HomeMy WebLinkAbout0333 RACE LANE - Health �3 &ce Laite
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{' TOWN OF BARNSTABLE
LGCATION 333 9A C e L A,41 e SEWAGE # 77- 7 yo
VI,LL,u—E,/14 A R' QA�S ,/4-/`1-F ASSESSOR'S MAP& LOT
INSTALLER'S NAME&PHONE NO. J ' A4 A C ®M IS et 4 5'0//
SEPTIC TANK CAPACITY /o O D
LE CHING FACILITY: (type) ;Z �L6`2 CRA,Hifes (size) a UQ G
NO.OF BEDROOMS
BUILDER OR OWNER
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 .
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T WN OF BARNSTABLE
LOCATION SEWAGE #
VII. = ASSESSO 'S MAP & LOT
NSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACII.TTY: (type (size)
NO.OF BEDROOMS
BUILDER OR OWNER � tO
PERMTTDATE: f24
+"27 COMPLIANCE DATE: r
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any weUs exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and aching Facility(If any wetlands exist
within 300 fcgf ofle c ' g fac' " ) Feet
Furnished -i �
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