HomeMy WebLinkAbout1520 IYANNOUGH ROAD - Health 1 �2o RI f
cen+Orvi fie
253 AZb
t
:= TOWN OF BARNSTABLE
LOCATION �� gt
1 - Cr-T SEWAGE # !
VILLAGE ASSESSOR'S MAP &LOT � 3',09¢
INSTALLER'S NAME&PHONE NO. C A tf ro
SEPTIC TANK CAPACITY
LEACHING FACILITY �
(type) (size) L
NO.OF BEDROOMS ' ts�1 � C� � J
B &OR OWNER D y'd X7
PERMITDATE: `^ COMPLIANCE DATE: 16
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
l
s'�
LOCUTION ' SEWQC;E PERMIT MO.
VILLAGE '. - ��- - - - - -
INSTILLER 5 116NlE ADDRESS
BUILDER 'S 1`I &MF- ADDRESS
DN'TE PERMIT
DATE COMPLI W-ACE ISSUED ; �`G 1
i
SG
h