HomeMy WebLinkAboutEngineer Certification TOWN OF YARMOUTH
ENGINEER/DESIGNER SIGN-OFF
ENGINEER/DESIGNER: Carmen E. Shay
ADDRESS: P.O.Box#1576
Mashpee,MA 02649
Dear Sir or Madam:
On November 12,2022, Stingray Excavation was issued a permit to install a system at
(DATE) (INSTALLER)
28 Captain Stanley,South yarmouth,MA on a design drawn by your firm dated 9/06/22.
(ADDRESS)
Expect to be contacted by the installer to arrange for your sign off certifying correct
installation of this system. Please remember,your sign off is necessary. Additionally,
take note that permits are valid for three years.
Please check off below, undersign and return to the Yarmouth Health Department.
XX I certify that the system referenced above was installed substantially according
to the plan.
I certify that the stem r• •renced above was ins • ;r anges but in
accordance . St .e&i ,al ' .ulations, re Z. as-.7' • engineer to
follow. (;ARE E iF:
SHAY �
(ENGINEER/D E' ' GNATURE ( ,pdn 1181�`� A )
FatsTe��*
PLEASE RETURN TO FALMOUTH HE TH DEPA' s ' R ' ITHIN FORTY-
FIVE (45)DAYS OF YOUR INSPECTION. THANK YOU.
(Reference—310 CMR 15.021)
RECEIVED
AUG 2 8 2023
HEALTH DEPT.
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