HomeMy WebLinkAbout0084 ALLAN ROAD - Health (2) I�iy �vbi /bocl
�g,,qJOWN OF BARNSTABLE
LOCATION SEWAGE # ZZO z '
VILLAGE �Z ESSOR'S MAP & LOT IK—Ubl
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACELITY: (type) (size)
NO.OF BEDROOMS
BUILDER
PERMTTDATE: COMPLIANCE DATE:
Separation Distance Between the: ' t
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
9-3
l `