUANTITY DATE CHEMICAL NAME OF PRINCIPAL rno z z z a a. b MONITORING CONDUCTED? < wu o d0 < rnwv o_ o 00 o v0 c �� om DATE OF INSTALLATION C CAPACITY o U LEFT STORED TANK w p cJ o SUBSTANCE w ��� i�a 0 z o 0 a 0' wpm' �� v9 INSTALLATION SYSTEM (If"YES'.enter'DATE' (Mo.,Yr.J w> (Gals.) Z a a /l/any) 2 LAST ;Lu a- _ (not trade name) - wz 8 w, z 40¢ �¢ ~ N� o OR and attach results). LL coo z (Gals.) cc USED 0 w c) (Enter CAS No..if known) m¢a nJ 0 cc 0 v cc 0A ow a REPLACEMENT (Specify type (If"NO°.enter"NO") (Mo.Nr.) J (Mo./Yr) from listB) Example 5/75 30 5000 X X Heating fuel#2 X X H 3 H 5/75 U NO Example 7/60 — 8000 X 8/78 X 1,1,1, -Tricloroethane X X E 7 W 7/60 U — CAS#79016 20.HAVE YOU ATTACHED SKETCH OF TANKS AND LOCATION? YES 22. CERTIFICATION: I certify under penalty of law that I have personally examined 22a.SIGNATURE 22b,DATE SIGNED O21. COMMENTS: _ /� / and am familiar with the information submitted in this and all attached documents and that -\ ��JC:A)E%4,.,..thofi-ad n / f! / /� rt '/ . t J' based e my inquiry of thew individuals immediately responsible for obtaining the information/1. . 1(J vim.•+`•+ "O"'lJ l-.G'/C1 UI beiieve that the submitted information is true,accurate and complete. AM E r 22d r/ ' �, Penalties:any owner who knowingly tails to notify shall be subject to a civil penalty not to \ U �A4.L -yy��-- [ /�• [�/� rep.esentativel LLJ ""' ii C;L-f` `ice� � A) _` �• exceed$10 000 for each nsl for which notification is not given or for which false information is submitted. �. COPY 2. SEND TO LOCAL FIRE MARSHAL UNDERGROUND STORAGE I PG of STATE OFCronmenIalP , EPHM-6 Rev594 I A DATE ENTERED 2. Department of Environmental Protection r P" 3. FOR STATE FACILITY NOTIFICATION UNDERGROUND STORAGE FACILITIES PROGRAM AGENCY USE ONLY Q {ry�1p,' Z _ Bureau of Waste Management "r` "'" B FEE BILLED Q FEE RECEIVED O 79 ELM STREET,Hartford,CT 06106-5127 FIRST I la. © NOTIFICATION TEL.(860)424.3374 w OR SITE I.D. m=� D GRID COORDINATES E DOES FACiUTY MEET NEW REOUIREMENTS� PLEASE TYPE OR PRINT.ALL THREE COPIES MUST BE LEGIBLE Y b ❑ SUBSEQUENT (if checked. Refer to INSTRUCTIONS FOR FILING NOTIFICATION before completing form. Y ❑YES u NO NOTIFICATION enter no.) P 9 LOCATION SITE NAME w 0.AND STREET NEAREST INTERSECTING STREET CITV OR TO N / . STATE 5 LATITUDE LONGITUDE 4. OF FACILITY r BUSINESS NAME AND i O.ONTIMFIEET CM OR OWN MT ZIP CODE TELEPHONE -7 RIF 6. MAILING ADDRESS " ( �. m f* E NO.AND STREET I E ZIP CODE TCLEP96NLI- Z 7. FACILITY OWNER f ( ) W 8. TYPE OF OWNER �RIVATE ❑ STATE ❑ MUNICIPAL ❑ FEDERAL(G.S.A. NO. ). OPERATOR/CONTACT NA E NO.AND EET CITY OR TOWN STATE ZIP CODE TELEPHONE 9. PERSON A ( ) 10. 11a. 1 2a 12b.STATUS 13TYPE OF 14.CONTENTS 1 .CONSTRUCTION 16.PROTECTION 17.INTEGRAL 18. 19-FVILURE CONTENTS MATERIALS a-INTERNAL b.EXTERNAL PIPING SYSTEM DETERMINATION b. CONDUCTED? TANK I D. DATE OF = TOTAL w w EST.QUANTITY o DATE i J CHEMICAL NAME OF PRINCIPAL in ow E O o o U O E z DATE OF MONITORING INSTALLATION � E CAPACITY w z v LEFT STORED w TANK Ir o' cai o SUBSTANCE J J O O Q o p F o w o ¢ o gm INSTALLATION SYSTEM (If"YES enter"DATE" W d rn O I > .-o w ¢I- a w a m Mo.Yr. w - w z O O O U w S L) ( ) w o (Gals.) o g 1 (If any) O LAST a g o= (not trade name) ¢o J =, N z J =w <a =w x- ¢- w OR and attach results). _ z Q Z (Gals.) ,M,r USED �_ _ (Enter C.A.S.No.,if known) rn w z a� o a-' J z a o O¢ a o o nJ =� o�, REPLACEMENT (Specify type (If"NO".enter"NO") co- I � (Mo/Yr.) J J m 55 cn 0 a 3' c1 a of o 4 a (Mo./Yr.) from list B) Example 5/75 30 5000 X X Heating fuel#2 X X H 3 H 5/75 U NO Example 7/60 — 8000 X 8/78 X I'I'I CAS# 9016 methane X X E 7 W 7/60 U z 2 12 3 t *t ,� 01 O w ✓ I ►V1e v 0W :� 20.HAVE YOU ATTACHED SKETCH OF TANKS AND LOCATION? _ YES 22.CERTIFICATION:I certify under penalty of law that I have personally examined 22a.SIGNATURE 22b.DATE SIGNED and am familiar with the information submitted in this and all attached documents and that z 21.COMMENTS: ���/ O hot) e� �,,� �; p �/Jbased on my inquiry of those individuals immediately respons ble topobtaining the informs G 1 believe that the submitted information is true,accurate and complete U !V1 IT Penalties:any owner who knowingly fails to no6ty shall be subject to a civil pe Ity not to 22 A (Typ r r�nq l 22 FFIC L TITLE(of owner or autnoriled uJ _ - representalive). (n ' exceed 570.000 for each tank for which notihcatiori is not given or for which fal information ky Iv IV tefil(i is submitted. t COPY 2. SEND TO LOCAL FIRE MARSHAL . GROUND STORAGE PG of STATE OF CONNECTICUT Deportment of Environmental Protection EPHM-6 NEW 10/85 2. A.SITE I.D.ALIUTY NOTIFICATION UNDERGROUND STORAGE FACILITIES PROGRAM 3. FOR STATE HAZARDOUS MATERIALS MANAGEMENT UNIT ^Z 165 Capitol Avenue,Hanford.CT 06106 AGENCY USE ONLY O FIRST -_ B DATE RCVD BY D E P C DATE ENTERED 1a. NOTIFICATION TEL. 556-4630 U SITE LD. --- ur N SUBSEQUENT II Lu OR PLEASE TYPE.ALL THREE COPIES MUST BE LEGIBLE! �rw' rX GRID COORDINATES E DOES FACILITY MEET NEW REQUIREMENTS? checked, b.,a*IOTIFICATION enter No.) Refer to INSTRUCTIONS FOR FILING NOTIFICATION before completing form. — Y ❑YES ❑NO LOCATION SITE N5V NO AND STREET NEARES INTERSECTING STREET CITY OR TOWN STATE 5.LATITTUDE , tit ;;LONGITUDE y ry 4. OF FACILITY Fw/L E A U CL/u�/�/ - - S7 N I — BUSINESS NAME AN NAME NO AND STREET CITY OR TOWN t STATE ZIP CODE TELEPHONES 6. MAILING ADDRESS yF O/C C CO P 0. OX V A J/o// 1(7 0(,01t (:3 1 6 7r- 7pf7 m NAME / NO.AND STREET CITY OR TOWN STATE ZIP CODE TELEPHONE z 7. FACILITY OWNER ( ) U w 8. TYPE OF OWNER PRIVATE ❑ STATE ❑ MUNICIPAL ❑ FEDERAL(G.S.A.No. N OPERATOR/CONTACI NAME NO AND STREET CITY OR TOWN STATE ZIP CODE TELEPHONE 9. PERSON -_�� F 7/�/�X 0,L) LL /�/ �"RI� I/��//`l/J UK (7 10. 11a. 111b. 12a. 12 b. STATUS 13. TYPE OF 14. CONTENTS- 15.CONSTRUCTION 16.PROTECTION 17 INTEGRAL > DATE CONTENTS MATERIALS RNAL b. EXTERNAL PIPING SYSTEM 18. 19. FAILURE DATE OF Z TOTAL p I EST,QUANTITY CHEMICAL NAME OF PRINCIPAL 0. b. DATE OF MONITORING DETERMINATION TANK ID. INSTALLATION z o CAPACITY w w TANK SUBSTANCE N u 0 U Z Z z _ INSTALLATION tJ e Z V I LEFT STORED O p o Q a v v_ s a 0 O o w Q asp.$ p SYSTEM CONDUCTED? (Gals.) O a LAST O u (not trade name.) w O u w a t- b OR (Mo./Yr.) a 0 d O O w a O V r ° (If"YES enter DATE who ul, Z I (it any). O USED a.a f 0 (Enter C.A.S. No.,lf known) w w 2 a ~ 4 E Ow s ~ a0 Ix f_UJ `- . E `<w - REPLACEMENT (S ecii type and attach results). w m z I (Gals.) w - w w f°w O ° Z Z a O a 0 O rn o z O P Y YP 1 Z a I (Mo./Yr.) O w U d LL ::D U a V 3 V a d _ (Mo./Yr.) from list Bt I/"NO enter'NO") Example 5/75 30 5000 X X Heating fuel#2 X X H 5 5/75 V NO Example 7/60 — 8000 X 8/78 X I'`'I' CrASIoroeth#79016 ne X X E 7 7/60 — V t ,4r iz y I'19�� x — sic Iwo x x #o ���3 c, �130/n� z A 2 12hr3 3:.)l "ki D vN/. 1>1 'FvEL >- 20. HAVE YOU ATTACHED SKETCH OF TANKS AND LOCATION? 12 YES 22.CERTIFICATION: I certify under penalty of low that I have personally RE 22b DATE SIGNED examined and am familiar with the information submitted in this and all attached X / Z 21. COMMENTS: + documents and that based on my inquiry of those individuals immediately responsible O /��EG(, Pv� �/,0,1 Fj2 Lug �� J^f /�/ T//E for obtaining the information,I believe that the submitted information is true, UUUU �YLJ� H accurate and complete.Petwities:any owner who knowingly fails to notify sholl be 22d.OFFICIAL TITLE(of owner or outhonieo W �. jQ7�� �, �U GjKS subject to a civil penalty not to exceed$10,000 for each tank for which notification 22, NAAW""WW�rj representohvei. / is not given or for which false information is submitted. I'�_ COPY 2 . SEND TO LOCAL FIRE MARSHAL 7 SO# 3 D$3a Cust. 41e t l Site# MONITOR WELLS No to E- Numbe 1 2 3 4 5 6 7 8 9 10 11 12 Depth ! Water Prod.Detecte I i NOT Det i Location Diagram j Shc 11 �ve�fs con d IiParts and Labor used Il General Comments Al I Tgr,ks and (►��s TQS f�rJ +�t��- II II II jj II II II jl When local regulations require immediate reporting of a system leak-Complete the following: Reported to: II II Name Date Time II I) III Phone Number CUSTOAMR or Regulatory Agency File Number CC J()G-% SA NCI n 0I HO Print: Certified Testers Name VacnteetTn Certification Number � :—::> ro — I-7 `� - Certified Testers Signature Date Testing Completed Form-Tanksll_inesS/91 --- OLOG VacuTectTM TANK TESTING REPORT tECNNOLOG♦FOR TANAS S.O. # 32834 ENO WEIR ENVIRONMENT OWNER Shell Oil Company SITE # DATE October 17, 1991 INVOICE NAME/ ADDRESS Shell Oil Company,22 Waterville Road,P.O. Boy: 1590, Avon, CT 06001 PHONE (203) 678-7008 SITE NAME/ ADDRESS #206-7130-0208 180 Sullivan Avenue, South Windsor, CT 06074 ATTN: Tom Gilroy TANKS LINES Leak Det. COMMENTS:NOTE ALTERATIONS OR REPAIRS. Tank Exit Ulla a Line Tight LD New Mat'I g Deliv. Pre- Tanks and Lines Tested to CFR-40 See r Dipped Dipped Probe Water Bubble Air Tight Mat'I S st g Pass Tested Parts 280.281 and NFPA 329 Specs. 