HomeMy WebLinkAbout0094 BIRCHILL ROAD - Health _ a;�CUJJ R QQd
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189
KS M EA D
KEEPING YOU ORGANIZED
No. 12534
2-153LOR
0 FOR AESTRn1f 8LE MIN.RECYCLED
INITIATIVE CONTENT 1096
CertifiedFberSouroinp POST-CONSUMER
www.sFiproprenwrp
SFW1190
MADE IN USA
GET ORGANIZED AT SUEMMM
r. TOWN OF BAR.NSTABLE
LOCATION 94 Birchill Road SEWAGE #
VILLAGE Cent'ervklle,Mass. A^SESSOR'S MAP& LOT
INSTALLER'S NAME&PHONE NO. J.P.Macomber & Jon Inc.
SEPTIC TANK CAPACITY 1 000 gallons 1 —6 'X6 ' Cesspool
LEACHING FACILITY: (type)1 -LP 1000 (size) 1500 GLS.
NO. OF BEDROOMS
BUILDER OR OWNER Peter & Sharon Johnson
PERMTTDATE: 4� COMPLIANCE DATE: •
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 ary wetlands exist
within 300 feet of leachi g f Feet
Furnished by,4ZAA
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SEWAGE ERMI'f'NO. WATER, TABLE _
LOCATION NO. STREET �Y• � aE?!'/%/�/ i8/IY� C.C�,t��
v
I NSTALLERS NAME & ADDRESS V0.�FDh• fL
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D ATE PERMIT ISSUED �o�Z / -7
DATE OF INSTALLATION �s�rl/ 7�
DRAWING OF INSTALLATION ON BACK
3° �
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11 /10/00
Donna;
Peter & Sharon Johnson
Told me you needed this diagram
to verify there septic system
It seems you have the wrong
as built on file
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