HomeMy WebLinkAbout1815 OLD STAGE ROAD - Health 67 o ST-n&E rPM-0
p TOWN OF BARNSTABLE
LOCATIO`N� 0 OLD S /(A3 X6,40 SEWAGE#pe2jh�('���—��c�
VILL�E— f�Ailt145 W L �' ASSPESSOR'S MAP M01 -0o� �
INSTALLER'S NAME&PHONE NO. 1,� P 4.hLOASt QwN54Ayc4-ioK
SEPTIC TANK CAPACITY 1, S00 QA 111-N &�6- 77 U
LEACHING FACILITY.(type) *a - 50ca?Al LoNal, (size) aL4"x /d,93 ,
NO.OF BEDROOMS
OWNER 14A614A4- LP& duMAN&I oP CAPt Cc'P , )�14 C
PERMIT DATE: aQ l J COMPLIANCE DATE: /3
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility AA Feet
Private Water,Supply Well and Leaching Facility(If any wells exist on
site or within 200 feet of leaching facility) c3 Feet
Edge of Wetland and Leaching Facility(If any wetlands exist within /
300 feet of leaching fac' ity) N!� Feet
FURNISHED BY
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