HomeMy WebLinkAboutCertificate of Compliance - 202 LACY STREET 11/8/2010 61
'R' �• C4YG LA"d
Tgo
�C14u �
PUBLIC HEALTH DEPARTMENT
Community Development Division
CERT1EjCXqYEU'-'tT COMPLIANCE
November 8, 1
ghis is to cert95 that the individuaCsu6surface drsposaCsystem received a
S,gg7SF,qCT0 T1;NS C` 70Xof the:
ftfitcement ofan
YNOSeptic m
On-Site Sewage 04osafSystem
By
Dan w0 [Bn"scoe
202 LgOL,�trret
Wap"i 05.C; Tatoref-0008
, WA o1845
The Issuance this cert cafe shaCC not 6e construed as a guarantee that the system wiff
functions ' actoriCy.
a Sawyer S/xS
1n'u Cic CeaCth Director
1600 Osgood Street,North Andover,Massachusetts 01845
Phone 418.688.9540 Fax 978,688.8476 Web www.townofnorthondover.com
TOWN OF NORTH ANDOVER ,aORTW�
Office of CC NEMUNITV DEVELOPMENT AND SERVICES
HEALTH DEPARTMENT ;
4M OSGOOD STREET
'FORTH ,kNDOVER, MASSACHUSETTS 01845 �����C14USg��
978.688.9540— Phone
Susan Y. Sawyer, REHS/RS 978.688.8476—FAX
Public Health Director E-MAIL: heal thdent,ai tovvnofnorthandover.com
W EBSITE: htt :.'.vvvvw.townofnorthandover,com
TOWN OF NORTH ANDOVER
SEPTIC✓ DISPOSAL SYSTEM ® INSTALLATION C:ERTIFIC;ATION
The undersigned hereb y certify t
"
zat•t.he Sewa g e Disposal S y stem f "
constructed; paired;
by ' / ..
(Print Name)
located at
(Installation Address)
was installed in conformance with the North Andover Board of Health approved plan, originally
dated , "`" and last Revised on ° , with a design flow of il"I
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.
Bed inspection date:"
Engineer Representative(Signature)
s,
And- Print Name
Final inspection date:
Engineer Representative(Signature)
And-Print Name
� rmur m�smau ,vw1.
d.. �.. a rF �^
Installer. --(Signattue) Date. �°
And- Print Name
Engineer:— / �......
(Signature) Date: _
And-Print Name
firy „ , pyP
��'✓ qk� ��� '� fi rvP f
� I��rr JM�°msy,,,J�^M�'mx�i5nr� ��j1+�Jwrylil4Nmm5!�^���i�4���FFI�Yi�i'iS�NfifPia�yJlp7�fiWd1�' wJ�a�6w�,�7 �I'M 'II�4w
r
I �
v fi Owl
i
n,^,;Wyvr��r�'�i.�i�'?Y�uwj�rim>7yfi�ni��im�+mr�,mn7�A�m��i��riM)r� !" "�m,�➢ '>"�'N"�nY'��"�%�i� p �// ,
Y
Wnr,,�rm;"7'/'invmro�mmniym�n�^'^ ,,,T75^n„wN�+mmsnrrm�+fi�7;J � r�rrm ^,r^', JJY^' lry,,"�f" %sr�f
l
y �
rll��l W' I
uc V
�r^NY�rfni✓�'�i;�1,�!H�owl'1�'na^9P56'�iri1FMMyR"mYNNHN yyy1J""�""G+N P'"W rvaa,�ry'.i+SNNr,1➢!�A�'lNiJ�"`n»N;s'n;5n„mN+INB,�m'fia�XnNdwa N,*AnmmXn,'�HWF thr
Orr,
I///z/orr
I V
7
I,v hio .
� U
o ,
W
I
JAi'rr fi
/
/
a
r" vl
,a n
1�
(I
J ��
Ili y vi
F ;
9
1
�I
do
�r, /I «,'", ,,,,/ /�igrrams�rra7iwoaflYlfe6d�k'AG1�ar�6u'vre, //S,�
r,
F;
i� it f
� s
A
«gglbv
r.
r °
r
�" u lum uuuuuuiuuuu IIIVII IIIIIIIIIIIIIIIIIIIIIII uuuupuum I II r ,
p r�
r
IJ Viu� ��i ii�l v� uu u
n I�U, 111111
I ulll
J
r
rr
I
r
r
r�
(� l cif/�i a�rl%/�r�f Ir� �/ /�� �r�,�J� ;.rY Y ,,f � F✓�; n are �9'�
I (//� / of ��Ifrr✓ %fir � / !f�/// ,f } %� 4,, �r f } 1. %%i rl f'
x-
I
r
r..
