HomeMy WebLinkAbout0281 AMES WAY - Health (4) 2�� flm.�o ��� uVl.s�
�-�b, 233�
{
' �
i
li I
i i
t
E
��'�TOW T` BARNSTABLE
LOCATION
I � � U = SEWAGE# a®9L\
.+..iie
VILLAGE 0an r ASSESSOR'S MAP&PARCEL
INSTALLER'S NAME&PHONE N6�, r me Sd ., -.2 71109
SEPTIC TANK CAPACITY Gc,\ Is'C ,
EACHING FACILITY: (type)
I j(X � (size)
NO.OF BEDROOMS_ a A
OWNER "3 3
k- '�� <a
PERMIT DATE: 1 P 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) m pne— Feet
Edge of Wetland and Leaching Facility(If any wetlands exist within
300 feet of leaching facility A36ne Feet
FURNISHED BY - S te`{
?8f�}v1 EI W14Y
R
0
-T' 14 3 3
act