HomeMy WebLinkAbout0083 FIFTH AVENUE (HYANNIS) - Health A
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TOWN OF BARNSTABLE `
LOCATION SEWAGE 61
VILLAGE-1—o-11i ASSESSOR'S MAP &LOT
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY 5 Ga
LEACHING FACILITY: (type,) 5,DD GAL�� �.i ���(size) io�� 7e'X a
NO.OF BEDROOMS 3
j�IJII.DER OR OWNER
-"`�' >/-S'�r! COMPLIANCE DATE:
:RMTTDATE:
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 wetiands exist
within 300 feet of leaching facility) Feet
Furnished by
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TOWN OF BARNSTABLE
LOCkfION % �f� SEWAGE #
VILLAGE oe. nr-- ASSESSOR'S MAP & LOTayI'
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY <
LEACHING FACILITY: (type) (size)
OF BEDROOMS
Bt W DER OR OWNER
PERMUDATE: 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 e'T i( � �, y '� b o /9
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