HomeMy WebLinkAbout09-38 Certificate of Compliance 3/20/09t , r-c Z - I v N{•-.a\7 C',e ✓ s
No., W S h j� FEE t/ [J
COMMONWEALTH Of MASSACI-IUSI TTS
Board njHecalth,
CERTIFICATE Of COMPLIANCE f J
Description of Work: l kV9vidual Component(s) O Complete System S 5 'r � ; C'
The unders ied hereby cert�that the Sewage Disposal Sy tem; Constructed ( ), Repaired ( ), Upgraded ( ),[Abandoned ( )
at
has been installed in accordance with the prop isions of 3 0 CMR 15.00 (itle 5) and the approved design plans/as-built plans relating to
application No. 0 g dated Approved Design Flow 'f (gpd)
Installer ��. .;3 �����N �• 4""" q,
Designer: L` "S SI��Y�� Inspector: LDS �' 't2 r ��/`'� Date:
The issuance of this permit shalt not be construed as a guarantee that the system will function as designed.