2014 SEPTIC HAULER-WIND RIVER ENVIRONMENTAL A, x..
Commonwealth of lVfassachusettstt_
" "- �•R � t City of Salem .� _
Board 4 Health - Klmbell8y DrISDO
, .
Mayor
n
12QVaslungfon Sheet,40,F1oor: .-
''SALEMWA
Stic Haulers
oo
DATE PRINTED ; 02127/2014;
ESTABLISHMENT.NAME: Wind ItYver Environmental,LLC
File Number:BHF-2003-0'00007 5-7 Main ftopt Suite 1.0
Hudson MA_ 01749
LOCATED AT
a
SALEM MAb 01970
Per irit Tmiee "Permit No. Permit Issued Permit E�tplres Fee Restrictions/Notes
SEPTIC HAULER "BHP-2014-D379 Jan 1;2 14. Dec 31;21�4` $1.OS 00 VEHICLE TYPE. 2014
Freightline r REG#:89714
Total Fees;' $105.OQ
PERMIT.EMPIRES.: 16, cember 31,2W
$oard ofP -
health
Page 1
-° Commonwealth of IYIassachu[setts
*_ City of Salem
Board of health IQmb6day. 0086W
120 Washington Street,4th Floor Mayor
SALEM,MA 01970
�eIl�Hatiler Permit
DATE "TED 02/27l20.14', r•
�r -
_ t,
ESTABLISH_ NIENT NAME; 'Wmd`lliver.En�iranmentA LLe
FileNvm :BBF-2002-000007 Ma StFeet Sltlte 110
5-Hudson. 'NUA 01749.
LOCATED AT '
-
-
Permit T e Permit No.; Permit,Issued Perairt. Tres' ~ Fee Restrictions,71�Iotes
SEPTIC HAULER BHP4014-671 ji 1,1014 l)ec 31,2014 s$I05 00 VEHICLE TYPE 2003 Sterling
.F , lteg##70,954
Total:Fees-= $105.00
PERMIT EXPIRES: eceinber 31 20.14, . ]
Board of Health
Page 1
Commonwealth of Massachusetts''
r City of Salem
Board of Health Ki(Y1bel le-
120 K'ashinton;Street,4tb;Floox8y0�
SALEIV>a,MA"01970 ��_.
10,
_.
iQpttc Hau�krs Fer_ruit
DATE-PRINTEDc .02/27/2014 ..a
ESTABLISHMENT NAME. Wed- jver-Environmental,-LLC
iMeNumber:'BEF 2002-00.0007 5771VI irn Strect Sitl' 110
".
Hudson MA 01749
LOCATED AT
SAL,_M,MA 01970.
x
Permit 1'yge: - Permit No. Permit Issued Permit Eap�res__ � .Fee Restric#94,,S/Notes.
BHPp14o3 J1 04EPTIC.HAULR Dec 31{2M4 $t05.00`VEMCLis TYPE:2002 Mack +
RW#76680
Total=Fees $.105.00
PERMIT EXPIRES: ecember 34, 20I4 r.
Board of:Health
Page 1
Commonvsrealth of-massachusetts ¢ r;IV
City of Salem
#Board 4-Ai ith Kimbedey Dris �
120 Was7ungtoa Street,4fh Floor' Y _
SA _EM MA=?01970` 3. F
_ Septic Hailers Permit
DATE PRINTED; 02127/2014
� ID
ESTABLISHMENT NAME: . 'Wvid<River En�ironmentai,LLCY
FilelVumb&.BHF.2002=000007 577 Mam Slxxeet Suite"l10
Hudson 1VIA 01749.
j LOCATED AT _
SALEMj4MA - 1970 _
Permit.Type Permiit lea, Permit Issued Permit"Fpires:- Fee RQstrietons/Notes.
_
SEPTIC HAULER BHP-201.40377 Jan 1;2014 Dec 3:1;2014 �5505.00 VYHICLE TYPE: 2001 Mack
REC M76b79
R
PLRMrr EXPIRES: ecember 31,2014
Board of Health.
Page 1.
-Co onwealtlt oflVlassacl Opp_s s - '
` City bf Salim
Board of Health ate, ICirttbe D r,
120 Waslurtgton Street;4tlr Floor � ,� ��y
RALEIVI,IVIA_01370
' Septic Maulers Permit '
DATE PRINTED 02/27/2014- =
r
4 G.
Y E5TABLISHMENT NAME....: n Wind River Environmental,LLC` 4'
t
File Number sxF-2002-o4E1007` 57 1VI$lil Street Sulte 110
�.
