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�1 Town of North Andover, Massachusetts Foam rvo. 1 '
BOARD OF HEALTH
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APPLICATION FOR SITE TESTING/INSPECTION
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Applicant
NAME ADDRESS TELEPHONE
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'Engineer
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NAME ADDRESS TELEPHONE
Test/Inspection Date and Time
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CHAIRMAN,BOARD OF HEALTH
'Fee Test No.
S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No
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Town of North Andover, Massachusetts Form No. 1
NORTH •A BOARD OF HEALTH
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O"R4T[o TED �'� APPLICATION FOR SITE TESTING/INSPECTION
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Applicant
NAME ADDRESS TELEPHONE
Site Location
Engineer
NAME ADDRESS TELEPHONE
Test/Inspection Date and Time
CHAIRMAN,BOARD OF HEALTH
Fee Test No.
S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No.
Town of North Andover, Massachusetts Form No.a
0-4 o0RTM BOARD OF HEALTH
F p 19
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ob,,,,o,;., DESIGN APPROVAL FOR
ss "USES SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM
Applicant_ �'���� y Test No
Site Location l ST
Reference Plans and Specs.__ i4 , l )z�z
ENGINEER DESIGN D A TEJ
Permission is granted for an individual soil absorption sewage disposal system t n led
in accordance with regulations of Board of Health.
C ,136A RD OF HEA H
Fee l(s� Site System Permit No.
DA`Z'E �
-- Sheet__ _ l of
BOARD OF HEALTH
TOWN OF NORTH ANDOVER
SUBSURFACE DISPOSAL DESIGN REVIEW
FEE � � ##
DATE RECEIVED
-
ASSESSOR' S PERMIT I'f ASSESSOR' S MAP
ADDRESS PARCEL $�
LOT It - -
ENGINEER C W �/ STREET :b
ADDRESS /6.0 ;lL 7- 4V CIZWIIII A
PLAN DATE X13 Z�l REVISION DATE
CONDITIONS OF APPROVAL:
APPROVED
DISAPPROVED
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TOWN OF NORTH ANDOVER
LOT RELEASE FORM
SUBDIVISION
ASSESSORS MI'
SUBDIVISION LOT(S)
Pr NENT ADDR1; (ASSIGNED BY D.P.W.
STREET !2 c T.
APPLICANT �. �- PRONE q 1® - q
DA'T'E OF APPLICATION ! 9 !
TOWN USE BELOW THIS LINE
PLAN4LANNER L'OA[ ll llA'1'E APPKUVED TOWN DATE REJECTED
CONSERVATION COMH ION
'-�y DATE APPROVED IUD AA1
CONSERVA' ON ADTIIN. uwztF l�tE_':& W�,44 t DATE REJECTED
BOARD OF HEALTH
DA'Z'E APPROVED Cs
It-ALTH SAI I.TARIAN DA'Z'E REJECTED
Is' DEPARTMENT OF PUBLIC WORKS ':O>
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DRIVEWAY PEIZriIT 131( j c
SEWER/WATER CONNECTIONS No d 46WAJ Ar- D Y cw
�---FIRE DEPT.
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RECEIVED BY BUILDING INSPECTION
DATE
This form shall be signed by the agents of the Planning and Health Boards ,
the Conservation Commission prior to the issuance of any building permits
for the subject lot. This form shall not releive the applicant from the
` ' compliance of any applicable Town requirement or Bylaw.
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SUBDIVISION LOT(S)
PEWANENT ADDRE (AS SIGNED BY D. P.W.-)--
STREET /ZJ
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APPLICANT
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PHONE
DATE OF APPLICATION 191
TOWN USE BELOW THIS LINE
PLAN ' N BOA
DATE APPROVED
TOWN 'PLANNER DATE REJECTED
CONSERVATION CMK S,�S VON
DATE APPROVED to /? el
CONS ERVA(T'14ON AJJIMIN.--
DATE REJECTED
BOARD OF HEALTH
DATE APPROVED
HEALTH SANITARIAN DATE REJECTED
boe DEPARTMENT OF PUBLIC WORKS
042)L/
DRIVEWAY PERIM
SEWER/WATER CONNECTIONS -D��
FIRE DEPT.
