249 Lot 5 Cert of Compliance 2017 Feb 23 17 03:35p Ken Bousquet Excavating (413)547-6514 p.1
FEB-23-2017 12:29 FROM:WRGINNIS 14135275291 70:14135476514 P.1/1
5Z, Commonwealth of Massachusetts
,, ,- .f. City/Town of No irr4.,tc.,"A Thr.J ( FL )
( 4? � Certificate of Compliance
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DEP has provided Htfe Form for use by local'Goards of P eeith.Other forme may be used.but the
-information must tie aubstsniailythe earner Sy the provided'here.$siert using thblcrm,Cheek With
the local Board of Health to determine the farm they use.
Ilitolvitor.CeirtItylnet ttne4011 aringivora on en Oeste Sewage Colica ear SYstem
wow,, ins out Construction of a new system
forme on Me Repair or replacement of an existing system
computer,too D Repair or replacement of an sedating system component
only W IDA INT
to move your
cursor-do-not .1-las boon done is with Tate S and the Disposal Symon Pandit(OSCP)
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Designer Information: :•
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of C,ompnnp
Installer information: \_'r4rnr. ' ' :
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Use of this system it mullioned an contptance with cite provisions set tom wow.
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The i6ovanoer o.Pei t:eftir tts - -, riot be con ed as a guars^ tj ,s)< L t"II f n as
des".sed. — //!� %%PFf
.:veep Authority
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