HomeMy WebLinkAbout0447 LAKESIDE DRIVE WEST - Health ke fi West
Cen derv:Iie
Z31 � 030
TOWN OF BARNSTABLE
LOCATION 1q7 LA4,4&/D*,6z w i,J eS*f SEWAGE #
VILLAGE CJEe.)TE Z-LA LLB ASSESSOR'S MAP& LOT 23 11b3
INSTALLER'S NAME&PHONE NO. 41-0,yA,PkILLeCit, (,S706 gX-SCXd,`i
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) (size)
NO. OF BEDROOMS 3
BUILDER OR OWNER I�'(Fie .t LOGKE �iZNiT��H�ac�? igyroS
PERMTTDATE: 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
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