HAVERHILL BOARD OF HEALTH
ROOM 210 – 4 SUMMER ST
HAVERHILL, MA 01830
APPLICATION FOR PIGGERY/KEEPING OF PIGS PERMIT
Address where Pigs/Piglets will be located:_________________________________________
Daytime Phone Number:___________________ Evening Phone Number:_________________ Emergency Phone Number:_________________
Assessor’s Map______________ Block______________ Lot_______________ Lot Size:____________________
Requested Number of Pigs:________________________ Piglets:_____________________
All applications for a Permit shall include the following:
A site plan with a scale of not less than 1” = 20’ showing the Property where the Farm with Pigs is to be located and the location of all existing or proposed fences, structures and buildings located within the Facility, the location of manure and feed storage areas, the location of any existing or proposed Dwellings on the Property and abutting properties which are within 300 feet of the Facility, all potable water wells within 300 feet, of the Facility and the Property and all Wetlands and Watershed Protection District as defined by City Code Chapter 255-19 on the Property and within 300 feet of the Facility and the Property. The Board may require more information on a case-by-case basis as it determines to be necessary.
A detailed explanation, including pig manure management and feed management, of how the Performance Standards set forth in Section 8.0 will be met. .
The name and address of the Property owner, and, if different, the name and address of the person primarily responsible for operating the Farm with Pigs or the keeper of the Piglets
The number of Pigs and/or Piglets sought to be kept or on the Farm with Pigs.
A certified abutters list.
If an Applicant seeks Grandfather status, the Applicant must so demonstrate to the satisfaction of the Board compliance with the Grandfather requirements set forth above.
Office Use Only:
Board of Health Approval Date:________________________
Number of Pigs/Piglets Allowed:_______________________