361 Certificate of Compliance 2007 HERITAGE SURVEYS, INC.
Professional Surveyors and Engineers
241 College Highway & Clark Street
Post Office Box 1
Southampton, Massachusetts 01073-0001
Bruce A. Coombs, President Telephone (413) 527-3600
Professional Surveyor, MA, CT& VT Facsimile(413)527-8280
E-mail: bnaceCreritagesurveys.com Website: heritagesurveys.com
Title V Certificate of Compliance
DESIGNER & INSTALLER SIGN-OFF
Pursuant to 310.CMR 15.00 of the State Environmental code: Title V, Minimum Requirements for
the Subsurface Disposal of Sanitary Sewage, Section 15.021 (3), the Designer and Installer of a
system are required to sign this form as a condition for issuance of a Board of Health Certificate of
Compliance for the onsite septic system.
This is to certify that the onsite sewage disposal system that Heritage Surveys,Inc., designed as:
X new construction
_repair/upgrade(existing system)
SITE: 361 Sylvester Road,Northampton
FINAL INSPECTION DATE: March 13 2007
DWCP#:
OWNER: Irene Szymanski & Melissa Seymour
has been constructed in compliance with 310 CMR 15.00, and all local requirements. Any changes
to the original approved plans have been reflected on an as-built plan that has been submitted to the
Board of Health.
DESIGNER INSTALLER
Heritage Surveys, Inc.
241 College Highway &Clark Street
P.O. Box 1
Southampton, MA 01073
(413) 527-3600
JC & Company
140 Fair Street Extension
Northampton,MA 01060
(413) 575-2069
3 i3 07 O+eckzeo " / o 7
Signature Date
Signature Date
NOTE: This certificate represents no warranty, expressed or implied as to the functioning or longevity of the on-site
subsurface disposal system.Rather,the plan and installation are in compliance with all applicable rules and regulations as
are in effect at the time of plan submittal.
Y:WROJECT DOCUMENTSt3872cert.dw
DATE: 3-13-0-1 OWNER: 1-l6Lk55A SEy mote.
JOB#:38"12-06050. INSTALLER: ,•C- • Oi COt1'PMa`i
LOCATION: 361 S Y t,J E51 eK- tohb > 00R-'tH/hh P Fo'^7
AS-BUILT PLAN FOR SEPTIC SYSTEM
NouSE
4- C, = 39'-`1"
G - 30'-5 "
A-b = 66'-6"
p-D = S9'-5"
A-6 Tr 1t'-4"
a.-E= S7_'-6"
A-F- 191-t0"
S-F = /021-5"
t3oT To SCALE
241 College Ilighway& Clark Street
P-O.Box 1
Southampton, MA 01073
(413) 527-3600
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