HomeMy WebLinkAbout0016 SCUDDER BAY CIRCLE - Health ct
S M E A D
No. 2-153L.Y
UPC 12934
smead.corn - Made In USA
1
SUSTAINABLE
FORESTRY
INITIATIVE
Certified Fine Swginu
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TOWN OF BARNSTABLE
LOCATION h �rva a.a�� �, C.2 SEWAGE #
VILLAG ASSESSOR'S MAP & LOT PtciB ' 1 0'-
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPAC= >
LEACHING FACII.TTY: (type) 64h �s- (size) , 84194
NO.OF BEDROOMS S
BUILDER OR OWNER C9 w vAR
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
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i ��3 TOWN OF BARNSTABLE Mr
W 1 y /'s
LOCATIONC'tfe L��/ I'ti/!SWAGE #
VILLAGE ASSESSOR'S MAP LOT S-IOZ
INSTALLER'S NAME & PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) (size)
NO. OF BEDROOMS-PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER ire-&if
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
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