PREVENTATIVE SEPTICCITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
COMMONWEALTH OF MASSACHUSETTS
CITY OF SALEM
TRANSPORTATION OF OFFENSIVE SUBSTANCES
Business Name: Preventative Septic
Business Address: P.O. Box 7
City: Wenham, State: MA 01984
This license is granted in conformity with the Statutes and ordinances relating to
Transporting Offensive Substances.
Permit #: 13-05
Application Date: 06/06/05
Type of Vehicle: White GMC Pump Truck
Registration #: 720
PERMIT EXPIRES December 31, 2005
HEALTH AGENT
co I CITY OF SALEM, MASSACHUSETTS V� �� r^
BOARD S HEALTH C) i`�1 �•/\/��Y, \V/ (� f1�
120 WASHINGTON STREET, 4TH FLOOR r Vtt .!I Ld `°VJ
e SALEM, MA 01 970 MAY 1 7 2005
TEL. 978-741-1800
FAX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO CITY OF SALEM
MAYOR HEALTH AGENT BOARD OF HEALTH
APPLICATION FOR A PERMIT TO TRANSPORT OFFENSIVE SUBSTANCES
FEE: $50 per Vehicle payable to The City of Salem No Cash
NAME OF APPLICANT:Pc A ,( /, 10? It, �r14.0/ // �u /f
ADDRESS: 302 7 �t J %JG[/r(,,, S7 / [ &7 TEL # p 7e8 'Collo
/'
NAME OF COMPANY: rnleo Y'l/ e !° ey b G
ADDRESS:z,-1,G.// /1}0 �7 IINA?- TEL#
TYPE OF VEHICLE l✓H t 7 �(7 ` �G�I�!vG /�
GROSS WEIGHT j c9F O C' O
REG. # -7;-0 YEAR OF MAKE /77S
SUBSTANCE(S ) HAULED
PAN
ROUTE OF TRAVEL Z
(must be completed) L
SCHEDULE OF TRAVEL
DY
KWA
Uo2 a o
I HAVE READ THE BOARD OF HEALTH REGULATION, "RULES AND REGULATIONS FOR
TRANSPORTING OFFENSIVE SUBSTANCES." I HAVE HAD THE OPPORTUNITY TO ASK QUESTIONS
REGARDING THOSE REGULATIONS. I UNDERSTAND THEM, AGREE TO ABIDE BY THEM, AND
UNDERSTAND THAT FAILURE TO DO SO MAY RESULT IN REVOCATION OF MY PERMIT TO
CARRY OFFENSIVE SUBSTANCES.
I -- AN" ; O MGI, ! 62C SncA t CERTIFY UNDER TILE PENALTIES OF DEP JURY TI-IATT TO MY
BEST KNOWLEDGE AND BELIEF, HAVE FILED ALL STATE TAX RETURNS AND PAID ALL STATE
TAXES REOUIRED UNDER THE LAW.
Permit # 13-6b
(Revised 11/25/02 offperm. ins )
314
Date
/05 6U - 0/0g 3 q -?9
Check # 4.77
Social Security or Federal Ill #
Check Date: y -7--d5)
i CITY OF SALEM BOARD OF HEALTR
REGULATION # 9
Adopted June 20, 1995
RULES AND REGULATIONS FOR TRANSPORTING OFFENSIVE SUBSTANCES
The Board of Health, City of Salem, Massachusetts, acting under
the authority of Section 31B, Chapter 111, of the Massachusetts
General Laws and amendments and additions thereto, and by any
other power thereto enabling, has adopted the following rules and
regulations in the interest of and for the preservation of the
public health. The effective date shall be June 30, 1995.
SECTION II - DEFINITIONS
2.0 BOARD OF HEALTH - the legally designated health authority of
the City.
2.1 DEPARTMENT - the City of Salem Health Department.
2.2 FUME - any gasses or aerosol resulting from chemical reaction,
distillation or sublimation.
2.3 HEALTH AGENT - the legally designated representative of the
Board of Health.
2.4 ODOR - that property of gaseous liquid or solid materials that
elicits a physiologic response by the human sense of smell.
2.5 OFFENSIVE SUBSTANCE - shall mean any substance(s) deemed by
the Board of Health to potentially affect the general public's
health, safety and welfare and/or create a public health nuisance.
Examples of such substances include, but are not limited to, offal,
septic sewage, sewage.sludge, or any by-products of its treatment.
2.6 PERSON - an individual, partnership, association, firm,
syndicate, company, trust, corporation, city department, bureau,
agency, or any other entity recognized by law as the subject of
rights and duties.
2.7 NUISANCE - everything that endangers life or health, gives
offense to senses, violates law of decency or obstructs reasonable
or comfortable use of property.
2.8 VAPOR - the gaseous state of certain substances that can exist
in equilibrium with their solid or liquid states under standard
conditions.
s
2.9 VEHICLE - equipment for hauling, storing., moving or
transporting offensive substances defined in Section 2.5 herein.
3.0 No person shall remove or transport any offensive substance(s)
through or across any street of the City, to the extent possible
under the General Laws of the Commonwealth of Massachusetts,
without first obtaining a permit from the Board of Health or its
Agent.
3.1 Application for a permit shall be made on form(s) provided by
the Department.
3.2 The fee for such permit shall be $�per vehicle, except
that the fee may be waived for vehicles owned by the City of Salem
and for vehicles owned by third parties performing contract
services for the City of Salem.
3.3 The permit shall expire at the end of the calendar year in
which it is issued.
3.4 The Board of Health or its Agent may place reasonable
restrictions, including route and scheduling of travel, upon any
permit issued.
3.5 All persons obtaining a permit to remove or transport
offensive substances shall use closed vehicles in good repair with
adequate means of containment which prevent leakage and/or spillage_
of liquids, solids, vapors, odors, or fumes of any kind. Such
containment means may include a pressure relief valve to enable the
discharge of fumes generated therein. The vehicles and their
containment areas shall be kept in a clean condition satisfactory
to the Board of Health or its Agent.
3.6 Any person(s) transporting an offensive substance(s), within
the City under such permit, shall have the permit in their
possession for inspection by any Salem Health Department personnel
or police officer.
4.0 The Board of Health or its authorized Agent may vary the
application of any provision of these regulations with respect to
any particular case, when, in its opinion, the enforcement thereof
would do manifest injustice provided that the decision of the Board
of Health is not in conflict with the spirit of these standards.
5.0 Each part of these regulations is construed as separate to the
end that if any section, item, sentence, clause or phrase is held
invalid for any reason, the remainder of these regulations shall
continue in full force and effect.
6.0 Any person(s) who violates the regulation shall be punished by
a fine of not more than $300.00 (M.G.L., Chapter 111, Section 31B)
City of Salem
Board of Health
9 North Street
Salem, MA 01970
Joanne Scott, Health Agent
George H. Levesque, Chairman
Martin Fair
Owen Meegan
Irving Ingraham, MDQ
Mary Madore
Leonard Milaszewski
Peter Saindon
Barbara A. Sirois, Clerk of the Board
Published in the Salem Evening News on
June 30, 1995
After a vote of the Board, _6_ affirmative, _0_ negative and
abstaining the following signature is authorized.
Signed,
George H. Levesque, Chairman