HomeMy WebLinkAbout0284 OAK STREET (CENT./W.BARN) - Health (2) aav o6k- �: rIyxe , ce- ,t
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OWN OF BARNSTABLE
LOCATI N O�0 q . ®P F— ��' SEWAGE#
ViLLAG CASSESSO IrAP&PARCEL
INSTALLERS NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type _yL Ofi d `' (size) 3, R�
NO.OF BEDROOMS
OWNER
PERMIT DATE: � 'Z��/j 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
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