HomeMy WebLinkAbout0032 ASHLEY DRIVE - Health (3) 3-1 IvAlty Rd
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KEEPING YOU ORGANIZED
No. 12534
2-153LOR
SUSTAINABLE
l FORESTRY MIN.MCONCYCLE
TENT 10 D
Certified Fiber Sourcing POST-CONSUMER
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MADE IN USA
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TOWN OF BARNSTABLE
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Lii:A i'IGN 32 �s �� SEWAGE # oyy-S8G
ASSESSOR'S/MAP & LOT
VILLAGE 6,iq 17�-(7Gll
INSTALLER'S NAME&PHONE NO. r,09- 211,9 -
SEPTIC TANK CAPACITY 1b00
LEACHING FACILITY: (type) 2- 0/',f WtEll.S (size)
NO.OF BEDROOMS 3
BUILDER OR OWNER /r a 114
PERMITDATE: //-S` U�` COMPLIANCE DATE: /
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 facili ) - Feet
Furnished by
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TOWN OF BARNSTABLE r
LOCATION -e y J .d SEWAGE #
VILLAGE [ e,v7"�R _V/1L� ASSESSOR'S MAP & LOT -�
INSTALLER'S NAME & PHONE NO. L OA gel Soy
SEPTIC TANK CAPACITY /, d 00
LEACHING FACILITY:(type) ,r. (size)
NO. OF BEDROOMS ,? PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER !
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No 'L/
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