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TOWN OF BARNSTABLE
LOCATION t"�D5 SEWAGE #26CF�, ` �O
VILLAGE �%VE ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO. D 1 4' 0�(
SEPTIC TANK CAPACITY tb0b t fAA
LEACHING FACILITY: (type) GJ 2 (size) Z
NO. OF BEDROOMS
BUILDER OR OWNER '01YV
PERMITDATE: T l ( -61 COMPLIANCE DATE: --B —0 3
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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