1 II
i
r I III
joy
r
.........
... .....
.........................
,.. ✓,i � ,:< ;; nlr- - , � (� ��jiil� �1� ! l"I ry,Yr„,1 (� r/�' r�/� '� /%��j��
.............
n Duy19�i$ pp
///,/// wNw'�l'�'��'nNV,'�'wb'awt�iwiNrMn JYro�Plimw unHrww+aiyf,wJ'' YN�"+*rmmrwjryypiw:WN^� —+
e�e Mw
11) yy,r"n�m�rv�Xfi^Fi°�;^f'rim�n�9nrr�rwrmwwro�wrrv�Y��nawrrarm�m�mw»r mr,rwmmmx;wrvw�,md���nivr9A917YJ>y'AwrhnnN,r ADA1rx'x.;;' ;wnr�9'�yr�i;
Ij
s
Ijf�1T�ljj'"' ��1 ';Y,NI; "J1`w,y�"'°«,r"'"/`ii/`"+rs' mww r;mr�i ^^w mrlvnnrrm^urmYmw;AirA�r•➢n�erwrn�w:�„w rFr?n,�r�nrMrrnA7iarruM�rr %«,rr n^1J1�N�n;d A✓r�!
t
�����LrY��i9�/1 1�'x�nmrlem�/�rwtyrrwn re� »ixnrmiwr�ynnmrwr�ynwnr; Ar ,�,� ,�www�,mohr�m�wwrrwmr�owrwwwiwt ,rpw �,.,..
` �y�'�Nw�'�NYf.7YY'?�„"1Ukim� ow�wwr{�rri�uJwW,Y�NJyJ',wf�iN!<”�nr^�fJHJJyJ" }I�)'�1w1w;��rA��9n wwo orW'�mw.w YChf� rerrm�ro�DwymrrvSNj .u,�,wwy;,ry�yJ✓�Awmwwmr+r� r^��✓m✓r iiF✓,+gwiNN{fiy?+rv�u(a'.iwowf '�
� r
I bn� 'nl>hSJ�vrmwmry ten rrmwmr�xm* wr��ynaan�+rom n�ixA o^mtiuw;M1.wrvww�wsw vn rWw;wr,„W�,m�nw,' w;z
o ti
r 'w�rw,a,�a,%mmw,wx,wrasm,mwro-gbmvMwwrtrorrwr ran ,,, „w�r«r�mmNrrrrm ww;rma+MKmrwFNww,wwuroiiow�,ye�,„y `.. `', ;i ,„ �'
. ww.wwaww,mn nivrorm,,«w�wmworvrmyr>wrvrrnwp;M�wrmAem wvrn,. ,,�nre»yf�wrew„ ,wwrniKumwFw,mwo „ � r�, �p Mn.„
aA
nMawx t�el!Mau ��I '
1 o rail' ,
w,o
1wmr,*;rnww!r�I"�rri7,rvrrMwrl>�rl]wr� rtmW�w;,"9„ ,wr' yl➢y,ri�wrvrwro>y wrm i � �;.�, i .W ,a,, s ,,,,.. ( i �a
V m.+w,.r„�,mwnwnmro.m"wwr, ,ww:,w mr n„oynw,wm�myrim�m
, U��i'l�q �rorw7'yJ"»,rtnimmrwnrom"?.,'A„'.;,wmr«yprwn„ry,��'iwn77l'lM^>J"fi;',^innrm�mor;rAr nmfrww,w,;nn°�IyA;�v�lil' r ”" �i,d�f t4/r�,h ;�l�j�l�%" U � ./ `� '
�, „ ,� f ➢ �Mju yrnrmn oyyrwJn7 "�"ry�?`dUd'tl'Y'!J 'l7nIUlUIVI e" ,�UI�Aww�nww�ni� ���nm�mr awwrtrwur��l�rwnd r�jw", d�'N�YJ�t,��//�� ���d ��� ��U � 9M el' U
A3
AM.GG G i,XQiD� '�f'M
a
t
i,�°�, ��,„ y��i; ;a�� /�r�7�ni'o i cur V'�r?6? rwYIA�Y/�Y/I��HVk✓ ”f r %� N�,�/ � u'a
!" I
II I I„�, 1111111 ,tirli
l I r�l