HomeMy WebLinkAbout0008 BRIAR PATCH ROAD - Health (3) B B r o�r PafiCA Rd
CC4-' V111,e
I Hy _o38
S M E A D
KEEPING YOU ORGANIZED
No. 12534
2-153LOR
SUSTAINM LEFORESIVY MIN.RECYCLED
INITIATIVE CONTENT10%
Cerdfiea Fiber sourcing POST-CONSUMER
www.sfiDroAramorg
SM1290
MADE IN USA
GET ORGANVED AT SMF_AD.CON
TOWN OF BARNSTABLE
L&ATION Q4f �14�"�',c�f /f ® SEWAGE #"zGd I_y74
VILLAGE CLi„���� F/f LL 'Q ASSESSOR'S MAP & LO`' /q —i— �V
INSTALLER'S NAME&PHONE NO. ��'� „N1 A CD Ad PR i 6'&A"
SEPTIC TANK CAPACITY l O y 04
LEACHING FACILITY: (type ^-/�L 4 W C P�AA S(size) X Z-J X
NO.OF BEDROOMS 3
BUILDER OR OWNER /" l f k
PERMIT DATE G f t 1/0 COMPLIANCE DATE: ' 7 e Z 3_d
Separation Distance Between the '^ «? r'
Maximum Adjusted Groun:dwaterhle to the Bottom of Leaching Facility Feet
Private Water Supply Well hdcl;eaching 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
_ �,
� i
O
/ `
, �
4 �
e ,
�. a."
.�,;; ,
r�
/���� !
- - �� .��
°�
��
--- - - __