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HomeMy WebLinkAboutSeptic Design Approval - Resubmit - Receipt - 30 MILL ROAD 7/20/2023 A 94 � G i Town of North Andover `ti••.,,,,,;.=�' HEALTH DEPARTMENT CHECK#: &68 DATE: 7 'a0 aG J LOCATION: 30 H/O NAME: 5 - CONTRACTOR NAME: Type of Permit or License:(Check box) ❑ Animal $ ❑ Body Art Establishment $ ❑ Body Art Practitioner $ ❑ Dumpster $ ❑ Food Service-Type: $ — ❑ Funeral Directors $ ❑ Massage Establishment $ ❑ Massage Practice $ ❑ Offal(Septic)Hauler $ ❑ Recreational Camp $ ❑ Sun tanning $ ❑ Swimming Pool $ ❑ Tobacco $ ❑ Trash/Solid Waste Hauler $ ❑ Well Construction $ SEPTIC Systems: / ❑ Septic-Soil Testing F] Septic-Design Approval ✓✓✓ $/ 5! 1i ❑ Septic Disposal Works Construction(DWC) $ ❑ Septic Disposal Works Installers(DWI) $ ❑ Title 5 Inspector $ ❑ Title 5 Report $ ❑ Other. (Indicate) $ -7'1'-7,3557 Health Agent Initials White-Applicant Yellow-Health Pink-Treasurer