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T WN OF BARNSTABLE
1 OCATION SEWAGE #
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t'21STALLER'S NAME&PHONE.NO.
SEPTIC TANK CAPACITY �_ c1b '��—�Jlj
LEACHING'FACIL=: (type) c, L--_ (size) -3141 /a
NO. OF BEDROOMS
BUILDER OR OWNER r f
PERMITDATE: q l 7 t- COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facihty (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
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LOCATION SEWAGE PERMIT NO.
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INSTA LLER'S NAME a ADDRESS
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DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED hl y ffo �
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