HomeMy WebLinkAbout0093 FOURTH AVENUE (HYANNIS) - Health our - i S
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TOWN OF BARNSTABLE
LOCATION
SEWAGE #
VILLAGE ASSESSOR'S MAP & LOT'zs`� 9�
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY JT�" t9'�1• iA
LEACHING FACILITY: (type) (size) 73 Jc-Z
NO. OF BEDROOMS
BUILDER OR OWNER
PERM TDATE: "Z�—�'£ 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 Feet
within 300 feet of leaching facility)
Furnished by
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