HomeMy WebLinkAbout0066 CROCKER STREET - Health 64- cracha Sf
13q � AA-�
IN SMEAD
No.2-153LY
UPC 12934
sm"d.com - Made In USA
SUSTAINABI�
FORESTRY
INITIATIVE
4NBW RmrSowoWS
y (o TOWN OF BARNSTABLE �
LOCATION��� Z/ �i_0CkQS_ S, SEWAGE # 479F
VILLAGE ��n3�gGLv, �L'' ASSESSOR'S MAP&LOT Z/°-t39-007-
INSTALLER'S NAME&PHONE NO. �J-� ) �/�1 AQ
SEPTIC TANK CAPACITY J S CEO II,,
LEACHING FACILITY: (type) �Fi M' O1rS (size)
NO.OF BEDROOMS 1
BUILDER OR OWNER
PERMTTDATE: -9-qP COMPLIANCE DATE: C 13-q
Separation Distance Between the:
4
Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist a
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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