HomeMy WebLinkAbout0061 OLD STAGE ROAD - Health Co ( 010 IST-c-f
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TOWN OF BARNSTABLE
LOCATION Qtd SEWAGE #
VILLAGE ASSESSOR'S MAP & LOT -/
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY 1000
LEACHING FACILITY: (type) �#%�,�G (size)
NO.OF BEDROOMS ..3
BUILDER O OWNE 2(QiWA 4-
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
i Furnished by
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