HomeMy WebLinkAbout0855 WEST MAIN STREET UNIT CAPT SCUDDER UNIT 1 - Health 855 WtS4 (Chins}. � it
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TOWN OF BARNSTABLE
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VILLAGE .� .� n t S ASSESSOR'S MAP & LOT-9-V4 03
INSTALLER'S NAME&PHONE NO. `/� e w►d-t
SEPTIC TANK CAPACITY
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LEACHING FACILITY: (type) 3 ' S (size)
NO.OF BEDROOMS nn
BUILDER OR OWNER „`S1,&x r►lcf\
PERMITDATE: 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
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LOCATION 95•S Id- i Y v 0 5 SEWAGE# ZOO-7-3-7S
VILLAGE /Iue- r S ASSESSOR'S MAP&PARCEL Z�{ JOS
INSTALLERS NAME&PHONE NO.
SEPTIC TANK CAPACITY 3600 /� _
LEACHING FACILITY.(type)�Yd) C C,(/YC /UD (size) $ X SC)
NO.OF BEDROOMS o• Q v /
)OWNER_ F5/Lj-rw4,tS
PERMIT DATE: 8/2$/2,067 COMPLIANCE DATE:
Separation Distance Between the: f
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Priva e Water Supply Well and Leaching Facility(If any wells exist
on ste 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 �q-&w,k r�fe-q-,,'se S L LC-
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