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HomeMy WebLinkAbout1495 FALMOUTH ROAD/RTE 28 - Health l� qS - Fa I m 0(4-t-h "R©oLP vi f 1�1R5 F; ARNSTABLE LOCATION C e v l /�� FC, 6- a.L e� SEWAGE# VILLAGE %mow ASSESSOR'S MAP&PARCEL 2,C INSTALLER'S NAME&PHONE NO. �% SEPTIC TANK CAPACITY /',5�O el 0 1 LEACHING FACILITY-((type) $� /'� . (size)$° 616 NO. OF BEDROOMS G/ OWNER PERMIT DATE: „G -/,2^�3 COMPLIANCE DATE: l 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 i66 U �p G G 8 � ` C2, LOCQTIOt�1 ,5EWiN,6,E PERMIT UO, T W57 LLER•5 U&& AE F, ADDRESS BUILDER'S t.J / VAF— ADDRESS Dt-\TE PERNA T ISSUED ' 7�— — — -- DATE COMPLI W aCE ISSUED ; �+