�y
Hudson MA- 01749
r LOCATED
SALE11+2;MA 01970
Permit T e Permit No: - Permit Issued Permit Eaires. Fee Restrictions!Notes -
AAAA:,.4, ■ - .-_ _
SEPTIC HAULER BHP=2o-14 037a fan -,2014 Dec 31,2014 S105 00 VEHICL TYPE: 2001-;Mack
RECx.#:M90:196
Total Fees_, . $105 QQ:
PERMIT EXPIRES: ecember 2014
Board of Health:
Page 1
a '
i
Commonwealth of Massachusetts
City of Salem„
Board of Hesit4: 11b@f�$y DWSCOII
a' 120asitiagton Street;4th Door':-
e. ,
SAEEM,MA 0I7Q a b
DATE PRINTEDe 02/ 7/201 `
- Az,
ESTABLISHMENT N MEs " Wind lliver Environmental, LC
fileNumber:BHF=2002-000007 s 571 Mam Street Suite'110
:<
Hud on MA 0I749
LOCATED AT `' ==
SALI✓m MA 0107
47
Permit_Type.- Permit No: PeriiAt.Issued Permit-E,x .es Fee Restrictions/Notes
SEPTIC FL i Elt "BHP=2014-03M Jan l,,2014 Dec 31;-2014 $105 00 MAKH Bc YEAR:Mack 2013 REQ
IDT $7121
Total Fees: . { $105A
PERMIT EXPIRES ecember 31, M
Board of Health c
Page 1
Commonwealth ofMassachusetts
`City o€5alem vy
Board of Health �CiR1b@I D11Sp(
120 Washington Street,-4th Floor MBf
SALEM,MA 01970
n lb Y_Ylllt
Sceptic H_a. ers 1'e
:DATE PRINTED 02/27/2014 ..
ESTABLISHMENT NAME: Wind R><ver:Env><ronmental,LLC
File Nwntw.-BBF-2002-000007 577 M4in Street Sulte:k 1 O
Hudson" MA 01749
LOCATED AT':
SALEM MA ,U1970
Permit,Type. Pernut No. Permit Issued .Permit Expires= , Fee Restrictions/Notes -
.. .
SEPTIC'I=I.A 'LER: BHP 2014a381 ,Tan 1;2014 Dec 31,2014°. $105.00 Make&year-&tack 20-13 Reg
89922
Totgl'Fees- U-0-00
'PERMIT EXPIRES: ecember - 201h
Board of Health
dq
Page 1
CITY OF SALEM, MASSACHU,
BOARD OF HEALTH �EIVEDPdbficHealth
120 WASHINGTON STREET,4"'FLOOR DEC
+/ ,r Prevent.Promote.Protect.
TEL. (978) 741-1800 FAX(978) 745-0343 / P 2013
KIMBERLEY DRISCOLL lraxndin a]sale n.coln
MAYOR OF ti��I�jI�Y RANMIA ,RS/rt-iAGENT IIO,CP-F S
APPLICATION FOR A PERMIT TO TRANSPORT OFFENSIVE SUBSTANCES
FEE: $105 Per Vehicle payable to the City of Salem No Cash
Name of Applicant: t I'1G` �viV�� McX1 ��-
Address: In .57+ p )c�+Oo- m4 cLleC{ Tel#: q . 9 R4 I 3-3-0-b
Name of Company: W;'6 ��u
�—!���CSn✓y`"h�G►\ ��
Address: `1 �h d��� Tel#:
Email Address
Type of Vehicle p
Gross Weight - S}� �ic_�✓"
Reg.# -,_)'-I'ear of Make:
Substance(s)Hauled 1 _
Route of Travel ( I"o
(must be completed) 1
Schedule of Travel RED S�'`�'1
c I HAVE READ THE BOARD OF HEALTH REGULATIONS,"RULES AND REGULATIONS FOR TRANSPORTIING OFFENSIVE
SUBSTANCES."I HAVE HAD THE OPPORTUNITY TO ASK QUESTIONS REGARDING THOSE REGULATIONS. I
UNDERSTAND THEM;AGREE TO ABIDE BY THEM AND UNDERSTAN THAT FAILURE TO DO SO MAY RESULT IN
REVOCATION OF MY PERMIT TO CARRY OFFENSIVE SUBSTANCES.
PURSUANT TO HGL C62C,S49A I CERTIFY UNDER THE PENALITIES OF PERJURY THAT 1,TO MY BEST KNOWLEDGE AND
BELIEF,HAVE FILED ALL STATE TAX RETURNS AND PAID ALL STATE TAXES REQUIRED UNDER THE LAW.
�L13 OW�4 $-7(�p^7i
Signnfure bate SS #or Federal ID#
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------1-----------------
Permit# Check# � Check Date n I f
Updated 11/20/13
790
DOT# 0Lic Make VIN Tank
T n Plate } Size
m
1925 NENO 846857 MA • 87121 2013 Mack 1M2AX04C5DM018542 4,800
1926 NENO 846857 MA y' 89922 2013 Mack 1M2AX04C5DM018539 5,200
1929 NENO 846857 MA 89714 2014 Freightliner 1FVHG3DV2EHFL9158 4,800
C17 NENO 846857 MA 79954 2003 Sterling 2FZHATAK33AK69574 3300/300
P24 NENO 846857 MA ; M90196 2001 Mack 1M2P270C11M060130 4,800
P43 NENO 846857 MA V 76679 12002 Mack 1M2P270C32M062270 4,800
P44 NENO 1846857 MA 76680 12002 IMack 1M2P270C72M062272 4,800