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HomeMy WebLinkAbouteDEP submittal receipt 1-24-241/24/24, 10:21 AM eDEP - MassDEP's OnlineFiling System https://edep.dep.mass.gov/eDEP/Pages/PrintReceipt.aspx 1/1 MassDEP Home | Contact | Privacy Policy MassDEP's Online Filing System Username:HM001 Nickname: JEFFJ Receipt MassDEP Home | Contact | Privacy Policy M a s s D E P 's O n l i n e F i l i n g S y s t e m v e r.1 7 .2 .8 .0 © 2 0 2 3 M a s s D E P My eDEP Forms My Profile Help Notifications Summary/Receipt print receipt Exit Your submission is complete. Thank you for using DEP's online reporting system. You can select "My eDEP" to see a list of your transactions. DEP Transaction ID: 1630099 Date and Time Submitted: 1/24/2024 10:21:14 AM Other Email : Form Name: WPA Form 3 - NOI Project Location City/Town Name: YARMOUTH location: 26 GLENWOOD STREET General Description: RAZE AN EXISTING SINGLE FAMILY HOME AND APPURTENANCES AND CONSTRUCT AND MAINTAIN A NEW SINGLE FAMILY HOME, APPURTENANCES AND SEPTIC SYSTEM. Applicant Information Name: ERIK H. MOORE Company Address: 1121 VERNON STREET, BRIDGEWATER, MA, 02324 Payment Information Your fee for the state share is $: 237.50 If you have paid by credit card or ACH, thank you for your payment. If you are paying by check or money order, please send your check (payable to the Commonwealth of Massachusetts) to MassDEP, Box 4062, Boston, MA 02211 Additional Forms Submitted WPA Form 3 - NOI (Fee Transmittal)(ONLINE ONLY) Ancillary Document Uploaded/Mailed GLENWOOD_26_MOORE_Site and Septic Plan NOI COMPLETE AS FILED 1-24-24 My eDEP Forms Signature Payment Receipt