HomeMy WebLinkAbout0104 STONEY CLIFF ROAD - Health oq S+ooej 0
lgo� �3�
MEADD
No.2-153LY
UPC 12934
amead.com • Mads in USA
}A
a
SUSTAINABLE
FORESTRY
INITIATIVE
Ca.eifiad RborSourcing
w.w.efipropramaro
TOWN OF BARNSTABLE
-LOCATION I (3 4 5-rO N E I C L 4 F ID SEWAGE#
VILLAGE Cetfte✓V 'lle ASSESSOR'S MAP.&PARCEL
INSTALLER'S NAME&PHONE NO. U VL J n o tdA
SEPTIC TANK CAPACITY
LEACHING FACILITY.(type) (size)
NO.OF BEDROOMS
OWNER AL t Z4 G-MD my iolO yelyen
PERMIT DATE: 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 c-�9�'/i2/' d®me T exalg ZVC.
U
Z� Ae, 3 Z1
7
- p
ca �� 13e,_ z 30
Ca�� cu+�►z F�� = 2� '
Goy