HomeMy WebLinkAbout0056 CHRISTMAS WAY - Health (2) a
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SMEADO
No.2453LY
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UPC 12934
smead.com a Made in USA
SUSTAINABLE
FORESTRY
INITIATIVE
Certified Fber Sourcing
www efiprogremorg
TOWN OF BARNSTABLIJ. &
LOCATION �/P ®7l�S "SrEWAGE # a °'
VILLAGE AS ESSIQR S MAP & LOT/�
INSTALLER'S NAME&PHONE N0. /�b 2,
SEPTIC TANK CAPACITY
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LEACHING FACILITY: (type)
NO.OF BEDROOMS 3�
BUILDER OR OWNER
PERMIT DATE: CQMPICE DATE: 7�
Separation Distance Between the: ',,
Maximum Adjusted Groundwater Table and Bottom of Leaching'Faeility` Feet
Private Water Supply Well and Leaching Facility (If any wells exist _.= �„z,
on site or within 200 feet of leaching facility) _.,' Feet
Edge of Wetland and Leaching Facility(If any wetlands exist ' :`
within 300 feet aching fa ' ' ) '' Feet
Furnished b.,
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f .1.. 3 New
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LOC-ATION �� _ _ S EW O/E PER>ISIT NO.
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VILLAGE
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I:� INS A LLER'S NAME i _ADDRESS
NGUILDER OR OWNER
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DATE PERMIT ISSUED �s-
60
SATE COMPLIANCE ISSUED�� � �5
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