HomeMy WebLinkAbout0538 MAIN STREET (OST.) - Health Q
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TOWN O7,F�BARNSTABLE
LOCATION ) tJ 0IM A i SEWAGE #
VILLAGE 04pav w_. ASSESSOR'S MAP & LQT
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACIL=: (type) fors 01-r4 (size)
NO.OF BEDROOMS
BKOR OWNER 'did ��l
PERMTTDATE: COMPLIANCE DATE:
Separation Distance Between the:'
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet y
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 e_ i/
Al - si `
I. K {2NLS N .50 d N
LOCATION SEWAGE PERMIT NO.
E5�s s u ► �(Z,\
VILLAGE
I N S T A LLER'S NAME j ADDRESS
R U i L DE� �R OR OWN ER
l�tr�
DATE PERMIT ISSUED
DAT E COMPLIANCE ISSUED
Pro POS e. �
' L
L/Y