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Board of Health, Yarmouth, MA Fee
CERTIFICATE OF COMPLIANCE $55.00
Description of Work: Install new 1,500-gallon H-10 tank, new dbox-5 & 4—500-gallon H-20 chambers.
The undersigned hereby certify that the Sewage Disposal System; Upgraded
by: CAPE COD SEPTIC SERVICES
at: 50 PARK AVE, WEST YARMOUTH, MA 02673
Has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved
design plans or as-built plans relating to application No.: BOHDC-22-0101, dated 01/23/2023.
Installer: CAPE COD SEPTIC SERVICES
Address:350 ROUTE 28 WEST YARMOUTH, MA 02672 Inspector: Brian G. Yergatian, P.E.,LEED AP
Designer: BSC Group
Bruce G. Mur by PH(7k/Vt—i-0 - , R. , CHO/James G. Gardiner
ealth`Urrector/Assistant Health Director
The issuance of this permit shall not be construed as a guarantee that the system will function as