Lot 35 Cert. of Compliance THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEA TH
' /
� e or....N U � 7 t a 51991
eirrfifirttte of Qlumplian r
TH#! O�TIFA' That t Individual Sewage Disposal System constructed ( or Repaired ( )
An ?t-' Y��w installer
at.... 3,5 - tie -7 it. A-wt me
has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as describ in the
application for Disposal Works Construction Permit No J'f}-g ? %.
3 dated. . /�-
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM LL FUNCTION /SATTI,SF FACTORY. ,{ /�
5'.1../---/.9-/..7 Inspector (-e- -'Y�f"_+.+ fe�..r.�..�1