HomeMy WebLinkAbout1257 MAIN STREET (COTUIT) - Health _ _ ol l o-�
TOWN OF BARNSTABLE
LOCATION I5 7 ��)V 1 SEWAGE#
VILLAGE ( i� ASSESSOR'S MAP&PARCEL 0/
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY 3 —/Dcn zz±tL :�Efniz-, Tw z<
LEACHING FACILITY.(type) -(;=r, (size) /per 4nk
NO.OF BEDROOMS 6,
OWNER MAE COP
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 Of 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 Bcc CVPLO I L.ON']I_QJ�Lt0
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