HomeMy WebLinkAbout0263 STARBOARD LANE - Health Z-6-3 starymana m
/ '
�I
1 // OWN OF BARNSTABLE
LOCATION o`t03 S�/J�( 0,4VC /4A9_ SEWAGE #
}
VILLAGE 0S7krV1Itk ASSESSOR'S MAP & LOT 1�6 O3(0
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY CltnSSO(!a
LEACHING FACILITY: (type) r tT (size) GD x (0
NO.OF BEDROOMS
BUILDER OR OWNER V►AC ., (V)0ko�
PERMPIDATE: 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
n ' POCC \
a3
01 fie^«
,.a
s
TOWN OF BARNSTABLE
LOCATION. 57A dAro 404,1' SEWAGE# eCji:�n
VILLAGE QsT ASSESSOR'S MAP &LOT
INSTALLER'S NAME&PHONE NO.s,,c-uCe \ ►CLU (er
SEPTIC TANK CAPACITY /i� — C'<SJao/
LEACHING FACILITY: (type) (size)
NO.OF BEDROOMS_
BUILDER OR OWNER VIA CC,4 /vl62fo✓t
PERMUDATE: 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 3.00 feet of leac ' g.fac'1' ;7 Feet
Furnished by i'Xei�.
L
r
1 � � Ce 55poa-i