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APPLICATION FOR PERMIT
City or Town:
Date:
Yarmouth
ot /23/2OLs
Permit Number: '101620
ln accordance with the provisions of M.G.L. Chapter '148, as provided in Section l0 A application is hereby made
by:
For permission to: Above Ground Tank Removal 527CMR 9.02
Name of Competent Operator Oil Express ph.: 508-548-0'13'l
Date lssued-Rejecled 0f / 23 / 20L5 By
Date of Expiration: O4/23/20Ls Fee
Cert. No.
(Signature of applrcanl)
$ Paid Due
THEUO l
ARTHOl
Crr,r*r**/il "/ f/"^"(rrrr/,
'1, J* $r*i*^ - W'{, #* W" Jt* T'tl",,oA"l
P.A. Eo, 1025, [to]" P*"1, [k*, nA 01115
PERMIT
City or Town: Yarmouth
0!/23/2075
Permit Number (if applicable) 11- €.?,,
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section 10 A this permit is granted
to: Oil Express ph.:508-38-0131
For permission to: Above Ground Tank Removal 527CMR 9.02
DIG SAFE NUMBER
Start Date:
Restrictions Strict and complete compliance with all federal, state and local laws, rules, regulations and codes.Notify YFD before and after work is complete.
3 Arthur Ln fl/armouthPort, MA 02675At:
Fee Paid g This permit will expire on 0412312015
Signature of Offlcial Granting Permit Title
This permit must be cons picuously osted u n the rem ises
Address: 3 Arthur Ln
^/armouthPort,
MA 02675
Date:
(FRr >Now s 2o1O r3:2.,'Sf . 13ii.3/N6- g3O9Oto2e4 p 2
_./ (s,
ERMIT
ed lank disposa
application is he
for sleel u nder
wilh the provis
APPLTCATTON and p
OroL.nd storage tank removal and lransportalion,o uroro,ions ot V1.G.L. Chapter j48. Section OAi, Si7";;;5H,
Fee
I yard in accordanco
reby made by:
aok Owner Narne (ple6se prinl)4n nT 4/1
Address 3 f h Y",L o
Altor romoval(s) ("constrrnplive use" fUel oil tanks exemploMassDEP, Eureau ol Waste prevention USf erogram, i,O'lntemational Fire Code lnstitule
Signalure (,l applyjng lor psrmit)
OtherD' lFCt: Cortified Dr LsP #
Co. or lndivldual
Addross
(o'8o
erlifisd Othar
cr-(s
I I
ro (il appl
0)931- otlL e
IFCI
OtLCompany Name
Addre
,O. p€rmit)
t0?2{0
At
Tank Capacity (Oa ons)2)f Substance Last Stor6d
Tarrk Location
Tank Dlrn6nslons (diamoter x l€ngth)
Bemarks:
MA 492
Sr.,IIA 02I37
GlobaL Rernedla tioo Svc s
HAC3000l2 943
Re a dvil1e
Jame6 G Grant Co Inc.
Tank Yard Arjdress 2B t alcott
Flrm Transpoding Waste
Hazardous Wasto tVanilesM
Tank Yard * 008
Slate Lic. *
E,P.A. #
Approved Tank Oisposal yard
Type ol lnefl Gas
0b S.r.Ior F6o I.t N uhb! r , 8m322_.&.
Signaturs / Tirte of Oliicsr granling permit
a
Dig Sale approval nunrber
F DIDiICity or Town
Date of ls6ue Dale ol Expiration
Trenching Permil #
FP 292 (.evised 3/rO)
d) ssnd Form Fp29O
Box 120,0165, Bostr
or Form Fp-290R signsd by the loc€t firon, MA 02112-0165
Make application to local flre departmenl.r- rre department retains original application ana t!.r."lupri"rr" u" p.rrntt.V*r*no*))/;;;;;**
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