70 Permits THE COMMONWEALTH OF MASSACHUSETTS
r BOARD OF IHkLTH i
L( OF �
V �l � '{Ty,
Trrtifiratr of OInmplia trr .
TIII ,,I,,S//--TO R F1' That the Individual Sewage Disposal System constructed (V) or Repaired ( )
by I Zbi�... . II LL-ra /�
it l.04-MC. _.So,Ieri-[p) 'a"a `ows
tas Leen installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No 3/-9.5— dated. // —/ '95
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL UNCTION SATISFACTORY.
/ATR_ f /92 Inspector
fg6-QVer €9n- way
dxt
n _.
2 5
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HE LTH
OF .1/,q-.
1V /�7 (M T _
trttftratt Df IInmp(t t
C
THIS IS To CE TI Y, That the Individual Sewage Disposal System constructed
by Tied 0 .
at. LyA [q 1 �,tal�v
S US-C./cit.) KYfe�9"+.JS
has been installed in accordance with the p ovisions of TITLE 5 of The State Sanitary Code as dd scribed in the
application for Disposal Works Construction Permit No 3& 3 dated_ /./— /-x.a
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE a
or Repaired ( )
SYSTEM WILL FUNCTION SATISFACTORY.
DATE ,y} 'FLr oLe/ ?/6'
Inspector
THE COMMONWEALTH OF MASSACHUSETTS
BOARD HE/�LTH
No
Dispnsni nrkn @in�t(g� trnctinn Permit
Permission is hereby granted VO.cJ..
to Cocistruct ( or Repair ) an Individual ewa Dispo System
tL :o ,i,c, .?s S.o..)e (5/0 Plea � .
S[reet
as shown on the application for Disposal Works Construction Permit No
DATE A 4t-- / LZ '.5
FORM 1255 HOOBBSS & WARREN. INC.. PUBLISHERS
/O -3/-5 S
�� ate
Health
Boar
THE OMMON_s(y��ALTH OF MASSACHUSETTS
/ 7V MASSACHUSETTS
SE? 5 hle ifinite of @Iamplittnre
HIS 0 CERTIFY, that the n site Sewage Disposal System installed( )or repaired!replaced-cam ) on
- by Tdd eel tur for nijprt_l ) tSul IderS
at A - Sn \)etre 15N eu s,..?S as bee cpnstructed in
accordance pith/4,provisions of Title 5 and the for Disposal System Construction Permit No L 7 f0 dated
,S7 Ce f/4[ le Use of this system is conditioned on compliance with the provisions set forth below:
c3 a18 02 .
The issuance of this certificate sh tab d as a guarantee that the system will function as deli ned. This
Certificate expires rn_
L3
DATE
Inspector
THE COM ONWEALTH OF MASSACHUSETTS §�
y. / /t ' ///' MASSACHUSETTS FEE / tom
i cd !ispnsttl $ '(tem Qlnnstructinn Permit
> �Tcrlcb itrc- 7
i Al Permission is hereby granted to -
r
torn tru t( or rep -( ) an On-site Sewage S stem located at
4C el 14r<tJeuecto
rand as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her
>—
a doty to comply with Title 5 and the following local provisions or special conditions. c
a ca-2I construction must be completed within three years of the date below.
DATE (o /q,m61 Approved by
F M 1255 Re,3/95 AM.SULFIN CO,BOSTON.MA
•