HomeMy WebLinkAbout0062 AUTUMN DRIVE - Health (3) S M EA® /
KEEPING YOU ORGANIZED
No. 10334
2-153L
I MADE IN USA
GET ORGANIZED AT SMEARCOM
I
(Pg— OS-), TOWN OF BARNSTABLE
LOCATION � �Vy� O� -P SEWAGE #
VILLAGE (f-e ASSESSOR'S MAP& LOT
INSTALLER'S NAME&PHONE NO. n,u c442e_S'gOC2
SEPTIC TANK CAPACITY S-U
LEACHING FACILITY::(type) 4,✓7 iL fit'.$ 7d (size)
NO.OF BEDROOMS
BUILDER OR OWNER
PERMITDATE: 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) Feet
Furnished by
Nl
1�xisrirl� N 10
341-
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