HomeMy WebLinkAbout0128 GLENEAGLE DRIVE - Health (2) ICDri
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N SaulEAD
KEEPING YOU ORGANIZED
No. 12134
2-153LGN
SUSTAINABLE FORESTRY MIN.RECYCLED
INITIATIVE CONTENT 10%
Certified Fiber Sourcing POST-CONSUMER
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MADE IN USA
GET ORGANIZED AT SMEAD.00M
/ TOWN OF BARNSTAB7 E
LOCATION / 1/ r SEWAGE # !,
VILL&GE �/✓� ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) 3— 4 & (size)
NO.OF BEDROOMS
BUILDER OR OWNER �l✓�n U
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PERMITDATE: 9`' ��� �/ COMPLIANCE DATE:�Zd'2—
Separation Distance Between the:
Maximum Adjusted Groundwater Table and Bo m of Leaching Facility Feet
Private Water Supply Well and Leaching Faci ' (If any wells exist
on site or within 200 feet of leaching fac' ty) Feet
Edge of Wetland and Leaching Facility( any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by
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LG%ATION SEWAGE PERMIT NO.
VI ;LAGE 1'
A & B CESSPOOL SERVICE
128 BISHOPS TERRACE,. HYANNIS, MA 02601
BUILDER OR OWNER
DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED 0-
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L O•C AT ION S E W A.G E PERMIT NO.
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I N S T A LLER'S NAME i ADDRESS
8UILDER OR OWNER
DATE PERMIT ISSUED �� y 7 '
DATE COMPLIANCE ISSUED � _ ;7
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