35-012 (3) \ -\-
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALT
'n fttl
1ge Disposal System constructed (><,) or Repaired
S of ibed in the
application for Di,,I)os-,Il Works Construction Permit '� kS A GUA ANT E THAT THE
ICATE SHALL NOT BE CONSTRUED A
THE ISSUANCE or- THIS CERTIF