HomeMy WebLinkAbout0028 BUMPUS ROAD - Health (2) a�f 6uthpo e-d . , N�c.nn�r
3io - ohs
TOWN OF ARNSTABLE
LOCATION 2'�( J`�` VS e SEWAGE #
y i
VILLAGE ASSESSOR'S MAP & LOT 3 (O 03.5
INSTALLER'S NAME&PHONE NO. C L �
SEPTIC TANK CAPACITY 1 5-0 d
LEACHING FACILITY: (type) C�.l"�C (`t I�C � (size)
NO.OF BEDROOMS
n
BUILDER OR OWNER ICJ•re_C �y Q
PERMITDATE: C Y2o �9 COMPLIANCE DATE:
Separation Distance Between the: "
Maximum Adjusted Groundwater Table and Bottom of Leaching Facility "2'� Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) e4jvAle Feet
Edge of Wetland and Leaching Facility(If any wetlands exist -
within 300 feet of le hing facility) h Oil,a Feet
Furnished by /K_ ��`r
:���
V �
__ _
��
1 � r � r �
--� � �
s
� r��
}