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HomeMy WebLinkAbout0374 LAKESIDE DRIVE - Health (WCA(, \ �-1 i I TOWN OF BARNSTABLE LOCATION 3 f T kA*—,5 ,o'er SEWAGE # VILLAGE M AN rdjd M 1 ASSESSOR'S MAP &LOT f 37 INSTALLER'S NAME&PHONE NO. 0, &-of 6-s r7? f G dZ SEPTIC TANK CAPACITY LEACHING FACU-ITY: (type) (size) i000 NO.OF BEDROOMS BUILDER O OWNE 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 � I cc� �9!ct St3c Q/l l �� ►t e , 0 / 131-f