0i°a Steel Water Product Water Ingress Ingress Ingress (T) ■ (T) P LD For Level Level Level Detected Detected Detected Steel or ((S) N or (S) Pressure Fail � � Fiber- Fail (P) Fail (F) Sold OTHER: Tank Tank Tank Tank glass START START START YES YES YES Fiber- Suction F None YES F (F) Line Glass ( ) # Product Dia. Gallons Lined END END END NO NO NO # (F) (S) (N) NO 1 SUL 92 12K FRP 0.00 59.0 0.18 NO NO NO T 1A ST PS T P NO Exist LD SN: 21190 3355 PLD New LD SN: 0.00 50.0 0.18 Pump Mfg. RID JACKET 2 SREG 92 12K FRP 0.25 64.0 0.32 NO NO NO T 2A ST PS T P NO Exist LD SN: 21190 3354 PLD New LD SN: 0.25 64.0 0.32 Pump Mfg. RED JACKET 3 RUL 92 12K FRP 0.25 65.0 0.38 3A ST PS T P NO Exist LD SN: 21190 3353 pLD NO NO NO T New LD SN: 0.25 65.0 0.38 Pump Mfg. Exist LD SN: New LD SN: Pump Mfg. Exist LD SN: New LD SN: Pump Mfg. Exist LD SN: New LD SN: Pump Mfg. Northeast 994 41 Tanknology Corporation International TANKNOLOGY Regional Office: Unit Number 5225 Hollister St., Houston, TX 77040 NOTE: Original VacuTect Data recordings are reviewed by Tanknology's Audit Control Department and maintained on file. (800) 888-8563 FAX (713) 690-2255 TANKNOLOGY CORPORATION INTERNATIONAL 5225 Hollister,Houston,Texas 77040-6294 Phone:(713)690-TANK Fax:(713)690-2255 Gaffo=e of 1-ighb-ims Service Order# 32834 Test date 10/17/91 Undwwound sliomige to* rystem(s) *dad and kKxW bg1t for Tank(s) &Piping, 3 Tank(s) Only, 3 ] Piping only. Gunn. Gunn. Gunn. Tank Owner/Address Shell Oil Co. , 22 Waterville Rd.,Avon, Cr 06001 Test Site Address #206-7130-0208 180 qui liyan Ave. , Smill-.h Winr1,qr)r.rT DAD 4 Tank sizes & products tested Tank #1 Super Unleaded 12K, Tank #2 Super Regular 12K, Tank #3 Regular Unleaded 12K Piping Tested Lines: #1A, #2A, #3A #0140 01/08/93 '&'-ft Valid only with Cmbficetion f & Eviiadon Date Unit MY SOW&" Corporate Sea] U.S.Patent 0 4462249, Canadian Patent• 1185693, European Patent Appl.0 169283 TAWNOLOGY&Vacu'rect,we trademarks or TAWNOL06Y CORPORATION INTERNATIONAL NaW See VAmTect Teat Repot fbr tank identification and aite location ftwing. Form-Cert.3MS UNDERGROUND STORAGE PG.I of STATE OF CONNECT" EPHM-6 REV 3,190 Department of Environmental Protection a FACILITY NOTIFICATION 1 1 UNDERGROUND STORAGE FACILITIES PROGRAM diliel,' `�`� 3. FOR STATE A.SITE L°• HAZARDObS MATERIALS MANAGEMENT UNIT 1^""� Z e 165 Capitol Avenue,Hartford,CT 06106 �v AGENCY USE ONLY 0 FIRST 8,DATE RCVD BY D.E.P C.DATE ENTERED U 1a.❑NOTIFICATION SITE I.D TEL. 566-4630 ?� OR H PLEASE TYPE.ALL THREE COMES MUST BE LEGI6LEI VX —DCO ORDINATES E.DOES FACILITY MEET NEW REQUIREMENTS? SUBSEQUENT pf chocked, b. NOTIFICATION enter NO.) 1 Refer to INSTRUCTIONS FOR HUNG NOTIRCATION before completing form. y ❑YES ❑NO SITE NAME NO.AND STF' NEAREST INTERSECTING STREET &LATITUDE FF i LON%TUDE IF if LOCATION I` O f 4. OFFACILITY Shell Service STation 180 Sullivan Avenue Rye Street South Windsor CT BUSINESS NAME AND NAME NO.AND Stitt, ZIP Coe TELEPHONE 6. MAILING ADDRESS Shell Oil Company _ 22 Waterville Road Avon CT 06001 903 )678-7008 co NAME NO.AND STREET CITY OR TOWN i STATEj7_IP CODE TELEPHONE O 7 FACILITY OWNER Ja111�.Cam... as 1i6 I _ � ) H V w 8. TYPE OF OWNER ® PRIVATE ❑ STATE ❑ MUNICIPAL FEDERAL(G.S.A.No. OPERATOR/CONTACT NAME NO.AND STREET CITY OR TOWN STATE ZIP CODE TELEPHONE 9. PERSON _ 180 Sullivan Avenue South Windsor ICT 106074 203 )528-0182 10 16.PROTECTION 17. INTEGRAL 11a. 11b. 12a. 12 b.STATUS 13. TYPE OF 14. CONTENTS- 15.CONSTRUCTION 18. 19. FAILURE > DATE CONTENTS MATERIALS o.INTERNAL b,EXTERNAL PIPING SYSTEM TANK ID TOTAL Z o. b.DATE OF MONITORING DETERMINATION DATE OF �'-. G � EST.QUANTITY i V CHEMICAL NAME OF PRINCIPAL z INSTALLATION 'a CAPACITY W U I LEFT STORED p TANK > J o V �p v z INSTALLATION d o SUBSTANCE N W V ocs� 01- o O q o z SYSTEM CONDUCTED? W LAST ae not trade name. s v F W O W o�_ <r ��<4m OR (Gals.) S I > t-O n y W V Q u W v- (if-YES',enter DATE" (Mo-lyr.) X O W a (if any). W a[ C Z•� Z W 2 �¢@ UTj W; O USED Q.a f 5 (Enter C.A.S. No,lf known) W W Z G ~a E w Z -~ p H E ¢�- '"- REPLACEMENT (Specify typo )- Z I (Gals.) f W W e- Oy o Z Z <O <O O`n E l;,<S o S e and attach results). �� I 1y Mo. Yr. x O ►- ,��" J u ec U 3 zs=¢- (Ma• *- from lift A) (if-NO enter'NO') Z t I K ( / ) O J V� ) i X X Heating fuel#2 X X H 3 LJ 5/75 V NO Example 5/75 30 5000 f7 I,I,I, -Trichloroethone 7 W Example i 7/60 — 8000 X 8/78 X CAse79016 X X E 7/60 �J Al 12/83 30 12,000 X X Gasoline X X AD 3 H 12/83 0. 10/17/91 oB2 12/83 30 12,000 X X Gasoline X X jAD 3 H 12/83 0 10/17/91 w C3 12/83 30 12,000 X X Gasoline X X AD 3 H 12/83 0 �10 17 91 tn co D4R1 3/90 30 1,000 X X Fuel Oil X X ABDF-er BF 3/90 KM No i I 20. HAVE YOU ATTACHED SKETCH OF TANKS AND LOCATION? ❑ 22a SIGNATURE t 22b DATE SIGNED �1 N / - YES 22. CERTIFICATION: I certify under penalty of law that I have personally examined Z Z . COMMENTS: 19. Tanks tested C �y-et { r1 and am familiar with the information submitted in this and all attached documents and that O S��` At/ c m r,pJ based on my inquiry of those individuals immediately responsible for obtaining the �I information, 1 believe that the submitted information +s true. accurate and complete. F 22c.NAM! 22d.OFFlCIA TITLE (o/owner or authorised V Peneklem any owner who knowingly fails to notify shall be subject to a civil penalty not to representative). W exceed$10,000 for each tank for which notification is not given or for which false information is submitted. Thomas E. Gilroy Senior HS&E Rep. SEND TO LOCAL FIRE MARSHAL M " �I wVA ENTERPRISES LLC Shell. Texaco 6 Saudi Aramco Working Together December 21, 1999 South Windsor Vol.Fire Department Attn:Fire Marshal Drawer"R" South Windsor,CT 06074 Subject: Notification of Underground Storage Tanks Service Stations Enclosed (Highlighted S ) Dear Fire Marshal: Copies of Tanknology's Certificate of Underground Storage Tank System Test results are enclosed with the Underground Storage Facility Notification Form(s) for your records. Please see the attached spreadsheet for list of Shell Service Station(s) tested in your town. Tests preformed at each facility include Line, Leak Detector and Stage H Vapor Recovery. in 1 If have an Please update your database accord . you accordingly. y any questions, I can be reached q i at 781-551-5409. Thank you in advance for your attention to this matter. Sincerely, CAAnnifer Varnenn DAIPermit Coordinator Enclosures 3 Edgewater Drive,Suite 202 Norwood, MA 02062 Phone:(781)551-5400 Fax:(781)551-5440 STATIONSCON�ECTICUT SHELL SERVICE ) PREFORMED TESTS 18-19 MAPLE ST ANSONIA 9 30 99 STAGE II P/D, BLOCKAGE, LINE & LDS 18-19 MAPLE ST ANSONIA 9 22 99 & 9/23/99:HELIUM TESTS 696 MAIN ST ANSONIA 10 13 99 LINE & LEAK DETECTOR TESTS 991 BLUE HILLS AVE BLOOMFIELD 10 14 99 LINE & LEAK DETECTOR TESTS 1917 BOSTON AVE BRIDGEPORT 7 12 99 STAGE II P/D, BLOCKAGE, LINE & LD TESTS 2613 MAIN ST BRIDGEPORT 7 9 99 LINE & LEAK DETECTOR TESTS 289 HUNTINGTON TPKE BRIDGEPORT 7 12 99 LINE & LEAK DETECTOR TESTS 4402 MAIN ST BRIDGEPORT 7 9 99 LINE & LEAK DETECTOR TESTS 915 NORTH AVE BRIDGEPORT 7 12 99 LINE & LEAK DETECTOR TESTS 1462 FARMINGTON AVE BRISTOL 7 23 99 STAGE II P/D, BLOCKAGE, LINE & LD TESTS 49 FEDERAL ROAD BROOKFIELD 10 13 99 STAGE II P/D, BLOCKAGE TESTS 49 FEDERAL ROAD BROOKFIELD 12 3 99 TANK, LINE & LD TESTS _ 831 SOUTH MAIN ST. CHESHIRE 7 21 99 LEAK DETECTOR TEST 115 HIGH STREET CLINTON 8 12 99 LINE & LEAK DETECTOR TESTS 196 EAST MAIN ST CLINTON 8 17 99 STAGE II P/D (9/15/99), BLOCKAGE, LINE & LD TESTS 207 WEST STREET CROMWELL 8 13 99 LINE & LEAK DETECTOR TESTS 101 NEWTOWN/RT 6/SHERMAN DANBURY 9 27 99 LINE & LEAK DETECTOR TESTS 120 NORTH ST DANBURY 9 28 99 LINE & LEAK DETECTOR TESTS 123 SCHOOL RD EAST HARTFORD 7 30 99 LINE & LEAK DETECTOR TESTS 172 BRIDGE STREET EAST WINDSOR 10 15 99 LINE & LEAK DETECTOR TESTS 1593 NEW BRITAIN AVE ELMWOOD 8 19 99 STAGE II P/D, BLOCKAGE, LINE & LD TESTS 105 RAFFIA RD ENFIELD 10 16 99 STATION IS CLOSED. 2047 POST RD FAIRFIELD 10 13 99 LINE & LEAK DETECTOR TESTS 2271 BLACK ROCK TPKE FAIRFIELD 10 13 99 LINE & LEAK DETECTOR TESTS 342 COLT HIGHWAY (RT.6) FARMINGTON 7 22 99 LINE & LEAK DETECTOR TESTS 860 FARMINGTON AVE FARMINGTON 7 22 99 LINE & LEAK DETECTOR TESTS 2088 HEBRON GLASTONBURY 7E23 99 LINE & LEAK DETECTOR TESTS 2749 MAIN ST GLASTONBURY 7 99 LEAK DETECTOR TEST 401 WEST PUTNAM ST GREENWICH 799 LINE & LEAK DETECTOR TESTS 144 ARCH ST HAMDEN 7 99 STAGE II P/D, BLOCKAGE, LINE & LD TESTS 1994 WHITNEY AVENUE HAMDEN 7 20 99 LINE & LEAK DETECTOR TESTS 2100 WHITNEY AVE HAMDEN 7 20 99 LINE & LEAK DETECTOR TESTS 1620 PARK STREET HARTFORD 8 4 99 STAGE II P/D, BLOCKAGE, LINE & LD TESTS 335 CAPITOL AVE HART FORD 8 4 99 STAGE II P/D, BLOCKAGE & LD TESTS 510 FARMINGTON AVE HARTFORD 7 29 99 LINE & LEAK DETECTOR TESTS 831 MAPLE AVE HARTFORD 7 28 99 LINE & LEAK DETECTOR TESTS 949 ALBANY AVE HARTFORD 8 5 99 STAGE II P/D & BLOCKAGE TESTS 161 TOLLAND TURNPIKE/RT83 MANCHESTER 8 11 99 LEAK DETECTOR TEST 288 WEST MIDDLE TPKE MANCHESTER 8 12 99 LINE & LEAK DETECTOR TESTS 1345 NEW HAVEN AVENUE MILFORD 7 14 99 STAGE II P/D, BLOCKAGE, LINE & LD TESTS 524 NEW HAVEN AVE MILFORD 7 14 99 STAGE II P/D, BACK PRESSURE, BLOCKAGE, LINE & LD TESTS 604 MAIN STREET MONROE 7 26 99 LINE & LEAK DETECTOR TESTS 1144 CORBIN ANENUE NEW BRITAIN 7 22 99 LINE & LEAK DETECTOR TESTS 345 COLUMBUS BOULEVARD NEW BRITAIN 7 23 99 LINE & LEAK DETECTOR TESTS 1 WHALLEY AVE NEW HAVEN 7 16 99 LEAK DETECTOR TEST 1228 QUINNIPIAC AVE NEW HAVEN 7 23 99 STAGE II P/D, BLOCKAGE, LINE & LD TESTS 1372 WHALLEY AVE NEW HAVEN 7 16 99 LINE & LEAK DETECTOR TESTS 141 WILLOW ST NEW HAVEN 7 21 99 LINE & LEAK DETECTOR TESTS 295 MAIN ST NEWINGTON 8 2 99 STAGE II P/D, BLOCKAGE, LINE & LD TESTS 430 NEW BRITAIN AVE NEWINGTON 8 2 99 STAGE II P/D, BLOCKAGE, LINE & LD TESTS 67 CHURCH HILL ROAD NEWTOWN 10 15 99 LINE & LEAK DETECTOR TESTS 1645 FOXON RD NORTH BRANFORD 9 10 99 TANK, LINE & LEAK DETECTOR TESTS 272 MAPLE AVENUE NORTH HAVEN 8 11 99 STAGE II P/D & LD TESTS 77 WASHINGTON AVE NORTH HAVEN 7 21 99 LINE & LEAK DETECTOR TESTS 207 WESTPORT AVE AT DAWES NORWALK 7 7 1 99 STAGE II P/D, BLOCKAGE, LINE & LD TESTS 247 MAIN STREET NORWALK 7 7 99 STAGE II P/D, BLOCKAGE, LINE & LD TESTS 30 BELDEN AVE NORWALK 7 6 99 LINE & LEAK DETECTOR TESTS 395 MAIN ST/GLOVER AVENUE NORWALK 7 6 99 LINE & LEAK DETECTOR TESTS 551 MAIN AVENUE NORWALK 7 8 99 LINE & LEAK DETECTOR TESTS ,O MAIN AVE/W ROCKS RD NORWALK 