HomeMy WebLinkAboutCertificate of Compliance - 1475 TURNPIKE STREET 12/12/2006 ORT
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PUBLIC HEALTH DEPARTMENT
community Development Division
CERTI(FIC -' w
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As of:
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This is to certify that the ind viduaCsubsurf ce dsposaCsystem received a
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'Fuff Septic nystem Repfacement
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1475 c1limpike Street
Jorth,4ndover, 9VIq 01845
The Issuance of this certificate shaCC not 6e construed as a guarantee that the system wiCC
function satisfactonCy.
—;sa 2 �'�Sawyer
(Pu6h'c YCeaCth Director
1600 Osgood Street,North Andover,Massachusetts 01845
Phone 978.688.9540 Fox 978.688.8476 Web www.townofnorthondover.com
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PUBLIC HEALTH DEPARTMENT D E C �� ��� 2006
Community Development Division
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TOWN OF NORTH ANDOVER
SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATION
The undersigned hereby certify that the Sewage Disposal System( constructed;( )repaired;
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(Print Name)
Located at i 1..4 C � ,
(Installation Address)
`v'Jas installed in conformiance with the North Andover Board of Health approved plan,originally dated
I G>, ° ? ' ° i and last revised on t �2,with a design flow of
7 gallons per day. The materials used were in conformance with those specified on the
approved plan;the system was installed in accordance with the provisions of 310.CMR 15.000,Title 5 and local
regulations,and the final grading agrees substantially with the approved plan.All work is accurately represented on
the As-built which has been submitted to the Board of Health.
Bottom of Bed Inspection Date: N "y I ✓' (�
Engineer Representative(Signature)
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And—Print Name
Final Construction Inspection Date: It—Z'[ 1611:11
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Engineer Representative(Signature)
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And—Print Name
Installer: �`,( '„ (Signature) Date;
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�I And—Print Name
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Engine' + le.-(Signature) Date:
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'ry' �C1Ni4 And—Print Name
1600 Osgood Street, North Andover, Massachusetts 01045
Phone 970.600.9540 Fax 970.6$0.0476 Web http://www.townoftiorthandover.com
DEPT. of HEALTH DEC-5-2006
T«ANT OVE , MA
TO WHOM THIS MAY CONCERN.
WE, JIMMIE AND AUDREY RUCKER, AGREE TO
ACCEPT THE RESPONSIBILITY OF - SEEDING
AND MAINTAINING THE GROWTH . ASS
AT 1475 TURNPIKE STREET, MANDOVER, MA.
WHERE A NEW SEPTIC; SYSTEM HAS BEEN
INSTALLED. THE CONTRACTOR WILL BE
RESPONSIBLE FOR G AND REMOVING ALL
LARGE ROCKS AND STONES AND ADDING A
LAYER OF TOP SOIL FOR THE SEEDING AREA.
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SINCERELY
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