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0024 NEWPORT LANE - Health
� yIYOO .. // TOWN OF BARNSTABLE LOCATION 241NC`�J001k / 4aN(j SEWAGE#O VILLAGE _ S$Z?f vil1P ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. D.A ,`f mb , SEPTIC TANK CAPACITY 15M' l Q LEACHING FACILITY:(type) v2��� 1-4 (size) AiflXdr NO.OF BEDROOMS OWNER PERMIT DATE: "a COMPLIANCE DATE: -3 Wal Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility int>° 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 FURNISHE6B.Yc= �f ©upr haJ5 Dec IC 42 � qo A 714—f►sN/ 39 y -3 3a , TOWN OF BARNSTABLE LOCATION r1 NC11Qjf/- 4aed(, SEWAGE# -0y� VILLAGE f�l�ai�[(° ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. A (put K .k- SEPTIC TANK CAPACITY i 5 () LEACHING FACILITY:(type) a 6W qQ_d (size) I;Li 63 Xa S NO.OF BEDROOMS �S ck-ts tG OWNER PERMIT DATE: -I�1"2 I COMPLIANCE DATE: -3 d Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility 'e 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 BYC,� � I i �dtj)e C ` ava c+.ler har.15 Dec Ic I r Vrrc° c� f r -x'�'o i y A, y �� I 39'y"-3 �3� 92'