HomeMy WebLinkAbouttank removal 2015APPLICATION FOR PERMIT
City or Town: Yarmouth
Permit Number: 101746
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section 10 A application is hereby made
by:
Address: 127 Whites Pa /South Yarmouth, MA 02664
Name of Competent Operator: Clean Harbors Bill King 781-803-4135
Date lssued-Rejected 05 / 18/2015 By
Dateof Expiration: 08/L8/2OL5 Fee: s50'00 $Paid
Cert. No.
(Signature ofapFlicantF
Due
THEUOl
WHiT,19
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F.A. E* 1025, Atolr n*1, bk*, mA 01115
Date:05/L8/2075
For permission to: Above Ground Tank Removal 527CMR 1.12.8.2
Make apPllcalion to local Flre uePanmenl.
Fire Departmeni retaiBs original application and issues duPlicate as Permit.
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APPLICATION and PERtuItrT
ior storage tanil rema,al and transpoiiation to apprcved tank disposal yard in accorCanc? with the provisions
ot M.G.L. Chapter 148, Section 38A, 527 Ch4R 9.00, appiication is hereby made by:
Tank Owner l'lame iplease prini)6rz/
Addess /27 /av /-rt*aar/
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Co- or lndividual
Signature (ii apptying lor peiinlt)
a
y'/})72Fiim transporiinE Y,asl.e State Lic. *
E.P.,{ +Ha:a.Cous vJasle manliesi#
f,ie Tank yard +
/^.r,t-iank vard address //167tluar
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ApproYed tark disp.,psal yard
Dig SaIe Toll Free iel- l'lumber - 800-322-4844
Permit*\O\
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\s Date ot explration
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Signalure / -l'itle of Oilicer granting permlt
Dig safe approval numbe,i
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Remarks:
?, ank Capacity (gallons)
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Tank Dimensions (diemeier x lengih)t.{'Zza /' //"4
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Afler removaits) ('ConsumPlive Use' fuel oit tanks exempted) send Form FP'290
Compliance Unit, Department of Fire Services, P.O. Box 1025, Slate Road, Stow
R signed'by LooalFire DaPt. te UST Regulatory
, MA 0125.
'lnlemalional Fire Code institule
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APPLICATION FOR PERMIT
City or Town Yarmouth
05/ta/2oL5
Permit Number: 101746
Address: 127 Whites Pa /South Yarmouth, MA 02664
For permission to: Above Ground Tank Removal 527CMR 1.12.8.2
Name of Competent Operator Clean Harbors Bill Kinq 781-803-4135
Date lssued-Rejecled 05 / tA / 20Ls By
Date of Expiration 08/L8/20L5 Fee: ss0.00 $Paid
(Si9nature of applicant)
Due
THEUOl
WHIT19
,4.iE-\
Date:05/!8 /2Ot5
Permit Number (if applicable) tar ,1 16
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section 10 A this permit is granted
to: Clean Harbors Bill King 781-803-4135
For permission to: Above Ground Tank Removal 527CMR 1.12.8.2
Restrictions: Strict and complete compliance with all federal, state and local laws, rules, regulations and codes.
Notify YFD before and after work is complete.
DIG SAFE NUMBER
Start Date:
At:
Fee Paid $$s0.00 This permit will expire on 08/18/2015
Signature of Official Granting Permit ?Title
This permit must be conspicuous osted upon the rem ises
Date:
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section 10 A application is hereby made
by:
Cert. No.
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Epr/t,*,1 t{, J* Ar*i** - W tlil* $t"lt Jtn Y[louAol
P.A. 8r* 1025, [t"1" noo,J,, bt"*, mA 01115
PERMIT
City or Town: Yarmouth
127 Whites Pa /South Yarmouth, MA 02664