HomeMy WebLinkAbout0077 MAIN STREET (COTUIT) - Health 7
TOWN OF BARNSTABLE
LOCATION 77 M l h '�T SEWAGE#
VILLAGE CO ASSESSOR'S MAP&PARCEL Q 9
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY. (type) (size)
NO.OF BEDROOMS T'
OWNER S 0 6 �
PERMIT DATE: 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) ✓V Feet
Edge of Wetland and Leaching Facility(If any wetlands exist within /J
300 feet of leaching facility) A/ iW Feet
FURNISHED BY
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