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NUMBER
FEE
THE COMMONWEALTH OF MASSACHUSETTS $25.00
..... TOWN ..... of --------- MOIUH—AM.O.VER ...................._._-
This
......................
This is to certify that ------------- Vi&r-a --- Arteria -n --- WBI-j ---- Co-.• .........................................
NAME
..................... ... MA --- 0.1-8.3.3
ADDRESS
IS HEREBY GRANTED A LICENSE
For.................... W
. .............
................................................................................................................. ....................................... ..................
.............................................................................................................................................................................
.................................................................................................................................................................. .........
This license is granted in conformity with the Statutes and ordinances relating thereto, and
expires ... December 31, 1993 p OF
....................................................... linless' sooner -
_gLi* en( ' j '
------- APr--i-.1 ----28,-------•--•-•----•-----•19--9.3
FORM 433 HOBBS & WARREN. INC.
j q 3 - 4,CLA U U
WELL DATABASE
ADDRESS: 3 '? 3 �,-�St
AGE OF WELL: ti WELL DRILLER:
WELL PERMIT 4: 37 2 WELL LOCATION:
..WELL PERMIT DATE: DEPTH OF WELL:
TYPE OF WELL: a..DRILLED b. DUG c. UNINi iO
TYPE OF WATER BEARING ROCK. ? 4
WATER AlNALYSIS DATE: ? HIGH MAN(`A.�
HIGH IRON: Y N OTHER CONAM NAI PS:
WELL DATABASE
ADDRESS:
AGE OF WELL: WELL DRILLER:.,
z
WELL PERMIT #: 3 l WELL LOCATION:
WELL PERMIT DATE: DEPTI�' OF WELL:
SE: Y N
Y N
TYPE OF WELL: a.. DRILLED b. DUG.. c. UNKNOWN
TYPE OF WATER BEARING ROCK:?
WATER ANALYSIS DATE: ? HIGH MANGANESE: Y N
HIGH IRON: Y N OTHER CONTAMINANTS: Y N
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06/07/04 MON 13:14 FAX 617 484 6636 HUNNEMAN BELMONT
10 -DAY EMERGENCY BEAVER OR MUSKRAT PERMIT
Name: _ A?d �Q ��% d .s Permit No.
Address: J9Fate57 `2z
Authorized Agent Name (if applicable):
Complaint Location: MQ. 1QjV�Q'rPe^ 4
In accordance with and pursuant to provisions contained in chapter 131 of the Massachusetts
General Laws section 40, 80A and 321 Code of Massachusetts Regulation 2.08 and 10.00
(Wetlands Protection Act), the permittee(s) above named may immediately remedy the threat to
human health and safety by one or more of the following options:
the use of conibear or box or cage -type traps for the taking of beaver or muskrat,.
subject to the regulations promulgated by the Division of Fisheries and Wildlife (see
back) -
(b) the breaching of dams, dikes, bogs or berms, so-called*
(c) employing any nonlethal management or water -flow devices*
*If the permittee chooses option(s) b and/or c, he/she must appear before the local conservation
commission to obtain an emergency certification regarding specifications for breach size and /or water_
flow device installation in accordance to M.G.L. c. 131, s. 40 (Wetlands protection Act).
The Board of Health has determined that said beaver or muskrat problem pow a threat to public
health and safety as stated in M.G.L. c.131, s.80A.
Specify:
Board of Health Official Name:
Board of Health Official Signature:
Date:
The above signature validates this permit for 10 consecutive days from the date shown for
Option (a) only. If the permittee chooses options (b) and/or (c), he/she must return to the Board
of Health for a final signature after obtaining an emergency certification from the conservation
commission.
Please attach the emergency certification to this permit and return to the Board of Health
for final approval.
(See Back)
Q001
06/07/04 MON 13:15 FAX 617 484 6636 BUNNEMAN BELMONT Ij002
This permit is valid for 10 consecutive days from the date of the final Board of Health
signature.
Board of Health Official Name:
Board of Health Official Signature: Date:
This permit does not allow permittee(s) or their authorized agent to trespass on private
property.
This permit or a copy thereof shall be carried on the person of any individual exercising the
authority thereof and shall be shown upon request if challenged by any local or state law
enforcement officer empowered to enforce the provisions of M.G.L. c. 131.
Massachusetts Division of Fisheries and Wildlife trapping regulations
Permittees) may destroy problem furbearing mammals (named above) by means of a body
gripping trap or by means of a box or cage type trap including Hancock or Bailey traps for
catching beaver. The pan of Hancock and Bailey traps must be submerged in water. Problem
forbearing mammals that are captured alive shall be disposed of by destruction in a humane
manner. Body gripping traps with a jaw spread not less than 4 inches and not greater than 7
inches or body gripping traps with a jaw spread not less than b inches and not exceeding 10
inches for the trapping of beaver only, may be used ifsuch traps are completely submerged in
water. The placement oftraps in reference to the proximity of the beaver lodge or beaver dam is
unrestricted, but the disturbance or destruction of the beaver lodge or beaver dam is strictly
prohibited unless otherwise authorized
Permittee(s) takingproblem furbearing mammals, on the property of another, by means of a trap
shall possess a valid Massachusetts trapping license and traps shall be registered according to
M.G.L. c. 131, s. 80.
Said problem furbearing mammals (named above), their carcasses or parts thereof may be
retained by the permittee, sold, bartered, or exchanged for consideration during the open
regulated harvest season for that species. Sealing of beaver pelts is required. Disposition of all
carcasses obtained from the incidental capture of furbearing mammals not authorized by this
permit must be surrendered to the District Wildlife Manager of the Division of Fisheries and
Wildlife having jurisdiction in the town where the furbearing mammal was taken.