HomeMy WebLinkAbout0026 JILLIANNS WAY - Health 3 oa,&� Ljat1k I
09
C
TOWN OF BARNSTABLE '
LOCATION ,,�// /� �' 1� SEWAGE # 36,
)' 3
VILLAGE C OL!l ASSESSOR'S MAP&.
INSTALLER'S.NAME&PHONE NO. hal • Aes,,lg C" J'22"54W
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) (size)
NO. OF BEDROOMS
DE OR OWNER ea��
PERMITDATE: ., -Z� w `� � COMPLIANCE DATE: —Ib
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
F.
A � `30
60 � _
10
.Q
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