HomeMy WebLinkAbout0043 SHOREY ROAD - Health s.
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TOWN OF B:ARNSTABLE
LOCATION 5''�--,S14Cr SEWAGE #
VILLAGE 14 ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type); — (size) (� `
j NO.OF BEDROOMS
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BUILDER OR OWNER
PERMITDATE: COMPLIANCE DATE:
Separation Distance Between the:
Maximum Groundwater Table and 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
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TOWN OF BAMSTABLE
LOCATION „ .5 14 P.csn, SEWAGE #
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VILLAGE 1�In�.�,�,�,,AA ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY ono
LEACHING FACILITY: (type) Ya.,, _ (size)
NO: OF BEDROOMS 3 1
BUILDER OR OWNER
PERMITDATE: COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table.and 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
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