7 13 99 LINE & LEAK DETECTOR TESTS 640 MAIN AVE/W ROCKS RD NORWALK 101 8 99 WASTE OIL TANK TEST 714 CONNECTICUT AVE NORWALK 7 1 6 99 LEAK DETECTOR TEST 86 NEW CANAAN AVE NORWALK 7 8 99 LINE & LEAK DETECTOR TESTS 94 WEST AVE NORWALK 7 8 99 STAGE II P/D, BLOCKAGE, & LD TESTS 1285 EAST PUTNAM AVENUE OLD GREENWICH 7 1 99 LINE & LEAK DETECTOR TESTS 340 BOSTON POST RD ORANGE 7 15 99 LEAK DETECTOR TEST 130 DANBURY ROAD RIDGEFIELD 7 16 99 WASTE OIL TANK, LINE & LEAK DETECTOR TESTS 14 N MAIN/DAY STREET SEYMOUR 8 17 99 CATHODIC PROTECTION SURVEY 14 N MAIN/DAY STREET SEYMOUR 8 11 99 STAGE II BLOCKAGE, P/D, LINE & LD TESTS 99 BRIDGEPORT AVE SHELTON 7 26 99 LINE & LEAK DETECTOR TESTS RT 44 BUSHY HILL RD SIMSBURY 7 27 99 LINE & LEAK DETECTOR TESTS 180 SULLIVAN AVE SOUTH WINDSOR 8 12 99 CATHODIC PROTECTION SURVEY 121 MAIN ST NORTH SOUTHBURY 9 27 99 LINE & LEAK DETECTOR TESTS 655 QUEEN ST SOUTHINGTON 8 13 99 LINE & LEAK DETECTOR TESTS 1039 HOPE STREET STAMFORD 7 6 99 LINE & LEAK DETECTOR TESTS 243 WEST AVE STAMFORD 7 1 99 LINE & LEAK DETECTOR TESTS 339 HOPE STREET STAMFORD 10 18 99 STAGE II BLOCKAGE, P/D, LINE & LD TESTS 38 WEST BROAD STREET STAMFORD 7 1 99 LINE & LEAK DETECTOR TESTS 899 HIGH RIDGE RD STAMFORD 7 2 99 STAGE II BLOCKAGE, P/D, LINE & LD TESTS RTE 1 AT NORTH WATER ST STONINGTON 8 17 99 STAGE II BLOCKAGE, P/D, LINE & LD TESTS 145 LORDSHIP BOULEVARD STRATFORD 7 13 99 LINE & LEAK DETECTOR TESTS 2850 MAIN STREET STRATFORD 7 13 99 LINE & LEAK DETECTOR TESTS 5771 MAIN ST TRUMBULL 7 15 99 LINE & LEAK DETECTOR TESTS 448 HARTFORD TURNPIKE VERNON 8 16 99 LINE & LEAK DETECTOR TESTS 850 WOLCOTT WATERBURY 8 4 99 STAGE II P/D & BLOCKAGE TESTS 1 SOUTH STREET WEST HARTFORD 8 10 99 LINE & LEAK DETECTOR TESTS 338 PARK RD WEST HARTFORD 8 3 99 STAGE II P/D, BLOCKAGE, LINE & LD TESTS 456 NEW PARK AVE&FLATBUSH WEST HARTFORD 8 3 99 STAGE II P/D, BLOCKAGE, LINE & LD TESTS 444 SAW MILL RD WEST HAVEN 7 15 99 CATHODIC PROTECTION SURVEY 658 CAMPBELL AVE WEST HAVEN 1 16 99 LINE & LEAK DETECTOR TESTS 1530 POST ROAD EAST WESTPORT 7 9 99 LINE & LEAK DETECTOR TESTS 1530 POST ROAD EAST WESTPORT 7 19 99 HELIUM TEST 1530 POST ROAD EAST WESTPORT 8 2 99 8/11/99 & 11/30/99: STAGE II P/D, BLOCKAGE TESTS 912 DANBURY ROAD WILTON 9 8 99 TANK, LINE & LEAK DETECTOR TESTS 80 TURNPIKE ROAD WINDSOR LOCKS 8 1 2_1 99 STAGE II P/D, BLOCKAGE, LINE & LD TESTS 1660 LITCHFIELD TURNPIKE IWOODBRIDGE 101 19 1 99 ILEAK DETECTOR TEST 24 MAIN ST NORTH IWOODBURY 8 1 18 1 99 ILINE & LEAK DETECTOR TESTS RGROUND STORAGE PG of STATE OFCONNECTICUT EPHM-6 Rev 12,97 34 2. Department of Environmental Protection �� � FOR STATE Q A SITE I.D. FACILITY NOTIFICATION UNDERGROUND STORAGE FACILITIES PROGRAM f* 3. >> Bureau of Waste Management AGENCY- -_ _USE ONLY Z Q FIRST • 165 Capitol Avenue,Hartford,CT 06106 6' B.DATE RCVD BY D.E.P. , C.DATE ENTERED 1a. NOTIFICATION STYE I.� • _. TEL.566-4630 ° �^.+" LU - - uk PLEASE TYPE OR PRINT.ALL THREE COPIES MUST BE LEGIBLE D GRID COORDINATES E.DOES FACILITY MEET NEW REQUIREMENTS? CD SUBSEQUENT Of checked, �/ �/ r b. NOTIFICATION en!er no Refer to INSTRUCTIONS FOR FILING NOTIFICATION before completing form. X i �.i YES NO LOCATION SI ME 3em /! NO//p/may, SS}T)REE ,//j NEAREST INTERSECTING STREET CI OR TO IN STATE 5 LATITUDE LONGITDE 4. OF FACILITYYJi16 j 3'4&4x� ` W //�Iri�//� �7 D rl O BUSINESS NAME AND N '` NO. E y CIT TO N STATE ZIP CODE TELEPHONE 6. MAILING ADDRESS �e l l V 4 eompax-JA f l�"��///�//a/ /31 Y` l� V LU-1 �l�t./ ( r �I f (/y` CG � ✓ �/OW1m NAM NO. DSTREET ! CITt R TOW ATE t70D� �HO.4eZ T FACILITY OWNER ( ) O - I- Uj 8. TYPE OF OWNER PRIVATE STATE MUNICIPAL FEDERAL (G.S.A.NO. it OPERATOR/CONTACT NO N EETC4 R TO E ZIP CODE TELEPHONE 9. PERSON �/ d� / V(ti !t�l C/ ogr /� I 10- Ila. ttb. 12a. 12b.STATUS 13 TYPE OF 14.CONTENTS 15.CONSTRUCTION 16.PROTE TION 17.INTEGRAL 18. 19.FA LIFE CONTENTS MATERIALS a.INTERNAL b.-.EXE RNA _ PIPING SYSTEM DETERMINATION TANK LD. DATE OF i N TOTAL 0 EST.QUANTITY DATE J CHEMICAL NAME OF PRINCIPAL �w E z z E o a z b MONITORING CONDUCTED? a w w 0 O rn o c�0 0 c�o o r z m DATE OF NSTALLAT10N r- A CAPACITY w Z 0 LEFT STORED W TANK ¢0 v o SUBSTANCE J JQ w a 0 0 0 9 o a �� m- �� �- SYSTEM (Ma Yr x o a (If any) g LAST a s w o (not trade name) ui ¢�Q z J uJ a s zo¢ Um Q Q J INSTALLATION (If"YES'.enter'DATE' w; (Gals.) z < w J _ rn wz o°J = z o Cr d� v_ o� and attach results). w to (Gals.) Cr USED 0 w (Enter CA.S.No ifknown) m¢a en 0 0¢ 3 0 a o n ow a REPLACEMENT (Specify type (If'NO',enter'NO-) (Mo.Yr.) (M°,'Yc) from list B) J Example 5/75 30 5000 X X Heating fuel#2 X X H 3 H 5l75 U NO Example 7160 — 8000 X 8/78 l,l,l,-Tricloroethane X X E 7 W 7/60 U — CAS#79016 12 a,ej, AO J // 3 O z /?3,30 /;? 20.HAVE YOU ATTACHED SKETCH OF TANKS AND LOCATION? YES 22. CERTIFICATION: I candy under penalty of law that I have personally examined 22a/IGNATE 22b DATE SIGNED and am familiar with the information submitted in this and all attached documents and thatZ21. COMMENTS: Y /S /�� based on my inquiry of those individuals immediately responsible for obtaining the / T/f//��J ��r ,l� /� j"ti /�3 /L ( information,I beheve that the submitted information is true.accurate and complete. )////"`/,,,LT I C1 C/ JC� or Print) 22dCIAL LE(of owner or authorized 0 Penaf les:any owner who knowingly fails to notify shall be subject to a civil penalty not to representative). w /', Q �/,j/ exceed 510.000 for each tank for which notification is not given or for which false information i/) Cam{ ss�C CJ�„• is submitted. VE STIMS0N COPY 2. SEND TO LOCAL FIRE MARSHAL CERTIFICATE OF UNDERGROUND LINE TESTING NDE ENVIRONMENTAL CORPORATION 20000 Mariner Avenue,Suite 500 Torrance, California 90503 (310)5424342 Test Date: 13 Oct 1993 Work Order#: 501187 Client: SHELL OIL CORP. Site: SHELL 175 CAPITAL HLVD #300 180 SULLIVAN AVE. ROCKY HILL � CT 06067 S.WINDSOR CT Attn: PAN MARSHALL The following tests were conducted at the site described above in accordance with all applicable portions of Federal,NFPA,and Local regulations. PRECISION LINE TESL'SUMMARY Pressure Test Leak + Line Applied Duration Rate Pass/ No. Product I.D. Type System (psi) (min) (gph) Fail 1 SUPER PRESSURE 50 30 0.000 PASS 2 PLUS PRESSURE 50 30 0.000 PASS 3 UNLEADED PRESSURE 50 30 0.000 PASS 4 5 6 LEAK DETECTOR TEST SUMMARY Line Leak Detector Leak Calibration No. Product I.D. Present (milliliters) Pass/Fail Serial # 1 SUPER YES 4 PASS 211903355 2 PLUS YES 4 PASS 412927076 3 UNLEADED YES 4 PASS 105932168 4 5 6 NDE appreciates the opportunity to serve you,and looks forward to working with you in the future.Please call any time,day or night,when you need us. NDE Customer Service Representative Testing conducted by J. MARKEY O. ORTIZ f� Reviewed by: Technician Certification no.: 'amin Alicea Shell Oil Company corporate Ridge 17S Capital Blvd Ste 300 Rocky Hill CT 06067 Hartford Retail District September 14, 1994 South Windsor Volunteer Fire Department Drawer "R" South Windsor, Connecticut 06074 Dear Fire Marshal: SUBJECT: NOTIFICATION OF UNDERGROUND STORAGE TANKS SHELL SERVICE STATION 180 SULLIVAN AVENUE SOUTH WINDSOR, CONNECTICUT 06074 Enclosed is a copy of a Notification for Underground Storage Tanks for subject Shell service station for your records. This is to notify you that Lines were tested on 10/13/93 and all passed. If you have any questions, please contact me at (203) 571-3138. Very truly yours, Suzanne Stimson HS&E Representative attachment UNDERGROUND STORAGE PG Of I STATE OFCONNECTICUT q� � EPHM-6 Rev A DATE ENTERED 2. Department of Environmental Protection :5 FOR STATE FACILITY NOTIFICATION UNDERGROUND STORAGE FACILITIES PROGRAM 3 AGENCY USE ONLY Z ' Bureau of Waste Management B FEE BILLED C FEE RECEIVED O ST 79 ELM STREET,Hartford,CT 06106-5127 U 1a. NOTIFICATION j TEL.(860)424-3374 (/ w SITE I.D. �-� D GRID COORDINATES E.DOES FACILITY MEET NEW REQUIREMENTS' to OR / PLEASE TYPE OR PRINT.ALL THREE COPIES MUST BE LEGIBLE Y b SUBSEQUENT (i!checked. Refer to INSTRUCTIONS FOR FILING NOTIFICATION before completing form ❑ YES El NO NOTIFICATION enterno.) LOCATION SITE NAME N .AND STR NEAREST INTERSECTING STREET C Y OR T N ST TE LATITUDE LONGITUDE 4. OF FACILITY J ( I o 0 BUSINESS NAME AND:'NAM ✓ 0.A T CITY R TOWN TAT IP C D TE ONE 6. MAILING ADDRESS ) / 1 r / ( W f6j__f" m 'ITAME' AND STREE ITY TOWN STATE ZIP CO E TELEPHONE Z 7. FACILITY OWNER ( ) O w B. TYPE OF OWNER LLYPRIVATE STATE ❑ MUNICIPAL FEDERAL(G.S.A.NO. ). N NO.AND ST CITY OR TOWN T ZIP CODE TELEPHONE OPERATOR/CONTACT - 9. PERSON77, 10. 11a. 11b. 12a 26.S A S 13TYPE OF TIENTS 15 tONSTRUCTION 16.PROTECTION f7.INTEGRAL 18. 1 URE CONTENTS MATERIALS a.INTERNAL b.EXTERNAL PIPING SYSTEM DETERMINATION b. CONDUCTED? TANK I.D. DATE OF TOTAL o EST.QUANTITY DATE c~i w CHEMICAL NAME OF PRINCIPAL in I E z z E z DATE OF MONITORING z N Z w l Lu o < m w 0 0 0 O o o c�O o g om INSTALLATION SYSTEM (If"YES",enter DATE" INSTALLATION _ CAPACITY w z o LEFT STORED w TANK ¢o o SUBSTANCE a o— ¢— p w o r o r ¢= ,g c� a rn O I > .-o U— w w Cr F w a w z 0 L) w a o U w >.m •n c�N (Mo./Yr) a (Gals.) o p o. (If any) O LAST w s g (not trade name) w O o m =2 N z J =w a s =u, =w H — u OR and attach results). w z z o I (Gals. w Enter C.A.S No..if knownt N w z¢ ~ �' ii z O 2 F in J 0� REPLACEMENT _ USED �M ( a o a O O n =� o n (Specify type (If"NO",enter"NO') LL a z ) ¢ (Mo./Yr) o w U J m¢a 0 to o o a o o¢d cn o4 a— (Mo./yr.) from list B) Example 5/75 30 5000 X X Heating fuel#2 X X H 3 H 5/75 U NO Example 7/60 — 8000 X 8/78 X 1,1,1,-Tricloroethane X X E 7 W 7/60 U — CAS#79016 -'114 i'Lubb V I V I— '�Jo ,% ✓ /a te Z 0 0 AI ko Cn 20.HAVE YOU ATTACHED SKETCH OF TANKS AND LOCATION? S 22.CERTIFICATION:I certify under penalty of law that I have personally examined 22a.SIGNATURE 22b DATE SIGNED and am familiar with the information submitted in this and all attached documents and that Z 21.COMMENTS: /,,fit / based on my inquiry of those individuals immediately responsible for obtaining the informati X 1 O r* I believe that the submitted information is true,accurate and complete. 