HomeMy WebLinkAbout0050 KEARSARGE AVENUE - Health (2) J<eOVS"I'
TOWN OF BARNSTABLE
LOCATION 59::r�,e SQ AIP-- I A SEWAGE#
VILLAGE Wt 4yo.�•vx�S ASSESSOR'S �Cp I
INSTALLER'S NAME&PHONE NO. 577
F'FY � I i vas✓�-Vla 2S
LEACHING FACILITY:(type) (size)
NO*OF BEDROOMS S
OWNER L—o'c- vJ� So-vJa _s
PERMIT DATE: i Do a aid I 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 Ca 16W—L` 4�L CY,\, S�5
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