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HomeMy WebLinkAbout0050 WATERMAN FARM ROAD - Health f db�.. r TOWN OF BARNSTABLE LOCATION SC tiO+e-c r�-,►N A. SEWAGE # 7-0)0 —1 � l VILLAGE &\Ae,-rvA"f ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. ER\C- 1AUSJUS Ci 'Z�LJ�ic=s� SEPTIC TANK CAPACITY ,LEACHING FACILITY: (type) G12 bars (size) NO. OF BEDROOMS BUILDER OR OWNER A T Qvdlvlao PERMITDATE: Pl d2D COMPLIANCE DATE: a.DI I 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 �i. po, o " ,S"' i TOWN OF BARNSTABLE LOCATION SO (A1A 0-geA 4A �WM SEWAGE VILLAGE CCnTt,(V,1kl- ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY.(type) D c�l W ob (size) NO.OF BEDROOMS OWNER COrSI;I1 d 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) J ^ Feet FURNISHED BY-T^S v l 1 3y as a TOVv'N OF BARNSTABLE � LOC.ATIGN L'5b l ast--me—n T izl� SEWAGE # VIV.AGE 0P1,-reey,Ile ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY ,00 LEACHING FACILITY: (type) (size) NO. OF BEDROOMS BUILDER OR OWNER 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 fee c 'ng facility) Feet Furnished by ..:,. • . . _ S��e. rec. / �-� �� ��� � © 3� �l �°� - a. �� �'�' r r _ ' TOWN OF BARNSTABLE LOCATION _(.yi4 ref e/Yi f _SEWACE # VILLAGE ASSESSOR'S MAP & LOT D ?rr INSTALLER'S NAME & PHONE NO. f � A4 4 C d���R SEPTIC TANK CAPACITY /, d 40 LEACHING FACILITY:(type) �a NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER _ BUILDER OR OWNER DATE PER*iIT ISSUED: DATE COMPLIANCE ISSUED_. VARIANCE GRANTED: Ycs No r� . �' S `� ,� �_a� � �� � a ` � \ �` .� � �;� \ � � � U � � �3