0 L Penalties:an owner who knowingly fails to nob shall be subject to a crvd nal n o 22 N E T pe n 22d CIAL TITLE(of owner or author zed w /� ///� Y ng Y ty I Pe ry re nia'-.e exceed;� � ag1 O Opofor each tank for which notification is not given or for which false into tw is submitted. f( COPY 2. SEND TO LOCAL FIRE MARSHAL • r CERTIFICATE OF UNDERGROUND STORAGE TANK SYSTEM TESTING Jr rankmaiiagy 8900 SHOAL CREEK BUILDING 200 AUSTIN,TEXAS 78757 (512)451-6334 FAX(512)459-1459 TEST RESULT SITE SUMMARY REPORT TEST TYPE:TLD-1 PURPOSE: COMPLIANCE TEST DATE: 08/12/99 CUSTOMER PO: WORK ORDER NUMBER: 7125027 CLIENT: MOTIVA ENTERPRISES, LLC SITE: SHELL OIL CC# 136372 3 EDGEWATER DRIVE ( WIC # 20671300208 ) NORWOOD, MA 02062 180 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 SANDY MURRAY PETER ZIDER (617)551-5400 (860)528-0182 The following test(s)were conducted at the site above in accordance with all applicable portions of Federal,NFPA and local regulations Line and Leak Detector Tests VOLUME CHANGE LINE RESULT LEAK LEAK IMPACT TANK PRODUCT (P=pass,F=tad DETECTOR DETECTORVALVES NUMBER {9Ph) 1=inconclusive) PRESENT RESULT OPERA- A S C D A B C D #1 #2 #1 #2 TtONAL 1 REG UNLEAD 2 PREMIUM 3 PLUS Tanknology appreciates the opportunity to serve you,and looks forward to working with you in the future.Please call any time.day or night,when you need us. Tanknology representative: Services conducted by: TOM PRESNAL JEFF HANSON 7✓ , le-C OL�y L #1ZI) f Reviewed: Technician Certification Number. 903 Printed 09/07/199912:50 KOHLMEYER • SITE DIAGRAM jpp 9Y 8900 SHOAL CREEK BUILDING 200 AUSTIN,TEXAS 78757 (512)451-6334 FAX(512)459-1459 TEST DATE: 08/12/99 WORK ORDER NUMBER7125027 CLIENT:MOTIVA ENTERPRISES, LLC SITE: SHELL OIL CC# 136372 C-STORE • bung, possible vent o 4" bung Printed 09/07/199912:50 KOHLMEYER Tanknology Cathodic Protection Survey Report ` for Flex Connectors / Swing Joints Customer: MOTIVA ENTERPRISES, LLC Site: SHELL OIL CC# 136372 3 EDGEWATER DRIVE (WIC#20671300208 ) NORWOOD MA 02062 180 SULLIVAN AVENUE SOUTH WINDSOR CT 06074 Work order: 7125027 Date surveyed: 08/12/99 7Tank Product Structure No.of anodes installed Isolating Local Anode Local Local Calculated Criteria Criteria Comments union native current "On" "Off" design utilized met? Spike 5 lb 17 lb Other Installed? potential(v) output(ma) potential(v) potential(v) life(years) Reg Unlead Steel Piping 0 0 0 0 NO 0.000 0.0 -1.158 0.000 -0.850 V YES Premium Steel Piping 0 0 0 0 NO 0.000 0.0 -1.063 0.000 -0.850 V YESPlus Steel Piping 0 0 0 0 NO 0.000 0.0 -1.535 0.000 -0.850 V YES I 1/2 ALL flex 0 0 0 0 NO 0.000 0.0 -0.987 0.000 -0.850 V YES 3/4 ALL flex 0 0 0 0 NO 0.000 0.0 -0.990 0.000 -0.850 V YES 5/6 ALL flex 0 0 0 0 NO 0.000 0.0 -0.985 0.000 -0.850 V YES Comments: ..,� { 41 GILBERT W.SCHISM Technician: Received by: 410 JEFF HANSON Gilbert W.Schutza,NACE Cathodic Protection Specialist#4108 \ �•.9 >,�, C A Ark Order. 7125027 MOITVA VffZKMMW4LLC IIISPICT 1r lt'ORM cd C ,wr: 3 7 2. ate: {{ TOM $A'liWACTdQY RU D t)O O.iX, O Abi1 fl�P1 WSPENSER MaR7`ARKA S �/ 6 00 } 1.Gmmrt Cooditiaa G o o 2.bgacx vatve� s Wa��ry 3.Costa mom t* 740A/C, 4,CmudomeecSaw= 01 1 IV Ale. Questions to atip wbm amwn rim abvm �. -is*e aura bdow dis cr fine of icab and&Me h for tares beim s tine ar specs 5beas=d dbw debris? Arc W ftm dstad4 wadd4coodbon2 ? —Am Wpa ukv �S F Do 6"appear to be iatatied proWly xrd in 3. QQjY�'A�(�Tom—is*e pm fic of li qWd sad 6dcis? 4• AIZMM—is the 000ta:ameat scow peaaN=d does it appear opetat amd't is it sot at he�lyr�l0idin die aataa:iamas po4 it tha a is a Bost wive,is of nag Tww epea di>% p opeslyatr�tbtte�fEt eis4 birccdesar ` the SWW,pk m bi&cm-V(Or raddacaoty.Ir tot tenft*awy,ar WA for not ` �iadiamd'LT'.b d=wbedmir of mt you 6aid acilrttated F7er+aa i "Y"fay "M i it or WA fw sot a�iiabie, * it'3oa bave iadiotcd'Lr.*am odic tbo ox=mm cocoon to=p4tia wily the p um w item was moddKsmy. • if ym btvre G dd ate piemoe me mo mmmows=bm to cgidn how ym mo smd the =mWdwUffy ifen ... • Irym bm not field n jua&L please na the at tnmmts WCban 10 VggaM wlry the ptrticdpr#=wars sot fiddati Tanknology-NDE 8900 Shoal Creek,Building 200 Austin,Texas 78757 UNDERGROUND STORAGE PG I Of STATE OFCONNECTICUT wzo- EPHM•6 Rev.5/94 A DATE ENTERED 2. Department of Environmental Protection e 3 FOR STATE FACILITY NOTIFICATION ( UNDERGROUND STORAGE FACILITIES PROGRAM AGENCY USE ONLY Z Bureau of Waste Management B FEE BILLED C.FEE RECEIVED O 79 ELM STREET,Hartford,CT 06106-5127 FIRST U to 0 NOTIFICATION TEL.(860)424-3374 tL SITE LD c= D GRID COORDINATES E.DOES FACILITY MEET NEW REQUIREMENTS) co OR PLEASE TYPE OR PRINT.ALL THREE COPIES MUST BE LEGIBLE X Y YES ❑ NO b ❑ SUBSEQUENT (if checked. Refer to INSTRUCTIONS FOR FILING NOTIFICATION before completing form. NOTIFICATION enter no.) P 9 LOCATION SITE NAME NO AND STREET NEAREST INTERSECTING STREET CITY OR TOWN STATEI 5.LATITUDE LONGITUDE 4 OF FACILITY .� !_ ' / f I'llbi C �� 1 G !. BUSINESS NAME AND NAME NO.AND STREET CITY OR TOWN STATE, ZIP CODE TELEPHONE 6. MAILING ADDRESS IL Y I V ✓I !Fl i — 1 i l ✓l I ( ){_ m NAME NO.AND STRE 1� CITY OR TOWN STATE ZIP CODE TELEPHONE O 7 FACILITY OWNER F t' (� L li L L G ( ) '7' ?L� w B. TYPE OF OWNER © PRIVATE ❑ STATE [IMUNICIPAL ❑ FEDERAL(G.S.A.NO. ). OPERATOR/CONTACT NAME NO.AND STREET CITY OR TOWN STATE ZIP CODE I TELEPHONE , 9. PERSON I f / C- L U,t✓ 114 ( ) rlJ un 10, 11 a. 1 ib. 12a. 12b.STATUS 13 TYPE OF 14.CONTENTS- 15.CONSTRUCTION 16.PROTECTION 17.INTEGRAL 18. 119.FAILURE CONTENTS MATERIALS a.INTERNAL b.EXTERNAL PIPING SYSTEM DETERMINATION b. CONDUCTED? TANK I.D. DATE OF c� TOTAL EST.QUANTITY DATE CHEMICAL NAME OF PRINCIPAL E Z Z E DATE OF MONITORING z _ ww 1 0 rnw UO o UO INSTALLATION CAPACITY w Z U LEFT STORED W TANK ¢o Q o SUBSTANCE U U ¢° o o w ° �m INSTALLATION SYSTEM (If"YES",enter"DATE" c� rn O 1 > 1-o V— w gCr < o w ol= wa or tt—m F— w G w W Z OU OU LU Ug (Mo.Yc) a (Gals.) o g (If any) O LAST w (not trade name) w O O cn =2_ a —. u OR and attach results). W a ? a Z 1 (Gals.) w USED _� =o (Enter C.A.S.No.,it known) rn m Z a� OJ ? <o a o of �� REPLACEMENT (Specify type (If"NO enter`NO") LL co— I cc (Mo.Nr.) O J U M M cn U cr a 3 U a co �� a— (Mo.rYr) from list B) Example 5/75 30 5000 X X Heating fuel#2 X X H 3 H 5/75 U NO Example 7/60 — 8000 X 8l78 X l,l,i,-Tricloroethane X X E 7 � W� 7/60 U — CAS#79016 Z L 2 12 fit; . I u�w w641,usl O W 20.HAVE YOU ATTACHED SKETCH OF TANKS AND LOCATION? ❑ YES 22.CERTIFICATION:I certify under penalty of law that I have personalty examined 22a.SIGNATURE 22b.DATE SIGNED and am familiar with the informabon submitted in this and all attached documents and that O21.COMMENTS: based on my inquiry of those individuals immediately responsible for obtaining the information. X T /�y7 l y� l/I / / U �' //� /j l r/1 I U Y D(� f YU� J /V �[ w�' I�I'�e that submitted information is true,accurate and complete / a AVE(Type Print) 22d. FIC TITLE(of owner or authorized lL li ,) I Penalties:any owner who knowingly fails to notity shall be subject to a civil penalty noF o representative). r,/1 exceed for which notification is not given or for which false intormation ✓�t'"r! •h�t�/l lam' ��� ( U (/t ,/N i/ Lj/tJ is submitted. - . j COPY 2: SEND TO LOCAL FIRE MARSHAL t��W�O��V ll Q��V � �f11VV o� allV�o 37 FEDERAL Hill ROAD • OXFORD, MASS. 01540 MEMBER =PEh TELEPHONE: (508) 987-5322 tumfu 1110<1 CERTIFICATE OF DESTRUCTION This certifies that the following list of underground storage tanks were destroyed on May 9, 2000 at the Shell Station located at 180 Sullivan Avenue in South Windsor, Connecticut. Three(3) 10,000 gallon single-wall fiberglass gasoline UST's One(1) 1,000 gallon double-wall heating oil UST The tanks were then disposed of in dumpsters and removed by Waste Management. j. <: eter D. L•aMountai Vice Presithoi roje t Manger LaMountain Bros.,Inc. RECEIVED MAIL JUN 2 9 2000 MOTIVA ENTERPRISES LLC NEW ENGLAND REGION UNDERGROUND STORAGE of STATE OF CONNECTICUIT EPHM-6 REV 3/90 Deportment of Environmental Protection A.SITE I.D. FACILITY NOTIFICATION 2' r^�,� UNDERGROUND STORAGE FACILITIES PROGRAM `� 3. FOR STATE a HAZARDOUS MATERIALS MANAGEMENT UNIT " ��.0 AGENCY USE ONLY , B.DATE RCYD O 165 Capitol Avenue,Hartford,CT 06106 gRST 6Y D.E.P C.DATE ENTERED la.❑NOTIFICATION TEL. 566-4630 SITE I.D. w PLEASE TYPE.ALL THREE COMES MUST BE LEGISLEI "" D.GRID COORDINATES E.DOES FACILITY MEET NEW REQIHREMENTS? b. ❑ SU6SEOUENT (If checked, NOTIFICATION enter No.l Refer to INSTRUCTIONS FOR RUNG NOTIFICATION before completing form. X Y ❑YES ❑NO LOCATION SITE NAME NO STREET I NEAREST INTERSECTING STREET OR Tp t r J / T S.LATITUDE •• I LONGRUDE • •• 4. OF FACILITY tj/`/ W a • a I BUSINESS NAME AND NAME T E !!��• / CITYAjN! ZFCOOE TELEPHONEQ6. MAILING ADDRESS �AG / Oo ) ILA ��V� lIE l _ 1� CJ r ap ry NO,AND STREET CITY bR fOWN STATE ZIP CODE TELEPHONE 0 7. FACILITY OWNER � t,iCJ ��LLII N 6. TYPE OF OWNER ❑ PRIVATE ❑ STATE ❑ MUNICIPAL ❑ FEDERAL(G.S.A. No. 9.OPERAN R/CONTACT N''M e T e r ►+Q sIyEET v — oR row ? J t T ZIP CODE �5Y 10 Z d / ' 16.PROTECTION 17INTEGRAL lie. tlb. 120. 