HomeMy WebLinkAbout1005 OLD STAGE ROAD - Health C.�(pelr-vi'(I
S M E A
KEEPING YOU ORGANIZED
No. 12534
2-153LOR
SUSTAINABLE FORESTRY MIN.RECYCLED
INITIATIVE CONTENTIA
GrgedFiberSeurcing POST-CONSUMER
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LWE W USA
GET ORGANIZED AT SmEA ZW
TOWN OF BARNST LE a
LOCHTI^.d �� d �� SEWAGE #
VILLAGE ef-inf^)77 '�I ASSESSOR'S MAP & LOT /
INSTALLER'S NAME&PHONE N0. �
SEPTIC TANK CAPACITY 0 q.4- 0-
LEACHING FACELrnr: ( PC) 14C��w�2��— (size) ff X `/
NO.OF BEDROOMS v
BUILDER OR OWNER
PERMTTDATE: 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
61
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TOWN OF BARNSTABLE
L6-,A ION �00 a�C A�(, 2e. SEWAGE #
V.--UAGE_ CeA ofy%l�- ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO._
SEPTIC TANK CAPACITY ODU LEACHING FACILITY: (type) X G� P, (size) l
NO. OF BEDROOMS 3
BUILDER OR OWNER _ S('�VA/1
PERMIT DATE:
Separation Distance Between the.. "'1
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
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Furnished by L/1-rl>w�lD�'1 �l FD/
A f3 a 3
3 3o 3S
TOWN OF BARNSTABLE
pp
00 O I e 5_FAgC_ Rd- SEWAGE #
. VI LAGS CQVv tryl I ASSESSOR'S MAP &LOT l G a
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY !G O (54
LEACHING FACILITY: (type) Pt ILX�� (size) cZ S` LA_
NO.OF BEDROOMS
BUILDER OR OWNER t I Ore YIU) -
PERMTTDATE: .-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�-/t Spe.u l0,\ Y FOB c
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At- 11-u
1-7
A3- 30
Q33- 35� a ,3
TOWN OF BARNSTABLE
LUZA iON VeaS— D'ZZ 1-5�, z SEWAGE #
`VILLAGE �r�V'if�c'�J/G�� ASSESSOR'S MAP & LOT/7a7--J/�
INSTALLER'S NAME & PHONE NO. ,l3®�L0`171 G'6PJ&77
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) /Tf � � (size) 4:�,x,,Id'/
NO. OF BEDROOMS PRIVATE WELL UBL�
BUILDER OR OWNER TEO ,DIS�G
DATE PERMIT ISSUED: GJ� 6' 9/
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
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16
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LQCATION � � SEWAGE PERMIT NO.
a Lot 107 OZ . �7��9� ��� 78-348
VILLAGE
Centerville, MA.
INSTA LLER'S NAME & ADDRESS
Alfred Fuller
Catuit Aoad Marstons Mills, MA. 0264�8
B U I-L D E R OR OWNER
Alan E. Small, Inc.
Box 536 Centerville, MA. 02632*
DATE PERMIT ISSUED 7131/78
DAT E COMPLIANCE ISSUED -Z,
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