HomeMy WebLinkAboutHealth Permit # 5/9/2000 Town of North Andover, Massachusetts Form No.z
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DESIGN APPROVAL FOR
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$Acmu SEa� SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM
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Site Location
Reference Plans and Specs. /Z K-IZZ. 'rA
ENGINEER DESIGN � DATE
Permission is granted for an individual soil absorption sewage disposal system to be installed
in accordance with regulations of Board of Health.
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/ CHAIRMAN,BOARD F HEALTH
: Feed Site System Permit No.
SEPTIC PLAN SUBMITTAL FORM
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LOCATION:
NEW PLANS: YES $125.00/Plan
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REVISED PLANS: YES $ 60.00/Plan
SITE EVALUATION FORMS INCLUDED: YES NO
DATE:
DESIGN ENGINEER:
DATE TO CONSULTANT:
*If you want your plans expedited, please submit three plans and included a
stamped envelope with the correct amount of postage to mail plans to Port
Engineering.
When the submission is all in place, route to the Health Secretary.