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HomeMy WebLinkAbout0062 SAINT ANTON'S WAY - Health �a r� f+ti� ©,vas 0 I oo 1/6 a. fr. TOWN OF BARNSTABLE LGrATION 62'L V SEWAGE # VILLAGE /�t1 S ASSESSOR'S MAP & LOT 31- Cb/ INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) O�- X b P Ts (size) l�� NO.OF BEDROOMS 3 BUILDER OR OWNER /1 he oil VI PERMTTDATE: 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 acility) —y-- Feet Furnished by �/1 SAGS on .- �ronT � ' d 3 I l 3 c 3a a lot 3� 3 y Y y 4/9Ire) 3a 3� o% TOWN OF BARNSTABLE LOCATION U� 4- N OAS �� SEWAGE # VILLAGE ® � , ASSESSOR'S MAP & LOT y �, INSTALLER'S NAME & PHONE NO.Caf L�.pw �Iey ,c�LS' SEPTIC TANK CAPACITY 8� LEACHING FACILITY:(type) P;� (size) 1000 NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER Q00,-\ qM - DATE PERMIT ISSUED: .J5 DATE COMPLIANCE ISSUED: ® � VARIANCE GRANTED: Yes No �o �1 rb 3 - t .� /sue V L L A G E ,IN STA LLER'S NA WE ADDRESS - � r c o ! v Soo n R U1lDER on OWNER a 4 CAk r y o"C_� DATE PERMIT ISSUED � DATE COMP . IAHCE ISSUED L �,� r 63 3a t ID . r. VCY S v� 3s� Ls