HomeMy WebLinkAbout0009 NORTHPORT LANE - Health (2) a
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TOWN OF BARNSTABLE
LOCATION ��Qor-t � SEWAGE#05P
VK LAGE ASSESSOR'S MAP&PARCEL
IT'S NAME&PHONE NO. �r t��� �� �- 19119
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) (size)
NO.OF BEDROOMS
OWNER ��`�1� 8� VNV\MWC-% SoOki-)
PERMIT DATE: COlbFV+4A+�Gg 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 leaching facility). feet
FURNISHED BY
43
? 15 22 r.
4
3
Water
Service
Northport Lane
LO TIO SEWAGE PERMIJ NO.
VILLAGE
.d INSTALLER'S NAME AD NESS
R U I L D E R OR OWNER
kelp
DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED (�' /9"" � '
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