HomeMy WebLinkAbout0695 ATTUCKS LANE - Health � yS fl+h�cF�s Ise
al
/ TOWN OF BARNSTABLE
LOCATION �j &�ye✓ SEWAGE#
VILLAGE O� ASSESSOR'S MAP&PARCEL��/0 vat-�UU
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) (size
NO.OF BEDROOMSEW
OWNER S E-R,
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) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist within
306 feet of leaching facility) Feet
FURNISHED BY