HomeMy WebLinkAbout0200 SETH GOODSPEED'S WAY - Health 2 Ot)
t Wa-ADI-1( Cl)
�� I
TOWN OF BARrNSTABLE
L�.00A?'ION a6�� ���S P�-�s WAY SEWAGE # ���"
1'"� LLAGE d S-� r✓1 l L" ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PRONE NO.
0\b\VVC,0r,)
SEPTIC TANK CAPACITY ` ®�
LEACHING FACILrN: (type) a oZ (size)
NO.OF BEDROOMS _
�r sy su c� -'�to ( \Q
BUILDER O WNE � �. e +�
PERMITDATE: *D COMPLIANCE DATE:
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
,7 � �FNa�str
TOWN OF BARNSTABLE
20 d_17 r,( .(Q
LOCATION J SEWAGE #
`tVILLAGE ,V V, �. ASSESSOR'S MAP & LOT Z�O1
INSTALLER'S NAME&PHONE NO. U+
SEPTIC TANK CAPACITY I 00D oftl 1,01/1S
r t
LEACHING FACILITY: (type) t (size) L2
�
NO.OF BEDROOMS.
BUILDER OR OWNER ,VI c,
PERMITDATE: COMPLIANCE DATE:
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
zloraFurnished by S�}Z
t
;,A1 �^
o � �
� �s