HomeMy WebLinkAbout1471 IYANNOUGH ROAD/RTE 28 - Health 1471 IYANNOUGH ROAD
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Vi'�-AGE_ S Aa0 U.. PUnlL7 ��11��,K�IT 1
INS.,kLLEI I Yl/Vn/v
LEACHING FACILITY:(type) 1 (size)
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NO.OF BEDROOMS
.-OWNER- (5
PERMIT DATE: Noy COMPLIANCE4DATE: Z-- v -9
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
within 300 feet of leaching facility) Feet
FURNISHED BY ;
SHR�oW. l��lQ DE4E[.oy�r�,vr
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d Tb/R OF BARN TABLE plC � 7
LOC¢';TION - I�7 SEWAGE #
137
VIL v�.GE ASSESSOR'S MAP & LOT
INS t'ALLER'S NAME&PHONE NO. l' ab7�- �
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) (size) l
NO. OF BEDROOMS 'A'S0 t
BUILDER OR OWNER
PERMITDATE: 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,V Wetland and Leaching Facility(If any wetland exist a 4
wi`ihin 300 feet of aching facility) Ch Feet
N5 Furnizhed
SUBSURFACE SEWAGE DISPOSAL SYSTEM WSPECTION FORM v
PART C
SYSTFIi WFORMATION Ica.ni.rmll ,•_�.�:.!
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1471 Rte. 172,Hyannis;,Rainbow Mmcl
°ateo' e 1vlcDonwgh -
j""°°`°°"` 5/17/1999
SKETCHOF SEWAGE DISPOSAL SYSTEM:
.clods ti.e to et lae.t two p..m....raja.°..°len—ka°.be.chma.k.
l.cets W wall.wiW.100'IL...1.wh.r.pubkc water supply comae into hcuaeI
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1�ISTRA IN FEEr e
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,Qax=78 K4x=53 Z
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R41<=35 n1K=sg,
'R4L= I 1VL-63 P E`
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Ryfti'1=L16 NM=66:? M� N
oT=23' p
Ux= 3q s
UJx= 37'
revised 9/2/98
fog TOWN OF B �SjTABLE '')
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LOCAnON E # t,-3
ASSESSOR'S MAP& LOT _—
INST= L.LER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY -ZC'0® F t 9L l G O�_�514/_ .PL�ifSe /7g
LEACHING.FACILITY: (type) pQ%���7� � �s (size) /�� Hai sc
NO.OF BEDROOMS
BUILDER OR.OWNER
PERMTTDATE: COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet
Private Watw 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 L&d� ��� FA ICIO GJ� 5�4 r�
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