64 Construction Permit 2016 BOARD OF HEALTH
DONNA C.SALLOOM,CHAIR
SUWANIE SMRN,M.O.
JOANNE LEVIN.MD.
&ryrrn Wood,MPH Chador
Jove**.MPH,Halt Impactor
Patio Abbot RN,Public He Nurse
Heather McBddo.Clark
CITY OF NORTHAMPTON
MASSACHUSETTS 01060
OFFICE Of THE
BOARD OF HEALTH
212 MAIN STREET
(413)587-1214 NORTHAMPTON.MA 01060
FAX(413)587.1221
Onsite Septic System Construction Permit: Conservation Commission Review
JOTE: As of 1/1/11, Septic System Perks will not be issued by the Northampton Board of Health
ntil we receive this form signed by the Northampton Conservation Commission Staff Member.
he Conservation Commission can be reached by contacting:
O Sarah LaValley,Conservation, Preservation and Land Use Planner
$LaVallevanorthamotonma.aoy
Office of Planning&Development
210 Main Street, Rm. 11,City Hall
Northampton, MA 01060
vperty Owner,-//fin/ /11/)5 i5 7*. Address' aGt/C's - 5 Pj
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sion Conservation, Preservation and Land Use Planner