HomeMy WebLinkAbout0545 SOUTH MAIN STREET - Health 0(A 0
SMEAD
No. 2-153LY
UPC 12934
smead.com a Made In USA
SUSTAINABLE
FORESTRY
INITIATIVE
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TOWN OF BARNSTABLE
LOCATION 511 S Sc>A 1%0yo ri- SEWAGE# 2 t)v — I
VILLAGE e�N f.Y ASSESSOR'S MAP&PARCEL `3,(x' —07I
INSTALLERS NAME&PHONE NOC�o&.,, N �,to t;3
SEPTIC TANK CAPACITY 10 �9�>L1S�it�Gi la i,-)
LEACHING FACILITY:(type) { �`� l S — (size) A3Z
NO.OF BEDROOMS 3
OWNER �
PERMIT DATE: ( COMPLIANCE DATE: S In
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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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44 TOWN OF BARNSTABLE �I
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ATION SEWAGE #LAGE pn�i�X.�D ASSESSO 'S MAP & LONAME&PHONE NO.TIC TANK CAPACITY CEOCHING FACILI Y: (type (size) lo � �
NO.OF BEDROOMS 3
BUILDER OR OWNE _�I^/7t_�
PERMITDATE: 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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INSTALLER'S NAME & PHONE NO.
SEPTIC TANK CAPACITY
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LEACHING FACILITY:(type �Td�r d2S (size) l0 ?c
NO. OF BEDROOMS PRIVATE WELL O C A R
BUILDER OR OWNER
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
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