12 b.STATUS 13. TYPE OF 14. CONTENTS- 15.CONSTRUCTION . lfi. 19. FAILURE r DATE CONTENTS MATERIALS o,INTERNAL b EXTERNAL PIPING SYSTEM TANK ID. DATE OFF TOTAL p EST.QUANTITY s- CHEMICAL NAME OF PRINCIPAL In 0 Z a. b. DATE OF MONITORING DETERMINATION INSTALLATION $ CAPACITY W u LEFT STORED p TANK d C SUBSTANCE e<S� I O C U e �_ INSTALLATION SYSTEM CONDUCTED? !` i W LAST oe < (not trade name. s•r w V» G 0 U w C s 2` «'-m OR S (Csols.) S � ►-0 U t U'O 2 V W S W t-' O U 2 �� Sj2_T U o (if'1'E5 enl•r CATI' Irmo./Yr.) x o o (if any). w oc p oc . p Z << =w W= Z Z (��) £ USED o ra w= (Enter C.A.S. IVo.,I{known) w o W u p Z Z <O O ac snp- O a o y< o REPLACEMENT (Specify type and onoch resuNs). CK Irmo./Yr.) W U� h a .t U 0. U 3 U Q 6x-n- (mo•/Yr.) irom list S) (If'NO".emer'NO') Example 5/75 30 5000 X X Heating fuel#2 X X H 3 H 5/75 U NO Example 7/60 — 8 000 X 8/78 XI I I CAS I#79016 nQ X X E W 7/60 U 1111 1011,7 b Al 112 12,CMX X AC ,3 4 12/95 If o AD -3 P /,2/83 N C12 Z /2/83 I �o �n�_ i i 20. HAVE YOU ATTACHED SK TCH OF TANKS AND LOCATION? 22a.SIGNATURE 22b DATE SI NED YES c 22. CERTIFICATION: 1 certify under penalty of law that I have personally examined �/ 21. COMMENTS' /�� r/ �/r rY/� ��� and am familiar with the information submitted m this and all attached documents and that A / based on my inquiry of those individuals immediately responsible for obtain.ng the 1 I information, I believe t1,3�jh 21- hat the submitted information is true, accurate and complete. C.(, P�-VyW 2 c.NAME (TYPe or Printl 22d OF ICIAL TITL (of owner or authorized Peneltia:any owner who knowingly fails to notify shall be subject to a civil penalty not to representative). exceed aT0.000 for each tank for which notification is not given or for which false information THQMAS E E. G I LRQY SR,HS&E REP. is submitted. COPY 2: SEND TO LOCAL FIRE MARSHAL i UNDERGROUND STORAGE I PG of STATE OFCONNECTICUT EPHM-6 Rev 5/94 A DATE ENTERED 2. Department of Environmental Protection - a FOR STATE Q FACILITY NOTIFICATION 3 UNDERGROUND STORAGE FACILITIES PROGRAM AGENCY USE ONLY Z Bureau of Waste Management B FEE BILLED C.FEE RECEIVED O 79 ELM STREET,Hartford,CT 06106-5127 AAAYYY . H 1 s � FIRST U NOTIFICATION --- TEL.(860)424-3374 SITE I.D. c D GRID COORDINATES E DOES FACILITY MEET NEW REOUIREMENTS'r U) OR ' '� PLEASE TYPE OR PRINT.ALL THREE COPIES MUST BE LEGIBLE �/ �/ I� b ��[JBSEQUENT (if checked. X i LEYES a NO LL�JJ NOTIFICATION enter no.) Refer to INSTRUCTIONS FOR FILING NOTIFICATION before completing form. LOCATION SITE AME r NO AND STRE{ET+ / N T RSemp 'E"CCTTING STREET CITY OR TOWN STATE 5 LATITUDE rr I LONGITUDE r rr 4 OF FACILITY I hL f� BUSINESS NAME AND NA E NO.AND STREET . CITY OR TOWN STATE ZIP CODE TELEPHONE 6. MAILING ADDRESS } ` ( r ( / 1 ( (� �\��. I , ( _.( F " t iTF '.V I( {L tl •r /' ( �l m NA POE NO.AND STREETJ ITY OR TOWN STATE ZIP CODE TELEPHONE _ Z 7. FACILITY OWNER {�, �( I lit t G �- ( t? O w 8. TYPE OF OWNER VPRIVATE ❑ STATE ❑ MUNICIPAL ❑ FEDERAL(G.S.A.NO. ). U NAME AND STREET CITY OR TOWN STATE ZIP CODE TELEPHONE OPERATOR/CONTACT 9. PERSON 11�' �` I I l f ) 10 11a 1lb. 12a. 12b.STATUS 1 PE OF 14.CONT NTS 15.CONSTRUCTION 16.PROTECTION 17.INTEGRAL 18. 19.FAILURE CONTENTS MATERIALS a.INTERNAL b.EXTERNAL PIPING SYSTEM DETERMINATION b. CONDUCTED? TANK I.D. DATE OF i� TOTAL EST.QUANTITY DATE c~i CHEMICAL NAME OF PRINCIPAL rno E z Z r E z`— z DATE OF MONITORING z uJ i O cn w o p U O U O o �� O m INSTALLATION m CAPACITY rw z0 v LEFT STORED > TANK 6 o v g SUBSTANCE w ¢ a o w o� o wa o ¢ m u INSTALLATION SYSTEM (If"YES".enter"DATE" Mo./Yr. w z O U o o w OR and attach results ( ) (Gals.) o (f/any) O LAST w (not trade name) w O O Cl)u> =2 N z J =w <a =w ==H — w 1 xo z zo USED �a wa ~ a: C - r-F- a mot- X: - < m _ (Gals.) w _ (Enter C.A.S.No., if known) v� w z a O n� -+ z a o o= a o o nJ �� o� REPLACEMENT (Specify type (If"NO",enter"NO') 4 on I ¢ (Mo/Yr.) o f U mLL¢ U) U CE �3 o oc 0 04 ¢_ o (Mo./yr.) from list B) Example 5/75 30 5000 X X Heating fuel#2 X X H 3 H 5/75 U NO Example 7/60 — 8000 X 8R8 X Irl,l,-Tricloroethane X X E 7 W 7/60 U — CAS#79016 w fn 20.HAVE YOU ATTACHED SKETCH OF TANKS AND LOCATION?l[ YES 22.CERTIFICATION:I certify under penalty of law that I have personally examined 22a.SIGNATURE 22b.DATE SIGNED and am familiar with the information submitted in this and all attached documents and that Z • 21.COMMENTS: based onm inquiry of those individuals responsible O Y g ry y ponstble for obtaining the reformation, X j ' f I believe that the submitted information is true,accurate and complete E" •�) 16 I ) t!•� �� �;{ t' � r I �� 1 ► 22c NAME(Type or Print) 22d.OFFICIAL TITLE(of owner orauthorized Penalties:any owner who knowingly fads to notify shall be subject to a civil penalty not to LLI _ representative). U) ' } exceed 10 for each tank for which notification is not given or for which false information , is submitted. COPY 2. SEND TO LOCAL FIRE MARSHAL r CERTIFICATE OF UNDERGROUND STORAGE TANK SYSTEM TESTING E_L 8900 SHOAL CREEK,BUILDING 200 , AUSTIN,TEXAS 78757 (512)451-6334 FAX(512)459-1459 TEST RESULT SITE SUMMARY REPORT TEST DATE: 04/23/99 CUSTOMER PO: WORK ORDER NUMBER7121825 CLIENT: MOTIVA ENTERPRISES SITE: SHELL WICM20671300208 211 RIVERSIDE DRIVE 180 SULLIVAN AVENUE EAST HARTFORD, CT 06118 SOUTH WINDSOR, CT 06074 JENNIFER DOLITTLE PETER ZIDEX (860)568-5851 (860)528-0182 The following test(s)were conducted at the site above in accordance with all applicable portions of Federal.NFPA and local regulations Line and Leak Detector Tests VOLUME CHANGE LINE RESULT LEAK LEAK TANK PRODUCT (P-pass,F=fail DETECTOR DETECTOR NUMBER (9Pfi) 1=inconclusive) PRESENT RESULT A B C D A B C D #1 #2 #1 #2 1 REG UNLEAD 0.006 P y P 2 PREMIUM 0.001 P y P 3 PLUS 0.001 P y P Tanknology appreciates the opportunity to serve you,and looks forward to working with you in the future.Please call any time,day or night,when you need us. Tanknology representative: Services conducted by: TOM PRESNAL MILVERTON E CHATTOO cifA� ' Reviewed: Technician Certification Number: 923 Printed 04/29/1999 12.31 KOHLMEYER INDIVIDUAL TANK INFORMATION AND TEST RESULTS pp Tar Mwilbgy 8900 SHOAL CREEK BUILDING 200 TEST DATE: 04/23/99 AUSTIN,TEXAS 78757(512)451-6334 WORK ORDER NUMBER: 7121825 CLIENT: MOTIVA ENTERPRISES SITE: SHELL WIC#20671300208 TANK Pff;ORMATlION Tank ID: 1 Tank manifolded: NO Bottom to top fill in inches: 92.0 Product: REG UNLpAD Vent manifolded: No Bottom to grade in inches: Capacity in gallons: 12,000 Vapor recovery manifolded: yES Fill pipe length in inches: Diameter in inches: 92.00 Overfill protection:yES Fill pipe diameter in inches: 4.0 Length in inches: 422 Overspill protection:yES Stage I vapor recovery: DUAL Material: pIBERGLASS Installed: ATG and Cp Stage II vapor recovery: ASSIST CP installed on: COMMENTS TANK TEST RESULTS Test Method:S%xm 'aes t LEAK DETECTOR TEST RESULTS Test method: PSI at tank bottom: New/passed Failed/replaced New/passed Failed/replaced Fluid level in inches: L.D.#1 L.D.#1 L.D.#2 L.D.#2 UFT/OFT: Make: RW JA=T Fluid volume in gallons: Model: FX1 Tank water level in inches: S/N: 0.2695-0938 Test time: NOT Open time in sec: 2.00 Number of thermisters: Holding psi: 22 NOT Specific gravity: TESTED Resiliency cc: ioo TESTED Water table depth in inches: Test leak rate mUm: 240.0 Determined by(method): Metering psi: 10 Leak rate in gph: Calib. leak in gph: 3.81 Result: Results: BASS COMMENTS COMMENTS ULLAGE TEST RESULTSTest Method: LINE TEST RESULTS Jesttype: LjNr ,w o Test time: Material: FIBERGLASS Ullage volume: Diameter(in): 2.0 Ullage pressure: Length(ft): 50.0 Results: Test psi: 50 Bleedback cc: 90 DATA FOR UTS4T ONLY: Test time(min): 30 Test 1:Start time: 16:10 Time of test 1: Finish psi: 46 NOT NOT NOT Temperature: NOT Vol change cc: 7 Test 2: Start time: 16:20 TESTED TESTED TESTED Flow rate(cfh): TESTED Finish psi: 40 Time of test 2: Vol change cc: 4 Test 3:Start time: 13:00 Temperature: Finish psi: 50 Flow rate(cfh): Vol change cc: 0 Time of test 3: Final gph: 0.006 Temperature: Result: PASS Flow rate(cfh): Pump type: PRESSURE COMMENTS Pump make: RED JACKET COMMENTS Impact Valves Operational:yEs Printed 04/2911 999 1 2:31 KOHLMEYER J INDIVIDUAL TANK INFORMATION AND TEST RESULTS � P, 8900 SHOAL CREEK, BUILDING 200 TEST DATE: 04/23/99 AUSTIN,TEXAS 78757(512)451-6334 WORK ORDER NUMBER: 7121825 CLIENT: MOTIVA ENTERPRISES SITE: SHELL WIC#20671300208 TANK WFORMATION Tank ID: 2 Tank manifolded: NO Bottom to top fill in inches: 92.0 Product: pRErtlUM Vent manifolded: No Bottom to grade in inches: Capacity in gallons: 12,000 Vapor recovery manifolded: yES Fill pipe length in inches: Diameter in inches: 92.00 Overfill protection:yES Fill pipe diameter in inches: 4.0 Length in inches: 422 Overspill protection:yES Stage I vapor recovery: DUAL Material: FIBERGLASS Installed: ATG and CP Stage II vapor recovery: ASSIST CP installed on: COMMENTS TANK TEST RESULTS Test Method:Sure Tea t LEAK DETECTOR TEST RESULTS Test method: PSI at tank bottom: New/passed Failed/replaced New/passed Failed/replaced Fluid level in inches: L.D.#1 L.D.#1 L.D.#2 L.D.