440 Certificate of Compliance 2001 FORM 3A—CERTIFICATE OF COMPLIANCE
COMMONWEALTH OF MASSACHUSETTS
Board of Health, NORTHAMPTON, MA
CERTIFICATE OF COMPLIANCE
Description of Work: ( ) Individual Component(s) ( x ) Complete System
The undersigned hereby certify that the Sewage Disposal System;
Constructed ( ), Repaired ( X ), Upgraded ( ), Abandoned ( )
by: J &C Construction
at: 440 Westhampton Road
has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the
approved design plans/as-built plans relating to application No.
dated: 7-23-01 Approved Design Flow: 550 (gpd)
Installer: J &C Construction
Designer: Steven J. Frederick, P.E.
Date: 10-17-01
Inspector: Steven J. Frederick, P.E.
The issuance of this permit shall not be construed as a guarantee that the system
will function as designed.