HomeMy WebLinkAboutCertificate of Compliance - 495 REA STREET 4/29/2004 Town of North Andover wORTy
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Office of the Health Department o� °°
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Community Development and Services Division
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27 Charles Street °4
North Andover,Massachusetts 01845 ��sSACHUS`�t�y
Susan Y. Sawyer, REHS/RS 978.688.9540-Phone
Public Health Director. 978.688.9542-Fax
TOWN OF NORTH ANDOVER
BOARD OF HEALTH
CERTIFICATE OF COMPLIANCE
DATE OF COMPLIANCE
April 29, 2004
This is to certify that the Sewage Disposal System was
repaired (X)
by
Todd Bateson
at
495 Rea Street
North Andover, MA 01845
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.
The Issuance of this certificate shall not be construed as a guarantee that the system will function
satisfactorily.
Susan Y.Sawyer,RE S/RS
Public Health Director
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
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Page 1 of 1
DelleChiaie, Pamela
From: Pamela DelleChiaie [pd ellechiaie @townofnorthandover.com] on behalf of DelleChiaie, Pamela
Sent: Friday, April 16, 2004 4:05 PM
To: 'Dufresne Bill (E-mail)'; 'Dufresne Bill (E-mail 2)'
Cc: Sawyer, Susan
Subject: 495 Rea Street-As Built Items Missing
Hi Bill,
The following items need attention on the As Built that we received from you today for 495 Rea Street:
1. No Reserve Area is indicated
2. There is no Stamp and Signature
Please contact Susan Sawyer at wwyer@(,.)ww�iofrir)rlWa a idc9 vet com, or call 978.688.9540 to follow-up with this,
as the homeowner, Mr. Crowe, is anxious for his COC.
Thank you.
Pamela Det/e(lhi r e, Health Dept. Assistant
'Tevrrr of North Artdovpr
C':lotnrrr nit,y Deve/o/:rr ent& Ser k,es
T Charles Sta;',1 of
fVorth Andover,r, M 1845
/acfelle tiiai e@towt)ofi,7ottt:atidovet corn
7'o t, 978-688-,9540
540
Fax 978,688-9542
4/16/2004
...,.. ....
tit 01 N1111111
TOWN OF NORTH ANDOVER SEWAGE DISPOSAL,,Sy ...
TEI --,,.
INSTALLATION CERTIFICATION
The undersigned hereby certify that the Sewage Disposal System ( ) constructed;
( repaired:
by �r-
located at 5�7 gip—was installed in conformance with the North Andover Board of Health approved plan,
System Design Permit# dated with an approved design
flow of IkL 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
Final inspection date:
Engineer Represe tative
Installer:
Lic.#: Date: °
Design Engineer: --rte Date: . _ �-