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HomeMy WebLinkAbout0046 WOOD DUCK ROAD - Health (2) p3�-- � �5� - � --(Yl � 1 `S ,. TOWN OF BARNSTABLE a LOCATION Lit y®A Lwk, Q k SEWAGE # 6 s� M�p VILLAGE 1n �i,'� S ASSESSOR'S MAP&LOT INSTALLER'S NAME&PHONE NO. S 0 N. 1 ct Z V SEPTIC TANK CAPACITY t<-00 % LEACHING FACII.ITY: (type) (size) NO.OF BEDROOMS 7- BUILDER OR OWNER PERMITDATE: �CW COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility tt�f 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) 101 Feet Furnished by Q L►u)asZ Lam Sysr*reyo jq 3 j