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TOWN OF BARNSTABLE
LOCATION Se a y,i w A—le— SEWAGE# a 604"3Ti?
VILLAGE _ 4e(u1 `tG ASSESSOR'S MAP & LOT-0 .4 �
INSTALLER'S NAME&PHONE-NO. I? *7n5I'ra&ljs�o
SEPTIC TANK CAPACITY 56 d
LEACHING FACILITY: (type) (size)
NO.OF BEDROOMS 3
BUILDER OR OWNER I
PERM TTDATE: r% DATE: 'lilt he
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
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TOWN OF BARNSTABLE
LOCATION �. Seay/2fstJ Q- . SEWAGE # �ZDo` — 1 t
VILLAGE ®5�_2r1-1d I ASSESSOR'S MAP & LOT .O i0-00-7
INSTALLER'S NAME&PHONE NO._ /`��/f rm_r rkaG_OYl
SEPTIC TANK CAPACITY S00 /a ZCD
LEACHING FACILITY: (type) �-loo Ae✓ Lu.Se S (size)` 640
NO.OF BEDROOMS
BUILDER OR OWNER C.l f • /tlec, Iom
PERMIT DATE: �9/®cZ/0 COMPLIANCE DATE: I
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
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TOWN OF BARNSTABLE
d;0C 110� �s�J/1,1�/ ��� SEWAGE #
"Vl ,AGE ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY.,�,2w�,
LEACHING FACILITY: (type) � � (size)
NO.OF BEDROOMS
BUILDER OR OWNER
PERMIT DATE: CO
Separation Distance Between the-
Maximum Adjusted Groundwater ble to the Bottom -;,eaching Facility Feet
Private Water Supply Well and Leac ' . . (If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and-beac g Facility(If any wetlands exist
within 300 t o e ty) Feet
Furnished y
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TOWN OF BARNSTABLE f .
LOCATION S 1 �E'4�U'i e L'�' SEWAGE # _)00`�� 7!
VILLAGE � .�� '�"�'+ I r ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY _ 5 t o
LEACHING FACILITY: (type) _IlUu fe✓ Y cr t S (size)
NO.OF BEDROOMS (G
BUILDER OR OWNER
PERMITDATE: 9/05-/6 y COMPLIANCE DATE: 1 '
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 Wedand and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by
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TOWN OF BARNSTABLE
LOCATION t1.v ICU SEWAGE # A
VILLAGE C6d enl i l t e— ASSESSOR'S MAP & LOT_
INSTALLER'S NAME&PHONE NO. hlC?9
SEPTIC TANK CAPACITY 1,56 u
[/� �30
LEACHING FACII.ITY: (type) 61fiie.r 1 � (size) �
NO.OF BEDROOMS 3
BUILDER OR OWNER C, 4 f-M
PERMITDATE:_ I 10*`'L—COMPLIANCE DATE: TT& e
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
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' ��/ i-�� v�/ SEWAGE #
LOCA11ON
Vi LAGE //� °'�� ASSESSOR'S MAP & LOT
.07
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY: (typc) �� (size)_
NO. OF BEDROOMS
BUILDER OR OWNER�L
PERMIT DATE: CO
Separation Distance Between the-
Maximum Adjusted Groundwater ble to the BoZZf
f;;eaching Facility Feet
Private Water Supply Well and Leac ' eiiiany wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and beac g Facility(If any wetlands exist
within 300 to e . ty) oe 00e
Feet
Furnished, y
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