HomeMy WebLinkAbout1136 CRAIGVILLE BEACH ROAD - Health (2) ( I 36 Cfm►o v iy e 6 AcA -RJ
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SMEAD
No.2.153LY
UPC 12934
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1 TOWN OF BARN TABLE
LOCATION Iv6 0&1 cu ALB '& . 12J SEWAGE#7T-�
VILLAGE ASSESSOR'k MAP&PARCEL
IN 'S NAME&PHONE NO.
SEPTIC TANK CAPACITY 7tZ kT CTtWY1(_
LEACHING FACILITY:(type) (size)
NO.OF BEDROOMS
OWNER
PERMIT DATE: COMPL4A4WE 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 any wetlands exist
within 300 feet of leaching facility). feet
FURNISHED BY
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e� Water
c/i cover Service
@ grade
Craipme Beach road
TOWN OF BARNSTABLE 1
,OCA'TION 113 n �¢-i i l�p /zp1 Lt� SEWAGE # 'a DOo�—U�S�
VILLAGE Coo r✓ ASSESSOR'S MAP & LOT 966
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INSTALLER'S NAME&PHONE NO.
S C TANK CAPACITY
it
LEACHING FACILrI'Y: (type) (size) ti
NO.OF BEDROOMS
BUILDER OR OWNER Fi P 1 M
PERMIT DATE: COMPLIANCE DATE: 0 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 .
wi& 30G-feet of leaching facility) Feet
Furnished by ' %`
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