#2 LIFT/OFT: Make: vAPoRLEss Fluid volume in gallons: Model: LD2000 Tank water level in inches: S/N: 56512 Test time: NOT Open time in sec: 3.00 Number of thermisters: Holding psi: 30 NOT Specific gravity: TESTED P 9 Y Resiliency cc: 150 TESTED Water table depth in inches: Test leak rate ml/m: 289.8 Determined by(method): Metering psi: 10 Leak rate in gph: Calib. leak in gph: 4.60 Result: Results: PASS COMMENTS COMMENTS ULLAGE TEST RESULTSTest Method: LINE TEST RESULTS Tiesttype:; uNE A c D Test time: Material: FIBERGLASS Ullage volume: Diameter(in): 2.0 Ullage pressure: Length(ft): 50.0 Results: Test psi: 5o Bleedback cc: 100 DATA FOR UTSAT ONLY: Test time(min): 30 Test 1:Start time: 16:14 Time of test 1: Finish psi: so NOT NOT NOT Temperature: NOT Vol change cc: C TESTED TESTED TESTED Test 2:Start time: 26:24 Flow rate(cfh): TESTED Finish psi: so Time of test 2: Vol change cc: 0 Temperature: Test 3: Start time: 16:u P Finish psi: so Flow rate(cfh): Vol change cc: G Time of test 3: Final gph: 0.001 Temperature: Result: PASS Flow rate(cfh): Pump type: PRESSURE COMMENTS Pump make: RED JACKET COMMENTS Impact Valves Operational:yzs Printed 04/29/1999 12:31 KOHLMEYER INDIVIDUAL TANK INFORMATION AND TEST RESULTS ,tilli,TarrQK*)gy 8900 SHOAL CREEK, BUILDING 200 TEST DATE: 04/23/99 AUSTIN,TEXAS 78757(512)451-6334 WORK ORDER NUMBER: 7121825 CLIENT: MOTIVA ENTERPRISES SITE: SHELL WIC#20671300208 TANK OWFORMTION Tank ID: 3 Tank manifolded: No Bottom to top fill in inches: 92.0 Product. PLUS Vent manifolded: No Bottom to grade in inches: Capacity in gallons: 12,000 Vapor recovery manifolded: YES Fill pipe length in inches: Diameter in inches: 92.00 Overfill protection:YES Fill pipe diameter in inches: 4.0 Length in inches: 422 Overspill protection:YES Stage I vapor recovery: DUAL Material: FIBERGLASS Installed: ATG and CP Stage II vapor recovery. ASSIST CP installed on: COMMENTS TANK TEST RESULTS Test MWFot d ,$,� Test LEAJ(DETECTOR T RESULTS Test method: PSI at tank bottom: New/passed Failed/replaced New/passed Failed/replaced Fluid level in inches: L.D.#1 L.D.#1 L.D.#2 L.D.#2 LIFT/OFT: Make: RED JACKET Fluid volume in gallons: Model: FX1 Tank water level in inches: S/N: 0.2695-0940 Test time: Open time in sec: 2.00 Number of thermisters: NOT TESTED Holding psi: 20 NOT i Specific gravity: Resiliency cc: 100 TESTED Water table depth in inches: Test leak rate ml/m: 289.8 Determined by(method): Metering psi: 10 Leak rate in gph: Calib. leak in gph: 4.60 Result: Results: PASS COMMENTS COMMENTS i ULLAGE TEST RESULTSTest Method: L TEST RESULTS Test_type: Ura e Test time: Material: FIBERGLASS Ullage volume: Diameter(in): 2.0 Ullage pressure: Length(ft): 50.0 Results: Test psi: 5o Bleedback cc: 100 DATA FOR UTS-4T ONLY: Test time(min): 30 Test 1:Start time: 16:12 Time of test 1: Finish psi: 50 NOT NOT NOT Temperature: NOT Vol change cc: 0 Test 2:Start time: 26:22 TESTED TESTED TESTED Flow rate(cfh): TESTED Finish psi: 50 Time of test 2: Vol change cc: 0 Test 3:Start time: 16:32 Temperature: Finish psi: 50 Flow rate(cfh): Vol change cc: 0 Time of test 3: Final gph: 0.001 Temperature: Result: PASS Flow rate(cfh): Pump type: PRESSURE COMMENTS Pump make: RED JACKET COMMENTS Impact Valves Operational:yES Printed 04/29/1999 12.31 KOHLMEYER I CERTIFICATE OF STAGE II VAPOR RECOVERY TESTING i 713nicnoilogy 8900 SHOAL CREEK, BUILDING 200 AUSTIN,TEXAS 78757 (512)451-6334 FAX(512)459-1459 TEST DATE:04/23/99 WORK ORDER NUMBER7121825 CLIENT: MOTIVA ENTERPRISES SITE: SHELL WIC(t20671300208 211 RIVERSIDE DRIVE 180 SULLIVAN AVENUE EAST HARTFORD, CT 06118 SOUTH WINDSOR, CT 06074 ATTIN JENNIFER DOLITTLE CONTACT: PETER ZIDEK DYNAMIC BACK PRESSURE VAPOR BLOCKAGE TEST PRODUCT DISPENSER (DRY PRESSURE) inches�f water ET E flow Eames: inches of water at flow rates: 20 I 40 60 I 80 1 100 Pass/ 20 1 40 I 60 1 80 1 100 Pass/ cfh cfh cfh cfh cfh I fail cfh I cfi�cfh cfh cfh fail 1/2 0.06 0.27 0.63 PASS 0.28 PASS 3/4 0.05 0.28 0.62 PASS 0.28 PASS 5/6 0.06 0.29 0.65 PASS 0.30 PASS PRESSURE DECAY TEST Allowable age TANK# )nit Press 1 min 2 min 3 min 4 min 5 min decay space Result COMMENTS 1 10.00 10.00 10.00 9.95 9.95 9.90 9.75 23585 PASS REPLACED (2) DRAIN VALVES FOR THE TEST AND INSTALLED (3) 3" W.C. PV VENT CAPS. Tanknology appreciates the opportunity to serve you,and looks foward to working with you in the future.Please gall any time,day or night, when you need us. Tanknology representative: Test conducted by: TOM PRESNAL MILVERTON E CHATTOO Reviewed: Technician Certification Number:923 8900 SHOAL CREEK, BUILDING 200 AUSTIN,TEXAS 78757 (512)451-6334 FAX (512)459-1459 TEST DATE:04/23/99 WORK ORDER NUMBER7121B25 CLIENT:MOTIVA ENTERPRISES SITE:SHELL WICM20671300206 COMMENTS PARTS REPLACED QUANTITY DESCRIPTION 2 EBW DRAIN VALVE 3 OPW532LPS-PRESSURE VACUUM VENT VALVE HELIUM PINPOINT TEST RESULTS (IF APPLICABLE) ITEMS TESTED HELIUM PINPOHVT LEAK TEST RESULTS Printed 04/29/1999 12:31 KOHLMEYER SITE DIAGRAM • 9ry 8900 SHOAL CREEK,BUILDING 200 AUSTIN,TEXAS 78757 (512)451-6334 FAX(512)459-1459 TEST DATE: 04/23/99 WORK ORDER NUMBER7121825 CLIENT:MOTIVA ENTERPRISES SITE: SHELL WIC$2O6713O0208 H °- ® bun possible vent --- bung, • 4" bung • �l Printed 04/29/1999 12.31 KOHLMEYER STATE OF CONNECTICUT • DEPARTMENT OF ENVIRONMENTAL PROTECTION __ y 3 STAGE 11 VAPOR RECOVERY TEST CONCLUSION FORM Mail this completed form with test results within 4 business days of each Stage II test to: D.E.P. Stage II Enforcement, Bureau of Air Management, 79 Elm Street, 5th Floor, Hartford, CT 06106-5127. For questions about Stage 11, call 860424-3472, FAX 860-424-4064. 1. SHELL WIC#20671300208 Name of Gas Station 2. 180 SULLIVAN AVENUE Street Address 3. SOUTH WINDSOR CT 06074 City State Zip 4. 5. 860-528-0182 Retail Gasoline License Number Phone Number of this Gas Station 6. PETER ZIDEK 7. 860-528-0182 Name of Owner/Manager of this Gas Station Phone Number of Owner/Manager of this Station 8. Were all tests observed by a D.E.P. Official?.......YEt� 9. Are the test results attached to this form?......... .YE NO TEST CONCLUSIONS (circle one for each test) PASS FAIL NOT APPLICABLE...........DECAY TEST(LEAK TEST) PASS FAIL NOT APPLICABLE...........LIQUID BLOCKAGE TEST(WET TEST) PASS FAIL NOT APPLICABLE...........DYNAMIC BACK PRESSURE TEST(DRY TEST) PASS FAIL NOT APPLICABL ..........HEALY VAPOR RETURN TIGHTNESS TEST PASS FAIL NOT APPLICABL ..........HEALY SYSTEM FIELD TEST PASS FAIL NOT APPLICABL ..........ANY OTHER TEST The undersigned certifies that he/she is an authorized agent of the owner of the Stage II Vapor Recovery System or a duly authorized representative of such agent. "I have personally examined and am familiar with the information submitted in this document and all attachments and cetify that based on a reasonable investigation, including my inquiry of those individuals responsible for obtaining the information,the submitted information is true, accurate and complte to the best of my knowledc any belief, and I understand that any false statement made in this document or its attachments may be punishable as a crim offense." SIGNATURE AND ADDRESS OF AUTHORIZED AGENT q4,41 MILVERTON_E CHATTOO SIGN NAME PRINT NAME 01201 Tanknology-NDE CONSUMER PROTECTION REPAIRER LICENSE COMPANY NAME 8900 Shoal Creek, Building 200 Austin Texas 78757 MAILING ADDRESS CITY STATE ZIP 512459-6334 512-459-1459 PHONE NUMBER FAX NUMBER MO IVA ENTERPRISES LLC Shell. Texaco 6 Saudi Aramco Working Together , June 28, 1999 South Windsor Vol.Fire Department Attn:Fire Marshal Drawer"R" South Windsor,CT 06074 RE: Underground Storage Facility Notification Dear Fire Marshal: Please find the enclosed test result site summary reports from Tanknology for the Shell & Texaco facilities highlighted below. All tests were taken between April & May of 1999 All tanks, line & leak detectors were tested and passed. • 1660 Litchfield TPK. , Woodbridge • 252 Spencer St , Manchester • 2666 Summer St. , Stamford • 180 Sullivan Ave , South Windsor • 444 Saw Mill Rd. , West Haven • 850 Wolcott St. , Waterbury • 24 High St. , East Hartford • 114 River Rd. , Lisbon • 311 West Main St. , Waterbury • 207 Westport Ave. , Norwalk • 647 School St. , Putnam If you have any questions concerning this request, please call me (781) 551-5409. Sincerely, at, Jennifer varnerin ADA/Permit Coordinator Enclosure 3 Edgewater Drive,Suite 202 Norwood, MA 02062 Phone: (781)551-5400 Fax:(781)551-5440 r i t i i i `` a �. I �. � i � S ' � '�.• � Y'i y r � } i � �. �� { s �� 1 t_ ti ,` w Shell Oil Products Company ED Corporate Ridge 175 Capital Blvd Ste 300 Rocky Hill CT 06067 Connecticut/Westchester Retail District October 4, 1995 South Windsor Volunteer Fire Department Attn: Fire Marshal Drawer "R" South Windsor, CT 06074 Dear Fire Marshal SUBJECT: NOTIFICATION OF UNDERGROUND STORAGE TANKS SHELL SERVICE STATION 180 SULLIVAN AVENUE SOUTH WINDSOR, CONNECTICUT 06074 Attached is a copy of a Notification for Underground Storage Tanks for the subject Shell service station for your records On September 13, 1995, gasoline lines were tested and all passed. If you have any questions, please contact me at (860) 571-3137 Sincerely, Q/I� e fiferL epan HS&E Assistant Attachment R If ' 1 .t .. 1 MMIMINMI f ` TANKNOLOGY CORPORATION INTERNATIONAL 5225 Hollister,Houston,Texas 77040-6294 Phone(800)888-8563 FAX(713)690-2255 Certificate of Tightness Service Order#: 150509 Test Date: 09/13/95 Underground storage tank system toted and found tight for:s) s g Tank Owner: SHELL OIL PRODUCTS CO. Test Site No.: 20671300208 Test Site Address: SHELL OIL PRODUCTS CO. 180 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 Tank(s) only, 3 Line(s) only, 3 Leak Detector(s) only. is Tank sizes & products tested: ` Lines Tested: l 1 A SUP, 2A PLU, 3A REG read OR >�vy' Leak Detectors Tested: 062695 0937 FX1 062695 0940 FX1 062695 0938 FX1 F� Val" �a f Unit Mgr.Certificate Number&Named z„ 395 PHILIP M. GAYLOR 09/ i . U.S.Patent x4462249,Canadian Patent it1185693,European Patent Appl.s169283 , TANKNOLOGY d VacuTect are trademarks of TANKNOLOGY CORPORATION INTERNATIONAL Note: See VacuTect Report for tlon 3 site Ideation drawing. r UNDERGROUND STORAGE PG of STATE OF CONNECTICUT EPHM-6 Rev.5/94 2. Department of Environmental Protection A DATE ENTERED FACILITY NOTIFICATION / / UNDERGROUND STORAGE FACILITIES PROGRAM 3 FOR STATE ` Q Bureau of Waste Management + AGENCY USE ONLY _Q FIRST -_ __ • 79 ELM STREET,Hartford,CT 06106-5127 B FEE BILLED C FEE RECEIVED a' ❑ NOTIFICATION f SITE I.D. • TEL.