HomeMy WebLinkAbout0091 WATERFORD DRIVE - Health y
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TOWN OF BARNSTABLE
LOCATION ( SEWAGE# 20%G,H 0 1
VILLAGE AO tij=<4 ASSESSOR'S MAP&PARCEI.0S-(,R(,
INSTALLER'S NAME&PHONE NOZ- 0Qt G$ & 3�c �('
SEPTIC TANK CAPACITY 00 0 I�U✓►
LEACHING FACILITY: (type) A~ ( (S (size) C .i f q-,TXg
NO.OF BEDROOMS
OWNER Loki to I\I
PERMIT DATE: . " COMPLIANCE DATE:
Separation Distance Between the: ,JO^)C-Gkf-- pt°<C
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 facility) \ 'Feet
FURNISHED BY
'Boor - 8,
03
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