HomeMy WebLinkAboutCertificate of Compliance - 82 RALEIGH TAVERN LANE 10/18/1999 TOWN OF NORTH ANDOVER
BOARD OF HEALTH
CERTIFICATE OF COMPLIANCE
DATE OF COMPLIANCE:
10/18/99
This is to certify that
the individual subsurface disposal system
constructed O or repaired (X)
by
Todd Bateson
at
82 Raleigh Tavern 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# 1061 dated 3/19/99.
The Issuance of this certificate shall not be construed as a guarantee that the system will
function satisfactorily.
Board of Health Inspector
TOWN OF NOR'T'H ANDOVER
SEWAGE DISPOSAL SYSTEM
INSTALLATION CERTIFICATION
The undersigned hereby certify that the Scwaagc Disposal System( )constructed; ( repaired;
by
located.at__ �✓ -�I ! �! L
was installed in conformance with the North Andover Board of health approved plan,System
Design Pernait# _ ..._.:__,dated --I 1 r--c ,Z with an,approved design flow of
,gallons per day. Ile materials used were in ednformance 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 represent on the As-built which has been submitted to the Board of Health.
� . .
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Installer: d Lic• #: �- ✓ Date: (r
Design Engineer: Date :22°'�
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No.3"52
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