(203)424-3374 yw 51 r r C) OR PLEASE TYPE OR PRINT.ALL THREE COPIES MUST BE LEGIBLE D.GRID COORDINATES E.DOES FACILITY MEET NEW REQUIREMENTS? W b SUBSEQUENT (If checked NOTIFICATION enter no) Refer to INSTRUCTIONS FOR FILING NOTIFICATION before completing form. X Y YES -- NO LOCATION NAME NO.AND STREET NEARP INTERSECTING STREET L IT' Ofl TOo'1`d /� ) STATE 5 LATITUDE LONGITUDE 4. OF FACILITY h�l ISE' r✓ c� 1 L)� � 1 �� ~.r r loll K� O t tt O t rf BUSINESS NAME AND NAM / I `\ AND�S]TR`EET + / I , C T WN TATE 21P CODE }/�,`] TELEPHONE 6. MAILING ADDRESS `� � �r' I �����1�.J� . ( [.J ��L J G 1 � V� '� C,T7 DR TO`N ` / / O�/�J�J / Fk -�`- 7 CID r ME NO.AND STREET / STATE ZIP CODE TELEPHONE O 7, FACILITY OWNER ULI 8. TYPE OF OWNER PRIVATE STATE MUNICIPAL FEDERAL (G.S.A. NO. ). OPERATOR/CONTACT Na��E� ` / NO.AND STREET / , l CITY OR TOWN STOT r ZW CODE TELEPHONE 9. PERSON 1 � ( �' n {sC ��1 � \S `�( C_r oYJM1 —��la 10. 11a. 11b. 12:: 12b.STATUS 13.TYPE OF 14.CONTENTS 111 15.CONSTRUCTION 16.PROTECTION INTEGRAL ?B 19.FAILURE E �� CONTENTS MATERIALS a_INTERNAL b.EXTERNAL _ PIPING SYSTEM DETERMINATION TANK I.D. DATE OF z TOTAL o EST QUANTITY DATE CHEMICAL NAME OF PRINCIPAL rno E z Z E o H a.Z b. MONITORING CONDUCTED? ww o 0o ao J moo moo_ o 00 oow o0 0 om DATE OF INSTALLATION CAPACITY Ln z 0 a LEFT STORED TANK p c� SUBSTANCE w gcc w,a z o v w n v w`m n INSTALLATION SYSTEM w o o w or w mom x a o z_ (If"YES".enter"DATE" (Mo.Yr) X o (Gals.) Z Z a (If any) LAST n _ Inot tra 1e name) w z o a z o _-¢ y a ~o J OR and attach results). w- m z (Gals.) Q USED o w (Enter CAS.No.if known) Ln n U a ¢ o) Ow a REPLACEMENT (Specify type (It'NO',enter"NO') (Mc.,Yr.) J (Mo.-Yr) from list B) Example 5/75 30 5000 X X Heating fuel#2 X X H 3 H 5/75 U NO Example 7/60 — 8000 X 8/78 X 1.1.1,-Tricloroethane X X E 7 W 7/60 U CAS#79016 1"10 6),Cco X Cn 20.HAVE YOU ATTACHED SKETCH OF TANKS AND LOCATION? YES 22.CERTIFICATION: 1 cenify under penalty of law that I have personally examined 22a.SIGNATUR 22b.DATE SIGNED 0 r and am familiar with the information submitted in this and all attached documents and that Z 21. COMMENTS: �{ �f C /J/ ///��� based on my inquiry of those individuals immediately responsible for obtaining the information, X � ///� / Cal ( � / • C,J /, )1, I believe that the submitted information Is true,accurate and complete. O C/ S (�.J�' ( 11- v Y - w 22c.NA ype or 22tl.OR /Iwz/, ,,?�� L) Penalties:any owner who knowingly fails to notify shall be subject to a civil penalty not to LLJ exceed$10.0W for each tank for which notification is not given or for which false information U) �" a C ssubmitted Suzanne Stinson Sr. HSb1E Rep. COPY 2: SEND TO LOCAL FIRE MARSHAL Electric # Sj}� APPLICATION FOR BUILDING PERMIT, Plumbing# 111(Q I 180 Sullivan Avenue Date: flleld HVAC # Sprinkler# 29276 Estimated C ) - - - - - $�-� � FINAL OVALS ost 0�Permit Fee $3 Co, Uv Build!n ' COMPLETE RED BOXED AREAS Occupancy Fee $ 40.F-v Enginee ng TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit Appr. for CO �G SIGN ON REVERSE SIDE - Total Fee Qz a 0� TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant a*t- C"A"r Location of Work C> Lot No. Applicant's Add ss Tel.# c?,6 '1b"-1/-' Town �! �� �' Zip ;0 y�Lic.# .26 d'0.S'7 Owner .Gtu-i4V,?= Architect Owner's Add ss �� 3 ���CCR1ef Architect's Address Vic' � t�35 Zip Zip Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permit City Watero Well❑ Septic System❑ Sewero Ins: HO SP Cert.'/ Area Basement Garage Approved by -YU Date Use Group V Construction Type Rsvissd W02 I hereby agree to conform to all the requirements of the laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to be boated the proper distance from all street lines,side yard lines,and required distances from all other zones and is located in which building and its use is allowed. Signed I hereby apply for a Certificate of Occup871or the wont daaetiI In Oft application for the permit. SignedK. �r..C.�� DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment ---------------------------------------------------------------------------- *+-29276-8 20,000 B09 OTHER 11/15/02 WNB A FACTORY GAUGE 12" VAC, AIR TEST WITH CONTRACT TANKS ARE STRAPPED E02 UNDERGROUND 12/02/02 CJD A W/ELECTRICIAN- E10 FINAL 02/03/03 CJD A SHUNT TRIP AND SEAL FITTINGS OBSERVED W/ELECT B10 FINAL 03/25/08 JFF A PER CJD INSPECTED AN APPROVED BY CJD ++-11161-P 26,000 • PIL _ctriic APPLICATION FOR BUILDING PERMIT :lumbing# 180 Sullivan Avenue Date: HVAC # 32154 Sprinkler O S -_ - - ---.--- -- -- - Estimated Cost n`" Buildin 0 /Y 7 '"`" COMPLETE RED BOXED AREAS Permit Fee $ 1 S Enginee ' TYPE OR PRINT ONLY Occupancy Fee $ /I Eng. Insp. Fee $ Affidavit POP- SIGNSIGN ON REVERSE SIDE / ' L Appr. for C o ! of i - - I Total Fee $ TO THE B ILD NG DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant J J1 /j fl ` I -0- « �`� cation of Work ! t5 D Jc �� L %►, /�/�' V Lot No. Applicant's Address ' f) 1�:• L;/_ t- t V t* 1/ <- `del.# 4 gg,t 00 Town L, J t\ (.c-%/IV r < ee" Zip Lic.# Owner Z /_ )- /i f,� / Architect Owner's Address A,e V 5'/"-' Architect's Address_ it tit) Zip o c t; �- Zip Sq. Ft. New Area: 1st FI. 2nd FI. 3rd FI._____ Total New Area Purpose of this permit City Water❑ Well❑ Septic System❑ Sewer❑ Ins: HO SP Cert. Area Baseme Garage Approved by Date -6 Use Group Construction Type Revised 6/02 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required distances from all other zones and is located in which this building and its use is allowed '\ Signed I hereby apply for a Certificate of Occupancy for the work described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment -- ----------------------------------------------------------------------------- **-32154-B 3,000 B10 FINAL 03/28/08 JFF D WITH MANAGER LEFT CARD TO HAVE OWNER CALL ME VERBAL ORDERS TO REMOVE LAWNMOWER B10 FINAL 05/01/08 JFF D WITH MANAGER BACK RM CLEANED UP MOWER REMOVED TO HAVE OWNER CALL B10 FINAL 10/14/08 JFF A WITH MANAGER COMPLETED ----------------------------------------------------------------------------- r • APPLICATION FOR PERMANENT SIGN PERMIT 180 Sullivan Avenue 6(�� nin Approval: Est. Cost: $ 3 No. 29577 Per Fee: $ . O R Approved: �)` J•a2 Final Inspections: Electric Permit# Building Zoning IRCIno Applicant/Business Name nu'.CIL S -etati-,y C, ko 4-- Address l R"D,z C it( L` V4 to Avaim-k& 5,0.L,.�:y.Swppone 44r& Co 1 ()—0 Location of Sign (9,e),qit C l,` I/A L 1 V--e L-SLA-P _50.LO: l�Ane TYPE of SIGN: ,Wall or❑ Free-standing 121;iew or❑ Replacement Illuminated?❑Yes ❑No Pro S' n Size "~"po �9 (square feet)��x� Sigh Height No.of Existing signs on site Free-standing Wall .� - ry _ Desc,ption of sign materials and lighting: Ex-fe✓r a t C��crlfi'��• ATTACH 11 Q DIAGRAM OF SIGN INCLUDING I have read, understand and agree to abide by the South Windsor Zonig Regulations, Signs. DIMENSIONS Applicant Date b6 d Property Owner Date 7 V 0 1 ' I ' it r Pill -i Wow =� i • . r s ra r�►�! ��"ur ,� ;ice ■ - :�2��"'��'!'■�i� ti' �.�i.�+■ ) �r■ .■n ■�! �!` '��.ins■ter. ,:,.;...:v:.J-•-_.. -. __ r ® � 1 s MAY 15 2003 South Windsor BUILDING DEPARTMENT I J ,It ruiLow, L)ai. l ihl• Urr ll c•rfl(i.d t�,�t t1i7i plan •nd alkcillaition er®cpt^e-p ont the Dropopd DuNd+n� or Ntef�tlons rtn � ame�tl mrn Ct;, _. is stated rn ©PPGcntinn 4' to comply . such APPLICATION FOR PERMANENT SIGN PERMIT ► LV1111 Approval: ' ���_ 180 Sullivan Avenue Est. Cost: Date. Permit Fee:$-- Final Inspections: Sign Permit# 13000047 y� Approved: Electrical Permit #1 0 e cs Zoning _ i 13 ' �fi� Sir Enc �. Applicant:-�-��-�a-lslQ_— Business Name:�m s S G� Applicant Address: SS fl Yo _iceC et', C C� `15�7 Phone: 63 —9 O Address of Proposed Sign(s):_L$0_N�ljk () _o Zone:. pTYPE of SIGN: Wall I Free-standing ❑ New or(�] Replacement Illuminated? No ( Yes(electrical permit required) -9 Proposed Free-standing Sign: Size (sq ft): $Sign Height: a�� Sq Ft of Existing signs on site: Free-standing: ___Wall: _ CaAqw 3Pl�rstyn Cz canelpy��� 3 ?rrposed Sign: Building Frontage Ift): / Sign Size(sq ft): y o Description of sign materials and lighting: . 6 .Ca6AS £ r n (t LC �-6/M ATTACH r DIAGRAM OFLEIS=Ilumina�Qn o Cane IeE4�rs. JUM c040.4t, P�ex c� SIGN ft have read, rstan agre to abide by the 'outh Windsor Zoning Regulations, Signs. I INCLUDING UIMENSIGNS C5 Ca �— 1 AND MAP WITH Appiica _ _ Date: SIGN LOCATION ON PRQPE?,---j ® F'rcuerty 0 _____ Date: L�1_� •---- j rde Ge w R Scope of Work-Before 73 3/4"Trim Scope of Work-After 71"Mold ao 0. gel, E � e�� n � o UNLEAD CASH4 E 'v m UNLEA M i- r T N a �n CREDIT to MbtAeto 16 5/8" DIESEL �ce eXI�L`n CASH o .E 1 ,(�S - z ��,� spy Qm r r` DIESEL e CREW VAL-PLR-12-RD-911 m 2 _E VAL.PLR.12raN-910 Q,�► �J N M t'7 £o 59 1/2"Mold 62 112"Trim 13635 Dwg 42682 0 Q Pylon-Reface main ID to Valero, Re-face Quick stop to Valero colors.just 3 product Unlead Cash, Unlead Credit, www.alveysigne.com Diesel.The forth cabinet just put into Valero colors. 1/7�13 Valero 131f>0 Highway 57 N. :�. Evansville,IN 1-888-425-8397 Brent Dann (812)867-2567 ph. ""1 oesow is TW OMOM uu L*FU rsr WM a rLV "S sow cowwr NO KW M7 sE AEPFIaX o,corm (812)867-1465 fax on EXHOM IN an rw"WMW WWM COK84 mos M run,on M arnceT OF THE COMPAW. 