HomeMy WebLinkAbout0153 MAIN STREET (CENT.) - Health i
TOWN OF BARNSTABLE
LOCATION 153 se:-77 SEWAGE#
VILLAGE 0,i5Anl FnaVL Uj5' ASSESSOR'S MAP&PARCEL a6
INSTALLER'S NAME&PHONE NO. CAPF Ui m� E� ts�%s
SEPTIC TANK CAPACITY A5 v(C:T7 D 0(-Y
LEACHING FACILITY:(type) (size)
NO.OF BEDROOMS
OWNER
PERMIT DATE: COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well 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
a
Q 3 R ZI .S
3
TOWN OF BARNSTABLE
LOCATION r 3 -4A f)I A./ _iT SEWAGE#
VILLAGE 0 QiA�'C h Utttf ASSESSOR'S MAP&PARCEL
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) (size)
NO.OF BEDROOMS 'S
OWNER y
PERMIT DATE: 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 Rd/lke Q WAII(
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