HomeMy WebLinkAbout04-505 Certificate of Compliance 5/3/05No.5 -�FEE
CO MOlWFALTFI OF MASSACMSET S�os
Bnanzl of Heir111a,
CI RWEICATE OF COMPLIA-INC.F
Description of Work: D Indhidual Component(s) Complete System
The undersigned hereby certify that the Sewage Disposal System; Consu•ucted ( ), Repaired), Upgraded ( ), Abandoned ( )
at SC, i 4111t 7 j C-Y-% &t
has been installed in accordance with the provisions of 110 CNIR 15.00 (Title 5) and the a proved design plans/as-built plans relating to
application No. �� dated `` Z- Approved Design Flow • . ,(gpd)
Designer: r,��,� t Inspector: Date: l y U
The issuance of this permit shall not be construed as a guarantee th t the system will function as designed.