HomeMy WebLinkAbout1500 MAIN STREET (COTUIT) - Health (2) 15 au m aw �.�k+
` TOWN OF BARNSTABLE
LOCATION 1524 Atud Col4otit SEWAGE# Zoi3— 3 3
VILLAGE LoTU I ASSESSOR'S MAP&PARCEL
INSTALLER'S NAME&PHONE NO. f i 4 A Qn �►v�- �o S-Z�¢��53
SEPTIC TANK CAPACITY U00 - /00-To0
LEACHING FACILITY:(type) 4 LO 50 0 (size) 3f.S,x /0. 3
NO.OF BEDROOMS 4
OWNER ZsM fZ � ?-ti. I T-4,S�
PERMIT DATE: J/Z Z//q 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) NA Feet
Edge of Wetland and Leaching Facility(If any wetlands exist within
300 feet of leaching facility) Feet
FURNISHED BY
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,. TOWN OF BA.RNNSTABLE
LOCATION -lso2 /�/ �/ SEWAGE
VILLAGE ('j � 1 ASSESSOR'S MAP 6z LOT
INSTALLER'S NAME & PHONE NO� �
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) t9 q?f'e, 4a �S (s� / r-o"ex?
NO. OF BEDROOMS / PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER c s o'
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSU D:
VARIANCE GRANTED: Yes No
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TOWN OF BARNSTABLE
LOCATION �� �2 ���i'i�/ SEWAGE 4 3
,VILLAGE ,�71
�r ASSESSOR'S MAP & LOT r
INSTALLER'S NAME&PHONE NO. f�SEPTIC TANK CAPACITY ® � /
LEACHING FACILITY: (type) G' C' e��r�("—S(size)
NO.OF BEDROOMS
BUILDER OR OWNER
PERMTTDATE: /�/J`� 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) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by
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