HomeMy WebLinkAbout0274 LINCOLN ROAD - Health a7q Uwln Rd,
1 911 / cis
TOWN OF(�BARNSTABLE (�
LOCATION A7 7 L,� o I n ��, SEWAGE#
VILLAGE ASSESSOR'S MAP& 1PA_RCgE
INSTALLER'S &PHONE NO. . N I C v.
SEPTIC TANK CAPACITY 15610` �
LEACHING FACILITY:(type) fie, I! Z) 3CS4 (size) 2 0 6
NO.OF BEDROOMS 1
OWNER
PERMIT DATE: R12uh I 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 within
300 feet of leac ' il' Feet
FURNISHED B
A t:l9
asfz . )
I
33- 38'
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