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HomeMy WebLinkAbout0153 MAIN STREET (CENT.) - Health (2) i TOWN OF BARNSTABLE LOCATION 153 se:-77 SEWAGE# VILLAGE 0,i5Anl FnaVL Uj5' ASSESSOR'S MAP&PARCEL a6 INSTALLER'S NAME&PHONE NO. CAPF Ui m� E� ts�%s SEPTIC TANK CAPACITY A5 v(C:T7 D 0(-Y LEACHING FACILITY:(type) (size) NO.OF BEDROOMS OWNER PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well 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 a Q 3 R ZI .S 3 TOWN OF BARNSTABLE LOCATION r 3 -4A f)I A./ _iT SEWAGE# VILLAGE 0 QiA�'C h Utttf ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO.OF BEDROOMS 'S OWNER y PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the 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 Rd/lke Q WAII( 6e,(\