HomeMy WebLinkAbout0130 PHINNEY'S LANE - Health 2�1� c6ol
IN S M E A Cfl)
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No. 1033A
2-153 L
MADE IN USA
GET nOGANIZED AT SMEAR COU
{�t 13-0 TOWN OF BARNSTABLE
LOCATION l WI2f06 1- SEWAGE #
VILLAGE 140 01ild ASSESSOR'S MAP & LOT Z09--09
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY 5'60 61A L_
LEACHING FACILITY: (type) l-"1D 0 (size)
NO. OF BEDROOMS 3
BUILDER OR OWNER
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 fee/t�leaching facility) __ Feet
Furnished by C I i rl S F&i21e r W 6yo II
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