HomeMy WebLinkAbout0052 STONE BRIDGE LANE - Health 009
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TOWN OF BARNSTABLE
LOCATION 5a. 6725XJ63.,2,(065 JA4►E SEWAGE # o2O66- /Oa
VILLAGE ASSESSOR'S MAP & �S Wk,
LOT
INSTALLER'S NAME&PHONE NO.-B• h00..CQ. J Tc_r- L(18-SSaLL
SEPTIC TANK CAPACITY
LEACHING FACILITY: 6OQ-C 4AAAcOu Cad
(type}$ (size) loZ �C a S
NO.OF BEDROOMS 3
BUILDER OR OWNER \02C_1rteN S?t f-JCU 9__
PERMUDATE: 3- 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 facili '"` j Feet
Furnished by 'k h 1 S ��
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TOWN OF BARNSTABLE
LOCATION Jr 075 e.. SEWAGE #
VU L,AGE & . ASSESSOR'S MAP & LOTI�00 00�
IPA F NAME&PHONE NO. APA11-A -,L�OeAse
SEPTIC TANK CAPACITY
LEACHING FACIL=: (type)
NO.OF BEDROOMS 3 '
4UILV R`OR OWNER
PERMIT DATE: ' �� — J L COMPLIANCE DATE:
Separation Distance Between the: l�Il
Maximum Adjusted Groundwater Tablet 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 facility) Feet
Furnished by
TOWN OF BARNSTABLE
LOCATION 3 ''2 5 0 iL' € j3�!�X F— /,- SEWAGE#
' VILLAGE M i L L S ASSESSOR'S MAP&LOT�� o
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RF,TAL++R'S NAME&PHONE NO. —1'4 Of !_'J 0/�A/(-A—
SEPTIC TANK CAPACITY // 7U
LEACHING FACILITY:(type) (size)
NO.OF BEDROOMS
BUILDER OR OWNER ail �'` ��f✓
HT DATE: 3—G 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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***NO/
' TOWN OF BARNS'TABLE
O 'A� t:°N L�i iei G� —SEWAGE # ' ���
VILLAGE h�IA0,5`TOiJS M 1LL,5 ASSESSOR'S MAP & LOT
INSTALLER'S NAME & PHONE NO. �til� 'l�iS-(�L.LC. �ry of �77I�361(0
SEPTIC TANK CAPACITY 1000 Gt i-.
LEACHING FACILITY:(tyge)&&1S7 L,--Aoj- l f (size) /WZ
�r NO. OF BEDROOMS PRIVATE WELL OR VUBLIC WATT
\BUILDER OR OWNER
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
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