HomeMy WebLinkAboutApplication - 15 FOREST STREET 8/9/1999 SEPTIC PLAN SUBMITTAL F
LOCATION: / S
NEW PLANS: YES $125.00/Plan
REVISED PLANS: YES $ 60.00/Plan
SITE EVALUATION FORMS INCLUDED: YES NO
DATE: 9 9
DESIGN ENGINEER: /j'V—;z */X/
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.
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May- 27-99 12 : 45P Noyt:h Andover Corn. Dev . 508 688 9542 P . 01
SEPTIC. PLAN SUBMITTAL FORM
I_.00A'FION: t$l_
NEW PLANS: Y T S $125.00/P1an`
REVISED PLANS: YES S 60.00/Plan
SITE EVALUATION FORMS INCLI1DED: CES NO
DATE:
DESIGN ENGINEER: �� -� ' ��.� t �� 5 �, <<, �•
DATE TO CONSLFLTA.NT:
*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,
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May-27-99 12 : 45P North Andover Con'i. Dev . 508 68'8 9542 P . 01
SEPTIC PLAN SUBMITTAL FORM
LOCATION: 16-
NEW PLANS: YES $125.00/Plan
REVISED PLANS: .........
_YES 60.00/1))an
SITE EVALUATION FORMS INCLUDED: YES
DATE:-
DESIGN ENGINEER:--y—Je--"-'--'
DATE TO CONSULTANT:
*If you want your plans expedited, please submit three plans and included a
stamped envelo:pe with the correct amount of postage to mail plans to Port
Engineering.
When the submission is all in place, route to the 11caltli Secretary.
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(01
Town of North Andover, Massachusetts Form No.2
: e pORYp BOARD OF HEALTH ;
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DESIGN APPROVAL FOR
,SS'9C""SE�� SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM
Applicant, .1, . krr`r � i .0 ' ,f _ Test No. �
pp -
: Site Location Z Al "
Reference Plans and Specs./)t-'A,
ENGINEER l {/ DESIGN DATE
Permission is granted for an individual soil absorption sewage disposal system to be installed
in accordance with regulations of Board of Health.
• CHAIRMAN,BOARDMT HEALTH
Site System Permit No.
Town of North Andover, Massachusetts Form No.z
of tORTH BOARD OF HEALTH
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�b°--'- ,'• * DESIGN APPROVAL FOR
,SSACHUSEt� SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM
Applicant Test No
Site Location N.!J
Reference Plans and Specs. (
ENGINEER DE GN DATE
Permission is granted for an individual soil absorption sewage disposal system to be installed
in accordance with regulations of Board of Health.
CHAIRMAN,BOARD OF HEALTH
Fee-... Site System Permit No. /,�l