HomeMy WebLinkAboutMiscellaneous - 1433 Salem Street 1433' Salem Street
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Form No.4
Town of North Andover, Massachusetts
BOARD OF HEALTH
19 '74
CERTIFICATE OF COMPLIANCE
This is to certify that
the Individual Soil Absorption Sewage Disposal System constructed (J-� or repaired ( )
by
INSTALLER
at ,. �y��. �. � Vit• — 3 >
SITE LOCATION
has been installed in accordance with Board of Health Regulations as described in the Design
Ii
Approval Site System Permit No. dated 19 .
The issuance of this certificate shall not be construed as a guarantee that the system will
function satisfactorily.
BOARD OF HEALTH ENGINEER
o
DESIGNER'S CERTIFICATION
This is to certify that the subsurface sewage disposal system
installed at SAL t A4 's -f- - D Subdivision Lot. No.
a d fres s
Town Lot No. and Town Map No. has been in-
stalled in strict accordance with the plans and specifications ap-
proved
P
proved bar the Board of Health. This certification includes
1 the location, grades and materials of all components of the system.
Dat8 gna
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4,' P%Fiji b is k e s t4t. B A i's 13ig eR
Seal
Note: This must bedelivered to the
Board of Health within 48 hours
following the approving inspection.
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ABSORPTION AREA
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ABSORPTION BED END SECTION
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JJJi ABSORPTION BED PLAN
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OBS. HOLE PERC. HOLE PERC RATE TEST DATE
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