HomeMy WebLinkAbout0030 BIRCH STREET - Health 3o B�rch �1r.�e�
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TOWN OF BARNSTABLE
LOCATION 3d SEWAGE#
VILLAGE ASSESSOR'S MAP & LOT fO 9-43"6t;a
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) (size)
NO. OF BEDROOMS
BEER GR OWNER
I
PERMITDATE: 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