HomeMy WebLinkAbout0229 WOODSIDE ROAD - Health 9
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TOWN OF BARKSTABLE �D�k_: // n�
LOCATION � SEWAGE #
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VILLAGE ASSESSOR'S MAP & LOT /15—oZ '01;k3
INSTALLER'S NAME&PHONE NO. � �� r_
SEPTIC TANK CAPACITY
LEACHING FACILITY: (ty ) —(size) s�
NO.OF BEDROOMS
BUILDER OR OWNER
PERMIT DATE: 61L OMPLIANCE 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 anyWwetl,.,,ds exist
within 300 feet o Feet
Furnishedo
7 1kv�
BO
31 �a cti Air
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