HomeMy WebLinkAbout- As-Built Plan / Installation Certificate Form - 2 BANNAN DRIVE 2/7/2019 i
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PUBLIC HEALTH DEPARTMENT
Communily&Economic Development
TOWN OF NORTH ANDO'V"EIt'
SEPTIC DISPOSAL SYSTEM-INSTALLATION CERTIFICATION q
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The undersigned hereby certify that the Sewage Disposal System(')#)constructed;( )repaired;
(Print Name)
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Located at: Z, a ftn_ +M ._ _...........
(Installation Address)
Was installed in conformance with the North Andover Board of Health approved plan,originally dated
7131/Zo 1,8 and last revised on. 110 Z oft ,with a design flow of
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_.....__L_jJL r.O.__ 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. CM'R '15.000,Title S and local
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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,
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Bottom of Bed Inspection Date: �"L 1 Qs Z01
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Engineer Representative(Signature)
And—Print Name
Filial Construction Inspection Date:
Engineer Representative(Signature)
And—Print Name
(Signature)
�Installer;
f An --Pri
nt Name
Engineer; , " 1�,. �-� (Signature) �Date:�-i- l
And Print Name
120 Main Street, North Andover, Massachusetts 01845
Phone 978.688.9540 Fax 978.688.9542 Web littp://www.nortliandovernia.gov
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OFFICE (781)-599-7934 FAX (781)-842-0260
Email —,jim.k.ecorp(q gmail.corn www.kellettexcavating.com
Board of North.Andover Health Department
1,James Kellett of Kellett Excavating LL.0 am writing this letter to guarantee that Kellett
Excavating will be hack to 2 Bannan Dr. to finish the complete job as of grading, loaming, and
hydroseeding as specified in the detailed contract. If weather cooperates our estimated
scheduling dates would be sometime in April ol'2019 but not held to, due to inclement weather.
Best regards,
rarnes R. Kellett, President
Kellett Excavating, UC
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