RECEIVED BY BUILDING INSPECTION
DATE
This form shall be signed by the agents of the Planning and Health Boards,
the Conservation Commission prior to the issuance of any building permits
for the subject lot. This form shall not relelve the applicant from the
compliance of any applicable Town requirement or Bylaw.
FOR U - LOT RELEASE FOR
INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from
Boards and Departments having jurisdiction have been obtained. This does not relieve
the applicant and/or landowner from compliance with any applicable or requirements.
*" **' ***************APPLICANT FILLS OUT THIS SECTION"
APPLICANT j274y L /-1, rz�c l�r�T7 PHONE f iJ- 171
LOCATION: Assessors Map Number _ PARCEL
SUBDIVISION LOT (S)
/STREET_ .��� ST. NUMBER /off
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OFFICIAL USE ONLY
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RECOMMENDATIONS OF TOWN AGENTS:
I
CONSERVATION ADMINISTRATOR DATE APPROVED
DATE REJECTED
COMMENTS .
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TOWN PLANNER DATE APPROVED
DATE REJECTED
COMMENTS
FOOD INSPECTOR-HEALTH DATE APPROVED
/ DATE REJECTED
V/ SEPTIC INSPECTOR-HEALTH DATE APPROVED oZ
DATE REJECTED r
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COMMENTS
PUBLIC WORKS -SEWER/WATER CONNECTIONS
DRIVEWAY PERMIT
FIRE DEPARTMENT
RECEIVED BY BUILDING INSPECTOR
DATE
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DATE 10 1 G 1
Sheet of
BOARD OF HEALTH
TOWN OF NORTH ANDOVER
SUBSURFACE DISPOSAL DESIGN REVIEW
FEE PERMIT # DATE RECEIVED v I
APPLICANT ASSESSOR'S MAP
ADDRESS PARCEL #
LOT #
ENGINEER _ gTI(w c 5eW STREET
ADDRESS I&V 5irM 6V_ fyT 4 �cl(
PLAN DATE REVISION DATE 71
CONDITIONS OF APPROVAL:
APPROVED
DISAPPROVED
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Sheet of
BOARD OF HEALTH
TOWN OF NORTH ANDOVER
SUBSURFACE DISPOSAL DESIGN REVIEW
FEE PERMIT # DATE RECEIVED
APPLICANT _ ��� _ ASSESSOR'S MAP
ADDRESS PARCEL #
LOT #
ENGINEER _ � -Srlws F ;r` � REET 7°
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ADDRESS _ �dl� � � r �/11�
PLAN DATE REVISION DATE
CONDITIONS OF APPROVAL:
APPROVED
DISAPPROVED
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kTUS'E'Ff'S 01830 �...�_ (5 08) 3710310
October 7 ,
Mr . Michael Rosa.t t i
Board of Health
Tol:qn o f North Andover
1 ''Ci t-lain Street
t1or th Andover , 1H 01845
RE : 23A Forest Street
.�t r• t••1 i k e :
I am unaware of any regul a.t i one. that require =_•ept i
tank or
pump chamber to be 25 feet .l r'om an i of i 1 teat i or+
trench, . In f.a.ct , Nor thl Pin dover regul za.t i on•.. do not regli i re
.;.n;�' M,ep +.ra.t i on betv)een a. 1 each i ng bae•i n and a. septic tank
4 . 1 .': . Ordi na.r• i I Y I vaou1 d cornp1 VJi th1 l our reque=_.t i f
��!� ,I t , but in this Ca.c,e UJ a,r°P r•estr' I cted becau'i,•e of the
I`:ci{ te r_• r':'a.is I 0 1 Comm I se.i on .
I,,I:a•t 1 1 be __•uppl i ed b W e 1 1 i n rear• of ciou s,e
,�r��a.t r. i.t�a•n 50 feet frcor'I the septic tank .
okr•;r truly ;yours
P hl l i p G. C.h r e s t l
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