HomeMy WebLinkAbout2015 Beach Operation Permit �,�oF B�,� BARNSTABLE GOUNTY
�� � DEPARTMENT OF HEALTH AND ENVIRONMENT
U � . BARNSTABLE COUNTY COMPLEX
* * 3195 MAIN STREET/PO BOX 427 Phone: (508) 375-6613
�'yssA�s�,�,'�' BARNSTABLE, MASSACHUSETTS 02630 FAX (508) 362-2603
TDD (5Q8) 362-5885
2015 Beach Operation Permit
Name: ly.Gi-/Y► �i ��. ��1��
Are field data forms completed in full for each sampling event7 C�'Yes ❑ No
Has the Board of Health received timely notification of any exceedances/closures? L+'J Yes � No
Does this beach meet the criteria set forth in 105 CMR 445.000? W'Yes ❑ No
Id APPROVED O DENIED If denied,provide expianation:
Permit granted on 6/1/15 and expires on 12/31/15
Authorized
Signature: _._.� Date:_/�/�I j i.,�'�—=
Permit Numb . M FW'J� ' S
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