HomeMy WebLinkAboutSeptic Disposal - Installation Certification - As-Built Plan / Installation Certificate Form - 500 BOXFORD STREET 1/19/2021 � r
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PUBLIC HEALTH DEPARTMENT
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TOWN OF
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SE I("' DISPOSAL SYSTEM—INS'I"'ALLATION CERTIFICATION
Fhe undersigned hereby rti'Vy that the Sewage 1"Jispo .1,S t 'In M constructed- ��� r pair d-
Heider
B _" _ Heider ng Associates L. Hede Buildi e LC.. ......� _�.
(Print Nanie')
xc ted at-, 500 Boxford street North Andover
(t i t:al lation Address)
Was 1"n talled, 'in,icono i� ,,with the N rth,An over -d of'[Jeafth approved plan,orginal y dated
9-26-2018 and,last revised an 9-26-2018 With a delsigti, flow f
440 gallons per day, The ni, t rule used,Nvere . , o i,t'rM,avue with those sped"ti d on,the
ap
t sy t _ accordance �. 10. Via. . 00 Title 5d focal roved
r . tl. t on ,andthe I nal grading agrees u ti afly w thtie approved,plan. All work is acicurately represiented on,
the ArS-,b,ul'lt which has,been stibrnitted,to the Board,of le th,.
Bottom,of&d t.nst cti n Date ......
11-23-2020
Dennis A. Griecci
And Print Nallne
Final Construction I
on tr t o nspe tli o Date: „.. 2020 III �"."�,.•'�.�����."��"�°�� �u � � i�
. m ry
Dennis A. Griecci EngineerReprese'"lative(Signature)
An _-Rdnt Name
y e
Date: 1-16-2021
James Heider- Heider Building Associates LLC
d ...P fin t N a
Engineer: Signature) eats: 1 19 2021
Dennis A. Griecci
And-1-1 Pritit Name
120 w St, iorth Andiove,r,, Mossachuselftsi
Phone9,78.688.9,540 ;... .9 -4 We ," ,.-//w,w,w.no,rthandoverm,