HomeMy WebLinkAbout0070 GREEN DUNES DRIVE - Health aol-i
N SMEA
KEEPING YOU ORGANIZED
No. 12534
2-153LOR
FOR SUSTAINABLE MIN.RECYCLELI
INITIATIVE COM 1'07.�
Certified FberSourcing POSTaNSUMER
www.sfiprogram.orp
SFW12M
MADE W USA
CST ORGANM AT 3MEAMM
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TOWN OF BARNSTABLE
LOCATION 70 64-C-� yv^.-I SEWAGE #
VILLAGE '"G ASSESSOR'S MAP&LOT
INSTALLER'S NAME&PHONE NO. iJ4,�iCo
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) (size)
NO.OF BEDROOMS 3
BUILDER OR OWNER ��rJG'�'/ C/Cel5e".
PERMITDATE: COMPLIANCE DATE:
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 ��c�'l h l e /Yl/G/�Qn� (�c c e n 514,
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70 �.
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