HomeMy WebLinkAbout0229 FULLER ROAD - Health (2) cil
N SMEAD
No.2-153LGN
UPC 12134
smssd.com s Made In USA
SUSTAINABLE
FORESTRY
INITIATIVE
Cordfied Rber Sourcing
WWW.ifipfgpg111,W0
TOWN OF BARNSTABLE
LOCATION 1 �G(. SEWAGE #
VILLAGE Ltll� ASSESSOR'S MAP & LOT O Oh
INSTALLER'S NAME & PHONE NO.
SEPTIC TANK CAPACITY dQ
LEACHING FACILITY:(type) O31,Q D�D f size) /DUCE
NO. OP BEDROOMS 3 PRIVATE WELL OR PUBLIC WATERu4&
BUILDER OR OWNER
DATE PERMIT ISSUED:
DATE COLIPLIANCE ISSUED:
VARIANCE GRANTED: Yes No ,�, w-ag
I/ .
. . . , i
�a ,�a �5
�"'�-0 p �
�a S
Nam.
i
rASSEWTOWN, /OF BARNSTABLE)N' �/cR,fa SEWAGE #
E��/l �vi /�
SSOR'S MAP & LOT ' �c ®70
INSTALLER'S NAME&PHONE NO.'3i-vice
SEPTIC TANK CAPACITY 15-00 6,e4
LEACHING FACILITY: (type) CU%�C-33a (size)
NO. OF BEDROOMS / /
BUILDER OR OWNER SCOT-r��COCJP
PERMIT DATE: 3�R� COMPLIANCE DATE: 04 q
Separation Distance Between the:
Maximum Adjusted Groundwater Table and 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
--Rtl �
fi.
q a l TANk In l a-i L 6
L401e, 5(
-So Y 6
4® S
sT
y� �— ��iTec� 6a