HomeMy WebLinkAbout0342 PHINNEY'S LANE - Health 23b- 129
SMEAD
2-1 53 L
MADE IN IJCA
GET rPrANIZED AT SIUFAI)r
3�a TOWN OF BARNSTABLE
LOCATION IFit'n S Lne SEWAGE #
VILLAGE -G ASSESSOR'S MAP 6i LOT
INSTALLER'S NAME PHONE NO.'-
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) (size)
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER �I hm L t1
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
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TOWN OF BARNSTABLE
LOCATION SEWAGE #
VILLAGE, ASSESSOR'S MAP & LOT X30 AX9
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) (size)
NO.OF BEDROOMS -
BUILDER OR OWNER 249 Q• A0&ktL
PERMTTDATE: COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table and 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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