HomeMy WebLinkAbout0019 FRANKLIN AVENUE - Health (2) �. � . � ��. .;f;. pia
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TOWN OF BARNSTABLE
LOCATION � ''�/-11Jf'f SEWAGE # ���`�"
VILLAGE /,0 4Nfj K5 ASSESSOR'S MAP & LOTS: o 3
INSTALLER'S NAME&PHONE NO. to Y-�J -77
SEPTIC TANK CAPACITY /OW
LEACHING FACILITY: (type) /9 7— (size)
NO.OF BEDROOMS
BUILDER ON;OW / / /� I��
PERMITDATE: -2/-71/ f6 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)
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leac ' ac' ' y) A' Feet
Furnished by 1,
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