1 �- .'7' _ Scope of Work-Before Scope of Work-After Scope of Work-Before Scope of Work-After SN13635 Dwg 42272 Canopies.There are 2 canopies at this site and they will both get Teal with yellow stripe ACM on all 4 sides.If you go to picture 0787 attached we want to put a Valero wordmark on that side of canopy m the picture left justified.If you go to r13 w.afveysigns.com picture 0792 attached we want to put a Valero wordmark on that side of the 011/13/12 Valero 00 Highway 57 N. canopy left justified. So we will end up One Wordmark on each canopy. Evansville. IN-888-425-8397 Brent Dann (812)867-2567 ph. TMs o swx is 01I uo UWAL)Sxeu rows a avers saw couva�r MO MAY BE aEPRooucEC COP" (812)867-1465 fax a EXHWrED w ANY FAST"WITIMM wwmEN COW"FWM ur umror�e 0FRCM OF THE CMfM SU va � I n 00 �qooz 06 19'-3 131161I 8'-10 '14" 4 5/16„ 10'-1 '14" VALERO 80 VARIOUS ' - \1/8'ACRYLIC-ARISTECH#6098 YELLOW A MATTE FINISH 18" FACE CHANNEL LETTER ELEVATION eels PETES IERLE SCALE:112"=1'-0" 'NOTE:ANY DEVIATION FROM 'd... I I.9-11 SPECIFIED MATERIALS 60W ADVANCE POWER SUPPLY#1 60W ADVANCE POWER SUPPLY#2 MUST BE PRE-APPROVE[ AS NOTED #OF MODULES 12 12 9 14 17 16 L a Deed �}°O /�m . ®� 66B (1. -n� _.._ is" L.E.D. LAYOUT 5H ALL LETTERS,LOGOS AND LM VALERO WOROMARK:(80)MODULES SCALE:112"=1'-0" GESTURE:(35)MODULES GESTURES ARE PRE-WIRED electrical �— WITH SECONDARY WIRING p1fe__ (2)60W ADVANCE POWER SUPPLIES COMING OUT THE BACK 2'-4 II I WHITE TRIM CAP-ADHERED WITH 1 OF EACH UNIT. no�eke u1l /16 WELD-ON WELD-ON #4 CLEAR WATER THIN SOLVENT CEMENT _ reeuMd 8 WELD-ON#16 MEDIUM BODIED SOLVENT CEMENT .040-PRE-FINISHED 28 (OR APPROVED EQUIVALENT) 1/4-20 ALL-THREAD,1/4-20 NUT comment.: WHITE ALUM.RETURNS AND 1;4'WASHER SUPPLIED BY - - AGILIGHT CORE LED INSTALLER 1"WHITE TRIM CAP / \ .040'PRE-FINISHED PAIGE PLUS- WHITE ALUMINUM BACK 1/8"PLASKOLITE OP7IX � ---- - --�I I L,E.D CABLE #7328 WHITE ACRYLIC L 1/8'PLASKOLITE OPTIX (OR EQUIVALENT) O I -'am 0 #7328 WHITE ACRYLIC / TRANSFORMER BOX 1� -3M VT-1 1411 = ( (SUPPLIED BY MFR.) 1 TRANSLUCENT TEAL - \ -. �� ,/ / FEDERAL BUSHING A VINYL-FIRST SURFACE - CLOSE NIPPLE /(SUPPLIED BY MFR.) 1 3M 3630-25 _®'� / SILICONE SEALANT IM TRANSLUCENT SUNFLOWER - 114-20 ALUM.KLIK-RIVET NUT (/Y INSTALLER) VINYL-FIRST SURFACE - GRIP RANGE.010-.080 71L� f fOOGLF SWITCH --•eA�, �,, 22 '/2" OVAL ELEVATION 22 '/2" OVAL L.E.D. LAYOUT _r.._ POWER SUPPLY #10 PAN HEAD--- SCALE:1"=1'-0 SCREWS (SUPPLIED BY MFR.) 1 (28)AGICiGHT COkL MODULES DRAIN HOLE�� \ SPECIFICATIONS (1)60W ADVANCE POWER SUPPL) 25'WEEP HOLES &Von— L.E.Q. CANOPY FASCIA ALL SECONDAI.. MANUFACTURER/MODEL:AGILIGHT/CORE USED IN TRANSFohMlk aox MUST BE SEALSD WITH)a c (3)MODULES PER FOOT ALL SIGN COMPONFNTS MUST PF I{I IFSTFD nrm•:r ra arer POWER SUPPLY•60W ADVANCE EACH 60W ADVANCE POWER SUPPLY CAN RUN UP SECTION A-A (TYPICAL) TO 40 FT. (120 MODULES) NOT TO SCALE 23%Wnt Turbo SAN ANTONIO,TX 78I n ph:(210)341 7244 fax 14 (2101 Sat 77�a Electric# APPLICATION FOR BUILDING PERMIT Plumbing# Date: HVAC # 180 Sullivan Avenue Sprinkler# 732148 FINAL APPROVALS - -- -- Estimated Cost $ - - - - I Permit Fee g Occupancy Fee $$ Building COMPLETE RED BOXED AREAS Engineering TYPE OR PRINT ONLY Eng. Insp. FeeAfdvit $ Apprafor CO. I SIGN ON REVERSE SIDE ! r—�,� Total Fee `, $ ;tip TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant ,* ;is(A!:�2_� L%r-* �.;i- Location of Work Lot No. Applicant's Address ,9.? R-)A&fg Aa a Al t s'T "r_ Tel.# ( j - " -z . Town �.4'r) �S 7���!�' jZ Zip 0 ZR 3 5' Lic.# J 3- Owner 551 A T TAC44 e12 Architect Owners Address Architect's Address Zip Zip Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permit W S (A��-A.�)o -- City Water❑ Well❑ Septic System❑ Sewer❑ Ins: HO SP Cert. ea Baseme t Garage Approved by Date Use Grou Construction Type L Revised 8102 �glq I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to be located thg proper distance from all street lines,side yard lines,and required distances from all other zones and is located in which this b a its use is allowed. Signed I hereby apply for a Certificate of Occupancy fo the work described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Page 1 of l Oliva, Pamela From: Tim's Sign&Lighting Service[tims.signs@yahoo.com] Sent: Monday, February 04, 2013 1:56 PM To: Oliva, Pamela Subject: Fw:Valero 180 Sullivan Ave LL Auth Letter Attachments: Landlord authorization for Valero South Windsor CT.pdf Thank You, Matthew Walsh Vice President Tim's Sign and Lighting Service, Inc. 38 Elm Street Meriden, CT 06450 (203) 634-8840 (Phone) (203)235-1496 (Fax) —Forwarded Message From:Tim's Sign&Lighting Service<tims.signs@yahoo.com> To: "Michelle.lipe@southwindsor.org"<Michelle.lipe@southwindsor.org> Sent:Wednesday,January 30,2013 4:09 PM Subject:Valero 180 Sullivan Ave LL Auth Letter Michelle, My name is Matt Walsh. I submitted an application for the Valero signage at 180 Sullivan Ave. The lady that took the application said I could email you the authorization form so my signature would be valid. There is no building signage at this location and I was told that we could have the canopy signage in lieu of the buidling signs. The frontage on the building is 60'and I'm pretty sure the ratio is 2sf per linear foot which would allow us 120sf of signage for the canopy with is much more than we are proposing. If you can let me know if we can do this canopy signage at this location please and that way I can let my customer know, I would greatly appreciate it. Thank You, Matthew Walsh Vice President Tim's Sign and Lighting Service, Inc. 38 Elm Street Meriden, CT 06450 (203) 634-8840(Phone) (203) 235-1496 (Fax) 2/4/2013 • 1 T 1 7 VALERer 1 Date:1/29/2013 This is to authorize Tim's Signs and their associates to secure necessary permits, paper work, applications, and related licenses to perform the work on following property on behalf of us and Valero. 180 Sullivan Ave,South Windsor, CT 06109 Any questions please feel free to contact us. ThaRna-4111- Tahir Choulgry S30 Silas Deane Highway,209,CT 06109 Phone:860 436 6145 Fax:860 436 6144 Accountsounitedenergycompany.com 4 IVO 60 SGINVVvv�At7 Or L-tter Landlord/Owner Authorization Form Installation of Satellite Communications Equipment Your store has been designated to receive a satellite communications solution. This solution will include a satellite dish (30 x 30 ),non-penetrating root mount (4' x 4')to support the dish, an indoor unit that will be placed close to your terminal and appropriate cabling. Please review this form and provide your authorization for us to proceed immediately with this installation. Failure to provide a completed authorization may impact the scheduling of your new lottery terminal and communications equipment If you have any questions regarding this process, please don't hesitate to call Scientific Games at 1-888-589-5680. NOTE: In some cases,a non-penetrating roof mount is not feasible. In this case, we will notify you prior to conducting any other type of installation. This form may be faxed or mailed to Scientific Games: Fax number. 860-257-8300 Mailing Address: Scientific Games 50 Inwood Road ff Rocky Hill, CT 06067 'A6tailer Number1lZ Printed Name/Title of Contact PersonAA Printed Name of Store Owner -- Legal Business Name of Retailer A �LG Street Address., ,�S.fL City, State, Zip Code _Sc)a EvAr Does a landlord own the retailer's business building? Yes f-""No If"Yes," please have Landlord complete the rest of this form. If"No," please have Lottery Retailer complete the rest of this form for authorization. Authorization _ (Name of Landlord/Owner) acknowledges ownership of the business building at (Address),located in -- (Town or City),that is presently leased to (Business Name of Retailer). The landlord/Owner authorizes the Connecticut Lottery Corporation's vendor, Scienti is Games, to install any necessary satellite telecommunications equipment/cabling at is business Wilding. tord/Owner " • 0� Signature a Print Name 1,90 Street Address of Landlord/Owner City, State, Zip Code of Landlord Telephone Number of Landlord/Owner E-mail Address (if available) �K 13000047 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER SIGN PERMIT DATE: 02/06/2013 GIS ID: 87300180 FEE: 60.00 MUNIS APPLICATION# 201300136 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: TIMS SIGN&LIGHTING SERVICE INC ADDRESS: 180 SULLIVAN AVENUE ADDRESS: 38 ELM STREET OWNER: F&G REALTY STATIONS LLC MERIDAN,CT 06450 32 MOUNTAIN LANE FARMINGTON,CT 06032 DESCRIPTION OF WORK: ILLUMINATED FREE-STANDING REPLACEMENT SIGN. SIGN FOR VALERO GAS STATION. SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH{ THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 2/6/2013 2:28 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1900060 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 02/05/2019 GIS ID: 87300180 FEE: 18.00 MUNIS APPLICATION# 201900123 BUILDING DESCRIPTION: APPLICANT,- LOCATION NAME: ADT SECURITY ADDRESS: 180 SULLIVAN AVENUE ADDRESS: 10 RESEARCH PARKWAY OWNER: ZAMMX LLC 44 BANCROFT LANE WALLINGFORD,CT 06492 DESCRIPTION OF WORK: INSTALL CCTV I CAMERA SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. ti CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDI FFICIAL 2/5/2019 3:02 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1300059 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 02/06/2013 GIS ID: 87300180 FEE: 15.00 MUNIS APPLICATION# 201300136 BUILDING DESCRIPTION: APPLICANT, LOCATION NAME: TIMS SIGN&LIGHTING SERVICE INC ADDRESS: 180 SULLIVAN AVENUE ADDRESS: 38 ELM STREET OWNER: F&G REALTY STATIONS LLC MERIDAN,CT 06450 32 MOUNTAIN LANE FARMINGTON,CT 06032 DESCRIPTION OF WORK: ILLUMINATED FREE-STANDING REPLACEMENT SIGN. SIGN FOR VALERO GAS STATION. SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WIT]I THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 2/6/2013 2:28 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE