HomeMy WebLinkAbout0118 ABBEY GATE - Health (2) " h e,j G 4c Co4x)4-
TOWN OF BARNSTABLE
LOCATION 4/ey 6kte kd SEWAGE D 17 y y
VILLAGE p a 1 ASSESSOR'S MAP&PARCEL 2 l �y
INSTALLER'S NAME&PHONE NO. �ra✓r �� s0 p-S�e S
SEPTIC TANK CAPACITY l r/
LEACHING FACILITY:(type) r6l (size) pal
NO. OF BEDROOMS 3/
OWNER 4Ndr P L.,.),? .fir
PERMIT DATE:4 110 Ll 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
Gafe 9�
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