HomeMy WebLinkAbout0053 WINDLASS LANE - Health win octtz t4t4.e,,,
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TOWN-OF BARNSTABLE
LOCATLON SEWAGE #
VILLAGE N ,n 1-v.AC ASSESSOR'S MAP & LOT Ct 0t'7 4
INSTALLER'S NAME&PHONE NO.-B h6-Cc,-(U.S r= L-1 L, -ssac(
SEPTIC TANK CAPACITY ®O d � I. CFx t 77i E)
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LEACHING FACILITY: (type) (size)
NO. OF BEDROOMS
�o WVAS
R
SUL)ER,• OWNER
PERMITDA Z-U,10,0 l-OLCLIIT 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 F
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{ TOWN O •BARNSTABLE
LOCATION l cl, ��PS �i4I�' SEWAGE # �s 9 3
VILLAGE ���' �n��f,�; ASSESSOR'S MAP & LOT "'® Y
INSTALLER'S NAME&PHONE NO. G®20 o t\ "S L mp v� Laa�S6 y0
SEPTIC TANK CAPACITY /p6O GA�LEACHING FACU TTY: (type) q Cv/7'ee Aq of (size) ® x
NO.OF BEDROOMS
BUILDER OR OWNER
PERMTTDATE: -y'VF/_O,19 J7 COMPLIANCE DATE: 7
Separation Distance Between the: `
Maximum Adjusted Groundwater Table and 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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