HomeMy WebLinkAboutseptic disposal system installaion certification - Consultant Review - 37 WELLINGTON WAY 6/27/2017 O � S6gTCF.OgN�..�.
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PUBLIC HEALTH DEPARTMENT
Community.&Economic Development
TOWN OF NORTH ANDOVER
SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATION j
The undersigned hereby,certify that the Sewage Disposal System O constructed;( )repaired;
By:Dave Maynard
(Print Name) i
Located at:37 Wellington Way(Lot 6 Wellington Woods)
(Installation Address)
Was installed in conformance:with the North Andover Board of Health approved plan,originally dated
and last revised on 12/22/16 ,with a design flow of j
440 gallons per day. The materials used were in conformance with those specified on the I
I
approved plan;the system was installed in!accordance with the provisions of 310.CMR 15.000,Title 5 and local j
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.
I
Bottom of Bed Inspection Date:
Engineer Representative(Signature)
And—Print Name
Final Construction Inspection Date: 6/1 6/1
E neer Representative(Signature)
I
And—Print Name
Installer: (Signature) Date: 7
i
An —Print Name
Engineer: Signature) Date: 1f I
Phil Christiansen, P.E.
And—Print Name ?
{
120 Main Street, North Andover,Massachusetts 01845
Phone 978.688.9540 Fax 978.688.9542 Web http://www.northandoverma.gov !