HomeMy WebLinkAbout0031 MOON PENNY LANE - Health (2) 1vunM 1 �,
,
c �
I0ZI
r �
TOWN OF BARNSTABLE
LOCATION 3 I M 0 0 y1 ��»», 1,q'h'-eSEWAGE# i
VILLAGE Cen4Wt4ll ASSESSOR'S MAP&PARCEL is l 0,1,
i n$ eC R'�E&PHONE NO. �LI1�S fd61��'�i�3 -60 8' 36a /a�
SEPTIC TANK CAPACITY
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 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
-
14
G�
%•'� -fuwa a-t5 A imTwfWAV
P inr
.1, <72• efhr Ina IL
27 3"
►3.3� 28•�"
8, 33,E