HomeMy WebLinkAbout0055 PINE TREE DRIVE - Health l
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TOWN OF BARNSTABLE
LOCATION 6 C i ram- aJ� S=XUE#Tip►S P
VILLAGE Owiervilitt ASSESSOR'S MAP&PARCEL
IT'S NAME&PHONE NO. V1Trt'L0000AKk0
SEPTIC TANK CAPACITY 00C) J
LEACHING FACILITY:( e) , -u?v r S (size)•
NO.OF BEDROOMS
OWNER
PERMIT DATE: C DATE: t/1S�
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
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2 42
31 xy< 41