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HomeMy WebLinkAbout0100 RED OAK LANE - Health KeJ oak 4nn W , box 127/oyz 5 1�R�s� �.r_nRlwsni_i � � <� OWN OF BARNSTABLE 1 (3o Re oAtcl LOCATION ! 1- SEWAGE # VILLAGE i,--We5'r f ,4&&kA"SSESSOR'S��rMAP & LOT 1. INSTALLER'S NAME & PHONE NO. `1�e�� Cc,/wmge y►I Y22:i a:�5 SEPTIC TANK CAPACITY LEACHING FACILITY:(type)�h��a _ (sue) O O NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER C.-JC'( BUILDER OR OWNE -VA) r I de pt f DATE PERMIT ISSUED: DATE .COUPLIANCE ISSUED: �f 5 VARIANCE GRANTED: Yes No �'"` �© 0� a�. TOWN OF BARNSTABLE LOCATION 480 IZe:Q41- SEWAGE# - VILLAGE &), :�;bZA hoWiSSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. ,�. SEPTIC TANK CAPACITY LEACHING FACILITY. (type) sZ-4 (size)-I!K-A-' NO. OF BEDROOMS 3 4,4f-- OWNER PERMIT DATE: IA.�- COMPLIANCE DATE: as Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility 4—/b, Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) (—�— I-'c-6 Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY O-f I - . `3