HomeMy WebLinkAbout0056 ALLAN ROAD - Health (2) bb 1 /0 1 b
TOWN OF BARNSTAB L
LOCATION SEWAGE #
VILLAGE ASSESSO p MAP & LOT n
JNSp&70R5 NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) ,P1%e. L;J (size) ( DW _
NO. OF BEDR
BUILDER OR OWNS
PERMITDATE: COMPLIANCE ATE:
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
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J