HomeMy WebLinkAbout0046 MEADOW FARM ROAD - Health (2) r
TOWN OF BARNSTABLE
LOCATION L/(o Ole_c.-d oLi G r, R D SEWAGE
VILLAGE C�wI wV,L c_ ASSESSOR'S MAP&PARCEL
INSTALLER'S NAME&PHONE NO.
~'SEPTIC TANK CAPACITY 1S(,p bras : Jg e y
LEACHING FACILITY: (type) Sbo (size) 3a•S� la.Y3
NO. OF BEDROOMS
OWNER (_ v,ram e,.rc
PERMIT DATE: - COMPLIANCE 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
A 1 017
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