HomeMy WebLinkAbout0230 FULLER ROAD - Health 30 F-14 ller , RDt9l-D
SMEAD
KEEPING YOU ORGANIZED
No. 12134
2-153LGN
OINITIA'TIVE
FORESTRYBLEMIN.RECYCLED
CONTENT10°%
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SFI-01240
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TOWN OF BARNSTABLE
LOCATION x SEWAGE # ?� -J 71
VILLAGE Gt?41�ti� d1;11e,- ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
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LEACHING FACILITY: (type) ` 1-ILo 1g C4 '1'rat 1'f (size) ra"
NO. OF BEDROOMS
U i. OR OWNER Aell 5� ���
PERMITDATE: . COMPLIANCE DATE: 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
within 300 feet of leaching facility) Feet
Furnished by
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