HomeMy WebLinkAbout0103 BLANTYRE AVENUE - HAZMAT G� ''
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TOWN OF BARNSTABLE
LOCATION i0we� SEWAGE# o y-0'*
VILLAGE to-4 'otl)Ip ASSESSOR'S MAP&PARCEL aM
INSTALLER'S NAME&PHONE NO.'�D,A'b)aNhAJ G_0biq J"S3%
SEPTIC TANK CAPACITY i -20 1000
LEACHING FACILITY:(type) (size) G
NO.OF BEDROOMS 4
OWNER,-'
PERMIT DATE: oC COMPLIANCE DATE: ,Z
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 any wetlands exist within
300 feet of leaching facility) Feet
FURNISHED BY�`�1I &
-17
3
s
6 _S 6-�
Alo
7 " 7. CP
vial G
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