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HomeMy WebLinkAbout0194 SEVENTH AVENUE (HYANNIS) - Health nni S e avivlr5 j t 0 TOWN OF BARNSTABLE LOCATION 36y&-rTl-0 Vd? T SEWAGE# VILLAGE C�l�1l�L'IS ASSESSOR'S MAP& LOT?�57"07� INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO.OF BEDROOMS PERMTPDATE: 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 leaching facility) Feet Furnished by io A -:3l®&-?9'K"--J 41 M� -119�' I �v A-)-7-Ze-' 2/