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1202 SANTUIT-NEWTOWN ROAD - Health
- - - - -- Nl��lor� j'n�� � sGl�/v-� I��c� �; ~L U / TOWN OF BARNSTABLE V. , h-Wkr- LOCATION /.2 6 roe SEWAGE # 9- -73X; VILLAGE���b'=1al b a (�LG ASSESSOR'S MAP & LOT (s XZe -CSo``�LS INSTALLER'S NAME&PHONE NO. /Di SEPTIC TANK CAPACITY LEACHING FACILITY: (type) 4& 7-0,(1° (size) NO.•OF BEDROOMS BUILDER OR OWNER e PERMTTDATE:_IJ—IL -91"r COMPLIANCE DATE:_ 1 j 11 FEE 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 Ala t3� . CJa 133 c2 �- 352 LOCATION '5a/72�UL t'-_- SEWaC;E. _PERMIT MO. _ Lot 29 _Sa w-i-ah _Newtown - Rd Bantult —Mass _ IWSTQLLERS ► W-AE 6 ADDRESS Robert B Our Oo Harwich BUILDER'S t t_[ MF- ADDR_E SS _ — — -nav-I& Tal.lege — DIaTE PER"I-T 155UED —_- 10/9/75 - - D D.TE COMPLI WACE ISSUED : — — — �9 Za-i Y��,a� VF �vs