HomeMy WebLinkAbout0018 JILLIANNS WAY - Health � � Jr�C,���.s C�
TOWN OF BARNSTABLE
LOCATION LTV_ SEWAGE #_9.�vL�
VILLAGE_ 'r ASSESSOR'S MAP& LOT - — -
INSTALLER'S NAME&PHONE NO. V)\e I_ex
SEPTIC TANK CAPACITY 5y O
LEACHING FACILITY: (type) T-reii c (size) X V X3'7�
NO.OF BEDROOMS
BUII.DE R( R r-e 4
PERMTTDATE: t COMPLIANCE DATE: 7 l3 q
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 fe of eaching facility) Feet
Furnished by ",
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16r