HomeMy WebLinkAbout0204 JAMES OTIS ROAD - Health (2) c �u S a 0-0S 2c a-d
1
TOWN OF BARNSTABLE
LOCATION aQ (jjA„r Q-h s �� SEWAGE# ;Z (J
VILLAGE ASSESSOR'S MAP&PARCEL /7
INSTALLER'S NAME&PHONE NO. 1)A ,Ze2w,)
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) k5boGQI) td-/0 d&tdM (size)
NO.OF BEDROOMS 3 O't—,I�
OWNER_Uelpkiolf
PERMIT DATE: Y COMPLIANCE DATE: O G ft
Separation Distance Between the: WAr rnXdL)Miflerl
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility CAEP:tcFeet..
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 DA
r -F
y Fj
rl �
0