HomeMy WebLinkAbout0135 OLD EAST OSTERVILLE ROAD - Health Us�erv� I(� 1-7
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TOWN OF BARNSTABLE
LOCATION. i�S ®� � r�• ' */y SEWAGE #
V .LAGE ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) (size)
NO.OF BEDROOMS
BUILDER OR OWNER
PERMITDATE: COMPLIANCE DATE:
` Separation Distance Between the:
Maximum Adjusted Groundwater Table and 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 o
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