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HomeMy WebLinkAboutParker & Sons Excavating & Landscaping - 12/31/2019IT Commonwealth of Massachusetts Town of Mansfield Town of Mansfield 6 Park Row Mansfield, MA 02048 Board of Health Disposal Works Installer's Permit This is to certify that PAUL PARKER Doing business as: PARKER & SONS EXCAVATING & LANDSCAPING 31 EDNA DRIVE ATTLEBORO MA 02703 is hereby granted a DISPOSAL WORKS INSTALLER PERMIT to construct, alter, install, or repair individual sewage disposal systems. This permit is granted inconformity with the STATE ENVIRONMENTAL CODE: 310 CMR 15.02(2) and expires December 31, 2019 unless sooner suspended or revoked. LICENSE NUMBER: 54 FEE $100.00 BOARD OF HEALTH AichaeCHeaCey, Chairman Town of Mansfield 6 Park Row Mansfield, MA 02048 Disposaal Works Installer Application � ,` JUN 0 6 2019 LICENSE NUMBER: APPLICANT: BUSINESS W MAIL ADDRESS: CITYITOWN: 44!&W STATE: ON ZIP CgODE:Od-7az BUSINESS PHONE: ;7(-R Z& — -% BUSINESS CELL: 5o0 ,� Z 6 -3 IN BUSINESS FAX: J �� E-mail: %t m Alt E-mail: ID/SS NUMBER: LICENSE HELD: Town 1�R._Ji4K Year Licensed aw& 1 LICENSE HELD: Town LOrze h' yC ,A4 Year Licensed 0X_ LICENSE HELD: Town j4GPtw11 Year Licensed Please submit a copy of the licenses held along with a contact name and phone number for each town. References will be checked. I have read 310 CMR 15.00, the State Environmental code; Title 5, Minimum Requirements for the subsurface Disposal of Sanitary Sewage and the Board of Health regulation titled "Minimum Standards for the Subsurface Disposal of Sanitary Sewage". I understand that deviation from them may be cause for revocation of this permit. Permit Expires December 31st yearly. FEE: $ 100.00 SIGNATURE: DATE: - 6 / Please make appropriate changes. Sign, date, and enclose check for $100.00 payable to Town of Mansfield. Mail to: Board of Health, Town of Mansfield, Six Park Row, Mansfield, MA 02048 Commonwealth of Massachusetts City of Attleboro Health Department 10/30/2018 This is to Certify that: Parker & Sons Excavating Paul J. Parker 31 Edna Drive Attleboro MA 02703 Is hereby granted a Title V Septic Permit for: FEW PTOIR This Permit is granted in conformity with the State Sanitary Code Title V, regulation 2.2 and expires March 31, 201 9 unless sooner suspended or revoked. Alan D. Perry Health Agent irk t/L4 N�� obi k Qc� c -