HomeMy WebLinkAbout0009 EAST BAY ROAD - Health (3) Lq I Wc� —00
TOWN OF BARNSTABLE
LOCATION Eps! K SEWAGE#
VILLAGE et'�//��! ASSESSOR'S MAP&PARCEL 001
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY #-20 �Sao areal
LEACHING FACILITY.(type) Y;fb0 uAt) f , i size) 35 41 X /9 /O�
NO.OF BEDROOMS S 0 /iaGPD
OWNER-RaTricK rlallahart
PERMIT DATE: % Z 3haz COMPLIANCE DATE: /D ?
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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