HomeMy WebLinkAbout0689 MAIN STREET (COTUIT) - Health _ . 0 3Cn� �13
TOWN OF BARNSTABLE
LOCATION g M41"Y � ' SEWAGE #
Gvct• r1
VII.,LAGE ASSESSOR'S & LOT Lb�I 3(0
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) B�T� /�� (size)
NO.OFBEDROOMS
BUILDER OR OWNER
PERMTTDATE: d!f� � COMPLIAN DAB
Separation Distance Between the: 7-- 5. S B j o�►�
Maximum Adjusted Groundwater Table and Bottom of Leaching Facility / Feet
Private Water Supply Well and Leaching Facility (If any wells exist/Vp zv`p �
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exi
within 300 feet of leaching facility) b 610 '��� 1 eet
Furnished by� VA-
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Zp �0 km
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