HomeMy WebLinkAboutSeptic Installation Certification - As-Built Plan / Installation Certificate Form - 597 FOSTER STREET 1/13/2021 PUBLIC HEALTH DEPARTMENT
Community 3 Economic Development
TOWN OF NORTLI ANDOVER
SEPTIC DISPOSAL, SYSTEM —INSTALLATION CERTIFICATION
The undersigned hereby certify that the Sewage Disposal System(x)constructed;( )repaired;
By. Daniel and Andrew Fonzi
_ (Print Name)____
Located at: 597 Foster Street
(Installation Address)
Was installed in conformance with the North Andover Board of Health approved plan,originally dated
08.10.2020 and last revised on 11.05.2020 with a design flow of
330 - 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. Q
24.20
Bottom of Bed Inspection Date: 11. ___�_
Thad Berry Engineer Representative(Signature)
And-Print Name 12.3.20 L741,
,j �7 19
Final Construction Inspection Date:
Thad Berry Engineer Representative(Signature)
And-Print Name
Installer: D (Signature) �- Date:— 12.6.20
And-Print Name
Engineer: _ _(Signature) Date: 12.6.2020
Thad Berry
And -Print Name
120 Main Street, North Andover, Massachusetts 01845
Phone 978.688.9540 Fax 978.688.9542 Web http://www.northandoverma.gov