HomeMy WebLinkAbout0449 EEL RIVER ROAD - Health (2) �f E L R-T
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TOWN OF BARNSTABLE
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i:'�C:ATION 7 % Fee C 11 �
VILLAGE � 6 ASSESSOR'S MA/P&PARCEL
INSTALLERS NAME&PHONE NON fLZC SEPTIC TANK CAPACITY
LEACHING FACILITY:(type)SOO (size)) /a 03
NO.OF BEDROOMS ^y Q�/'P1�T•�"P� r���+'�+
OWNER
PERMIT DATE: COMPLIANCE DATE: Olt q v
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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TOWN OF BARNSTABLE
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LOCATION
MILAGE 0MCU►I L ASSESSOR'S MAP & LOT��� Da0
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY w.
LEACHING FACILITY: (type) C4S3A0'G size
NO. OF BEDROOMS r /
BUILDER OR OWNER l""A 111P 4114
PERMTTDATE: 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 leachin facility) Feet
Fumished by
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