HomeMy WebLinkAboutAs-Built Plan / Installation Certificate Form - 491 SALEM STREET 4/10/2012 SUMMARY—OF INVERT��___ BUILDING TIES
SEWER 0 FDTN. 95.74 BLDG, CORNER A I B I C THIS PLAN & CERTIFICATION IS NOT
SEPTIC TANK IN 95Z SEPTIC TANK OUT 43.8 43.3 A WARRANTY OF THE SUBSURFACE DISPOSAL
SEPTIC TANK OUT 94.94 PUMP TANK OUT 36. SYSTEM. IT IS A RECORD OF THE LOCATION
PUMP TANK IN 94.87 DIST. BOX 18.8 68.8 AND ELEVATION OF THE EXISTING SYSTEM
DIST, BOX IN 96.42 COMPONENTS,
DIST. BOX OUT 96.23E
INV IN CH/ B
BOTT. CIJA� I HEREBY CERTIFY THE LOCATIONS, ELEVATIONS, TIES, COVER MATERIAL;
EXPOSED COMPONENT COVERS ETC., SHOWN ON THIS AS—BUILT SUBSTANTIALLY
AGREE WITH THE APPROVED PLAN AND HAVE DETERMINED THAT THE BREAK
OUT ELEVATIONS, IF APPLICABLE, HAVE BEEN MET."
APPROVED DESIGNS PLANS.
SIGNATURE OF DESIGNER DATE
PORT 7_1
10DO CAL
PUW TAW
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WnM TAW
DW
SALEM STREET �j OF qeo
VLADIMIR L.
NEMCHENOK
OF
UBSURFACE T'
LOCATED IN
n NORTH ANDOVER, MASS./491 SALEM STREET
Tu AS PREPARED FOR
4 "'z, PAUL PROULX
TM: 38
0 20 40 80
MERRIMACK ENGINEERING SERVICES
66 PARK STREET
ANDOVER MASSACHUSETTS 01810
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