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0078 LONGVIEW DRIVE - Health (3)
� 7 � enc� v�Pw �i r C..." C `I�'�r v'� �. L � a5/- ��' / i a r TOWN OF BARNSTABLE LOCATION IY 49yeef.,; �—yk SEWAGE VILLAGE ASSESSOR'S MAP&PARCEL S 7) INSTALLER'S NAME&PHONE NO. 1 �Ax�S'L?"ll'sdid� SEPTIC TANK CAPACITY LEACHING FACILITY:(type � 5��{,size) IrX NO.OF BEDROOMS 7-AA-r. OWNER l 4S <L�l S PERMIT DATE: 7 COMPLIANCE DATE: t Separation Distance Between the: iJ© orov-4 Maximum Adjusted Groundwater Table to the Bottom of Leaching FacilityiNNdj,p�gc�talt�LFeet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) ' t.tQ Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) eet FURNISHED BY lli�eh a- 3 1�01 4u - B- 3 z3