HomeMy WebLinkAboutCertificate of Compliance - 427 WINTER STREET 1/6/1998 Form No.4
Town of North Andover, Massachusetts
BOARD OF HEALTH
January h 19 C)p
CERTIFICATE OF COMPLIANCE
This is to certify that
the Individual. Soil Absorption Sewage Disposal System constructed ( ) or repaired (X)
by Ben Os Dod JR. ! --
INSTALLER �.
at 427 Winter Street
has been installed in accordance with Board of Health Regulations as described in the Design
Approval Site System Permit No.— 99'? —dated ,. 29
19. 9-7
The issuance of this certificate shall not be construed as a guarantee that the system will
function satisfactorily.
BOARD OF HEALTH
i
TOWN OF NORTH ANDOVER
SEWAGE DISPOSAL SYSTEM
INSTALLATION CERTIFICATION
The undersigned hereby certify that the Sewage Disposal-System( ) constructed; (>()repaired;
locatedat 1 � .. r / c='d .
was installed in conformance with the North.Andover Board of Health approved plan, System
Design Permit# '(2 dated '' 5 'µ , with an approved design flow of
gallons per day. Thamaterials used were in conformance with those specified on the approved
plan; the system was installed:ifi 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.
Installer- w =.�..D ...#:f�Y., . w Date: ' Y S
Design Engineer:1, �` ° Date: J� u