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351 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00
Town of Barnstable
Board of Health
This is to Certify that NSTAR Electric
661 Oak Street, CENTERVILLE MAIL: Westwood, MA 02090,
MA
Is Hereby Granted a License
FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS.
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This license is granted in conformity with the Statutes and ordinances relating there to, and
and expires 06/30/2016 unless sooner suspended or revoked.
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WAYNE MILLER,M.D.,CHAIRMAN
PAUL J.CANNIFF,D.M.D.
07/01/2015 JUNICHI SAWAYANAGI
THOMAS A.MCKEAN, R.S.,CHO
Director of Public Health
r
Town of Barnstable
'e'er•
Regulatory Services
• Richard V. Scab,Director
` Public Health Division
Thomas McKean,Director
200 Main Street, Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Application Fee:$100.00
ASSESSORS MAP AND PARCEL NO. 195-029 DATE June 10, 2015
APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN
111 GALLONS OF HAZARDOUS MATERIALS
FULL NAME OF APPLICANT NSTAR Electric dba-Eversource Energy)
QY)
NAME OF ESTABLISHMENT Station 920, Station 921
• ADDRESS OF ESTABLISHMENT 661 Oak Street
TELEPHONE NUMBER (781) 441-3807
SOLE OWNER: X YES NO
IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL
PARTNERS:
IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. 04-1278810
STATE OF INCORPORATION Massachusetts
FULL NAME AND HOME ADDRESS OF:
PRESIDENT Thomas J. May, Evers ourceEEnergy; 800 Boylston Street, Boston, MA 02199
TREASURER Phillip J. Lembo, Eversource Energy, 800 Boylston Street, Boston, MA 02199
CLERK Greg Butler, Eversource Energy, 800 Boylston Street, Boston, MA 02199
G-
• SIGNATURE OF APPLICANT
RESTRICTIONS: HOME ADDRESS Eversource Energy, One NSTAR Way, NE250
HOME TELEPHONE# We,tt4,nd, MA 0209n
(781) 441-3807
C:\cache\Temporary hitemet Files\0LKD3RAZAPP Rev2015DOC
Town of Barnstable Office: 508-862-4644
Fax: 508-790-6304
Regulatory Services Department
• nAw4srAeLe, Public Health Division
q MASS& Thomas A. McKean,CHO
1 3� 200 Main Street, Hyannis, MA 02601
Payment Receipt
;Hazardous Materials Payment received: $100.00 (Check) on 6/17/2015 Permit number: 351
Check number: 1031 Check amount: $100.00 Name on check: Northeast Utilities
Business: NSTAR Electric
Address: 661 OAK STREET(CENT./W.BARN),West Barnstable
INote:
Station 920, Station 921
1
•
NSTA
EV E RS A'U RC E One Westwood,wood, Way,MA 02090
ENERGY
June 10, 2015
Thomas McKean
Director, Public Health Division
Town of Barnstable
200 Main Street
Hyannis,MA 02601
Re: 661Oak Street,West Barnstable
Stations 920 and 921
Toxic and Hazardous Materials On-Site Inventory
Dear Mr. McKean:
Eversource Energy is herewith submitting a check for$100,along with a permit renewal
application for the above referenced facilities. Upon your review and approval of the
completed form,please mail the permit to my attention at the address referenced at the top
of the letterhead.
• Please note that there are two operating substations on the property; Station 920 and
Station 921. Both Stations maintain a Spill Prevention Control and Countermeasure (SPCC)
Master-Plan for Stations throughout our southern service territory. A SPCC short form is
attached to the Master-Plan for each Station. A copy of the SPCC short form for both
Stations is enclosed for your records.
If you have any questions regarding the application or SPCC forms submitted,please
contact me at(781) 441-3807.
Sincerely,
Jonathan E. Reich
Senior Environmental Engineer
Enclosures
•