HomeMy WebLinkAbout- As-Built Plan / Installation Certificate Form - 2198 TURNPIKE STREET 9/6/2018 1: ,e
r
wr '
u
PUBLIC HEALTH DEPARTMENT
Y h 1a
fommuniR &Ecaitomic Aav®lo mant
M
TOWN OF NORTH ANDOVER.
SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATION
The undersigned hereby certify that the Sewage Disposal System( )constructed;%repaired;
By; JW Watson Co.
(Print Name)
Located at; 2198 Turnpike St
(Installation Address)
Was installed in conformance with the North Andover Board of Health approved plan,originally dated
6720-20.17 and last revised on 5-25-2018 ,with a design flaw of
330 gallons per day. The materials used were in conformance with those specified on the
e
appved plan; the system was installed in accordance with the provisions of 310. CMR15;000,Title S and local
xeulatlons,-and the final gt-ading agrees substantially with the approved plan. All work is accurately represented on
the As;bylt!which has been submitted to the Board of Health.
` 7
Bottai of Sed' nspection"Date -10-2018s �.
( '` Engineer Representative(Signature)
J6hn,MCQuJ1kin .
And Paint,Name
oi►struction]Cnspcctaon Date. 7-24-2018 all
IA gineer Representative(+Signature)
john Mt yilkin
Anel ;Prin(Name
P oPwAN U A,rcgeon Y „ r� .
(Sigxom.r.+ u.rr.v vn. R rx w...v rw rcr.rr...a,.0 .u..min @I mmav amwe• vrv�mu .¢m,uv xm;�mw,a,ttm rrvwnvr»
Installer: c nature) Date.
a
And--Print Name
VA (Signature) Date: e
John McQuilkin
r r;ar,dr�;r' r
And—PrintName
/rJJ�j /'1`rlfrifFt/rf J i . r
i
�1 6 Main Street, North Andover, Massachusetts 01845
�� r����� ���:� � ► e r9 .+ 8 C!. fax 178.688.954 eh littp://www.iiorthancloverma.gov
1 a rk