HomeMy WebLinkAbout1640 OLD STAGE ROAD - Health (3) W/O DID sriq-
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TOWN OF BARNSTABLE
LOCATION I(P40 6164�z }e,cr Fr� SEWAGE
VILLAGE ASSESSOR'S MAP&PARCELPS,X -011-63M
i 5-2—cal J 'roe)
INSTALLER'S NAME&PHONE NO. A -%Gfcwa 1,,p
SEPTIC TANK CAPACITY
LEACHING FACILITY.(type) raj it`^20 (size)
C•�tcmbe�S
NO.OF BEDROOMS 3
OWNER Zd
PERMIT DATE: cJ G`/4 COMPLIANCE DATE: Z d
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Separation Distance Between the: j at
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility OF -10e e C 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 BY71D2,X, (t^_ti�
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