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No. 12534
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INITIATIVE CONTENT .I
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MADE IN USA
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TOWN OF BARNSTABLE
;JCA`I'ION �, �� D► SEWAGE #
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INSTALLER'S NAME & PHONE NO.
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SEPTIC TANK CAPACITY [Ein
LEACHING FACILITY:(type)Sk�L—t'-O-�-1�Q (size) 3f
NO. OF BEDROOMS PRIVATE WELL OR jBLIC WATER
BUILDER OR OWNER W QLk3.0
DATE PERMIT ISSUED: l 4q Q p ,
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No ,�
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;1-4 :A'?;ION �S� A�n�bl t P��►f- IGr t SEWAGE # S- yes
VILLAGE C6a Arvi/it ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO. SeAh� :S�r�cc Sat 275877,E
SEPTIC TANK CAPACITY 6 /toav Grt sc —Pr,P
LEACHING FACILITY: (type) (size)
NO. OF BEDROOMS
BUILDER OR OWNER
PERMTTDATE: �I���Io 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) v Feet
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