HomeMy Public PortalAboutDrinking Water Program Public Notice Certification IMassachusetts Department of Environmental Protection
Drinldng Water Program
Public Notification
Make sure to send your regional office of the DEP Drinking Water Program and local Board of Health a
copy of each type of notice and a certification that you have met all the public notice requirements within
ten days after issuing the notice (310 CMR 22 . 15(3)(b)). When you certify, you are also stating that you
will meet future requirements for notifying new units of the violation.
PWS ID: MA4041000 Citytrown : Brewster
PWS Name: Brewster Water Department ® Community ❑ Non-community
Purpose: Violation ❑ or UCMR3
Describe: PN of UCMR Sampling Results
Occurring on: 4/28/2014
Date(s) of violation or dates of UCMR samplinq
The public water system indicated above hereby affirms that public notice has been provided to
consumers in accordance with 310 CMR 22. 16 including: delivery, content, format requirements,
notification deadlines and that the public water system will meet future requirements for notifying new
billing units and new customers of the violation.
❑ Consultation with DEP on
date
E Notice distributed by CCR on 6/28/2016 and Web Site on 6/28/2016
method date method date
I certify under penalty of law that I am the person authorized to fill out this form and the information
contained herein is true, accurate and complete to the best of my knowledge and belief.
6/28/2016 Paul Anderson
date name
Signature of owner or operatorIr
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Rev. June 2015