HomeMy WebLinkAboutCertificate of Compliance - 36 PATTON LANE 7/12/1999 TOWN OF NORTH ANDOVER
BOARD OF HEALTH
CERTIFICATE OF COMPLIANCE
DATE OF COMPLIANCE:
07/12/99
This is to certify that
the individual subsurface disposal system
constructed () or repaired (X)
by
John Soucy
at
36 Patton Lane
has been installed in accordance with the provisions of Title V of the State Sanitary Code
and with the North Andover Board of Health regulations as described in the Design
Approval Site System Permit # 1046 dated 06/03/99. L
The Issuance of this certificate shall not be construed as a guarantee that the system will
function satisfactorily.
Board of Health Inspector
'roWN OF NORTH ANDOVERSENVAGE, DISPOSAL SYSTE NI
INSTALLATTON CERTIFICATION
7-ie unde,-signed he-eciv cl-r-tif,,, that the Sewage Disposal System constructed;
rai
co
located at
vvas installed in coT6,Dt-mance with the North Andover Board ofHeal'.z approved plan,
System Design permit ."14
dated wich an a,--crcved design
-I coriormance- VVI,IH 'hose
Cow CC '- allcns per da,,. The materials used were 1.
Qro,ed plan; the sysiern was instL11,2-i in accordanc�-, the provlsicns
s2ec: -ec or,, the ao v
oC3 10 CNMR, 1-5 000, Title 5 and local rexulaiions, and the 6=1 ,radInIr a2--l-les
substantially w�th the approved sL 11 ' k n - plan. All v/ork is accurately rcprese-itec on the As-built
vvhich has beeii submitted to the Boars oFHeajIL:'I.
Bed inspection date: Rzoresentative
Final inspection date-
leer Re--
L taller
L c. Date: C.' c
-
k?
Design Engineer- Date
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