HomeMy WebLinkAbout0055 ANTICO LANE - Health �tnfifEo LN
C6AjtrVrnf-
172 _ 003- ool
0
N SMEAD
KEEPING YOU ORGANIZED
No. 12534
2-153LOR
AILE
'U'T Ryy MIN,RECYCLED
FOR
INITIATIVE CONTENT 10°k
CaNfied Fiber sourcing POST-CONSUMER
www�Dropram,arp
$Nlm
MADE IN USA
GET ORGANIZED AT SMEAD.COM
r �� � OF BARNSTABLE Ea Cro
LOCATIO ��� '�� �� WMWASEMSSSOR'S
SEWAGE # r02
VILLAGE MAP& LOT j
INSTALLER'S NAME&PHONE NO.' J, C Gem/.
1- Irw C,
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) �/ � � (size)
"NO.OF BEDROOMS
BUILDER OR OWNS S-It � ` �-
PERMTTDATE: COMPLIANCE DATE: 0
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by
_ T
� 16,
c - gip `
zN - 2q " C
�- 2g C
GOLch