HomeMy WebLinkAbout0177 BAYVIEW CIRCLE - Health (2) l �
f
f
46 Cedar Lane
Osterville
A= 118 - 053
I
i
F//—/ I—SMEA m
No.2-153LGN
UPC 12134
HASTING%MN
TOWN OF BAR STABLE
LOCATION /77 &t, o%¢ SEWAGE#
VILLAGE 03 F-eAo ASSESSOR'S MAP&PARCEL (4,Yltl
INSTALLERS NAME&PHONE NO.—�- we
SEPTIC TANK CAPACITY /Roo
LEACHING FACILITY: (type) (t*) LG 00 hF a0 (size) i 3 Y aS'
NO. OF BEDROOMS 3
OWNER Gt///l0r/ `,,.,
PERMIT DATE: 9 6 ( COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility A/o i Z 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
r
�o
�, o we c �
i.